February 2015 Briefing - Geriatrics

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

AMA: Key Steps for Minimizing Liability Risk in Telemedicine

FRIDAY, Feb. 27, 2015 (HealthDay News) -- Key steps should be taken to minimize the potential risk of liability resulting from use of telemedicine, according to an article published by the American Medical Association (AMA).

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Oral Bisphosphonate Use Tied to Lower Endometrial Cancer Risk

FRIDAY, Feb. 27, 2015 (HealthDay News) -- For postmenopausal women, oral bisphosphonate use is associated with a reduction in the risk of endometrial cancer, according to a study published online Feb. 23 in the Journal of Clinical Oncology.

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No Response to Statin May Mean More Rapid Atheroma Progression

FRIDAY, Feb. 27, 2015 (HealthDay News) -- Twenty percent of people with coronary artery disease experience little or no reduction in low-density lipoprotein (LDL) cholesterol from statin treatment, according to research published online Feb. 26 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Invasive Strategy Improves Outcome in Elderly With ACS

FRIDAY, Feb. 27, 2015 (HealthDay News) -- An invasive strategy using coronary angiography results in a better outcome in elderly patients with non-ST-segment elevation acute coronary syndrome (ACS), according to research published in the March 1 issue of The American Journal of Cardiology.

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Abdominal Obesity Ups Risk of Hip Fracture

THURSDAY, Feb. 26, 2015 (HealthDay News) -- Abdominal obesity is associated with increased risk of hip fracture, according to a study published in the March issue of the Journal of Internal Medicine.

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Struggle With Routine Tasks Predicts Adverse CHF Outcomes

THURSDAY, Feb. 26, 2015 (HealthDay News) -- Heart failure patients who struggle to perform daily tasks are at increased risk for hospitalization and death, according to a study published online Feb. 25 in Circulation: Heart Failure.

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Sleeping More Than Eight Hours a Night May Up Stroke Risk

THURSDAY, Feb. 26, 2015 (HealthDay News) -- Adults who sleep more than eight hours a night may face a higher risk of stroke, a new analysis suggests. The study was published online Feb. 25 in Neurology.

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CDC: In U.S., Half Million C. Difficile Infections in 2011

THURSDAY, Feb. 26, 2015 (HealthDay News) -- Almost half a million Americans were infected with the bacteria Clostridium difficile in 2011, and 29,000 died within a month of diagnosis, U.S. health officials say. The report is published in the Feb. 26 issue of the New England Journal of Medicine.

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Shorter Hospital Stay Tied to Higher Mortality Post-Hip Fx

WEDNESDAY, Feb. 25, 2015 (HealthDay News) -- Older patients with a broken hip are more likely to die after the fracture if they're discharged from the hospital early, according to a study published Feb. 24 in The BMJ.

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Six-Month Dual Antiplatelet Tx Noninferior to 24-Month DAPT

WEDNESDAY, Feb. 25, 2015 (HealthDay News) -- For aspirin-sensitive patients undergoing everolimus-eluting stent implantation, six-month dual antiplatelet therapy (DAPT) is noninferior to 24-month DAPT, according to a study published in the March 3 issue of the Journal of the American College of Cardiology.

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Review: More Whole Grains, Less Coronary Heart Disease

WEDNESDAY, Feb. 25, 2015 (HealthDay News) -- Higher dietary intake of whole grains may reduce the risk of coronary heart disease (CHD), according to a meta-analysis published in the March 1 issue of The American Journal of Cardiology.

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Suicide Deemed Public Health Concern in Genitourinary Cancers

WEDNESDAY, Feb. 25, 2015 (HealthDay News) -- Suicide is a public health concern for patients with genitourinary cancer, especially bladder cancer, according to a study published online Feb. 17 in Cancer.

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Remote Patient Monitoring Sector Increasing Rapidly

TUESDAY, Feb. 24, 2015 (HealthDay News) -- The remote patient monitoring sector is growing rapidly and could have a considerable impact on health care, according to an article published in Medical Economics.

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Even Short Term Use of NSAID With Anticoagulant Ill Advised

TUESDAY, Feb. 24, 2015 (HealthDay News) -- Use of nonsteroidal anti-inflammatories (NSAIDs) may raise the risk for myocardial infarction (MI), stroke, and/or serious bleeding among MI survivors taking prescription anticoagulants, with no safe window period, according to new research. Bleeding risk rose even within the first three days of NSAID use, the team noted in a study published in the Feb. 24 issue of the Journal of the American Medical Association.

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Bouts of Intense Anger Greatly Up Heart Attack Risk

TUESDAY, Feb. 24, 2015 (HealthDay News) -- Intense anger or anxiety greatly increases the risk of acute myocardial infarction (MI), according to a new study published online Feb. 23 in the European Heart Journal: Acute Cardiovascular Care.

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Frequent Sauna Use Linked to Heart Health Benefits in Men

MONDAY, Feb. 23, 2015 (HealthDay News) -- Men who use saunas frequently may be less likely to die from heart disease, according to research published online Feb. 23 in JAMA Internal Medicine.

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High Fracture Risk Could Indicate Periodontal Disease Too

MONDAY, Feb. 23, 2015 (HealthDay News) -- Postmenopausal women who are at high risk for fractures may also be at increased risk for gum disease, according to a study published in the January issue of Menopause.

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Noncancer Pain Patients Commonly Use Benzodiazepines

MONDAY, Feb. 23, 2015 (HealthDay News) -- Chronic noncancer pain (CNCP) patients who use benzodiazepines (BZDs) daily frequently have multiple comorbid mental health conditions and higher rates of emergency health care use, according to a study published in the February issue of Pain Medicine.

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Patients Say Cost Matters Greatly in Choosing Doctor

FRIDAY, Feb. 20, 2015 (HealthDay News) -- The number one determining factor for selecting a doctor is whether the physician is in-network, according to a report published by Vitals.

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Americans Living Longer Post-Cancer, but Disparities Remain

FRIDAY, Feb. 20, 2015 (HealthDay News) -- Survival rates are improving for many people with cancers of the breast, prostate, lung, liver, and colon or rectum, especially for those diagnosed at younger ages, according to research published online Feb. 19 in JAMA Oncology.

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CDC: Increase in Hypothermia Deaths Over Past Decade

FRIDAY, Feb. 20, 2015 (HealthDay News) -- More people are dying from hypothermia in the United States, according to research published in the Feb. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Varicella Zoster Linked to Giant Cell Arteritis

THURSDAY, Feb. 19, 2015 (HealthDay News) -- New research links the varicella zoster virus to giant cell arteritis. The study was published online Feb. 18 in Neurology.

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Household Movement Benefits Elderly With Mobility Issues

THURSDAY, Feb. 19, 2015 (HealthDay News) -- For older adults with physical impairments, simply reducing sedentary time benefits heart health, according to a study published online Feb. 18 in the Journal of the American Heart Association.

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Fear of Discrimination Keeps Many LGBT Med Students Silent

THURSDAY, Feb. 19, 2015 (HealthDay News) -- Fear of discrimination is a major reason why about one-third of lesbian, gay, bisexual, and transgender (LGBT) medical students stay "in the closet," new research finds. The study was published online Feb. 16 in Academic Medicine.

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Doctors, Pharmacists Least Likely Health Pros to Divorce

THURSDAY, Feb. 19, 2015 (HealthDay News) -- Doctors appear less likely to get divorced than most other health care professionals, according to research published online Feb. 18 in The BMJ.

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New Sleep Guidelines Issued by National Sleep Foundation

WEDNESDAY, Feb. 18, 2015 (HealthDay News) -- For the youngest and oldest, the National Sleep Foundation has new guidelines on what constitutes a good night's rest. The new guidelines were developed by a panel of 12 experts who examined the findings of 320 studies, and were published online in Sleep Health: Journal of the National Sleep Foundation.

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Few Doctors Would Consider Euthanasia in Psychiatric Disease

WEDNESDAY, Feb. 18, 2015 (HealthDay News) -- Few physicians would find euthanasia and physician-assisted suicide (EAS) conceivable for patients with psychiatric disease, dementia, or those who are "tired of living," according to a study from the Netherlands published online Feb. 18 in the Journal of Medical Ethics.

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Article Emphasizes Importance of Apology in Medical Error

WEDNESDAY, Feb. 18, 2015 (HealthDay News) -- Apology laws, which prohibit certain statements or expressions of sympathy by a physician from being admissible in a lawsuit, are unnecessary if physicians understand the importance of saying sorry and offering accountability after an error, according to an article published Feb. 4 in Medical Economics.

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Rates of Injury From Chiropractic Care Assessed in Older Adults

TUESDAY, Feb. 17, 2015 (HealthDay News) -- For older Medicare beneficiaries with a neuromusculoskeletal complaint, the risk of injury is lower after an office visit for chiropractic spinal manipulation versus evaluation by a primary care physician, according to a study published in the Feb. 15 issue of Spine.

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Mindfulness Program Helps Seniors Sleep Better

MONDAY, Feb. 16, 2015 (HealthDay News) -- Mindfulness meditation may help older adults get a better night's sleep, according to a study published online Feb. 16 in the JAMA Internal Medicine.

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High Deductible Plans Factor Into Physician-Patient Relationship

MONDAY, Feb. 16, 2015 (HealthDay News) -- In an environment where patients are increasingly aware of the costs of health care, physicians need to be prepared to address these issues with their patients, according to an article published Feb. 4 in Medical Economics.

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Antipsychotic Rx Often Relates to Non-Approved Indications

MONDAY, Feb. 16, 2015 (HealthDay News) -- For individuals with dementia living in nursing homes, the provider's rationale for use of antipsychotic drug therapy frequently relates to indications for which these drugs are not approved, according to a study published online Jan. 30 in the Journal of the American Geriatrics Society.

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Use of Nondrug, Nonsurgical Options Low in Hip, Knee OA

MONDAY, Feb. 16, 2015 (HealthDay News) -- Usage of nondrug, nonoperative interventions in community-dwelling individuals with hip and knee osteoarthritis (OA) is low, according to research published in the February issue of Arthritis Care & Research.

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At Least 4 to 5 Percent Weight Loss Needed to Cut Diabetes Risk

MONDAY, Feb. 16, 2015 (HealthDay News) -- For Japanese men with visceral fat accumulation and hemoglobin A1C (A1C) of 5.6 to 6.4 percent, minimization of the risk of diabetes requires a minimum of 4 to 5 percent weight loss, according to a study published online Feb. 13 in the Journal of Diabetes Investigation.

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Patients Tend to Prefer Formal Physician Attire

FRIDAY, Feb. 13, 2015 (HealthDay News) -- Patients often prefer physicians with formal attire and white coats, according to a systematic review published online Jan. 19 in BMJ Open.

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ASCO Endorses ACS Guideline for Prostate CA Survivor Care

FRIDAY, Feb. 13, 2015 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) has endorsed the American Cancer Society (ACS) Prostate Cancer Survivorship Care Guidelines, according to a report published online Feb. 9 in the Journal of Clinical Oncology.

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Latino Physician Shortage Has Worsened Since 1980

FRIDAY, Feb. 13, 2015 (HealthDay News) -- From 1980 to 2010 the Latino physician shortage worsened, according to a study published online Jan. 27 in Academic Medicine.

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Osteoporosis-Treated Adults Have Elevated Risk of Mortality

FRIDAY, Feb. 13, 2015 (HealthDay News) -- Women and men below age 70 who are treated for osteoporosis have an excess mortality risk, according to a study published online Feb. 7 in the Journal of Bone and Mineral Research.

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Kidney Failure Risk in CKD Up With High-Acid, Meat-Rich Diet

FRIDAY, Feb. 13, 2015 (HealthDay News) -- Patients struggling with chronic kidney disease who routinely consume meat-rich, highly-acidic diets may boost their risk for kidney failure, according to research published online Feb. 12 in the Journal of the American Society of Nephrology.

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Deaths Due to Smoking Underestimated in U.S.

THURSDAY, Feb. 12, 2015 (HealthDay News) -- According to the U.S. Surgeon General, about 480,000 Americans die of smoking-related causes each year, but that figure may be closer to 540,000, researchers from the American Cancer Society report. The findings were published in the Feb. 12 issue of the New England Journal of Medicine.

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MetS Prevalent Among Seniors at Risk of Mobility Disability

THURSDAY, Feb. 12, 2015 (HealthDay News) -- For older adults at high risk of mobility disability, metabolic syndrome is highly prevalent, according to a study published online Jan. 30 in the Journal of the American Geriatrics Society.

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Seven Tips Help Doctors Prepare for Meaningful Use Audits

WEDNESDAY, Feb. 11, 2015 (HealthDay News) -- Given that physicians are chosen for meaningful use (MU) audits at random, the best way to prepare is for a physician to assume they will be audited, according to an article published Jan. 28 in Medical Economics.

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AMA: Use American Heart Month to Focus on Patients' BP

WEDNESDAY, Feb. 11, 2015 (HealthDay News) -- As part of American Heart Month, physicians are encouraged to focus on patients' blood pressure, according to a report from the American Medical Association (AMA).

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Health Benefits of Moderate Drinking May Be Overestimated

WEDNESDAY, Feb. 11, 2015 (HealthDay News) -- A review of 52,891 British people found little to no health benefit linked to alcohol consumption, once the results were adjusted for a range of personal, social, economic, and lifestyle factors. The findings were published Feb. 10 in The BMJ.

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ICDs May Provide Little Benefit When Implanted Over Age 70

WEDNESDAY, Feb. 11, 2015 (HealthDay News) -- Implantable cardioverter-defibrillators (ICDs) may not benefit all patients to the same degree, as their effectiveness seems to diminish somewhat with the advancing age of the patient, according to a review published online Feb. 10 in Circulation: Cardiovascular Quality Outcomes.

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Americans' Complementary Health Approaches Changing

WEDNESDAY, Feb. 11, 2015 (HealthDay News) -- Yoga is increasingly popular among U.S. adults and children, two new government surveys reveal. Both surveys, which were published Feb. 10 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS), looked at the overall use of alternative or complementary medicine among Americans.

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Naps Counteract Negative Effects of Sleep Deprivation

TUESDAY, Feb. 10, 2015 (HealthDay News) -- Brief daytime naps might protect against the harmful health effects of a poor night's sleep, according to a study published online Feb. 10 in the Journal of Clinical Endocrinology & Metabolism.

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BP Meds Benefit Diabetes Patients, Even Without HTN

TUESDAY, Feb. 10, 2015 (HealthDay News) -- A new analysis indicates that people with type 2 diabetes are less likely to suffer myocardial infarctions, strokes, or early mortality when they take blood pressure medications -- even if they don't actually have hypertension. The study was published in the Feb. 10 issue of the Journal of the American Medical Association.

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Research Misconduct ID'd by FDA Often Unreported in Literature

TUESDAY, Feb. 10, 2015 (HealthDay News) -- A review of U.S. Food and Drug Administration inspection reports between 1998 and 2013 revealed 57 clinical trials in which regulators had uncovered violations serious enough to earn the agency's most severe classification -- "official action indicated," or OAI. The findings were published online Feb. 9 in JAMA Internal Medicine.

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Multidisciplinary Approach Successful in Chronic Back Pain

TUESDAY, Feb. 10, 2015 (HealthDay News) -- Medication combined with a multidisciplinary rehabilitation program can decrease disability and improve mental health in low back pain patients over several years, according to a study published online Dec. 26 in the International Journal of Rheumatic Diseases.

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Eight Clinical Signs of Impending Death Identified

MONDAY, Feb. 9, 2015 (HealthDay News) -- Researchers say they have identified eight specific physical signs that strongly indicate impending death in patients with advanced cancer. The findings have been reported online Feb. 9 in Cancer.

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Confidence Not Accurate Measure of Prescribing Competence

MONDAY, Feb. 9, 2015 (HealthDay News) -- For medical students, self-reported confidence in prescribing only weakly correlates with actual competence, according to a study published online Feb. 4 in The Journal of Clinical Pharmacology.

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Motivational Interviewing Can Help Reach Nonadherent Patients

FRIDAY, Feb. 6, 2015 (HealthDay News) -- Motivational interviewing can be a useful approach for reaching noncompliant patients, according to an article published Jan. 22 in Medical Economics.

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Prompt, Aggressive BP Management Encouraged

THURSDAY, Feb. 5, 2015 (HealthDay News) -- Patients with systolic blood pressure higher than 150 mm Hg face increased risks without aggressive drug treatment started within a month and a half, according to research findings published Feb. 5 in The BMJ.

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Perspective on Dr. Davidson: 'Be Like Mike'

THURSDAY, Feb. 5, 2015 (HealthDay News) -- The tragic shooting of surgeon Michael Davidson can be used as an opportunity to find meaning in tragedy, according to a perspective piece published online Feb. 5 in the New England Journal of Medicine.

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Healthy Diet Independently Tied to Lower Risk of COPD

WEDNESDAY, Feb. 4, 2015 (HealthDay News) -- A healthy diet might reduce the risk of developing chronic obstructive pulmonary disease (COPD), new research suggests. The study was published Feb. 3 in The BMJ.

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Flu Vaccination Rates for Nursing Home Staff Too Low

WEDNESDAY, Feb. 4, 2015 (HealthDay News) -- Only about one in two U.S. nursing home workers receive an annual flu vaccination, according to a study published in the Feb. 1 issue of the American Journal of Infection Control.

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One in Three Prefer Earlier Death to Daily Pill

WEDNESDAY, Feb. 4, 2015 (HealthDay News) -- One out of three adults would sooner face a shorter life span than take a daily pill to prevent cardiovascular disease, according to a new Internet survey published online Feb. 3 in Circulation: Cardiovascular Quality and Outcomes.

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ACS-NSQIP Report Cards Don't Appear to Provide Much Benefit

TUESDAY, Feb. 3, 2015 (HealthDay News) -- Report cards on the quality of surgical care provided by hospitals don't appear to benefit Medicare patients, according to a new study. The findings were published in the Feb. 3 issue of the Journal of the American Medical Association.

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Tips Provided for Transitional Care Management Code Usage

TUESDAY, Feb. 3, 2015 (HealthDay News) -- In an article published Dec. 18 in Medical Economics, information is provided on transitional care management (TCM) codes and how to implement a process to use these codes.

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Two Pneumococcal Vaccines Advised for Seniors

TUESDAY, Feb. 3, 2015 (HealthDay News) -- Adults 65 and older need two pneumococcal vaccines to better protect them from sepsis, meningitis, and pneumonia, according to a revised vaccination schedule from the 2015 Advisory Committee on Immunization Practices. The new recommendations were published in the Feb. 3 issue of the Annals of Internal Medicine.

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Younger Patients With Diabetes More Often Skipping Visits

TUESDAY, Feb. 3, 2015 (HealthDay News) -- One in every five young American adults with diabetes hasn't seen a doctor in the past six months, according to a February data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Many Americans Suffering in Final Year of Life

TUESDAY, Feb. 3, 2015 (HealthDay News) -- For a growing number of Americans, the final year of life is marked by pain, depression, and other distressing symptoms, according to a study published in the Feb. 3 issue of the Annals of Internal Medicine.

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Too Many Hospitalized Heart Failure Patients on IV Fluids

TUESDAY, Feb. 3, 2015 (HealthDay News) -- Potentially harmful intravenous (IV) fluids are being given to too many patients with severe heart failure, according to a new study published in the Feb. 1 issue of JACC: Heart Failure.

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Nutritional Supplements Can Improve Pressure Ulcer Healing

TUESDAY, Feb. 3, 2015 (HealthDay News) -- For malnourished adult patients, specific nutritional supplements (arginine, zinc, and antioxidants) are associated with improved pressure ulcer healing, according to a study published in the Feb. 3 issue of the Annals of Internal Medicine.

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Non-Pharmacological Options Efficacious in Treating Delirium

MONDAY, Feb. 2, 2015 (HealthDay News) -- Non-pharmacological alternatives for the treatment of delirium are available and beneficial, according to a review published online Feb. 2 in JAMA Internal Medicine.

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Patient Engagement Can Cut Costs, Improve Outcomes

MONDAY, Feb. 2, 2015 (HealthDay News) -- Patient engagement initiatives can decrease costs without sacrificing quality care, according to an article published Jan. 22 in Medical Economics.

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Medicaid Expansion Tops Savings Versus Marketplace

MONDAY, Feb. 2, 2015 (HealthDay News) -- Medicaid expansion is associated with greater reductions in out-of-pocket spending for previously uninsured low-income adults than Marketplace exchange coverage with premium tax credits and generous benefits, according to a report published in the January issue of Health Affairs.

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Spironolactone + TMP-SMX May Up Risk of Sudden Death

MONDAY, Feb. 2, 2015 (HealthDay News) -- Taking spironolactone alongside the antibiotic trimethoprim-sulfamethoxazole can cause blood potassium to rise to potentially life-threatening levels, according to a study published online Feb. 2 in CMAJ, the journal of the Canadian Medical Association.

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Nursing Students Offer Insight Into Aged Care Career Choice

MONDAY, Feb. 2, 2015 (HealthDay News) -- Nursing students provide valuable insights into aged care, with equal numbers for and against pursuing a career in aged care, according to a study published in the February issue of the Journal of Clinical Nursing.

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