November 2016 Briefing - Nursing

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

Levels of Total, LDL Cholesterol Continue to Fall in the U.S.

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Healthier diets may be a factor in the ongoing decline in cholesterol levels for Americans, according to a research letter published online Nov. 30 in JAMA Cardiology.

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Infant Diagnosed With First Case of Zika-Related Glaucoma

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- The first case of an infant who developed glaucoma after being exposed to the Zika virus while in the womb has been reported by an international team of researchers. The case was reported online Nov. 30 in Ophthalmology.

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CDC: Needle Exchange Program Usage Up Significantly

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Although there was a significant increase in the use of syringe services programs -- more commonly known as needle exchange programs -- across the United States over the past decade, many injection drug users still don't always use sterile needles, according to a Vital Signs report published in the Nov. 29 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Lack of Sleep Can Cost a Country's Economy Dearly

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Reduced productivity and an increased mortality risk linked to lack of sleep among U.S. workers cost the nation's economy as much as $411 billion a year, more than 2 percent of the country's gross domestic product (GDP), according to a report from the RAND Corp., a nonprofit research organization.

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Heart-Healthy Habits Should Also Be Promoted to Low-Risk Patients

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Primary care doctors should offer counseling about healthy lifestyle habits to prevent heart disease even to adults who have a low or average risk of developing cardiovascular disease, the U.S. Preventive Services Task Force advises.

Evidence Review
Draft Recommendation Statement
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No Link for Maternal Flu Infection, Increased ASD Risk

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Maternal influenza infection during pregnancy is not associated with increased risk of autism spectrum disorder (ASD), according to a study published online Nov. 28 in JAMA Pediatrics.

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Highest Increase in Acute STEMI Risk for Youngest Smokers

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Smoking is associated with an increased risk of acute ST-segment elevation myocardial infarction (STEMI), with the most pronounced increase among younger smokers, according to a study published online Nov. 29 in Heart.

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Spiritual Experiences Appear to Affect Neural Reward Circuits

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Religious experiences appear to trigger the brain's reward system as evidenced by radiological findings, according to a study published online Nov. 29 in Social Neuroscience.

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NIAAA Two-Question Alcohol Screen Valid in Pediatric ERs

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- The National Institute of Alcohol Abuse and Alcoholism (NIAAA) two-question alcohol screen is valid for use within pediatric emergency departments (PEDs), according to a study published online Nov. 29 in Pediatrics.

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Preemies Often Receive Gastroesophageal Reflux Meds

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Thirty-seven percent of premature infants receive gastroesophageal reflux (GER) medications, with more than three-quarters initiating medication use after discharge from the neonatal intensive care unit (NICU), according to a study published online Nov. 23 in Pediatrics.

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Outreach Strategies Can Up HCC Screening in Cirrhosis

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Outreach programs can increase hepatocellular carcinoma (HCC) screening rates among patients with documented or suspected cirrhosis, according to a study published online Nov. 5 in Gastroenterology.

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E-Prescribing of High-Risk Drugs May Contribute to Falls in Elderly

TUESDAY, Nov. 29, 2016 (HealthDay News) -- Preprogrammed doses of medications that can raise the risk of falls are often set too high for older hospital patients, according to research published online Nov. 28 in the Journal of the American Geriatrics Society.

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As Prices Soar, ADA Calls for Access to Affordable Insulin

TUESDAY, Nov. 29, 2016 (HealthDay News) -- In early November, Sen. Bernie Sanders, the Vermont Democrat, pointed out that certain insulins had risen from $21 a vial in 1996 to $255 a vial in 2016.

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Three Factors Weigh Heavy in Risk of Heart Failure

TUESDAY, Nov. 29, 2016 (HealthDay News) -- Middle-aged adults who've avoided obesity, hypertension, and diabetes are far less likely than others to develop heart failure in their later years, according to research published in the Dec. 1 issue of JACC: Heart Failure.

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Clinical Practice Guideline on UTI in Febrile Young Reaffirmed

TUESDAY, Nov. 29, 2016 (HealthDay News) -- The 2011 clinical practice guideline (CPG) on urinary tract infection (UTI) in young children has been reaffirmed, according to a report published online Nov. 28 in Pediatrics.

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Review Links Natriuretic Peptide Thresholds to Mortality in ADHF

TUESDAY, Nov. 29, 2016 (HealthDay News) -- For patients hospitalized with acute decompensated heart failure (ADHF), achieving predischarge natriuretic peptide (NP) thresholds is associated with reduced mortality and readmission, according to a review published online Nov. 29 in the Annals of Internal Medicine.

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Renal Outcomes Up With BP <120/70 in T1DM

TUESDAY, Nov. 29, 2016 (HealthDay News) -- For patients with type 1 diabetes, blood pressure (BP) of <120/70 mm Hg is associated with a substantially reduced risk of adverse renal outcomes, according to a study published online Nov. 21 in Diabetes Care.

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Mindfulness-Based Tx Doesn't Cut Distress in Prostate Cancer

TUESDAY, Nov. 29, 2016 (HealthDay News) -- For men with advanced prostate cancer (PC), mindfulness-based cognitive therapy (MBCT) does not reduce distress more than minimally enhanced usual care, according to a study published online Nov. 21 in the Journal of Clinical Oncology.

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Older Fallers Have Often Been Administered High-Risk Drugs

MONDAY, Nov. 28, 2016 (HealthDay News) -- Older fallers have often been administered high-risk medications, frequently at higher-than-recommended doses, according to a study published online Nov. 28 in the Journal of the American Geriatrics Society.

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Pediatricians Can Play a Role in Helping Children of Divorce

MONDAY, Nov. 28, 2016 (HealthDay News) -- Pediatricians have a role in helping children deal with parental separation or divorce, according to a clinical report published online Nov. 28 in Pediatrics.

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AAP Urges Clinician Counseling of Safe Participation in Martial Arts

MONDAY, Nov. 28, 2016 (HealthDay News) -- In a clinical report published online Nov. 28 in Pediatrics, recommendations are presented for pediatricians to encourage safe participation in martial arts for children and adolescents.

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Recommended Tx Adherence Low in Pediatric Acute Seizure

MONDAY, Nov. 28, 2016 (HealthDay News) -- For pediatric patients transported for an acute seizure, adherence to recommended treatment is poor, according to a study published online Nov. 23 in Pediatrics.

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Link Found Between Surgery and Development of Guillain-Barré

MONDAY, Nov. 28, 2016 (HealthDay News) -- Patients who've recently undergone surgery -- especially those with cancer or autoimmune diseases -- experience slightly higher risks of developing Guillain-Barré syndrome (GBS) soon afterward, according to a study published online Nov. 23 in Neurology: Clinical Practice.

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Out-of-Pocket Cancer Costs High for Patients With Medicare Only

MONDAY, Nov. 28, 2016 (HealthDay News) -- Medical bills for older U.S. cancer patients can cost one-quarter of their income or more if they have Medicare without supplemental insurance, according to a study published online Nov. 23 in JAMA Oncology.

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In Acetaminophen-Induced Acute Liver Failure, FABP1 IDs Mortality

MONDAY, Nov. 28, 2016 (HealthDay News) -- Serum liver-type fatty acid binding protein (FABP1) early (day one) or late (day three to five) levels are associated with mortality in patients with acetaminophen (APAP)-induced acute liver failure (ALF), according to a study published online Nov. 18 in Hepatology.

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ADT Use Not Linked to Dementia in Prostate Cancer

MONDAY, Nov. 28, 2016 (HealthDay News) -- For men with prostate cancer, use of androgen deprivation therapy (ADT) seems not to be associated with dementia, according to a study published online Nov. 21 in the Journal of Clinical Oncology.

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Liraglutide Doesn't Affect Gastric Emptying in Type 1 Diabetes

MONDAY, Nov. 28, 2016 (HealthDay News) -- For individuals with type 1 diabetes mellitus (T1DM), liraglutide therapy does not affect the rate of gastric emptying (GE) during hypoglycemia, according to a study published online Nov. 21 in Diabetes, Obesity and Metabolism.

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Significant Birth Cohort Effect in Ischemic Stroke Risk

MONDAY, Nov. 28, 2016 (HealthDay News) -- Birth cohort seems to affect the risk of ischemic stroke, with lower age-adjusted rates for those born from 1945 to 1954 versus those born in earlier and later years, according to a study published online Nov. 23 in the Journal of the American Heart Association.

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Initial Hospital Contact for Alcohol Issues Predicts Cirrhosis

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- An initial hospital contact for alcohol problems is a significant predictor of alcoholic liver cirrhosis, particularly for patients 40 to 59 years and those diagnosed with harmful use or dependence, according to a study published online Nov. 16 in Hepatology.

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Acute Kidney Injury Is Risk Factor for Delirium, Coma

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- For critically ill adults, acute kidney injury is a risk factor for delirium and coma, according to a study published online Nov. 17 in the American Journal of Respiratory and Critical Care Medicine.

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Review Links PPI Use With Risk of Fundic Gland Polyps

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Long-term proton pump inhibitor (PPI) use is associated with increased risk of fundic gland polyps (FGPs), and may be associated with gastric cancer, according to a review published in the December issue of Clinical Gastroenterology and Hepatology.

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Review Suggests Yoga Beneficial in Irritable Bowel Syndrome

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Yoga is associated with decreased bowel symptoms, disease severity, and anxiety in patients with irritable bowel syndrome (IBS), according to a review published in the December issue of Clinical Gastroenterology and Hepatology.

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Only Two Doses of HPV Vaccine Necessary for Younger Teens

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Two doses of the human papillomavirus (HPV) vaccine, rather than three, can effectively protect younger teens against the virus, according to a study published online Nov. 21 in the Journal of the American Medical Association. The study was one of a number evaluated by the U.S. Centers for Disease Control and Prevention earlier this year, which led to the CDC's revised guidelines in October.

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Palliative Care Positively Affects Symptom Burden, QOL

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Palliative care interventions are associated with improvements in patient quality of life and symptom burden, but do not affect survival, according to a review published in the Nov. 22/29 issue of the Journal of the American Medical Association.

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Mortality Rate From Infectious Diseases Holding Steady in U.S.

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- The U.S. mortality rate from infectious diseases is about the same now as it was in 1980, but some of the specific disease threats have changed over the years, according to a research letter published in the Nov. 22/29 issue of the Journal of the American Medical Association.

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Antidepressants + Exercise Beneficial in Late-Life Depression

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- For older adults with late-life major depression (LLMD), the combination of antidepressants (AD) and physical exercise (PE) seems beneficial, especially for individuals with specific characteristics, according to research published online Nov. 21 in the Journal of the American Geriatrics Society.

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Many Nursing Home Residents Not Taking β-Blockers After AMI

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Many nursing home (NH) residents do not initiate beta-blocker use after acute myocardial infarction (AMI), according to a study published online Nov. 15 in the Journal of the American Geriatrics Society.

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Mental Distress Common in Survivors of Teen, Young Adult CA

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Survivors of adolescent and young adult (AYA) cancer are more likely to have mental distress than individuals without cancer, but most do not talk to mental health professionals, according to a study published online Nov. 17 in Cancer.

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Four ER Visits for Adverse Drug Events Per 1,000 People

TUESDAY, Nov. 22, 2016 (HealthDay News) -- In 2013 to 2014, the estimated prevalence of emergency department visits for adverse drug events was four per 1,000 individuals, according to research published in the Nov. 22 issue of the Journal of the American Medical Association.

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High-Dose Vitamin D Cuts Acute Respiratory Infection in Elderly

TUESDAY, Nov. 22, 2016 (HealthDay News) -- For long-term care facility residents, high-dose vitamin D3 supplementation is associated with reduced incidence of acute respiratory infection (ARI) but increased incidence of falls, according to a study published online Nov. 16 in the Journal of the American Geriatrics Society.

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USPSTF Continues to Recommend Against Thyroid Cancer Screening

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Clinicians should not screen for thyroid cancer in patients who have no symptoms of the disease, according to a U.S. Preventive Services Task Force (USPSTF) draft recommendation which reaffirms a recommendation issued 20 years ago.

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Draft Recommendation Statement
Comment on Recommendation

Rising Rx, ER Prices Pushing U.S. Health Care Spending Up

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Privately insured Americans spent nearly 5 percent more on health care last year than in 2014; this increase was significantly more than that seen in previous years and reflects higher costs for prescription drugs, emergency department visits, and hospitalizations, according to a report published Nov. 22 by the Health Care Cost Institute.

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Acne Treatment Often Not in Line With Current Guidelines

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Among U.K. general practitioners, acne treatment is often not in accordance with current guidelines, according to a study published in the December issue of the Journal of the American Academy of Dermatology.

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Occupational Tx of Little Benefit in Slowing Alzheimer's Decline

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Home-based occupational therapy may not slow down the physical decline that comes with Alzheimer's disease, according to a study published online Nov. 22 in the Annals of Internal Medicine.

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Few Preschoolers Receiving Tx for Mood, Behavioral Disorders

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Most preschoolers with mood, behavior, and social disorders would benefit from non-drug therapies, but few receive this type of help, according to a new policy statement from the American Academy of Pediatrics (AAP) published online Nov. 21 in Pediatrics.

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Discussing Opioid Risks With Patients Reduces Misuse

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Discussing the risk of long-term opioid use disorder with patients is associated with reduced misuse of opioids, according to research published in the November/December issue of the Annals of Family Medicine.

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Medication Errors Common in Nursing Home Residents

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Medication errors (MEs) occur frequently among nursing home residents, but they rarely have serious effects, according to a review published online Nov. 21 in the Journal of the American Geriatrics Society.

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Thromboembolic Events Common With Chemo for Bladder Cancer

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Patients with muscle invasive bladder cancer who undergo neoadjuvant chemotherapy before and after radical cystectomy frequently experience thromboembolic events, according to a study published in the December issue of The Journal of Urology.

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Thiazide-Type Diuretic Treatment Tied to Lower Fracture Risk

MONDAY, Nov. 21, 2016 (HealthDay News) -- Thiazide-type diuretic therapy reduces hip and pelvic fracture risk compared with other antihypertensive medication therapy, according to a study published online Nov. 21 in JAMA Internal Medicine.

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Decline in Prevalence of Dementia 2000 to 2012 in the United States

MONDAY, Nov. 21, 2016 (HealthDay News) -- Dementia rates have dropped dramatically over the last decade or so, according to a report published online Nov. 21 in JAMA Internal Medicine.

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Retail Clinics Don't Reduce ER Visits for Minor Ailments

MONDAY, Nov. 21, 2016 (HealthDay News) -- Having retail health clinics near hospitals does not reduce emergency department visits for minor health problems, according to a study published online Nov. 10 in the Annals of Emergency Medicine.

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Hemorrhage Risk Up in A-Fib Patients on Dabigatran, Statins

MONDAY, Nov. 21, 2016 (HealthDay News) -- Combining dabigatran with certain statin medications could raise the odds for major hemorrhage in patients with atrial fibrillation, according to a study published online Nov. 21 in CMAJ, the journal of the Canadian Medical Association.

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Playing 'Choking Game' Alone Can Indicate Heightened Suicide Risk

MONDAY, Nov. 21, 2016 (HealthDay News) -- About 4 percent of U.S. teens surveyed admit to trying the "choking game," a potentially deadly game of temporary strangulation, and young people who play the game alone are much more likely to harbor thoughts of suicide, according to a study published online Nov. 21 in Pediatrics.

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Economic Burden of Binge-Eating Disorder Quantified

MONDAY, Nov. 21, 2016 (HealthDay News) -- Individuals with binge-eating disorder (BED) have significantly greater economic burden compared to those without BED, according to a study published online Nov. 16 in the International Journal of Eating Disorders.

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Local Anesthetic As Safe As General Anesthetic for TAVR

MONDAY, Nov. 21, 2016 (HealthDay News) -- For patients undergoing transcatheter aortic valve replacement (TAVR), local anesthetic (LA) is as safe as general anesthetic (GA), with shorter procedure time and number of days in the hospital, according to a study published in the Dec. 1 issue of The American Journal of Cardiology.

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Lean Sigma Six Methodology Can Cut Cesarean Rate

MONDAY, Nov. 21, 2016 (HealthDay News) -- Use of the Lean Six Sigma (LSS) methodology is effective for reducing the cesarean section rate, according to a study published online Nov. 14 in the Journal of Evaluation in Clinical Practice.

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Calculator May Help Predict Individual Chances of IVF Success

FRIDAY, Nov. 18, 2016 (HealthDay News) -- Free online calculators can predict how likely a woman is to have a baby after a series of in vitro fertilization (IVF) treatment cycles, according to a study published online Nov. 16 in The BMJ.

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Barriers Identified in Current Knee Osteoarthritis Care

FRIDAY, Nov. 18, 2016 (HealthDay News) -- In current knee osteoarthritis care, both personal factors and factors related to health care professionals play a role in treatment nonadherence, according to a study published online Nov. 14 in the Journal of Evaluation in Clinical Practice.

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Follow-Up Phone Calls May Boost Glycemic Control in T2DM

FRIDAY, Nov. 18, 2016 (HealthDay News) -- For patients with type 2 diabetes, follow-up phone calls after a monthly clinic visit could lead to clinically significant change in hemoglobin A1C (HbA1c) levels, according to a study published online Nov. 13 in the Journal of Clinical Nursing.

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Increased Fall Risk With Subclinical Peroneal Neuropathy

FRIDAY, Nov. 18, 2016 (HealthDay News) -- A considerable proportion of medical inpatients at moderate-to-high risk of falling have subclinical peroneal neuropathy (SCPN), according to a study published in the November/December issue of the Annals of Family Medicine.

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Mortality Risk Up for Hospital Patients With Hypoglycemia

FRIDAY, Nov. 18, 2016 (HealthDay News) -- Hospital patients with hypoglycemia may be at increased mortality risk, according to research published online Nov. 17 in the Journal of Clinical Endocrinology & Metabolism.

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IV, Oral Antibiotics Compared for Complicated Pneumonia

THURSDAY, Nov. 17, 2016 (HealthDay News) -- For children with complicated pneumonia, peripherally inserted central venous catheter (PICC) and oral antibiotic administration post-discharge have similar rates of treatment failure, according to a study published online Nov. 17 in Pediatrics.

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DECIDE Modalities Beneficial for African-Americans With T2DM

THURSDAY, Nov. 17, 2016 (HealthDay News) -- For African-Americans with type 2 diabetes, the Decision-making Education for Choices In Diabetes Everyday (DECIDE) program is beneficial, according to a study published online Nov. 14 in Diabetes Care.

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Family History, Lifestyle Factors Impact Risk of Acne in Adulthood

THURSDAY, Nov. 17, 2016 (HealthDay News) -- Factors that are associated with the appearance of acne in adult women include family history, personal history of acne, having no previous pregnancies, having hirsutism, and having a high level of psychological stress, according to a study published in the December issue of the Journal of the American Academy of Dermatology.

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Many Receive Surprisingly High Bills After Visiting In-Network ER

THURSDAY, Nov. 17, 2016 (HealthDay News) -- Many patients visiting an in-network U.S. emergency department end up with major unexpected costs, according to a perspective piece published in the Nov. 17 issue of the New England Journal of Medicine.

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Vaginal Immune Response May Up Zika Risk in Women

WEDNESDAY, Nov. 16, 2016 (HealthDay News) -- Vaginal tissue is particularly vulnerable to infection by RNA viruses, such as Zika, according to a study published online Nov. 16 in the Journal of Experimental Medicine.

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Vitamin D Replacement Improves Chronic Widespread Pain

WEDNESDAY, Nov. 16, 2016 (HealthDay News) -- For patients with nonspecific chronic widespread musculoskeletal pain (CWP) and vitamin D deficiency, treatment with vitamin D replacement results in improvements in symptoms, according to a study published online Nov. 11 in the International Journal of Rheumatic Diseases.

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Medication Adherence Up in Patient-Centered Medical Homes

WEDNESDAY, Nov. 16, 2016 (HealthDay News) -- Medication adherence is increased with receipt of care in a patient-centered medical home, according to a study published online Nov. 15 in the Annals of Internal Medicine.

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Rate of ADHD Diagnoses Stabilizing Among Preschoolers

TUESDAY, Nov. 15, 2016 (HealthDay News) -- The rate of diagnoses for attention-deficit/hyperactivity disorder (ADHD) among U.S. preschoolers has leveled off, according to a study published online Nov. 15 in Pediatrics.

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Physical Punishment of Children Declining in the United States

TUESDAY, Nov. 15, 2016 (HealthDay News) -- Spanking and hitting children to discipline them has been on the decline among U.S. parents -- rich and poor alike -- since 1988, according to research published online Nov. 14 in Pediatrics.

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Depression Rates Up Among Adolescents, Particularly Females

TUESDAY, Nov. 15, 2016 (HealthDay News) -- Depression is on the rise among American teens and young adults, with adolescent girls showing the greatest vulnerability, according to research published online Nov. 14 in Pediatrics.

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Only Slightly Worse Disease Course for Bacterial LRI

TUESDAY, Nov. 15, 2016 (HealthDay News) -- In patients with acute cough, those with bacterial lower respiratory tract infection (LRTI) have a slightly worse disease course than those without an identified bacterial cause, according to research published in the November/December in the Annals of Family Medicine.

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GI Adverse Events Up With GLP-1 Receptor Agonists

TUESDAY, Nov. 15, 2016 (HealthDay News) -- Glucagon-like peptide-1 (GLP-1) receptor agonists (RAs) are associated with increased risk of gastrointestinal adverse events (AEs), with risk varying based on dose, background medications, and type of GLP-1 RA, according to research published online Nov. 9 in Diabetes, Obesity and Metabolism.

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Novel Diagnostic Method for Concussion Shows Potential

MONDAY, Nov. 14, 2016 (HealthDay News) -- A simple blood test may one day diagnose concussions with more than 90 percent certainty, according to a study published online Oct. 28 in Metabolomics.

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CHD Rates Down 20 Percent Since 1980s in the United States

MONDAY, Nov. 14, 2016 (HealthDay News) -- Cases of coronary heart disease (CHD) have dropped 20 percent in the United States over the last four decades, according to a research letter published in the Nov. 15 issue of the Journal of the American Medical Association, a theme issue on statins.

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Oregon's Hard-Stop Policy Tied to Drop in Elective Early Delivery

MONDAY, Nov. 14, 2016 (HealthDay News) -- Introduction of the hard-stop policy in Oregon was associated with a reduction in elective early-term deliveries, according to a study published in the December issue of Obstetrics & Gynecology.

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Efficacy of Wet Wrap Therapy for Atopic Dermatitis Undetermined

MONDAY, Nov. 14, 2016 (HealthDay News) -- Evidence that wet wrap therapy (WWT) is more effective than topical steroids for the treatment of atopic dermatitis is mixed, according to a review published online Nov. 8 in the British Journal of Dermatology.

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Implantable Continuous Glucose Monitoring System Safe, Accurate

MONDAY, Nov. 14, 2016 (HealthDay News) -- A new implantable continuous glucose monitoring (CGM) system seems to be safe and accurate for diabetes, according to a study published online Nov. 4 in Diabetes Care.

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USPSTF Advises Statins for Some Adults With No CVD History

MONDAY, Nov. 14, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that certain adults aged 40 to 75 years without cardiovascular disease (CVD) history but with one or more cardiovascular risk factors initiate statins. These recommendations are included in the final recommendation statement published in the Nov. 15 issue of the Journal of the American Medical Association, a theme issue on statins.

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Guidelines Updated for Management of PAD

MONDAY, Nov. 14, 2016 (HealthDay News) -- In a Clinical Practice Guideline published online Nov. 13 in Circulation, evidence-based recommendations are presented for the management of peripheral artery disease (PAD), focusing on lifestyle modification as well as medical treatment.

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Women With GDM Have Elevated Risk of Future Cardiac Events

FRIDAY, Nov. 11, 2016 (HealthDay News) -- The risk of cardiovascular outcomes is elevated for women with gestational diabetes mellitus (GDM), even in the absence of subsequent type 2 diabetes mellitus (T2DM), according to a study published online Nov. 7 in Diabetes Care.

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Using iPads to Treat Amblyopia Produces Mixed Results

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Does playing video games on an iPad work better than standard eye patching for improving vision in children with amblyopia? Two new studies published online in JAMA Ophthalmology reach seemingly contradictory answers.

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CDC: Tobacco-Linked Cancers Make Up 40 Percent of All Cancers

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Although rates of smoking in the United States have declined to new lows, health officials still estimate that four out of every 10 cancers is linked to the habit.

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HR Capabilities Positively Linked to Quality of Patient Care

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Human resource (HR) capabilities are positively associated with quality of patient care, with the relationship mediated by proactive work, according to a study published recently in Human Resource Management.

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Clinical Features Can Be Used to Tailor Melanoma Screening

THURSDAY, Nov. 10, 2016 (HealthDay News) -- Certain patients at high risk of melanoma may benefit from more tailored skin exams, according to a study published online Nov. 9 in JAMA Dermatology.

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Shorter Sleep Linked to Sugar-Sweetened Drink Consumption

THURSDAY, Nov. 10, 2016 (HealthDay News) -- Improving sleep may help reduce an individual's sugar-sweetened, caffeinated beverage intake, and vice-versa, according to a study published online Nov. 9 in Sleep Health.

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High-Intensity Statins Tied to Better Survival in CVD Patients

THURSDAY, Nov. 10, 2016 (HealthDay News) -- There is a graded association between intensity of statin therapy and mortality for patients with established atherosclerotic cardiovascular disease, according to research published online Nov. 9 in JAMA Cardiology.

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RA Disease Activity Score Most Influential in Patient Reports

THURSDAY, Nov. 10, 2016 (HealthDay News) -- Higher disease activity score (DAS) is one of the most influential factors for poor patient-reported outcomes (PROs) in rheumatoid arthritis (RA), according to a study published online Nov. 5 in the International Journal of Rheumatic Diseases.

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Basal Metabolic Rate Down After CPAP Initiation in OSA

THURSDAY, Nov. 10, 2016 (HealthDay News) -- For patients with obstructive sleep apnea (OSA), treatment with continuous positive airway pressure (CPAP) is associated with a decrease in basal metabolic rate (BMR), according to a study published recently in the American Journal of Respiratory and Critical Care Medicine.

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Faster Delivery for Induction With Misoprostol Plus Cervical Foley

THURSDAY, Nov. 10, 2016 (HealthDay News) -- For women undergoing induction, receipt of misoprostol-cervical Foley is associated with an increased likelihood of delivery before those receiving either method alone, according to a study published in the December issue of Obstetrics & Gynecology.

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Protein Intake Tied to Modest Survival Advantage in Breast CA

THURSDAY, Nov. 10, 2016 (HealthDay News) -- For women with breast cancer, higher intake of protein is associated with a modest survival advantage, according to a study published online Nov. 7 in the Journal of Clinical Oncology.

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U/S IDs Response to Propranolol in Infantile Hemangioma

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- For patients with infantile hemangiomas, serial ultrasonography can be used to show response to propranolol treatment, according to a study published online Nov. 4 in the International Journal of Dermatology.

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Prediabetes Screening Guidelines Not Always Followed by PCPs

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Self-Harm Now a Leading Cause of Pregnancy-Related Mortality

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- In the past decade, self-harm has been the leading cause of pregnancy-related deaths in Colorado, according to research published in the December issue of Obstetrics & Gynecology.

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Survival Lower for Night CPR Events in Children

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Hospitalized children have reduced survival odds with cardiopulmonary resuscitation (CPR) events occurring at night compared to other times of the day, according to a study published online Nov. 7 in JAMA Pediatrics.

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Meta-Analysis Links Increased BMI, Hand Osteoarthritis

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Increased body mass index may have a moderate effect on hand arthritis, according to a meta-analysis published recently in the International Journal of Rheumatic Diseases.

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Naproxen Sodium Doesn't Reduce Pain With IUD Insertion

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- For patients undergoing intrauterine device (IUD) insertion, oral naproxen sodium does not reduce pain on insertion, but does reduce pain after insertion, according to a study published in the December issue of Obstetrics & Gynecology.

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Better Teamwork Linked to Improved Outcomes for CABG

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- For patients undergoing coronary artery bypass grafting (CABG), surgical outcomes are better for health systems with physicians who have higher teamwork levels, according to a study published online Nov. 8 in Circulation: Cardiovascular Quality and Outcomes.

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Report of Recurrent Immune Thrombocytopenia After Flu Shot

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- In a report published online Nov. 8 in Pediatrics, authors present the case of recurrent immune thrombocytopenia (ITP) after influenza vaccination.

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Donor Milk Doesn't Improve Neurodevelopment Outcomes

TUESDAY, Nov. 8, 2016 (HealthDay News) -- For infants with very-low-birth weight (VLBW), use of supplemental donor milk does not improve neurodevelopment compared with placebo at 18 months' corrected age, according to a study published in the Nov. 8 issue of the Journal of the American Medical Association.

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School-Required Tdap Vaccination Can Up HPV Immunization

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Schools that require routine vaccines as a condition of attendance have higher rates of vaccination, including higher rates of immunization for the human papillomavirus (HPV), and children at these schools are also more likely to get recommended tetanus, diphtheria, and pertussis (Tdap) and meningitis vaccines, according to research published online Nov. 8 in Pediatrics.

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Coronary Angiography, PCI Don't Impact Cognitive Function

TUESDAY, Nov. 8, 2016 (HealthDay News) -- There is no indication of postprocedural cognitive impairment for patients undergoing coronary angiography (CA) or percutaneous coronary intervention (PCI), according to a study published in the Nov. 15 issue of The American Journal of Cardiology.

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Probable Interaction ID'd for PrOD, Ribavirin With Warfarin

TUESDAY, Nov. 8, 2016 (HealthDay News) -- There is a probable interaction between paritaprevir/ritonavir/ombitasvir+dasabuvir (PrOD) plus ribavirin with warfarin, according to a case report published online Nov. 3 in the Journal of Clinical Pharmacy and Therapeutics.

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Long-Term Health Not Improved for Childhood Cancer Survivors

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Despite three decades of advancements in treating children with cancer, patients who survive into adulthood don't report better physical or mental health than their counterparts who were treated years ago, according to research published online Nov. 8 in the Annals of Internal Medicine.

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AMA Highlights Role of Patient Shame in Opioid Disorders

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Supported by the American Medical Association (AMA), the Providers' Clinical Support System for Opioid Therapies (PCSS-O) has released a collection of resources from a national training and mentoring project developed by physicians to promote the role of self-education and help curb the opioid epidemic.

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Guideline Adapted for Surgical Antimicrobial Prophylaxis

TUESDAY, Nov. 8, 2016 (HealthDay News) -- An adapted clinical practice guideline (CPG), published online Nov. 3 in the Journal of Evaluation in Clinical Practice, has been developed for surgical antimicrobial prophylaxis (SAP), using two validated tools.

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Genetic Mortality Risk Can Be Attenuated by Lifestyle

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Genetic variations correlate with mortality in the elderly, although their effect can be influenced by lifestyle behaviors, according to a study published online Nov. 2 in the Journal of the American Geriatrics Society.

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Cumulative Incidence of ESRD Low in Patients With Type 1 DM

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Patients with type 1 diabetes diagnosed at age 15 to 27 years have low cumulative incidence of end-stage renal disease (ESRD) and increased mortality during long-term follow-up, according to a study published online Oct. 21 in Diabetes Care.

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Second Opinions Seldom Change Prostate Cancer Decisions

MONDAY, Nov. 7, 2016 (HealthDay News) -- Second opinions have little impact on prostate cancer patients' treatment decisions, according to findings published online Nov. 7 in Cancer.

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Many States Lack 'Return-to-Learn' Concussion Laws

MONDAY, Nov. 7, 2016 (HealthDay News) -- All U.S. states have "return-to-play" laws designed to protect young athletes who've suffered a concussion, but as of May 2016, only eight states had "return-to-learn" laws aimed at managing children's concussion recovery, according to a review published online Nov. 7 in Pediatrics.

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With Education, Discharge Blood Glucose Profile Predicts HbA1c

MONDAY, Nov. 7, 2016 (HealthDay News) -- For patients with type 2 diabetes receiving inpatient diabetes education, blood glucose profile at discharge can predict hemoglobin A1c (HbA1c) level at 12 weeks after discharge, according to a study published online Oct. 27 in the Journal of Diabetes Investigation.

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Nonadherence in Nearly One-Third of Patients With HTN

MONDAY, Nov. 7, 2016 (HealthDay News) -- More than 30 percent of patients with hypertension are not adherent to antihypertensive drug therapy, according to a study published online Nov. 3 in the Journal of Evaluation in Clinical Practice.

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New QI Intervention Aids Pain Management for Seniors in the ER

MONDAY, Nov. 7, 2016 (HealthDay News) -- The Improving Pain Relief in Elder Patients (I-PREP) quality improvement (QI) intervention improves pain management in older adults in the emergency department, according to a study published online Nov. 2 in the Journal of the American Geriatrics Society.

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PCSK9, LDL-C Link Only Seen for Patients With Highest HbA1c

MONDAY, Nov. 7, 2016 (HealthDay News) -- For patients with type 1 diabetes (T1D), the correlation between pro-protein convertase subtilisin/kexin type 9 (PCSK9) and low-density lipoprotein cholesterol (LDL-C) is only seen in the highest tertile for hemoglobin A1c (HbA1c), according to a study published online Nov. 2 in Diabetes, Obesity and Metabolism.

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Ocular Syphilis Cases May Be Increasing in United States

MONDAY, Nov. 7, 2016 (HealthDay News) -- Ocular syphilis has been identified in jurisdictions in the United States, with reports of increases in five jurisdictions in 2014 and 2015, according to a review published the Nov. 4 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Recommendations Updated for Meningococcal Vaccine in HIV

MONDAY, Nov. 7, 2016 (HealthDay News) -- In the Nov. 4 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report, new recommendations are presented for meningococcal conjugate vaccination among HIV-infected individuals.

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Smoking Ups Cancer Risk by Causing Distinct Cell Mutations

FRIDAY, Nov. 4, 2016 (HealthDay News) -- Tobacco smoking causes mutations that lead to cancer by multiple distinct mechanisms, according to a study published in the Nov. 4 issue of Science.

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Health Anxiety Takes Toll on Cardiovascular Health

FRIDAY, Nov. 4, 2016 (HealthDay News) -- People with high levels of health anxiety have about a 70 percent increased risk of ischemic heart disease (IHD), after taking into account other known risk factors, according to research published online Nov. 3 in BMJ Open.

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Part D Has Reduced Out-of-Pocket Rx Drug Costs in Diabetes

FRIDAY, Nov. 4, 2016 (HealthDay News) -- Medicare Part D has effectively reduced the out-of-pocket cost burden of prescription drugs for beneficiaries with diabetes, according to a study published online Nov. 1 in Diabetes Care.

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Women Have Worse Outcomes During 36 Months After ACS

FRIDAY, Nov. 4, 2016 (HealthDay News) -- In a study published in the Nov. 1 issue of The American Journal of Cardiology, among patients with acute coronary syndrome (ACS), women were found to have a higher mortality rate than men during 36 months of follow-up.

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About Half of Seniors in ER Willing to Use Tablet Computers

FRIDAY, Nov. 4, 2016 (HealthDay News) -- About half of older adults in the emergency department are willing to provide information using a tablet computer, but few can do so without needing assistance, according to a study published online Nov. 2 in the Journal of the American Geriatrics Society.

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Low-Carb Diet Cuts Tx Effect of Glucagon in Hypoglycemia

FRIDAY, Nov. 4, 2016 (HealthDay News) -- For patients with type 1 diabetes, a low-carbohydrate diet (LCD) results in lower incremental rises in plasma glucose (PG) after mild hypoglycemia compared with an isocaloric high-carbohydrate diet (HCD), according to a study published online Oct. 21 in Diabetes Care.

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Experience of Spouses Explored in Pre-Heart Transplant Period

FRIDAY, Nov. 4, 2016 (HealthDay News) -- In a review published online Nov. 2 in the Journal of Clinical Nursing, six themes are identified among spouses of heart transplant recipients, some of which are associated with high levels of stress.

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Review Identifies Features of Congenital Zika Infection

THURSDAY, Nov. 3, 2016 (HealthDay News) -- A distinctive phenotype of congenital Zika syndrome has been described in a review published online Nov. 3 in JAMA Pediatrics.

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~30K Sports-Related Eye Injuries Yearly in U.S. Emergency Rooms

THURSDAY, Nov. 3, 2016 (HealthDay News) -- Paintball guns pose the greatest risk of vision loss among the sports most commonly associated with eye injuries, according to a study published online Nov. 3 in JAMA Ophthalmology.

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Half of Americans Have at Least One Chronic Health Condition

THURSDAY, Nov. 3, 2016 (HealthDay News) -- More than half of Americans have at least one chronic disease, mental illness, or problem with drugs or alcohol, according to a study published online recently in Psychology, Health & Medicine.

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Differences in Risk Factor Estimates for Prostate Cancer

THURSDAY, Nov. 3, 2016 (HealthDay News) -- For screened men enrolled in prostate cancer prevention trials, there are considerable differences in risk factor estimates for prostate cancer, according to a study published online Oct. 28 in the Journal of Clinical Oncology.

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Ambulatory IV Diuretics Cut Costs in Decompensated Heart Failure

THURSDAY, Nov. 3, 2016 (HealthDay News) -- Ambulatory, high-dose intravenous diuretic therapy seems to be cost saving for decompensated heart failure, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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About 30 Percent Misdiagnosed With Lower Extremity Cellulitis

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- More than 30 percent of patients admitted with a diagnosis of lower extremity cellulitis are misdiagnosed, according to a study published online Nov. 2 in JAMA Dermatology.

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Maternal, Neonatal Adverse Events Up With Antenatal ART

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- For HIV-infected pregnant women, antiretroviral therapy (ART) is associated with significantly lower rates of early HIV transmission, but with a higher risk of adverse maternal and neonatal outcomes, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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Vague Food Labels Can Place Patients With Allergies at Risk

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- Shoppers are often confused by food labels that warn of potential allergens, and the consequences can be serious, according to research published online Nov. 1 in the Journal of Allergy and Clinical Immunology: In Practice.

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Scented Products, Environments Linked to Health Woes for Many

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- Fragranced products such as soaps, candles, and air fresheners cause more than one-third of U.S. adults to suffer ill health effects, including headaches, dizziness and breathing difficulties, according to research published online Oct. 20 in Air Quality, Atmosphere & Health.

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Community Pharmacists Play Role in Providing Preventive Care

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- Community pharmacists are well suited to provide clinical preventive services, including education, screenings, and making referrals, according to a report published in the Oct. 27 issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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ASCO Updates Guidelines on Integration of Palliative Care

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- The American Society of Clinical Oncology Clinical Practice Guideline on the integration of palliative care into standard oncology care has been updated. The update was published online Oct. 28 in the Journal of Clinical Oncology.

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Psych Meds Rx May Cut Violent Reoffending in Ex-Prisoners

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- Released prisoners may be less likely to commit violent crimes if they're prescribed certain kinds of psychiatric medications, according to research published in the Nov. 1 issue of the Journal of the American Medical Association.

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Impact of HbA1c, BMI Changes on Lipids Varies As Children Age

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- As children age, the impact of changes in hemoglobin A1c (HbA1c) and body mass index (BMI) on low-density lipoprotein (LDL) and non-high-density lipoprotein (non-HDL) cholesterol levels increases, according to a study published online Oct. 20 in Diabetes Care.

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Incidence of Statin-Associated T2DM Relatively Low

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- For patients without diabetes, the incidence of statin-associated type 2 diabetes mellitus (T2DM) is relatively low, according to research published in the Nov. 1 issue of The American Journal of Cardiology.

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USPSTF Reaffirms Obesity Screening Recs for Children 6+

TUESDAY, Nov. 1, 2016 (HealthDay News) -- Doctors should screen children age 6 years and older for obesity, and offer them behavioral therapy to help them lose weight if necessary, new guidelines reassert.

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Tdap Vaccine During Pregnancy Seems Safe for Mother, Infant

TUESDAY, Nov. 1, 2016 (HealthDay News) -- The tetanus, diphtheria, and pertussis (Tdap) vaccine does not appear to cause birth defects or any other major health problems for a developing fetus, according to a research letter published in the Nov. 1 issue of the Journal of the American Medical Association.

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Intervention Improves Cognitive Symptoms in Cancer Survivors

TUESDAY, Nov. 1, 2016 (HealthDay News) -- A web-based cognitive rehabilitation program can improve cognitive symptoms in cancer survivors, according to a study published online Oct. 28 in the Journal of Clinical Oncology.

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Medicaid Policies Impact Use of Smoking Cessation Medications

TUESDAY, Nov. 1, 2016 (HealthDay News) -- Medicaid policies, such as those that require patients to obtain counseling in order to receive smoking cessation medications, affect use of these medications, according to a study published in the Oct. 27 issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Oral Probiotics Have No Impact on Vaginal Health in Pregnancy

TUESDAY, Nov. 1, 2016 (HealthDay News) -- For pregnant women, probiotics have no effect on vaginal health, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology.

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Weight Gain Impacts 25(OH)D Response in Pregnancy

TUESDAY, Nov. 1, 2016 (HealthDay News) -- Among pregnant women taking cholecalciferol, factors have been identified that impact serum 25-hydroxyvitamin D (25[OH]D) response, including weight gain and season of delivery, according to research published online Oct. 27 in the Journal of Clinical Endocrinology & Metabolism.

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Benefit of Exercise on Resting Pulse Rate in Seniors Unclear

TUESDAY, Nov. 1, 2016 (HealthDay News) -- A long-term moderate-intensity physical activity (PA) intervention may reduce resting pulse rate (RPR) among older adults, according to a study published online Oct. 27 in the Journal of the American Geriatrics Society.

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Educational Intervention Aids Problematic Hypoglycemia

TUESDAY, Nov. 1, 2016 (HealthDay News) -- A brief, partly web-based educational intervention, HypoAware, is beneficial for reducing severe hypoglycemic episodes and improving hypoglycemia awareness compared with usual care, according to a study published online Oct. 20 in Diabetes Care.

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Similar Complication Rate for Transvenous, Subcutaneous ICDs

TUESDAY, Nov. 1, 2016 (HealthDay News) -- For patients at risk for sudden cardiac death, the rate of complications is similar with transvenous implantable cardioverter-defibrillators (TV-ICDs) and subcutaneous ICDs (S-ICDs), although the nature of complications differs, according to a study published in the Nov. 8 issue of the Journal of the American College of Cardiology.

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Reduction of Chemical Exposure Cuts Diabetes in Elderly

TUESDAY, Nov. 1, 2016 (HealthDay News) -- For elderly adults, reduction of chemical exposures is associated with reduced burden and costs of diabetes, according to a study published online Oct. 27 in the Journal of Epidemiology & Community Health.

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