May 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 May 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.

No Consistent Cardiovascular Benefit Seen for Supplements

THURSDAY, May 31, 2018 (HealthDay News) -- The data on popular supplements show no consistent cardiovascular benefit, according to a study published in the June 5 issue of the Journal of the American College of Cardiology.

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Variables ID'd to Predict Height Loss in Postmenopausal Women

THURSDAY, May 31, 2018 (HealthDay News) -- A set of commonly available variables may be useful in predicting the five-year risk of height loss ≥1 inch in postmenopausal women, according to a study published online May 7 in Menopause.

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Comprehensive Primary Care Initiative Improves Care Delivery

THURSDAY, May 31, 2018 (HealthDay News) -- Introducing the Comprehensive Primary Care Initiative (CPC), a health care delivery model developed by the Centers for Medicare and Medicaid Services (CMS), improves primary care delivery but does not reduce Medicare spending enough to cover care management fees, according to a study published online May 23 in Health Affairs.

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Prenatal Care in First Trimester for Majority of 2016 U.S. Births

THURSDAY, May 31, 2018 (HealthDay News) -- Overall, 77.1 percent of women who gave birth in 2016 initiated prenatal care in the first trimester of pregnancy, according to a report published in the U.S. Centers for Disease Control and Prevention's May 30 National Vital Statistics Report.

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Review IDs Exercise 'Dose' That May Improve Cognition in Seniors

THURSDAY, May 31, 2018 (HealthDay News) -- For older adults, exercise is associated with improved cognition, with exercising for at least 52 hours over a six month period for about an hour each session associated with improved cognitive skills, according to a review published online May 30 in Neurology: Clinical Practice.

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Prompts May Up Goals-of-Care Dialogues at Outpatient Visits

THURSDAY, May 31, 2018 (HealthDay News) -- A patient-specific preconversation communication-priming intervention targeting patients and clinicians is associated with an increase in goals-of-care discussions among patients with serious illness, according to a study published online May 26 in JAMA Internal Medicine.

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T1DM Self-Management Varies With Adult Developmental Stages

THURSDAY, May 31, 2018 (HealthDay News) -- Type 1 diabetes self-management behaviors vary across adult developmental stages, according to a study published online May 25 in Diabetes Care.

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CVD Risk Up Even in Metabolically Healthy Obese Women

THURSDAY, May 31, 2018 (HealthDay News) -- Obesity is associated with increased risk of cardiovascular disease risk even among metabolically healthy women, according to a study published online May 30 in The Lancet Diabetes & Endocrinology.

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Oral Propranolol Seems Safe for Infantile Hemangioma

THURSDAY, May 31, 2018 (HealthDay News) -- The safety profile of oral propranolol seems to be good for children with infantile hemangioma, according to a study published online May 29 in Pediatrics.

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Galcanezumab Beats Placebo for Episodic Migraine

THURSDAY, May 31, 2018 (HealthDay News) -- For patients with episodic migraine, galcanezumab is better than placebo for reducing migraine headache days, according to a study published online May 29 in JAMA Neurology.

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Annual Health Care Expenditure Higher for Hypertensive Patients

WEDNESDAY, May 30, 2018 (HealthDay News) -- Individuals with hypertension have a higher annual adjusted incremental expenditure of $1,920, according to a study published online May 30 in the Journal of the American Heart Association.

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Older Adults Often Reluctant to Set Up Secure Patient Portal

WEDNESDAY, May 30, 2018 (HealthDay News) -- About half of older adults report having set up a patient portal, according to survey results from the National Poll on Healthy Aging.

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ACS Updates Colorectal Cancer Screening to Start at Age 45

WEDNESDAY, May 30, 2018 (HealthDay News) -- Colorectal cancer (CRC) screening should begin at age 45 for people at average risk, according to updated guidelines from the American Cancer Society published online May 30 in CA: A Cancer Journal for Clinicians.

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Birth Control Pills Recalled Over Potential Pregnancy Risk

WEDNESDAY, May 30, 2018 (HealthDay News) -- Almost 170,000 birth control pill packs are being recalled over a manufacturing error that could lead to unplanned pregnancy, maker Allergan says.

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Does Higher Protein Intake Up Heart Failure Risk in Men?

WEDNESDAY, May 30, 2018 (HealthDay News) -- Higher dietary protein intake is associated with a trend toward increased heart failure risk among middle-aged men, according to a study published online May 29 in Circulation: Heart Failure.

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CDC: Outpatient Rehab Rates Suboptimal for Stroke Survivors

WEDNESDAY, May 30, 2018 (HealthDay News) -- In 2015, 35.5 percent of adult stroke survivors used outpatient rehabilitation, up from 31.2 percent in 2013, according to research published in the May 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Recommendations Developed for Improving Women's Health Care

WEDNESDAY, May 30, 2018 (HealthDay News) -- Women face unique health challenges across their lifetimes, and policies should be implemented to improve their health outcomes, according to a position paper published online May 29 in the Annals of Internal Medicine.

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Parents Have Concerns Over Food Allergy Precautions at Schools

WEDNESDAY, May 30, 2018 (HealthDay News) -- A substantial portion of parents whose children have food allergies have concerns over the safety of their child at school, according to a study published online May 12 in BMC Pediatrics.

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Tighter Alcohol Policies Cut Alcohol-Related Crash Deaths

WEDNESDAY, May 30, 2018 (HealthDay News) -- Strengthening state alcohol policies can reduce alcohol-related crash fatalities, according to a study published online May 29 in JAMA Internal Medicine.

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Children Typically Have 14 Simple Infections by Age 3 Years

WEDNESDAY, May 30, 2018 (HealthDay News) -- Children experience a median of 14 infections during their first three years of life, though there is large variation in incidence, according to a study published online May 24 in Pediatrics.

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Associative Memory Test Aids Prediction of Dementia Risk

TUESDAY, May 29, 2018 (HealthDay News) -- Among older adults with a minor decline on a screening test for cognitive ability, an additional three-minute test of associative memory can improve identification of patients at increased risk of developing dementia over the next several years, according to a study published in the May/June issue of the Annals of Family Medicine.

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Teens' Self-Esteem, Peer Status Tied to Later Eating Disorders

TUESDAY, May 29, 2018 (HealthDay News) -- Self-perception of attractiveness and peer status in early adolescence are significant predictors of eating disorders in young adults, according to a study published online April 27 in the International Journal of Eating Disorders.

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Severe Hyponatremia Described After Drinking Horsetail Juice

TUESDAY, May 29, 2018 (HealthDay News) -- Severe hyponatremia has been described after drinking horsetail (Equisetum) juice in a case report published online May 29 in the Annals of Internal Medicine.

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Babies of Adolescents in CPS Care More Likely to Be Taken Into Care

TUESDAY, May 29, 2018 (HealthDay News) -- Teen mothers who are in the care of child protection services (CPS) when they gave birth have more than a seven times higher likelihood that their child will be taken into care before age 2 years, compared to teen mothers not in CPS, according to a study published online May 29 in Pediatrics.

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Insomnia Found to Be Common but Mild in Older Adults

TUESDAY, May 29, 2018 (HealthDay News) -- Insomnia is common in older community-dwelling adults, but usually mild, according to a study published online May 21 in the Journal of the American Geriatrics Society.

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New Hypertension Guideline Discussed for Older Adults

TUESDAY, May 29, 2018 (HealthDay News) -- Clinicians caring for older adults with hypertension should be mindful of the specific blood pressure (BP) goals proven to reduce cardiovascular disease events, while adopting the new 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guideline, according to an article published online May 20 in the Journal of the American Geriatrics Society.

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Gaps in Care Post Discharge for Mild Traumatic Brain Injury

TUESDAY, May 29, 2018 (HealthDay News) -- There are considerable gaps in follow-up care for patients with mild traumatic brain injury (mTBI) who have been discharged from the hospital, according to a study published online May 25 in JAMA Network Open.

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Increase in Tx Candidates With 2017 Hypertension Guidelines

FRIDAY, May 25, 2018 (HealthDay News) -- The 2017 American College of Cardiology/American Heart Association hypertension guideline is associated with an increase in the proportion of adults recommended for antihypertensive treatment compared with the 2014 guideline, according to a study published online May 23 in JAMA Cardiology.

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FDA Approves Palynziq for Phenylketonuria

FRIDAY, May 25, 2018 (HealthDay News) -- Palynziq (pegvaliase-pqpz) has been approved by the U.S. Food and Drug Administration to treat phenylketonuria, or PKU.

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CDC IDs Outbreak Trends Tied to Treated Recreational Water

FRIDAY, May 25, 2018 (HealthDay News) -- Outbreaks associated with treated recreational water with confirmed infectious etiology are usually caused by Cryptosporidium, Legionella, or Pseudomonas, according to research published in the May 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Certolizumab Looks Promising for Moderate-to-Severe Psoriasis

FRIDAY, May 25, 2018 (HealthDay News) -- Twice-weekly certolizumab biologic appears to be both safe and effective for the treatment of moderate-to-severe chronic plaque psoriasis, according to a study published online April 13 in the Journal of the American Academy of Dermatology.

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Early-Life Weight Associated With Cognitive Factors

FRIDAY, May 25, 2018 (HealthDay News) -- Early-life weight status has an inverse association with some cognitive abilities in children, according to a study published online May 23 in Obesity.

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CPAP Use May Improve Sexual QOL in Those With Sleep Apnea

FRIDAY, May 25, 2018 (HealthDay News) -- Successful continuous positive airway pressure (CPAP) use for obstructive sleep apnea may be associated with improved sexual quality of life (QOL), according to a study published online May 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Antidepressant Prescribing Linked to Lasting Weight Gain

FRIDAY, May 25, 2018 (HealthDay News) -- Antidepressant prescribing is associated with long-term increased risk of weight gain, according to a study published online May 23 in The BMJ.

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Severe Atopic Eczema Tied to Higher CV Disease Risk

FRIDAY, May 25, 2018 (HealthDay News) -- Adults with severe atopic eczema are at increased risk of cardiovascular disease, according to a study published online May 23 in The BMJ.

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Higher Seafood Intake May Shorten Time to Pregnancy

FRIDAY, May 25, 2018 (HealthDay News) -- Higher seafood intake is tied to a shorter time to pregnancy (TTP), according to a study published online May 23 in the Journal of Clinical Endocrinology & Metabolism.

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Laws Allowing Service Denial to Sexual Minorities Tied to Distress

FRIDAY, May 25, 2018 (HealthDay News) -- Laws permitting denial of services to same-sex couples are associated with an increase in sexual minority adults experiencing mental distress, according to a study published online May 23 in JAMA Psychiatry.

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Non-Nutritive Sweeteners Don't Up Blood Glucose Levels

FRIDAY, May 25, 2018 (HealthDay News) -- Consumption of non-nutritive sweeteners (NNSs) does not increase blood glucose levels, according to a review published online May 15 in the European Journal of Clinical Nutrition.

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AAP Recommending Injectable Flu Shot for 2018-19 Flu Season

THURSDAY, May 24, 2018 (HealthDay News) -- Parents are advised to choose the injectable flu vaccine for the 2018 to 2019 season, according to a decision published by the American Academy of Pediatrics (AAP), which will publish a formal policy statement on the issue in September.

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Congress Approves Bill Expanding Private Care for VA Patients

THURSDAY, May 24, 2018 (HealthDay News) -- Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.

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Atherosclerotic CVD Mortality Higher in South Asians in the U.S.

THURSDAY, May 24, 2018 (HealthDay News) -- South Asians in the United States have increased proportional mortality rates from atherosclerotic cardiovascular disease (ASCVD), although there are no unique risk factors in this population, according to a scientific statement from the American Heart Association published online May 24 in Circulation.

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Rising Fatal Drug Overdoses Linked to Years of Life Lost

THURSDAY, May 24, 2018 (HealthDay News) -- For non-Hispanic whites, rising fatal drug overdose rates are associated with increases in the mortality rate and years of potential life lost from 1999 to 2015, according to a study published online May 22 in the American Journal of Preventive Medicine.

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Financial Incentives May Up Rates of Smoker Abstinence

THURSDAY, May 24, 2018 (HealthDay News) -- Financial incentives added to free cessation aids can improve the rate of sustained abstinence among smokers, according to a study published online May 23 in the New England Journal of Medicine.

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Social Isolation Tied to Worse Heart Failure Outcomes

THURSDAY, May 24, 2018 (HealthDay News) -- Greater perceived social isolation is associated with an increased risk of death and health care use among patients with heart failure, according to a study published online May 23 in the Journal of the American Heart Association.

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Global Variation in Personal Health Care Access and Quality

THURSDAY, May 24, 2018 (HealthDay News) -- There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet.

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12 County-Level Factors Affect Individual Well-Being in U.S.

WEDNESDAY, May 23, 2018 (HealthDay News) -- Twelve county-level factors, including social and economic, clinical care, and physical environment, explain the majority of variation in resident well-being in the United States, according to a study published online May 23 in PLOS ONE.

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Lung Cancer Incidence Higher for Young Women Than Young Men

WEDNESDAY, May 23, 2018 (HealthDay News) -- Lung cancer incidence is higher among young women than young men, according to a study published in the May 24 issue of the New England Journal of Medicine.

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AAP: Congress Urged to Act to Prevent Firearm Deaths

WEDNESDAY, May 23, 2018 (HealthDay News) -- Pediatricians are joining the call for action to prevent firearm deaths and injuries, according to a letter published by the American Academy of Pediatrics.

Letter

Better Social Support Network Protects Black Men Against HIV

WEDNESDAY, May 23, 2018 (HealthDay News) -- A better social support network may help protect black men who have sex with men (BMSM) against HIV acquisition, according to a study published in the June issue of the Journal of Acquired Immune Deficiency Syndrome.

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Vitamin D Supplement Tied to Less Wheezing in Black Preemies

WEDNESDAY, May 23, 2018 (HealthDay News) -- Vitamin D sustained supplementation is associated with reduced recurrent wheezing among black infants born preterm, according to a study published in the May 22/29 issue of the Journal of the American Medical Association.

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Recommendations Developed for Managing Postpartum Pain

WEDNESDAY, May 23, 2018 (HealthDay News) -- Recommendations for managing postpartum pain have been developed and published in a Committee Opinion online May 17 in Obstetrics & Gynecology.

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Pediatricians Should Advocate for Life Support Training

WEDNESDAY, May 23, 2018 (HealthDay News) -- Pediatricians should advocate for life support training for children, parents, caregivers, school personnel, and the public, according to a technical report and policy statement published online May 23 in Pediatrics.

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Inverse Link for Plasma 25(OH)D Concentration, Risk of T2DM

WEDNESDAY, May 23, 2018 (HealthDay News) -- There is an inverse association for plasma 25-hydroxyvitamin D (25[OH]D) concentration with diabetes risk, according to a study published online April 19 in PLOS ONE.

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Morbidity in Pregnancy Common for Women With Heart Disease

WEDNESDAY, May 23, 2018 (HealthDay News) -- For women with heart disease, cardiac complications occur in 16 percent of pregnancies and are mainly linked to arrhythmias and heart failure, according to a study published in the May 29 issue of the Journal of the American College of Cardiology.

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Extended INR Test Intervals Safe for Warfarin-Treated Patients

WEDNESDAY, May 23, 2018 (HealthDay News) -- For stable warfarin-treated patients, extended international normalized ratio (INR) testing can be successfully and safely implemented, according to a study published online May 15 in the Journal of Thrombosis and Haemostasis.

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Less Driving Tied to Lower Cardiovascular Disease Risk

WEDNESDAY, May 23, 2018 (HealthDay News) -- More active alternatives to the car for travel are associated with a reduced risk of cardiovascular disease (CVD) and all-cause mortality, according to a study published online May 21 in Heart.

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Increase in Pediatric ADHD Meds Exposures from 2000 to 2011

TUESDAY, May 22, 2018 (HealthDay News) -- From 2000 through 2011 there was an increase in pediatric attention-deficit/hyperactivity disorder (ADHD) medication exposures reported to U.S. poison control centers, according to a study published online May 21 in Pediatrics.

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Preventing Child Maltreatment Not Yet Feasible in Primary Care

TUESDAY, May 22, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is inadequate for primary care interventions to prevent maltreatment. These findings form the basis of a draft recommendation statement published online May 22 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
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Age-Related Racial Disparity Examined in Childhood Suicide

TUESDAY, May 22, 2018 (HealthDay News) -- For childhood suicide, there is a significant age-related racial disparity, according to a research letter published online May 21 in JAMA Pediatrics.

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CDC: No Change in Level of Uninsured in U.S. in 2017

TUESDAY, May 22, 2018 (HealthDay News) -- Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention's National Centers for Health Statistics.

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2003 to 2014 Saw Rise in Diabetic Ketoacidosis Admissions

TUESDAY, May 22, 2018 (HealthDay News) -- The incidence of hospitalization for diabetic ketoacidosis (DKA) and associated costs increased from 2003 to 2014, according to a study published online May 17 in Diabetes Care.

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Daily Egg Consumption Linked to Reduced CVD Risk

TUESDAY, May 22, 2018 (HealthDay News) -- A moderate level of egg consumption is associated with a reduced risk of cardiovascular disease (CVD), according to a study published online May 21 in Heart.

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From 2008 to 2014, Prostate Cancer Testing, Treatment Down

TUESDAY, May 22, 2018 (HealthDay News) -- Fewer men are being screened for, diagnosed with, and treated for prostate cancer, according to a study published online May 21 in Cancer.

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TNFi Exposure In Utero Does Not Up Serious Infection Risk

TUESDAY, May 22, 2018 (HealthDay News) -- Offspring born to mothers with rheumatoid arthritis (RA) who are exposed to tumor necrosis factor α inhibitors (TNFi) in the gestational period do not have a significantly increased risk of serious infections, according to a study published online May 17 in Arthritis & Rheumatology.

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Exercise Modifies Predisposition to Obesity After Menopause

TUESDAY, May 22, 2018 (HealthDay News) -- Physical activity modifies the association between the body mass index (BMI) genetic risk score (GRS) and BMI, according to a study published online May 16 in Menopause.

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Addressing Parents' HPV Vaccine Hesitancy Ups Vaccination Rates

TUESDAY, May 22, 2018 (HealthDay News) -- Providers engaging parents hesitant about human papillomavirus (HPV) vaccination and addressing their concerns can lead to same-day vaccinations, according to a study published online May 15 in Pediatrics.

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Patterns of Potential Misuse Help Assess Risk of Opioid Overdose

MONDAY, May 21, 2018 (HealthDay News) -- Patterns of potential opioid misuse are positively associated with subsequent opioid overdose, according to a study published online May 22 in the Annals of Internal Medicine.

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Robust Immune Responses for Herpes Zoster Subunit Vaccine

MONDAY, May 21, 2018 (HealthDay News) -- Recipients of the herpes zoster subunit vaccine (HZ/su), consisting of varicella-zoster virus glycoprotein E (gE) and AS01B Adjuvant System, develop robust immune responses, according to a study published in the June 1 issue of The Journal of Infectious Diseases.

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Risk of Dementia Up for Older Adults With Lowest Wealth

MONDAY, May 21, 2018 (HealthDay News) -- The risk of dementia is increased for adults in the lowest versus the highest wealth quintile, according to a study published online May 16 in JAMA Psychiatry.

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FDA Approves Aimovig to Prevent Migraines

MONDAY, May 21, 2018 (HealthDay News) -- Aimovig (erenumab-aooe) has been approved by the U.S. Food and Drug Administration to prevent migraine headaches in adults.

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Social, Communication Delays With False-Negative on M-CHAT

MONDAY, May 21, 2018 (HealthDay News) -- Children who pass the Modified Checklist for Autism in Toddlers (M-CHAT) screening at 18 months but later receive diagnoses of autism spectrum disorder (ASD) exhibit delays in social, communication, and motor skills, according to a study published online May 21 in Pediatrics.

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Rivaroxaban Linked to Low VTE Recurrence in Active Cancer

MONDAY, May 21, 2018 (HealthDay News) -- For patients with active cancer and venous thromboembolism (VTE), rivaroxaban is associated with lower VTE recurrence compared with dalteparin, but with elevated clinically relevant non-major bleeding (CRNMB), according to a study published online May 10 in the Journal of Clinical Oncology.

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Depression-Heart Rate Variability Link Is Bidirectional

MONDAY, May 21, 2018 (HealthDay News) -- There is a bidirectional association between depression and heart rate variability (HRV), according to a study published online May 16 in JAMA Psychiatry.

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Starting Exercise Even in Older Age Cuts Heart Failure Risk

MONDAY, May 21, 2018 (HealthDay News) -- Increasing patients' physical activity is an effective strategy to lower future risk of heart failure, according to a study published in the May issue of Circulation.

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Semaglutide Found to Be Effective Against Type 2 Diabetes

MONDAY, May 21, 2018 (HealthDay News) -- Semaglutide is safe and effective for the treatment of type 2 diabetes, according to a review published online May 13 in Diabetes, Obesity and Metabolism.

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Over Half of Young Adult Smoke Volume Exposure From Hookahs

FRIDAY, May 18, 2018 (HealthDay News) -- Waterpipe tobacco smoking (or hookah smoking) accounts for half of young adults' tobacco smoke exposure, according to a study published online May 16 in Tobacco Control.

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Various Clinical Disturbances Precede MS Diagnosis

FRIDAY, May 18, 2018 (HealthDay News) -- Various clinical symptoms precede the diagnosis of multiple sclerosis (MS) by several years, according to a study published online May 8 in the Annals of Neurology.

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Language Used in Medical Record Can Affect Patient Care

FRIDAY, May 18, 2018 (HealthDay News) -- Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine.

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Pharmacists Should Counsel Patients Fasting for Ramadan

FRIDAY, May 18, 2018 (HealthDay News) -- Pharmacists should counsel Muslim patients who fast during Ramadan with respect to their medications and adjusting their medication regimen, according to an article published in Drug Topics.

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Adding Chiropractic to Usual Care Beneficial for Low Back Pain

FRIDAY, May 18, 2018 (HealthDay News) -- For active-duty military personnel, the addition of chiropractic care to usual medical care is associated with improvements in low back pain intensity and disability, according to a study published online May 18 in JAMA Network Open.

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Breath Test Shows Promise for Diagnosis of Esophagogastric CA

FRIDAY, May 18, 2018 (HealthDay News) -- Breath analysis shows potential for noninvasive diagnosis of esophagogastric cancer (OGC), according to a study published online May 17 in JAMA Oncology.

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Most Teens, Young Women Satisfied With IUD Insertion

FRIDAY, May 18, 2018 (HealthDay News) -- Most adolescent and young adult women report high satisfaction with intrauterine device (IUD) insertion, according to a study published online May 7 in Obstetrics & Gynecology.

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Chemicals in Hair Products for Black Women Raise Concerns

FRIDAY, May 18, 2018 (HealthDay News) -- Multiple chemicals associated with endocrine disruption and asthma are contained in hair products used by black women and children, according to a study published online April 25 in Environmental Research.

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Higher Adiposity Increases Odds of Smoking

FRIDAY, May 18, 2018 (HealthDay News) -- Obesity is linked to an increased risk of smoking and an increase in the number of cigarettes smoked daily, according to a study published online May 16 in The BMJ.

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Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure

THURSDAY, May 17, 2018 (HealthDay News) -- Acute kidney injury (AKI) is independently associated with a higher risk of cardiovascular events, especially heart failure, after hospital discharge, according to a study published online May 17 in the Clinical Journal of the American Society of Nephrology.

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Good Evidence That HPV Vaccines Protect Against Cervical Precancer

THURSDAY, May 17, 2018 (HealthDay News) -- Human papillomavirus (HPV) vaccines protect against cervical precancer in adolescent girls and young women, according to a review published online May 9 in the Cochrane Library.

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FDA Approves Non-Opioid Treatment for Opioid Withdrawal

THURSDAY, May 17, 2018 (HealthDay News) -- Lucemyra (lofexidine hydrochloride) has been approved by the U.S. Food and Drug Administration to treat symptoms of opioid withdrawal.

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Healthful Diet Linked to Reduced Risk of Hearing Loss in Women

THURSDAY, May 17, 2018 (HealthDay News) -- For women, adherence to healthful dietary patterns is associated with reduced risk of hearing loss, according to a study published online May 11 in the Journal of Nutrition.

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CDC: Number of U.S. Births Dropped to 30-Year Low in 2017

THURSDAY, May 17, 2018 (HealthDay News) -- The number of U.S. births decreased in 2017, reaching a 30-year low, according to a report published online May 17 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Budesonide-Formoterol Used As Needed Beneficial in Mild Asthma

THURSDAY, May 17, 2018 (HealthDay News) -- Inhaled combined budesonide-formoterol used as needed is beneficial for mild asthma, according to two studies published in the May 17 issue of the New England Journal of Medicine.

Abstract/Full Text - O'Byrne (subscription or payment may be required)
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Editorial (subscription or payment may be required)

Seafood Recommended 1 to 2 Times/Week for Cardiac Benefit

THURSDAY, May 17, 2018 (HealthDay News) -- One to two servings of seafood per week is recommended for cardiovascular benefits, according to an American Heart Association science advisory published online May 17 in Circulation.

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Aerobic + Strength Exercise Doesn't Slow Cognitive Decline

THURSDAY, May 17, 2018 (HealthDay News) -- An aerobic and strength exercise program does not slow cognitive impairment among people with mild-to-moderate dementia, according to a study published online May 16 in The BMJ.

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Sustained Use of Oxymetazoline Cream Efficacious for Rosacea

THURSDAY, May 17, 2018 (HealthDay News) -- Oxymetazoline is safe and effective for the treatment of moderate-to-severe persistent erythema of rosacea, according to a study published in the June issue of the Journal of the American Academy of Dermatology.

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Nonprofit Manufacturer Could Keep Generic Drug Costs Down

WEDNESDAY, May 16, 2018 (HealthDay News) -- A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine.

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New Rabies Test Could Radically Change Testing, Treatment

WEDNESDAY, May 16, 2018 (HealthDay News) -- A new rapid rabies test for animals could revolutionize screening and spare humans unnecessary painful treatment, according to a U.S. Centers for Disease Control and Prevention study published online May 16 in PLOS ONE.

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Fetal Growth, Maternal Anger Impact Infant Regulation

WEDNESDAY, May 16, 2018 (HealthDay News) -- Poor prenatal growth and higher postnatal anger have indirect effects on infant reactivity and regulation (RR), according to a study published in the March/April issue of Child Development.

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Suicide Ideation, Attempts Increasing Among U.S. Children

WEDNESDAY, May 16, 2018 (HealthDay News) -- From 2008 to 2015 there was an increase in encounters for suicide ideation (SI) and suicide attempts (SAs) among U.S. children, according to a study published online May 16 in Pediatrics.

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Hepatitis C-Exposed Infants Not Adequately Screened

WEDNESDAY, May 16, 2018 (HealthDay News) -- Many infants who are exposed to hepatitis C virus (HCV) during pregnancy are not screened for HCV infection, according to a study published online May 2 in Pediatrics.

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Best Practices Developed for Use of EHR to Enhance Patient Care

WEDNESDAY, May 16, 2018 (HealthDay News) -- Best practices have been developed for using electronic health records (EHRs) to enhance patient-centered care, according to an article published online in Medical Economics.

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Sleep Apnea Rarely Investigated in Older Adults

WEDNESDAY, May 16, 2018 (HealthDay News) -- A high risk of obstructive sleep apnea (OSA) is common among older adults but is seldom investigated, though when it is investigated, it is almost always confirmed, according to a study published online May 9 in the Journal of the American Geriatrics Society.

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Fremanezumab Linked to Fewer Monthly Migraine Days

WEDNESDAY, May 16, 2018 (HealthDay News) -- For patients with episodic migraine, fremanezumab is associated with a reduction in the mean number of monthly migraine days, according to a study published in the May 15 issue of the Journal of the American Medical Association.

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Prevalence of Adult E-Cigarette Use Up from 2014 to 2016

TUESDAY, May 15, 2018 (HealthDay News) -- The prevalence of electronic cigarette (e-cigarette) ever use increased among U.S. adults from 2014 to 2016, according to a research letter published in the May 15 issue of the Journal of the American Medical Association.

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Prescription Med Use in Children Down Overall From 1999 to 2014

TUESDAY, May 15, 2018 (HealthDay News) -- From 1999 to 2014 there was a decrease in prescription medication use overall among children and adolescents, according to a study published in the May 15 issue of the Journal of the American Medical Association.

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Shower Cream, Body Lotion Combo Improves Atopic Dry Skin

TUESDAY, May 15, 2018 (HealthDay News) -- A shower cream and a body lotion with physiological lipids are effective in improving skin hydration in patients with dry skin, according to a study published online May 10 in the Journal of Cosmetic Dermatology.

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High Occupational Exercise Level Tied to Early Mortality in Men

TUESDAY, May 15, 2018 (HealthDay News) -- High levels of occupational physical activity in men are associated with an increased risk of early mortality, according to a review published online May 14 in the British Journal of Sports Medicine.

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Asthma Mortality Inversely Tied to Deprivation in English Young

TUESDAY, May 15, 2018 (HealthDay News) -- For children and younger adults with asthma, prevalence and admissions increase with deprivation, while mortality is inversely associated with deprivation, according to a study published online May 14 in Thorax.

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Opioid-Related Payments Linked to Increase in Opioid Rx

MONDAY, May 14, 2018 (HealthDay News) -- Receipt of opioid-related payments from industry in 2014 was associated with increased opioid prescribing in 2015, according to a research letter published online May 14 in JAMA Internal Medicine.

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Practice Intervention Targeting IV Opioids May Cut Exposure

MONDAY, May 13, 2018 (HealthDay News) -- An intervention targeting the use of intravenous opioids may reduce opioid exposure, according to a study published online May 14 in JAMA Internal Medicine.

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Rates of Major Depression Up Among U.S. Insured, Esp. Youth

MONDAY, May 14, 2018 (HealthDay News) -- Diagnoses of major depression have increased since 2013, particularly among adolescents and millennials, according to a report published May 10 by Blue Cross Blue Shield (BCBS).

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Maternal Exposure to Polluted Air Tied to Elevated Child BP

MONDAY, May 14, 2018 (HealthDay News) -- Exposure to ambient air pollution in the third trimester of pregnancy is associated with increased risk of elevated blood pressure (BP) among offspring, according to a study published online May 14 in Hypertension.

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Reported Cannabis Use Up in Parents With Children in Home

MONDAY, May 14, 2018 (HealthDay News) -- From 2002 to 2015 there was an increase in reported cannabis use among parents with children in the home, according to a study published online May 14 in Pediatrics.

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Teledermatology Could Expedite Care for Suspected Skin Cancer

MONDAY, May 14, 2018 (HealthDay News) -- Teledermatology for suspected skin cancer is slightly more expensive than usual care, but it expedites time to clinical resolution, according to a study published online May 9 in JAMA Dermatology.

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Increase in Proportion of Births at Gestational Age 39 to 40 Weeks

MONDAY, May 14, 2018 (HealthDay News) -- From 2007 to 2015 there was an increase in the proportion of births at gestational age 39 to 40 weeks, and perinatal mortality at this gestational age decreased, according to a study published online May 14 in JAMA Pediatrics.

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Primary Care Providers Have Mixed Views on Genetic Tests

FRIDAY, May 11, 2018 (HealthDay News) -- Primary care providers view tests for genetic risks of common diseases as useful, but lack confidence in interpreting results, according to a study published in the May issue of Health Affairs.

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Emotion Regulation Program Cuts Risky Sex Behaviors in Youth

FRIDAY, May 11, 2018 (HealthDay News) -- An emotion regulation intervention reduced sexual risk behaviors among at-risk middle school students, according to a study published online May 10 in Pediatrics.

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Many Dispensaries in CO Proffer Marijuana for Morning Sickness

FRIDAY, May 11, 2018 (HealthDay News) -- More than two-thirds of Colorado cannabis dispensaries recommend cannabis products to treat nausea during the first trimester of pregnancy, according to a study published online May 7 in Obstetrics & Gynecology.

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Fx Risk Should Be Monitored in Bisphosphonate Drug Holiday

FRIDAY, May 11, 2018 (HealthDay News) -- For patients with osteopenia or osteoporosis, taking a bisphosphonate (BP) drug holiday is associated with increased risk of fracture for patients with lower femoral neck bone mineral density (BMD) or T scores, according to a recent study published in Endocrine Practice.

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Malnutrition Is Associated With Poor Prognosis in Heart Failure

FRIDAY, May 11, 2018 (HealthDay News) -- Patients with heart failure frequently have malnutrition, which is associated with increased mortality, according to a study published online May 9 in JACC: Heart Failure.

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Resistance Exercise May Reduce Depressive Symptoms in Adults

FRIDAY, May 11, 2018 (HealthDay News) -- Resistance exercise training (RET) is associated with reduced depressive symptoms among adults, according to a meta-analysis published online May 9 in JAMA Psychiatry.

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Initiative Cuts Overuse of Tests, Treatments for Bronchiolitis

FRIDAY, May 11, 2018 (HealthDay News) -- A multidisciplinary improvement initiative can reduce overuse of interventions for bronchiolitis, according to a study published online May 11 in Pediatrics.

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FDA Targets Clinics Offering Unapproved Stem Cell Therapies

THURSDAY, May 10, 2018 (HealthDay News) -- The U.S. Food and Drug Administration has launched legal action to stop two stem cell clinics from providing unapproved treatments that have caused serious, long-term harm to some patients.

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Novel Thirdhand Smoke Exposure Route Identified

THURSDAY, May 10, 2018 (HealthDay News) -- Thirdhand smoke (THS), the chemical residue from cigarette smoke that attaches to anything and anyone in the vicinity of a smoke cloud, can still make its way into the air of buildings that currently have a non-smoking designation, according to a study published online May 9 in Science Advances.

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Many Oncologists Discuss, Recommend Medical Marijuana

THURSDAY, May 10, 2018 (HealthDay News) -- Many oncologists recommend medical marijuana (MM) clinically despite not feeling sufficiently knowledgeable about its utility, according to a study published online May 10 in the Journal of Clinical Oncology.

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Gestational Diabetes May Indicate Future Subclinical Renal Issues

THURSDAY, May 10, 2018 (HealthDay News) -- Gestational diabetes mellitus (GDM) may be an early indicator of subsequent subclinical renal dysfunction, according to a study published online May 4 in Diabetes Care.

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Low-Dose Vaginal Estradiol Improves Menopause-Linked QOL

THURSDAY, May 10, 2018 (HealthDay News) -- For menopausal women with moderate-severe vulvovaginal symptoms, treatment with low-dose vaginal estradiol is associated with improved menopause-related quality of life, according to a study published online May 7 in Menopause.

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Age of First Football Tackles Tied to Neuro Symptom Onset

THURSDAY, May 10, 2018 (HealthDay News) -- Younger age of exposure to tackle football predicts earlier neurobehavioral symptom onset among players with chronic traumatic encephalopathy (CTE), according to a study published online April 30 in the Annals of Neurology.

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Lymphoma, Leukemia Survivors Have Increased Health Care Use

WEDNESDAY, May 9, 2018 (HealthDay News) -- Survivors of lymphoma and chronic lymphocytic leukemia (CLL) have increased use of health care services versus a normative population, according to a study published online April 26 in Cancer.

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Birth Factors Mostly Explain England's Child Mortality Rate

WEDNESDAY, May 9, 2018 (HealthDay News) -- Birth characteristics largely explain the higher child mortality in England versus Sweden, according to a study published online May 3 in The Lancet.

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Lesbian, Bi Women More Likely to Develop T2DM at Younger Age

WEDNESDAY, May 9, 2018 (HealthDay News) -- Lesbian and bisexual (LB) women are more likely to develop type 2 diabetes at a younger age than heterosexual women, with the difference mediated by body mass index (BMI), according to a study published online May 2 in Diabetes Care.

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Chronic Aspirin Exposure Linked to Melanoma Risk in Males

WEDNESDAY, May 9, 2018 (HealthDay News) -- Chronic acetylsalicylic acid (ASA; aspirin) exposure is associated with increased risk of malignant melanoma (MM) in men, but not women, according to a letter to the editor published online March 27 in the Journal of the American Academy of Dermatology.

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Psychological Therapies May Help Older Adults With Chronic Pain

WEDNESDAY, May 9, 2018 (HealthDay News) -- For older adults with chronic pain, psychological interventions have small benefits, including reducing pain and catastrophizing beliefs, according to a review published online May 7 in JAMA Internal Medicine.

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Regulatory Requirements Drive Dissatisfaction With EHRs

TUESDAY, May 8, 2018 (HealthDay News) -- Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine.

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Exceptional Glycemic Control With Very Low-Carbohydrate Diet

TUESDAY, May 8, 2018 (HealthDay News) -- For children and adults with type 1 diabetes mellitus (T1DM), consuming a very low-carbohydrate diet (VLCD) is associated with exceptional glycemic control, according to a study published online May 7 in Pediatrics.

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USPSTF: Decision to Undergo PSA Screening Should Be Individual

TUESDAY, May 8, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that the decision to undergo periodic prostate-specific antigen (PSA) screening for prostate cancer should be an individual one for men aged 55 to 69 years. These findings form the basis of a final recommendation statement, published in the May 8 issue of the Journal of the American Medical Association.

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Long-Term Cardiovascular Risk for Endometrial Cancer Survivors

TUESDAY, May 8, 2018 (HealthDay News) -- Endometrial cancer survivors have an elevated risk of various adverse long-term cardiovascular outcomes, according to a study published online May 8 in the Journal of the National Cancer Institute.

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After-School Activities Beneficial for Children With ADHD

TUESDAY, May 8, 2018 (HealthDay News) -- For children with attention-deficit/hyperactivity disorder (ADHD), participation in after-school activities (ASA) is associated with reduced odds of moderate-to-severe ADHD and having seven or more missed school days, according to a study presented at the annual meeting of the Pediatric Academic Societies, held from May 5 to 8 in Toronto.

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Risk of Pediatric Mental Illness Up After Injury Hospitalization

TUESDAY, May 8, 2018 (HealthDay News) -- Medicaid-insured children are at increased risk for mental health diagnoses and psychotropic prescriptions after hospitalization for an injury compared with pre-hospitalization, according to a study published online May 7 in The Journal of Pediatrics.

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High Number of Years of Life Lost Due to Police Violence in U.S.

TUESDAY, May 8, 2018 (HealthDay News) -- The number of years of life lost (YLLs) due to police violence in the United States is substantial and disproportionately impacts young people of color, according to a study published online May 7 in the Journal of Epidemiology & Community Health.

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Approaches to Firearms for Persons With Dementia Discussed

TUESDAY, May 8, 2018 (HealthDay News) -- Approaches to addressing the potential complications of owning firearms for persons with dementia (PWD) are presented in an article published online May 8 in the Annals of Internal Medicine.

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Evidence Lacking for Impact of PDMPs on Drug Overdoses

TUESDAY, May 8, 2018 (HealthDay News) -- There is insufficient evidence available for examining the correlation between prescription drug monitoring programs (PDMPs) and non-fatal or fatal overdoses, according to a review published online May 8 in the Annals of Internal Medicine.

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Cancer Incidences and Burden Expected to Shift in HIV-Positive

MONDAY, May 7, 2018 (HealthDay News) -- The cancer burden among persons living with HIV (PLWH) is projected to shift by 2030, according to a study published online May 8 in the Annals of Internal Medicine.

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Adverse Outcomes Up for Vaginal Birth After Previous C-Section

MONDAY, May 7, 2018 (HealthDay News) -- The rates of severe maternal and neonatal morbidity and mortality are elevated with attempted vaginal delivery after single prior cesarean delivery, according to a study published in the May 7 issue of CMAJ, the journal of the Canadian Medical Association.

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Folic Acid May Cut Stroke Risk in High-Risk Hypertensive Patients

MONDAY, May 7, 2018 (HealthDay News) -- Hypertensive patients may lower their stroke risk with folic acid supplements, according to a study published in the May 15 issue of the Journal of the American College of Cardiology.

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Psoriasis Negatively Affects Patient Sleep Quality

MONDAY, May 7, 2018 (HealthDay News) -- Patients with psoriasis commonly report poor sleep, with itch being the main predictor, according to a study published online April 28 in the British Journal of Dermatology.

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Daily Sports Drink Consumption Down in U.S. Teenagers

MONDAY, May 7, 2018 (HealthDay News) -- Teenagers' weekly consumption of sports drinks increased from 2010 to 2015, although daily consumption declined for most teens, according to a study published online May 7 in Pediatrics.

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Provider Counseling for Weight Loss Up for Arthritis, Overweight

MONDAY, May 7, 2018 (HealthDay News) -- In 2014, health care provider counseling for weight loss for adults with arthritis and overweight or obesity was 45.5 percent, up 10.4 percent from 2002, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Pharmacists Can Play Role in Identifying Frailty

FRIDAY, May 4, 2018 (HealthDay News) -- As the number of older people in the United States continues to increase, pharmacists and health care professionals need to recognize and address the health care challenges associated with age, including frailty, according to an article published in Drug Topics.

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Many Organizations Not Meeting Trial Reporting Requirements

FRIDAY, May 4, 2018 (HealthDay News) -- Many organizations are not meeting the trial registration and results reporting requirements clarified by "The Final Rule," which had a compliance date of April 18, 2017, according to a study published online May 1 in BMC Medicine.

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Low Neighborhood Walkability Increases Risk of Asthma in Kids

FRIDAY, May 4, 2018 (HealthDay News) -- Children living in neighborhoods with low walkability are at increased risk of asthma, according to a study published online April 17 in the Annals of the American Thoracic Society.

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Psychiatric Diagnosis Common in Medicaid-Insured Children

FRIDAY, May 4, 2018 (HealthDay News) -- About 20 percent of Medicaid-insured children receive a psychiatric diagnosis by age 8 years, according to a study published online April 30 in JAMA Pediatrics.

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Study IDs Pain Descriptors for Varying Stages of Low Back Pain

FRIDAY, May 4, 2018 (HealthDay News) -- Varying pain descriptors may be useful when evaluating patients with different stages of low back pain (LBP), according to a study published online April 30 in PAIN Practice.

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Sleep Duration Linked to Health-Related QoL in Kidney Disease

THURSDAY, May 3, 2018 (HealthDay News) -- Sleep duration is associated with health-related quality of life among patients with chronic kidney disease (CKD), according to a study published online May 3 in the Clinical Journal of the American Society of Nephrology.

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Systemic Inflammation at Midlife May Up Risk of Later Frailty

THURSDAY, May 3, 2018 (HealthDay News) -- Those with systemic inflammation during midlife are more likely to have age-related frailty, according to a recent study published in The Journals of Gerontology: Series A.

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Midlife Transition Tied to Decreasing Stress in Women

THURSDAY, May 3, 2018 (HealthDay News) -- Self-reported stress decreases for most women as they transition through midlife, according to a recent study published in Women's Midlife Health.

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Reproductive Markers Associated With Risk of Diabetes

THURSDAY, May 3, 2018 (HealthDay News) -- Markers of reproductive history, including age of menarche and parity, may be tied to future diabetes risk in women with a body mass index (BMI) ≥25 kg/m², according to a study published in Diabetes, Obesity and Metabolism.

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Older Adults Agree Sex Is Important Part of Relationships

THURSDAY, May 3, 2018 (HealthDay News) -- Most older adults agree that sex is an important part of a romantic relationship at any age, according to the National Poll on Healthy Aging.

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No Clinical Benefit Seen for Bath Emollients in Childhood Eczema

THURSDAY, May 3, 2018 (HealthDay News) -- For children with eczema, there is no clinical benefit for adding emollient bath additives, according to a study published online May 2 in The BMJ.

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Health Care for Undocumented Immigrants Is Complex

WEDNESDAY, May 2, 2018 (HealthDay News) -- In a perspective piece published in the May 2 issue of the New England Journal of Medicine, health care for undocumented immigrants is addressed in the context of an anti-immigration federal policy environment.

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Vectorborne Diseases Up More Than Two-Fold From 2004 to 2016

WEDNESDAY, May 2, 2018 (HealthDay News) -- Vectorborne diseases represent an increasing problem in the United States, with a more than two-fold increase in the number of annual reports from 2004 to 2016, according to research published in the May 1 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Epilepsy Does Not Appear to Affect Likelihood of Pregnancy

WEDNESDAY, May 2, 2018 (HealthDay News) -- Women with epilepsy and no history of infertility have a similar likelihood of achieving pregnancy as peers without epilepsy, according to a study published online April 30 in JAMA Neurology.

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Knowledge of Causes of Cancer Low in General Population

TUESDAY, May 1, 2018 (HealthDay News) -- Among the general population, awareness of actual and mythical causes of cancer is poor, according to a study published online April 25 in the European Journal of Cancer.

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Doctors Generally Confident With Deprescribing for Elderly

TUESDAY, May 1, 2018 (HealthDay News) -- Physicians are generally comfortable with deprescribing for elderly patients, although there are several barriers to deprescribing, according to a study published online April 22 in the Journal of Clinical Pharmacy and Therapeutics.

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Glyburide Not Noninferior to Insulin for Gestational Diabetes

TUESDAY, May 1, 2018 (HealthDay News) -- For women with gestational diabetes, glyburide is not noninferior to insulin, according to a study published in the May 1 issue of the Journal of the American Medical Association.

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Practices Should Be Aware of Correct Way to Fire Employees

TUESDAY, May 1, 2018 (HealthDay News) -- Physicians should be aware of the correct protocol for, as well as the laws involved in, firing employees, according to a report published in Medical Economics.

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Maternal, Child Sugar Intake Could Impact Child Cognition

TUESDAY, May 1, 2018 (HealthDay News) -- Greater sugar consumption during pregnancy and early childhood may adversely impact child cognition, according to a study published online April 16 in the American Journal of Preventive Medicine.

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Metabolically Healthy Obesity Not Without Risk of CVD

TUESDAY, May 1, 2018 (HealthDay News) -- Metabolically healthy obesity (MHO) is not a stable or reliable indicator of future cardiovascular disease (CVD) risk, according to a study published in the May 1 issue of the Journal of the American College of Cardiology.

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Anesthesia Before Age 3 Not Linked to Intelligence Deficits

TUESDAY, May 1, 2018 (HealthDay News) -- Multiple exposures to anesthesia before the age of 3 years may have neuropsychological impacts, though intelligence does not appear to be affected, according to a study published online April 18 in Anesthesiology.

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Severe Obesity Tied to Faster Progression to Disability With RA

TUESDAY, May 1, 2018 (HealthDay News) -- Severe obesity is associated with more rapid progression of disability in patients with rheumatoid arthritis (RA), according to a study published online April 30 in Arthritis Care & Research.

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Early Readmissions More Preventable Than Later Ones

TUESDAY, May 1, 2018 (HealthDay News) -- Early general medicine readmissions are more likely than late readmissions to be preventable with hospital-based interventions, according to a study published online May 1 in the Annals of Internal of Medicine.

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Certain Foods May Impact Timing of Menopause

TUESDAY, May 1, 2018 (HealthDay News) -- Intake of some food groups and nutrients may affect the timing of menopause, according to a study published online April 30 in the Journal of Epidemiology & Community Health.

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