August 2015 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 August 2015. 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.

FDA Warns of Joint Pain Tied to DPP-4 Inhibitors

MONDAY, Aug. 31, 2015 (HealthDay News) -- Use of dipeptidyl peptidase-4 (DPP-4) inhibitors in type 2 diabetes is tied to severe joint pain in some patients, the U.S. Food and Drug Administration warned on Friday.

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Nonalbuminuric CKD Ups Cardiovascular Morbidity in T1DM

MONDAY, Aug. 31, 2015 (HealthDay News) -- Nonalbuminuric chronic kidney disease is associated with increased risk of cardiovascular disease and all-cause mortality, but not renal outcomes, in patients with type 1 diabetes, according to a study published online Aug. 26 in Diabetes Care.

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Osteonecrosis of Jaw Risk Highest for IV Bisphosphonate Use

MONDAY, Aug. 31, 2015 (HealthDay News) -- The risk of osteonecrosis of the jaw (ONJ) is highest in association with intravenous bisphosphonate use, according to a study published online Aug. 19 in the Journal of Bone and Mineral Research.

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Multidisciplinary Rehab Tops CBT for Chronic Fatigue Syndrome

MONDAY, Aug. 31, 2015 (HealthDay News) -- For patients with chronic fatigue syndrome (CFS), multidisciplinary rehabilitation treatment (MRT) is more effective for reducing fatigue than cognitive behavioral therapy (CBT), according to a study published online Aug. 26 in the Journal of Internal Medicine.

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Periodontal Disease Predicts CAC Progression in Type 1 Diabetes

MONDAY, Aug. 31, 2015 (HealthDay News) -- In patients with type 1 diabetes, but not those without diabetes, periodontal disease duration is an independent predictor of long-term progression of coronary artery calcium (CAC), according to a study published in the Sept. 15 issue of The American Journal of Cardiology.

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Many Elderly Oncology Patients Taking Alternative Medicines

FRIDAY, Aug. 28, 2015 (HealthDay News) -- Many elderly oncology patients use complementary and alternative medications (CAMs), including some that could interfere with their treatment, according to a study published online Aug. 12 in the Journal of Geriatric Oncology.

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FDA Approves Repatha for Certain Patients With High Cholesterol

FRIDAY, Aug. 28, 2015 (HealthDay News) -- Repatha (evolocumab) has been approved by the U.S. Food and Drug Administration, the second non-statin drug in its class approved to treat high cholesterol.

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Growth Hormone May Benefit Bone Health in Older Women

FRIDAY, Aug. 28, 2015 (HealthDay News) -- Older women with osteoporosis may benefit from a few years on growth hormone, a new, small trial suggests. The results were reported online Aug. 27 in the Journal of Clinical Endocrinology & Metabolism.

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AMA: Ruling Makes It Easier for Insurers to Terminate Doctors

FRIDAY, Aug. 28, 2015 (HealthDay News) -- The outcome of a recent case regarding the termination of physicians by an insurance company following a dispute over the necessity of medical services provided has serious implications for physicians and their patients, according to a report published by the American Medical Association (AMA).

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Antibiotic Use Linked to Higher Type 2 Diabetes Risk

FRIDAY, Aug. 28, 2015 (HealthDay News) -- Taking antibiotics might increase the risk of developing type 2 diabetes, new research suggests. The study was published online Aug. 27 in the Journal of Clinical Endocrinology & Metabolism.

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Lower Risk of Dabigatran-Tied Bleeding With Gastroprotection

FRIDAY, Aug. 28, 2015 (HealthDay News) -- For patients taking dabigatran, the risk of gastrointestinal bleeding (GIB) is reduced with use of gastroprotective agents, according to a study published in the September issue of Gastroenterology.

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Azithromycin Routine in Hospital Despite Risk for QTc Prolongation

FRIDAY, Aug. 28, 2015 (HealthDay News) -- Azithromycin is routinely prescribed to hospitalized patients despite risk factors for corrected QT (QTc) prolongation and administration of interacting medications, according to a study published online Aug. 19 in the Journal of Hospital Medicine.

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Cirrhosis in Hepatitis C More Widespread Than Thought

THURSDAY, Aug. 27, 2015 (HealthDay News) -- Severe liver damage may be four times more common among Americans with hepatitis C than previously believed, according to study findings published in the August issue of the American Journal of Gastroenterology.

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Cialis Combo Rx Aids Treatment of Pulmonary Arterial HTN

THURSDAY, Aug. 27, 2015 (HealthDay News) -- Tadalafil (Cialis) combined with ambrisentan (Letairis) significantly reduces the progression of pulmonary arterial hypertension, according to a study published in the Aug. 27 issue of the New England Journal of Medicine.

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Periop Bridging Unnecessary for Most A-Fib Patients on Warfarin

THURSDAY, Aug. 27, 2015 (HealthDay News) -- For most atrial fibrillation patients taking warfarin who require temporary interruption for a procedure, perioperative bridging with heparin is unnecessary, according to a study published in the Aug. 27 issue of the New England Journal of Medicine.

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Psoriasis Patients at Higher Risk for Arrhythmia

THURSDAY, Aug. 27, 2015 (HealthDay News) -- Patients with psoriasis are at higher risk of developing arrhythmia, even after controlling for other risk factors, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

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Patient Satisfaction Up for Dulaglutide Treatment in T2DM

THURSDAY, Aug. 27, 2015 (HealthDay News) -- For patients with type 2 diabetes, treatment satisfaction is improved with once-weekly dulaglutide, according to a study published in the September issue of Diabetes, Obesity and Metabolism.

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Most Women Feel Distress With False-Positive Mammogram

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- A majority of women who receive false positives on mammography experience distress and anxiety, according to research published online Aug. 26 in Cancer Epidemiology, Biomarkers & Prevention.

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Antiviral Rx May Help Prevent Ebola, Small Study Suggests

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- Antiviral drugs may help protect people from developing Ebola after exposure to the virus, a new case study suggests. The results were published online Aug. 25 in The Lancet Infectious Diseases.

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Smoking Cessation Boosts Mental Health, QOL After Heart Attack

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- Smoking cessation after acute myocardial infarction (AMI) reduces angina and boosts mental health and quality of life, according to research published online Aug. 25 in Circulation: Cardiovascular Quality and Outcomes.

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Misdiagnosis of T2DM Reported in Patient With Hb Wayne

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- Type 2 diabetes can be misdiagnosed in patients with hemoglobin (Hb) Wayne, according to a case report published online Aug. 20 in Diabetes Care.

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Anorexia Resurgence Can Occur After Smoking Cessation

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- Smoking cessation may be associated with resurgence of anorexic symptoms in patients with a history of anorexia nervosa, according to a clinical case report published in the September issue of the International Journal of Eating Disorders.

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Evidence Supports Flu Vaccine for Nursing Home Residents

TUESDAY, Aug. 25, 2015 (HealthDay News) -- New evidence supports yearly influenza vaccination for protection among nursing home residents, a population for whom vaccine efficacy has been questioned, according to a study published online Aug. 17 in the Journal of the American Geriatrics Society.

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Exercise, Supplements Don't Help Preserve Cognition in Elderly

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Neither exercise nor supplements such as omega-3 fatty acids seem to preserve cognitive function in the elderly, according to research published in the Aug. 25 issue of the Journal of the American Medical Association.

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Acupuncture Beats Pills for Hot Flashes in Breast CA Survivors

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Acupuncture appears to be more efficacious than oral medication for treating hot flashes in breast cancer survivors, according to a new trial that compared acupuncture, sham acupuncture, gabapentin, and a placebo pill. The study was published online Aug. 24 in the Journal of Clinical Oncology.

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Low-Dose Aspirin, Other NSAIDs May Lower Colorectal Cancer Risk

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Regularly taking low-dose aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) may lower long-term risk of colorectal cancer (CRC), new research suggests. The study was published online Aug. 25 in the Annals of Internal Medicine.

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Exercise Can Help Control A-Fib in Overweight Patients

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Exercise appears to help control atrial fibrillation (AF) in overweight or obese patients, according to a study published in the Sept. 1 issue of the Journal of the American College of Cardiology.

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Too Few Blacks, Hispanics Pursuing Careers As Physicians

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Too few members of certain minority groups are pursuing careers in U.S. medicine, resulting in a serious lack of diversity among general practitioners and specialists, according to a research letter published online Aug. 24 in JAMA Internal Medicine.

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No Cognitive Benefits Seen for Elderly Who Stop HTN Rx

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Discontinuing antihypertensive treatment in seniors with mild cognitive deficits does not improve mental functioning, according to research published online Aug. 24 in JAMA Internal Medicine.

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High Uric Acid Levels Linked to Greater Mortality

TUESDAY, Aug. 25, 2015 (HealthDay News) -- High serum uric acid levels are associated with greater risk of all-cause and cardiovascular mortality, but not cancer mortality, in elderly adults, according to a study published online Aug. 16 in the Journal of the American Geriatrics Society.

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Catheter-Directed, Low-Dose Fibrinolysis Safe, Effective for PE

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Ultrasound-facilitated, catheter-directed, low-dose fibrinolysis appears safe and efficacious for acute massive and submassive pulmonary embolism (PE), according to a study published in the Aug. 24 issue of JACC: Cardiovascular Interventions.

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Increasing Use of Statins for Primary Prevention in Elderly

MONDAY, Aug. 24, 2015 (HealthDay News) -- There has been a sharp rise in the use of statins among elderly patients who do not have vascular disease, but there is little research to guide the use of these medicines in this group of patients, according to a research letter published online Aug. 24 in JAMA Internal Medicine.

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Experts Warn Climate Change Will Bring More ER Visits, Mortality

MONDAY, Aug. 24, 2015 (HealthDay News) -- High temperatures lead to increased emergency department visits and mortality, and the numbers will grow as climate change makes summers even hotter by the end of the century, according to research published online Aug. 7 in Environmental Health Perspectives.

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Supportive Doctors Boost Patients' Weight-Loss Efforts

MONDAY, Aug. 24, 2015 (HealthDay News) -- Weight loss is more successful for obese patients who feel they have the most helpful doctors compared to those who feel their doctors are less helpful, according to a study published in the September issue of Patient Education & Counseling.

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Metformin Effects May Be Via Gut, Not Bloodstream

MONDAY, Aug. 24, 2015 (HealthDay News) -- Metformin may act via a predominantly lower bowel-mediated mechanism, according to research published online Aug. 18 in Diabetes Care.

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Nine Modifiable Factors May Be Key in Reducing Alzheimer's Risk

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Up to two-thirds of Alzheimer's cases worldwide may stem from any of nine conditions that often result from lifestyle choices, a broad research review suggests. The findings were published online Aug. 20 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Non-Invasive Laser Technique Accurately Detects Melanoma

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Researchers say they've developed a non-invasive test that can detect melanoma skin cancer without a biopsy. Their findings were published online Aug. 11 in Nature Scientific Reports.

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Spouses of Stroke Survivors Report Reduced Quality of Life

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Caring for a spouse who has had a stroke can harm both mental and physical health, according to research published online Aug. 20 in Stroke.

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Vitamin D Tied to Fewer Falls in Homebound Seniors

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Delivering vitamin D supplements to homebound seniors might help lower their risk of falls, according to a study published online Aug. 16 in the Journal of the American Geriatrics Society.

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Significant Rise in Organic Food Recalls in the United States

FRIDAY, Aug. 21, 2015 (HealthDay News) -- There has been a sharp rise in recalls of organic food products in the United States this year, according to a new report.

Health Highlights: Aug 20, 2015

Patient, Family Advisors Can Play Key Role in Practices

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Practices can employ patient and family advisors in order to help them focus on patient-centered care needs, according to a report published by the American Medical Association (AMA).

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Lipophilic Superior to Hydrophilic Statin in Heart Failure

FRIDAY, Aug. 21, 2015 (HealthDay News) -- For patients with heart failure, treatment effects are superior with lipophilic versus hydrophilic statins, according to a meta-analysis published online Aug. 17 in Cardiovascular Therapeutics.

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Medication Review at ICU to Ward Transfer Cuts Drug Problems

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Medication review by a clinical pharmacist and immediate communication of drug therapy recommendations can reduce the number of drug-related problems (DRPs) at the transfer point from intensive care unit (ICU) to ward, according to a study published online Aug. 12 in the Journal of Clinical Pharmacy and Therapeutics.

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Tamoxifen-Phospholipid Complex May Alleviate TMX Toxicity

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Administration of a tamoxifen-phospholipid complex (TMX-PLC) is associated with improvement in TMX-induced hepatotoxicity in rats, according to an experimental study published in the September issue of the Journal of Pharmacy and Pharmacology.

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Transplant Recipients Have Increased Melanoma Risk

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Organ transplant recipients have an increased risk of invasive melanoma, especially for regional-stage tumors, according to a study published online Aug. 13 in the Journal of Investigative Dermatology.

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Low Vitamin D Tied to Dry Eye Syndromes

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Patients with vitamin D deficiency should be evaluated for dry eye syndromes, according to a study published online Aug. 13 in the International Journal of Rheumatic Diseases.

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Patient Navigators Tied to Shorter Hospital Stays

THURSDAY, Aug. 20, 2015 (HealthDay News) -- Use of patient navigators (PNs) as inpatient care facilitators shortens hospital length of stay, according to a study published online Aug. 10 in the Journal of Hospital Medicine.

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Two-Thirds of Acute AAA Occur in Those Aged 75 Years and Older

THURSDAY, Aug. 20, 2015 (HealthDay News) -- Two-thirds of acute abdominal aortic aneurysm (AAA) events occur in those aged ≥75 years, with most events in men younger than 75 years occurring in smokers, according to a study published online Aug. 19 in the Journal of the American Heart Association.

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Long-Acting Analog Insulin Doesn't Up AMI Risk in T2DM

THURSDAY, Aug. 20, 2015 (HealthDay News) -- For patients with type 2 diabetes, the risk of acute myocardial infarction (AMI) is not significantly different for long-acting insulin analogs versus other basal insulin therapies, according to a study published online Aug. 17 in Diabetes, Obesity and Metabolism.

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Report Highlights Ways to Improve Physician Resilience

THURSDAY, Aug. 20, 2015 (HealthDay News) -- Strategies can be adopted for improving physician resilience and the ability to handle the challenges presented by patient care, according to a report published by the American Medical Association (AMA).

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Oral Contraceptive Use May Moderate Inflammatory Arthritis

THURSDAY, Aug. 20, 2015 (HealthDay News) -- Oral contraceptive (OC) exposure is associated with better patient-reported outcomes in early inflammatory arthritis, according to a study published online Aug. 14 in Arthritis Care & Research.

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Considerable Variation in Cost of Generic Topical Corticosteroids

THURSDAY, Aug. 20, 2015 (HealthDay News) -- There is considerable variation in the unit cost of topical corticosteroids across potencies and by branded generic or generic product, according to a research letter published online Aug. 19 in JAMA Dermatology.

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Long Work Hours Linked to Increased Risk of Stroke

THURSDAY, Aug. 20, 2015 (HealthDay News) -- Working long hours is associated with increased risk of stroke, and with a smaller increased risk of coronary heart disease, according to research published online Aug. 19 in the The Lancet.

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Heart Safety of Testosterone Unclear for Older Men

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- Trials should be conducted to better establish the cardiovascular safety of testosterone therapy, according to a perspective piece published in the Aug. 20 issue of the New England Journal of Medicine.

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FDA Approves Libido Pill for Women

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- Addyi (flibanserin) has been approved by the U.S. Food and Drug Administration as the first drug to treat generalized hypoactive sexual desire disorder among premenopausal women. The drug is for women who do not have an underlying physical or psychological cause for the disorder, the agency said in a news release.

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Role of SNP Variant in FTO Explored in Obesity

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- A single nucleotide variant in the FTO obesity locus disrupts a conserved motif, which has obesity effects, according to a study published online Aug. 19 in the New England Journal of Medicine.

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U.S. Should Reconsider Labeling of Genetically Modified Food

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- The United States should reconsider labeling of genetically modified (GM) food, according to a perspective piece published in the Aug. 20 issue of the New England Journal of Medicine.

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Even Light Drinking Increases Risk of Breast Cancer in Women

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- The risk of alcohol-related cancer is increased even with light to moderate drinking in women, according to a study published online Aug. 18 in The BMJ.

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New Program Teaches Medical Students About Healthy Eating

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- West Virginia has introduced a program to teach medical students how to talk to patients about healthy eating, and deliver practical advice to engaged patients, according to a report published by the American Academy of Family Physicians.

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Favorable Effect of Exercise on BMD Continues As Women Age

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- For early-postmenopausal osteopenic women, exercise is consistently favorable for bone mineral density (BMD) over a prolonged period, according to a study published online Aug. 1 in the Journal of Bone and Mineral Research.

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Peripherally Inserted Central Catheters Up VTE Risk

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- For hospitalized patients, peripherally inserted central catheter presence is associated with increased risk of upper- and lower-extremity deep vein thrombosis, according to a study published recently in The American Journal of Medicine.

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Acetaminophen Falsely Elevates CGM Glucose Values

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- Acetaminophen falsely increases continuous glucose monitor (CGM) glucose values, according to an observation letter published online Aug. 12 in Diabetes Care.

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FDA Reveals More Violations by Medical Scope Maker

TUESDAY, Aug. 18, 2015 (HealthDay News) -- New violations by the maker of medical scopes recently linked to deadly infections in patients have been discovered by the U.S. Food and Drug Administration.

Health Highlights: Aug 18, 2015

Risk Factors Can ID Patients More Likely to Be Readmitted

TUESDAY, Aug. 18, 2015 (HealthDay News) -- Patients at greatest risk for an unplanned hospital readmission include those with chronic cardiovascular and pulmonary diseases, those discharged on Fridays, and those with a high number of previous emergency department visits, according to a study published in the August issue of the Journal of Evaluation in Clinical Practice.

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Liraglutide Linked to Weight Loss Over 56 Weeks in T2DM

TUESDAY, Aug. 18, 2015 (HealthDay News) -- For overweight or obese patients with type 2 diabetes, subcutaneous liraglutide (3.0 mg) results in more weight loss than placebo over 56 weeks, according to a study published in the Aug. 18 issue of the Journal of the American Medical Association.

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Federal Grants Target Heroin Epidemic in Eastern States

TUESDAY, Aug. 18, 2015 (HealthDay News) -- The Obama administration will provide millions of dollars in federal grants to help counties hardest hit by a heroin epidemic in the eastern United States.

Health Highlights: Aug 17, 2015

Lumbar Spine BMD Ups Fx Risk in Women With Discordant T-Scores

TUESDAY, Aug. 18, 2015 (HealthDay News) -- Lumbar spine (LS) bone mineral density (BMD) increases fracture risk among women with lower LS T-score than femoral neck (FN) T-score, according to a study published online Aug. 4 in the Journal of Bone and Mineral Research.

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USPSTF Draft Recommendation Urges Against COPD Screening

TUESDAY, Aug. 18, 2015 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found no net benefit for chronic obstructive pulmonary disease (COPD) screening in asymptomatic adults and consequently recommends against screening. These findings form the basis of a draft recommendation statement published online Aug. 17 by the USPSTF.

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New York Latest State to Ban Powdered Alcohol

MONDAY, Aug. 17, 2015 (HealthDay News) -- New York is the latest state to ban powdered alcohol, even though it isn't even available on the open market yet.

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Drug Monitoring Program Tied to Drop in Opioid Rx in Florida

MONDAY, Aug. 17, 2015 (HealthDay News) -- Implementation of Florida's Prescription Drug Monitoring Program (PDMP) and pill mill laws correlated with a modest reduction in opioid prescription and use, according to research published online Aug. 17 in JAMA Internal Medicine.

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Classification Details Pain Prevalence Among U.S. Adults

MONDAY, Aug. 17, 2015 (HealthDay News) -- An approach for classifying pain severity developed by the Washington Group on Disability Statistics is effective for assessing self-reported pain among U.S. adults, according to a study published in the August issue of The Journal of Pain.

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Serious Childhood Infection Tied to Metabolic Disease Later in Life

MONDAY, Aug. 17, 2015 (HealthDay News) -- Infection-related hospitalization (IRH) during childhood is independently associated with adverse adult metabolic variables, according to a study published online Aug. 17 in Pediatrics.

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EMR Care Pathway Aids Treatment of Cellulitis

MONDAY, Aug. 17, 2015 (HealthDay News) -- An electronic medical record (EMR)-based care pathway improves treatment of cellulitis, according to a study published online July 28 in the Journal of Hospital Medicine.

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Metabolic Changes With Metformin May Lower LDL-C

MONDAY, Aug. 17, 2015 (HealthDay News) -- The diabetes drug metformin changes metabolic profiles of three metabolites that may lower LDL cholesterol (LDL-C), according to a study published online Aug. 5 in Diabetes Care.

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Physical Activity Reduces Risk of Mental Health Sick Leave

FRIDAY, Aug. 14, 2015 (HealthDay News) -- High levels of job stress may increase the risk of sick leave due to mental health disorders, but risk is decreased with increasing physical activity, according to research published in the August issue of the Journal of Occupational and Environmental Medicine.

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mHealth Technologies Show Potential for CVD Prevention

FRIDAY, Aug. 14, 2015 (HealthDay News) -- Mobile health (mHealth) technologies have the potential to improve cardiovascular disease (CVD) prevention in terms of targeting lifestyle behaviors, despite limited evidence on their effectiveness, according to a scientific statement from the American Heart Association (AHA) published online Aug. 13 in Circulation.

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Long-Term Insulin Pump Use Reduces Mortality in T1DM

FRIDAY, Aug. 14, 2015 (HealthDay News) -- For individuals with type 1 diabetes, long-term use of continuous subcutaneous insulin infusion (insulin pump therapy) is associated with reduced cardiovascular and all-cause mortality, according to a study published online June 22 in The BMJ.

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U-Shaped Link for Physical Activity, Heart Failure in Men

THURSDAY, Aug. 13, 2015 (HealthDay News) -- There is a U-shaped correlation for physical activity with risk of heart failure among men, according to a study published online Aug. 12 in JACC: Heart Failure.

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CDC Determines Prevalence of Osteoporosis in Older Adults

THURSDAY, Aug. 13, 2015 (HealthDay News) -- The prevalence of osteoporosis and low bone density has been examined among adults aged 65 years and older. The findings were published online Aug. 13 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Pattern of Cases, Surveillance Data Similar for Lyme Disease

THURSDAY, Aug. 13, 2015 (HealthDay News) -- The estimated annual incidence of Lyme disease (LD) is 106.6 cases/100,000 persons in the United States, according to a report published online Aug. 12 in the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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More Physicians Reporting Dissatisfaction With EHR Systems

THURSDAY, Aug. 13, 2015 (HealthDay News) -- More physicians report being dissatisfied or very dissatisfied with their electronic health record (EHR) system, compared with five years ago, according to a report published by the AmericanEHR Partners and the American Medical Association.

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Diet High in Refined Carbs Could Increase Depression Risk

THURSDAY, Aug. 13, 2015 (HealthDay News) -- High-glycemic-index (GI) diets could increase the risk of depression in postmenopausal women, according to a study published in the August issue of the American Journal of Clinical Nutrition.

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Subsequent Neoplasm Risk Up for Decades in Child CA Survivors

THURSDAY, Aug. 13, 2015 (HealthDay News) -- Survivors of childhood cancer are at increased risk for treatment-related subsequent neoplasms (SNs), even after age 40 years, according to a study published online Aug. 10 in the Journal of Clinical Oncology.

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Antibiotics Often Prescribed for Veterans With ARIs

THURSDAY, Aug. 13, 2015 (HealthDay News) -- Though antibiotic prescribing for acute respiratory infections (ARIs) varies greatly among providers, veterans with ARIs commonly receive antibiotics, according to a study published in the July 21 issue of the Annals of Internal Medicine.

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Many Reproductive-Age Women Experience Pelvic Pain

WEDNESDAY, Aug. 12, 2015 (HealthDay News) -- Untreated pelvic pain is common among U.S. women in their childbearing years, according to a study published online Aug. 11 in Human Reproduction.

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Trans, but Not Saturated, Fats Up All-Cause Mortality

WEDNESDAY, Aug. 12, 2015 (HealthDay News) -- Trans fats, but not saturated fats, are associated with all-cause mortality, coronary heart disease (CHD), and CHD-associated mortality, according to a systematic review published online Aug. 11 in The BMJ.

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Sun Exposure in the Military Ups Skin Cancer Risk in U.S. Veterans

WEDNESDAY, Aug. 12, 2015 (HealthDay News) -- Many U.S. soldiers deployed to Iraq and Afghanistan have experiences that increase their risk for skin cancer, according to a research letter published recently in the Journal of Investigative Dermatology.

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Increased Work Disability in Diabetes Due to Comorbidity

WEDNESDAY, Aug. 12, 2015 (HealthDay News) -- Among individuals with diabetes, the increased risk of work disability is mainly due to comorbid mental, musculoskeletal, and circulatory disorders, according to a study published online Aug. 6 in Diabetes Care.

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Migration Contributes to Flat HBV Infection Prevalence Rate in U.S.

WEDNESDAY, Aug. 12, 2015 (HealthDay News) -- The prevalence of chronic hepatitis B virus (HBV) infection has remained constant since 1999, according to a study published online Aug. 6 in Hepatology.

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Testosterone Doesn't Spur Atherosclerosis in Older Men

TUESDAY, Aug. 11, 2015 (HealthDay News) -- For older men with low or low-normal testosterone levels, testosterone administration for three years is not associated with atherosclerosis progression, according to a study published in the Aug. 11 issue of the Journal of the American Medical Association.

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Systemic Corticosteroid Therapy Can Improve Outcomes in CAP

TUESDAY, Aug. 11, 2015 (HealthDay News) -- For hospitalized adults with community-acquired pneumonia (CAP), systemic corticosteroid therapy is associated with improved outcomes, according to a review published online Aug. 11 in the Annals of Internal Medicine.

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Guideline-Based Protocol Ups Adherence to VTE Prophylaxis

TUESDAY, Aug. 11, 2015 (HealthDay News) -- Introduction of a guideline-based protocol significantly increases compliance with guidelines for prevention of venous thromboembolism (VTE), according to a brief report published online Aug. 9 in the Canadian Journal of Cardiology.

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HAC Reduction Program Penalty Kicks in for FY2015

TUESDAY, Aug. 11, 2015 (HealthDay News) -- The latest Centers for Medicare & Medicaid Services (CMS) effort to reduce hospital-acquired conditions (HACs) is the HAC Reduction Program, according to an Aug. 6 health policy brief published in Health Affairs.

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Breakfast Intake Affects Glucose Regulation All Day in T2D

MONDAY, Aug. 10, 2015 (HealthDay News) -- Breakfast consumption influences glucose regulation throughout the day in patients with diabetes, according to a small study published online July 28 in Diabetes Care.

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In-Person Staff Meetings Are Valuable for Health Care Teams

MONDAY, Aug. 10, 2015 (HealthDay News) -- In-person staff meetings, which are not too short or too long and are held frequently, are valuable for health care team operation, according to an article published in Medical Economics.

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CDC: Younger Adults With Diabetes Lag in Seeking Eye Care

MONDAY, Aug. 10, 2015 (HealthDay News) -- Younger adults with diabetes are less likely to seek regular eye care, regardless of how long it has been since they were first diagnosed, according to a report published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Calculated LDL-C Varies at Lower Values of Measured LDL-C

MONDAY, Aug. 10, 2015 (HealthDay News) -- At lower values of measured low-density lipoprotein cholesterol (LDL-C), the variation and bias of calculated LDL-C increases, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.

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Increase in Chest CT Scans Leads to More Incidental Findings

MONDAY, Aug. 10, 2015 (HealthDay News) -- The percentage of incidental pulmonary nodules identified increased from 2006 to 2012, according to a study published online July 27 in the American Journal of Respiratory and Critical Care Medicine.

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AAFP Spells Out Conditions for Retail Clinics

MONDAY, Aug. 10, 2015 (HealthDay News) -- Retail clinics have a place in the health care marketplace, but they must meet conditions relating to continuity of care, according to the American Academy of Family Physicians (AAFP).

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Allergists, ER Doctors Should Cooperate in Anaphylaxis Care

MONDAY, Aug. 10, 2015 (HealthDay News) -- Allergists and emergency medicine physicians should continue to work together to improve anaphylaxis care, according to a review published online Aug. 6 in the Annals of Allergy, Asthma & Immunology.

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E-Interventions Lack Sustained Efficacy in Alcohol Misuse

FRIDAY, Aug. 7, 2015 (HealthDay News) -- Web-based or CD programs could reduce drinking slightly among adults and college students in the short term, but they appear to be ineffective for reducing binge drinking and the negative social aspects linked with alcohol misuse. The findings were published in the Aug. 4 issue of the Annals of Internal Medicine.

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Pre-Referral Workup for GI, Liver Conditions Can Be Optimized

FRIDAY, Aug. 7, 2015 (HealthDay News) -- Pre-referral workup for gastroenterology and hepatology conditions can be optimized using Delphi methodology, according to research published online July 30 in the Journal of Evaluation in Clinical Practice.

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Coffee Habits Linked to Odds of Mild Cognitive Impairment

FRIDAY, Aug. 7, 2015 (HealthDay News) -- A study of more than 1,400 Italian seniors has found a link between patterns of coffee consumption and risk for mild cognitive impairment (MCI). The findings are reported in the September issue of the Journal of Alzheimer's Disease.

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How Do We Optimize Time With Patients in Primary Care?

FRIDAY, Aug. 7, 2015 (HealthDay News) -- Primary care providers (PCPs) can improve the productivity of face-to-face visits with patients by identifying activities that can be delegated to another team member or performed using a different modality, according to research published in the August issue of the Journal of Evaluation in Clinical Practice.

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Many Hospitals Being Penalized for 30-Day Readmissions

FRIDAY, Aug. 7, 2015 (HealthDay News) -- About half of the nation's hospitals are being penalized by Medicare for having patients return within a month of discharge, losing a combined $420 million, according to a report published by Kaiser Health.

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One-Third of People Believe Alcohol Is Heart-Healthy

FRIDAY, Aug. 7, 2015 (HealthDay News) -- Approximately one-third of the public believes alcohol is heart-healthy, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.

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In Thyroid CA Radioiodine Ablation, rhTSH Better for HRQoL

THURSDAY, Aug. 6, 2015 (HealthDay News) -- For patients with thyroid cancer, recombinant human thyroid-stimulating hormone (rhTSH) prevents the transient deterioration of health-related quality-of-life (HRQoL) seen with use of thyroid hormone withdrawal (THW) at 131I administration, according to a study published online Aug. 3 in the Journal of Clinical Oncology.

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Reduced Executive Function May Mean Higher CVD Risk

THURSDAY, Aug. 6, 2015 (HealthDay News) -- Older adults with lower scores on executive function tests are significantly more likely to experience coronary heart disease or stroke, new research suggests. The study was published online Aug. 5 in Neurology.

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HIV Cells Multiply Despite Effective Antiretroviral Therapy

THURSDAY, Aug. 6, 2015 (HealthDay News) -- HIV can continue to multiply in patients who are responding well to antiretroviral therapy, U.K. researchers say. Findings from the study were published online Aug. 4 in EBioMedicine.

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Cardiac Rehab Participation Too Low Among Acute MI Survivors

THURSDAY, Aug. 6, 2015 (HealthDay News) -- Cardiac rehabilitation programs are considered a key part of recovering from acute myocardial infarction (AMI) -- but only a small minority of patients ever attend one, according to a research letter published online Aug. 3 in JAMA Internal Medicine.

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Tenofovir Gel Could Help Prevent Genital Herpes Simplex

THURSDAY, Aug. 6, 2015 (HealthDay News) -- Pericoital application of tenofovir gel may substantially cut women's risk of contracting herpes simplex virus type 2 (HSV-2), according to a study published in the Aug. 6 issue of the New England Journal of Medicine.

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Chronic HCV Diagnosed in 4.2 Percent of Inpatient Cohort

THURSDAY, Aug. 6, 2015 (HealthDay News) -- A hepatitis C virus (HCV) screening program diagnosed chronic HCV infection in 4.2 percent of baby boomers tested, according to a study published in the August issue of the Journal of Hospital Medicine.

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Bariatric Surgery Benefits May Fade With Time

THURSDAY, Aug. 6, 2015 (HealthDay News) -- Although weight-loss surgery may produce initial dramatic weight loss and improve type 2 diabetes, a new study suggests that in the long run, many people regain weight and see their diabetes return. The report was published online Aug. 5 in JAMA Surgery.

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Sleeping on Side May Be More Efficient for 'Clearing Brain'

THURSDAY, Aug. 6, 2015 (HealthDay News) -- Removal of waste, including soluble amyloid β (Aβ), from the brain may be most efficient in the lateral versus the prone position, according to an experimental study published in the Aug. 5 issue of the Journal of Neuroscience.

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CDC: Action Needed to Better Control Drug-Resistant Infections

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- Almost $8 billion in hospital bills could be avoided over five years by halting the spread of antibiotic-resistant bacteria, according to the Vital Signs report published Aug. 4 in the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Oral Contraceptives Tied to Long-Term Endometrial CA Protection

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- Use of oral contraceptives, even for just a few years, offers significant long-term protection against endometrial cancer, and longer use is associated with greater risk reduction, according to research published online Aug. 4 in The Lancet Oncology.

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Spicy Food Consumption Linked to Reduced Mortality Risk

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- Adults who regularly eat spicy foods appear to have a reduced mortality risk, according to research published online Aug. 4 in The BMJ.

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Bariatric Surgery May Lower Tolerance for Alcohol

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- Patients who undergo Roux-en-Y gastric bypass surgery are far less able to process alcohol after their procedure, a small, new study suggests. The research was reported online Aug. 5 in JAMA Surgery.

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Infliximab Lost Into Feces of Patients With Ulcerative Colitis

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- For patients with moderate to severely active ulcerative colitis (UC), clinical nonresponders to infliximab have high concentrations of infliximab in fecal samples, according to a study published in the August issue of Gastroenterology.

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One in Four With MI and A-Fib Discharged on Triple Therapy

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- About one-quarter of older patients with acute myocardial infarction (MI) and atrial fibrillation (AF) undergoing percutaneous coronary intervention (PCI) are discharged on triple therapy (warfarin, aspirin, and clopidogrel), according to a study published in the Aug. 11 issue of the Journal of the American College of Cardiology.

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No Quick Fix in Cardiac Fat Metabolism From Calorie Cuts

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- Seven-day caloric and saturated fat restriction was found to increase myocardial dietary fatty acid (DFA) partitioning in individuals with impaired glucose tolerance (IGT), according to research published online July 29 in Diabetes.

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Women, Blacks Fare Worse After Acute Myocardial Infarction

TUESDAY, Aug. 4, 2015 (HealthDay News) -- Acute myocardial infarction (AMI) takes more years from the expected life spans of women and blacks than from white males, according to a study published in the Aug. 11 issue of the Journal of the American College of Cardiology.

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Progress in Reducing U.S. Rates of Violence

TUESDAY, Aug. 4, 2015 (HealthDay News) -- Violent crime rates have decreased dramatically over the past three decades, largely due to crime prevention efforts that focus on the root causes of violence, researchers say. Findings from the study are published in the Aug. 4 issue of the Journal of the American Medical Association, a theme issue on violence and human rights.

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Bone Health Benefits Lacking for Vitamin D Supplements

TUESDAY, Aug. 4, 2015 (HealthDay News) -- High doses of vitamin D do not appear to protect postmenopausal women from osteoporosis, according to research published online Aug. 3 in JAMA Internal Medicine.

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Sublingual Immunotherapy Linked to Clinical Benefits in HIV

TUESDAY, Aug. 4, 2015 (HealthDay News) -- For grass pollen-allergic HIV-positive patients treated with highly-active antiretroviral therapy (HAART), sublingual immunotherapy (SLIT) is associated with significant clinical benefits, according to a study published online July 30 in Allergy.

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Chloride Levels Linked to Mortality in Heart Failure

TUESDAY, Aug. 4, 2015 (HealthDay News) -- Serum chloride levels at admission are associated with mortality among patients with acute decompensated heart failure (ADHF), according to a study published in the Aug. 11 issue of the Journal of the American College of Cardiology.

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WHO: 'Ring' Vaccination for Ebola Very Promising

MONDAY, Aug. 3, 2015 (HealthDay News) -- An experimental Ebola vaccine appears highly effective, according to an interim analysis of findings from a clinical trial being conducted in the West African nation of Guinea. An independent body of international experts conducted the review and recommended that the trial of the VSV-EBOV vaccine continue. The findings were published online July 31 in The Lancet.

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Standing More Can Benefit Cardiometabolic Health

MONDAY, Aug. 3, 2015 (HealthDay News) -- Sitting appears to be linked to increased blood glucose and cholesterol levels, but standing more helps improve all these measures, according to research published online July 31 in the European Heart Journal.

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L-Carnitine May Reduce Muscle Cramps in Patients With Cirrhosis

MONDAY, Aug. 3, 2015 (HealthDay News) -- L-carnitine appears to be safe and effective for reducing muscle cramps in patients with cirrhosis, according to a study published in the August issue of Clinical Gastroenterology and Hepatology.

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Review: mHealth Text Messages Promote Medication Adherence

MONDAY, Aug. 3, 2015 (HealthDay News) -- Mobile health (mHealth) short message service text messages can improve medication adherence, according to a review published online July 27 in the Journal of Clinical Nursing.

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For Obese Women, Exercise Plus Phototherapy Beneficial

MONDAY, Aug. 3, 2015 (HealthDay News) -- Exercise training combined with phototherapy is associated with improvements in the metabolic profiles of obese women, according to a study published online July 29 in Lasers in Surgery and Medicine.

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Older Smokers With Migraines May Face Added Stroke Risk

MONDAY, Aug. 3, 2015 (HealthDay News) -- Older smokers who experience migraines appear to be at increased risk of stroke, a new study suggests. The findings were published online July 22 in Neurology.

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