October 2017 Briefing - Nursing

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

Fentanyl or Analogs Tied to More Than Half of All Opioid Deaths

TUESDAY, Oct. 31, 2017 (HealthDay News) -- Fentanyl was involved in more than half of opioid overdose deaths reported in the second half of 2016, according to a study published online Oct. 27 in Morbidity and Mortality Weekly Report.

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Delayed Cord Clamping Not Beneficial for Preterm Infants

TUESDAY, Oct. 31, 2017 (HealthDay News) -- Delayed cord clamping does not result in lower incidence of death or major morbidity in preterm infants, according to a study published online Oct. 29 in the New England Journal of Medicine to coincide with the Vermont Oxford Network 2017 Annual Quality Congress, held Oct. 26 to 30 in Chicago.

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PFA-100-Measured Aspirin Resistance Linked to CV Events

TUESDAY, Oct. 31, 2017 (HealthDay News) -- Aspirin resistance, measured using the Platelet Function Analyzer (PFA)-100 system, is associated with cardiovascular events in aspirin-treated patients, according to a study published online Oct. 21 in the Journal of Clinical Pharmacy and Therapeutics.

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Children of Immigrants Less Likely to be Up-to-Date on Shots

TUEDAY, Oct. 31, 2017 (HealthDay News) -- Children up to age 36 months with at least one foreign-born parent are less likely to be up-to-date on recommended vaccinations, according to a study published online Oct. 26 in Morbidity and Mortality Weekly Report.

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Ohio Upholds Law Requiring HIV-Infected to Tell Sex Partners

TUESDAY, Oct. 31, 2017 (HealthDay News) -- The Ohio Supreme Court has unanimously upheld the constitutionality of a law requiring HIV-infected individuals to tell their sexual partners of their status before having sex, according to a report published by the Associated Press.

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Diabetes of Exocrine Pancreas Often Classified as T2DM

MONDAY, Oct. 30, 2017 (HealthDay News) -- Diabetes that follows pancreatic disease is frequently classified as type 2 diabetes but is associated with worse glycemic control and higher use of insulin within five years than type 2 diabetes, according to a study published in the August issue of Diabetes Care.

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Fish Can Trigger Food Protein-Induced Enterocolitis Syndrome

MONDAY, Oct. 30, 2017 (HealthDay News) -- Fish is an important trigger of food protein-induced enterocolitis syndrome (FPIES), according to a study published online Oct. 20 in Allergy.

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Multimodal Surveillance Regimen May Not Benefit BRCA Carriers

MONDAY, Oct. 30, 2017 (HealthDay News) -- Automated breast ultrasonography may not be of added value to yearly full-field digital (FFD) mammography and dynamic contrast agent-enhanced (DCE) magnetic resonance (MR) imaging surveillance of carriers of the BRCA mutation, according to a study published in the November issue of Radiology.

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More Than One in Five U.S. Working Adults Uses Tobacco

MONDAY, Oct. 30, 2017 (HealthDay News) -- Overall, 22.1 percent of working U.S. adults currently use any form of tobacco, according to a study published online Oct. 26 in Morbidity and Mortality Weekly Report.

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Maternal Use of Acetaminophen Linked to ADHD in Offspring

MONDAY, Oct. 30, 2017 (HealthDay News) -- Maternal use of acetaminophen in pregnancy is associated with attention-deficit/hyperactivity disorder (ADHD) in offspring, according to a study published online Oct. 30 in Pediatrics.

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E-Cigarettes Alter Defense Proteins in Airway Secretions

MONDAY, Oct. 30, 2017 (HealthDay News) -- E-cigarette use changes the profile of innate defense proteins in airway secretions, according to a study published online Oct. 20 in the American Journal of Respiratory and Critical Care Medicine.

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Rate of Approval for PCSK9i Therapy 47 Percent

MONDAY, Oct. 30, 2017 (HealthDay News) -- A combination of clinical factors and payer type increase the likelihood of approval for proprotein convertase subtilisin/kexin type 9 inhibitor (PCSK9i) treatment, and rates of approval are low overall, according to a study published online Oct. 30 in Circulation.

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Elastography and Color Doppler Improve Breast Ultrasound

MONDAY, Oct. 30, 2017 (HealthDay News) -- The combination of elastography and color Doppler ultrasonography (US) with B-mode US in women with dense breasts can increase the positive predictive value of screening and reduce the number of false-positives, according to a study published in the November issue of Radiology.

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AAP Releases Policy Statement on Cord Blood Banking

MONDAY, Oct. 30, 2017 (HealthDay News) -- The American Academy of Pediatrics (AAP) has released new information to guide pediatricians, obstetricians, and other health care providers in responding to parents' questions about cord blood donation and banking, according to a policy statement published online Oct. 30 in Pediatrics.

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PCP Has Vital Role in Managing Pediatric Heart Disease

MONDAY, Oct. 30, 2017 (HealthDay News) -- Primary care providers (PCPs) and medical homes (MHs) have a role to play in the management of pediatric patients with congenital heart disease (CHD) and their families, according to a policy statement published online Oct. 30 in Pediatrics.

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3D Ultrasound Not Accurate for ID of Sex in First Trimester

MONDAY, Oct. 30, 2017 (HealthDay News) -- Three-dimensional (3D) virtual reality ultrasound is not accurate in first-trimester fetal sex determination, according to a study published online Oct. 19 in the Journal of Clinical Ultrasound.

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Kidney Damage Seen in Most Patients With Long-Lasting T1D

MONDAY, Oct. 30, 2017 (HealthDay News) -- Most patients with type 1 diabetes (T1D) of long duration have some degree of kidney disease, according to a study published online Oct. 4 in Diabetes Care.

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Treatment for Stage I NSCLC Patients Up From 2000 to 2010

FRIDAY, Oct. 27, 2017 (HealthDay News) -- For patients with stage I non-small-cell lung cancer (NSCLC), the odds of receiving radiation therapy (RT) or surgery increased from 2000 to 2010, with improved survival during the same period, according to a study published online Oct. 26 in the Annals of Thoracic Surgery.

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ERs Contribute Large Portion of Medical Care Delivery

FRIDAY, Oct. 27, 2017 (HealthDay News) -- Emergency departments are increasingly a major source of medical care in the United States, according to a study published online Oct. 17 in the International Journal of Health Services.

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Incretin Tied to Better Outcomes in NOCS-Diabetes

FRIDAY, Oct. 27, 2017 (HealthDay News) -- Incretin treatment appears to improve non-ST-elevation myocardial infarction (NSTEMI) outcomes in patients with type 2 diabetes and non-obstructive coronary artery stenosis (NOCS), according to a study published online Sept. 26 in Diabetes, Obesity and Metabolism.

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Multidisciplinary Model Cuts Treatment Delay in Head, Neck CA

FRIDAY, Oct. 27, 2017 (HealthDay News) -- For patients with head and neck cancer, a multidisciplinary head and neck clinic model is associated with reduced treatment delay, according to a study published online Oct. 26 in JAMA Otolaryngology -- Head & Neck Surgery.

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Arterial Stiffness Linked to Incidence of Diabetes

FRIDAY, Oct. 27, 2017 (HealthDay News) -- Increased arterial stiffness, as measured by carotid-femoral pulse wave velocity (c-f PWV), is associated with increased incidence of diabetes, according to a study published online Sept. 29 in Diabetes Care.

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Probiotics Linked to Weight Loss in Obese, Overweight

FRIDAY, Oct. 27, 2017 (HealthDay News) -- Short-term probiotics are associated with reductions in body weight, body mass index (BMI), and fat percentage in overweight or obese subjects, according to research published online Oct. 18 in Obesity Reviews.

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Afternoon Heart Surgery Linked to Better Patient Outcomes

FRIDAY, Oct. 27, 2017 (HealthDay News) -- For patients undergoing aortic valve replacement, perioperative myocardial injury occurs more with morning surgery than with afternoon surgery, according to a study published online Oct. 26 in The Lancet.

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70-Gene Signature Impacts Treatment Decisions in Breast CA

FRIDAY, Oct. 27, 2017 (HealthDay News) -- The 70-gene signature (GS) assay affects treatment decisions among physicians treating patients identified as being at intermediate risk with the 21-gene assay (21-GA), according to a study published online Oct. 26 in JAMA Oncology.

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Cataract Surgery Associated With Reduced Mortality in Women

THURSDAY, Oct. 26, 2017 (HealthDay News) -- For older women with cataract, cataract surgery is associated with lower all-cause and cause-specific mortality, according to a study published online Oct. 26 in JAMA Ophthalmology.

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Many Teenagers Unaware That Adderall Is an Amphetamine

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Adolescents appear to underreport their nonmedical amphetamine use, which may be in part due to lacking awareness that Adderall is an amphetamine, according to a study published online Oct. 23 in Drug and Alcohol Dependence.

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Concerns Surround Use of Direct-to-Consumer Genetic Testing

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Direct-to-consumer genetic testing raises unique concerns and considerations, according to a committee opinion published online Oct. 24 in Obstetrics & Gynecology.

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Panel Recommends New Zoster Vaccine as First-Line Treatment

THURSDAY, Oct. 26, 2017 (HealthDay News) -- In a close 8-7 vote, the Advisory Committee on Immunization Practices recommended that Shingrix be chosen over Zostavax as the herpes zoster vaccine of choice in adults aged 50 and older, the Washington Post reported.

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Recommendations Developed for Trial of Labor After C-Section

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Recommendations have been developed for trial of labor after cesarean delivery (TOLAC) for women who wish to achieve a vaginal birth after cesarean delivery (VBAC), according to a practice bulletin published online Oct. 24 in Obstetrics & Gynecology.

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Locus ID'd That Links Comorbid Alcohol Dependence, Depression

THURSDAY, Oct. 26, 2017 (HealthDay News) -- A newly identified genetic risk variant is associated with comorbid alcohol dependence (AD) and major depression (MD) in African Americans, according to a study published online Oct. 25 in JAMA Psychiatry.

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Demand for Fertility Preservation Increasing for Women

THURSDAY, Oct. 26, 2017 (HealthDay News) -- The demand for fertility preservation is increasing, and methods to address it include oocyte cryopreservation and ovarian-tissue cryopreservation, according to a review article published online Oct. 25 in the New England Journal of Medicine.

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HIV Drug Resistance Is Threatening Gains of Treatment

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Resistance to antiretroviral therapy (ART) is threatening the recent gains of treatment in the rate of new HIV infections, according to a perspective article published online Oct. 25 in the New England Journal of Medicine.

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Chewing Ticagrelor Loading Dose May Be Beneficial in STEMI

THURSDAY, Oct. 26, 2017 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI), chewing a loading dose (LD) of ticagrelor facilitates better early platelet inhibition, according to a study published online Oct. 25 in JAMA Cardiology.

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Borderline Pulmonary HTN Linked to Increased Mortality Risk

THURSDAY, Oct. 26, 2017 (HealthDay News) -- For patients undergoing right heart catheterization (RHC), borderline pulmonary hypertension (PH) is associated with increased risk of mortality, according to a study published online Oct. 25 in JAMA Cardiology.

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Gifts From Pharma Companies Influence Prescribing Behavior

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Receipt of gifts from pharmaceutical companies is associated with more prescriptions per patient and more costly prescriptions, according to a study published online Oct. 25 in PLOS One.

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New ACOG Guidance on Long-Acting Reversible Contraceptives

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Long-acting reversible contraceptives (LARC), including implants and intrauterine devices (IUDs), are a safe and effective contraception option for many women, according to a practice bulletin published online Oct. 24 in Obstetrics & Gynecology.

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Early Transfusion Tied to Lower Mortality in Combat Casualties

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Blood product transfusion pre-hospital or within minutes of injury is associated with improved survival among medically evacuated U.S. military combat casualties in Afghanistan, according to a study published online Oct. 24 in the Journal of the American Medical Association.

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New Clinical Practice Guideline for Management of T2DM

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Management of type 2 diabetes should include shared decision making, and patients should be offered individualized diabetes self-management education and glycemic management plans, according to a summary of a clinical practice guideline published online Oct. 23 in the Annals of Internal Medicine.

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Undiagnosed Diabetes Accounts for Small Portion of Diabetes

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Undiagnosed diabetes accounts for a relatively small proportion of the total diabetes population in the United States, according to a study published online Oct. 23 in the Annals of Internal Medicine.

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Module Developed to Improve Adult Vaccination Rates

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- A module has been developed to help health care professionals improve vaccination rates among adults, according to an article published by the American Medical Association (AMA).

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Researchers Study Mediating Role of Leptin in Bulimia

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Leptin appears to mediate the correlation between weight suppression (WS) and duration of illness in bulimia nervosa-syndrome (BN-S), according to a study published online Oct. 16 in the International Journal of Eating Disorders.

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Alterations in Gut Microbiome Noted Within 72 Hours of Injury

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Critically injured patients develop changes in the composition of the gut microbiome within 72 hours, according to a study published online Oct. 23 in Trauma Surgery & Acute Care Open.

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Diabetes Tied to Worse Outcomes in Heart Failure Patients

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Among patients with acute heart failure (HF), long-term prognosis is worse in those who have diabetes than in those who do not, though prognosis has improved in both groups, according to a study published online Oct. 5 in Diabetes Care.

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Secondary Prevention Meds Often Not Started Post-AMI in Seniors

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Thirty-seven percent of older nursing home (NH) residents do not initiate secondary prevention medications after acute myocardial infarction (AMI), according to a study published online Oct. 17 in the Journal of the American Geriatrics Society.

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Vitamin D Supplements Improve Markers of Bone Turnover in CKD

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- For patients with chronic kidney disease (CKD), cholecalciferol supplementation can correct vitamin D deficiency and improve markers of bone turnover, according to a study published online Oct. 17 in the Journal of Bone and Mineral Research.

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DEA Taking Back Unwanted Prescription Drugs on Oct. 28

TUESDAY, Oct. 24, 2017 (HealthDay News) -- The public is being given its 14th opportunity to safely dispose of pills and patches at collection points operated by the U.S. Drug Enforcement Agency (DEA) and its partners.

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Swedish Massage May Reduce Cancer-Related Fatigue

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Swedish massage therapy (SMT) is associated with clinically significant relief from cancer-related fatigue (CRF) in breast cancer survivors, according to a study published online Oct. 17 in Cancer.

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Proper Training Key for Primary Care Medical Assistants

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Qualified medical assistants can help primary care practices become more efficient, reduce patient wait times, and streamline patient processing, but their training may be lacking, according to an article published online Oct. 10 in Medical Economics.

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High Dietary Fiber Protects Against Femoral Neck Bone Loss

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Higher dietary total fiber and fruit fiber is protective against bone loss at the femoral neck in men, according to a study published online Oct. 12 in the Journal of Bone and Mineral Research.

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Statins May Raise Odds of T2DM in Those at High Risk

TUESDAY, Oct. 24, 2017 (HealthDay News) -- For populations at high-risk for diabetes, statin use is associated with increased risk of developing diabetes, according to a study published online Oct. 23 in BMJ Open Diabetes Research & Care.

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Financial Incentives Up Teen Glucose Monitoring Adherence

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Financial incentives can improve adherence to glucose monitoring but not glycemic control among adolescents with type 1 diabetes, according to a study published online Oct. 23 in JAMA Pediatrics.

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Most in U.S. Don't Agree That Household Guns Up Suicide Risk

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Most U.S. adults do not agree that household firearms increase the risk of suicide, according to a research letter published online Oct. 23 in the Annals of Internal Medicine.

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Inverse Association Seen for Coffee Drinking, Markers of CVD

TUESDAY, Oct. 24, 2017 (HealthDay News) -- There appears to be an inverse association between coffee intake and protein markers linked to cardiovascular disease, according to a study published online Oct. 16 in the Journal of Internal Medicine.

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Aerobics May Benefit Platelet Reactivity in Menopausal Women

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Regular aerobic exercise may improve regulation of platelet reactivity, providing a cardioprotective effect, in pre- and postmenopausal women, according to a small study published online Oct. 12 in the Journal of Thrombosis and Haemostasis.

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Tofogliflozin Most Effective With High Baseline Insulin

TUESDAY, Oct. 24, 2017 (HealthDay News) -- The sodium glucose co-transporter 2 inhibitor tofogliflozin is effective for reducing fasting plasma glucose and body weight, particularly in patients with a high insulin level at baseline, according to a study published online Oct. 15 in the Journal of Diabetes Investigation.

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Drinking Water Pre-Vaccination Doesn't Reduce Presyncope

MONDAY, Oct. 23, 2017 (HealthDay News) -- Drinking water before vaccination does not prevent presyncope in adolescents after vaccination, according to a study published online Oct. 23 in Pediatrics.

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Medicaid's Best-Price Rule May Not Be Such a Big Problem

MONDAY, Oct. 23, 2017 (HealthDay News) -- Medicaid's best-price rule is not as serious a problem as drug manufacturers imply, although it may affect novel pricing arrangements, according to an article published online Sept. 28 in the Journal of Health Politics, Policy and Law.

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Design Thinking Enables Med Students to Solve Challenges

MONDAY, Oct. 23, 2017 (HealthDay News) -- A joint effort between students at Warren Alpert Medical School of Brown University and Rhode Island School of Design (RISD) is training future physicians in design thinking to help identify and repair health system issues that contribute to physician burnout, according to an article by the American Medical Association.

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Sudden Death Most Common CV Death in T2DM/ASCVD

MONDAY, Oct. 23, 2017 (HealthDay News) -- Among patients with type 2 diabetes and atherosclerotic cardiovascular disease (ASCVD), sudden death is the most common category of cardiovascular (CV) mortality, according to a study published online Oct. 6 in Diabetes Care.

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Pediatricians Should Provide Sexual Health Care Services

MONDAY, Oct. 23, 2017 (HealthDay News) -- Pediatricians should be prepared to educate adolescents and young adults regarding sexual development and to promote healthy behaviors in relationships, according to a clinical report published online Oct. 23 in Pediatrics.

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Limited Evidence of Benefit for Medical Cannabinoids in Children

MONDAY, Oct. 23, 2017 (HealthDay News) -- The strongest evidence for benefit of cannabinoids in children is for chemotherapy-induced nausea and vomiting, with more research needed to assess its role as a medical treatment, according to a review published online Oct. 23 in Pediatrics.

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Guidelines Updated for Infection Prevention in Pediatrics

MONDAY, Oct. 23, 2017 (HealthDay News) -- Guidelines have been updated for infection prevention and control in pediatric ambulatory settings, according to a policy statement published online Oct. 23 in Pediatrics.

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Psychosocial Intervention May Boost Hospitalization Satisfaction

MONDAY, Oct. 23, 2017 (HealthDay News) -- A brief psychosocial intervention in which physicians ask inpatients about their current situation and respond empathetically appears to improve the hospitalization experience, according to a study published in the October issue of Family Medicine.

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Less Sedentary Time May Attenuate Genetic Role in Obesity

MONDAY, Oct. 23, 2017 (HealthDay News) -- Interactions between genes and physical activity and genes and sedentary behavior may play a role in the development of obesity, according to a study published in the October issue of Diabetes.

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Leukemia Patients Who Survive Severe GVHD Often Fare Worse

MONDAY, Oct. 23, 2017 (HealthDay News) -- After hematopoietic stem cell transplantation (HSCT) for acute leukemia, patients who survive severe acute graft-versus-host disease (aGVHD) have a higher risk of developing extensive chronic GVHD (cGVHD) and a higher rate of non-relapse mortality compared with those who did not develop severe aGVHD, according to a study published online Oct. 13 in the Journal of Internal Medicine.

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Herbal and Dietary Supplements Are Commonly Mislabeled

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Mislabeling of herbal and dietary supplements (HDS) is common, occurring in more than half of products tested, according to a study scheduled for presentation at The Liver Meeting, being held by the American Association for the Study of Liver Diseases from Oct. 20 to 24 in Washington, D.C.

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Alcoholic Cirrhosis Linked to Increased Admissions, Costs

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Compared with patients who have non-alcoholic cirrhosis, those with alcoholic cirrhosis are sicker at presentation, have more admissions and readmissions, and have nearly double the health care costs, according to a study scheduled for presentation at The Liver Meeting, being held by the American Association for the Study of Liver Diseases from Oct. 20 to 24 in Washington, D.C.

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Clinician Job Satisfaction Linked to Improved Burnout Scores

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Clinicians' job satisfaction is associated with improved burnout scores and reduced intention to leave their practices, according to a study published in the October issue of Health Affairs.

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Independent Pharmacies Adding Patient Care Services, Products

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Independent pharmacies are expanding the scope of services they offer, partly to absorb lower reimbursements for dispensing prescription medications, according to the 2017 National Community Pharmacists Association (NCPA) Digest.

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H7N9 Avian Influenza May Be Capable of Pandemic

FRIDAY, Oct. 20, 2017 (HealthDay News) -- A highly pathogenic H7N9 avian influenza variant has evolved and now has the potential to cause a pandemic, according to a study published online Oct. 19 in Cell Host & Microbe.

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CDC Updates Zika Guidance for Infant Care

FRIDAY, Oct. 20, 2017 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention (CDC) has updated its interim guidance for U.S. health care providers caring for infants with possible congenital Zika virus infection, according to a report published online Oct. 19 in Morbidity and Mortality Weekly Report.

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High Percentage of HIV-Diagnosed Women Not in Care

FRIDAY, Oct. 20, 2017 (HealthDay News) -- A high percentage of women receiving a new HIV diagnosis have already received this diagnosis in the past but are not undergoing HIV medical care, according to a study published online Oct. 19 in Morbidity and Mortality Weekly Report.

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Cryotherapy May Prevent Chemo-Induced Neuropathy

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Cryotherapy may be useful for preventing symptoms of chemotherapy-induced peripheral neuropathy (CIPN), according to a study published online Oct. 12 in the Journal of the National Cancer Institute.

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Uninsurance Down by One-Third for Cancer Diagnoses in 2014

THURSDAY, Oct. 19, 2017 (HealthDay News) -- In the first year of the Affordable Care Act (ACA), there was a relative decrease of one-third in uninsurance among adults with new cancer diagnoses, according to a research letter published online Oct. 19 in JAMA Oncology.

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Diabetes Ups Risk of MACE in Acute Coronary Syndromes

THURSDAY, Oct. 19, 2017 (HealthDay News) -- For patients with acute coronary syndromes (ACS), diabetes mellitus (DM), but not pre-DM, is associated with an increased risk of major adverse cardiac events (MACE), according to a study published online Oct. 18 in the Journal of the American College of Cardiology.

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Number of Nurses With Baccalaureate Degrees Rising

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Since 2004, there has been an increase in the proportion of baccalaureate (bachelor of science in nursing)-prepared registered nurses (BSN RNs) in U.S. acute care hospitals, according to a study published online Oct. 9 in the Journal of Nursing Scholarship.

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MACE Risk Similar for White Men, Women, Minorities After PCI

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Women and minorities undergoing percutaneous coronary intervention (PCI) with everolimus-eluting stents have a risk of major adverse cardiac events (MACE) that is similar to that of white men, according to a study published online Oct. 18 in JAMA Cardiology.

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More Penalties With Hospital-Wide Readmission Measure

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Transition from a condition-specific to a hospital-wide readmission measure would result in a modest increase in the number of hospitals eligible for readmission penalties and would substantially increase penalties for safety-net hospitals, according to a study published online Oct. 18 in the New England Journal of Medicine.

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More Vaginal Births With Lying Down in Second Stage of Labor

THURSDAY, Oct. 19, 2017 (HealthDay News) -- For nulliparous women at term with a singleton cephalic presentation receiving epidural analgesia, lying down in the second stage of labor results in more spontaneous vaginal births than being upright, according to a study published online Oct. 18 in the BMJ.

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Tofacitinib Superior to Placebo in Active Psoriatic Arthritis

THURSDAY, Oct. 19, 2017 (HealthDay News) -- For patients with active psoriatic arthritis who have an inadequate response to tumor necrosis factor (TNF) inhibitors or to conventional synthetic disease-modifying antirheumatic drugs (DMARDs), tofacitinib is superior to placebo, according to two studies published online Oct. 18 in the New England Journal of Medicine.

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Key Stakeholders Discuss How to Make EHRs More Usable

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Key stakeholders and physicians discussed electronic health record (EHR) usability and optimization in the American Medical Association Running Your Practice Community.

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IV Prochlorperazine Beats IV Hydromorphone for Migraine

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Intravenous (IV) hydromorphone is less effective than IV prochlorperazine plus diphenhydramine for acute migraine treatment in the emergency department, according to a study published online Oct. 18 in Neurology.

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New Expert Consensus Pathway for Mitral Regurgitation

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Identification of mitral regurgitation (MR) should prompt evaluation of its etiology, mechanism, severity, and indications for treatment, according to an expert consensus decision pathway published online Oct. 18 in the Journal of the American College of Cardiology.

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Extended-Release Naltrexone Promising for Opioid Dependence

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Extended-release naltrexone is noninferior to buprenorphine-naloxone for maintaining short-term abstinence from heroin and other illicit substances, according to a study published online Oct. 18 in JAMA Psychiatry.

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Sharing Passwords Is Widespread Among Medical Staff

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Sharing of passwords to access electronic medical records is common among medical staff members, according to a study published in the July issue of Healthcare Informatics Research.

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PPI Use Linked to Increased Risk of Ischemic Stroke, MI

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Proton pump inhibitor (PPI) use is associated with increased risk of first-time ischemic stroke and myocardial infarction (MI), according to a study published online Oct. 12 in the Journal of Internal Medicine.

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Lifestyle, Metformin Interventions Have Variable Effects

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- For individuals with impaired glucose regulation, the impact of lifestyle and metformin interventions vary for progression to diabetes mellitus (DM) and likelihood of regression to normal glucose regulation (NGR), according to a study published online Oct. 11 in Diabetes Care.

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Clinical Evidence Synopsis Published for T2DM

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Adding a sulfonylurea or metformin to insulin is associated with approximately a 1 percent reduction in hemoglobin A1c (HbA1c), and addition of a sulfonylurea (but not metformin) is associated with more hypoglycemic events, according a clinical evidence synopsis published online Oct. 17 in the Journal of the American Medical Association.

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No Increased Risks for DOAC Use Versus Warfarin in VTE

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- For patients with venous thromboembolism, direct oral anticoagulant (DOAC) use is not associated with increased risk of major bleeding or mortality within the first 90 days compared with warfarin use, according to a study published online Oct. 17 in the BMJ.

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Pre-Exposure Prophylaxis for Homosexual Men Cost-Effective

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Introduction of an HIV pre-exposure prophylaxis (PrEP) program for men who have sex with men (MSM) in the United Kingdom is likely to be cost-effective, according to a study published online Oct. 17 in the The Lancet Infectious Diseases.

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Men Now Comprise ~10 Percent of RN Workforce

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- The increasing participation of men in registered nursing can be attributed to multiple factors, including increasing educational attainment, rising labor demand in health care, and liberalizing gender role attitudes, according to a working paper published by the Washington Center for Equitable Growth.

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Appropriate Use Criteria Developed for Aortic Stenosis Tx

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Appropriate use criteria (AUC) have been developed for the treatment of patients with severe aortic stenosis (AS), according to a report published online Oct. 17 in the Journal of the American College of Cardiology.

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Overall Survival Up for Melanoma Brain Metastases

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Overall survival (OS) for patients with melanoma brain metastases (MBM) has improved significantly since 2000, according to a study published online Oct. 12 in Cancer.

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Glycemic Control Up With Oral Semaglutide in Type 2 Diabetes

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Oral semaglutide is associated with better glycemic control than placebo among type 2 diabetes patients with insufficient glycemic control, according to a study published online Oct. 17 in the Journal of the American Medical Association.

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Doctors Urged to Speak With Patients About Firearms

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Physicians should make a public commitment to speak with their patients about firearms, according to an opinion piece published online Oct. 16 in the Annals of Internal Medicine.

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Potentially Preventable Spending Concentrated in Frail Elderly

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Much of the total potentially preventable spending for Medicare beneficiaries is concentrated among frail elderly individuals, according to a study published online Oct. 16 in the Annals of Internal Medicine.

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No Evidence to Back Abdominal Hypopressive Technique

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Despite interest in the method, there is no scientific evidence to support the abdominal hypopressive technique (AHT) for treatment of pelvic floor dysfunction, according to a discussion published online Oct. 16 in the British Journal of Sports Medicine.

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Prevalence of Oral HPV Infection Higher for U.S. Men

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Oral human papillomavirus (HPV) infection and high-risk oral HPV infection are more common among men than women, according to a study published online Oct. 16 in the Annals of Internal Medicine.

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Commercial Weight Management Program May Help Prevent T2D

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Primary care referral along with a commercial weight management provider can deliver an effective diabetes prevention program (DPP), according to a study published online Oct. 16 in BMJ Open Diabetes Research & Care.

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Screening Tools Identify Potentially Inappropriate Meds

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Internal medicine patients are frequently prescribed potentially inappropriate medications (PIMs), but screening tools can detect clinically relevant PIMs, according to a study published online Oct. 8 in the Journal of Clinical Pharmacy and Therapeutics.

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Venovenous Hemodiafiltration Improves Metformin Toxicity

TUESDAY, Oct. 17, 2017 (HealthDay News) -- High-volume continuous venovenous hemodiafiltration (CVVH) and resin-sorbent hemoperfusion is effective for eliminating metformin, according to a case study published online Oct. 5 in the Journal of Diabetes Investigation.

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Gastric Acid Suppression May Promote Liver Injury

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Based on data from mouse models and humans, a decrease in gastric acid secretion due to use of gastric acid suppressive medications seems to promote overgrowth of intestinal Enterococcus, which promotes liver disease, according to a study published online Oct. 10 in Nature Communications.

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Ketamine Not Linked to PTSD in Military Trauma Setting

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Ketamine administration is not associated with post-traumatic stress disorder (PTSD) in the military trauma setting, according to a study published online Oct. 3 in Anaesthesia.

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Kneeling Posture Impacts Chest Compressions' Effectiveness

MONDAY, Oct. 16, 2017 (HealthDay News) -- During cardiopulmonary resuscitation (CPR) performed by males, self-adjusted and nearest kneeling postures are more effective for chest compression, with lower perceived exertion, according to a study published online Oct. 5 in the Journal of Clinical Nursing.

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Online Ratings Not Aligned With Objective Quality Measures

MONDAY, Oct. 16, 2017 (HealthDay News) -- Online consumer ratings of specialist physicians do not predict objective measures of quality of care or peer assessment of clinical performance, according to a study published online Sept. 8 in the Journal of the American Medical Informatics Association.

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Many College Students Believe Stimulants Can Boost Grades

MONDAY, Oct. 16, 2017 (HealthDay News) -- More than one-quarter of college students report believing that nonmedical use of prescription stimulants (NPS) can improve academic performance, according to a study published in the January 2018 issue of Addictive Behaviors.

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Moderate Alcohol Consumption Tied to Lower Heart Failure Risk

MONDAY, Oct. 16, 2017 (HealthDay News) -- Moderate alcohol consumption is associated with reduced risk of heart failure but not atrial fibrillation (AF), according to a study published online Oct. 11 in JACC: Heart Failure.

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Worse HIV Care Outcomes for Hispanics, Latinos

MONDAY, Oct. 16, 2017 (HealthDay News) -- HIV care outcomes are worse for Hispanics and Latinos, especially for injection drug users, according to a study published online Oct. 12 in Morbidity and Mortality Weekly Report.

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Bright White Light Therapy Promising for Bipolar Depression

MONDAY, Oct. 16, 2017 (HealthDay News) -- Midday bright light therapy may be effective for treating bipolar depression, according to a study published online Oct. 3 in The American Journal of Psychiatry.

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New Screening Tool Can Identify Diabetic Retinopathy

MONDAY, Oct. 16, 2017 (HealthDay News) -- A new screening tool can adequately detect risk of diabetic retinopathy in adults with diabetes in low-income communities in Mexico, according to a study published in the October issue of Preventing Chronic Disease.

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Model Predicts Cost-Effectiveness for Anal Lesion Treatment

MONDAY, Oct. 16, 2017 (HealthDay News) -- Cost-effective management of precancerous anal intraepithelial lesions in HIV-positive men who have sex with men (MSM) varies by age, according to a study published online Sept. 26 in Cancer.

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Disparity Seen in Nephrology Follow-Up Care

FRIDAY, Oct. 13, 2017 (HealthDay News) -- There is a large disparity between the reported clinical opinions of nephrologists and real-world care for nephrology evaluation of patients after hospitalization with severe acute kidney injury (AKI), according to a study published online Oct. 12 in the Clinical Journal of the American Society of Nephrology.

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Better Patient Communication Needed After Urgent Care

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Patients and primary care physicians (PCPs) need to communicate better after urgent care visits, and patients value their relationships with their PCPs, according to research conducted by Harris Poll on behalf of Mercy Health System of Southeastern Pennsylvania.

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Serious Suffering Affects Almost Half of Those Who Die Yearly

FRIDAY, Oct. 13, 2017 (HealthDay News) -- In 2015, more than 25.5 million people who died worldwide experienced serious health-related suffering (SHS), and the vast majority lacked access to palliative care and pain relief, according to a report published online Oct. 12 in The Lancet.

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Pre-Retirement Morbidity Higher in Later Birth Cohorts

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Americans who must work longer to reach Social Security retirement age have worse measures of health in the years leading up to retirement, according to a study published in the October issue of Health Affairs.

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Mental Health Issues Impact Retirement Saving Behavior

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Mental health, as assessed by psychological distress, is associated with retirement saving behavior, according to a report published online Aug. 29 in Health Economics.

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Freestanding ERs More Likely in Areas With Higher Incomes

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Freestanding emergency departments (EDs) tend to be located in areas with significantly higher household incomes, according to a study published in the October issue of Health Affairs.

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Increase in Growth Rate of Nurses Set to Drop to 1.3 Percent

FRIDAY, Oct. 13, 2017 (HealthDay News) -- The annual per capita growth rate in the nursing workforce is expected to decrease to 1.3 percent from 2015 to 2030, according to a study published in the October issue of Health Affairs.

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U.S. Filipinos Have Higher Thyroid Cancer Mortality

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Filipinos die of thyroid cancer at higher rates than non-Filipino Asian (NFA) and non-Hispanic white (NHW) individuals of similar ages, according to a study published online Sept. 7 in Cancer.

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New Framework Guides Tx Decisions for Atopic Dermatitis

FRIDAY, Oct. 13, 2017 (HealthDay News) -- A new framework is available to help clinicians determine when systemic therapy is appropriate for treatment of atopic dermatitis (AD), according to a consensus statement published in the October issue of the Journal of the American Academy of Dermatology.

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Quality Issues for Both Paper-, Electronic-Based Health Records

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Both paper-based and electronic health records (EHRs) have shortcomings in terms of quality of content, process, and structure, with poor quality of nursing documentation seen for both methods, according to a study published online Oct. 5 in the Journal of Clinical Nursing.

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Ride-Sharing Services Could Cut Alcohol-Related Crashes

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Ride-sharing services may reduce the rate of motor vehicle crashes, particularly alcohol-involved crashes, in some cities, according to a study published online Oct. 4 in the American Journal of Epidemiology.

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Guidelines Needed for 6MWT in Idiopathic Pulmonary Fibrosis

FRIDAY, Oct. 13, 2017 (HealthDay News) -- The six-minute walk test (6MWT) is increasingly being used for patients with idiopathic pulmonary fibrosis (IPF), and guidelines are needed for its implementation in this population, according to a report published online Sept. 21 in the Annals of the American Thoracic Society.

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Liraglutide Not Tied to Higher Risk of Cardiovascular Events

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Liraglutide treatment for weight management is not associated with increased risk of cardiovascular events, according to a study published online Sept. 26 in Diabetes, Obesity and Metabolism.

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Across U.S., Wide Variation Seen in Thyroidectomy Rates

THURSDAY, Oct. 12, 2017 (HealthDay News) -- There is wide variation in thyroidectomy rates among Medicare beneficiaries nationally, suggesting widely divergent local practice patterns for the management of thyroid nodules and cancer, according to a study published online Oct. 12 in JAMA Otolaryngology -- Head & Neck Surgery.

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Court Considering Fate of Noneconomic Damages Cap

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The Wisconsin Supreme Court is considering whether it will hear a case that will determine the fate of the state's $750,000 cap on noneconomic damages, according to an article published by the American Medical Association (AMA).

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Six-Month Tai Chi Program Improves Physical Activity in CHD

THURSDAY, Oct. 12, 2017 (HealthDay News) -- A six-month tai chi program is safe and improves physical activity (PA), weight, and quality of life for patients with coronary heart disease who decline to enroll in cardiac rehabilitation, according to a study published online Oct. 11 in the Journal of the American Heart Association.

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2004 to 2014 Saw Increases in Risk Factors in Ischemic Stroke

THURSDAY, Oct. 12, 2017 (HealthDay News) -- From 2004 to 2014 there were increases in the prevalence of hypertension, diabetes, dyslipidemia, smoking, and drug abuse in acute ischemic stroke (AIS), according to a study published online Oct. 11 in Neurology.

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Eczema Health Care Use Down for Non-Hispanic Black Children

THURSDAY, Oct. 12, 2017 (HealthDay News) -- Non-Hispanic black children have lower health care utilization for eczema, according to a study published online Sept. 27 in the Journal of the American Academy of Dermatology.

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Low-Cost Services a Major Player in Unnecessary Health Spending

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The costs associated with low-cost, low-value health services are nearly twice as high as those of high-cost, low-value services, according to a study published in the October issue of Health Affairs.

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Primary, Pulmonary Providers Endorse Lung CA Screening

THURSDAY, Oct. 12, 2017 (HealthDay News) -- Primary care clinicians and pulmonologists endorse lung cancer screening (LCS), but there are limitations in their knowledge of screening components, according to a study published online Sept. 21 in the Annals of the American Thoracic Society.

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30-Day Mortality Lower With Female Surgeons

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Patients treated by female surgeons have a small but significant decrease in 30-day mortality compared with patients treated by male surgeons, according to a study published online Oct. 10 in BMJ.

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Direct Primary Care May Fill Niche for Uninsured

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Direct primary care is a relatively new option that provides care for many Americans, including some who do not have health insurance, according to a report published by Kaiser Health News.

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Rising BMI Trends for Children Have Plateaued in Many Countries

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Rising trends in body mass index (BMI) for children and adolescents have plateaued in many high-income countries after rising for decades but have accelerated in some parts of Asia, according to a study published online Oct. 10 in The Lancet.

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Interventions Have No Long-Term Effect on Inappropriate Rx

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Inappropriate antibiotic prescribing for acute respiratory infections (ARIs) increases in the 12 months after removing behavioral interventions compared with control practices, according to a research letter published online Oct. 10 in the Journal of the American Medical Association.

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AAP Releases List of Often-Unnecessary Tests

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- As part of the Choosing Wisely campaign, the American Academy of Pediatrics (AAP) has released a new list of five tests and procedures commonly ordered for signs of early puberty, short height, and other endocrine-related disorders that parents and physicians should question.

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Statins Tied to Lower Community-Acquired Staph Infection Risk

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Statin use is associated with a decreased risk of community-acquired Staphylococcus aureus bacteremia (CA-SAB), particularly in long-term users, according to a study published in the October issue of Mayo Clinic Proceedings.

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Critical Care Nurses Should Be Prepared for Open Abdomen

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Critical care nurses need to be prepared to manage patients with open abdomen, according to a report published in the October issue of Critical Care Nurse.

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HPV Vaccination After Lesion Treatment Is Likely Cost-Effective

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- For HIV-infected men who have sex with men (MSM), adjuvant quadrivalent human papillomavirus vaccination (qHPV) after treatment of high-grade squamous intraepithelial lesions (HSIL) is likely to be cost-effective, according to a study published online Sept. 12 in Vaccine.

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Educational Intervention in Hospital Can Cut Catheter Use

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- A simple multimodal educational intervention targeting nurses and physicians can reduce mean catheter days per patient (CDPP) and the proportion of patients catheterized, according to a study published online Sept. 23 in the Journal of the American Geriatrics Society.

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Crisaborole Safe for Long-Term Treatment of Atopic Dermatitis

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Crisaborole ointment appears to be safe for the long-term treatment of atopic dermatitis (AD), according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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New Tool IDs Mortality Risk After Bladder Cancer Surgery

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- A new risk-stratification tool is able to estimate mortality in patients with urothelial carcinoma of the bladder (UCB) after cystectomy, according to a study published online Sept. 7 in Cancer.

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Autoimmunities for T1D, Celiac Co-Occur More Than Expected

TUESDAY, Oct. 10, 2017 (HealthDay News) -- Co-occurrence of type 1 diabetes (T1D) and celiac disease (CD) autoimmunities significantly exceeds the expected rate, according to a study published online Oct. 10 in Pediatrics.

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USPSTF Recommends Counseling Youth on Sun Protection Behavior

TUESDAY, Oct. 10, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that fair-skinned individuals aged 6 months to 24 years and parents of young children be counseled regarding skin protection behaviors, while for adults over age 24 years, clinicians should consider the individual's risk of skin cancer before providing counseling. These findings form the basis of a draft recommendation statement published online Oct. 10 by the USPSTF.

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Biomarkers of Ovarian Reserve Don't Indicate Infertility

TUESDAY, Oct. 10, 2017 (HealthDay News) -- Biomarkers indicating diminished ovarian reserve versus normal ovarian reserve are not associated with reduced fertility among women aged 30 to 44 years without a history of infertility who have been trying to conceive for three months or less, according to a study published online Oct. 10 in the Journal of the American Medical Association.

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Better Glycemic Control With Insulin Pump for Youth With T1D

TUESDAY, Oct. 10, 2017 (HealthDay News) -- For young patients with type 1 diabetes, insulin pump therapy is associated with lower risks of severe hypoglycemia and diabetic ketoacidosis and better glycemic control than insulin injection therapy, according to a study published online Oct. 10 in the Journal of the American Medical Association.

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2HELPS2B Model Identifies Seizure Risk in Critically Ill

TUESDAY, Oct. 10, 2017 (HealthDay News) -- For critically ill patients, a model comprising six variables can identify the probability of seizure, according to a study published online Oct. 9 in JAMA Neurology.

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Pediatric Physicians Should Revisit Approaches to Marijuana

TUESDAY, Oct. 10, 2017 (HealthDay News) -- In light of the changing legal status of marijuana, physicians should provide counseling on its effects to adolescents, according to an opinion article published online Oct. 9 in JAMA Pediatrics.

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Medicare Coverage Restrictions for Opioids Rose From '06 to '15

TUESDAY, Oct. 10, 2017 (HealthDay News) -- In an effort to restrict daily allowable prescribed dosing of prescription opioids, Medicare Part D formularies increasingly used quantity limits and prior authorization from 2006 to 2015, according to a research report published online Oct. 9 in the Annals of Internal Medicine.

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Dietary Fat, Relapse Linked in Pediatric Multiple Sclerosis

TUESDAY, Oct. 10, 2017 (HealthDay News) -- For children with multiple sclerosis, increased fat intake is associated with an increased risk of relapse, while vegetable intake may be protective, according to a study published online Oct. 9 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Novel Metrics Suggested for Assessing EHR Use

TUESDAY, Oct. 10, 2017 (HealthDay News) -- Novel metrics have been developed to assess electronic health record (EHR) use and are described in an opinion article published online Oct. 9 in the Annals of Internal Medicine.

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3MR Intervention Effective for Discontinuing Inappropriate Meds

TUESDAY, Oct. 10, 2017 (HealthDay News) -- The Multidisciplinary Multistep Medication Review (3MR) is effective for discontinuation of inappropriate medication among elderly nursing home residents without a decline in their well-being, according to a study published online Oct. 9 in the Annals of Internal Medicine.

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Patient, Provider Interventions May Up Colonoscopy Rates

TUESDAY, Oct. 10, 2017 (HealthDay News) -- For asymptomatic adults with positive fecal blood test results, patient navigators and provider reminders or performance data may help improve colonoscopy rates; however, current evidence about useful system-level interventions is insufficient, according to a review published online Oct. 9 in the Annals of Internal Medicine.

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Antibiotic Use Not Linked to Islet, Celiac Disease Autoimmunity

MONDAY, Oct. 9, 2017 (HealthDay News) -- Use of antibiotics in early life is not associated with islet or celiac disease (CD) autoimmunity in children at risk for type 1 diabetes (T1D) or CD, according to a study published online Oct. 9 in JAMA Pediatrics.

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Adding Albumin to Risk Score Improves Mortality Prediction

MONDAY, Oct. 9, 2017 (HealthDay News) -- Serum albumin, as a marker of frailty, can significantly improve the ability of the Society of Thoracic Surgeons (STS) and European System for Cardiac Operative Risk Evaluation (EuroSCORE-2) scores to predict transcatheter aortic valve replacement (TAVR)-related mortality, according to a study published online Sept. 23 in the Journal of the American Geriatrics Society.

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Injured Patients Want More Info on Safety Improvement Efforts

MONDAY, Oct. 9, 2017 (HealthDay News) -- Communication-and-resolution program (CRP) experiences are positive overall for a small majority of patients and families, but they report that hospitals rarely share information about preventing recurrences, according to a study published online Oct. 9 in JAMA Internal Medicine.

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Human Adenovirus Surveillance Data IDs Type Patterns

MONDAY, Oct. 9, 2017 (HealthDay News) -- Human adenovirus (HAdV) surveillance data can be used to determine patterns of circulation for individual HAdV types in the United States and to help with the recognition of outbreaks, according to a study published online Oct. 5 in Morbidity and Mortality Weekly Report.

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New Online Tool Aids Search for Alcohol Treatment

MONDAY, Oct. 9, 2017 (HealthDay News) -- The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has released a new online resource to help people recognize and find high-quality care for alcohol use disorder.

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Sizable Number of HIV-Infected Children Not Receiving Care

MONDAY, Oct. 10, 2017 (HealthDay News) -- A substantial proportion of children with diagnosed HIV infection might not be receiving the recommended frequency of medical care, according to a study published online Oct. 5 in Morbidity and Mortality Weekly Report.

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Antisocial Behavior May Be Highly Polygenic

MONDAY, Oct. 9, 2017 (HealthDay News) -- Antisocial behavior (ASB) may be highly polygenic, with sex-discordant associations identified for some loci, according to a study published online Oct. 4 in JAMA Psychiatry.

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Rate of Adverse Effects for Dapagliflozin Similar to Placebo

MONDAY, Oct. 9, 2017 (HealthDay News) -- The overall incidence of adverse effects (AEs) and serious AEs (SAEs) is similar in patients with type 2 diabetes mellitus taking dapagliflozin or placebo, according to a study published online Sept. 26 in Diabetes, Obesity and Metabolism.

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3-D Ultrasound IDs Late-Onset Fetal Growth Restriction

MONDAY, Oct. 9, 2017 (HealthDay News) -- Fractional thigh volume measurements improve detection of late-onset fetal growth restriction, compared to two-dimensional biometry, according to a study published in the October issue of the American Journal of Obstetrics & Gynecology.

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Vitamin K-1 Intake Tied to Heart Structure, Function in Teens

MONDAY, Oct. 9, 2017 (HealthDay News) -- For adolescents, phylloquinone (vitamin K-1) intake is associated with left ventricular (LV) structure and function, according to a study published in the October issue of The Journal of Nutrition.

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Michigan Woman Gets Jail Time for Refusing to Vaccinate Son

FRIDAY, Oct. 6, 2017 (HealthDay News) -- A Michigan woman who defied a court order and refused to have her son vaccinated has received a prison sentence.

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Reduction Mammaplasty Linked to Improved HRQoL in Teens

FRIDAY, Oct. 6, 2017 (HealthDay News) -- For adolescents with macromastia, reduction mammaplasty is associated with significant improvements in health-related quality of life and breast-related symptoms, according to a study published online Oct. 6 in Pediatrics.

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Short-Lived Benefits for Abusive Supervisory Behavior

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Engaging in abusive supervisory behavior may be associated with short-term beneficial effects, but over longer periods of time, abusive supervisory behavior is negatively related to supervisors' recovery level and engagement, according to a study published online Sept. 11 in the Academy of Management Journal.

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Electrolyte Issues With Chronic Alcohol Use Span Social Spectrum

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Electrolyte disturbances and acid-base disorders are common occurrences in patients with chronic alcohol-use disorder regardless of social circumstances, according to a review published online Oct. 4 in the New England Journal of Medicine.

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No Change in Flu Shot Rates for Children From '15-16 to '16-17

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Children who received an injectable influenza vaccine (IIV) in 2015-2016 were only slightly more likely than those receiving live attenuated influenza vaccine (LAIV) to return the following season for an IIV, according to a study published online Oct. 6 in Pediatrics.

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Pay for Performance Cuts Mortality in Diabetes Patients

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Diabetes disease management through a pay-for-performance (P4P) program cuts diabetes-related, cancer-related, and all-cause mortality, according to a Taiwanese study published online Oct. 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Stronger Nocebo Effect When Inert Rx Labeled As Expensive

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Nocebo hyperalgesia is stronger when an inert treatment is labeled as being an expensive medication rather than a cheap one, according to a study published online Oct. 5 in Science.

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Enrolling in Aerodigestive Clinic Cuts Children's Inpatient Days

FRIDAY, Oct. 6, 2017 (HealthDay News) -- For children with special health care needs, enrollment in a multidisciplinary aerodigestive clinic may improve health care outcomes, according to a study published online Oct. 5 in JAMA Otolaryngology -- Head & Neck Surgery.

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Most Cancer Drugs Approved in Europe Show No Survival Benefit

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Most cancer drugs that enter the market in Europe have no evidence of benefit for survival or quality of life, according to a study published online Oct. 4 in BMJ.

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Liver Cancer Remains a Major Public Health Burden Globally

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Causes of primary liver cancer differ widely among populations globally, but most cases can be prevented, according to a study published online Oct. 5 in JAMA Oncology.

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21 Percent of Americans Report Experiencing a Medical Error

THURSDAY, Oct. 5, 2017 (HealthDay News) -- More than one in five patients report having experienced a medical error, according to a survey released Sept. 28 by the Institute for Healthcare Improvement (IHI)/National Patient Safety Foundation Lucian Leape Institute and NORC at the University of Chicago.

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Medicare Paid $1.5 Billion to Replace Faulty Heart Devices

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Medicare paid at least $1.5 billion over a decade to replace seven types of defective heart devices that apparently failed for thousands of patients, according to an article published Oct. 2 in The New York Times.

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Mid-Adulthood HTN Tied to Higher Dementia Risk in Women

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Mid-adulthood hypertension is associated with increased risk of dementia among women but not men, according to a study published online Oct. 4 in Neurology.

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Night Shift Tied to Increased Odds of Abdominal Obesity

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Night shift workers have increased odds of obesity/overweight, especially abdominal obesity, according to a meta-analysis published online Oct. 4 in Obesity Reviews.

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Delivery Characteristics Predict Early-Onset Sepsis Risk

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Delivery characteristics of extremely preterm infants can be used to identify those with significantly lower incidence of early-onset sepsis (EOS), according to a study published online Oct. 5 in Pediatrics.

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Post-MI, One in Four Detached From Employment After 1 Year

THURSDAY, Oct. 5, 2017 (HealthDay News) -- About one-quarter of adults discharged after first-time myocardial infarction (MI) are detached from employment after one year, according to a study published online Oct. 4 in the Journal of the American Heart Association.

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Maternal Multivitamin Use Tied to Lower Risk of Child ASD

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Multivitamin supplementation during pregnancy is tied to a reduced risk of autism spectrum disorder (ASD) with intellectual disability, according to a study published online Oct. 4 in BMJ.

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Health Literacy Linked to Length of Stay After Abdominal Surgery

THURSDAY, Oct. 5, 2017 (HealthDay News) -- For patients undergoing major abdominal surgery, lower health literacy levels are independently associated with longer index hospitalization length of stay, according to a study published online Oct. 4 in JAMA Surgery.

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Obesity Screening Recommended for Midlife Women

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Midlife women should be screened for overweight/obesity and offered appropriate education, treatment, and support, according to a review published online Oct. 2 in the Mayo Clinic Proceedings.

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Provider Advice Impacts Breast Cancer Prevention Decisions

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- For patients at high risk for breast cancer, health care provider (HCP) recommendation is the most important factor for deciding whether to use selective estrogen receptor modulators (SERMs), according to a study published online Oct. 4 in Cancer Prevention Research.

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Patient Factors Differ for Surgical, All-Cause Readmission

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- For patients undergoing total hip arthroplasty (THA), factors associated with 30-day readmission resulting in return to theater (RTT) include comorbidities likely to affect patient behavior, according to a study published online Oct. 4 in JAMA Surgery.

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Stepped Care Intervention Beneficial After Natural Disaster

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- A stepped care (SC) case-finding intervention is beneficial for individuals with post-traumatic stress disorder after a natural disaster, according to a study published online Oct. 4 in JAMA Psychiatry.

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Insurance Type Linked to Surgery Delay in Melanoma

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Patients diagnosed with melanoma are more likely to have treatment delays if they are nonwhite or on Medicaid, while delays are less likely for patients diagnosed or treated by a dermatologist, according to a study published online Oct. 4 in JAMA Dermatology.

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Rate of Obesity-, Overweight-Related Cancers High in the U.S.

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- The burden of overweight- and obesity-related cancer is high in the United States, and incidence has increased in some states and age groups, according to a study published online Oct. 3 in Morbidity and Mortality Weekly Report.

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Anticoagulants With Other Drugs Raise Bleeding Risk in AF

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Nonvalvular atrial fibrillation (AF) patients who take non-vitamin K oral anticoagulants (NOACs) along with certain other medications are at increased risk for major bleeding, and antithrombotic medications are significantly associated with increased rates of hematuria-related complications in older adults, according to two studies published online Oct. 3 in the Journal of the American Medical Association.

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LAMA Plus LABA Tied to Fewer Exacerbations in Stable COPD

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Treatment with long-acting muscarinic antagonists (LAMA) plus long-acting β-agonists (LABA) is associated with fewer exacerbation events in patients with chronic obstructive pulmonary disease (COPD), according to a clinical evidence synopsis published online Oct. 3 in the Journal of the American Medical Association.

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Smoking Cessation Support Less Likely for Cancer Patients

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- General practitioners are less likely to support cessation of smoking in patients with cancer than in those with coronary heart disease (CHD), according to a study published online Sept. 11 in the Annals of Family Medicine.

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ER Risk Score Predicts 30-Day Mortality in Acute Heart Failure

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- For patients with acute heart failure (AHF) admitted to the emergency department (ED), a risk score based on 13 independent risk factors can predict 30-day mortality, according to a study published online Oct. 2 in the Annals of Internal Medicine.

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Commercialization of Generics Impacts Adverse Event Rates

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Immediate or delayed differences in adverse event rates were seen after generic commercialization of three antihypertensive drugs, according to a study published online Oct. 3 in Circulation: Cardiovascular Quality and Outcomes.

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More U.S. Measles Cases From No Vaccine vs. Imported Disease

TUESDAY, Oct. 3, 2017 (HealthDay News) -- While measles incidence is extremely low in the United States, most cases that do occur happen in unvaccinated patients, according to a research letter published online Oct. 3 in the Journal of the American Medical Association.

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Overall Breast Cancer Incidence Up for Some in 2005-2014

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Overall breast cancer incidence rates increased among specific racial/ethnic groups from 2005 to 2014, although the overall death rates decreased from 1989 to 2015, according to a study published online Oct. 3 in CA: A Cancer Journal for Clinicians.

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Communication Program Doesn't Raise Hospital Liability Costs

TUESDAY, Oct. 3, 2017 (HealthDay News) -- A communication-and-resolution program, in which hospitals and liability insurers communicate with patients when adverse events occur, does not lead to higher liability costs, according to a study published online Oct. 2 in Health Affairs.

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Fewer Deaths Projected With Switch to Electronic Cigarettes

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Replacement of cigarettes with electronic cigarettes (e-cigarettes) is projected to result in fewer premature deaths, even under a pessimistic scenario, according to a study published online Oct. 2 in Tobacco Control.

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MI Incidence Down With CT Angiography in Suspected CAD

TUESDAY, Oct. 3, 2017 (HealthDay News) -- For patients with suspected coronary artery disease (CAD), coronary computed tomography angiography (CCTA) is associated with reduced incidence of myocardial infarction but no reduction in death or cardiac hospitalization versus functional stress testing, according to a review published online Oct. 2 in JAMA Internal Medicine.

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Staff Training Intervention Doesn't Impact Fall Prevention

TUESDAY, Oct. 3, 2017 (HealthDay News) -- An intervention targeting gaps in staff communication and coordination (complexity science-based staff training intervention [CONNECT]) does not improve the impact of an evidence-based falls quality improvement program (FALLS), according to a study published online Oct. 2 in JAMA Internal Medicine.

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Clinical Exome Sequencing Useful for Critically Ill Infants

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Clinical exome sequencing is an effective diagnostic tool for infants suspected of having monogenic disorders, according to a study published online Oct. 2 in JAMA Pediatrics.

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Sodium-Glucose Cotransporter 2 Inhibitors Not Cancer Risk Factor

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Over the short term there is not a significantly increased overall cancer risk among individuals with type 2 diabetes using sodium-glucose cotransporter 2 (SGLT2) inhibitors, according to a study published in the October issue of Diabetologia.

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Adding Surveillance to FIT Screening Cuts CRC Mortality

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Adding surveillance to fecal immunochemical test (FIT) screening reduces colorectal cancer (CRC) mortality and increases colonoscopy demand, according to a study published online Oct. 2 in the Annals of Internal Medicine.

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Hospital Discharges for Prescription Opioids Have Fallen

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Prescription opioid-related inpatient and emergency department (ED) discharges have decreased since 2010, while heroin-related discharges have increased sharply since 2008, according to a study published online Oct. 2 in Health Affairs.

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Patient With CAS of 50 Percent Should Not Undergo Screening

TUESDAY, Oct. 3, 2017 (HealthDay News) -- A vascular surgeon and primary care physician agree that an asymptomatic patient with cardiovascular risk and stenosis of 50 percent on screening carotid ultrasonography should not undergo carotid artery stenosis (CAS) screening, according to an article published online Oct. 2 in the Annals of Internal Medicine.

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Tattoo Pigment Hypersensitivity Can Mimic Lymphoma

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Tattoo pigment hypersensitivity causing widespread lymphadenopathy has been described in a case report published online Oct. 2 in the Annals of Internal Medicine.

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Regular Leisure-Time Exercise May Cut Incidence of Depression

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Regular leisure-time exercise of any intensity is associated with reduced incidence of future depression, according to a study published online Oct. 3 in The American Journal of Psychiatry.

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High Epsom Salt Intake Can Lead to Severe Liver Injury

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Epsom salt intake can lead to severe liver injury in predisposed patients, according to a case study published online Oct. 2 in BMJ Case Reports.

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Recent Immigrants to Canada More Likely to Die in ICU

MONDAY, Oct. 2, 2017 (HealthDay News) -- Recent immigrants to Canada are more likely to receive aggressive care and die in intensive care than long-standing residents, according to a study published online Oct. 2 in the Journal of the American Medical Association.

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Opioid Manufacturers to Provide Doctor Training

MONDAY, Oct. 2, 2017 (HealthDay News) -- In an effort to halt the ongoing opioid addiction crisis, U.S. regulators are requiring manufacturers to provide extensive training to doctors, according to a report published by the Associated Press.

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Vancomycin + Piperacillin/ Tazobactam Ups Kidney Risk

MONDAY, Oct. 2, 2017 (HealthDay News) -- For hospitalized children, coadministration of intravenous (IV) vancomycin and piperacillin/tazobactam is associated with increased risk of acute kidney injury (AKI), according to a study published online Oct. 2 in JAMA Pediatrics.

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Skipping Breakfast Tied to Increased Odds of Atherosclerosis

MONDAY, Oct. 2, 2017 (HealthDay News) -- Habitual skipping of breakfast is associated with increased likelihood of atherosclerosis independent of traditional and dietary cardiovascular (CV) risk factors, according to a study published online Oct. 2 in the Journal of the American College of Cardiology.

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Tdap Given in Pregnancy Protects Infants From Pertussis

MONDAY, Oct. 2, 2017 (HealthDay News) -- Tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination during the third trimester of pregnancy is effective for preventing pertussis in infants in the first months of life, according to a study published online Sept. 28 in Clinical Infectious Diseases.

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State Laws Can Promote Hepatitis C Virus Screening

MONDAY, Oct. 2, 2017 (HealthDay News) -- Mandating health care providers to offer hepatitis C virus (HCV) screening can increase screening rates and linkage to care among those with newly diagnosed infection, according to research published in the Sept. 29 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Liraglutide Tied to Significant Weight Loss in Obese

MONDAY, Oct. 2, 2017 (HealthDay News) -- Liraglutide significantly increases weight loss in obese patients, likely by slowing gastric emptying of solids, according to a pilot study published online Sept. 25 in The Lancet Gastroenterology & Hepatology.

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Odds of Emergency Care Up for Youth With Justice Involvement

MONDAY, Oct. 2, 2017 (HealthDay News) -- Youth with justice involvement are more likely to have used an emergency department (ED) or emergency service, according to two studies published online Oct. 2 in Pediatrics.

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High Coffee Intake Tied to Lower Mortality in HIV/HCV

MONDAY, Oct. 2, 2017 (HealthDay News) -- Drinking three or more cups of coffee per day halves all-cause mortality risk in patients co-infected with HIV/hepatitis C virus (HCV), according to a study published online Sept. 21 in the Journal of Hepatology.

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Hirsutism Strongly Predicts Metabolic Dysfunction in PCOS

MONDAY, Oct. 2, 2017 (HealthDay News) -- There is a strong correlation between hirsutism and metabolic dysfunction in women with polycystic ovary syndrome (PCOS), according to a study published online Sept. 21 in the Journal of Cosmetic Dermatology.

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Legal Cannabis Use Common Among Cancer Patients

MONDAY, Oct. 2, 2017 (HealthDay News) -- In Washington state, where cannabis is legal, cancer patients have high rates of active use, and they report that legalization was an important factor in their decision to use, according to a study published online Sept. 25 in Cancer.

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Electronic Triage System Risk-Stratifies ER Patients

MONDAY, Oct. 2, 2017 (HealthDay News) -- An electronic triage (e-triage) system based on machine learning can predict the likelihood of acute outcomes, enabling improved patient differentiation, according to a study published online Sept. 6 in the Annals of Emergency Medicine.

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