February 2017 Briefing - Internal Medicine

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

Strategies Suggested to Protect Practices From Hackers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Steps should be taken to protect medical practices, including small practices, from hackers, according to a report published in Medical Economics.

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Diazepam Not Beneficial for Acute Low Back Pain in ER

TUESDAY, Feb. 28, 2017 (HealthDay News) -- There is doubt as to whether diazepam provides benefit in the treatment of low back pain in the emergency department environment, according to a study published online Feb. 7 in the Annals of Emergency Medicine.

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CRC Incidence on the Rise Among Younger Americans

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Americans in their early 50s and younger are experiencing significant increases in colorectal cancer incidence, according to research published online Feb. 28 in the Journal of the National Cancer Institute.

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Use of Appropriate Use Criteria for Imaging Set to Increase

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Use of appropriate use criteria (AUC) is likely to increase with the anticipated implementation of the Protecting Access to Medicare Act (PAMA), according to an ideas and opinions piece published online Feb. 28 in the Annals of Internal Medicine.

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Doctors Need to Discuss Herbal Medication Use With CVD Patients

TUESDAY, Feb. 28, 2017 (HealthDay News) -- While there's little evidence that herbal medications are safe or effective to treat cardiovascular conditions, they remain popular among patients with cardiovascular disease, according to a review published in the March 7 issue of the Journal of the American College of Cardiology.

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Biomarker in Nasal Passages May ID Lung Cancer in Smokers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- DNA-based biomarkers in the nasal passages may be able to reveal whether a lung lesion is cancerous or not, according to a study published online Feb. 27 in the Journal of the National Cancer Institute.

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Access to Primary Care Not Affected by Medicaid Expansion

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Doctors' offices capably shouldered the burden of millions of new Medicaid patients gaining access to health insurance through the Affordable Care Act, according to a research letter published online Feb. 27 in JAMA Internal Medicine.

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Higher Dietary Potassium to Sodium Ratio Can Lower CVD Risk

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Higher dietary potassium seems to be associated with reduced blood pressure, regardless of sodium intake, with the postulated mechanism involving the distal tubule sodium chloride cotransporter (NCC), according to research published online Feb. 7 in the American Journal of Physiology - Endocrinology and Metabolism.

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Comorbid Neuropathies Common With MCI Diagnosis

TUESDAY, Feb. 28, 2017 (HealthDay News) -- A diagnosis of mild cognitive impairment (MCI) is frequently associated with comorbid neuropathologies, according to a study published online Feb. 22 in the Annals of Neurology.

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Antidepressant Efficacy Varies for Depressive Symptom Clusters

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Antidepressant treatment efficacy varies for empirically-defined clusters of symptoms, according to a study published online Feb. 22 in JAMA Psychiatry.

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Physician Burnout Eroding Sense of Calling

TUESDAY, Feb. 28, 2017 (HealthDay News) -- For physicians across specialties, burnout is associated with reduced odds of a sense of calling, according to a study published online Feb. 8 in the Mayo Clinic Proceedings.

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Supreme Court Rules Patient Safety Data Subject to Litigation

MONDAY, Feb. 27, 2017 (HealthDay News) -- The Supreme Court of Florida has reversed a District Court of Appeal decision deeming information related to patient safety unprotected from litigation discovery, according to a report published from the American Medical Association.

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Sugar-Sweetened Drink Tax Tied to Sustained Drop in Purchase

MONDAY, Feb. 27, 2017 (HealthDay News) -- Implementation of a tax on sugar-sweetened beverages is associated with a sustained reduction in purchases of taxed beverages, according to a study published online Feb. 22 in Health Affairs.

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Multidrug-Resistant Bacteria Found in Hospital Sinks

MONDAY, Feb. 27, 2017 (HealthDay News) -- Spread of antibiotic-resistant bacteria can occur through sinks and other areas where water can pool inside hospitals, according to a study published online Feb. 24 in Applied and Environmental Microbiology.

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Deep Brain Stimulation Beneficial in Anorexia Nervosa

MONDAY, Feb. 27, 2017 (HealthDay News) -- Deep brain stimulation (DBS) is associated with significant improvements in affective symptoms and body mass index (BMI) in treatment-refractory anorexia nervosa, according to a study published online Feb. 23 in The Lancet.

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Early Use of Two Asthma Meds Could Prevent Lethal Pneumonia

MONDAY, Feb. 27, 2017 (HealthDay News) -- Two medications used to treat asthma and allergies may help prevent a particularly dangerous form of pneumonia caused by influenza A virus (IAV) infection, according to a study published online recently in PLOS Pathogens.

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Depressed Psoriasis Patients at Higher Risk of Psoriatic Arthritis

MONDAY, Feb. 27, 2017 (HealthDay News) -- Patients with psoriasis who also have major depressive disorder may face a much higher risk for psoriatic arthritis, according to a study published online Feb. 22 in the Journal of Investigative Dermatology.

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Many Patients Get Opioid Rx While Receiving Buprenorphine

MONDAY, Feb. 27, 2017 (HealthDay News) -- A substantial proportion of patients with opioid use disorder fill prescriptions for non-buprenorphine opioids during and following treatment with buprenorphine, according to a study published online Feb. 23 in Addiction.

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Adherence to Clinical Decision Support Ups Odds of Acute PE ID

MONDAY, Feb. 27, 2017 (HealthDay News) -- For patients with suspected pulmonary embolism (PE) in the emergency department, adherence to evidence-based clinical decision support (CDS) for ordering computed tomographic (CT) pulmonary angiography is associated with increased odds of an acute PE finding, according to research published in the March issue of Radiology.

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USPSTF Recommendation for Overweight, Obese Cost-Effective

MONDAY, Feb. 27, 2017 (HealthDay News) -- Implementing the 2014 U.S. Preventive Services Task Force (USPSTF) recommendations for behavioral counseling is likely to be cost-effective for overweight and obese adults, according to research published online Feb. 17 in Diabetes Care.

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Periodontitis May Be Early Sign of Undiagnosed Diabetes

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Periodontal disease may be a sign of undiagnosed type 2 diabetes, according to a study published in the January issue of BMJ Open Diabetes Research & Care.

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CDC: Fatal Drug Overdoses More Than Doubled Since 1999

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Drug overdose deaths have nearly tripled in the United States since 1999, with the largest increases seen for whites and middle-aged Americans, according to a February data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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$20 Million Awarded for Quality Payment Program Training

FRIDAY, Feb. 24, 2017 (HealthDay News) -- About $20 million has been awarded to 11 organizations for the first of a five-year program to provide training and education about the Quality Payment Program for clinicians in individual or small group practices, with up to $80 million to be invested over the remaining four years, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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DPP-4i Treatment Doesn't Up MI, Stroke Risk in Seniors

FRIDAY, Feb. 24, 2017 (HealthDay News) -- For older U.S. Medicare beneficiaries, dipeptidyl peptidase-4 inhibitors (DPP-4i) treatment is not associated with increased cardiovascular (CV) risk relative to sulfonylureas (SU) and thiazolidinediones (TZD), according to a study published online Feb. 14 in Diabetes, Obesity and Metabolism.

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Fruit, Vegetable Consumption Linked to Lower Risk of COPD

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Eating lots of fruits and vegetables may help current and former smokers avoid chronic obstructive pulmonary disease (COPD), according to a study published online Feb. 22 in Thorax.

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Internet-Based CBT Effective for Depressive Symptoms

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Self-guided internet-based cognitive behavioral therapy (iCBT) is effective for treating adults with depressive symptoms, according to a review published online Feb. 22 in JAMA Psychiatry.

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Similar Outcomes for Disc Surgery in Older, Younger Patients

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Older patients, over the age of 65, seem to experience the same lower back pain relief as their younger peers from surgery for a herniated lumbar disc, according to a research letter published online Feb. 22 in JAMA Surgery.

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10 Portions of Produce a Day Can Confer Great Health Benefit

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Ten daily servings of fruits and vegetables may be a key to reducing the risk of myocardial infarction, stroke, cancer, and premature death, according to a review published online Feb. 22 in the International Journal of Epidemiology.

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Transradial Intervention, Same-Day Discharge Cost Saving in PCI

FRIDAY, Feb. 24, 2017 (HealthDay News) -- For Medicare beneficiaries undergoing percutaneous coronary intervention (PCI), transradial intervention (TRI) with same-day discharge (SDD) is associated with lower costs, according to a study published in the Feb. 27 issue of JACC: Cardiovascular Interventions.

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Cytomegalovirus May Up Risk of Diabetes, CVD in Some Women

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cytomegalovirus (CMV) infection may make some women more susceptible to both cardiovascular disease and type 2 diabetes, according to research published online Feb. 23 in Obesity.

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Cyberattacks Remain Serious Threat to Health Providers

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cyberattacks remain a serious threat to small providers as well as big institutions, according to a report published in Medical Economics.

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Stratification Tool IDs Who Will Benefit From Adding Ezetimibe

THURSDAY, Feb. 23, 2017 (HealthDay News) -- For patients stabilized after acute coronary syndrome (ACS), a nine-point risk stratification tool can identify patients who will derive benefit from the addition of ezetimibe to statin therapy, according to a study published in the Feb. 28 issue of the Journal of the American College of Cardiology.

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Glucagon Receptor Antagonist Ups Blood Pressure in T2DM

THURSDAY, Feb. 23, 2017 (HealthDay News) -- For patients with type 2 diabetes, once-daily treatment with the glucagon receptor antagonist LY2409021 is associated with increases in ambulatory blood pressure (BP), according to a study published online Feb. 13 in Diabetes, Obesity and Metabolism.

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MRI Can Be Safe for Patients With Older Pacemakers, ICDs

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Patients with cardiovascular implantable electronic devices not designed to be magnetic resonance imaging (MRI)-compatible can safely receive MRI, when a specific protocol is followed, according to a study published in the Feb. 23 issue of the New England Journal of Medicine.

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Off-Label Antidepressant Use Common, but Evidence Lacking

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Up to one-third of antidepressants are prescribed for pain, insomnia, migraine, or other unapproved uses, but just 16 percent of those off-label prescriptions are supported by strong research, according to a study published online Feb. 21 in The BMJ.

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Health Information Theft a Pressing Concern for U.S. Patients

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Forty-four percent of U.S. adults are worried about having their personal health care information stolen, according to findings from the Xerox eHealth Survey published Feb. 9 in HIT Consultant.

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Nursing Homes Rarely Use Isolation for Drug-Resistant Bugs

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Isolation precautions are infrequently used for nursing home (NH) residents with multidrug-resistant organism (MDRO) infection, according to a study published online Feb. 17 in the Journal of the American Geriatrics Society.

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Cancer Survivors Likely to Change Rx Drug Use for Financial Reasons

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Nonelderly cancer survivors are more likely to report changes in prescription drug use for financial reasons than individuals without a cancer history, according to a study published online Feb. 20 in Cancer.

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Weight Loss of 10% Beneficial in Overweight, Not Obese, With DM

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- For overweight, but not obese, individuals with type 2 diabetes (T2D), sustained weight loss (WL) of 10 percent body weight is associated with clinically meaningful cardiometabolic changes, according to research published online Feb. 19 in Diabetes Care.

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Collaborative Care Cuts Depressive Symptoms in Seniors

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- For older adults with subthreshold depression, collaborative care is associated with a reduction in depressive symptoms compared with usual care, according to a study published online Feb. 21 in the Journal of the American Medical Association.

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Exercise Most Important Lifestyle Change for Breast CA Survivors

TUESDAY, Feb. 21, 2017 (HealthDay News) -- For breast cancer survivors, exercise may help lower their mortality risk more than other healthy habits, according to a review published in the Feb. 21 issue of CMAJ, the journal of the Canadian Medical Association.

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Trials Highlight Benefits, Risks of Testosterone Treatment

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Testosterone treatment can boost bone density and reduce anemia in older men with low levels of the hormone, but it might also increase the risk of future adverse cardiovascular events, a new set of trials suggests. The research was published Feb. 21 in either the Journal of the American Medical Association or JAMA Internal Medicine.

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CMS Rule Set to Stabilize Small Health Insurance Markets

TUESDAY, Feb. 21, 2017 (HealthDay News) -- The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

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One in Four Ocular ER Visits for Nonurgent Conditions

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Nearly one-quarter of enrollees in a U.S. managed care network who visit the emergency department for an ocular condition have a nonurgent condition, according to a study published online Feb. 1 in Ophthalmology.

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Internet-Delivered Exercise, Pain-Coping Skills Alleviate Knee Pain

TUESDAY, Feb. 21, 2017 (HealthDay News) -- An internet-delivered physical therapist-prescribed home exercise and pain-coping skills training (PCST) intervention is beneficial for individuals with chronic knee pain, according to a study published online Feb. 21 in the Annals of Internal Medicine.

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Readmission Common After Hospitalization for Heart Failure

TUESDAY, Feb. 21, 2017 (HealthDay News) -- For patients with hospitalization for heart failure, readmission within 30 days is common, according to a study published in the March 1 issue of The American Journal of Cardiology.

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Patients With Opioid Addiction Benefit From Tx Initiated in ER

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Patients addicted to opioids treated in a hospital emergency department do better when they receive medication to reduce opioid cravings, according to a study published online Feb. 13 in the Journal of General Internal Medicine.

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Maintenance Intervention Improves Long-Term Weight Loss

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Successful weight maintenance may be more likely with a series of post-diet coaching sessions conducted mostly by phone, according to a study published online Feb. 21 in the Annals of Internal Medicine.

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Post-Deployment Screening Has Limited Benefit in U.K. Military

MONDAY, Feb. 20, 2017 (HealthDay News) -- Post-deployment screening for mental disorders is not effective for reducing the prevalence of posttraumatic stress disorder (PTSD), depression, anxiety, or alcohol misuse among U.K. military personnel, according to a study published online Feb. 16 The Lancet.

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Increase in Foodborne Disease Outbreaks Tied to Imported Food

MONDAY, Feb. 20, 2017 (HealthDay News) -- There has been an increase in the number and proportion of foodborne disease outbreaks associated with imported food, according to research published in the March issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Drug-Induced Lupus Seen With Adalimumab Treatment

MONDAY, Feb. 20, 2017 (HealthDay News) -- In a case report published online Feb. 12 in the Journal of Clinical Pharmacy and Therapeutics, drug-induced lupus erythematosus (DILE) is described in a patient taking adalimumab for psoriasis.

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Early PT Not Tied to Lower Health Care Use Later On

MONDAY, Feb. 20, 2017 (HealthDay News) -- Early use of physical therapy (PT) for new low back pain in older adults is not associated with less subsequent back pain-specific health care utilization, compared with patients not receiving early PT, according to a study published in the March issue of The Spine Journal.

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ICU Appears Overused for Some Patients With Heart, Lung Disease

MONDAY, Feb. 20, 2017 (HealthDay News) -- Admission to the intensive care unit (ICU) is not associated with a survival benefit for patients with uncertain ICU needs hospitalized with exacerbation of chronic obstructive pulmonary disease (COPD), exacerbation of heart failure, or acute myocardial infarction (AMI), according to a study published online Feb. 17 in the Annals of the American Thoracic Society.

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Increased Active Vitamin D May Help Optimize Muscle Strength

MONDAY, Feb. 20, 2017 (HealthDay News) -- High blood levels of active vitamin D may increase muscle strength, according to a study published online Feb. 15 in PLOS ONE.

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Depression, Anxiety Prevalent in Hospice Caregivers

MONDAY, Feb. 20, 2017 (HealthDay News) -- A considerable proportion of hospice caregivers are moderately to severely depressed or have moderate to severe symptoms of anxiety, according to a study published online recently in the Journal of Palliative Medicine.

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CDC: Influenza Vaccine 48 Percent Effective Overall

FRIDAY, Feb. 17, 2017 (HealthDay News) -- This year's influenza vaccine is a fairly good match for the circulating viruses, according to research published in the Feb. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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D.C. Zika Tests Were Flawed

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Two women in Washington, D.C., were incorrectly found to be negative for Zika virus last year due to flawed testing, health officials said Thursday.

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Doctors Often Write Rx for Antibiotics If Patients Expect It

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Doctors are more likely to prescribe antibiotics if they think patients expect the medications, according to a study published online Feb. 16 in Health Psychology.

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Gluten-Free Diet Linked to Increased Levels of Toxic Metals

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Higher levels of arsenic and mercury have been identified in individuals consuming gluten-free diets, according to a study published online Feb. 3 in Epidemiology.

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Metformin Use Linked to Less Vitamin B12 Measurement

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Long-term metformin use is associated with lower serum vitamin B12 concentration, although metformin users are less likely to receive vitamin B12 testing, according to a study published online Feb. 9 in the Journal of the American Geriatrics Society.

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Dietetic Counseling Proves Worthwhile in Kidney Disease

FRIDAY, Feb. 17, 2017 (HealthDay News) -- It is clinically worthwhile for patients with chronic kidney disease (CKD) to be counseled on reducing salt intake, according to research published online Feb. 16 in the Clinical Journal of the American Society of Nephrology.

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Hormone Therapy Doesn't Appear to Protect Against Alzheimer's

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Women who use hormone therapy (HT) after menopause may not have a lower risk of developing Alzheimer's disease (AD), although there is some evidence that long-term use -- over a decade -- might be tied to a lower risk, according to a study published online Feb. 15 in Neurology.

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Health Care Spending Expected to Grow 5.6% Annually to 2025

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025, according to a report published online Feb. 15 in Health Affairs.

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Vitamin D May Help Reduce Risk of Acute Respiratory Infection

THURSDAY, Feb. 16, 2017 (HealthDay News) -- There's preliminary evidence that adequate amounts of vitamin D might help lower rates of acute respiratory infections, according to a review published online Feb. 15 in The BMJ.

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Doctors' Opioid Rx Patterns Tied to Patient Risk for Long-Term Use

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Emergency department patients are at greater risk for long-term opioid use even after a single prescription from an emergency medicine physician who regularly prescribes them, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

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Liraglutide May Blunt Impact of Exercise in Dysregulated T2DM

THURSDAY, Feb. 16, 2017 (HealthDay News) -- For individuals with dysregulated type 2 diabetes, the addition of the glucagon-like peptide-1 receptor agonist (GLP-1RA) liraglutide may attenuate the impact of exercise, according to a study published online Feb. 11 in Diabetes, Obesity and Metabolism.

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Direct Admission to PCI Center Reduces Mortality in STEMI

THURSDAY, Feb. 16, 2017 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI), direct admission to a primary PCI center is associated with lower 12-month mortality, according to a study published online Feb. 15 in JACC: Cardiovascular Interventions.

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Bariatric Surgery Tied to T2DM Resolution in Obese Patients

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

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Bacteria, Fungi Found in Some Medicinal Marijuana Samples

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Medical marijuana may carry infectious bacteria and fungi that can pose a life-threatening risk to cancer patients who use it to ease the side effects of chemotherapy, according to a study published online recently in Clinical Microbiology and Infection.

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Health Care Use Up for Relapse-Free Hodgkin's Survivors

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Relapse-free Hodgkin's lymphoma (HL) survivors have increased health care use up to 10 years after diagnosis, according to a study published online Feb. 4 in the American Journal of Hematology.

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PR Interval Prognostic of Cardiac Resynchronization Tx Outcome

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- For patients with advanced systolic heart failure, the impact of cardiac resynchronization therapy with defibrillation (CRT-D) varies according to PR interval, according to research published in the February issue of the Journal of Cardiovascular Electrophysiology.

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Health Care Utilization Common After ICD Shock Events

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Health care utilization (HCU) is common after appropriate and inappropriate implantable cardioverter-defibrillator shock events, according to a study published online Feb. 14 in Circulation: Cardiovascular Quality and Outcomes.

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Dermoscopy + Triple Light Source Reliable in ID of Pityriasis Rosea

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Dermoscopy with three light sources is ideal for diagnosing pityriasis rosea (PR), according to a research letter published online Feb. 10 in the International Journal of Dermatology.

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Similar Adverse Event Risk for Typical, Atypical Antipsychotics

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- The risks of adverse events are similar with short-term use of typical and atypical antipsychotic medications (APMs) after cardiac surgery in seniors, according to a study published online Feb. 10 in the Journal of the American Geriatrics Society.

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Lixisenatide Beneficial in Seniors With Uncontrolled Diabetes

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Lixisenatide is more effective than placebo for older patients with uncontrolled diabetes on their current medication, with no unexpected safety findings, according to a study published online Feb. 10 in Diabetes Care.

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Dulaglutide Linked to Higher Adherence in T2DM

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), dulaglutide is associated with higher adherence and lower discontinuation than exenatide once weekly (QW) or liraglutide, according to a study published online Feb. 9 in Diabetes, Obesity and Metabolism.

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No Chemopreventive Effect Seen for H2RAs in Barrett's Esophagus

TUESDAY, Feb. 14, 2017 (HealthDay News) -- For patients with Barrett's esophagus (BE), proton pump inhibitor (PPI) but not histamine-2 receptor antagonist (H2RA) use is associated with reduced risk of neoplastic progression, according to research published online Feb. 11 in the Journal of Digestive Diseases.

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AHA: CVD Expected to Cost U.S. $1.1 Trillion Per Year by 2035

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Cardiovascular disease (CVD) is increasing in the United States, with costs expected to double from $555 billion in 2016 to $1.1 trillion in 2035, a new American Heart Association report estimates.

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ACP Issues Guideline for Treating Acute, Subacute, Chronic LBP

TUESDAY, Feb. 14, 2017 (HealthDay News) -- First-line therapy for patients with low back pain should be simple non-pharmacological remedies -- from heat wraps to physical therapy, according to a new clinical practice guideline from the American College of Physicians (ACP) published online Feb. 14 in the Annals of Internal Medicine.

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Cholesterol Lowering Rx Cuts Recurrence in Breast Cancer

TUESDAY, Feb. 14, 2017 (HealthDay News) -- For women with early-stage, hormone receptor-positive invasive breast cancer, initiation of cholesterol-lowering medication (CLM) during endocrine therapy is associated with improved survival and distant recurrence-free intervals, according to research published online Feb. 13 in the Journal of Clinical Oncology.

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NOACs Have Been Widely Adopted Into Practice

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Non-vitamin K antagonist oral anticoagulants (NOACs) have been adopted into practice and are more frequently prescribed than vitamin K antagonists (VKAs) in the Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation trial, according to research published in the Feb. 21 issue of the Journal of the American College of Cardiology.

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Fatigue Occurs in ~50 Percent With Chronic Plaque Psoriasis

TUESDAY, Feb. 14, 2017 (HealthDay News) -- About half of patients with chronic plaque psoriasis have fatigue, according to a study published online Feb. 9 in the British Journal of Dermatology.

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Interventions Up Discussion of Advanced Care Planning

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Quality improvement interventions can increase discussions relating to advanced care planning and the mention of advance directives (ADs) in the electronic medical record (EMR), according to a study published online Feb. 9 in the Journal of the American Geriatrics Society.

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Ultrasound IDs Disease Activity in Rheumatoid Arthritis

TUESDAY, Feb. 14, 2017 (HealthDay News) -- A 12-joint ultrasound (US) evaluation is relevant in determining disease activity in rheumatoid arthritis patients, according to a study published online Feb. 9 in the International Journal of Rheumatic Diseases.

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Medicare Shared Savings Linked to Lower Post-Acute Spending

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Participation in the Medicare Shared Savings Program (MSSP) is associated with an overall reduction in post-acute spending, and the performance of Oregon's Medicaid Accountable Care Organization (ACO) model is similar to that of Colorado, according to two studies published online Feb. 13 in JAMA Internal Medicine.

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Reduced Immune Response After Intradermal Flu Shot in Eczema

MONDAY, Feb. 13, 2017 (HealthDay News) -- For patients with moderate/severe atopic dermatitis (AD), those colonized with Staphylococcus aureus have a reduced immune response to intradermal influenza vaccination, according to a study published online Feb. 13 in the Journal of Allergy and Clinical Immunology.

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Rise in Unsafe Practices Among Men Who Have Sex With Men

MONDAY, Feb. 13, 2017 (HealthDay News) -- Men who have sex with men are much less likely to use condoms now than they were two decades ago, according to research published online Feb. 6 in the Archives of Sexual Behavior.

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FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons

MONDAY, Feb. 13, 2017 (HealthDay News) -- Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events, according to the U.S. Food and Drug Administration.

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Use of Multiple CNS-Affecting Drugs Increasing Among Seniors

MONDAY, Feb. 13, 2017 (HealthDay News) -- There has been a sharp rise in the number of American seniors who take three or more medications that affect their central nervous system, according to a research letter published online Feb. 13 in JAMA Internal Medicine.

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Review Links Albuminuria to Cognitive Impairment, Dementia

MONDAY, Feb. 13, 2017 (HealthDay News) -- Albuminuria is associated with cognitive impairment, dementia, and cognitive decline, according to a review published online Feb. 2 in the Journal of the American Geriatrics Society.

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Similar Metabolic Response to Animal, Plant Protein Diets

MONDAY, Feb. 13, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), isocaloric diets high in animal protein (AP) or plant protein (PP) are associated with similar improvements in metabolism and cardiovascular risk factors, according to a study published online Feb. 9 in Diabetes, Obesity and Metabolism.

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Short-Course Tocilizumab May Up Hep B Reactivation in RA

MONDAY, Feb. 13, 2017 (HealthDay News) -- For patients with rheumatoid arthritis (RA), one to three doses of tocilizumab may increase the risk of hepatitis B virus (HBV) reactivation, according to a study published online Feb. 3 in the International Journal of Rheumatic Diseases.

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Access to Naloxone Eased in Louisiana, Utah

MONDAY, Feb. 13, 2017 (HealthDay News) -- Health officials in Utah and Louisiana have issued orders to make naloxone more widely available in an effort to prevent overdose deaths, according to a report from the American Medical Association.

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Patient-Reported Symptom Score Predicts Outcome in Amyloidosis

MONDAY, Feb. 13, 2017 (HealthDay News) -- A patient-reported symptom score can help predict clinical outcomes in patients with light-chain amyloidosis (AL), according to a study published online Feb. 9 in the American Journal of Hematology.

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Concussion May Affect Driving Even After Symptoms Are Gone

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Even after their symptoms disappear, concussion patients may still have difficulty driving, according to research published online Jan. 24 in the Journal of Neurotrauma.

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Yoga Linked to Low Back Pain Relief, Improvement in Function

FRIDAY, Feb. 10, 2017 (HealthDay News) -- For patients experiencing low back pain, yoga may be an effective pain reliever, according to a review published online Jan. 12 in The Cochrane Library.

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Peroxide Ingestion As 'Cleansing Agent' Can Be Fatal

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Ingesting high-concentration hydrogen peroxide as a "natural cure" or cleansing agent is a dangerous practice that is associated with a high incidence of embolic events, according to a study published recently in Annals of Emergency Medicine.

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Rx Adherence Reminders No More Effective at 'Fresh Start' Dates

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Sending medication adherence reminders following fresh-start dates (life and calendar events indicating the start of new cycles) is not effective for increasing medication adherence, according to a research letter published online Feb. 8 in JAMA Cardiology.

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Any Coronary Artery Calcium in Early Adulthood Ups CV Risk

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Coronary artery calcium (CAC) is associated with coronary heart disease (CHD) and cardiovascular disease (CVD) among younger adults, according to a study published online Feb. 8 in JAMA Cardiology.

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Shift in Bisphosphonate Tx After 2008 Recommendations

THURSDAY, Feb. 9, 2017 (HealthDay News) -- In response to revised osteoporosis recommendations in 2008, there was a shift in age-related trends in oral bisphosphonate (BP) therapy initiation, according to a study published online Feb. 2 in the Journal of the American Geriatrics Society.

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Low Serum Zinc, Selenium May Be Risk Factors for Alopecia Areata

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Patients with alopecia areata (AA) have significantly lower serum levels of zinc and selenium, according to a meta-analysis published online Feb. 2 in The Journal of Dermatology.

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Valsartan Cuts Microalbuminuria in Impaired Glucose Tolerance

THURSDAY, Feb. 9, 2017 (HealthDay News) -- For patients with impaired glucose tolerance (IGT), valsartan is associated with reduced incidence of microalbuminuria, according to a study published online Jan. 17 in Diabetes, Obesity and Metabolism.

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Rat Study Shows Gut Dysbiosis Impacts Systolic Blood Pressure

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Gut dysbiosis seems to affect systolic blood pressure (SBP) in a rat model, according to an experimental study published recently in Physiological Genomics.

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Renal Transplant Recipients Often Admitted With Acute MI

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Renal transplant recipients (RTRs) are often admitted with acute myocardial infarction (AMI), according to a study published in the Feb. 15 issue of The American Journal of Cardiology.

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Valproic Acid Plasma Levels Down With Concomitant Meropenem

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Concomitant use of valproic acid (VPA) and meropenem (MEPM) is associated with a decrease in VPA plasma levels, according to a study published online Feb. 1 in the Journal of Clinical Pharmacy and Therapeutics.

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Intravenous Lidocaine Offers Alternative for ICU Patients' Pain

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Intravenous lidocaine (IVLI) seems safe for reducing pain among patients in the intensive care unit (ICU) with varying degrees of organ dysfunction, according to research published online Feb. 7 in the Journal of Clinical Pharmacology.

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Acupressure Ups Sleep Quality in Nursing Home Residents

THURSDAY, Feb. 9, 2017 (HealthDay News) -- For nursing home (NH) residents, acupressure on specific acupoints is associated with improved sleep quality and well-being, according to a study published online Feb. 2 in the Journal of the American Geriatrics Society.

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Review: Smokeless Tobacco Linked to Increased Risk of T2DM

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Consumption of Swedish smokeless tobacco (snus) is associated with increased risk of type 2 diabetes, according to a study published online Feb. 6 in the Journal of Internal Medicine.

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E-Cigarette Liquids Found to Contain Toxic Metals

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Electronic cigarette liquids can contain high levels of toxic and potentially carcinogenic metals, according to research published in the January issue of Environmental Research.

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Primary Care Exercise Counseling Cost-Effective for Older Men

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- For older male veterans, improvements in physical activity and rapid gait speed can be obtained at a relatively low cost relative to patient annual health care costs, according to a study published online Feb. 2 in the Journal of the American Geriatrics Society.

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Not Enough High-Risk Women Being Screened for BRCA1/2

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Many high-risk women don't get genetic testing for BRCA1 and BRCA2, often because they aren't advised to by their doctors, according to a research letter published in the Feb. 7 issue of the Journal of the American Medical Association.

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Novel Oral Glucose Lowering Drugs Cut Risks in T2DM

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- For patients with type 2 diabetes, novel oral glucose lowering drugs (GLDs) are associated with reduced risks of all-cause mortality, cardiovascular disease (CVD), and hypoglycemia, compared with insulin use, according to a study published online Jan. 24 in Diabetes, Obesity and Metabolism.

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Patient Satisfaction High With Nurse-Led Chronic Kidney Dz Care

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- For patients with chronic kidney disease (CKD), patient satisfaction is high with care at nurse-led clinics, according to a study published online Feb. 3 in the Journal of Renal Care.

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Nighttime Intensivist Staffing Not Linked to ICU Mortality

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Nighttime intensivist staffing is not associated with reduced intensive care unit (ICU) patient mortality, according to a review and meta-analysis published in the Feb. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Sickle Cell Trait May Affect Reliability of HbA1c Readings

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Hemoglobin A1c (HbA1c) measurements may be less accurate in black people who have sickle cell trait (SCT), according to a study published online Feb. 7 in the Journal of the American Medical Association.

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CDC: Noise-Related Hearing Loss Often Unrecognized in U.S. Adults

TUESDAY, Feb. 7, 2017 (HealthDay News) -- The noise of modern life causes permanent hearing damage to many U.S. adults who don't even suspect they've experienced a loss, according to research published in the Feb. 7 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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30-day Mortality Down With Vancomycin in C. difficile

TUESDAY, Feb. 7, 2017 (HealthDay News) -- For patients with Clostridium difficile infection (CDI), recurrence rates are similar with vancomycin and metronidazole treatment, but the risk of 30-day mortality is significantly reduced with vancomycin, according to a study published online Feb. 6 in JAMA Internal Medicine.

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CDC Issues Updated Immunization Schedule

TUESDAY, Feb. 7, 2017 (HealthDay News) -- A new adult vaccine schedule from the U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has been published online Feb. 7 in the Annals of Internal Medicine.

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Outreach Strategies Increase HCC Screening in Cirrhosis

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Outreach strategies increase the percentage of patients with cirrhosis who undergo hepatocellular carcinoma (HCC) screening, according to a study published in the February issue of Gastroenterology.

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Nurse Practitioners Could Help Meet Need for Elderly Home Care

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Nurse practitioners could meet the growing need for house calls to frail, elderly Americans, but restrictions in some states may get in the way, according to research published recently in the Journal of the American Geriatrics Society.

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Many Obese Patients Not Getting Optimal Hospice Care

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Obese patients are less likely to spend their last days in hospice care and less likely to die at home, according to a study published online Feb. 7 in the Annals of Internal Medicine.

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Fewer Toxic Chemicals Seen for E-Cigarette Use Versus Tobacco

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Smokers who switch to electronic cigarettes can substantially reduce their intake of toxic chemicals and carcinogens -- but only if they completely quit smoking tobacco, according to a study published online Feb. 7 in the Annals of Internal Medicine.

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Urologic CA Predictors ID'd in Women With Microhematuria

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Older age, history of smoking, and gross hematuria predict urologic cancer in women with microscopic hematuria, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.

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HbA1c Tied to Progression of Aortic Stiffness Without Diabetes

TUESDAY, Feb. 7, 2017 (HealthDay News) -- For individuals without diabetes, glycated hemoglobin (HbA1c) is associated with accelerated progression of aortic stiffness, according to a study published online Jan. 25 in Diabetes Care.

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Lower Rate of Adverse Events With Outpatient Treatment of PE

MONDAY, Feb. 6, 2017 (HealthDay News) -- For patients with hemodynamically stable pulmonary embolism (PE), outpatient management is associated with a lower rate of adverse events, according to research published online Jan. 20 in the Journal of Thrombosis and Haemostasis.

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Health Care Access Not Easy for Undocumented Immigrants

MONDAY, Feb. 6, 2017 (HealthDay News) -- New research, published online Feb. 6 in JAMA Internal Medicine, offers insights into the medical plights facing undocumented immigrants in the United States.

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Hospitalizations for Atrial Fibrillation on the Rise

MONDAY, Feb. 6, 2017 (HealthDay News) -- U.S. patients with atrial fibrillation (AF) are being hospitalized more often than before, according to a study published online Feb. 1 in Circulation.

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Mortality Down for U.S. Patients Treated by International Doctors

MONDAY, Feb. 6, 2017 (HealthDay News) -- Mortality rates are lower for older Americans treated by doctors trained in other countries than by those who went to a U.S. medical school, according to research published online Feb. 3 in The BMJ.

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Daily Energy Expenditure Linked to Health Care Utilization

MONDAY, Feb. 6, 2017 (HealthDay News) -- Lower intensity of peak daily energy expenditure estimated from ambulatory electrocardiographic (ECG) monitoring is associated with increased health care utilization, according to a study published in the Feb. 15 issue of The American Journal of Cardiology.

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Microvascular Complications Linked to Severity of Periodontitis

MONDAY, Feb. 6, 2017 (HealthDay News) -- Microvascular complications and poor glycemic control are associated with the severity of periodontitis, according to a study published online Jan. 27 in the Journal of Diabetes Investigation.

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Fewer Major Bleeds With Once- Versus Twice-Daily Enoxaparin

MONDAY, Feb. 6, 2017 (HealthDay News) -- Once-daily enoxaparin is associated with fewer major bleeds than enoxaparin twice daily in patients with acute venous thromboembolism (VTE), according to a study published online Jan. 25 in the Journal of Thrombosis and Haemostasis.

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10,000 Medicare Patients/Year Die in 7 Days After ER Discharge

FRIDAY, Feb. 3, 2017 (HealthDay News) -- Each year, about 10,000 generally healthy U.S. Medicare patients die within seven days of discharge from a hospital emergency department, according to research published online Feb. 1 in The BMJ.

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CDC: HIV Still Undertreated in U.S. Black Population

FRIDAY, Feb. 3, 2017 (HealthDay News) -- Although progress has been made, blacks in America are still disproportionately affected by HIV/AIDS, according to research published in the Feb. 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Skin Sodium Content Linked to Left Ventricular Mass in CKD

FRIDAY, Feb. 3, 2017 (HealthDay News) -- For patients with chronic kidney disease (CKD), skin sodium content is associated with left ventricular mass, according to a study published online Feb. 2 in the Journal of the American Society of Nephrology.

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Lung Cancer Screening Rates Low Among Current, Former Smokers

FRIDAY, Feb. 3, 2017 (HealthDay News) -- Most current and former smokers in the United States don't get screened for lung cancer even though they're at increased risk for the disease, according to a research letter published online Feb. 2 in JAMA Oncology.

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Zoster Ups Stroke Risk in Patients With Autoimmune Disease

FRIDAY, Feb. 3, 2017 (HealthDay News) -- For patients with autoimmune diseases, the risk of stroke is increased in the few months subsequent to incident herpes zoster (HZ), according to a study published online Jan. 28 in Arthritis & Rheumatology.

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One in Five Undergoing Telemetry for Noncardiac Indications

FRIDAY, Feb. 3, 2017 (HealthDay News) -- More than 20 percent of patients undergoing telemetry have noncardiac indications, according to a study published online Jan. 27 in the Journal of Evaluation in Clinical Practice.

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High TG, Low HDL-C Levels May Help Further Stratify CHD Risk

FRIDAY, Feb. 3, 2017 (HealthDay News) -- A high fasting triglyceride (TG) level combined with a low high-density lipoprotein cholesterol (HDL-C) level is associated with increased risks of incident coronary heart disease (CHD) and ischemic stroke, especially for patients with diabetes or a low-density lipoprotein cholesterol (LDL-C) level of ≥130 mg/dL, independent of other atherosclerotic cardiovascular disease risk factors, according to a study published online Jan. 25 in Diabetes Care.

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Insomnia Associated With Higher Risk of Developing Asthma

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Insomnia may increase the risk of asthma in adults, according to research published online Feb. 1 in the European Respiratory Journal.

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NSAIDs Found to Be of Little Benefit to Patients With Back Pain

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Nonsteroidal anti-inflammatory drugs (NSAIDs) don't help most patients with back pain, according to a review published online Feb. 2 in the Annals of the Rheumatic Diseases.

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Patient Infected With HIV Despite Long-Term Adherence to PrEP

THURSDAY, Feb. 2, 2017 (HealthDay News) -- In a letter to the editor published in the Feb. 2 issue of the New England Journal of Medicine, authors present the case of a Canadian man infected with HIV despite long-term adherence to pre-exposure prophylaxis (PrEP).

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High CVD Risk in Patients With Head, Neck Squamous Cell Cancer

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Twenty-three percent of patients with head and neck squamous cell carcinoma (HNSCC) have cardiovascular disease (CVD) at diagnosis, and 24 percent have uncontrolled blood pressure, according to research published online Dec. 29 in Head & Neck.

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Surgery Can Benefit T2DM Control for Patients With Lumbar Stenosis

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Successful lumbar surgery is associated with improved glycemic control for patients with lumbar spinal stenosis (LSS) and type 2 diabetes mellitus (DM-2), according to a study published in the February issue of The Spine Journal.

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Recommendations Updated for Diagnosis, Management of COPD

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Recommendations have been updated for diagnosis, management, and prevention of chronic obstructive pulmonary disease (COPD), according to the Global Initiative for the Diagnosis, Management and Prevention of Chronic Obstructive Lung Disease (GOLD) report published online Jan. 27 in the American Journal of Respiratory and Critical Care Medicine.

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E-Cigarettes Found to Have Adverse Effect on Heart Health

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- People who use electronic cigarettes regularly may face an increased risk for cardiovascular disease, according to a study published online Feb. 1 in JAMA Cardiology.

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TGF-β1 Linked to Recurrent A-Fib After Catheter Ablation

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- For patients with atrial fibrillation (AF), transforming growth factor-β1 (TGF-β1) is associated with recurrence after catheter ablation, according to a study published online Jan. 27 in the Journal of Cardiovascular Electrophysiology.

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Metabolic Sx May Up CRC Risk Even in Healthy-Weight Women

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- Even normal-weight women may be at greater risk for colorectal cancer if they have certain traits, such as elevated triglycerides, low high-density lipoprotein cholesterol, elevated blood pressure, and elevated fasting glucose, according to a study published online Feb. 1 in Cancer Epidemiology, Biomarkers & Prevention.

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Relapse Risk Up With Low Vitamin D Levels in Ulcerative Colitis

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- For patients with ulcerative colitis (UC), serum vitamin D levels ≤35 ng/mL are associated with increased risk of clinical relapse, according to a study published in the February issue of Clinical Gastroenterology and Hepatology.

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Paracardial Fat Linked to Risk of CAC in Postmenopausal Women

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- Paracardial adipose tissue may be a sign of developing cardiovascular disease in postmenopausal women, according to a study published online Jan. 30 in the Journal of the American Heart Association.

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BMI Linked to Risk for Orthostatic Intolerance Post Bariatric Sx

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- Lower body mass index (BMI) and body fat is associated with increased risk of orthostatic intolerance (OI) and predisposition to noncardiac syncope (NCS) following bariatric surgery, according to research published online Jan. 23 in Obesity Reviews.

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Benefits for Intensive BP Lowering in Older HTN Patients

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- For older patients with hypertension, intensive blood pressure (BP) lowering strategies are associated with reduced risk of certain cardiovascular events, according to research published in the Feb. 7 issue of the Journal of the American College of Cardiology.

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Obese Who Self-Stigmatize May Have Higher Cardiometabolic Risk

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- Attempts to shame an overweight or obese person into losing weight won't motivate them to do so, and may even raise their risk for cardiovascular disease and other health problems, according to research published online Jan. 30 in Obesity.

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HbA1c, Waist-to-Height Ratio Predict Dyslipidemia in T1DM

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- For youth with type 1 diabetes, hemoglobin A1c (A1C) and waist-to-height ratio (WHtR) are modifiable risk factors that predict change in dyslipidemia, according to a study published online Jan. 26 in Diabetes Care.

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