August 2017 Briefing - Nursing

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

No Link for Cardiovascular Meds Use, Cognitive Impairment

THURSDAY, Aug. 31, 2017 (HealthDay News) -- For older adults, there is no association between cardiovascular medication use and cognitive impairment, according to a study published online Aug. 24 in Cardiovascular Therapeutics.

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Higher Event Rate of T2DM in Polycystic Ovary Syndrome

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Women with polycystic ovary syndrome (PCOS) have a higher event rate of type 2 diabetes (T2D), with diagnosis at a younger age, according to a study published online Aug. 29 in the Journal of Clinical Endocrinology & Metabolism.

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CDC: 60 Percent of America's Single Men Report Using Condoms

THURSDAY, Aug. 31, 2017 (HealthDay News) -- About six in 10 sexually active single men in the United States are taking responsibility for birth control, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Minimal Evidence for Electronic Communication Guidelines

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Minimal evidence is available for guidelines for electronic communication between patients and providers, according to research published online Aug. 28 in the Journal of the American Medical Informatics Association.

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Spousal Caregiver Well-Being Tied to Recipient Health Expenses

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Poor spousal caregiver well-being is associated with increased care recipient expenditures and emergency department use, according to a study published online Aug. 24 in the Journal of the American Geriatrics Society.

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Transvenous Pacemaker Complications Common, Costly

THURSDAY, Aug. 31, 2017 (HealthDay News) -- The incidence of complications for single- and dual-chamber transvenous pacemakers (TVPs) is considerable, reaching about 15 and 16 percent, respectively, by three years, with high associated costs, according to research published online Aug. 30 in JACC: Clinical Electrophysiology.

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More Evidence Links Epstein-Barr Virus to MS Risk

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Infection with Epstein-Barr virus (EBV) or cytomegalovirus may up the risk for multiple sclerosis (MS), and the link isn't limited to whites, according to a study published online Aug. 30 in Neurology.

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CPR Less Likely for Cardiac Arrests in Black Neighborhoods

THURSDAY, Aug. 31, 2017 (HealthDay News) -- In cases of cardiac arrest, the racial make-up of the neighborhood may determine the likelihood of receiving cardiopulmonary resuscitation (CPR) from a passer-by or having access to a public defibrillator, according to a study published online Aug. 30 in JAMA Cardiology.

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Local Allergic Rhinitis Often Progresses Over Time

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Patients with local allergic rhinitis (LAR) show worsening of rhinitis, greater tendency toward development of asthma, and impairment of quality of life after 10 years, but have a similar rate of development of allergic rhinitis with systemic atopy as controls, according to research published online Aug. 22 in Allergy.

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FDA Approves Vabomere for Complicated UTIs

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The intravenous antibiotic Vabomere (meropenem and vaborbactam) has been approved by the U.S. Food and Drug Administration to treat certain complicated urinary tract infections, including pyelonephritis.

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Sedentary Time a 'Potent Risk Factor' for Mobility Loss

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Excessive sitting, especially while watching television, poses a significant health hazard to older Americans, according to a study published online Aug. 30 in the Journal of Gerontology: Medical Sciences.

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Insurer Aetna's Envelopes Revealed Customers' HIV Status

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Customers of health insurance giant Aetna in many states were sent mail with envelopes that clearly revealed their HIV status, say the Legal Action Center and AIDS Law Project of Pennsylvania.

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Many U.S. Women Unaware of Minimally Invasive Fibroid Tx

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Many American women with uterine fibroids don't know there's a minimally invasive embolization technique that may be an alternative to a hysterectomy, a new poll finds.

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Many Parents Aren't Divulging CAM Use to Child's Provider

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Parents often try complementary treatments when their children are ill, but many don't tell their pediatricians about it, according to a report published online Aug. 28 in Pediatrics.

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Too Many New Mothers Silent on Postpartum Depression

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- One in five new mothers who develops postpartum depression or another mood disorder after childbirth suffer in silence, according to a study published online Aug. 1 in the Maternal and Child Health Journal.

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Most Melanomas Don't Start As Existing Moles

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The majority of melanomas arise from new lesions rather than existing moles, according to a review published online Aug. 29 in the Journal of the American Academy of Dermatology.

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Review Links Sleep-Disordered Breathing, Cognitive Impairment

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Sleep-disordered breathing (SDB) is associated with increased likelihood of cognitive impairment, according to a review published online Aug. 28 in JAMA Neurology.

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Risk of Needing Nursing Home Care Is Rising

TUESDAY, Aug. 29, 2017 (HealthDay News) -- More than half of Americans will require nursing home care at some point in their lives, according to a report published online Aug. 28 in the Proceedings of the National Academy of Sciences.

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Younger Adults, Especially Men, Lag in HTN Treatment, Control

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Despite recent improvements in hypertension awareness, treatment, and control overall, all three remain worse in adults aged 18 to 39, according to research published online Aug. 28 in Hypertension.

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Options Available for Estrogen Depletion After Breast Cancer

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Many non-hormone options and therapies are available for the treatment of estrogen-depletion symptoms in breast cancer survivors, and individualized treatment is important, according to a review published online Aug. 2 in the Journal of Clinical Endocrinology & Metabolism.

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AAP: Hep B Vaccine to Be Given Within First 24 Hours of Life

TUESDAY, Aug. 29, 2017 (HealthDay News) -- The first dose of the hepatitis B vaccine should be given within the first 24 hours of life, according to an American Academy of Pediatrics (AAP) policy statement published online Aug. 28 in Pediatrics.

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Estrogen Via Patch Superior for Menopausal Sexual Symptoms

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Supplemental estrogens may be beneficial for sexual function in menopausal women, but the form of medication delivery appears to matter, according to a study published online Aug. 28 in JAMA Internal Medicine.

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FDA Cites 'Significant Deviations' at Florida Stem Cell Clinic

TUESDAY, Aug. 29, 2017 (HealthDay News) -- A Florida stem cell clinic has received a warning letter from the U.S. Food and Drug Administration about what the agency describes as serious problems that could pose health risks to patients.

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Low Rate of Recurrence Seen for Serious Reactions to Vaccines

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Severe vaccine reactions recur rarely, if ever, when a child receives the same vaccine again, or one with similar ingredients, according to a review published online Aug. 28 in Pediatrics.

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Gender-Specific High-Risk 'Window' Seen in Alzheimer's

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Women with a genetic predisposition for Alzheimer's disease face a 10-year window -- between ages 65 and 75 -- when they have far greater chances of developing the disease than men with similar genetic risks, according to a study published online Aug. 28 in JAMA Neurology.

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Race/Ethnicity Shown to Factor Into Quality of Care in NICU

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Race and ethnicity may be factors in the quality of care a premature baby receives in a neonatal intensive care unit (NICU), according to a study published online Aug. 28 in Pediatrics.

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Clinicians Urged to Heighten Alert for Perinatal Suicide Risk

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Suicide is a leading cause of death among pregnant and recently pregnant women, according to a study published online Aug. 28 in CMAJ, the journal of the Canadian Medical Association.

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CDC: Not All Newborns Getting Heart Disease, Hearing Loss Tests

MONDAY, Aug. 28, 2017 (HealthDay News) -- Some newborns in the United States still aren't getting screened for hearing loss or congenital heart disease, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Androgen-Deprivation Therapy May Carry Cardiovascular Risks

MONDAY, Aug. 28, 2017 (HealthDay News) -- Use of androgen-deprivation therapy (ADT) may increase the risk of certain cardiovascular conditions in men with prostate cancer, according to a study published online Aug. 24 in the British Journal of Cancer.

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Flame Retardants Associated With Reduced IVF Success

MONDAY, Aug. 28, 2017 (HealthDay News) -- Higher exposure to organophosphate flame retardants is associated with reduced success of in vitro fertilization, according to a study published online Aug. 25 in Environmental Health Perspectives.

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Less Than Half of Seniors With A-Fib Receive Anticoagulants

MONDAY, Aug. 28, 2017 (HealthDay News) -- Less than 45 percent of older adults with atrial fibrillation (AF) admitted to the hospital are prescribed an anticoagulant, according to a study published online Aug. 21 in the Journal of the American Geriatrics Society.

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Community Consumption Comprises Most Antibacterial Use

MONDAY, Aug. 28, 2017 (HealthDay News) -- Community antibacterial consumption comprises about 85 to 95 percent of total antibacterial consumption, according to a study published online Aug. 18 in the Journal of Clinical Pharmacy and Therapeutics.

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Opioids Often Prescribed Unnecessarily for Migraine

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Too many patients with migraines are prescribed opioids, while too few may be getting recommended medications, according to research published recently in Cephalalgia.

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Cycling Crash Deaths Rising in the United States

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Bicyclist deaths on U.S. roadways are up significantly, and men -- not children -- are commonly the victims, a new report finds.

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CDC: More U.S. Teens Starting HPV Vaccination

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Six out of 10 U.S. teens ages 13 to 17 received one or more doses of a human papillomavirus (HPV) vaccine in 2016, but many are still not completing the vaccination series, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Insufficient Sleep May Lead to Increased Risk-Taking Behavior

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Chronic sleep restriction may lead to risk-seeking behavior, according to a study published online Aug. 21 in the Annals of Neurology.

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More Evidence Evolocumab Exceeds Cost-Effectiveness

FRIDAY, Aug. 25, 2017 (HealthDay News) -- At its current price, the addition of evolocumab to standard therapy in patients with atherosclerotic cardiovascular disease generally exceeds accepted cost-effectiveness thresholds, according to a study published online Aug. 23 in JAMA Cardiology.

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Only One-Third of Heart Attack Patients Enter Cardiac Rehab

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Only one in three heart attack survivors in the United States attends outpatient cardiac rehabilitation, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Hearing Loss Contributing to Patient-Doctor Miscommunication

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Many seniors may not hear everything their doctors tell them, and that could raise the risk of medical errors, according to a research letter published online Aug. 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Meth Use Tied to Higher Risk of Stroke in Younger People

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Younger adults who use methamphetamine appear to be at greater risk for stroke, particularly hemorrhagic stroke, according to research published online Aug. 23 in the Journal of Neurology Neurosurgery & Psychiatry.

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Google Search for 'Depression' Now to Provide Screening Test

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Web search giant Google is partnering with the National Alliance on Mental Illness (NAMI) to make depression screening a part of a search for 'depression' on the site.

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No Increase in Acute Kidney Injury Risk for SGLT2 Users

THURSDAY, Aug. 24, 2017 (HealthDay News) -- The risk of acute kidney injury (AKI) is not increased for new sodium-glucose cotransporter-2 (SGLT2) inhibitor users, according to a study published online Aug. 21 in Diabetes Care.

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Patient Beliefs May Explain High Rate of Medicine Intake

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Subjective norms and attitudes toward medicine consumption predict the intention and expectation to consume medicines, according to a study published online Aug. 19 in the Journal of Clinical Pharmacy and Therapeutics.

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Intensive BP Treatment Appears Safe, Well Tolerated

THURSDAY, Aug. 24, 2017 (HealthDay News) -- For patients at increased risk of cardiovascular disease, intensive blood pressure control may be just as safe as standard treatment, and is likely cost-effective, according to research published in the Aug. 24 issue of the New England Journal of Medicine.

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Increased Risk of MI, Stroke for Patients With Hip Fracture

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Patients with hip fracture have an increased risk of myocardial infarction (MI) and stroke, according to a study published online Aug. 21 in the Journal of Bone and Mineral Research.

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Collaborative Communication Could Improve HTN Rx Adherence

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Health care providers can help boost patient adherence to antihypertensive medications by communicating more collaboratively with patients, and including discussion of socioeconomic challenges, according to a study published online Aug. 22 in Circulation: Cardiovascular Quality and Outcomes.

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Day-Supply of Opioid Rx Factor in Likelihood of Long-Term Use

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The days supplied is far more important than the dosage level or even the type of pain being treated in risk of opioid use disorder following opioid prescription, according to a study published recently in The Journal of Pain.

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Cost-Effectiveness of PCSK9 Inhibitors Called Into Question

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The costs of PCSK9 inhibitors would have to be 71 percent lower to be deemed cost-effective, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Vitamin B6, B12 Supplements May Up Risk of Lung Cancer in Men

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Men, and especially male smokers, appear to be more likely to develop lung cancer if they take high doses of vitamins B6 and B12, according to a study published online Aug. 22 in the Journal of Clinical Oncology.

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Tablet Use Encourages Patients to Explore Diabetes Risk

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The multispecialty San Bernardino Medical Group has replaced magazines with digital devices in waiting rooms, which can help patients learn about their risk of diabetes and take preventive action, according to a report published by the American Medical Association (AMA).

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Demand for Liver Transplant for NASH Set to Continue Rising

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Given population obesity trends, the increase in the demand for liver transplantation (LT) for nonalcoholic steatohepatitis (NASH) noted since 2000 is expected to continue, according to a study published online Aug. 17 in Hepatology.

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Once-Yearly Counseling Tied to More Physical Activity in T2DM

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Theoretical and practical once-yearly counseling for three years is associated with increased physical activity (PA) and reduced sedentary (SED) time in patients with type 2 diabetes, according to a study published online Aug. 18 in Diabetes Care.

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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.

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Five Prebariatric Subtypes Identified With Specific Profiles

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Five prebariatric subtypes have been identified with specific self-control, emotional dysregulation, and disinhibited eating behavior profiles, according to research published online Aug. 16 in the International Journal of Eating Disorders.

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Leukomelanoderma After Hydroquinone Use Described

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- In a case report published online Aug. 16 in the Journal of Dermatology, leukomelanoderma is described in patients using hydroquinone at a concentration of 10 percent.

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In T2D, Glycemic Control Up With Continuous Glucose Monitoring

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Adults with type 2 diabetes receiving multiple daily insulin injections randomized to continuous glucose monitoring (CGM) have improved glycemic control versus usual care, according to a study published online Aug. 22 in the Annals of Internal Medicine.

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Oral Corticosteroids No Benefit for LRI in Non-Asthmatic Adults

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For adults without asthma, with acute cough and at least one lower respiratory tract symptom, prednisolone does not reduce cough duration or severity, according to a study published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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NT-ProBNP-Guided Treatment No Benefit in High-Risk HFrEF

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For high-risk patients with heart failure and reduced ejection fraction (HFrEF), an amino-terminal pro-B-type natriuretic peptide (NT-proBNP)-guided treatment strategy does not improve clinical outcomes versus usual care, according to a study published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Even Overdose Doesn't Stop Opioid Prescribing

TUESDAY, Aug. 22, 2017 (HealthDay News) -- After treatment for an opioid overdose, many Medicaid patients continue to receive prescriptions for them and few are prescribed anti-addiction medications after hospital discharge, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Telehealth Feasible for Family-Based Anorexia Treatment

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Telehealth-enabled family-based treatment (FBT) for adolescents with anorexia nervosa is both feasible and effective, according to a study published online Aug. 11 in the International Journal of Eating Disorders.

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AAP Issues New Guidelines for ID, Treatment of HTN in Children

TUESDAY, Aug. 22, 2017 (HealthDay News) -- More U.S. children are likely to be diagnosed and treated for hypertension under new recommendations from the American Academy of Pediatrics. The updated clinical practice guideline was published online Aug. 21 in Pediatrics.

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Zika Thrives in Pregnancy Due to Vulnerable Immune System

TUESDAY, Aug. 22, 2017 (HealthDay News) -- The Zika virus thrives in pregnant women by suppressing their already dampened immune systems and running roughshod over their body's natural defenses, which allows the virus to directly attack the fetus, according to a study published online Aug. 21 in Nature Microbiology.

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Lower SBP Target for Blacks May Benefit Cognitive Function

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For seniors and particularly blacks with hypertension, lowering systolic blood pressure to 120 mm Hg or lower may help prevent cognitive decline, according to a report published online Aug. 21 in JAMA Neurology.

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Many Parents Would Support Transgender Teen's Transition

TUESDAY, Aug. 22, 2017 (HealthDay News) -- More than half of U.S. adults surveyed would be supportive if they had a teenage child who wanted to transition to the opposite gender, according to a Harris Poll commissioned by the American Osteopathic Association.

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Maraviroc-Containing HIV PrEP Regimens Safe, Well Tolerated

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Maraviroc (MVC)-containing HIV pre-exposure prophylaxis (PrEP) regimens are well tolerated for preventing HIV infection in uninfected women, according to a study published online Aug. 22 in the Annals of Internal Medicine.

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Occult Cancer Found in ~5 Percent With Unprovoked VTE

TUESDAY, Aug. 22, 2017 (HealthDay News) -- About one in 20 patients with unprovoked venous thromboembolism (VTE) have occult cancer detected within one year, according to a review published online Aug. 22 in the Annals of Internal Medicine.

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Higher BMI in Childhood Linked to Adult Stroke Risk

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Above-average childhood body mass index (BMI) and increases in BMI during childhood are associated with increased risk of early adult ischemic stroke, according to a study published online Aug. 21 in JAMA Neurology.

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Global Prevalence of Fetal Alcohol Spectrum Disorder 7.7 per 1,000

TUESDAY, Aug. 22, 2017 (HealthDay News) -- The global prevalence of fetal alcohol spectrum disorder (FASD) among children is estimated at 7.7 per 1,000 in the general population, according to a review published online Aug. 21 in JAMA Pediatrics.

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Few Smokers Hospitalized With CHD Get Smoking Cessation Meds

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Few smokers hospitalized for coronary heart disease (CHD) receive smoking cessation pharmacotherapy (SCP), according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Anti-Vaccine Info in Pregnancy May Delay Infant Immunization

MONDAY, Aug. 21, 2017 (HealthDay News) -- Pregnancy is an important time for educating about infant immunization, according to a study published online Aug. 18 in Pediatrics.

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Mortality Estimates Favor Annual Mammography From Age 40

MONDAY, Aug. 21, 2017 (HealthDay News) -- An annual screening mammogram starting at age 40 is the optimal strategy to avert an early breast cancer death, according to a study published online Aug. 21 in Cancer.

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Flexible Sigmoidoscopy Screening Reduces Mortality

MONDAY, Aug. 21, 2017 (HealthDay News) -- Screening with flexible sigmoidoscopy reduces all-cause mortality, according to a research letter published online Aug. 22 in the Annals of Internal Medicine.

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Literacy Level an Issue in Laryngectomy-Related Patient Ed

MONDAY, Aug. 21, 2017 (HealthDay News) -- Current laryngectomy-related patient education materials are too difficult for an average American adult to understand, according to a study published online Aug. 16 in Head & Neck.

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Transcranial Magnetic Stimulation Aids PTSD in Eating Disorders

MONDAY, Aug. 21, 2017 (HealthDay News) -- Repetitive transcranial magnetic stimulation (rTMS) of the dorsomedial prefrontal cortex (DMPFC) seems to be beneficial for treatment of posttraumatic stress disorder (PTSD) in patients with eating disorders, according to research published online Aug. 16 in the International Journal of Eating Disorders.

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Once-Daily Triple-Tx Improves Lung Function, HRQoL in COPD

MONDAY, Aug. 21, 2017 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD), once-daily single-inhaler triple therapy is better for lung function and health-related quality of life than inhaled corticosteroid (ICS)/long-acting β2-agonist (LABA) therapy, according to a study published in the Aug. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Depression, Anxiety May Affect Bone Metabolism in Older Teens

MONDAY, Aug. 21, 2017 (HealthDay News) -- Major depressive disorder (MDD), generalized anxiety disorder (GAD), and selective serotonin reuptake inhibitor (SSRI) use are associated with bone metabolism in older adolescents and young adults, according to a study published online Aug. 16 in the Journal of Bone and Mineral Research.

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Geriatric Consults Remain Rare in Kidney Cancer Care

MONDAY, Aug. 21, 2017 (HealthDay News) -- Use of geriatric consultation remains sparse among older patients undergoing surgery for kidney cancer, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.

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Secure Messaging Linked to Better Diabetes Management

MONDAY, Aug. 21, 2017 (HealthDay News) -- For patients with diabetes, use of secure messaging for medical advice is associated with better diabetes management, according to a study published online Aug. 14 in Diabetes Care.

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Link for Sedentary Time, Mortality Varies With Frailty Level

MONDAY, Aug. 21, 2017 (HealthDay News) -- The association between sedentary time and mortality varies with level of frailty among adults aged 50 years and older, according to a study published online Aug. 21 in CMAJ, the journal of the Canadian Medical Association.

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Procalcitonin Testing Not Impacting Antibiotic Rx for COPD

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Hospital adoption of procalcitonin (PCT) testing has had little impact on antibiotic prescribing for chronic obstructive pulmonary disease (COPD) exacerbations, according to a study published online Aug. 10 in the Annals of the American Thoracic Society.

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Physical Activity Predicts Disability in Older Adults

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Accelerometer-measured physical activity (PA) levels are strongly associated with major mobility disability (MMD) and persistent MMD (PMMD) events in older adults with limited mobility, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.

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Zika Does Not Appear to Last in Semen As Long As Thought

FRIDAY, Aug. 18, 2017 (HealthDay News) -- The Zika virus might not remain in the semen of some infected men as long as previously thought, according to a research letter published in the Aug. 17 issue of the New England Journal of Medicine.

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Telehealth Feasible for Parkinson's Care

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Virtual house calls by neurologists may be of great interest to and provide substantial convenience for patients with Parkinson's disease, according to a study published online Aug. 16 in Neurology.

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Worse Survival Seen for Alternative Vs Usual Cancer Rx

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Patients who choose alternative medicine over traditional cancer treatments for curable cancers have a higher risk of dying early, according to research published online Aug. 10 in the Journal of the National Cancer Institute.

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Oral Contraceptive Use Linked to Lower Rheumatoid Arthritis Risk

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Oral contraceptive (OC) use is associated with reduced risk of rheumatoid arthritis (RA), according to research published online Aug. 17 in the Annals of Rheumatic Diseases.

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Psychosocial Intervention App Feasible in Serious Mental Illness

FRIDAY, Aug. 18, 2017 (HealthDay News) -- A psychosocial self-management intervention can be adapted for smartphone application and used by adults with serious mental illness, according to a study published in the August issue of the American Journal of Geriatric Psychiatry.

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Moderate, Severe OSA Linked to Elevated Blood Coagulability

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Moderate and severe obstructive sleep apnea (OSA) are associated with elevated blood coagulability markers, according to a study published online Aug. 17 in JAMA Otolaryngology-Head & Neck Surgery.

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One-Quarter With Early Breast Cancer Strongly Considers CPM

FRIDAY, Aug. 18, 2017 (HealthDay News) -- More than half of newly diagnosed patients with early-stage breast cancer consider contralateral prophylactic mastectomy (CPM), with one-quarter considering it strongly, according to a study published online Aug. 15 in Cancer.

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Visual Dysfunction Tied to Poor Cognitive Function in Seniors

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Visual dysfunction at baseline is associated with poor cognitive function among older U.S. adults, according to a study published online Aug. 17 in JAMA Ophthalmology.

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Increase in Survival Without Severe Disability for Preemies

THURSDAY, Aug. 17, 2017 (HealthDay News) -- During the past two decades, survival and survival without severe or moderate neuromotor or sensory disabilities have increased among preterm infants, according to a study published online Aug. 17 in The BMJ.

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Increasing Physical Activity, Function Can Decrease Fall Fears

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Enhancing physical activity level and function can decrease the fear of falling among elderly patients, according to a study published online Aug. 9 in the Journal of Clinical Nursing.

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Online Nursing Education Can Up Patient Use of VTE Prophylaxis

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Online training for nurses has been found to increase hospital patients' use of venous thromboembolism (VTE) prophylaxis, according to a study published online Aug. 16 in PLOS ONE.

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Few Racial Differences in Peds Anesthesia Meds Administration

THURSDAY, Aug. 17, 2017 (HealthDay News) -- There does not appear to be significant racial differences in preoperative or intraoperative medication administration for children undergoing emergency appendectomies, according to a study published online Aug. 10 in Pediatric Anesthesia.

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Intensive Blood Pressure Tx Aids Those With Prediabetes

THURSDAY, Aug. 17, 2017 (HealthDay News) -- The beneficial effects of intensive systolic blood pressure (SBP) treatment are similar among those with prediabetes and fasting normoglycemia, according to a study published online Aug. 9 in Diabetes Care.

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Evolocumab Doesn't Affect Cognition When Added to Statins

THURSDAY, Aug. 17, 2017 (HealthDay News) -- There is no significant difference in cognitive function for patients treated with evolocumab or placebo added to statin therapy, according to a study published in the Aug. 17 issue of the New England Journal of Medicine.

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Study Highlights Readmit Factors Post Atrial Flutter Ablation

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Recognition of factors associated with early readmission for patients after atrial flutter (AFL) ablation is necessary for reducing costs and improving quality of life, according to a study published online Aug. 11 in the Journal of Cardiovascular Electrophysiology.

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Families Shoulder Majority of Costs Related to Dementia Care

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Lifetime costs of care are substantially increased for individuals with dementia, according to a study published online Aug. 17 in the Journal of the American Geriatrics Society.

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Dietary Energy Density May Up Risk of Obesity-Linked Cancers

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Higher dietary energy density (DED; the ratio of energy intake to food weight) is associated with increased risk of obesity-related cancers among normal-weight women, according to a study published online Aug. 17 in the Journal of the Academy of Nutrition and Dietetics.

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Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Within a cohort of patients insured through TRICARE, the most common diagnosis associated with initial opioid prescription is other ill-defined conditions, according to a research letter published online Aug. 16 in JAMA Surgery.

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Coping Support Assists Parents of Hospitalized Children

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Coping support interventions can reduce anxiety and stress, but not depression, among parents of hospitalized children, according to a review published online Aug. 17 in Pediatrics.

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Electrotherapy, Acupuncture Ease Post Knee Arthroplasty Pain

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Electrotherapy and acupuncture seem to be beneficial for pain management after total knee arthroplasty, according to a meta-analysis published online Aug. 16 in JAMA Surgery.

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Frequency, Degree of Pubic Hair Grooming Linked to Injury Risk

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The frequency and degree of pubic hair grooming is associated with the risk of grooming-related injury and high-frequency injury, according to a study published online Aug. 16 in JAMA Dermatology.

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FDA: Potential Contamination in Some Liquid Pharma Products

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The U.S. Food and Drug Administration has announced a recall of numerous liquid pharmaceutical products because of possible bacterial contamination that could cause severe infections in vulnerable patients.

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Geriatric Trauma Outcome Score Estimates Unfavorable Discharge

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The geriatric trauma outcome score II (GTOS II) prognostic calculator can estimate the probability of unfavorable discharge in injured elders, according to a study published online Aug. 14 in the Journal of the American Geriatrics Society.

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Antidepressants Used by 12.7 Percent of Those Age ≥12 in U.S.

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Antidepressant use is common among U.S. individuals aged 12 years and older, with non-Hispanic whites more likely to take antidepressants than other racial/ethnic groups, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Emergency Departments See Few Cases of Sepsis in Adolescents

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- A typical emergency department sees few cases of sepsis among adolescents, according to a research letter published online Aug. 14 in JAMA Pediatrics.

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Falling Insulin Requirement Linked to Placental Dysfunction

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- For pregnant women with pre-existing diabetes, falling insulin requirement (FIR) is associated with altered expression of placental antiangiogenic factors and preeclampsia, according to a study published online Aug. 10 in Diabetes Care.

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'07 to '14 Saw Drop in Proportion Needing Dialysis After TAVI

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- From 2007 to 2014 there was a decrease in the proportion of patients needing dialysis after transcatheter aortic valve implantation (TAVI), according to a study published online Aug. 2 in JACC: Cardiovascular Interventions.

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Perceived Social Support Lower for Cancer Caregivers Vs Patients

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- A sense of coherence (SOC) is associated with cancer patients' acceptance of their illness, according to a study published Aug. 9 in the Journal of Clinical Nursing.

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Lifestyle Intervention Only Offers Modest Benefit in Type 2 Diabetes

TUESDAY, Aug. 15, 2017 (HealthDay News) -- For adults with type 2 diabetes diagnosed for less than 10 years, a lifestyle intervention resulted in a beneficial change in glycemic control that did not reach the criterion for equivalence, according to a study published in the Aug. 15 issue of the Journal of the American Medical Association.

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Studies Used for FDA Approval of Device Changes Often Low Quality

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.

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'On the Move' Group Exercise Program Aids Walking in Elderly

TUESDAY, Aug. 15, 2017 (HealthDay News) -- The "On the Move" group exercise program is more effective at improving mobility in the elderly, compared to seated, usual-care exercise programs, according to a study published online Aug. 14 in JAMA Internal Medicine.

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Diverse Spectrum of Neurologic Syndromes Seen With Zika

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Zika virus (ZIKV) infection is associated with increased incidence of neurological syndromes, according to a study published online Aug. 14 in JAMA Neurology.

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Most Patients With Care Plan Die in Chosen Location

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Most individuals with a Coordinate My Care (CMC) plan die in their chosen location, according to a research letter published online Aug. 15 in the Annals of Internal Medicine.

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All-Cause, CVD Mortality Down With Light, Moderate Drinking

MONDAY, Aug. 14, 2017 (HealthDay News) -- All-cause and cardiovascular disease (CVD) mortality are reduced for U.S. adults with light and moderate alcohol intake, according to a study published in the Aug. 22 issue of the Journal of the American College of Cardiology.

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Smoking During Pregnancy Up Among Women With Depression

MONDAY, Aug. 14, 2017 (HealthDay News) -- Over the past decade, smoking during pregnancy has increased significantly among women experiencing a major depressive episode (MDE), according to a study published in the Oct. 1 issue of Drug and Alcohol Dependence.

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Variation in Participation in Diabetes Self-Management Class

MONDAY, Aug. 14, 2017 (HealthDay News) -- There is considerable variation in nonparticipation in diabetes self-management classes, according to a study published online Aug. 3 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Cannabis Intoxication Admissions in Children Up in France

MONDAY, Aug. 14, 2017 (HealthDay News) -- From 2004 to 2014 there was an increase in annual admissions in France for children with unintentional cannabis intoxication, according to a study published online Aug. 14 in Pediatrics.

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Digital Recording in Skills Lab Helps Nursing Students Learn

FRIDAY, Aug. 11, 2017 (HealthDay News) -- Nursing students report that using digital recording as a teaching and learning method enhances learning in the skills laboratory, according to a study published in the September issue of the Journal of Clinical Nursing.

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Team-Based Online Game May Improve Glycemic Control in T2D

THURSDAY, Aug. 10, 2017 (HealthDay News) -- Sustained and meaningful improvements in hemoglobin A1c (HbA1c) are seen with participation in a diabetes self-management education (DSME) game, according to a study published online Aug. 8 in Diabetes Care.

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Rotavirus Vaccine Cuts U.S. Peds Gastroenteritis Hospitalizations

THURSDAY, Aug. 10, 2017 (HealthDay News) -- Implementation of rotavirus vaccination correlated with a reduction in acute gastroenteritis (AGE)-related hospitalization rates among children <5 years, according to a study published online Aug. 10 in the Journal of the Pediatric Infectious Diseases Society.

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Marijuana Use May Up Risk of Hypertension-Related Mortality

THURSDAY, Aug. 10, 2017 (HealthDay News) -- Marijuana increases by three-fold the risk for hypertension-related mortality, according to a study published online Aug. 9 in the European Journal of Preventive Cardiology.

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Study Quantifies Condom Use in 15- to 44-Year-Olds in 2011-15

THURSDAY, Aug. 10, 2017 (HealthDay News) -- Condom use was 23.8 percent for women and 33.7 percent for men aged 15 to 44 years in 2011 to 2015, according to a study published online Aug. 10 by the National Center for Health Statistics (NCHS).

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Increase in Alcohol Use, High-Risk Drinking in U.S. Adults

THURSDAY, Aug. 10, 2017 (HealthDay News) -- From 2001-2002 to 2012-2013 there was an increase in alcohol use, high-risk drinking, and in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) alcohol use disorder (AUD), according to a study published online Aug. 9 in JAMA Psychiatry.

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Live Attenuated Flu Vaccine Not Effective for Children in 2015-16

WEDNESDAY, Aug. 9, 2017 (HealthDay News) -- During the 2015 to 2016 season, influenza vaccines reduced the risk of influenza illness, but the live attenuated vaccine was ineffective among children 2 to 17 years of age, according to a study published in the Aug. 10 issue of the New England Journal of Medicine.

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Age, Tympanogram May ID When to Skip Abx for Acute Otitis Media

WEDNESDAY, Aug. 9, 2017 (HealthDay News) -- For young children with acute otitis media (AOM), older age and peaked tympanogram at entry are associated with reduced risk of treatment failure, according to research published online Aug. 8 in Pediatrics.

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Colorectal Cancer Mortality Rates Down in Blacks, Up in Whites

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Colorectal cancer (CRC) mortality rates have decreased since 1970 in black adults (aged 20 to 54 years), but increased among white individuals, according to a research letter published in the Aug. 8 issue of the Journal of the American Medical Association.

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Non-Specialists Can Expand Hepatitis C Treatment Access

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Non-specialists, including primary care providers (PCPs) and nurse practitioners (NPs), safely and effectively administer direct-acting antiviral therapy for hepatitis C virus (HCV) to patients seen in federally qualified health centers (FQHCs), according to a study published online Aug. 8 in the Annals of Internal Medicine.

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Blood Pressure Variability Linked to Risk of Dementia in Elderly

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Increased blood pressure variability is associated with a higher risk of all-cause dementia, vascular dementia (VaD), and Alzheimer's disease (AD) in the elderly, according to a study published in the Aug. 8 issue of Circulation.

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Nursing Students Report That Bullying Is Common

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Bullying remains a concern for nursing students and occurs in both clinical and academic settings, according to a small study published online Aug. 3 in the Journal of Clinical Nursing.

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Births Outside Obstetric Institutions Up Mortality Risk

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Unplanned birth outside an obstetric institution is associated with increased peripartum mortality and long travel time to an institution, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

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Guidance Provided for Preventing Practice Billing Errors

MONDAY, Aug. 7, 2017 (HealthDay News) -- Strategies can help to prevent medical practice billing errors, according to a report published in Medical Economics.

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Single Measures of Viral Load May Overestimate HIV Suppression

MONDAY, Aug. 7, 2017 (HealthDay News) -- Single measures of viral load can overestimate how many individuals with HIV infection have viral suppression, according to an observation piece published online Aug. 8 in the Annals of Internal Medicine.

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Review: Antibiotics Effectively Prevent Recurrent Cellulitis

MONDAY, Aug. 7, 2017 (HealthDay News) -- Antibiotic prophylaxis can prevent recurrence of cellulitis, according to a review published online June 20 in the Cochrane Library.

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FDA Approves Mavyret for Hepatitis C

FRIDAY, Aug. 4, 2017 (HealthDay News) -- Mavyret (glecaprevir and pibrentasvir) has been approved by the U.S. Food and Drug Administration to treat adults with certain types of chronic hepatitis C virus (HCV).

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Strong Religious Beliefs May Be Linked to Higher Weight

FRIDAY, Aug. 4, 2017 (HealthDay News) -- There is evidence of a significant association between religious affiliation and body weight, with religiosity being significantly associated with higher body weight, according to research published online Aug. 2 in Obesity Reviews.

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Moderate, Vigorous Activity Not Tied to More Elderly Falls

THURSDAY, Aug. 3, 2017 (HealthDay News) -- Falls are not more common or injurious in older women who engage in higher levels of moderate-to-vigorous physical activity (MVPA), according to a study published online July 29 in the Journal of the American Geriatrics Society.

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Little Risk of Oropharyngeal Mucosal Transmission of Zika

TUESDAY, Aug. 1, 2017 (HealthDay News) -- The Zika virus doesn't appear to be transmitted through saliva, according to a study published online Aug. 1 in Nature Communications.

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U.S. Doctors Still Writing Too Many Opioid Prescriptions

TUESDAY, Aug. 1, 2017 (HealthDay News) -- More than one out of three average Americans used a prescription opioid in 2015, despite growing concerns these medicines are promoting widespread addiction and overdose deaths, according to a study published online Aug. 1 in the Annals of Internal Medicine.

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Periodontal Disease History Linked to Increased Cancer Risk

TUESDAY, Aug. 1, 2017 (HealthDay News) -- Among older women, periodontal disease history is associated with increased total cancer risk, and with increased risk of several specific types of cancer, according to a study published in the Aug. 1 issue of Cancer, Epidemiology, Biomarkers & Prevention.

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Comprehensive Initiative Has Positive Impact on Opioid Rx

TUESDAY, Aug. 1, 2017 (HealthDay News) -- A comprehensive initiative, including creation of prescribing and dispensing policies, monitoring and follow-up processes, and clinical coordination through electronic health record integration, can have a positive impact on opioid prescribing, according to research published online July 14 in the Journal of Evaluation in Clinical Practice.

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Higher Risk of Dementia Seen in Those Hailing From 'Stroke Belt'

TUESDAY, Aug. 1, 2017 (HealthDay News) -- Health issues for people born in high stroke mortality states (HSMSs) include a higher risk of developing dementia -- even if they move elsewhere, according to research published online July 31 in JAMA Neurology.

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Conservative Fluid Management Benefits Black ARDS Patients

TUESDAY, Aug. 1, 2017 (HealthDay News) -- For patients with acute respiratory distress syndrome (ARDS), conservative fluid management is associated with reduced mortality for non-Hispanic black, but not white, patients, according to a study published online July 14 in the Annals of the American Thoracic Society.

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Alarms Could Save Children From Being Left in Hot Cars

TUESDAY, Aug. 1, 2017 (HealthDay News) -- The recent deaths of two Arizona children in hot cars show the need for a proposed federal law that would require carmakers to install alarms for back seats, child advocates say.

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Poor Adherence to Self-Monitoring of Glucose in GDM

TUESDAY, Aug. 1, 2017 (HealthDay News) -- Only about 60 percent of women with newly diagnosed gestational diabetes mellitus (GDM) perform ≥80 percent of required self-monitoring of blood glucose (SMBG) tests, according to a study published online July 18 in Diabetes Care.

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Climate Change Expected to Up Premature Deaths From Pollution

TUESDAY, Aug. 1, 2017 (HealthDay News) -- Increases in air pollution caused by rising temperatures will trigger an additional 60,000 premature deaths each year around the globe by 2030, and as many as 260,000 more premature deaths annually by 2100, according to findings from a new study published online July 31 in Nature Climate Change.

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New Research Supports Safety of Aspirin in Heart Failure

TUESDAY, Aug. 1, 2017 (HealthDay News) -- Some research has raised concerns about the safety of aspirin for heart failure patients, but a new study, published in the Aug. 1 issue of JACC: Heart Failure, appears to offer some reassurance.

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