December 2016 Briefing - Family Practice

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for December 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Burden of Anticholinergic Meds in Older Adults Must Be Considered

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

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

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

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Low Vitamin D Linked to Incident Frailty in Older Women

FRIDAY, Dec. 30, 2016 (HealthDay News) -- For older women, low vitamin D is associated with incident frailty, according to a study published online Dec. 23 in the Journal of the American Geriatrics Society.

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Fatigue Levels Vary for Patients With Psoriatic Disease

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

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Pharmacy-Based Sale of Chlamydia Test Kits Is Effective

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

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Survey Shows Lower Rate of Impaired Driving in U.S. for 2014

THURSDAY, Dec. 29, 2016 (HealthDay News) -- The prevalence of driving under the influence of alcohol and illicit drugs has been quantified in a report published Dec. 28 by the Substance Abuse and Mental Health Services Administration.

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

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

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Ustekinumab Tolerated in Severe Atopic Dermatitis

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

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Chair Yoga Helps Older Adults Manage Osteoarthritis Pain

THURSDAY, Dec. 29, 2016 (HealthDay News) -- Chair yoga may produce sustained improvements in pain interference among older adults with lower extremity osteoarthritis (OA), according to a study published online Dec. 23 in the Journal of the American Geriatrics Society.

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Fish-Oil Fatty Acids in Pregnancy Cut Wheeze, Asthma Risk in Child

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- For women in the third trimester of pregnancy, supplementation with n-3 long-chain polyunsaturated fatty acids (LCPUFAs) is associated with a reduction in the risk of persistent wheeze and asthma in offspring, according to a study published in the Dec. 29 issue of the New England Journal of Medicine.

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Case Report: Ustekinumab for Crohn's Continued in Pregnancy

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- Good outcome has been reported in a pregnant woman who continued ustekinumab (UST) therapy for Crohn's disease during pregnancy, according to a case report published online Dec. 22 in the Journal of Clinical Pharmacy and Therapeutics.

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Ciprofloxacin Plus Fluocinolone More Effective for Peds AOMT

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- For children with acute otitis media with tympanostomy tubes (AOMT), ciprofloxacin plus fluocinolone is more effective than ciprofloxacin or fluocinolone alone, according to a study published online Dec. 22 in JAMA Otolaryngology-Head & Neck Surgery.

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Bell's Palsy Tied to Quadrivalent Meningococcal Vaccine

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- Bell's palsy is the only prespecified adverse event associated with the MenACWY-CRM quadrivalent meningococcal conjugate vaccine, according to a study published online Dec. 26 in Pediatrics.

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1996-2013 Saw Increase in U.S. Health Care Spending on Children

TUESDAY, Dec. 27, 2016 (HealthDay News) -- Health care spending on children increased from 1996 to 2013 in the United States, according to a study published online Dec. 27 in JAMA Pediatrics.

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Families Provide 1.5B Hours of Care to Special Needs Children

TUESDAY, Dec. 27, 2016 (HealthDay News) -- Children with special health care needs (CSHCN) receive 1.5 billion hours of health care at home from family members, according to a study published online Dec. 27 in Pediatrics.

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Legalization of Marijuana May Impact Teen Perception, Use

TUESDAY, Dec. 27, 2016 (HealthDay News) -- Following legalization of marijuana use, perceived harmfulness of marijuana use decreased and marijuana use increased among eighth and 10th graders in Washington State, according to a study published online Dec. 27 in JAMA Pediatrics.

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

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

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

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

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More Years Lost for Whites Versus South Asians, Blacks With T2DM

TUESDAY, Dec. 27, 2016 (HealthDay News) -- Whites with type 2 diabetes have more life years lost than South Asians or blacks, according to a study published online Dec. 20 in Diabetes Care.

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Unrecognized Heart Attacks Tied to Higher Pain Tolerance

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

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Laughter Is Good Medicine for Nursing Home Residents

FRIDAY, Dec. 23, 2016 (HealthDay News) -- Laughter therapy improves the quality of life of nursing home residents, according to a study published online Dec. 16 in the Journal of Clinical Nursing.

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Six Things PCPs Need to Know About Glaucoma

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

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Impact of Complex Medication Regimen in Elderly Unclear

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

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Shortened Abx Inferior for Acute Otitis Media in Children <2 Years

THURSDAY, Dec. 22, 2016 (HealthDay News) -- Reduced-duration antimicrobial treatment is associated with less favorable outcomes among infants with acute otitis media, according to a study published in the Dec. 22 issue of the New England Journal of Medicine.

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Substance Use Higher Among Patients From LA Versus Tijuana

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

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VA ECHO Program Feasible for Management of Sleep Disorders

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

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Antiseptics Not Needed for Cord Care in Developed Nations

THURSDAY, Dec. 22, 2016 (HealthDay News) -- Dry cord care is noninferior to the use of antiseptics in preventing omphalitis in full-term newborns in France, according to a study published online Dec. 22 in Pediatrics.

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Surcharge May Accompany After-Hours Care in Emergency Room

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

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ACOG Recommends Delayed Umbilical Cord Clamping

WEDNESDAY, Dec. 21, 2016 (HealthDay News) -- Delayed umbilical cord clamping is beneficial for most term and preterm infants, according to a Committee Opinion from the American College of Obstetrics and Gynecology (ACOG) published in the January issue of Obstetrics & Gynecology.

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Mouthwash May Be Useful for Gonorrhea Control

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

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Serum Biomarker That Reflects Use, Dose of Metformin Identified

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

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Peripartum Aortic Dissection Risk Factors Examined in Marfan Sx

WEDNESDAY, Dec. 21, 2016 (HealthDay News) -- Pregnant patients with Marfan syndrome, particularly those with a dilating aortic root, are at high risk of aortic dissection during and following pregnancy, according to a study published in the Jan. 1 issue of The American Journal of Cardiology.

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2002 to 2014 Saw Increase in Marijuana Use in Women

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

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CDC: Fatal Drug Overdoses Up Significantly in the United States

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

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Risk of Postconcussive Symptoms Down With Early Exercise

TUESDAY, Dec. 20, 2016 (HealthDay News) -- Participation in physical activity within seven days after injury is associated with reduced rates of persistent postconcussive symptoms (PPCS), according to a study published in the Dec. 20 issue of the Journal of the American Medical Association.

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USPSTF Recommends Against Routine HSV Screening

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

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

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

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Guidance on Dietary Sugar Intake Based on Low-Quality Evidence

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

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Daily Text Messaging Ups ART Adherence in Youth

TUESDAY, Dec. 20, 2016 (HealthDay News) -- A two-way, personalized daily text messaging intervention can improve antiretroviral therapy (ART) adherence among HIV-positive adolescents and young adults, according to a study published in AIDS and Behavior.

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Insurance Status of ER Visits Varied With Medicaid Expansion

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

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Health Care Provider Burnout Negatively Affects Quality, Safety

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

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Hospitalized Seniors Do Slightly Better Treated by Female Doctors

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

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DEA Announces Critical Changes in Registration Renewal Process

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

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Noncardiovascular Cause of Death More Common in CHD Patients

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

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AAP Issues New Guidelines for Use of Human Donor Milk

MONDAY, Dec. 19, 2016 (HealthDay News) -- Use of donor milk is safe when appropriate measures are used to screen donors and collect, store, and pasteurize the milk, according to a policy statement from the American Academy of Pediatrics published online Dec. 19 in Pediatrics.

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Twitter Chatter About HPV Vaccine Mostly Positive

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

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Dysglycemia Affects Brain Structure, Cognition in Seniors

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

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Preoperative Foley Cath Predicts TURP, TULIP Failure in Older Men

MONDAY, Dec. 19, 2016 (HealthDay News) -- Poor functional status and having a Foley catheter preoperatively are associated with the risk of failure of transurethral resection of the prostate (TURP) or transurethral laser incision of the prostate (TULIP) for treatment of bladder outlet obstruction, according to a study published online Dec. 5 in the Journal of the American Geriatrics Society.

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Cervicovaginal Secretions Contain HIV-Linked Immune Mediators

MONDAY, Dec. 19, 2016 (HealthDay News) -- Cervicovaginal secretions from pregnant and nonpregnant women contain HIV infectivity-linked immune mediators, although there is no difference in infectivity between pregnant and nonpregnant women, according to a study published in the December issue of the American Journal of Obstetrics & Gynecology.

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

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

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No Long-Term Increase in Exercise Levels for Pokémon Go

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

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BRCA Testing, Not Mastectomies, Up After Angelina Jolie Editorial

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

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Review Provides Evidence for Sweet Taste Analgesia in Infants

FRIDAY, Dec. 16, 2016 (HealthDay News) -- Despite evidence for sweet taste reducing pain and crying time in neonates, most trials still include placebo/no-treatment arms, according to a review published online Dec. 16 in Pediatrics.

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Opioid-Related Hospitalizations Up Sharply in the United States

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

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Integrated Neurology in Medical Home Cuts Health Care Use

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

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Hearing Impairment on the Decline in Americans Under 70

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

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Ischemic Stroke Risk Up for Eight Weeks After PCI

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

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Home-Visiting Program Can Reduce Infant Health Care Use

THURSDAY, Dec. 15, 2016 (HealthDay News) -- A universal home visiting model that employs a nurse-parent educator team as visitors in the homes of primary caregivers and their first-born children can reduce health care use in the first year, according to a study published online Dec. 15 in Pediatrics.

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Pilots Suffer Depression, Suicidal Thoughts at Fairly High Rates

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

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Medical Service Use Down With Deductibles in Diabetes

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

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Zika-Related Birth Defects More Extensive Than Thought

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

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'Zombie' Outbreak in NYC Caused by Synthetic Cannabinoid

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

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Preeclampsia Linked to Risk of Maternal Retinal Disease

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Preeclampsia is associated with increased risk of maternal retinal disease, especially traction detachments, retinal breaks, and diabetic retinopathy, according to a study published in the January issue of Obstetrics & Gynecology.

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Under-Reporting of Child Abuse Suspected Within U.S. Army

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Child abuse within U.S. Army families may be significantly under-reported, according to a study published online Dec. 12 in Child Abuse & Neglect.

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AARP: Medication Costs for Seniors Continue to Soar

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

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

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

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Sliding Scale Insulin Order Sheet Cuts Medication Errors

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

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Self-Care Tools Cut Depression in AMD, Diabetic Retinopathy

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

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Exposure to Mold, Dampness Ups Risk of Asthma, Rhinitis

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Exposure to mold and dampness during infancy is associated with increased risk of asthma and rhinitis up to age 16 years, according to a study published online Dec. 7 in Allergy.

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Data-Driven Algorithm Yields Notable Improvements in HbA1c

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

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Addiction Consultation Valuable for Liver Transplant Patients

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

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Outcomes-Based Pricing Suggested for New, Costly Drugs

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

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NIH: Teen Drug Use Continuing to Decline

TUESDAY, Dec. 13, 2016 (HealthDay News) -- Illicit drug use among U.S. teens is at an all-time low, with the exception of marijuana, according to a new survey by the U.S. National Institute on Drug Abuse.

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Uterine Artery Embolism Can Help Avoid Hysterectomy for Fibroids

TUESDAY, Dec. 13, 2016 (HealthDay News) -- Hysterectomy can often be avoided in patients with uterine fibroids undergoing uterine artery embolization, according to a study published in the December issue of the American Journal of Obstetrics & Gynecology.

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Primary Care Physician Volume Linked to Quality of Diabetes Care

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

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Risk of Ischemic, Hemorrhagic Stroke Up With Type 1 Diabetes

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

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Neonatal Abstinence Syndrome Up in Rural-Born Infants

TUESDAY, Dec. 13, 2016 (HealthDay News) -- Rural U.S. communities are seeing a sharp increase in infants with neonatal abstinence syndrome (NAS), according to a research letter published online Dec. 12 in JAMA Pediatrics.

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Recommendations Developed for Pediatric NAFLD

TUESDAY, Dec. 13, 2016 (HealthDay News) -- Evidence-based recommendations have been developed for screening, diagnosis, and treatment of pediatric nonalcoholic fatty liver disease (NAFLD). The guidelines were published online Nov. 30 in the Journal of Pediatric Gastroenterology and Nutrition.

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Prenatal Exposure to Maternal Stress May Raise Psoriasis Risk

TUESDAY, Dec. 13, 2016 (HealthDay News) -- Prenatal exposure to maternal bereavement is associated with psoriasis only for children born to a mother who lost a partner/spouse or an older child, according to a study published online Dec. 7 in the British Journal of Dermatology.

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Universal Group B Streptococci Screening Not Cost-Effective

TUESDAY, Dec. 13, 2016 (HealthDay News) -- For women with a singleton pregnancy planning a repeat cesarean delivery, universal group B streptococci (GBS) screening is not cost-effective, according to a study published in the January issue of Obstetrics & Gynecology.

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OSA Is Risk Factor for Recurrent Pulmonary Embolism

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

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

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

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

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

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

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

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Continuous Skin-to-Skin Contact Benefits Preemies Long Term

MONDAY, Dec. 12, 2016 (HealthDay News) -- "Kangaroo mother care" -- an intense version of care involving nearly round-the-clock skin-to-skin contact and exclusive or near-exclusive breastfeeding -- may extend and enhance the lives of premature and low birth weight infants well into adulthood, according to a study published online Dec. 12 in Pediatrics.

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Social Isolation Can Adversely Affect Breast Cancer Survival

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

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Clinical Antecedents of Adolescent-Onset MDD Identified

MONDAY, Dec. 12, 2016 (HealthDay News) -- Irritability and fear and/or anxiety are significant clinical antecedents of new adolescent-onset major depressive disorder (MDD) in individuals at familial risk, according to a study published online Dec. 7 in JAMA Psychiatry.

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CDC: Colombia Sees Increase in Zika-Related Microcephaly

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

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CDC Finds Vaccination Coverage Varies for Adults With Diabetes

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

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Insomnia Found to Be Highly Prevalent in Adults With Asthma

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

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Tai Chi Found to Be Beneficial for Veterans With PTSD

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

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

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

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Healthy Diet May Help Lengthen the Lives of CKD Patients

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

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Age-Related Cataract Linked to Depressive Symptoms

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

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Recommendations Developed for Sport-Related Dental Injuries

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

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Even Moderate, Regular Alcohol Consumption Could Cause A-Fib

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

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Naloxone Price Hikes Could Affect Rates of Opioid-Related Deaths

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

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Suicide Risk Up for Patients With Acute Coronary Syndrome

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

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Heart Rate Recovery Could Predict Mortality in Older Adults

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

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Titanium Exposure Tied to Yellow Nail Syndrome in Pediatric Patient

THURSDAY, Dec. 8, 2016 (HealthDay News) -- In a case report published online Dec. 7 in Pediatrics, yellow nail syndrome (YNS) is described in a 9-year-old girl who had titanium detected in her nail clippings.

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Fewer School Shootings in States With Tighter Gun Laws

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- There are fewer school shootings in states that have tighter gun control laws and spend more on mental health care and public education, according to a report published online Dec. 6 in Injury Prevention.

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Cannabis Use Up in Americans Aged 50 and Up

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

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Readings Taken in Clinic May Underestimate Ambulatory BP

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

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

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

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Number of Cancer Cases, Deaths Up Globally

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

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Learning Interventions Can Improve Med Student Well-Being

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

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Patient Mortality Up With End-of-Rotation Team Transition

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

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State-Specific Variation in Asthma Rates Among Employed Adults

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

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Pubic Hair Grooming Tied to Heightened Risk of STIs

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

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Depression, Suicide Ideation Prevalent in Medical Students

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

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Erectile Dysfunction Tied to Subclinical Myocardial Injury

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

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Menopausal Status Linked to Faster Lung Function Decline

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

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Potentially Unsafe Med Scripts Up for Dual Users With Dementia

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

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Clinical Practice Guidelines Cut Pediatric Hospitalizations for DKA

TUESDAY, Dec. 6, 2016 (HealthDay News) -- Implementation of clinical practice guidelines can reduce the length of hospitalizations among children experiencing diabetic ketoacidosis (DKA), according to a study published Nov. 29 in the Journal of Evaluation in Clinical Practice.

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Resistance Band Exercise Aids Nursing Home Residents

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

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Colonic Diverticular Disease May Increase Dementia Risk

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

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Post-Op Readmission Linked to Delays in Functional Recovery

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

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<900 Steps Tied to Functional Decline in Hospitalized Seniors

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

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Announcement Training Ups HPV Vaccination for Adolescents

MONDAY, Dec. 5, 2016 (HealthDay News) -- Training providers to use announcements can increase human papillomavirus (HPV) vaccination coverage in young adolescents, according to a study published online Dec. 5 in Pediatrics.

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Attempted Suicide Rates, Risk Groups Mostly Unchanged

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

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Many With Postconcussion Syndrome Don't Recover

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

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Sleep Disturbance Linked to Esophageal Hypersensitivity

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

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Study Explores Factors Linked to Successful Peanut OFC

MONDAY, Dec. 5, 2016 (HealthDay News) -- Early peanut introduction is associated with increased probability of a successful oral food challenge (OFC), with higher odds for introduction between 6 to 11 versus 4 to 6 months, according to a study published online Nov. 30 in Allergy.

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DASH Diet Reduces Serum Uric Acid in Prehypertension

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

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Multimodal Breast Cancer Tx May Up Cytokines, Comorbidities

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

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Three Low-Carb Meals a Day Can Lower Insulin Resistance

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

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Psychotherapy for Depression Offers Teens Long-Term Benefits

FRIDAY, Dec. 2, 2016 (HealthDay News) -- For teens with depression, many could reap long-term benefits from psychological counseling, according to a study published online Nov. 30 in The Lancet Psychiatry.

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Walking Provides Physical, Mental Benefits to Dialysis Patients

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

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Vitamin D in Pregnancy Might Help Prevent MS in Offspring

FRIDAY, Dec. 2, 2016 (HealthDay News) -- Newborns with low levels of vitamin D may have higher odds of developing multiple sclerosis (MS) later in life, according to a study published online Nov. 30 in Neurology.

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Delayed Diagnosis for Many Women With PCOS

FRIDAY, Dec. 2, 2016 (HealthDay News) -- Many women diagnosed with polycystic ovary syndrome (PCOS) report delayed diagnosis and receiving inadequate information, according to a study published online Dec. 1 in the Journal of Clinical Endocrinology & Metabolism.

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Alcohol Intake Linked to Increase in Risk of Melanoma

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

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Dabigatran May Be Better Than Warfarin After Bleeding Episode

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

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Acute, Noncardiac Mortality Risk Up for CA Patients With STEMI

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

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Interrupting Sitting Time Ups Blood Glucose Control in T2DM

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

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AND: Vegetarian Diet a Healthy, Environmentally Sound Choice

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

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Psilocybin Can Pull Cancer Patients Quickly Out of Despair

THURSDAY, Dec. 1, 2016 (HealthDay News) -- A single dose of psilocybin can quickly lifts the spirits of cancer patients, and the effect can last as long as six months, according to two studies published online Dec. 1 in the Journal of Psychopharmacology.

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More HIV Patients Exhibiting Multidrug Resistance

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

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Web-Based Cognitive Therapy Program Effective for Insomnia

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

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Study Supports Smoking Cessation for Smokers of Any Age

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

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Frailty Screening Initiative Cuts Mortality After Surgery

THURSDAY, Dec. 1, 2016 (HealthDay News) -- For patients undergoing elective surgery, implementation of the Frailty Screening Initiative (FSI) is associated with a reduction in mortality, according to a study published online Nov. 30 in JAMA Surgery.

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Participation in Specific Sports Tied to Significant Health Benefits

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

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PCPs Order More Food Allergen Panels Than Allergists

THURSDAY, Dec. 1, 2016 (HealthDay News) -- Primary care providers (PCPs) order significantly more food allergen panels and generate higher costs per patient than allergists, according to a review published online Nov. 30 in Pediatrics.

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Dapivirine Vaginal Ring Can Help Prevent HIV-1 Infection

THURSDAY, Dec. 1, 2016 (HealthDay News) -- Use of a vaginal ring containing dapivirine is efficacious for prevention of HIV-1 infection, according to a study published in the Dec. 1 issue of the New England Journal of Medicine.

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

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

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