September 2015 Briefing - Internal Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for September 2015. 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.

Gene Variant May Boost Effect of Higher-Protein Diet in T2DM

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Patients with type 2 diabetes may benefit from a higher-protein diet, but it may depend on whether or not they have a particular gene related to vitamin D metabolism, new research suggests. The study was published online Sept. 29 in Diabetologia.

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More Support for High-Fiber, Mediterranean Diet

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Numerous studies have extolled the health benefits of the Mediterranean diet. Now, research suggests the regimen may also increase levels of beneficial short-chain fatty acids (SCFAs). The findings were published online Sept. 29 in Gut.

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CDC: Injuries Cost $671 Billion in the United States in 2013

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Injuries from accidents and violence cost the United States $671 billion in 2013, with men accounting for far more of those costs than women, federal health officials reported Wednesday. The findings were published in the Oct. 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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New Classification Criteria Developed for Gout

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- New classification criteria have been developed with high specificity and sensitivity for gout, according to an article published in the October issue of Arthritis & Rheumatology.

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Negative Spiritual Belief Linked to Worse Health Outcomes

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Any degree of negative spiritual belief is associated with worse health outcomes, regardless of positive spiritual beliefs, according to a study published in the Journal of Spirituality in Mental Health.

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Nomogram Predicts Death, Recurrence With Thyroid Cancer

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- A new nomogram has excellent discriminatory ability and accuracy in predicting 10-year disease-specific death and recurrence for papillary thyroid carcinoma (PTC), according to a study published online Sept. 2 in Head & Neck.

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Angioedema Induced by New Classes of Drugs

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Two newer classes of drugs, dipeptidyl peptidase IV (DPP IV) and neprilysin inhibitors, can induce angioedema, according to research published in the October issue of Allergy.

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Calcium Supplements May Not Benefit Bone Health

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Extra calcium may not protect aging bones after all. The findings appear online in two reviews published online Sept. 29 in The BMJ.

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Nocturnal Hypoglycemia Linked to Reduced Awakening Response

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Nocturnal hypoglycemia is associated with reduced awakening response, according to a study published online Sept. 25 in Diabetes Care.

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Adjuvant Aripiprazole Beneficial in Tx-Resistant Depression

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Adjuvant aripiprazole is associated with achievement of remission among older adults with treatment-resistant depression, according to a study published online Sept. 27 in The Lancet.

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Long Duration Dual Antiplatelet Treatment Increases Bleeding

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Routine use of dual antiplatelet therapy (DAPT) beyond six months after second generation drug-eluting stent (DES) implantation yields mixed clinical results, according to a review published in the October issue of Cardiovascular Therapeutics.

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Medical Costs Increasing for Smokers Who Develop PAD

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Smoking significantly increases medical costs among patients with peripheral artery disease (PAD), a new study suggests. The findings were published in the Oct. 6 issue of the Journal of the American College of Cardiology.

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Vasectomy Not Tied to Decrease in Sexual Frequency

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Vasectomy is not associated with decreased sexual frequency, according to a study published in the September issue of the Journal of Sexual Medicine.

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Review: Sweetened Drinks May Affect Cardiovascular Health

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Soft drinks and other sugar-sweetened beverages can seriously damage cardiovascular health, a new review finds. The report was published in the Oct. 6 issue of the Journal of the American College of Cardiology.

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ACP Issues Advice for Assessing Patients With Suspected PE

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Best practice advice on diagnosis of suspected pulmonary embolism (PE) is provided for clinicians in clinical guidelines from the American College of Physicians (ACP). The guidelines were published online Sept. 29 in the Annals of Internal Medicine.

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Legal Cases for Soft-Tissue Fillers Mainly Involve Physicians

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Legal cases relating to soft-tissue filler most often involve physicians, frequently relating to a non-physician performing the procedure, according to a research letter published in the October issue of the Journal of the American Academy of Dermatology.

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Many Pulmonologists Under-, Over-Screen With LDCT

MONDAY, Sept. 28, 2015 (HealthDay News) -- Almost half of pulmonologists have a propensity for over- or under-use of low-dose computed tomography (LDCT) screening for lung cancer, according to a study published online Sept. 14 in the Annals of the American Thoracic Society.

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Low Risk of Stroke After Peripheral Vestibular Disorder

MONDAY, Sept. 28, 2015 (HealthDay News) -- The risk of stroke is low following emergency department discharge with a diagnosis of peripheral vestibular disorder; however, some strokes are being misdiagnosed as peripheral vestibular disorders, according to a study published online Sept. 18 in the Annals of Neurology.

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Overweight, Obesity Increase Risk of Carpal Tunnel Syndrome

MONDAY, Sept. 28, 2015 (HealthDay News) -- Overweight and obesity are associated with increased risk of carpal tunnel syndrome (CTS), according to a meta-analysis published online Sept. 23 in Obesity Reviews.

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Intermediate Care Billing Rose From 1996 to 2010

MONDAY, Sept. 28, 2015 (HealthDay News) -- From 1996 to 2010 there was a significant increase in intermediate care billing, according to a study published online Sept. 15 in the American Journal of Respiratory and Critical Care Medicine.

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Dietary Nitrates Boost Muscle Power in Heart Failure Patients

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Beetroot juice, with its high concentration of nitrates, may help boost muscle strength among heart failure patients, according to a study published recently in Circulation: Heart Failure.

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Fidgeting Offers Health Benefits to Sedentary Women

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Women who sit for long periods of time but are either moderately or very fidgety have a mortality risk similar to that seen in more active women, according to research published online Sept. 23 in the American Journal of Preventive Medicine.

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Guideline Developed for Supraventricular Tachycardia

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Recommendations have been developed for the management of adult patients with supraventricular tachycardia (SVT). The guideline was published online Sept. 23 in the Journal of the American College of Cardiology.

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Moderate, More Severe Hearing Impairment Linked to Mortality

FRIDAY, Sept. 25, 2015 (HealthDay News) -- For older adults with hearing impairment (HI), moderate or more severe impairment is associated with mortality in an age-adjusted model, according to a research letter published online Sept. 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Low D-Dimer Cut-Off Appears to Help Prevent Recurrent Events

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Low cut-off levels used in the D-Dimer-Ultrasonography in Combination Italian Study (DULCIS) resulted in half the recurrent venous thromboembolism (VTE) events that would have occurred using other criteria in young patients at high risk, according to research published online Sept. 12 in the International Journal of Laboratory Hematology.

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Sleep Quality Improved in Seniors With Access to Natural Spaces

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Seniors and men sleep more soundly if they have access to natural surroundings, such as beaches or parks, according to a study published in the September issue of Preventive Medicine.

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No Specific Findings to ID Recurrence in Head and Neck CA

FRIDAY, Sept. 25, 2015 (HealthDay News) -- For patients treated for head and neck squamous cell carcinoma (HNSCC), no definite index of symptoms or signs indicates local recurrence or second primary malignancy, according to a study published online Sept. 2 in Head & Neck.

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CDC Estimates HIV Prevalence in U.S. Adults From '07 to '12

THURSDAY, Sept. 24, 2015 (HealthDay News) -- The estimated prevalence of HIV is 0.39 percent among U.S adults, according to a study published online Sept. 24 in the National Health Statistics Reports published by the U.S. Centers for Disease Control and Prevention.

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Sleep-Time Ambulatory BP Predicts New-Onset Diabetes

THURSDAY, Sept. 24, 2015 (HealthDay News) -- Sleep-time ambulatory blood pressure (ABP) predicts new-onset diabetes, and ingestion of hypertension medications at bedtime is associated with reduced risk of new-onset diabetes, according to two studies published online Sept. 23 in Diabetologia.

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Orthostatic Hypotension Could Signal Neurological Disease

THURSDAY, Sept. 24, 2015 (HealthDay News) -- Orthostatic hypotension (OH) may be an early warning sign of a serious neurological disease and an increased risk of premature death, according to research published online Sept. 23 in Neurology.

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No Link for Coffee Consumption and Atrial Fibrillation

THURSDAY, Sept. 24, 2015 (HealthDay News) -- New research suggests that drinking coffee doesn't seem to up the odds of atrial fibrillation. The findings were published online Sept. 23 in BMC Medicine.

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Adding Benign Breast Dz to Risk Model May Boost Preventive Care

THURSDAY, Sept. 24, 2015 (HealthDay News) -- Greater numbers of high-risk women eligible for primary prevention of breast cancer are identified by incorporating benign breast disease (BBD) diagnoses into the Breast Cancer Surveillance Consortium (BCSC) risk model, according to a study published online Aug. 17 in the Journal of Clinical Oncology.

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SSRIs Recommended As First Treatment Choice for PMDD

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Antidepressants are the first treatment choice for premenstrual dysphoric disorder (PMDD), according to a new research review published in the September issue of the Journal of Psychiatric Practice.

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Not All Trans Fats Appear to Be Created Equal for Heart Risk

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new study suggests that not all trans fats are equal, and some might even be beneficial. The findings were published online Sept. 22 in the European Heart Journal.

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Review Links Obesity to Increased Thyroid Cancer Risk

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Obesity is associated with increased risk of thyroid cancer, according to a review published online Sept. 14 in Obesity Reviews.

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Rosacea Linked to Various Comorbid Conditions

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Rosacea is associated with various comorbid conditions, including, but not limited to, allergies, respiratory diseases, and gastrointestinal diseases, according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010, a Kaiser Family Foundation report says.

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Shorter Antibiotic Prophylaxis Doesn't Raise Infection Rates

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Compliance with American Urological Association (AUA) guidelines for shorter antibiotic prophylaxis does not result in higher rates of infection among patients undergoing percutaneous nephrolithotomy, according to a study published in the October issue of The Journal of Urology.

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Mediterranean Diet May Protect Against Diabetic Retinopathy

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- The Mediterranean diet (MedDiet) may protect against diabetic retinopathy, according to a study published online Sept. 13 in Diabetes Care.

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CPAP in OSA Linked to Beneficial Activity in Brain Stem

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Continuous positive airway pressure (CPAP) treatment can lead to brain stem activity changes associated with restored sympathetic drive in patients with obstructive sleep apnea (OSA), according to a small study published in the Aug. 1 issue of the Journal of Neurophysiology.

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Regular Text Messages Could Help Patients With CHD

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Regular text message reminders can help people with coronary heart disease (CHD) adhere to a healthier lifestyle, according to research published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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ICU for Pneumonia in Elderly Ups Survival, Not Costs

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Admitting older, low-risk patients with pneumonia to the intensive care unit (ICU) -- compared with admission to regular wards -- is linked with higher survival rates but not higher medical expenses, new research suggests. The study was published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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Combo Drug May Calm Agitation in Alzheimer's Patients

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A drug that combines dextromethorphan with quinidine might offer a safer option for calming the agitation that commonly affects people with Alzheimer's disease, researchers report in the Sept. 22/29 issue of the Journal of the American Medical Association.

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IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

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Radiation Tx Impact Varies With Comorbidity in Prostate Cancer

TUESDAY, Sept. 22, 2015 (HealthDay News) -- For men with unfavorable-risk prostate cancer, the impact of radiotherapy (RT) versus RT plus androgen deprivation therapy (ADT) varies with comorbidity, according to a research letter published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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DNR Orders After In-Hospital Cardiac Arrest Tied to Survival

TUESDAY, Sept. 22, 2015 (HealthDay News) -- For patients who receive successful resuscitation from in-hospital cardiac arrest, do-not-resuscitate (DNR) orders are generally associated with likelihood of favorable neurological survival, according to a study published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

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Sexual Activity Doesn't Seem to Trigger Repeat MI Events

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many myocardial infarction (MI) survivors are concerned that too much physical activity could trigger a repeat event. But after reviewing data collected on 536 heart disease patients between the ages of 30 and 70, researchers found sexual activity requires about the same amount of exertion as climbing two flights of stairs or taking a brisk walk. The research letter was published in the Sept. 29 issue of the Journal of the American College of Cardiology.

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Lower Beta-Blocker Dose May Boost Survival After MI

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Patients treated with low-dose beta-blockers after myocardial infarction may fare better than those given the standard dose, according to a study published in the Sept. 29 issue of the Journal of the American College of Cardiology.

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T2DM Risk With Weight Gain Higher in Younger Adults

TUESDAY, Sept. 22, 2015 (HealthDay News) -- The risk of developing diabetes is higher in younger adults versus middle-aged adults despite the same duration and degree of weight gain, according to research published online Sept. 10 in Diabetes Care.

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Harms From Unnecessary Abx Extend Beyond Resistance

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Use of antibiotics in patients with heart failure exacerbation in the absence of compelling evidence of infection is unnecessary and potentially harmful, according to teachable moment piece published online Sept. 21 in JAMA Internal Medicine.

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USPSTF Urges Doctors to Ask Adults About Tobacco Use

TUESDAY, Sept. 22, 2015 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians ask adults, including pregnant women, about tobacco use and provide interventions to help stop smoking. These findings form the basis of a clinical guideline published online Sept. 22 in the Annals of Internal Medicine.

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Leukotriene Receptor Antagonist Monotherapy Ups Asthma Control

TUESDAY, Sept. 22, 2015 (HealthDay News) -- As monotherapy, leukotriene-receptor antagonists (LTRAs) improve asthma control versus placebo, according to a review and meta-analysis published online Sept. 22 in the Annals of Internal Medicine.

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Low Risk of Stroke From Progression to Carotid Occlusion

TUESDAY, Sept. 22, 2015 (HealthDay News) -- For patients with asymptomatic carotid stenosis, the risk of stroke from progression to carotid occlusion is low, according to research published online Sept. 21 in JAMA Neurology.

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More Than 30 Percent of Adults Are Obese in the United States

TUESDAY, Sept. 22, 2015 (HealthDay News) -- In 2014, obesity rates increased in Kansas, Minnesota, New Mexico, Ohio, and Utah, according to a report released Monday from the Trust for America's Health and the Robert Wood Johnson Foundation.

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Atrial Fibrillation Linked to Increased Risk of Dementia

MONDAY, Sept. 21, 2015 (HealthDay News) -- Atrial fibrillation (AF) is associated with increased risk of dementia, according to a study published online Sept. 21 in JAMA Neurology.

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Accountable Care Organizations Can Cut Low-Value Service Use

MONDAY, Sept. 21, 2015 (HealthDay News) -- The Pioneer accountable care organization (ACO) program correlated with reductions in low-value services during its first year, according to a study published online Sept. 21 in JAMA Internal Medicine.

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Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) -- Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

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Dextromethorphan + Sitagliptin Promising in Type 2 Diabetes

MONDAY, Sept. 21, 2015 (HealthDay News) -- Dextromethorphan combined with sitagliptin shows potential for treatment of type 2 diabetes mellitus, according to a study published online Sept. 12 in Diabetes, Obesity and Metabolism.

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Researchers Find 96 Percent of Deceased NFL Players Had CTE

MONDAY, Sept. 21, 2015 (HealthDay News) -- The latest data from a brain bank that focuses on traumatic head injury show that 87 of 91 deceased former National Football League (NFL) players tested positive for chronic traumatic encephalopathy (CTE).

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Cholecalciferol May Help Reduce BMD Loss After Bariatric Surgery

MONDAY, Sept. 21, 2015 (HealthDay News) -- An intervention including cholecalciferol, protein supplementation, and physical exercise reduces bone mineral density loss after bariatric surgery, according to a study published online Sept. 9 in the Journal of Bone and Mineral Research.

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Proper Diagnosis Is Key in Managing Chronic Migraine

MONDAY, Sept. 21, 2015 (HealthDay News) -- Effective management of chronic migraine starts with proper diagnosis of this subtype of migraine, according to guidelines published in the September issue of Pain Practice.

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Medicaid, Non-Home Discharge Tied to Longer Hospital Stays

MONDAY, Sept. 21, 2015 (HealthDay News) -- Prolonged hospital length of stay (LOS) is more likely among patients who are Medicaid enrollees with complex hospital stays who were not discharged home, according to a study published in the September issue of the Journal of Hospital Medicine.

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Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

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Tai Chi Aids Physical Performance in Chronic Conditions

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Tai chi has a favorable effect on physical performance in four chronic conditions, according to a review and meta-analysis published online Sept. 17 in the British Journal of Sports Medicine.

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2012 Office Visits 57% Higher for Women than Men, Ages 1864

FRIDAY, Sept. 18, 2015 (HealthDay News) -- In 2012 there were an estimated 301 physician office visits per 100 persons, with higher rates for females and adults aged 65 years and older, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

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CDC Resource Set to Improve Nursing Home Antibiotic Use

FRIDAY, Sept. 18, 2015 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has released a new resource: Core Elements of Antibiotic Stewardship for Nursing Homes, which has been developed to guide improvement in antibiotic prescribing practices in nursing homes.

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Financial Toxicity Rife Among Patients With Multiple Myeloma

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Insured patients with multiple myeloma frequently report financial toxicity and use of coping mechanisms, according to a study published online Sept. 16 in The Lancet Haematology.

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EHR Triggers Cut Time to Diagnostic Cancer Evaluation

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Electronic health record-based triggers may cut time to diagnostic evaluation of colorectal and prostate cancer, according to a study published online Aug. 24 in the Journal of Clinical Oncology.

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Millions of Premature Deaths Tied to Air Pollution

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Outdoor air pollution leads to more than 3 million premature deaths per year, primarily in Asia, according to a letter published online Sept. 16 in Nature.

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Meta-Analysis Links Adiposity to Increased Risk of Meningioma

THURSDAY, Sept. 17, 2015 (HealthDay News) -- Adiposity is associated with an increased risk of meningioma but not glioma, according to a meta-analysis published online Sept. 16 in Neurology.

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PCPs Report Mixed Feelings About Recent Health Care Changes

THURSDAY, Sept. 17, 2015 (HealthDay News) -- Primary care providers have mixed feelings about recent changes in health care, according to a study published by the Commonwealth Fund and the Kaiser Family Foundation.

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Paroxetine Deemed Ineffective, Unsafe for Depressed Teens

THURSDAY, Sept. 17, 2015 (HealthDay News) -- In the first trial reanalyzed under the Restoring Invisible and Abandoned Trials (RIAT) initiative, the results contradict the original research findings that reported paroxetine to be a safe and effective treatment for major depression in adolescents. The new research was published online Sept. 16 in The BMJ.

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Panel Develops Criteria for Appropriate Use of PICCs

THURSDAY, Sept. 17, 2015 (HealthDay News) -- An expert panel has developed the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC), according to research published in the Sept. 15 issue of the Annals of Internal Medicine.

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Ipsilateral Breast Event Risk Higher Over Time With DCIS

THURSDAY, Sept. 17, 2015 (HealthDay News) -- The risks of developing an ipsilateral breast event (IBE) and an invasive IBE increased over time for patients with ductal carcinoma in situ (DCIS) who were selected on the basis of favorable clinical and pathologic characteristics for surgical excision without radiation, according to a study published online Sept. 14 in the Journal of Clinical Oncology.

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Metabolic Syndrome Common in Young Women With Lupus

THURSDAY, Sept. 17, 2015 (HealthDay News) -- Metabolic syndrome is common in young, premenopausal women with systemic lupus erythematosus (SLE), and chloroquine appears to protect against metabolic syndrome in these women, according to a study published online Aug. 26 in Arthritis Care & Research.

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Addition of Orlistat Benefits Obese Patients With T2DM

THURSDAY, Sept. 17, 2015 (HealthDay News) -- In overweight and obese patients with type 2 diabetes (T2D), treatment with orlistat in addition to lifestyle modifications improves outcomes, according to research published online Sept. 8 in Obesity Reviews.

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Funding, Mentors Critical for Academic Rheumatology Careers

THURSDAY, Sept. 17, 2015 (HealthDay News) -- Funding and division/department support are ranked as critical factors in enabling rheumatologists to develop a career in academic research, according to a study published in the September issue of Arthritis Care & Research.

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Cancer Incidence, Mortality Lower Among Hispanics

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Hispanics have lower cancer incidence and death rates than non-Hispanic whites, according to a study published online Sept. 16 in CA: A Cancer Journal for Clinicians.

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Substantial Costs to Sustain Patient-Centered Medical Homes

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Costs of sustaining patient-centered medical homes (PCMHs) have been detailed in new research published in the September/October issue of the Annals of Family Medicine.

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Complex Chronic Diseases Appear to Drive Frequent Admissions

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Patients who are frequently admitted to U.S. academic medical centers are significantly more likely than other patients to have multiple complex chronic conditions, according to a study published in the September issue of the Journal of Hospital Medicine.

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Oncology Care Often Received at Multiple Hospitals

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Many patients receive surgical and medical oncology care from different hospitals, which is associated with higher costs, according to a study published in the Sept. 15 issue of Cancer.

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Voters Support More Federal Funding of Cancer Research

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Nearly three-fourths of American voters support increasing federal funding for cancer research, according to the results of a new national survey conducted on behalf of the American Association for Cancer Research (AACR), which simultaneously released its fifth annual Cancer Progress Report to highlight progress in cancer treatments and survival.

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FDA Orders Tobacco Company to Stop Sales of New Cigarettes

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has ordered the R.J. Reynolds Tobacco Co. to stop selling four new cigarette brands because submissions for these products did not meet requirements set forth in the Federal Food, Drug, and Cosmetic Act, according to an announcement issued Sept. 15 by the agency.

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Exercise Counters Fatigue-Related Mood Decline in Arthritis

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Physical activity counters the negative effect that fatigue can have on positive mood among adults with arthritis, according to a study published in the September issue of Arthritis Care & Research.

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Tai Chi Improves BP Control, Quality of Life in Older Adults

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Tai chi is effective in managing several hypertension-related risk factors in older adults, according to a study published in the October issue of The American Journal of Cardiology.

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Risk of Colorectal Polyps Tied to Blood Pressure Medications

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Blood pressure medications may raise the risk of colorectal polyps, according to a study published online Sept. 10 in the Journal of Digestive Diseases.

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Hospitalized Patients With CKD Often Unaware of It

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Hospitalized patients with chronic kidney disease (CKD) frequently are unaware of their condition, according to research published in the September issue of the Journal of Hospital Medicine.

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Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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Beta-Blockers Don't Mar Acute Variceal Bleeding Prognosis

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- For cirrhotic patients with acute variceal bleeding (AVB), being on non-selective beta-blockers (NSBB) is not a negative prognostic factor for short-term survival, according to a study published online Sept. 4 in Hepatology.

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Mortality Risk Up for Hip Surgery After Fracture Vs Elective THR

TUESDAY, Sept. 15, 2015 (HealthDay News) -- Patients undergoing surgery for hip fracture have a higher risk of mortality and major complications than those receiving an elective total hip replacement, according to research published online Sept. 15 in JAMA.

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H. pylori Linked to Increased Odds of Laryngeal Carcinoma

TUESDAY, Sept. 15, 2015 (HealthDay News) -- Helicobacter pylori (H. pylori) infection is associated with significantly increased odds of laryngeal carcinoma but not pharyngeal cancer, according to a review published online Aug. 28 in Head & Neck.

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Half of HIV-Positive Patients See Family Docs Exclusively for Care

TUESDAY, Sept. 15, 2015 (HealthDay News) -- A large percentage of HIV-positive patients may see family physicians exclusively for their care, and these patients are more likely to receive antiretroviral therapy (ART) if their doctor has more experience in HIV care, according to research published in the September/October issue of the Annals of Family Medicine.

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USPSTF Recommendations for Aspirin Use Vary by Age

TUESDAY, Sept. 15, 2015 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has concluded that the benefits and harms of low-dose aspirin for prevention of cardiovascular disease (CVD) and cancer vary by patient age. These findings form the basis of a draft recommendation statement published online Sept. 14 by the USPSTF.

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Low HDL-C, High CRP Ups Mortality for Patients With CAD

TUESDAY, Sept. 15, 2015 (HealthDay News) -- For patients with coronary artery disease (CAD) on statin therapy after undergoing a first percutaneous coronary intervention (PCI), the risk of all-cause mortality is increased with low high-density lipoprotein cholesterol (HDL-C) levels and elevated C-reactive protein (CRP), according to a study published in the Oct. 1 issue of The American Journal of Cardiology.

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Characteristics ID'd for Those Who Voluntarily Stop Eating

TUESDAY, Sept. 15, 2015 (HealthDay News) -- Most patients who hasten death by voluntarily stopping eating and drinking (VSED) are in poor health, and family physicians are often involved in the process, according to a study published in the September/October issue of the Annals of Family Medicine.

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CDC Develops State-Level Chronic Disease Cost Calculator

TUESDAY, Sept. 15, 2015 (HealthDay News) -- A chronic disease cost calculator (CDCC) has been developed to estimate state-level costs, according to a study published online Sept. 3 in Preventing Chronic Disease.

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Low Vitamin D Status Linked to Accelerated Cognitive Decline

MONDAY, Sept. 14, 2015 (HealthDay News) -- For ethnically diverse older adults, low vitamin D status is associated with accelerated decline in cognitive function, according to a study published online Sept. 14 in JAMA Neurology.

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Vision Test Helps Detect Concussion in Athletes

MONDAY, Sept. 14, 2015 (HealthDay News) -- A timed vision test may aid in detection of concussion during sideline testing of athletes, according to research published in the Sept. 10 issue of Concussion.

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Mediterranean Diet With Olive Oil Cuts Breast Cancer Risk

MONDAY, Sept. 14, 2015 (HealthDay News) -- A Mediterranean diet supplemented with extra-virgin olive oil may reduce the risk of breast cancer, according to a study published online Sept. 14 in JAMA Internal Medicine.

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Exercise Appears Safe, Beneficial for Patients With Pulmonary HTN

MONDAY, Sept. 14, 2015 (HealthDay News) -- Exercise has a positive effect on several measures of heart function as well as overall quality of life for patients with pulmonary hypertension, according to research published recently in Circulation: Heart Failure.

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NIH: Benefits for More Intensive Control of Hypertension

MONDAY, Sept. 14, 2015 (HealthDay News) -- Clinicians should control hypertension much more aggressively than current guidelines suggest, to best reduce the risk of heart attack and stroke in people 50 or older. That's the message behind the potentially game-changing results of a U.S. National Institutes of Health study released Friday.

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Anticoagulation Report Has Little Impact in Discharge Summary

MONDAY, Sept. 14, 2015 (HealthDay News) -- For patients on warfarin, an anticoagulation report that is embedded in the discharge summary has no impact on clinical outcomes, although it is perceived to improve patient safety, according to a study published in the September issue of the Journal of Hospital Medicine.

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Resveratrol Impacts Central Nervous System Biomarkers

MONDAY, Sept. 14, 2015 (HealthDay News) -- Resveratrol and its major metabolites penetrate the blood-brain barrier to have central nervous system effects in patients with Alzheimer's disease (AD), according to a study published online Sept. 11 in Neurology.

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California State Assembly Approves Right-to-Die Bill

FRIDAY, Sept. 11, 2015 (HealthDay News) -- The California State Assembly approved a bill on Wednesday that would allow doctors to prescribe life-ending medications to patients expected to die within six months.

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FDA Announces New Steps to Improve Food Safety in U.S.

FRIDAY, Sept. 11, 2015 (HealthDay News) -- The U.S. Food and Drug Administration announced new steps Thursday to improve the cleanliness of food manufacturing plants in the wake of a string of foodborne illness outbreaks.

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Higher Fish Consumption Linked to Lower Risk of Depression

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Consuming more fish may reduce risk of depression, according to a report published online Sept. 10 in the Journal of Epidemiology & Community Health.

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Gut Microbiome May Play Role in BMI, HDL Cholesterol Levels

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Intestinal microbiomes might help determine not only body fat levels, but also blood concentrations of high-density lipoprotein (HDL) cholesterol and triglycerides, according to a study published online Sept. 10 in Circulation Research.

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Motor Sport Tied to Carbon Monoxide Poisonings, Deaths

FRIDAY, Sept. 11, 2015 (HealthDay News) -- The off-road motor sport known as mud bogging can put drivers and passengers at risk of potentially lethal carbon monoxide poisoning, a group of doctors report. Their findings were published in the Sept. 10 issue of the New England Journal of Medicine.

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Migraine Frequency, Intensity Linked to Cholesterol Levels

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Migraine frequency and intensity seem to be positively associated with total cholesterol (TC) and low-density lipoprotein (LDL) cholesterol, according to a study published in the September issue of Pain Practice.

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For Pharma Reps, Access to Physicians Continuing to Drop

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Physician access for pharmaceutical representatives is continuing to decline, with access restricted to some degree for more than half of physicians, according to an AccessMonitor survey published by ZS.

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Supportive Evidence for Daily PrEP Curbing HIV Transmission

THURSDAY, Sept. 10, 2015 (HealthDay News) -- Additional data supports daily pre-exposure prophylaxis (PrEP) for HIV-negative gay men at high risk for infection. The findings were reported online Sept. 9 in The Lancet.

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CDC: Second Death Reported in Salmonella Outbreak

THURSDAY, Sept. 10, 2015 (HealthDay News) -- A second death has been reported in a Salmonella outbreak that has been linked to contaminated cucumbers and caused 341 illnesses in 30 states, U.S. health officials said Wednesday.

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Childhood CA Survivors Who Have Stroke at Higher Risk of Second

THURSDAY, Sept. 10, 2015 (HealthDay News) -- Childhood cancer survivors who have had one stroke are at high risk for having another, according to a study published online Aug. 26 in Neurology.

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Short, Intense Workouts Offer CV Benefits for T2DM Patients

THURSDAY, Sept. 10, 2015 (HealthDay News) -- New research suggests that short bouts of high-intensity exercise could help reverse some early cardiac structure and function changes in patients with type 2 diabetes. The findings were published online Sept. 9 in Diabetologia.

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Unlicensed Stem Cell Clinics Operating in the United States

THURSDAY, Sept. 10, 2015 (HealthDay News) -- Hundreds of clinics across the United States are offering unapproved stem cell treatments for conditions from hair loss to heart failure and Alzheimer's disease, researchers report in the Sept. 10 issue of the New England Journal of Medicine.

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Modest Predictive Power for HbA1c in Atherosclerotic CVD Risk

THURSDAY, Sept. 10, 2015 (HealthDay News) -- In the context of conventional cardiovascular disease (CVD) risk factors, hemoglobin A1c (HbA1c) has a modest effect on predicted atherosclerotic CVD risk, according to a study published online Sept. 8 in Circulation: Cardiovascular Quality and Outcomes.

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Elevated Liver Enzymes Common in Severe Anorexia Nervosa

THURSDAY, Sept. 10, 2015 (HealthDay News) -- For adults with severe anorexia nervosa (AN), elevated liver enzymes are relatively common and are associated with lower body mass index (BMI) and hypoglycemia, according to research published online Sept. 8 in the International Journal of Eating Disorders.

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4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) -- The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) -- An online educational program aims to help physicians get back to work and reduce the nation's physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

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Management, Treatment of Chronic Disease Up With ACA

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- More Americans are getting health insurance as a result of the Affordable Care Act, which may lead to many more people getting diagnosed and treated for chronic conditions, such as diabetes, a new study contends. The findings were published in the September issue of Health Affairs.

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Post-Op Delirium Diminishes Recovery in Older Patients

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Patients with delirium following major surgery are more likely to have worse outcomes, including lower quality of life, disability, or even death, according to a study published online Sept. 9 in JAMA Surgery.

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ICER: New Cholesterol Drugs Highly Overpriced

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Two newly approved medications to treat high cholesterol are extremely overpriced compared to the health benefits they give to patients, a new analysis finds. The drugs in question, Repatha (evolocumab) and Praluent (alirocumab), currently cost more than $14,000 per year, and because millions of Americans have high cholesterol, costs could be overwhelming, according to The New York Times.

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Accelerated MD Program Doesn't Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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Over Half of U.S. Adults Have Diabetes or Prediabetes

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- More than half of all American adults have type 2 diabetes or prediabetes, according to a new report published in the Sept. 8 issue of the Journal of the American Medical Association.

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MS Disease Progression May Be Delayed by Smoking Cessation

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Multiple sclerosis (MS) progresses faster in people who continue to smoke compared to smokers who quit after their diagnosis, according to research published online Sept. 8 in JAMA Neurology.

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ACP Supports Expanded Role of Telemedicine for Health Care

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Telemedicine can be beneficial, within the framework of an established physician-patient relationship, according to a position paper published online Sept. 8 in the Annals of Internal Medicine.

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Behavioral Weight Loss Program Assists Breast Cancer Survivors

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- For overweight/obese survivors of breast cancer, a behavioral weight loss intervention can lead to clinically meaningful weight loss, according to a study published online Aug. 17 in the Journal of Clinical Oncology.

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Non-O Blood Group Tied to Higher CAD, MI Risk

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Having non-O blood group may be an independent risk factor for coronary artery disease (CAD) and myocardial infarction, according to a meta-analysis published in the Sept. 1 issue of The American Journal of Cardiology.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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Chronic Rhinosinusitis Linked to Increased Risk of Other Diseases

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Chronic rhinosinusitis (CRS) is associated with increased risk of other diseases, with different patterns based on CRS phenotype, according to research published online Aug. 31 in Allergy.

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Herpes Zoster Vaccine Not Cost-Effective in Adults Aged 50 Years

TUESDAY, Sept. 8, 2015 (HealthDay News) -- For adults aged 50 years, herpes zoster (HZ) vaccine does not appear to be cost-effective, according to a study published online Sept. 8 in the Annals of Internal Medicine.

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Life Expectancy Increases Seen Worldwide

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Average life expectancy among people worldwide has risen by more than six years since 1990, and healthy life expectancy has climbed by more than five years, according to a new report published online Aug. 27 in The Lancet.

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Social Distress ID'd in Minority of Colorectal Cancer Survivors

FRIDAY, Sept. 4, 2015 (HealthDay News) -- A minority of colorectal cancer (CRC) survivors experience social distress (SD), and having multiple long-term conditions is the strongest predictor, according to a study published online Aug. 17 in the Journal of Clinical Oncology.

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Bariatric Surgery Beats Drug Tx for Metabolic Outcomes in T2DM

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Regardless of weight loss, patients with type 2 diabetes who undergo bariatric surgery have better metabolic outcomes than patients treated with drug therapy, according to a study published in the Sept. 5 issue of The Lancet.

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Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) -- In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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D.C. Needle-Exchange Program Curbed HIV Spread

FRIDAY, Sept. 4, 2015 (HealthDay News) -- A needle-exchange program in Washington, D.C., has successfully prevented new HIV infections, according to a study published online Sept. 3 in AIDS and Behavior.

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Aerobic Exercise May Cut Fatigue in Rheumatoid Arthritis

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Aerobic land-based exercise may be helpful in treating fatigue in patients with rheumatoid arthritis (RA), according to a meta-analysis published in the August issue of Arthritis Care & Research.

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E-Cigarette Use Cuts Tobacco Smoke Toxicant Exposure

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Electronic cigarette (EC) use is associated with a decrease in tobacco smoke toxicant exposure in those who quit smoking, as well as in dual users, according to a study published in the September issue of Cancer Prevention Research.

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FDA Issues Warning Regarding Injectable Skin Lighteners

THURSDAY, Sept. 3, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has issued a warning that injectable skin-lightening products are potentially unsafe and ineffective.

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Agent Orange Tied to MGUS in Vietnam Vets

THURSDAY, Sept. 3, 2015 (HealthDay News) -- Vietnam veterans exposed to Agent Orange have a more than doubled risk of developing monoclonal gammopathy of undetermined significance (MGUS), a new study suggests. The findings were published online Sept. 3 in JAMA Oncology.

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Daily PrEP Prevents HIV Infection in High-Risk Individuals

THURSDAY, Sept. 3, 2015 (HealthDay News) -- None of 657 patients who took a daily pill to prevent HIV infection contracted the virus over a period of more than two years, according to a study from Kaiser Permanente of San Francisco. The findings, published online Sept. 1 in Clinical Infectious Diseases, dispel concerns that use of pre-exposure prophylaxis (PrEP) would lead to more HIV infections, The New York Times reported.

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Asthma Linked to Increased Risk of Parkinson's Disease

THURSDAY, Sept. 3, 2015 (HealthDay News) -- Patients with asthma may have an increased risk of developing Parkinson's disease, according to a study published online Aug. 27 in Allergy.

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Modest Relation Between HbA1c, Cardiovascular Events

THURSDAY, Sept. 3, 2015 (HealthDay News) -- For patients with type 2 diabetes, hemoglobin A1c (HbA1c) is not significantly associated with cardiovascular events, regardless of clinical manifestation of vascular disease, according to a study published online Aug. 25 in Diabetes Care.

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Imetelstat Deemed Active in Myelofibrosis, Thrombocythemia

THURSDAY, Sept. 3, 2015 (HealthDay News) -- Imetelstat, a 13-mer lipid-conjugated oligonucleotide that targets the RNA template of human telomerase reverse transcriptase, is active in patients with myelofibrosis and essential thrombocythemia, according to two studies published in the Sept. 3 issue of the New England Journal of Medicine.

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Acupuncture Linked to Reduced Blood Pressure in Small Study

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Blood pressure levels declined slightly in a small study of patients treated 30 minutes a week with electroacupuncture. The findings were published in the August issue of Medical Acupuncture.

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Sustained Calorie Restriction May Help Prevent Age-Related Disease

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Sustained calorie restriction can influence disease risk factors and possible predictors of longevity in healthy, non-obese people, according to a study published in the September issue of the Journal of Gerontology: Medical Sciences.

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Early Exposure to Secondhand Smoke May Up A-Fib Risk Later

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Exposure to secondhand cigarette smoke during childhood or while in the womb may increase risk of atrial fibrillation in adulthood, new research suggests. The findings were published online Sept. 1 in Heart Rhythm.

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Bike Injuries Up Among Older Americans

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Injuries among older bicyclists have increased dramatically in recent years, according to a research letter published in the Sept. 1 issue of the Journal of the American Medical Association.

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Higher Midlife BMI Tied to Earlier Alzheimer's

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Among elderly adults with Alzheimer's disease, those who were overweight at age 50 tended to develop dementia earlier, according to research published online Sept. 1 in Molecular Psychiatry.

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Fewer Repeat Hemorrhagic Strokes With Better BP Control

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Survivors of intracerebral hemorrhage may be at higher risk for recurrence if their blood pressure (BP) isn't under control, a new study warns. The findings were published in the Sept. 1 issue of the Journal of the American Medical Association.

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Cardiovascular Risk Up After Knee, Hip Replacement

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Patients who have total hip or knee replacement surgery face a greater risk for myocardial infarction (MI) during the first month following the procedure, according to research published online Aug. 31 in Arthritis & Rheumatology.

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Older Cancer Patients Heavily Use Health Care Services

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Older patients with acute myeloid leukemia (AML) are intense users of health care services and rarely use palliative care and hospice services, according to a study published in the August issue of Cancer.

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Finerenone Linked to Improved UACR in Diabetic Nephropathy

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- For patients with diabetic nephropathy receiving an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, the addition of finerenone results in improvement in the urinary albumin-creatinine ratio (UACR), according to a study published in the Sept. 1 issue of the Journal of the American Medical Association.

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CDC: Smoking Rate Falls to 15.2 Percent in the United States

TUESDAY, Sept. 1, 2015 (HealthDay News) -- The U.S. smoking rate continues to decline, with 15.2 percent of adults reporting they're current smokers, down from 16.8 percent in 2014 and 17.8 percent in 2013, the U.S. Centers for Disease Control and Prevention reported Tuesday.

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Resting Heart Rate, HR Variability May Help ID Functional Disability

TUESDAY, Sept. 1, 2015 (HealthDay News) -- Seniors with a higher resting heart rate and lower heart rate variability are less able to care for themselves, according to a study published online Aug. 31 in CMAJ, the journal of the Canadian Medical Association.

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Too Little Sleep Can Quadruple Risk for the Common Cold

TUESDAY, Sept. 1, 2015 (HealthDay News) -- Those who sleep less than six hours a night may be more than four times as likely to catch a cold as those who get more than seven hours of sleep, according to research published in the September issue of SLEEP.

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Critical Care Docs Rarely Discuss Religion With Patients, Families

TUESDAY, Sept. 1, 2015 (HealthDay News) -- Religion or spirituality is important to many people nearing the end of life, but intensive care clinicians rarely talk to patients or their families about those beliefs, according to a study published online Aug. 31 in JAMA Internal Medicine.

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Endoscopic Evaluation Advised in Non-Hodgkin's Lymphoma

TUESDAY, Sept. 1, 2015 (HealthDay News) -- For elderly adults diagnosed with non-Hodgkin's lymphoma, endoscopic evaluation may be recommended even in the absence of gastrointestinal symptoms, according to a letter to the editor published in the August issue of the Journal of the American Geriatrics Society.

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Observation Stays Can Exceed Cost of Inpatient Deductible

TUESDAY, Sept. 1, 2015 (HealthDay News) -- More than one-quarter of Medicare beneficiaries with multiple observation stays have a cumulative financial liability that exceeds that of the inpatient deductible, according to a study published online Aug. 20 in the Journal of Hospital Medicine.

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