June 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 June 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.

Psychological Risks Higher in Atopic Dermatitis Patients

FRIDAY, June 30, 2017 (HealthDay News) -- Depression, anxiety, and suicidal ideation is more common among individuals with atopic dermatitis (AD), according to a study published online June 20 in Allergy.

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Poll Finds Seniors Struggling With Drug Costs Don't Seek Help

FRIDAY, June 30, 2017 (HealthDay News) -- Many older Americans who have difficulty paying for their medications don't seek help in finding more economical options, according to the University of Michigan National Poll on Healthy Aging.

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Dutasteride Associated With Metabolic Safety Concerns

FRIDAY, June 30, 2017 (HealthDay News) -- Dutasteride for the treatment of benign prostatic hyperplasia may induce imbalance in metabolic function, according to a study published online June 21 in Hormone Molecular Biology and Clinical Investigation.

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Depression Contributes to Health Decline Seen in Cancer Caregivers

FRIDAY, June 30, 2017 (HealthDay News) -- Depression is known to be linked to worsening physical health, and this may be especially true for cancer caregivers, according to a study published online June 29 in Cancer.

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Genes Responsible for Crohn's, Ulcerative Colitis Identified

FRIDAY, June 30, 2017 (HealthDay News) -- Researchers say they've come closer to pinpointing genes linked with inflammatory bowel diseases (IBDs) such as Crohn's and ulcerative colitis. The research was published online June 28 in Nature.

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EPO Doping Has Little Effect on Real-World Cycling Performance

FRIDAY, June 30, 2017 (HealthDay News) -- For well-trained cyclists, erythropoietin improves a laboratory test of maximal exercise, but does not affect submaximal exercise or road race performance, according to a study published online June 29 in The Lancet Haematology.

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Many Women Have Questions, Concerns About Tamoxifen

FRIDAY, June 30, 2017 (HealthDay News) -- Many women at high risk for breast cancer do not take tamoxifen to prevent the disease, often because they confuse naturally occurring symptoms with side effects from the medication, according to a study published online June 29 in the Journal of Clinical Oncology.

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Clindamycin, TMP-SMX Linked to Better Outcomes for Abscesses

FRIDAY, June 30, 2017 (HealthDay News) -- For small skin abscesses, treatment with clindamycin or trimethoprim-sulfamethoxazole (TMP-SMX) is associated with improved short-term outcomes versus incision and drainage alone, according to a study published online June 28 in the New England Journal of Medicine.

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In HIV, Greater BMD Decline for Immediate Versus Delayed ART

FRIDAY, June 30, 2017 (HealthDay News) -- Immediate antiretroviral (ART) initiation at HIV diagnosis is associated with greater bone mineral density (BMD) declines compared with deferred initiation, according to a study published online June 26 in the Journal of Bone and Mineral Research.

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Doctors Urged to Take Care With Electronic Communications

THURSDAY, June 29, 2017 (HealthDay News) -- Care should be taken when conveying electronic messages to patients, according to a report published by the American Medical Association (AMA).

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Health of the Nation Presented in 40th Annual CDC Report

THURSDAY, June 29, 2017 (HealthDay News) -- The health of the United States is summarized in the 40th annual report published by the U.S. Centers for Disease Control and Prevention.

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Review Links Flaxseed Consumption to Weight Reduction

THURSDAY, June 29, 2017 (HealthDay News) -- Whole flaxseed consumption is associated with significant reductions in body weight, body mass index (BMI), and waist circumference, according to a review published online June 21 in Obesity Reviews.

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Higher IQ in Childhood Associated With a Longer Life

THURSDAY, June 29, 2017 (HealthDay News) -- A high IQ in childhood is associated with lower risk of mortality due to coronary heart disease and stroke, cancers related to smoking, respiratory diseases, digestive diseases, injury, and dementia, according to a study published online June 28 in The BMJ.

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ACA Health Insurance Expansion Tied to Fewer Cardiac Arrests

THURSDAY, June 29, 2017 (HealthDay News) -- A dramatic decrease in cardiac arrest has occurred among Oregon residents who gained access to health insurance through the Affordable Care Act (ACA), according to a study published online June 28 in the Journal of the American Heart Association.

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Even Low Levels of Pollution Raise Mortality Risk for Seniors

THURSDAY, June 29, 2017 (HealthDay News) -- Air pollution may shorten the lives of American seniors, even in areas where levels fall below national safety standards, according to a study published in the June 29 issue of the New England Journal of Medicine.

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Wireless Peripheral Nerve Stimulation Safe and Effective

THURSDAY, June 29, 2017 (HealthDay News) -- Wireless peripheral nerve stimulation (PNS) is beneficial for chronic intractable pain secondary to post-herpetic neuralgia, according to a case report published online June 20 in PAIN Practice.

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Metformin Therapeutic As Post-Ischemic Conditioning Agent

THURSDAY, June 29, 2017 (HealthDay News) -- Metformin has therapeutic potential as a post-ischemic conditioning agent, according to a study published online June 23 in Cardiovascular Therapeutics.

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Tryptophan May Be Marker for Diabetic Nephropathy

THURSDAY, June 29, 2017 (HealthDay News) -- For patients with diabetes and chronic kidney disease (CKD), a lower level of tryptophan (Trp) is associated with rapid decline in estimated glomerular filtration rate (eGFR), according to a study published online June 26 in the Journal of Diabetes Investigation.

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Dissolvable Microneedle Patch for Flu Vaccine Found Safe, Effective

WEDNESDAY, June 28, 2017 (HealthDay News) -- An experimental flu vaccine patch with dissolving microneedles appears safe and effective, according to research published online June 27 in The Lancet.

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FDA Seeks to Increase Number of Generic Drugs on Market

WEDNESDAY, June 28, 2017 (HealthDay News) -- New measures to increase the number of generic prescription drugs available to Americans have been taken by the U.S. Food and Drug Administration.

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Rx Changes, Counseling, Regular Visits Can Cut Opioid Deaths

WEDNESDAY, June 28, 2017 (HealthDay News) -- Three simple steps could decrease opioid-related mortality by about a third, according to a report published online June 26 in Drug and Alcohol Dependence.

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PPIs Not Found to Raise Risk of Alzheimer's Disease

WEDNESDAY, June 28, 2017 (HealthDay News) -- Proton pump inhibitors (PPIs) don't appear to increase the risk of dementia, as has been previously suspected, according to a study published online June 7 in the Journal of the American Geriatrics Society.

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Presence of Smartphone Cuts Available Cognitive Capacity

WEDNESDAY, June 28, 2017 (HealthDay News) -- Just the presence of one's smartphone is associated with reduced available cognitive capacity, according to a study published recently in the Journal of the Association for Consumer Research.

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Number of Hospitalizations for Heart Failure Declining

WEDNESDAY, June 28, 2017 (HealthDay News) -- The number of Americans hospitalized for heart failure has dropped substantially since 2002, but blacks still face higher risks, according to a study published online June 27 in Circulation: Cardiovascular Quality and Outcomes.

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Case Report: Development of RA in Transplanted Hands

WEDNESDAY, June 28, 2017 (HealthDay News) -- In a case report published online June 27 in the Annals of Internal Medicine, rheumatoid arthritis is diagnosed in the hands of a patient who underwent bilateral hand transplantation.

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Lasting Negative Consequences for Anorexia Nervosa

WEDNESDAY, June 28, 2017 (HealthDay News) -- Anorexia nervosa (AN) has long-term negative consequences, and many patients do not experience remission, according to a study published online June 23 in the International Journal of Eating Disorders.

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Review Questions Antithrombotic Tx in Essential Thrombocythemia

WEDNESDAY, June 28, 2017 (HealthDay News) -- For patients with essential thrombocythemia (ET), the evidence relating to risks and benefits of antithrombotic therapy is lacking, according to a review published online June 27 in the Annals of Internal Medicine.

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Empagliflozin Ups β Cell Function in Impaired Fasting Glucose

WEDNESDAY, June 28, 2017 (HealthDay News) -- Empagliflozin is associated with improved beta cell function in subjects with impaired fasting glucose (IFG), according to a study published online June 13 in Diabetes.

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Preadmission Functional Impairment Ups Medicare Costs

WEDNESDAY, June 28, 2017 (HealthDay News) -- For community-dwelling older adults, preadmission functional impairment is associated with greater Medicare costs for post-acute care, according to a study published online June 22 in the Journal of the American Geriatrics Society.

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Estimated Prevalence of Diabetes 10.9 Percent in China

TUESDAY, June 27, 2017 (HealthDay News) -- The prevalence of diabetes is 10.9 percent in China, but only 36.5 percent of those with diabetes are aware of their diagnosis, according to research published online June 27 in the Journal of the American Medical Association.

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Persistent Mental Distress Ups Mortality in Heart Patients

TUESDAY, June 27, 2017 (HealthDay News) -- The cumulative burden of psychological stress increases mortality risk in patients with stable coronary heart disease, according to a study published online June 26 in Heart.

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Shift Work May Affect the Body's Ability to Repair DNA Damage

TUESDAY, June 27, 2017 (HealthDay News) -- Capacity to repair everyday damage to cell DNA could be impaired in people who work the night shift, which may be due to melatonin suppression, according to a study published online June 26 in Occupational & Environmental Medicine.

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Physician Attitude Important Factor in Patients Switching PCP

TUESDAY, June 27, 2017 (HealthDay News) -- Factors associated with patients switching physicians include physicians' attitude, design and comfort of a facility, and communication, according to an article published in Medical Economics.

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suPAR Protein Levels Impact CKD Risk With APOL1 Variants

TUESDAY, June 27, 2017 (HealthDay News) -- Plasma suPAR levels independently predict renal function decline in individuals with apolipoprotein L1 (APOL1) risk variants, according to a study published online June 26 in Nature Medicine.

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Whole-Genome Sequencing of Uncertain Clinical Utility

TUESDAY, June 27, 2017 (HealthDay News) -- Whole-genome sequencing of healthy people reveals that while some are at risk for rare genetic diseases, the implications remain unknown, according to a study published online June 26 in the Annals of Internal Medicine.

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Many Adverse Events Related to Cosmetics Go Unreported

TUESDAY, June 27, 2017 (HealthDay News) -- Health problems related to cosmetics are underreported, according to a study published online June 26 in JAMA Internal Medicine.

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Intervention Ups Appropriate Dysglycemia Screening

TUESDAY, June 27, 2017 (HealthDay News) -- Implementation of an intervention, including electronic health record (EHR)-based decision support and training for use of the American Diabetes Association guidelines for dysglycemia screening, is associated with an increase in appropriate dysglycemia screening, according to a study published online June 15 in Diabetes Care.

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Better Outcomes for Cardiology Care in Newly Diagnosed A-Fib

TUESDAY, June 27, 2017 (HealthDay News) -- For patients with newly diagnosed atrial fibrillation (AF), cardiology care is associated with improved outcomes versus primary care, according to a study published in the July 4 issue of the Journal of the American College of Cardiology.

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Reduced Cancer-Independent Life Expectancy in Head, Neck Cancer

TUESDAY, June 27, 2017 (HealthDay News) -- Patients with head and neck cancer have reduced life expectancy, independent of cancer, according to a study published online June 22 in Head & Neck.

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Use of ICD Codes Only Can Underestimate Falls in ER

TUESDAY, June 27, 2017 (HealthDay News) -- Identifying individuals in the emergency department who have fallen based on diagnosis codes alone underestimates the rate of falls, according to research published online June 21 in the Journal of the American Geriatrics Society.

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More Breast Cancers Diagnosed at Late Stage With Medicaid Cuts

MONDAY, June 26, 2017 (HealthDay News) -- Medicaid cuts could lead to an increase in the number of women diagnosed with late-stage breast cancer, according to a study published online June 26 in Cancer.

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Rate of Hip Fracture Declining in End-Stage Renal Disease

MONDAY, June 26, 2017 (HealthDay News) -- For patients with end-stage renal disease (ESRD), the rate of hip fracture decreased from 2003 to 2011, according to a study published online June 22 in the Journal of Bone and Mineral Research.

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More Racial Disparity With Medicare Advantage

MONDAY, June 26, 2017 (HealthDay News) -- Medicare Advantage is associated with more racial disparity than traditional Medicare for hospital readmissions, according to a study published online June 21 in Health Affairs.

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Review Spotlights Optimal Care of T2DM + Osteoporosis

MONDAY, June 26, 2017 (HealthDay News) -- Optimal management of coexisting type 2 diabetes (T2D) and osteoporosis should consider the scientific evidence, according to a review published online June 21 in the Journal of Clinical Endocrinology & Metabolism.

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Adding MRI to Mammography Ups Detection of Breast Cancer

MONDAY, June 26, 2017 (HealthDay News) -- For women aged 50 years or younger who have undergone breast conservation therapy, the addition of annual magnetic resonance imaging (MRI) to annual mammography screening improves detection of early-stage breast cancers, according to a study published online June 22 in JAMA Oncology.

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Immune Profile Differs During Symptom Flare, Free in IBS-D

MONDAY, June 26, 2017 (HealthDay News) -- For patients with irritable bowel syndrome with diarrhea (IBS-D), interferon-γ concentrations and THELPER cells are inhibited during symptom flare, according to a research letter published online June 10 in Gut.

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Similar Skin Cancer Incidence Seen With Teledermatology

MONDAY, June 26, 2017 (HealthDay News) -- The incidence of skin cancer is similar for patients evaluated by store-and-forward (SAF) teledermatology or face-to-face (F2F) consultation, according to a study published online June 20 in the International Journal of Dermatology.

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HIV Testing Inadequate in Young Men Who Have Sex With Men

MONDAY, June 26, 2017 (HealthDay News) -- Few young men who have sex with men (MSM) receive HIV testing, although they account for most new diagnoses, according to research published in the June 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Higher Fish Intake Appears to Reduce RA Symptoms

MONDAY, June 26, 2017 (HealthDay News) -- Eating fish at least twice a week may significantly reduce the pain and swelling associated with rheumatoid arthritis, according to a study published online June 21 in Arthritis Care & Research.

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Review Links Conjugated Linoleic Acid Supplementation to CRP

FRIDAY, June 23, 2017 (HealthDay News) -- Conjugated linoleic acid (CLA) supplementation is associated with an increase in serum C-reactive protein (CRP) concentration, according to a review and meta-analysis published online May 29 in Cardiovascular Therapeutics.

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Guided Approach to Exercise May Help Chronic Fatigue Patients

FRIDAY, June 23, 2017 (HealthDay News) -- An expert-guided, self-help exercise program may help patients with chronic fatigue syndrome, according to a study published online June 22 in The Lancet.

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Carpal Tunnel Up With Increased Electronic Device Use

FRIDAY, June 23, 2017 (HealthDay News) -- Extended use of smartphones and other hand-held electronic devices leads to an increased risk of carpal tunnel syndrome, according to a study published online June 21 in Muscle & Nerve.

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Family History Questionnaire Ups Genetic Counseling for CRC

FRIDAY, June 23, 2017 (HealthDay News) -- For patients undergoing outpatient colonoscopy, a family history questionnaire (FHQ) sent by mail is associated with an increase in available family history and referral for genetic counseling, according to a study published online May 29 in the Journal of Digestive Diseases.

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Anti-TNF-α Rx Improves Sleep Quality in Ankylosing Spondylitis

FRIDAY, June 23, 2017 (HealthDay News) -- Anti-tumor necrosis factor-α (TNF-α) therapy improves sleep quality (SQ) in patients with ankylosing spondylitis (AS) without any improvement in polysomnography (PSG) measures, according to a study published online May 29 in the International Journal of Rheumatic Diseases.

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ACOG: Shared Decision-Making Key to Breast Cancer Screening

FRIDAY, June 23, 2017 (HealthDay News) -- Shared decision-making is being emphasized in new American College of Obstetricians and Gynecologists (ACOG) mammography screening guidelines for women at average risk of breast cancer.

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Shared Decision-Making Encouraged in Multiple Sclerosis

FRIDAY, June 23, 2017 (HealthDay News) -- Patients should be engaged in decision-making about multiple sclerosis (MS) and the treatment options available, according to a report published online May 29 in Practical Neurology.

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Primary Care Pharmacy Model Attractive to Patients

FRIDAY, June 23, 2017 (HealthDay News) -- Patients express preference for a pharmacy-driven model of primary care versus a pharmacy offering minimal primary care services, according to a study published online June 18 in the Journal of Clinical Pharmacy and Therapeutics.

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Drug, Herb Interactions Frequent for Cancer Patients

FRIDAY, June 23, 2017 (HealthDay News) -- Patients with cancer frequently have herb-drug interactions (HDI) and drug-drug interactions (DDI), some of which have clinical consequences, according to research published online June 19 in the Journal of Oncology Practice.

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1991-2014 Saw Minimal Change in Health Spending Per State

THURSDAY, June 22, 2017 (HealthDay News) -- From 1991 to 2014 there was minimal change in health spending by state, according to a study published online June 14 in Health Affairs.

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Opioid Rx Too Often Given to Back Pain Patients With Depression

THURSDAY, June 22, 2017 (HealthDay News) -- Patients with low back pain who are depressed are more likely to be prescribed opioids, and to be prescribed higher doses, according to a study published online June 20 in PAIN Reports.

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Occupation Tied to Risk of Vitamin D Deficiency

THURSDAY, June 22, 2017 (HealthDay News) -- Shiftworkers, healthcare workers, and indoor workers are at high risk of developing vitamin D deficiency, according to a review published online June 22 in BMC Public Health.

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Protective Association Identified for Asthma Against Sepsis

THURSDAY, June 22, 2017 (HealthDay News) -- For patients with infections, those with asthma have reduced risk of sepsis, according to a letter to the editor published online May 22 in the American Journal of Respiratory and Critical Care Medicine.

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Head Positioning May Not Be Key to Acute Stroke Outcome

THURSDAY, June 22, 2017 (HealthDay News) -- Head positioning does not appear to affect survival and recovery in acute ischemic stroke patients, according to a study published in the June 22 issue of the New England Journal of Medicine.

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2006 to 2013 Saw Increase in ER Use for Herpes Zoster

THURSDAY, June 22, 2017 (HealthDay News) -- From 2006 to 2013 there was an increase in the number of emergency department visits for herpes zoster (HZ), according to a study published online June 21 in JAMA Dermatology.

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Revisits After Discharge From Observation Up in Elderly

THURSDAY, June 22, 2017 (HealthDay News) -- For Medicare beneficiaries age 65 years and older, hospital revisits frequently occur after discharge from observation stays, and have increased over time, according to a study published online June 20 in The BMJ.

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Nearly 60 Percent With Conjunctivitis Fill Antibiotic Rx

THURSDAY, June 22, 2017 (HealthDay News) -- Antibiotic prescriptions are filled by nearly 60 percent of patients newly diagnosed with acute conjunctivitis, according to a study published online June 14 in Ophthalmology.

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Clonal Hematopoiesis Linked to Coronary Heart Disease

THURSDAY, June 22, 2017 (HealthDay News) -- The presence of clonal hematopoiesis of indeterminate potential (CHIP) is associated with coronary heart disease, according to research published online June 21 in the New England Journal of Medicine.

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Medical-Home Recognition Higher in Demonstration Sites

THURSDAY, June 22, 2017 (HealthDay News) -- Demonstration sites, which are provided with care management fees and technical assistance to help them achieve the highest medical-home recognition, do have higher rates of medical-home recognition, according to a study published online June 21 in the New England Journal of Medicine.

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Sharp Rise Among Women for Opioid-Related Hospitalizations

WEDNESDAY, June 21, 2017 (HealthDay News) -- Opioid-related hospitalizations among women in the United States increased far faster than among men between 2005 and 2014, according to the U.S. Agency for Healthcare Research and Quality (AHRQ).

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Early Loop Diuretic Tx Tied to Lower Mortality in Heart Failure

WEDNESDAY, June 21, 2017 (HealthDay News) -- For patients with acute heart failure, early treatment with loop diuretics is associated with lower in-hospital mortality, according to a study published online June 19 in the Journal of the American College of Cardiology.

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Report Addresses Patient Refusal of Home Health Care Services

WEDNESDAY, June 21, 2017 (HealthDay News) -- About 6 to 28 percent of seniors refuse home health care offered when they are discharged from the hospital, according to a report from the United Hospital Fund and the Alliance for Home Health Quality and Innovation.

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Weight-Loss Program Aids Black Breast Cancer Survivors

WEDNESDAY, June 21, 2017 (HealthDay News) -- A community-based interventionist-guided weight-loss program is efficacious for early-stage African-American breast cancer survivors (AABCS), according to a study published online June 15 in the Journal of Clinical Oncology.

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PSA Testing Frequency High in Control Arm of Screening Trial

WEDNESDAY, June 21, 2017 (HealthDay News) -- Many men in the control arm of a screening trial undergo prostate-specific antigen testing during 15 years of follow-up, according to a study published in the July issue of The Journal of Urology.

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Education Can Promote Self-Management in CVD Conditions

WEDNESDAY, June 21, 2017 (HealthDay News) -- Therapeutic patient education interventions can promote self-management in selected cardiovascular conditions, according to a scientific statement published online June 19 in Circulation: Cardiovascular Quality and Outcomes.

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Causes of Serious Adverse Events in Nursing Homes Identified

WEDNESDAY, June 21, 2017 (HealthDay News) -- Most serious adverse events in nursing homes are caused by medication errors, falls, delayed or inappropriate interventions, and missed nursing care, according to a study published online June 15 in the Journal of Clinical Nursing.

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Diabetic Ketoacidosis Poses Fetal Risk During/After Event

WEDNESDAY, June 21, 2017 (HealthDay News) -- Diabetic ketoacidosis (DKA) during pregnancy poses risk for the fetus during and after the event, according to research published online June 12 in Diabetes Care.

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Family Hx, Mutation Position Key Variables in BRCA1/2 Cancer Risk

WEDNESDAY, June 21, 2017 (HealthDay News) -- Breast cancer risk peaks around the 40s for BRCA1 mutation carriers and around the 50s for BRCA2 carriers, with family history and mutation location significant factors in determining individual risk, according to a report published in the June 20 issue of the Journal of the American Medical Association.

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CDC: Number of U.S. Counties With Zika-Carrying Mosquitoes Up

WEDNESDAY, June 21, 2017 (HealthDay News) -- Mosquitoes that can spread Zika, dengue, and chikungunya viruses are in more counties in the southern United States than previously thought, according to a study published online June 19 in the Journal of Medical Entomology.

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Guidelines Address Peri-Op Care in Rheumatic Disease

TUESDAY, June 20, 2017 (HealthDay News) -- Guidelines have been developed for perioperative management of antirheumatic drug therapy in patients with rheumatic diseases undergoing elective total hip arthroplasty (THA) or total knee arthroplasty (TKA); the guidelines were published online June 16 in Arthritis Care & Research.

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Financial Incentives May Increase Viral Suppression in HIV

TUESDAY, June 20, 2017 (HealthDay News) -- For HIV-positive patients, financial incentives can lead to increased viral suppression, according to a study published online June 19 in JAMA Internal Medicine.

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More Americans Using High-Doses of Vitamin D Supplementation

TUESDAY, June 20, 2017 (HealthDay News) -- Rising numbers of Americans may be getting too much vitamin D via supplementation, according to a research letter published in the June 20 issue of the Journal of the American Medical Association.

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Yoga Noninferior to Physical Therapy in Chronic Low Back Pain

TUESDAY, June 20, 2017 (HealthDay News) -- Yoga may be as effective as physical therapy for pain relief and improved function in patients with chronic low back pain, according to a study published online June 20 in the Annals of Internal Medicine.

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Age a Factor in Patients Leaving Hospital Against Medical Advice

TUESDAY, June 20, 2017 (HealthDay News) -- Although patients aged 65 and older are four times less likely to leave the hospital against medical advice than adults under 65, race/ethnicity and poverty appear to increase this risk in elderly inpatients, according to a study published online June 19 in the Journal of the American Geriatrics Society.

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Risk of Cardiovascular Events Similar With, Without Diabetes

TUESDAY, June 20, 2017 (HealthDay News) -- For patients undergoing coronary angiography (CAG), those with and without diabetes without coronary artery disease (CAD) have the same risk of death, cardiac death, and myocardial infarction, according to a study published online June 8 in Diabetes Care.

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Marital Status Among Factors Tied to Gout Rx Adherence

TUESDAY, June 20, 2017 (HealthDay News) -- For patients with gout, higher levels of belief about medicines, presence of comorbidity, and being married appear to increase urate-lowering therapy adherence, according to a study published online June 15 in the Journal of Clinical Nursing.

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Support for Financial Penalties Up With Emphasis on Patient Harms

TUESDAY, June 20, 2017 (HealthDay News) -- Physicians who receive information about patient harms are more likely to support financial penalties targeting inappropriate antibiotic prescribing, according to a research letter published online June 20 in the Annals of Internal Medicine.

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NSAID Use, Survival Link Varies With KRAS Status in CRC Patients

TUESDAY, June 20, 2017 (HealthDay News) -- Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with improved survival among colorectal cancer (CRC) survivors with KRAS wild-type tumors, according to a study published online June 15 in the Journal of Clinical Oncology.

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Yoga May Be Able to 'Reverse' Stress-Inducing DNA Reactions

MONDAY, June 19, 2017 (HealthDay News) -- The physical and mental health benefits of pursuits like yoga and meditation begin in the genes, according to research published online June 16 in the Frontiers in Immunology.

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Acupuncture Found to Be an Effective Analgesia Option in ER

MONDAY, June 19, 2017 (HealthDay News) -- Acupuncture is a safe and effective alternative to pain medications for some emergency department patients, according to a study published in the June 19 issue of the Medical Journal of Australia.

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Endurance Exercise Tied to Gastrointestinal Implications

MONDAY, June 19, 2017 (HealthDay News) -- The risk of gastrointestinal injury and impaired function seems to increase along with the intensity and duration of exercise, according to a study published online June 7 in Alimentary Pharmacology & Therapeutics.

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Older Age Needn't Be a Barrier to Herniated Disc Surgery

MONDAY, June 19, 2017 (HealthDay News) -- People over age 65 shouldn't avoid surgery for a herniated disc just because of their age, as they can benefit from the procedure as much as younger patients, according to a research letter published recently in JAMA Surgery.

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U.S. Teens Appear to Be As Sedentary As 60-Year-Olds

MONDAY, June 19, 2017 (HealthDay News) -- The average teen is no more active than the average 60-year-old, according to a study published in the August issue of Preventive Medicine.

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18 Percent Increase Projected in Primary Care Demand by 2023

MONDAY, June 19, 2017 (HealthDay News) -- The demand for primary care physicians is projected to increase 18.0 percent between 2013 and 2023, according to a May report published by the Congressional Budget Office.

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Novel Biomarkers Identified for Prostate Cancer in Non-Blacks

MONDAY, June 19, 2017 (HealthDay News) -- Novel biomarkers have been identified that may have utility for predicting prostate cancer in non-African-American men, according to a study published in the July issue of The Journal of Urology.

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Hydrotherapy Plus Conventional Drugs Beneficial in RA

MONDAY, June 19, 2017 (HealthDay News) -- For patients with rheumatoid arthritis (RA), hydrotherapy in addition to conventional drugs is associated with improved antioxidant status, according to a study published online June 14 in the International Journal of Rheumatic Diseases.

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Chronic Lyme Disease Treatments Tied to Serious Adverse Effects

MONDAY, June 19, 2017 (HealthDay News) -- Serious bacterial infections have been documented during treatment for chronic Lyme disease, according to research published in the June 16 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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VKA Monotherapy Linked to Reduced MI, Stroke Risk in A-Fib

MONDAY, June 19, 2017 (HealthDay News) -- For patients with atrial fibrillation (AF), vitamin K antagonist (VKA) monotherapy is associated with reduced risk of first-time myocardial infarction (MI) and stroke compared with acetylsalicylic acid (ASA) monotherapy, according to a study published in the June 20 issue of the Journal of the American College of Cardiology.

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Certain Criteria May Be Better Than Others in RA Assessment

FRIDAY, June 16, 2017 (HealthDay News) -- For patients with rheumatoid arthritis (RA), the performances of the Clinical Disease Activity Index (CDAI) and Simplified Disease Activity Index (SDAI) appear to be better than that of the Disease Assessment Score of 28 joints—C-reactive protein (DAS-28-CRP), according to a study published online June 12 in the International Journal of Rheumatic Diseases.

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Health Insurers Recruiting Former Pharma Reps to Cut Costs

FRIDAY, June 16, 2017 (HealthDay News) -- Health insurers are recruiting former pharmaceutical company representatives to educate doctors and help save money on prescription medications, according to a report published June 8 in Kaiser Health News.

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Opioid Addicts Find It Hard to Avoid Fentanyl

FRIDAY, June 16, 2017 (HealthDay News) -- More than half of all drug overdose deaths may be caused by fentanyl, according to two studies published online recently in the International Journal of Drug Policy.

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Horseback Riding May Improve Function in Late-Phase Stroke

FRIDAY, June 16, 2017 (HealthDay News) -- Two unconventional therapies -- horseback riding and music-and-rhythm therapy -- can help stroke survivors regain lost mobility and balance years later, according to a study published online June 15 in Stroke.

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Replacing Saturated Fats With Healthy Fats Lowers CVD Risk

FRIDAY, June 16, 2017 (HealthDay News) -- Replacing saturated fats with polyunsaturated fats and monounsaturated fats can reduce cardiovascular disease risk as much as statins, according to a new American Heart Association (AHA) advisory published online June 15 in Circulation.

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Risk Factors Explain Most Heart Failure Risk in Incident A-Fib

FRIDAY, June 16, 2017 (HealthDay News) -- Four modifiable factors account for most of the population attributable risk of heart failure among women with new-onset atrial fibrillation (AF), according to a study published online June 14 in JACC: Heart Failure.

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Unusual Measles Outbreak Described in Ontario in Early 2015

FRIDAY, June 16, 2017 (HealthDay News) -- Eighteen cases of measles were recorded as part of an unusual outbreak in Ontario, Canada, in early 2015, according to research published in the July issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Modified Colorectal CA Screening Score Improves Risk Prediction

FRIDAY, June 16, 2017 (HealthDay News) -- A modified colorectal cancer screening score improves risk prediction of advanced neoplasia, according to a study published online May 31 in the Journal of Gastroenterology and Hepatology.

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20 Percent of Hospital Patients Have Side Effects From Abx Rx

FRIDAY, June 16, 2017 (HealthDay News) -- About 20 percent of U.S. hospital patients who receive antibiotics experience side effects from the drugs, according to research published online June 12 in JAMA Internal Medicine.

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Text Messaging Intervention Can Up Glycemic Control in T2DM

FRIDAY, June 16, 2017 (HealthDay News) -- For low-income Hispanic patients with poorly controlled type 2 diabetes, a text messaging intervention can improve glycemic control, according to a study published online June 9 in Diabetes Care.

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High HCV Cure Rates in HIV Coinfection Cases at Urban Clinic

THURSDAY, June 15, 2017 (HealthDay News) -- For patients in an urban clinic with hepatitis C virus (HCV) with HIV coinfection, HCV treatment is effective with standardized nurse/pharmacist support, according to a study published online June 13 in Hepatology.

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Sedentary Lifestyle May Up Risk of Renal, Bladder Cancers

THURSDAY, June 15, 2017 (HealthDay News) -- New research adds to growing evidence that inactivity may be a significant risk factor for cancer, according to a report published online May 19 in Cancer Epidemiology.

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AMA Endeavors to Increase Transparency of Rx Pricing

THURSDAY, June 15, 2017 (HealthDay News) -- The American Medical Association (AMA) is calling for more transparency in drug pricing amid rising costs that are putting some lifesaving medications out of reach for patients and communities.

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Telemedicine Consult As Effective As Office Visit for Headache

THURSDAY, June 15, 2017 (HealthDay News) -- Telemedicine consultation in cases of nonacute headache is as efficient and safe as a traditional consultation, according to research published online June 14 in Neurology.

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Novel Retinal Lesion Seen in Some Ebola Survivors

THURSDAY, June 15, 2017 (HealthDay News) -- A small percentage of Ebola virus disease (EVD) survivors have a novel retinal lesion, according to research published in the July issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Concentrated Broccoli Sprout Extract May Help Fight T2DM

THURSDAY, June 15, 2017 (HealthDay News) -- Sulforaphane, found in cruciferous vegetables such as broccoli, may help obese type 2 diabetes patients better regulate dysglycemia, according to a study published in the June 14 issue of Science Translational Medicine.

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Strategies Implemented to Cut Opioid ODs, Deaths in Maryland

THURSDAY, June 15, 2017 (HealthDay News) -- Strategies are being implemented to reduce opioid overdoses and deaths in Maryland, according to a report published by the American Medical Association (AMA).

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Nomogram Predicts Survival for Adults Undergoing CAC Scoring

THURSDAY, June 15, 2017 (HealthDay News) -- A simple-to-use nomogram can predict five-, 10-, and 15-year survival among adults undergoing coronary artery calcium scoring (CACS), according to a study published online June 14 in JACC: Cardiovascular Imaging.

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Cutaneous Malignancies Can Mimic Seborrheic Keratosis

THURSDAY, June 15, 2017 (HealthDay News) -- Of a sample of lesions deemed seborrheic keratoses clinically, 3.1 percent were histologically diagnosed as malignancies, according to research published online June 7 in the Journal of Cutaneous Pathology.

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Good Results for Zone MPC-Based Artificial Pancreas

THURSDAY, June 15, 2017 (HealthDay News) -- A zone model predictive control (MPC)-based artificial pancreas (AP) system improves glycemic control in a home-use environment, according to a study published online June 5 in Diabetes Care.

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Antiplatelet Bleeding Risk Higher Than Expected for Older Patients

WEDNESDAY, June 14, 2017 (HealthDay News) -- Long-term daily aspirin use is linked to a higher-than-expected risk of disabling or fatal bleeding in patients aged 75 and over, according to a study published online June 13 in The Lancet.

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Limited Change With Hospital Value-Based Purchasing Program

WEDNESDAY, June 14, 2017 (HealthDay News) -- The Hospital Value-Based Purchasing (HVBP) program, started in 2013, has not improved clinical-process and patient-experience measures, according to a study published in the June 15 issue of the New England Journal of Medicine.

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Amphotericin Tops Itraconazole in HIV-Linked Talaromycosis

WEDNESDAY, June 14, 2017 (HealthDay News) -- For patients with HIV with talaromycosis, amphotericin B deoxycholate (amphotericin) is superior to itraconazole, according to a study published in the June 15 issue of the New England Journal of Medicine.

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Glycation of Hemoglobin Differs by Race

WEDNESDAY, June 14, 2017 (HealthDay News) -- Both biological and socioeconomic factors appear to play a role in higher hemoglobin A1c (HbA1c) readings seen in black patients with diabetes, according to research published online June 13 in the Annals of Internal Medicine.

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Value of Prolonged DAPT Varies With DAPT Score in PCI Patients

WEDNESDAY, June 14, 2017 (HealthDay News) -- For patients undergoing percutaneous coronary intervention (PCI), prolonged dual-antiplatelet therapy (DAPT) results in harm for those with low DAPT scores but reduces risk for ischemic events for those with high scores receiving paclitaxel-eluting stents, according to a study published online June 13 in the Annals of Internal Medicine.

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Sleep Apnea Linked to Diabetic Retinopathy in Type 2 Diabetes

WEDNESDAY, June 14, 2017 (HealthDay News) -- For patients with type 2 diabetes, obstructive sleep apnea (OSA) is associated with sight-threatening diabetic retinopathy (STDR) and with progression to pre-/proliferative DR, according to a study published online June 8 in the American Journal of Respiratory and Critical Care Medicine.

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Inpatient Clinicians Show Limited Understanding of PCN Allergy

WEDNESDAY, June 14, 2017 (HealthDay News) -- Inpatient hospital practitioners often have a limited understanding of the management of patients with a history of penicillin allergy, according to a study published online June 13 in the Annals of Allergy, Asthma & Immunology.

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Drones Could Up Response Times for Out-of-Hospital Cardiac Arrest

TUESDAY, June 13, 2017 (HealthDay News) -- Drones could be used to quickly deliver automated external defibrillators (AEDs) to out-of-hospital cardiac arrest patients, according to a research letter published in the June 13 issue of the Journal of the American Medical Association.

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Expedited Partner Therapy Helps Reduce STI Incidence

TUESDAY, June 13, 2017 (HealthDay News) -- States that let doctors prescribe drugs to treat chlamydia or gonorrhea in both partners when only one makes an office visit have lower rates of the sexually transmitted infections, according to a study published online May 17 in Sexually Transmitted Infections.

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Coffee, Herbal Tea Consumption May Protect Against Liver Disease

TUESDAY, June 13, 2017 (HealthDay News) -- Regularly drinking coffee or herbal tea may help prevent chronic liver disease, according to a study published online June 6 in the Journal of Hepatology.

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Case Report: Hyperammonemia to Be Considered in Cirrhosis Setting

TUESDAY, June 13, 2017 (HealthDay News) -- Severe hyperammonemia, resulting from ammonia that accumulates in stored blood products, should be considered in the setting of cirrhosis, according to a case report published online June 13 in the Annals of Internal Medicine.

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Idiopathic Pulmonary Fibrosis Algorithm Performs Poorly

TUESDAY, June 13, 2017 (HealthDay News) -- The traditional idiopathic pulmonary fibrosis (IPF) algorithm performs poorly, with positive predictive value of 42.2 percent and sensitivity of 55.6 percent, according to a study published in the June 1 issue of the Annals of the American Thoracic Society.

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Cases of Legionnaires' Disease Reported in NYC, Las Vegas

TUESDAY, June 13, 2017 (HealthDay News) -- Cases of Legionnaires' disease in New York City and Las Vegas are being investigated by health officials.

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Olive Oil, Ibuprofen May Have Synergistic Effects

TUESDAY, June 13, 2017 (HealthDay News) -- The combination of extra virgin olive oil (EVOO) and ibuprofen at a therapeutic dose is superior to the two compounds used separately, according to an experimental study published online June 7 in the International Journal of Rheumatic Diseases.

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Beta-Blockers Cut Mortality for Patients in Sinus Rhythm

TUESDAY, June 13, 2017 (HealthDay News) -- For patients with heart failure with reduced ejection fraction in sinus rhythm, beta-blockers reduce mortality regardless of pre-treatment heart rate, according to a study published in the June 20 issue of the Journal of the American College of Cardiology.

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Sodium Intake Not Linked to Multiple Sclerosis Progression

TUESDAY, June 13, 2017 (HealthDay News) -- There is no association between average 24-hour urine sodium levels and conversion from clinically isolated syndrome (CIS) to clinically definite multiple sclerosis (MS), according to a study published online May 26 in the Annals of Neurology.

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Food Cravings Down With Extended Calorie Restriction

TUESDAY, June 13, 2017 (HealthDay News) -- Extended calorie restriction is associated with a reduction in food cravings, according to a review and meta-analysis published online May 30 in Obesity Reviews.

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Traditional Chinese Medicine May Benefit Some CVD Patients

MONDAY, June 12, 2017 (HealthDay News) -- Traditional Chinese medicine (TCM) might have a role to play in treating or preventing cardiovascular disease in the West, according to a review published in the June 20 issue of the Journal of the American College of Cardiology.

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SAMHSA: 9.8 Million U.S. Adults Have Serious Mental Illness

MONDAY, June 12, 2017 (HealthDay News) -- Nearly 10 million American adults have a serious mental illness, and a similar number have considered suicide during the past year, according to a new report published in the Behavioral Health Barometer-United States, 2016, which was released June 12 by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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Medical Students Lacking Proficiency in BP Measurements

MONDAY, June 12, 2017 (HealthDay News) -- Medical students frequently do not achieve mastery of the skills necessary for accurate measurement of blood pressure (BP), according to a study published online April 28 in the Journal of Clinical Hypertension.

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Vitamin B6 Linked to Increased Risk of Hip Fracture

MONDAY, June 12, 2017 (HealthDay News) -- Vitamin B6, but not vitamin B12, is associated with increased risk of hip fracture during extended follow-up, according to a study published online June 2 in the Journal of Bone and Mineral Research.

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Distinct Features for Quitting Smoking After Crohn's Diagnosis

MONDAY, June 12, 2017 (HealthDay News) -- For patients with Crohn's disease (CD), smoking cessation at the time of diagnosis is positively associated with intestinal resection within three months and light smoking, according to a study published online May 26 in the Journal of Gastroenterology and Hepatology.

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CDC: Kidney Disease Affects One in Seven Americans

MONDAY, June 12, 2017 (HealthDay News) -- Thirty million American adults (one in seven) have chronic kidney disease -- but many don't know it, according to an analysis of data from the U.S. Centers for Disease Control and Prevention.

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Review: Depression Screening As Inpatient Important, Feasible

MONDAY, June 12, 2017 (HealthDay News) -- Depression affects about one-third of hospital patients and could slow their recovery, according to research published recently in the Journal of Hospital Medicine.

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FDA Approves Generic Version of HIV Drug Truvada

FRIDAY, June 9, 2017 (HealthDay News) -- The first generic version of the HIV drug Truvada (emtricitabine and tenofovir disoproxil fumarate) has been approved by the U.S. Food and Drug Administration.

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Birth Control Pills Recalled Due to Danger of Unintended Pregnancy

FRIDAY, June 9, 2017 (HealthDay News) -- One lot of Mibelas 24 Fe birth control pills has been recalled due to a packaging error that could put users at risk of unintended pregnancy, according to manufacturer Lupin Pharmaceuticals.

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New Bill With Tort Reforms Will Protect Iowa Physicians

FRIDAY, June 9, 2017 (HealthDay News) -- A new bill with tort reforms to protect Iowa physicians will take effect July 1, according to a report published by the American Medical Association (AMA).

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Reporting Tool Shows Impact of Attacks on Health Care in Syria

FRIDAY, June 9, 2017 (HealthDay News) -- Results from a real-time reporting tool have shown the impact of attacks on health care services in Syria, according to an article published online June 8 in The Lancet.

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Global Climate Change Could Cause Rise in Airway Irritation

FRIDAY, June 9, 2017 (HealthDay News) -- Climate change may increase people's exposure to an outdoor fungus that can damage airway cells, leading to a rise in asthma and allergy symptoms, according to a study published online recently in the American Journal of Physiology-Cell Physiology.

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Type of Hospital Doesn't Impact Thrombolysis Outcomes in Stroke

FRIDAY, June 9, 2017 (HealthDay News) -- For older adults with acute stroke, treatment with intravenous thrombolysis (IVT) is associated with similar outcomes, irrespective of hospital characteristics, according to a study published online June 2 in the Journal of the American Geriatrics Society.

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Young CA Survivors More Often Have Cost-Related Nonadherence

FRIDAY, June 9, 2017 (HealthDay News) -- Survivors of adolescent and young adult cancer are more likely to report cost-related medication nonadherence, according to a study published online May 23 in Cancer.

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FDA Requests Removal of Opana ER From Market

FRIDAY, June 9, 2017 (HealthDay News) -- Sales of reformulated Opana ER should be halted in the United States, the U.S. Food and Drug Administration says.

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Low-Fat Dairy Intake May Up Risk of Parkinson's Disease

FRIDAY, June 9, 2017 (HealthDay News) -- Consumption of low-fat dairy foods is linked with a slight increase in the risk of developing Parkinson's disease, according to a study published online June 8 in Neurology.

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U.S. Leads in Income-Based Health Care Inequalities

THURSDAY, June 8, 2017 (HealthDay News) -- The United States has larger income-related differences in perceptions of health and health care than other middle- and high-income countries, according to a report published in the June issue of Health Affairs.

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Drop in Admission for Aspiration Pneumonia From 2002 to 2012

THURSDAY, June 8, 2017 (HealthDay News) -- From 2002 to 2012 there was a decrease in the incidence of admission for aspiration pneumonia, according to research published in the June 1 issue of the Annals of the American Thoracic Society.

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Certain Cancer Diagnoses Up in High-Income Counties in U.S.

THURSDAY, June 8, 2017 (HealthDay News) -- Americans living in high-income areas are more likely to be diagnosed with some types of cancer than people living in low-income areas, according to a perspective piece published in the June 8 issue of the New England Journal of Medicine.

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SGLT2 Inhibitors Linked to Increased Risk of Ketoacidosis

THURSDAY, June 8, 2017 (HealthDay News) -- Sodium-glucose cotransporter 2 (SGLT2) inhibitors appear to increase the risk of diabetic ketoacidosis in patients with type 2 diabetes, according to a research letter published in the June 8 issue of the New England Journal of Medicine.

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Election Results Could Be Harming Americans' Health

THURSDAY, June 8, 2017 (HealthDay News) -- A new analysis suggests that ballot box results may rob some of the American public of its health, driving up stress levels, disease incidence, premature births, and even premature deaths. The medicine and society article was published in the June 8 issue of the New England Journal of Medicine.

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Liver Cancer the Fastest-Growing Cause of Cancer Deaths in U.S.

THURSDAY, June 8, 2017 (HealthDay News) -- Liver cancer is the fastest-growing cause of cancer deaths in the United States, with substantial disparity in mortality rates for race/ethnicity and state of residence, according to a study published online June 6 in CA: A Cancer Journal for Clinicians.

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Doctors Discuss Role of Weight-Loss Surgery in Obesity

THURSDAY, June 8, 2017 (HealthDay News) -- The role of weight-loss surgery (WLS) for obesity is addressed in a Grand Rounds Discussion published in the June 6 issue of the Annals of Internal Medicine.

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Chronic Pain Tied to Increased Risk of Memory Loss

WEDNESDAY, June 7, 2017 (HealthDay News) -- Chronic pain is associated with increased odds of mental decline and dementia, according to research published online June 5 in JAMA Internal Medicine.

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Adverse Brain Outcomes Seen With Even Moderate Drinking

WEDNESDAY, June 7, 2017 (HealthDay News) -- Moderate drinkers are more than three times as likely as abstainers to show abnormal levels of atrophy in the right hippocampus, according to a study published online June 6 in The BMJ.

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Health System Sees Success With E-Visits Via Patient Portal

WEDNESDAY, June 7, 2017 (HealthDay News) -- Patient portals can successfully offer access to physicians without office visits, according to a report published online May 30 by the American Medical Association.

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Severe Hypoglycemia Rates Have Equilibrated for DCCT Groups

WEDNESDAY, June 7, 2017 (HealthDay News) -- Rates of severe hypoglycemia have equilibrated between the two Diabetes Control and Complications Trial (DCCT)/Epidemiology of Diabetes Interventions and Complications (EDIC) treatment groups in association with duration of diabetes and HbA1c level, according to a study published online May 26 in Diabetes Care.

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Lifespan Up With Adoption of Four Healthy Lifestyle Behaviors

WEDNESDAY, June 7, 2017 (HealthDay News) -- Adoption of four healthy lifestyle behaviors is associated with increased lifespan for men and women, according to a study published online May 31 in the Journal of Internal Medicine.

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Nurse-Led Psych Intervention Beneficial in Breast Cancer

WEDNESDAY, June 7, 2017 (HealthDay News) -- A nurse-led psychological intervention program is beneficial for patients with breast cancer at high risk of depression, according to a study published online May 30 in the Journal of Clinical Nursing.

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Abnormal Chest Radiograph in Active Uveitis Often Sarcoidosis

WEDNESDAY, June 7, 2017 (HealthDay News) -- Most patients with active uveitis of unknown origin with abnormal chest radiographs have findings consistent with sarcoidosis, according to a study published in the June 1 issue of the Annals of the American Thoracic Society.

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CDC: Legionella Present in Hospital, Nursing Home Plumbing

WEDNESDAY, June 7, 2017 (HealthDay News) -- Legionella has been found in the water systems of hospitals, nursing homes and long-term care facilities, putting the most vulnerable patients at risk, U.S. health officials said Tuesday.

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CDC: High-Deductible Health Plan Use Rising Among Employers

WEDNESDAY, June 7, 2017 (HealthDay News) -- High-deductible health plans are becoming more common among U.S. adults with employer-sponsored health insurance coverage, according to a report issued June 6 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Many Bariatric Surgery Patients Using Opioids Seven Years Later

WEDNESDAY, June 7, 2017 (HealthDay News) -- About 20 percent of U.S. bariatric surgery patients are still using prescription opioids seven years later, according to a study published recently in Surgery for Obesity and Related Diseases.

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Inpatient Progress Note Content Often Cut and Pasted

WEDNESDAY, June 7, 2017 (HealthDay News) -- Less than 20 percent of progress note content is entered manually by medical students, residents, and direct care hospitalists, according to a research letter published online May 30 in JAMA Internal Medicine.

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Combo of Several Meds at Smaller Doses May Boost HTN Care

TUESDAY, June 6, 2017 (HealthDay News) -- Combining low doses of several different antihypertensive medications may be better than using a standard dose of just one drug, according to a review published online June 5 in Hypertension.

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Family Can Improve Timely Detection in Nursing Home Care

TUESDAY, June 6, 2017 (HealthDay News) -- Family members can be involved in the timely detection of changes in health among their family members living in nursing homes, according to a study published online May 30 in the Journal of Clinical Nursing.

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Positive Clinical Effects Seen for Placebos Without Deception

TUESDAY, June 6, 2017 (HealthDay News) -- Open-label placebos are associated with a positive effect compared with no treatment in a variety of clinical conditions, according to a review and meta-analysis published online May 30 in the Journal of Evidence-Based Medicine.

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Prevalence of Advanced HIV at ART Initiation Decreasing

TUESDAY, June 6, 2017 (HealthDay News) -- From 2004 to 2015 there were decreases in the prevalence of advanced disease at initiation of antiretroviral therapy (ART) in 10 high-burden countries, according to research published in the June 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Venlafaxine Use Linked to Bone Turnover Markers in Older Adults

TUESDAY, June 6, 2017 (HealthDay News) -- Depression treatment with venlafaxine is associated with increased levels of the bone resorption marker C-terminal cross-linking telopeptide of type 1 collagen (CTX), as well as decreased levels of the bone formation marker procollagen type 1 N-propeptide (P1NP), according to a study published online May 26 in the Journal of the American Geriatrics Society.

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Many Taking NOACs for A-Fib May Not Be Getting Right Dose

TUESDAY, June 6, 2017 (HealthDay News) -- Nearly one in six Americans taking non-vitamin K antagonist oral anticoagulants for atrial fibrillation may not be receiving the proper dose, according to a study published in the June 13 issue of the Journal of the American College of Cardiology.

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Stroke Risk Elevated in Elderly Patients With Cirrhosis

TUESDAY, June 6, 2017 (HealthDay News) -- Cirrhosis may raise older patients' odds for a stroke, particularly hemorrhagic stroke, according to a study published online June 5 in JAMA Neurology.

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Americans Are Getting Less Sodium From Packaged Food

MONDAY, June 5, 2017 (HealthDay News) -- As food manufacturers gradually cut amounts of salt in their products, consumers are now buying foods containing less sodium, according to a study published online June 5 in JAMA Internal Medicine.

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Non-Shivering Thermogenesis Can Activate Metabolic Pathways

MONDAY, June 5, 2017 (HealthDay News) -- Non-shivering thermogenesis can transform storage adipose tissues into metabolically active tissue, according to research published online May 25 in Obesity Reviews.

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CDC: 14 in California Poisoned by Amanita phalloides Mushrooms

MONDAY, June 5, 2017 (HealthDay News) -- A bumper crop of Amanita phalloides ("death cap") mushrooms in northern California is likely to blame for the poisonings of 14 people in December, according to research published in the June 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Conception Options Available for HIV-Discordant Couples

MONDAY, June 5, 2017 (HealthDay News) -- Various methods are available for reducing the risk of HIV transmission in HIV-discordant couples who would like to attempt conception, according to research published in the June 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Grass Pollen SLIT Slows Course of Allergic Rhinitis, Asthma

MONDAY, June 5, 2017 (HealthDay News) -- For patients with allergic rhinitis (AR), sublingual immunotherapy (SLIT) is associated with slower AR progression and less frequent asthma onset, according to research published online May 31 in Allergy.

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Costs Associated With U.S. Adult Bicycle Crashes Steadily Rising

FRIDAY, June 2, 2017 (HealthDay News) -- Adult bike crashes cost an estimated $24.4 billion a year in the United States, with costs steadily rising by an average of $789 million per year, according to a study published online June 1 in Injury Prevention.

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U.S. Emergency Departments Commonly Overcharging Patients

FRIDAY, June 2, 2017 (HealthDay News) -- Americans are routinely overcharged for emergency department care, and minority and uninsured patients are most likely to face this issue, according to a study published online May 30 in JAMA Internal Medicine.

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Court Ruling Potentially Threatens Physicians' Immunity

FRIDAY, June 2, 2017 (HealthDay News) -- A court ruling allowing a civil rights lawsuit against a medical examiner may have serious consequences for physicians in public service, according to a report published by the American Medical Association.

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2011 to 2014 Saw Increase in Use of High-Intensity Statins After MI

FRIDAY, June 2, 2017 (HealthDay News) -- From 2011 to 2014 there was an increase in the use of high-intensity statins following hospitalization for myocardial infarction (MI), according to a study published in the June 6 issue of the Journal of the American College of Cardiology.

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MTHFR A1298C Polymorphism Not Linked to MTX Outcomes in RA

FRIDAY, June 2, 2017 (HealthDay News) -- The methylene tetrahydrofolate reductase (MTHFR) gene A1298C polymorphism does not appear to be related to methotrexate (MTX) efficacy or toxicity in patients with rheumatoid arthritis (RA), according to a meta-analysis published online May 25 in the International Journal of Rheumatic Diseases.

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Reducing SBP Targets Below Current Guidelines Cuts Risk

FRIDAY, June 2, 2017 (HealthDay News) -- For adults with hypertension treated with antihypertensive medication, reducing systolic blood pressure (SBP) levels to 120 to 124 mm Hg is associated with reduced risk of cardiovascular disease and all-cause mortality, according to a review published online May 31 in JAMA Cardiology.

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Substantial Increase in Costs With Metastases in Prostate CA

FRIDAY, June 2, 2017 (HealthDay News) -- Diagnosis of subsequent metastases is associated with substantially increased costs and medical resource use (MRU) among patients initially diagnosed with localized prostate cancer (PC), according to a study published online May 23 in Cancer.

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Model Predicts Acute GI Bleeding in Anticoagulated Patients

FRIDAY, June 2, 2017 (HealthDay News) -- For patients taking oral anticoagulants, a new model can predict acute gastrointestinal (GI) bleeding, which is associated with increased risk of all-cause mortality, according to a study published online May 19 in the Journal of Gastroenterology and Hepatology.

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Cool Water Works As Well As Hot for Ridding Hands of Germs

FRIDAY, June 2, 2017 (HealthDay News) -- For effective hand hygiene, water temperature matters less than time, according to a study published in the June issue of the Journal of Food Protection.

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Recreational Cannabis Negatively Affects Gums When Used Often

THURSDAY, June 1, 2017 (HealthDay News) -- Recreational cannabis users are at increased risk of periodontal disease, according to a study published recently in the Journal of Periodontology.

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Drug-Resistant Bacteria Seen in Many Nursing Home Residents

THURSDAY, June 1, 2017 (HealthDay News) -- Multidrug-resistant gram-negative bacteria (MDR-GNB), such as Escherichia coli, can be found in more than one-quarter of nursing-home residents, according to a study published in the May 1 issue of the American Journal of Infection Control.

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Excess Weight Increases Costs Across Health Care Settings

THURSDAY, June 1, 2017 (HealthDay News) -- Excess weight is associated with increased costs across health care settings, with the highest percentage increases seen in costs for medications, according to research published online May 22 in Obesity Reviews.

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Medication Adherence Up With Refill Synchronization Model

THURSDAY, June 1, 2017 (HealthDay News) -- An appointment-based model (ABM) which synchronizes medication refills to improve medication adherence is associated with improvement in medication-taking behavior, according to a review published online May 8 in the Journal of Clinical Pharmacy and Therapeutics.

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Three-Drug Combo Pill Nearly 100 Percent Effective in Curing Hep C

THURSDAY, June 1, 2017 (HealthDay News) -- A pill containing the antiviral drugs sofosbuvir, velpatasvir, and voxilaprevir is nearly 100 percent effective in curing hepatitis C in patients whose disease returned after treatment with direct-acting antiviral agents, according to research published in the June 1 issue of the New England Journal of Medicine.

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Antiretroviral Regimen Adherence Up for Americans With HIV

THURSDAY, June 1, 2017 (HealthDay News) -- More Americans with HIV are adhering to antiretroviral therapy regimens, according to a study published online May 16 in AIDS.

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Risk of Conversion to Multiple Sclerosis Down With Minocycline

THURSDAY, June 1, 2017 (HealthDay News) -- For patients with a first demyelinating event (clinically isolated syndrome), treatment with minocycline is associated with reduced risk of conversion to multiple sclerosis over six months, according to a study published in the June 1 issue of the New England Journal of Medicine.

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Concerns Limit Hospice Use for Hematologic Oncologists

THURSDAY, June 1, 2017 (HealthDay News) -- Most hematologic oncologists agree that hospice care is helpful for patients with hematologic cancers, but many feel that home hospice is inadequate for their patients' needs, according to research published online May 22 in Cancer.

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β-Blocker Use Not Linked to Reduced Mortality After AMI

THURSDAY, June 1, 2017 (HealthDay News) -- β-blocker use is not associated with reduced mortality after acute myocardial infarction (AMI) without heart failure or left ventricular systolic dysfunction (LVSD), according to a study published in the June 6 issue of the Journal of the American College of Cardiology.

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Low Albumin Predicts Mortality in Renal Replacement Therapy

THURSDAY, June 1, 2017 (HealthDay News) -- Low albumin levels at the start of renal replacement therapy are independently associated with mortality during one-year follow-up, according to a study published online May 23 in the Journal of Renal Care.

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Intra-Arterial Treatment Effective With Extracranial Carotid Disease

THURSDAY, June 1, 2017 (HealthDay News) -- Acute intra-arterial treatment (IAT) seems to be as effective for patients with acute ischemic stroke caused by intracranial proximal occlusion with, versus those without, extracranial carotid disease (ECD), according to research published online May 23 in the Annals of Internal Medicine.

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