December 2018 Briefing - Family Practice

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for December 2018. 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.

Long-Term Reduction in CRC Risk After Negative Colonoscopy

MONDAY, Dec. 31, 2018 (HealthDay News) -- For average-risk patients, a negative colonoscopy result is associated with a long-term reduction in the risk for colorectal cancer and related deaths, according to a study published online Dec. 17 in JAMA Internal Medicine.

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Incidence of End-Stage Kidney Disease Up in Australia

MONDAY, Dec. 31, 2018 (HealthDay News) -- For nonindigenous people with type 2 diabetes mellitus (T2DM) in Australia, the age-standardized incidence of end-stage kidney disease (ESKD) increased from 2002 to 2013, according to a study published online Dec. 19 in the American Journal of Kidney Diseases.

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Catheter Ablation Tops Drug Therapy for A-Fib in Heart Failure

MONDAY, Dec. 31, 2018 (HealthDay News) -- Catheter ablation is better than drug therapy for the treatment of atrial fibrillation (AF) in patients with heart failure, according to a review published online Dec. 25 in the Annals of Internal Medicine.

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Nurse-Led Program in Primary Care Can Up Detection of Liver Dz

MONDAY, Dec. 31, 2018 (HealthDay News) -- A nurse-led primary care intervention can increase the number of new diagnoses of liver disease, according to a study published online Dec. 21 in PLOS ONE.

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ACOG Updates Guidelines for Gestational HTN, Preeclampsia

FRIDAY, Dec. 28, 2018 (HealthDay News) -- The American College of Obstetricians & Gynecologists (ACOG) has updated its guidance on the management of gestational hypertension and preeclampsia as well as chronic hypertension in pregnant women; the two practice bulletins were published in the January issue of Obstetrics & Gynecology.

Gestational Hypertension and Preeclampsia
Chronic Hypertension in Pregnancy

Effect Sizes Uncertain for Meds Versus Placebo in Knee OA

FRIDAY, Dec. 28, 2018 (HealthDay News) -- For patients with knee osteoarthritis and at least 12 months of follow-up, there is uncertainty around estimates of effect size for the change in pain in association with medications versus placebo, according to a meta-analysis published in the Dec. 25 issue of the Journal of the American Medical Association.

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Second-Line Antidiabetic Meds May Impact Cardiovascular Risk

FRIDAY, Dec. 28, 2018 (HealthDay News) -- For adults with type 2 diabetes initiating second-line antidiabetic medications (ADM), cardiovascular risk is increased with use of sulfonylureas or basal insulin versus newer ADM classes, according to a study published online Dec. 21 in JAMA Network Open.

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High Sodium Intake Associated With New Atrial Fibrillation

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Sodium intake is associated with the long-term risk of new-onset atrial fibrillation (AF), according to a study recently published in the Annals of Medicine.

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Delayed School Start Shows Benefits for Teens

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Delaying school start times increases the amount of time teenagers sleep, which seems to improve school performance, according to a study published in the December issue of Science Advances.

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Pregnancy Complications Up for Women Born at Low Birth Weight

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Women born with a low birth weight have an increased risk for pregnancy complications, according to a study published online Dec. 19 in Obesity.

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Having Children Tied to Higher Risk for Cardiovascular Disease

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Parity is associated with cardiovascular disease risk, with a nonlinear J-shaped dose-response relationship observed, according to a meta-analysis published online Dec. 19 in the European Journal of Preventive Cardiology.

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Many EDs Do Not Have Pediatric Area, Emergency Care Coordinator

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Many emergency departments do not have a pediatric area or pediatric emergency care coordinator (PECC), but an intervention can increase use of PECCs, according to three studies published in the December issue of Academic Emergency Medicine.

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Sugar-Sweetened Drinks Linked to Chronic Kidney Disease Risk

FRIDAY, Dec. 28, 2018 (HealthDay News) -- A pattern of higher consumption of sugar-sweetened beverages is associated with increased odds of chronic kidney disease (CKD), according to a study published online Dec. 27 in the Clinical Journal of the American Society of Nephrology.

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Toll on Health From Depression, Anxiety Akin to Smoking, Obesity

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Anxiety and depression predict poor future physical health as strongly as obesity and smoking in older adults, according to a study published online Dec. 17 in Health Psychology.

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More Than Two-Thirds of Drug OD Deaths in 2017 Involved Opioids

THURSDAY, Dec. 27, 2018 (HealthDay News) -- More than two-thirds of drug overdose deaths in 2017 involved an opioid, with increases in overdose deaths from all opioids and synthetic opioids seen from 2016 to 2017, according to research published in the Dec. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Dancing Tied to Lower Odds of Disability in Activities of Daily Living

THURSDAY, Dec. 27, 2018 (HealthDay News) -- For older women, participation in dancing is associated with a reduced likelihood of incident disability in activities of daily living (ADL), according to a study published online Dec. 18 in the Scandinavian Journal of Medicine & Science in Sports.

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Low-Priced Generic Drugs Most Likely to Have Shortages

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The lowest-priced generic drugs are more likely to experience shortages, according to a study published in the November issue of Value in Health.

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Opioid Prescribing Patterns Vary for Pediatric Patients

THURSDAY, Dec. 27, 2018 (HealthDay News) -- There is considerable variation in opioid prescribing among pediatric patients, according to a study published online Dec. 21 in JAMA Network Open.

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Low Vitamin D Tied to Risk for Renal Hyperfiltration in Healthy Adults

THURSDAY, Dec. 27, 2018 (HealthDay News) -- Severe vitamin D deficiency is associated with an increased risk for renal hyperfiltration (RHF) in relatively healthy adults, according to a study published in the December issue of The American Journal of Clinical Nutrition.

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More Americans Reporting Less Than Six Hours Sleep Per Night

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The percentage of American adults reporting six hours of sleep or less per night increased from 29 to 33 percent from 2013 to 2017, according to a study recently published in Sleep.

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New BP Treatment Cutoffs May Not Yield Survival Benefit

THURSDAY, Dec. 27, 2018 (HealthDay News) -- New blood pressure treatment recommendations may not improve survival from cardiovascular disease (CVD), according to a study recently published in the European Heart Journal.

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Pediatric Asthma Risk Score Has Good Sensitivity, Specificity

THURSDAY, Dec. 27, 2018 (HealthDay News) -- A new quantitative personalized tool can better predict asthma development in young children than the Asthma Predictive Index (API), according to a study published online Dec. 13 in The Journal of Allergy and Clinical Immunology.

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Health Care Screening Practices Impact Skin Cancer Diagnosis

THURSDAY, Dec. 27, 2018 (HealthDay News) -- Undergoing health care screening practices is associated with an increased likelihood of being diagnosed with skin cancer, according to a study published online Dec. 26 in JAMA Dermatology.

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Oculomotor Response to Head Impacts Studied in Youth Football

THURSDAY, Dec. 27, 2018 (HealthDay News) -- Near point of convergence (NPC) values change in response to subconcussive head impacts but begin to normalize over time in high school football players, according to a study published online Dec. 20 in JAMA Ophthalmology.

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Universal Vaccination for MenB at College Entry Not Cost-Effective

THURSDAY, Dec. 27, 2018 (HealthDay News) -- Universal vaccination against Neisseria meningitidis serogroup B (MenB) at college entry does not appear to be cost-effective, according to a study published online Dec. 17 in the American Journal of Preventive Medicine.

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Initiative Can Cut Gender Gap in Medical School Faculty Salaries

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- An institutional gender equity initiative (GEI) can reduce gender-based salary gaps among medical school faculty, according to a study published online Dec. 21 in JAMA Network Open.

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Updated Guidelines Developed for Diagnosing, Treating Influenza

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- The Infectious Diseases Society of America has updated their recommendations for the care of patients with suspected or diagnosed influenza; the clinical practice guidelines were published online Dec. 19 in Clinical Infectious Diseases.

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New AAP Guideline Available for Infantile Hemangioma Treatment

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- The American Academy of Pediatrics has developed its first guideline for the management of infantile hemangiomas (IHs); the clinical practice guideline was published online Dec. 24 in Pediatrics.

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Risk of Arterial Thromboembolic Events Up Prior to Cancer Diagnosis

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- In older adults, the risk of arterial thromboembolic events begins to increase 150 days before the date of cancer diagnosis and peaks 30 days before, according to a study published online Dec. 21 in Blood.

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Appalachia, Western States Have Highest Hep C Prevalence

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- States in the West and in Appalachia have a higher prevalence of hepatitis C virus (HCV) infection than other states, according to a study published online Dec. 21 in JAMA Network Open.

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Massage Offers Short-Term Relief of Knee Pain in Arthritis Patients

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- Weekly massage sessions may provide short-term symptom relief for knee osteoarthritis patients, but the benefit is not maintained over one year of follow-up, according to a study published online Dec. 12 in the Journal of General Internal Medicine.

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ACOG: Interpregnancy Period Should Maximize Women's Health

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- Providers should maximize women's health during the interpregnancy period, continuing care beyond the immediate postpartum period, according to a consensus report published online Dec. 20 in the American Journal of Obstetrics & Gynecology.

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Fecal Occult Blood Test May Improve CRC Outcomes in Some

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- Fecal occult blood test (FOBT) screening for colorectal cancer (CRC) is associated with several improved outcomes in men but not women, according to a study recently published in the British Journal of Surgery.

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Vit C for Pregnant Smokers May Improve Newborn Lung Function

MONDAY, Dec. 24, 2018 (HealthDay News) -- For pregnant smokers, vitamin C supplementation may improve newborn lung function, according to a study published online Dec. 7 in the American Journal of Respiratory and Critical Care Medicine.

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FDA Announces Safety Monitoring Measures for the Essure Device

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The U.S. Food and Drug Administration is implementing a number of steps for long-term safety monitoring of the permanent birth control device Essure, which will no longer be sold or distributed in the United States after Dec. 31, 2018.

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FDA Warns Companies on Unsafe, Unapproved Stem Cell Treatments

FRIDAY, Dec. 21, 2018 (HealthDay News) -- After infections tied to unapproved stem cell treatments sent 12 people to the hospital this past year, the U.S. Food and Drug Administration has issued a stern warning about the products.

FDA News Release
MMWR Report

FDA: Fluoroquinolones Tied to Heart Vessel Ruptures, Tears

FRIDAY, Dec. 21, 2016 (HealthDay News) -- Patients taking fluoroquinolones may be at higher risk for ruptures or tears in the aorta, the U.S. Food and Drug Administration warns.

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FDA: Teething Jewelry Linked to at Least One Infant Death

FRIDAY, Dec. 21, 2018 (HealthDay News) -- Teething jewelry products, such as necklaces, pose significant safety risks and have been tied to at least one baby's death, the U.S. Food and Drug Administration warns.

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Mental, Behavior, Developmental Disorders Up With Low-Income

FRIDAY, Dec. 21, 2018 (HealthDay News) -- Children in lower-income households more often receive a diagnosis of mental, behavioral, and developmental disorders (MBDDs), according to research published in the Dec. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC: Weight, Waist Size, BMI Increased for Many U.S. Adults

FRIDAY, Dec. 21, 2018 (HealthDay News) -- From 1999-2000 to 2015-2016, there was an increase in mean weight, waist circumference, and body mass index (BMI) for many U.S. adults, according to the Dec. 20 issue of the National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Endurance Exercise Tied to Anti-Aging at Cellular Level

FRIDAY, Dec. 21, 2018 (HealthDay News) -- Endurance exercise has anti-aging effects visible at the cellular level, according to a study published online Nov. 28 in the European Heart Journal.

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A-Fib Risk Up for Antidepressant Users, but Higher Before Tx

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The risk for atrial fibrillation (AF) is increased among antidepressant users, particularly before treatment initiation, according to a study recently published in the European Journal of Preventive Cardiology.

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Incident Concussion 5.1 Percent Per Season for Youth Football

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The athlete-level incidence of concussion is 5.1 percent per season for American football players aged 5 to 14 years, according to a study published online Dec. 13 in The Journal of Pediatrics.

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Number of People With Dementia Rose Twofold From 1990 to 2016

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The number of people living with dementia worldwide more than doubled from 1990 to 2016, according to a study published online Nov. 26 in The Lancet Neurology.

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Growth in Use of Telemedicine Seen From 2005 to 2017

THURSDAY, Dec. 20, 2018 (HealthDay News) -- From 2005 to 2017, there was a substantial increase in telemedicine use, although use was still uncommon in 2017, according to a research letter published online Nov. 27 in the Journal of the American Medical Association.

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CDC: ~65 Percent of U.S. Women Currently Using Contraceptives

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Almost two-thirds of U.S. women aged 15 to 49 years were currently using contraception in 2015 to 2017, according to a December data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Affordable Care Act Sign-Ups Higher Than Expected

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Despite numerous difficulties, early figures show that sign-ups for health coverage next year under the Affordable Care Act are higher than expected.

AP News Article

Hospitalization for Upper GI Bleed Highest With Rivaroxaban

THURSDAY, Dec. 20, 2018 (HealthDay News) -- For patients initiating oral anticoagulant therapy, the incidence of hospitalization for upper gastrointestinal bleeding is highest and lowest with rivaroxaban and apixaban, respectively, according to a study published in the Dec. 4 issue of the Journal of the American Medical Association.

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Restrictive, Obstructive Lung Disease Linked to Dementia Risk

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Both restrictive and obstructive lung disease are associated with an increased risk for incident dementia and mild cognitive impairment (MCI), according to a study recently published in the American Journal of Respiratory and Critical Care Medicine.

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Structured Family-Centered Peds Rounds Improve Patient Safety

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Structured communication involving families, nurses, and physicians can reduce harmful medical errors and improve family experience during pediatric hospitalizations, according to a study published online Dec. 5 in The BMJ.

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ADA 2019 Standards of Care Emphasize Patient-Centered Care

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Patient-centered care is emphasized in updated clinical practice recommendations from the American Diabetes Association 2019 Standards of Care, published as a supplement to the January issue of Diabetes Care.

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Global Lifetime Risk for Stroke About 25 Percent in 2016

THURSDAY, Dec. 20, 2018 (HealthDay News) -- The global lifetime risk for stroke was 24.9 percent among adults aged 25 years and older in 2016, according to a study published in the Dec. 20 issue of the New England Journal of Medicine.

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Exercise Promotes Executive Functioning in Sedentary Adults

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- For sedentary adults at risk for cognitive decline, aerobic exercise (AE) is associated with significant improvement in executive functioning, according to a study published online Dec. 19 in Neurology.

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Residential Greenness Linked to Cardiovascular Disease Risk

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- The density of greenness near residences is associated with lower urinary levels of epinephrine and F2-isoprostane, according to a study published in the Dec. 18 issue of the Journal of the American Heart Association.

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New Law Boosts Fight Against Sickle Cell Disease

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- A sickle cell disease prevention and treatment program in the United States has been reauthorized to receive nearly $5 million each year over the next five years.

NBC News Article
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FDA Advisory Panels: Prescribe Naloxone With Opioid Painkillers

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- The labels of prescription opioid painkillers should advise doctors to consider simultaneously prescribing the opioid overdose antidote naloxone, two U.S. Food and Drug Administration advisory panels recommend.

Washington Post Article

Failure of Timely Stop to Certain Prescription Drugs Is Common

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- Legacy prescribing of certain drugs, such as antidepressants and proton pump inhibitors (PPIs), is common, according to a study published in the November/December issue of the Annals of Family Medicine.

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Cardiac Malformations Not Up With First-Trimester Ondansetron

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- First-trimester ondansetron use is associated with a small increased risk for oral cleft but no increased risk for congenital malformations or cardiac malformations, according to a study published in the Dec. 18 issue of the Journal of the American Medical Association.

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Edentulism Tied to Greater Risk for High BP After Menopause

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- Postmenopausal women with edentulism are at an increased risk for developing hypertension, according to a study published online Dec. 4 in the American Journal of Hypertension.

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High Sodium May Contribute to CVD Deaths in Shandong, China

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- A considerable proportion of cardiovascular disease (CVD) deaths in Shandong Province, China, may be attributable to high sodium intake, according to a study published online Dec. 19 in the Journal of the American Heart Association.

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Opioids Offer Small Improvement in Pain, Physical Function

TUESDAY, Dec. 18, 2018 (HealthDay News) -- Opioid use is associated with small improvements in pain and physical functioning in patients with chronic noncancer pain, according to research published in the Dec. 18 issue of the Journal of the American Medical Association.

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'Aggressive Steps' Needed to Stop Adolescent Use of E-Cigarettes

TUESDAY, Dec. 18, 2018 (HealthDay News) -- "Aggressive steps" must be taken by parents, teachers, health providers, and government officials to prevent children and teens from using electronic cigarettes, U.S. Surgeon General Jerome Adams, M.D., M.P.H., said in an advisory.

AP News Article

Delivery Mode Tied to Pelvic Floor Disorder Risk Post-Childbirth

TUESDAY, Dec. 18, 2018 (HealthDay News) -- After childbirth, the risk for pelvic floor disorders varies by delivery mode, according to a study published in the Dec. 18 issue of the Journal of the American Medical Association.

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Psychosocial Factors Key in Peds Care for Special-Needs Kids

TUESDAY, Dec. 18, 2018 (HealthDay News) -- Pediatric providers need to be aware of the impact of psychosocial factors on the health and wellness of children and youth with special health care needs and their families, according to a clinical report published online Dec. 17 in Pediatrics.

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Exclusion of Doctors From Public Health Insurance Up 2007 to 2017

TUESDAY, Dec. 18, 2018 (HealthDay News) -- From 2007 to 2017, the number of physicians excluded from Medicare and state public insurance programs increased, according to a study published online Dec. 14 in JAMA Network Open.

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EHR Data ID Differences in HTN Control Across Health Systems

TUESDAY, Dec. 18, 2018 (HealthDay News) -- An analysis of electronic health record data reveals considerable differences in hypertension control across health systems, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Routine Supplements to Prevent Chronic Disease Not Advised

TUESDAY, Dec. 18, 2018 (HealthDay News) -- Routine use of vitamin and mineral supplements to prevent chronic disease is not recommended, according to an Academy of Nutrition and Dietetics position paper published in the November issue of the Journal of the Academy of Nutrition and Dietetics.

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Buprenorphine-Naloxone Cost-Effective for Opioid Use Disorder

MONDAY, Dec. 17, 2018 (HealthDay News) -- Buprenorphine-naloxone is cost-effective compared with extended-release naltrexone for treating opioid use disorder, according to a study published online Dec. 18 in the Annals of Internal Medicine.

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Type 2 Diabetes Risk Lower in Women With Active Migraine

MONDAY, Dec. 17, 2018 (HealthDay News) -- Women with active migraine have a lower risk for type 2 diabetes, according to a study published online Dec. 17 in JAMA Neurology.

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More U.S. Teens Are Vaping, but Use of Opioids, Alcohol Falling

MONDAY, Dec. 17, 2018 (HealthDay News) -- Vaping among American teenagers increased dramatically in 2018, with nearly two of every five high school seniors reporting they had tried an electronic cigarette during the past year, according to the latest Monitoring the Future survey funded by the U.S. National Institute on Drug Abuse.

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Risk for Later Suicide Up for Certain Youth Presenting to ED

MONDAY, Dec. 17, 2018 (HealthDay News) -- The risk for subsequent self-directed violence is increased among young people presenting to the emergency department for certain medical conditions, according to a study published online Dec. 17 in the American Journal of Preventive Medicine.

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Barbershop Intervention Leads to Reduced BP in Black Men

MONDAY, Dec. 17, 2018 (HealthDay News) -- A barbershop-based intervention can lead to significantly reduced blood pressure and sustained improvements over one year in black men, according to a study published online Dec. 17 in Circulation.

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Adherence and Intensity of Lipid-Lowering Tx Influence CV Risk

MONDAY, Dec. 17, 2018 (HealthDay News) -- Adherent patients receiving high-intensity statin and/or ezetimibe therapy have the lowest cardiovascular risk, according to a study published online Dec. 7 in JAMA Network Open.

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Pediatricians Have Role in ID'ing Postpartum Depression

MONDAY, Dec. 17, 2018 (HealthDay News) -- Pediatric physicians should screen women for postpartum depression (PPD) at well-child visits and make use of community resources for treatment and referral, according to a policy statement and technical report published online Dec. 17 in Pediatrics.

Policy Statement
Technical Report

Some With Type 2 Diabetes Inappropriately Monitoring Blood Glucose

MONDAY, Dec. 17, 2018 (HealthDay News) -- A considerable proportion of patients with type 2 diabetes may be self-monitoring blood glucose inappropriately, according to a research letter published online Dec. 10 in JAMA Internal Medicine.

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Prevalence of Metabolically Healthy Adults in U.S. Very Low

MONDAY, Dec. 17, 2018 (HealthDay News) -- Very few U.S. adults are metabolically healthy, according to a study published online Nov. 27 in Metabolic Syndrome and Related Disorders.

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Phone-Based Intervention Aids Rheumatoid Arthritis Care

FRIDAY, Dec. 14, 2018 (HealthDay News) -- A nurse-based phone education intervention can promote shared decision making in patients with newly diagnosed rheumatoid arthritis (RA), according to a study published online Dec. 5 in Musculoskeletal Care.

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Emotional Stress of Holidays Can Trigger Heart Attacks

FRIDAY, Dec. 14, 2018 (HealthDay News) -- The highest risk for myocardial infarction occurs around 10 p.m. on Christmas Eve, according to a study published online Dec. 12 in The BMJ.

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Early PT Linked to Less Opioid Use in Musculoskeletal Pain

FRIDAY, Dec. 14, 2018 (HealthDay News) -- For patients with musculoskeletal pain, early physical therapy is associated with reduced subsequent opioid use, according to a study published online Dec. 14 in JAMA Network Open.

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Dementia Often Misclassified With Brief Cognitive Assessments

THURSDAY, Nov. 29, 2018 (HealthDay News) -- When using brief cognitive assessments, dementia is often misclassified, according to a study published online Nov. 28 in Neurology Clinical Practice.

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Persistent Discrimination ID'd Among Physician Mothers

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Physician mothers experience discrimination in a range of ways, which can impact the medical profession, according to a study published online Dec. 12 in The BMJ.

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Guidelines Developed for Opioid Use in Vaginal Birth

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Guidelines have been developed for use of opioids for uncomplicated spontaneous vaginal birth; the draft consensus guidelines were published online Dec. 4 in Obstetrics & Gynecology.

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Depressive Symptoms Up From Age 10 for Sexual-Minority Youth

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Sexual-minority youth have higher depressive symptoms at age 10 and an increased likelihood of self-harm in adolescence and young adulthood, according to a study published online Dec. 11 in The Lancet Child & Adolescent Health.

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BMI May Mediate Inverse Link Between Fiber Intake, Knee OA

FRIDAY, Dec. 14, 2018 (HealthDay News) -- The inverse association between fiber intake and the risk for incident symptomatic knee osteoarthritis may be partially mediated by body mass index, according to a study published in the December issue of The Journal of Nutrition.

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T2DM Linked to Decline in Verbal Memory, Fluency in Older Adults

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Type 2 diabetes is associated with declines in verbal memory and fluency among older community-dwelling adults, according to a study published online Dec. 13 in Diabetologia.

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Racial Disparities Seen Among Teens Undergoing Flu Vaccination

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Racial disparities exist among adolescents undergoing influenza vaccination, with lower odds of vaccination among black versus white adolescents, according to a study recently published in Public Health Reports.

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CDC: More Cases in Salmonella Outbreak Linked to Recalled Beef

THURSDAY, Dec. 13, 2018 (HealthDay News) -- The number of illnesses in a Salmonella outbreak linked to beef products from Arizona-based JBS Tolleson Inc. now stands at 333 in 28 states, according to the U.S. Centers for Disease Control and Prevention.

CDC Food Safety Alert

Patient-Reported Outcome Measures May Aid Communication

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Patient-reported outcome measures (PROs) can be useful for measuring symptoms in primary care clinics if clinicians use these measures to improve care, according to patient interview data published in the December issue of Quality of Life Research.

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Risk for Hospitalization for Heart Failure Greater With Diabetes

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Despite declining incidence, heart failure hospitalization is increased among individuals with diabetes, according to a study published in the Dec. 11 issue of Circulation.

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Influenza Hospitalization More Likely in Underweight, Obese

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Adults with influenza are more likely to be hospitalized if they are obese or underweight than if they are normal weight, according to a study published online Dec. 4 in Influenza and Other Respiratory Viruses.

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Negative Attitudes Reported Toward Weight-Loss Surgery

THURSDAY, Dec. 13, 2018 (HealthDay News) -- A large proportion of the U.S. population seems to have negative attitudes toward weight-loss surgery, according to a research letter published online Dec. 12 in JAMA Surgery.

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Pregnancy Losses Linked to Risk for Cardiovascular Disease

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Both pregnancy losses and a history of at least five live births are associated with an increased risk for cardiovascular disease, according to a study published online Nov. 27 in the Journal of Women's Health.

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Medication Errors Resulting in Death Most Common in Elderly

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Medication errors in acute care that result in death occur most often in patients older than 75 years, with the most common error category being omitted medicine or ingredient, according to a study published online Nov. 22 in Research in Social and Administrative Pharmacy.

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Sleep Length, Quality Linked to Risk for Falls, Fractures

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Both short and long sleep duration and poor sleep quality are associated with increased odds of recurrent falls in women, according to a study published online Nov. 21 in the Journal of Bone and Mineral Research.

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FDA: Some E-Cigarette Liquids Contain Erectile Dysfunction Meds

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Consumers should not use two electronic cigarette liquids that contain erectile dysfunction drugs because they may pose health risks, according to the U.S. Food and Drug Administration.

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Recalled Kotex Tampons Can Unravel Inside Body

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Certain Kotex tampons are being recalled by Kimberly-Clark because they can unravel and leave pieces inside women's bodies.

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FDA Safety Alert

Enrollment Under the Affordable Care Act Down From Last Year

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up, according to the U.S. Centers for Medicare & Medicaid Services.

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CDC Identifies Drugs Frequently Involved in Drug Overdose Deaths

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- The drugs most commonly involved in drug overdose deaths during 2011 to 2016 include fentanyl, heroin, oxycodone, and cocaine, according to the Dec. 12 issue of the National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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2017 Saw Slowing in National Health Care Spending

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- National health care spending slowed in 2017, according to a report published online Dec. 6 in Health Affairs.

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Continuity of Care Tied to Lower Expenditures, Hospitalization

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Continuity of care scores are significantly associated with lower expenditures and hospitalization rates, according to a study published in the November/December issue of the Annals of Family Medicine.

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Fasting-Evoked Hypoglycemia in Diabetes Is Prevalent

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- About 17 percent of patients with diabetes report experiencing hypoglycemia when fasting for lab tests, according to a study recently published in the International Journal of Endocrinology.

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Paid Childbearing Policies Lacking for Residents

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Policies for paid childbearing or family leave for residents are lacking at top-ranking medical schools and may be exacerbated by lack of direction from specialty boards, according to two research letters published in the Dec. 11 issue of the Journal of the American Medical Association.

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U.S. Medical Schools See Increase in Diversity

TUESDAY, Dec. 11, 2018 (HealthDay News) -- After implementation of the Liaison Committee on Medical Education (LCME) diversity accreditation standards, U.S. medical schools saw increasing percentages of female, black, and Hispanic matriculants, according to a research letter published in the Dec. 4 issue of the Journal of the American Medical Association.

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Case Numbers of U.S. Children With Polio-Like Illness Hit Record High

TUESDAY, Dec. 11, 2018 (HealthDay News) -- There has been a record number of cases of a rare paralyzing illness among children in the United States this year, according to health officials.

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Mail-Based HPV Testing May Increase Access

TUESDAY, Dec. 11, 2018 (HealthDay News) -- A mail-based human papillomavirus (HPV) self-testing program appears to be a promising approach to screening women in Appalachia, according to a pilot study published online Nov. 19 in Sexually Transmitted Diseases.

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Consensus Decision Pathway Developed for Tobacco Cessation

TUESDAY, Dec. 11, 2018 (HealthDay News) -- An expert consensus decision pathway has been developed for tobacco cessation treatment; the report was published online Dec. 5 in the Journal of the American College of Cardiology.

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Flu Vaccine Linked to Reduced Risk for Death in Heart Failure

TUESDAY, Dec. 11, 2018 (HealthDay News) -- After extensive adjustment for confounders, influenza vaccination is associated with a reduced risk for all-cause and cardiovascular death among patients with heart failure, according to a study published online Dec. 10 in Circulation.

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Fetal Famine Exposure Tied to Early Menopause

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Fetal exposure to famine is associated with an increased risk for early menopause, according to a study published online Dec. 3 in Menopause.

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Risk Up for Later-Born Siblings of Children With ASD, ADHD

MONDAY, Dec. 10, 2018 (HealthDay News) -- Later-born siblings of children with autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD) have an elevated risk of being diagnosed with the same or the other disorder, according to a study published online Dec. 10 in JAMA Pediatrics.

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HIT-Related Stress Linked to Burnout Among Physicians

MONDAY, Dec. 10, 2018 (HealthDay News) -- Stress related to use of health information technology (HIT) is common and predictive of burnout among physicians, according to a study published online Dec. 5 in the Journal of the American Medical Informatics Association.

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Tap Water in Neti Pot Linked to Death From Brain-Eating Amoeba

MONDAY, Dec. 10, 2018 (HealthDay News) -- The use of tap water in a nasal-flushing Neti pot likely led to a Seattle woman's death from a Balamuthia mandrillaris brain infection, doctors write in a case study.

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AHA Scientific Statement: Low Risk of Side Effects for Statins

MONDAY, Dec. 10, 2018 (HealthDay News) -- Statins are associated with a low risk for side effects, according to a scientific statement from the American Heart Association (AHA) published online Dec. 10 in Arteriosclerosis, Thrombosis and Vascular Biology.

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2012 to 2016 Saw Increase in Syphilis Among Pregnant Women

MONDAY, Dec. 10, 2018 (HealthDay News) -- From 2012 to 2016, there was a 61 percent increase in syphilis cases among pregnant women, with no traditional behavioral risk factors reported among half of these women, according to a study published online Dec. 4 in Obstetrics & Gynecology.

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Less Than One Hour of Resistance Training Weekly Tied to Lower CVD Risk

MONDAY, Dec. 10, 2018 (HealthDay News) -- Less than an hour a week of resistance exercise (RE) is associated with decreased risks for cardiovascular disease (CVD)-related events and all-cause mortality, independent of aerobic exercise, according to a study recently published in Medicine & Science in Sports & Exercise.

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Fear Impacts Quality of Life for Young Adults With Type 1 Diabetes

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Fear of complications and frustration at the amount of time required to manage type 1 diabetes impact the quality of life of young adults with the disease, according to a study published in the December issue of The Diabetes Educator.

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Most Insured Patients Not Using Online Portals

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017, according to a study published in the December issue of Health Affairs.

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Chronic Kidney Disease Burden Increasing in the United States

FRIDAY, Dec. 7, 2018 (HealthDay News) -- The burden of chronic kidney disease (CKD) increased in the United States between 2002 and 2016, although there was variability by state, according to a study published online Nov. 30 in JAMA Network Open.

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Patient Education Can Improve Chronic Disease Management

FRIDAY, Dec. 7, 2018 (HealthDay News) -- An educational intervention can improve patients' ability to self-manage their chronic diseases, according to a study published in the November issue of the Journal of the American Osteopathic Association.

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Lack of Peds Preventive Care Ups Unplanned Hospital Admissions

FRIDAY, Dec. 7, 2018 (HealthDay News) -- A lack of preventive care in infants and children is associated with an increased rate of unplanned hospital admissions, according to a study recently published in BMC Medicine.

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Meds Taken Do Not Vary With ADL Impairment in Heart Failure

FRIDAY, Dec. 7, 2018 (HealthDay News) -- For individuals with heart failure, those with impairment in activities of daily living (ADL) take as many medications as those without ADL impairment, according to a study published online Nov. 29 in the Journal of the American Geriatrics Society.

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Secondhand Smoke Exposure Saw Big Drop From 1988 to 2014

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Secondhand smoke exposure declined substantially among U.S. nonsmokers from 1988 through 2014, according to research published in the Dec. 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Pregnant Women Commonly Refuse Vaccines

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Pregnant women commonly refuse vaccines, including influenza vaccine and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine, according to research published online Dec. 4 in Obstetrics & Gynecology.

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Smartphone App Uses Fingernail Bed Images to Detect Anemia

THURSDAY, Dec. 6, 2018 (HealthDay News) -- An app that detects color and metadata from fingernails can identify hemoglobin levels in the blood, according to research published online Dec. 4 in Nature Communications.

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High Sensitivity, Specificity for Chlamydia Point-of-Care Test

THURSDAY, Dec. 6, 2018 (HealthDay News) -- A point-of-care (POC) polymerase chain reaction test (Atlas io) has high sensitivity and specificity for Chlamydia trachomatis (CT), according to a study published in the November issue of Sexually Transmitted Diseases.

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Smoke Exposure High in Low-Income, Nonurban Infants

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Infants from low-income, nonurban families have a high magnitude of environmental smoke exposure, according to a study published online Dec. 5 in Nicotine & Tobacco Research.

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Recommendations Developed for Psoriatic Arthritis Treatment

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Recommendations have been developed for pharmacologic and nonpharmacologic treatment of psoriatic arthritis (PsA); the evidence-based guideline was published online Nov. 30 in Arthritis & Rheumatology.

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Pictorial Presentation of Silent Atherosclerosis Helps Cut CV Risk

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Pictorial presentation of silent atherosclerosis contributes to the prevention of cardiovascular disease, according to a study published online Dec. 3 in The Lancet.

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Projected Distribution of Common Ragweed Modeled in U.S.

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Common ragweed is expected to expand at the northern margins of its current distribution, according to a study recently published in PLOS ONE.

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COPD Tied to Obesity in Male, Female Never-Smokers

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Obesity is strongly associated with chronic obstructive pulmonary disease (COPD) in never-smokers, according to a study published online Nov. 20 in the Journal of Obesity.

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Infections Linked to Increased Later Risk for Mental Disorders

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Infections requiring hospitalization or treatment with anti-infective agents are associated with an increased subsequent risk for mental disorders, according to a study published online Dec. 5 in JAMA Psychiatry.

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Few Physicians Work in Practices That Use Telemedicine

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Only 15.4 percent of physicians work in practices that use telemedicine for a wide spectrum of patient interactions, with larger practice size being an important correlate of telemedicine use, according to a study published in the December issue of Health Affairs.

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Migraine With Aura Linked to Increase in Incident A-Fib

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Migraine with aura is associated with an elevated risk for incident atrial fibrillation (AF), according to a study published online Nov. 14 in Neurology.

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History of Partner Violence Tied to Menopause Symptoms

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- A history of intimate partner violence (IPV) or sexual assault and current symptoms of posttraumatic stress disorder (PTSD) are associated with an increased risk for menopause symptoms, according to a study published online Nov. 19 in JAMA Internal Medicine.

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Many Patients Withhold Information From Clinicians

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Many patients intentionally withhold information from clinicians, according to a study published online Nov. 30 in JAMA Network Open.

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Exposure to Phthalates May Impact Timing of Puberty in Girls

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Exposure to certain endocrine-disrupting chemicals may impact the timing of puberty in children, according to a study published online Dec. 4 in Human Reproduction.

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HHS Issues Draft Strategy for Reducing Health IT Burden

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The U.S. Department of Health and Human Services has developed a draft strategy to reduce the health information technology (IT) burden, and the strategy is open for public comment through Jan. 28, 2019.

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Progress Made Toward Global Measles Milestones

TUESDAY, Dec. 4, 2018 (HealthDay News) -- From 2000 to 2017, progress was made toward global measles control milestones, but the milestones set to be achieved by 2015 have not been met, according to research published in the Nov. 30 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Mean Cumulative Lifetime Prevalence of Eczema 9.9 Percent

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The mean cumulative lifetime prevalence of atopic eczema is 9.9 percent, according to a research letter published online Dec. 4 in the Annals of Internal Medicine.

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CDC: Acute Flaccid Myelitis Cases Appear to Have Peaked for 2018

MONDAY, Dec. 3, 2018 (HealthDay News) -- The number of cases of acute flaccid myelitis (AFM) in the United States this year appears to have peaked and is expected to decline for the remainder of 2018, according to the U.S. Centers for Disease Control and Prevention.

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Cost-Related Insulin Underuse May Affect One in Four Patients

MONDAY, Dec. 3, 2018 (HealthDay News) -- About one in four patients report cost-related insulin underuse, which is associated with poor glycemic control, according to a research letter published online Dec. 3 in JAMA Internal Medicine.

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More People Worldwide Now Know Their HIV Status

MONDAY, Dec. 3, 2018 (HealthDay News) -- Three-quarters of patients living with HIV worldwide know their infection status, according to Knowledge Is Power, a new report released Nov. 22 by UNAIDS.

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New BP Goals Could Prevent 3 Million CVD Events Over 10 Years

MONDAY, Dec. 3, 2018 (HealthDay News) -- Achieving and maintaining 2017 American College of Cardiology/American Heart Association (ACC/AHA) blood pressure (BP) goals could prevent a greater number of cardiovascular disease (CVD) events than achieving prior U.S. guideline goals, according to a study published online Nov. 19 in Circulation.

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Joint Mobilization Plus Exercise Beneficial for Knee Osteoarthritis

MONDAY, Dec. 3, 2018 (HealthDay News) -- Patellar mobilization therapy (PMT) plus exercise has the potential to reduce pain and improve function and quality of life for patients with knee osteoarthritis, according to a phase 2 study published Nov. 12 in the Annals of Family Medicine.

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Shifting Pattern Seen for Primary Care Office Visits

MONDAY, Dec. 3, 2018 (HealthDay News) -- Among patients with employer-sponsored insurance, there was a decline in visits to primary care physicians (PCPs) from 2012 to 2016, according to a brief released Nov. 15 by the Health Care Cost Institute (HCCI).

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