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January 2018 Briefing – Internal Medicine

January 2018 Briefing – Internal Medicine
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Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for January 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.

Eye Tests Tied to Less Dementia in Older Drivers Who Crash

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Vision testing and in-person renewal requirements are significantly related to a reduced prevalence of dementia in older adults hospitalized after car crashes, according to a study published online Jan. 31 in Neurology.

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History of Childhood Kidney Disease Linked to Risk of ESRD

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — A history of childhood kidney disease is associated with increased risk for end-stage renal disease (ESRD) in adulthood, according to a study published in the Feb. 1 issue of the New England Journal of Medicine.

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Non-Sleep Specialists May Offer Similar Quality Sleep Apnea Care

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Non-sleep specialists (NSSs) and sleep specialist physicians (SSPs) provide similar quality care with similar patient outcomes for adults with known or suspected obstructed sleep apnea (OSA), according to a review published online Jan. 30 in the Annals of Internal Medicine.

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Disordered Eating Associated With Higher HbA1c in Teens

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — For youth with type 1 diabetes, disordered eating behaviors (DEBs) are associated with higher hemoglobin A1c but not with measures of glycemic variability, according to a study published online Jan. 25 in Diabetes Care.

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Glecaprevir-Pibrentasvir Effective Treatment for HCV Genotypes 1, 3

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Once-daily treatment with glecaprevir-pibrentasvir appears safe and effective for the treatment of hepatitis C virus (HCV) genotype 1 or 3, according to a study published in the Jan. 25 issue of the New England Journal of Medicine.

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Characteristics of Asymptomatic Paroxysmal A-Fib Identified

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — For patients with paroxysmal atrial fibrillation (PAF), determinants of asymptomatic status have been identified, and mortality is increased for these patients, according to a study published in the December issue of CHEST.

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Early Alzheimer’s Tied to Rest-Activity Rhythm Fragmentation

TUESDAY, Jan. 30, 2018 (HealthDay News) — Preclinical Alzheimer’s disease (AD) and aging are independently associated with rest-activity rhythm fragmentation among cognitively normal adults, according to a study published online Jan. 29 in JAMA Neurology.

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Statin, BP Lowering Meds Don’t Impact Erectile Function

TUESDAY, Jan. 30, 2018 (HealthDay News) — For older men with at least one cardiovascular risk factor, treatment with statin and/or pharmacologic blood pressure reduction does not significantly impact erectile function, according to a study published in the January issue of the Canadian Journal of Cardiology.

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Glucagon Underutilized in Prehospital, Emergency Settings

TUESDAY, Jan. 30, 2018 (HealthDay News) — Glucagon is being underutilized in the prehospital and outpatient setting, according to a research letter published recently in the Annals of Internal Medicine.

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Diet Soda Associated With Higher Odds of Diabetic Retinopathy

TUESDAY, Jan. 30, 2018 (HealthDay News) — Diet soda consumption may up the odds of diabetic retinopathy (DR), according to a study published online Jan. 23 in Clinical & Experimental Ophthalmology.

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Case Report: Fentanyl Use Associated With Amnesia

MONDAY, Jan. 29, 2018 (HealthDay News) — Another case of unusual amnestic syndrome that includes bilateral hippocampal lesions on magnetic resonance imaging has been described in a case report published online Jan. 30 in the Annals of Internal Medicine.

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Mortality, CVD, T2DM Risks Not Up for Living Kidney Donors

MONDAY, Jan. 29, 2018 (HealthDay News) — Living kidney donors have no increased risks for all-cause mortality, cardiovascular disease, hypertension, type 2 diabetes, or adverse psychological health outcomes, according to a review published online Jan. 30 in the Annals of Internal Medicine.

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Prevalence of PE Low for Patients Presenting to ER With Syncope

MONDAY, Jan. 29, 2018 (HealthDay News) — For patients presenting to the emergency department with syncope, the prevalence of pulmonary embolism (PE) is low, according to a study published online Jan. 29 in JAMA Internal Medicine.

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Regulators Trying to Reduce Physician Burden Linked to EHR

MONDAY, Jan. 29, 2018 (HealthDay News) — The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics.

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Diabetes Consultation Model Helps Patient Involvement in Care

MONDAY, Jan. 29, 2018 (HealthDay News) — A consultation model that facilitates person-centered diabetes care results in more patient involvement, including shared decision making, according to a study published online Jan. 23 in Diabetes Care.

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Hearing Loss Common Among Heart Failure Patients

MONDAY, Jan. 29, 2018 (HealthDay News) — Nearly three-quarters of patients aged 70 or older with heart failure (HF) have hearing loss, according to a research letter published online Jan. 25 in JAMA Otolaryngology-Head & Neck Surgery.

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Weight Loss Among Obese Tied to Improvements in Chronic Pain

MONDAY, Jan. 29, 2018 (HealthDay News) — For obese individuals with chronic pain, a weight loss intervention is associated with improvements in the spatial distribution of pain and comorbid somatic symptoms, according to a study published in the December issue of the Journal of Pain.

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Pharmacist Education May Cut Junior Doctor Prescription Errors

MONDAY, Jan. 29, 2018 (HealthDay News) — Pharmacist feedback and education is effective at reducing prescription writing errors by junior doctors in an inpatient setting, according to a study published online Jan. 24 in the Journal of Pharmacy Practice and Research.

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Health Care Spending Up, Mainly Due to Rising Prices

MONDAY, Jan. 29, 2018 (HealthDay News) — Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)’s annual Health Care Cost and Utilization Report.

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Smokers Have Distorted View of Onset of Adverse Consequences

FRIDAY, Jan. 26, 2018 (HealthDay News) — Compared with nonsmokers, smokers believe the mild and severe adverse consequences of smoking will take a longer time to develop, according to a study published recently in the Journal of Cognitive Psychology.

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New Method Assesses Dialysis Facilities’ Transplant Referrals

FRIDAY, Jan. 26, 2018 (HealthDay News) — A standardized transplantation referral ratio (STReR) can assess clinical performance of transplant referral among dialysis facilities, according to a study published online Jan. 25 in the Clinical Journal of the American Society of Nephrology.

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Solanezumab Doesn’t Affect Cognitive Decline in Alzheimer’s

FRIDAY, Jan. 26, 2018 (HealthDay News) — For patients with mild Alzheimer’s disease, solanezumab administered every four weeks does not alter cognitive decline, according to a study published in the Jan. 25 issue of the New England Journal of Medicine.

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Occupational Therapy Program Benefits Young Adults With DM

THURSDAY, Jan. 25, 2018 (HealthDay News) — A manualized occupational therapy (OT) intervention (Resilient, Empowered, Active Living with Diabetes [REAL Diabetes]) improves hemoglobin A1c in young adults with low socioeconomic status and type 1 or type 2 diabetes, according to a study published online Jan. 19 in Diabetes Care.

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CDC: Many U.S. Adults Have Never Been Tested for HIV

THURSDAY, Jan. 25, 2018 (HealthDay News) — Almost 40 percent of women and more than 50 percent of men aged 15 to 44 years had never been tested for HIV between 2011 and 2015, according to a report published Jan. 25 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

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Significant Increase in Sleep Duration Reported for 2003-2016

THURSDAY, Jan. 25, 2018 (HealthDay News) — From 2003 to 2016 there was a significant increase in sleep duration on weekdays and weekends, according to a study published online Jan. 8 in SLEEP.

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Heart Disease, Stroke Risk Up Even Smoking 1 Cigarette/Day

THURSDAY, Jan. 25, 2018 (HealthDay News) — Smoking one cigarette per day is still associated with a significant increased risk of coronary heart disease and stroke, according to research published online Jan. 24 in The BMJ.

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Lung Cancer Screening More Efficient for Those at Higher Risk

THURSDAY, Jan. 25, 2018 (HealthDay News) — Lung cancer screening (LCS) is more effective and efficient for high-risk individuals, according to a research letter published online Jan. 22 in JAMA Internal Medicine.

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Multidomain Lifestyle Intervention May Aid Cognition in APOE ε4 Carriers

THURSDAY, Jan. 25, 2018 (HealthDay News) — A multidomain lifestyle intervention seems to be beneficial for cognition in older at-risk individuals, even among apolipoprotein E (APOE) ε4 carriers, according to a study published online Jan. 22 in JAMA Neurology.

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Influenza, Some Viral URIs Increase Risk of Acute MI

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Certain respiratory infections, especially influenza, are associated with an increased risk of acute myocardial infarction during the first seven days after respiratory specimen collection, according to a study published in the Jan. 25 issue of the New England Journal of Medicine.

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Exposure to Counties With Higher Obesity Rates Tied to Higher BMI

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Body mass index (BMI) and odds of overweight and/or obesity are increased with exposure to communities with higher rates of obesity, according to a study published online Jan. 22 in JAMA Pediatrics.

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CV Risks, Breast CA Recurrence Down With Exercise in Survivors

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Supervised aerobic and resistance exercise may improve metabolic syndrome, sarcopenic obesity, and serum biomarkers in overweight and obese survivors of breast cancer, according to a study published online Jan. 22 in the Journal of Clinical Oncology.

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Eyelid Squamous Cell Carcinoma Rate Increasing in England

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — The incidence of squamous cell carcinoma (SCC) affecting the eyelids is rising in England, according to a study published online Jan. 23 in the British Journal of Ophthalmology.

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In-Hospital Cardiac Arrest Survival Differs With Time of Day

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Survival after in-hospital cardiac arrest (IHCA) that occurs during off-hours remains lower versus on-hours IHCA, according to a study published in the Jan. 30 issue of the Journal of the American College of Cardiology.

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Cognitive Training Aids Memory in People With Mild Impairment

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Cognitive training improves memory in older patients with mild cognitive impairment (MCI), according to a study published online Jan. 4 in the Journal of the American Geriatrics Society.

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Prescribing of Opioids Adds to Patient Satisfaction With Care

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Patients with musculoskeletal conditions who are using prescribed opioids are more likely to be highly satisfied with their care, according to a study published in the January/February issue of the Annals of Family Medicine.

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No Maintenance Period Seen After Weight Loss Plan Completed

TUESDAY, Jan. 23, 2018 (HealthDay News) — Patients may begin to regain weight immediately after completing a weight management program, according to a study published recently in Obesity.

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Public Health Workforce to See Large Turnover

TUESDAY, Jan. 23, 2018 (HealthDay News) — The public health workforce at the local and state levels will experience a significant loss of employees through 2020, due to retirement as well as other reasons for turnover, according to a study published online Jan. 11 in the American Journal of Preventive Medicine.

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Periodontitis in Older Adults Tied to Higher Total Cancer Risk

TUESDAY, Jan. 23, 2018 (HealthDay News) — Individuals with periodontitis have an increased total cancer risk, according to a study published online Jan. 12 in the Journal of the National Cancer Institute.

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Diabetes Tied to Higher Rates of Serious Infection

TUESDAY, Jan. 23, 2018 (HealthDay News) — Patients with diabetes, particularly type 1 diabetes mellitus (T1DM), are at increased risk of serious infection, according to a study published online Jan. 12 in Diabetes Care.

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Drinking in Early Adulthood Tied to Later Risk for Liver Disease

TUESDAY, Jan. 23, 2018 (HealthDay News) — Alcohol consumption in young men is associated with an increased risk of severe liver disease later in life, according to a study published online Jan. 22 in the Journal of Hepatology.

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Out-of-Pocket Expenditures Down With ACA Implementation

TUESDAY, Jan. 23, 2018 (HealthDay News) — Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine.

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Closed-Head Injury May Induce TBI Even If No Concussive Sx

TUESDAY, Jan. 23, 2018 (HealthDay News) — Closed-head impact injuries can induce pathologic traumatic brain injury, independent of concussive signs, according to a study published online Jan. 18 in Brain.

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Available Evidence on Marijuana’s Cardiovascular Effects Is Scant

TUESDAY, Jan. 23, 2018 (HealthDay News) — The evidence examining associations between marijuana use and cardiovascular risk factors and outcomes is limited, according to a review published online Jan. 23 in the Annals of Internal Medicine.

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Anti-Thyroid Rx Exposure Ups Risk of Congenital Malformations

TUESDAY, Jan. 23, 2018 (HealthDay News) — Exposure to anti-thyroid drugs (ATDs) during the first trimester of pregnancy is associated with increased risk of congenital malformations, according to a study published online Jan. 23 in the Annals of Internal Medicine.

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Prevalence of Cigarette Smoking 15.5 Percent in 2016

TUESDAY, Jan. 23, 2018 (HealthDay News) — The prevalence of cigarette smoking was 15.5 percent in 2016, which was not significantly different from the 15.1 percent prevalence in 2015, according to research published in the Jan. 19 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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ADHD Meds Increasingly Prescribed to Reproductive-Aged Women

MONDAY, Jan. 22, 2018 (HealthDay News) — Reproductive-aged women are increasingly being prescribed attention-deficit/hyperactivity disorder (ADHD) medications, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Walmart Launches Disposal Solution for Opioids, Rx Meds

MONDAY, Jan. 22, 2018 (HealthDay News) — Walmart is launching a first-of-its-kind opioid disposal solution in all company pharmacies, which is available at no cost, according to a press release from the company.

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Bikram Yoga Improves Vascular Health With or Without Heat

MONDAY, Jan. 22, 2018 (HealthDay News) — Bikram yoga is associated with endothelium-dependent vasodilation (as measured using brachial artery flow-mediated dilation) in a heated or thermoneutral environment, according to a study published online Jan. 18 in Experimental Physiology.

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New ACC/AHA Recs Developed for BP Evaluation, Management

MONDAY, Jan. 22, 2018 (HealthDay News) — New recommendations have been developed for the prevention, detection, evaluation, and management of high blood pressure (BP). The recommendations are summarized in an article published online Jan. 23 in the Annals of Internal Medicine.

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Ideas and Opinions (subscription or payment may be required)

Older Adults Less Likely to Have Provider-Ordered Flu Testing

MONDAY, Jan. 22, 2018 (HealthDay News) — Older adults are less likely than younger adults to have provider-ordered influenza testing, according to a study published online Jan. 17 in the Journal of the American Geriatrics Society.

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Guidelines of Care Developed for Skin Cancer Management

MONDAY, Jan. 22, 2018 (HealthDay News) — Guidelines of care have been developed for the management of basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC), according to two reports published online Jan. 10 in the Journal of the American Academy of Dermatology.

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Decline in New Cases of Blindness in Germany

MONDAY, Jan. 22, 2018 (HealthDay News) — In Germany, there was a significant reduction in incidence of blindness from 2008 through 2012, both among individuals with and without diabetes, according to a study published online Jan. 9 in Diabetes Care.

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Confusion Common in Seniors Prescribed Antibiotics for UTI

MONDAY, Jan. 22, 2018 (HealthDay News) — Urinary tract infections (UTIs) are common in nursing home (NH) residents, and new or worsening confusion is strongly associated with antibiotic treatment for suspected UTI, according to a study published online Jan. 10 in the Journal of the American Geriatrics Society.

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Greater Prior Authorization Requirements Seen for PCSK9i Rx

MONDAY, Jan. 22, 2018 (HealthDay News) — Prior authorization (PA) requirements are greater for proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9is) than for other cardiometabolic drugs, according to a study published online Jan. 11 in Circulation: Cardiovascular Quality and Outcomes.

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Sleep Extension Can Lead to Reduced Free Sugar Intake

FRIDAY, Jan. 19, 2018 (HealthDay News) — For adults who are habitually short sleepers, a personalized sleep extension protocol is feasible and may improve diet by reducing sugar intake, according to a study published online Jan. 10 in the American Journal of Clinical Nutrition.

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24-Hour Primary Care Clinics Would Improve Continuity of Care

FRIDAY, Jan. 19, 2018 (HealthDay News) — A 24-hour primary care clinic with multiple doctors offering round-the-clock care would actualize better and more sustainable care, according to a report published by the American Academy of Family Physicians.

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Brochure Can Improve Opioid Disposal Rates After Surgery

FRIDAY, Jan. 19, 2018 (HealthDay News) — Disseminating an educational brochure improves disposal of unused opioids after surgery, according to a study published online Jan. 10 in the Journal of the American College of Surgeons.

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Interactive Simulation Can Affect Activity Intentions in T2DM

FRIDAY, Jan. 19, 2018 (HealthDay News) — An interactive, personalized simulation can change behavioral intentions among individuals with type 2 diabetes mellitus (T2DM), according to a study published in the January to June issue of JMIR Diabetes.

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Increase in Employment Among Patients Starting Dialysis

FRIDAY, Jan. 19, 2018 (HealthDay News) — The probability of employment has increased in recent years among patients initiating dialysis but is still low, according to a study published online Jan. 18 in the Clinical Journal of the American Society of Nephrology.

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Blood Test Found to Detect Eight Common Cancer Types

FRIDAY, Jan. 19, 2018 (HealthDay News) — A multi-analyte blood test, CancerSEEK, can detect eight common cancer types, with high sensitivity and specificity, according to a study published online Jan. 18 in Science.

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LDL-C Still High in Autosomal Recessive Hypercholesterolemia

FRIDAY, Jan. 19, 2018 (HealthDay News) — For patients with autosomal recessive hypercholesterolemia (ARH), low-density lipoprotein cholesterol (LDL-C) levels remain high despite intensive treatment, according to a study published in the Jan. 23 issue of the Journal of the American College of Cardiology.

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Breast Cancer Genetic Test Less Cost-Effective in Actual Practice

FRIDAY, Jan. 19, 2018 (HealthDay News) — A gene expression profile test to predict risk of breast cancer recurrence is less cost-effective in real-world practice as compared to ideal conditions, according to a study published online Jan. 8 in the Journal of Clinical Oncology.

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Reminder, Recall Systems Improve Immunization Uptake

FRIDAY, Jan. 19, 2018 (HealthDay News) — Patient reminder and recall systems seem to be effective for improving receipt of immunizations, according to a review published online Jan. 18 in the Cochrane Library.

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Longer Duration of Post-Op Opioid Use Associated With Misuse

THURSDAY, Jan. 18, 2018 (HealthDay News) — Each refill and week of opioid prescription following surgery is associated with an increasing risk of opioid misuse among opioid naive patients, according to a study published online Jan. 17 in The BMJ.

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Proinflammatory Diet Linked to Increased Colorectal Cancer Risk

THURSDAY, Jan. 18, 2018 (HealthDay News) — Proinflammatory diets are associated with increased colorectal cancer risk for men and women, according to a study published online Jan. 18 in JAMA Oncology.

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Telemedicine Tied to Faster ER Care in Rural Areas

THURSDAY, Jan. 18, 2018 (HealthDay News) — Telemedicine cuts emergency department door-to-provider time in rural hospitals, according to a study published online Jan. 2 in Telemedicine and e-Health.

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Falls More Common in Elderly With Cognitive Impairment

THURSDAY, Jan. 18, 2018 (HealthDay News) — Increasing evidence shows that cognitive therapies may help reduce falls in older adults, according to a review published online Jan. 10 in the Journal of the American Geriatrics Society.

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Mediterranean Diet May Lower Risk of Aggressive Prostate CA

THURSDAY, Jan. 18, 2018 (HealthDay News) — High adherence to the Mediterranean diet is associated with a lower risk of aggressive prostate cancer, according to a study published in the February issue of The Journal of Urology.

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Acute Kidney Injury Ups Risk for Post-Discharge Hypoglycemia

THURSDAY, Jan. 18, 2018 (HealthDay News) — For hospitalized patients with diabetes, acute kidney injury (AKI) is a risk factor for post-discharge hypoglycemia, according to a study published online Jan. 11 in Diabetes Care.

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Onabotulinum Toxin-A Can Safely Improve Sleep Bruxism

THURSDAY, Jan. 18, 2018 (HealthDay News) — Onabotulinum toxin-A (BoNT-A) injections can improve sleep bruxism, according to a study published online Jan. 17 in Neurology.

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Professionals Disagree About Asking Patients About Sexuality

THURSDAY, Jan. 18, 2018 (HealthDay News) — National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ.

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Increased Risk of Complications With Bariatric Surgery

THURSDAY, Jan. 18, 2018 (HealthDay News) — Bariatric surgery is associated with lower risks of obesity-related comorbidities but a clinically important increased risk for complications compared with medical treatment, according to a study published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.

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Chaplains Effective in Facilitating Advance Care Planning

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Offering patients a meeting with a chaplain can facilitate advance care planning (ACP) in medical practice, according to a research letter published online Jan. 16 in JAMA Internal Medicine.

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Satisfaction Higher in Providers Who E-Mail Patients

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Providers who give patients their e-mail addresses have higher satisfaction, but this does not appear to impact patient satisfaction, according to a study published recently in the European Journal for Person Centered Healthcare.

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Sulfonamides, Nitrofurantoin Being Given for UTI in Pregnancy

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For women with urinary tract infections (UTIs), the most frequently prescribed antibiotics during the first trimester are nitrofurantoin, ciprofloxacin, cephalexin, and trimethoprim-sulfamethoxazole, according to research published in the Jan. 12 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Nearly 30 Percent of Veterans Report Current Tobacco Use

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Overall, 29.2 percent of veterans report current use of one of five tobacco products, according to research published in the Jan. 12 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Psoriasis Remission Described After Hepatitis C Virus Treatment

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — A case of remission of psoriasis after treatment of chronic hepatitis C virus (HCV) has been described in a research letter published online Jan. 16 in the Annals of Internal Medicine.

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Room for Improvement Seen With Initial Diabetes Care

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Diabetes care can be improved with enhanced communication between providers and patients and improved communication between members of the primary care team, according to a study published in the January/February issue of the Annals of Family Medicine.

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Lap Sleeve Gastrectomy, RYGB Equally Effective in Weight Loss

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For patients with morbid obesity, there is no statistically significant difference in terms of weight loss at five years after laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.

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USPSTF: Evidence Lacking for Nontraditional CVD Risk Factors

TUESDAY, Jan. 16, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient to assess the use of nontraditional risk factors for cardiovascular disease (CVD) risk assessment. They also conclude that evidence is lacking for the use of the ankle-brachial index (ABI) to screen for peripheral arterial disease (PAD) in asymptomatic individuals. These findings form the basis of two draft recommendation statements published online Jan. 16 by the USPSTF.

Evidence Review – CVD
Draft Recommendation Statement – CVD
Comment on Recommendation Statement – CVD
Evidence Review – PAD
Draft Recommendation Statement – PAD
Comment on Recommendation Statement – PAD

Lactation Duration Linked to Reduced Incidence of Diabetes

TUESDAY, Jan. 16, 2018 (HealthDay News) — Lactation duration is associated with reduced incidence of diabetes, according to a study published online Jan. 16 in JAMA Internal Medicine.

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Reduced All-Cause Mortality for Obese Patients After Bariatric Sx

TUESDAY, Jan. 16, 2018 (HealthDay News) — Obese patients who undergo bariatric surgery have reduced all-cause mortality; and obese adults with type 2 diabetes who undergo gastric bypass have improved outcomes compared with lifestyle and intensive medical management alone, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.

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Rising BMI Has Slowed Improvement in U.S. Mortality

TUESDAY, Jan. 16, 2018 (HealthDay News) — The rate of improvement in mortality in the United States has been slowed by rising body mass index (BMI), according to a study published online Jan. 15 in the Proceedings of the National Academy of Sciences.

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Wearable Patch Can Assess Heart Failure States

TUESDAY, Jan. 16, 2018 (HealthDay News) — Wearable technology that records cardiac function, along with machine learning algorithms, can assess compensated and decompensated heart failure states, according to a study published online Jan. 12 in Circulation: Heart Failure.

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Increased Risk of Thrombosis in Myeloproliferative Neoplasms

TUESDAY, Jan. 16, 2018 (HealthDay News) — Patients with myeloproliferative neoplasms (MPNs) have increased risk of arterial thrombosis and venous thrombosis across all age groups and MPN subtypes, according to a study published online Jan. 16 in the Annals of Internal Medicine.

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Spontaneous Pharynx Perforation After Forceful or Stifled Sneeze

TUESDAY, Jan. 16, 2018 (HealthDay News) — Spontaneous pharyngeal perforation can occur after a forceful sneeze, according to a case report published online Jan. 15 in BMJ Case Reports.

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Higher CVD Risk With Early Menarche, Menopause

TUESDAY, Jan. 16, 2018 (HealthDay News) — Reproductive factors, including early menarche and menopause, are associated with increased cardiovascular disease (CVD) risk, according to a study published online Jan. 15 in Heart.

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Sauna Exposure Improves Cardiovascular Function

TUESDAY, Jan. 16, 2018 (HealthDay News) — Sauna exposure is associated with improvements in cardiovascular function and arterial compliance, according to a study published online Dec. 21 in the Journal of Human Hypertension.

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AMA Offering New Nutrition Science Course for Physicians

FRIDAY, Jan. 12, 2018 (HealthDay News) — The American Medical Association (AMA) is offering a three-hour online nutrition course for physicians to help patients make the nutritional changes they need to prevent and help treat heart disease, diabetes, and high blood pressure.

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Non-Ventilator Hospital-Acquired Pneumonia Risk Affects All Ages

FRIDAY, Jan. 12, 2018 (HealthDay News) — Non-ventilator hospital-acquired pneumonia (NV-HAP) is a significant burden in U.S. acute care hospitals and poses a risk to nonelderly, non-intensive unit (ICU) patients, according to research published in the January issue of the American Journal of Infection Control.

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Treatment of Urgency Urinary Incontinence Aids Sleep Quality

FRIDAY, Jan. 12, 2018 (HealthDay News) — Pharmacologic treatment of urgency urinary incontinence (UUI) improves sleep quality, according to research published online Jan. 9 in Obstetrics & Gynecology.

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Tamper-Resistant Oxycodone Misused Less Often in Australia

FRIDAY, Jan. 12, 2018 (HealthDay News) — The tamper-resistant formulation of controlled-release oxycodone in Australia reduced tampering among high-risk populations, according to a study published online Jan. 10 in The Lancet Psychiatry.

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Worry About Deportation May Increase CV Risk Factors

FRIDAY, Jan. 12, 2018 (HealthDay News) — Worry about deportation is significantly tied to higher levels of known cardiovascular risk factors, according to a study published online Jan. 8 in the Annals of Behavioral Medicine.

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Duration of Diabetes, Prediabetes Linked to Presence of CAC

FRIDAY, Jan. 12, 2018 (HealthDay News) — Diabetes and prediabetes duration are both independently associated with the presence of coronary artery calcified plaque (CAC) and left ventricular dysfunction, according to a study published online Jan. 9 in Diabetes Care.

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Considerable Economic Burden for Asthma in United States

FRIDAY, Jan. 12, 2018 (HealthDay News) — Asthma places a considerable economic burden on the United States, with a total cost of $81.9 billion in 2013, according to a study published online Jan. 12 in the Annals of the American Thoracic Society.

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Progress in Fighting Antibiotic Resistance Shown in CDC Map

THURSDAY, Jan. 11, 2018 (HealthDay News) — The U.S. Centers for Disease Control and Prevention has released new data in its Antibiotic Resistance Investment Map, which shows states’ progress in combating antibiotic resistance.

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Hazard Score Can Estimate Age of Prostate Cancer Diagnosis

THURSDAY, Jan. 11, 2018 (HealthDay News) — A hazard score calculated from 54 single nucleotide polymorphisms can predict age at diagnosis of aggressive prostate cancer (PCa), according to a study published online Jan. 10 in The BMJ.

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AMA Online Tools Address Systems-Level Physician Burnout

THURSDAY, Jan. 11, 2018 (HealthDay News) — Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).

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More Sought Mental Health Specialty Care in 2008 to 2015

THURSDAY, Jan. 11, 2018 (HealthDay News) — Between 2008 and 2015 there was an increase in the number of U.S. adults who received outpatient mental health care in the specialty sector, according to a study published in the December issue of Health Affairs.

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Core Muscle Weakness Increases Spinal Loading, Back Injuries

THURSDAY, Jan. 11, 2018 (HealthDay News) — In the presence of complete deep core muscle weakness, there is an increase in peak anterior shear loading on all lumbar vertebrae during running, according to a study published in the Jan. 23 issue of the Journal of Biomechanics.

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Hepatic Fat Accumulation May Have Causal Role in Liver Disease

THURSDAY, Jan. 11, 2018 (HealthDay News) — Hepatic fat accumulation may play a causal role in chronic liver disease, according to a study published online Dec. 27 in the Journal of Internal Medicine.

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Closure of Patent Foramen Ovale Cuts Recurrent Stroke/TIA Risk

THURSDAY, Jan. 11, 2018 (HealthDay News) — Percutaneous and transcatheter patent foramen ovale (PFO) closure prevent recurrent stroke in adults with PFO and cryptogenic stroke, according to two reviews published online Jan. 9 in the Annals of Internal Medicine.

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Adherence to Healthy Diet May Cut Effects of Genetics on Obesity

THURSDAY, Jan. 11, 2018 (HealthDay News) — Improving adherence to healthy dietary patterns may help reduce the genetic association with weight gain, according to a study published online Jan. 10 in The BMJ.

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Transdermal Estradiol May Help Prevent Depressive Symptoms

THURSDAY, Jan. 11, 2018 (HealthDay News) — Transdermal estradiol (TE) plus intermittent micronized progesterone (IMP) can prevent clinically significant depressive symptoms among euthymic perimenopausal and early postmenopausal women, according to a study published online Jan. 10 in JAMA Psychiatry.

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Adherence to Mediterranean Diet Linked to Reduced Frailty

THURSDAY, Jan. 11, 2018 (HealthDay News) — For community-dwelling older adults, greater adherence to a Mediterranean diet is associated with reduced risk of incident frailty, according to a review published online Jan. 11 in the Journal of the American Geriatrics Society.

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Some Patients Would Choose Antibiotics for Appendicitis

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Although most patients would choose surgical intervention for treatment of acute uncomplicated appendicitis, some would opt for antibiotics alone, according to a study published online Jan. 10 in JAMA Surgery.

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Economic Impact of Physicians Quantified for 2015

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.

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Unstable Housing Tied to More Diabetes-Related ER Visits

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Unstable housing is associated with an increased likelihood of diabetes-related emergency department visits and hospitalization, according to a study published online Jan. 4 in Diabetes Care.

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Vitamin D3 Improves Arterial Stiffness in Dose-Response Way

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — For overweight African-Americans with vitamin D deficiency, arterial stiffness is improved by vitamin D3 supplementation in a dose-response manner, according to a study published online Dec. 7 in PLOS ONE.

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Provider Counseling of Exercise for Arthritis Patients Improved

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — For adults with arthritis, there was an increase in the age-adjusted prevalence of reporting health care provider counseling for exercise from 2002 to 2014, according to research published in the Jan. 5 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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AICDs Effective for Symptoms, Lethal Arrhythmia in Brugada

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Implantable cardioverter-defibrillators (ICDs) are effective in young patients with symptomatic Brugada syndrome, according to a study published in the Jan. 16 issue of the Journal of the American College of Cardiology.

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Idalopirdine May Not Improve Cognition in Mild Alzheimer’s

TUESDAY, Jan. 9, 2018 (HealthDay News) — The use of idalopirdine does not improve cognition versus placebo over 24 weeks of treatment for patients with mild-to-moderate Alzheimer’s disease (AD), according to research published in the Jan. 9 issue of the Journal of the American Medical Association.

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Week’s Worth of HIV Meds in a Single-Dose Capsule Feasible

TUESDAY, Jan. 9, 2018 (HealthDay News) — A novel oral dosage form enables sustained release of antiretrovirals, allowing delivery for up to one week after a single administration, according to a study published online Jan. 9 in Nature Communications.

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Long-Term Night Shift Work Linked to Cancer Risk in Women

TUESDAY, Jan. 9, 2018 (HealthDay News) — There is a positive association between long-term night shift work and the risk of several common cancers for women, with evidence of a dose-response correlation, according to a study published online Jan. 8 in Cancer Epidemiology, Biomarkers & Prevention.

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Follow-Up Delta CHA2DS2-VASc Score Better Predicts CVA in A-Fib

TUESDAY, Jan. 9, 2018 (HealthDay News) — Assessing change in the CHA2DS2-VASc score over time is more predictive of ischemic stroke in patients with atrial fibrillation (AF) than the baseline score, according to a study published in the Jan. 16 issue of the Journal of the American College of Cardiology.

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Intense End-of-Life Care Found to Be Less Likely for VA Patients

TUESDAY, Jan. 9, 2018 (HealthDay News) — Higher-intensity end-of-life care may be driven by financial incentives present in fee-for-service Medicare but not in the Veteran Affairs (VA) integrated system, according to a report published in the January issue of Health Affairs.

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HIV Screening Most Optimal at 25 Years of Age If No Risk Factors

TUESDAY, Jan. 9, 2018 (HealthDay News) — For young adults without known risk factors, a one-time routine HIV screen at 25 years would optimize clinical outcomes and be cost-effective, according to a study published in the January issue of the Journal of Adolescent Health.

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Physical Activity Doesn’t Seem to Reduce Risk of Frailty in Elderly

TUESDAY, Jan. 9, 2018 (HealthDay News) — A long-term physical activity program is not associated with reduced risk of frailty among community-dwelling older adults with functional limitations, according to a study published online Jan. 9 in the Annals of Internal Medicine.

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CV Exercise Betters Cardiac Aging in Sedentary Middle-Aged Adults

MONDAY, Jan. 8, 2018 (HealthDay News) — Two years of high-intensity exercise training (ExT) is associated with improved maximal oxygen uptake and reduced cardiac stiffness in previously sedentary healthy middle-aged adults, according to a study published online Jan. 8 in Circulation.

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Idiopathic Thrombocytopenic Purpura Tied to Higher CVD Risk

MONDAY, Jan. 8, 2018 (HealthDay News) — There is an increased risk of developing cardiovascular disease (CVD) among patients with idiopathic thrombocytopenic purpura (ITP), especially those who undergo splenectomy, according to a study published online Jan. 3 in the Journal of Thrombosis and Haemostasis.

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Charting Intervention Improves Geriatric Assessment Notes

MONDAY, Jan. 8, 2018 (HealthDay News) — A quality improvement intervention can improve documentation of geriatric assessments during transitions of care, according to a study published online Dec. 18 in the Journal of the American Geriatrics Society.

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Adjuvanted Shingles Subunit Vaccine Likely More Cost-Effective

MONDAY, Jan. 8, 2018 (HealthDay News) — The new adjuvanted herpes zoster subunit vaccine (HZ/su) is cost-effective compared with the currently recommended live attenuated herpes zoster vaccine (ZVL), according to a study published online Jan. 2 in JAMA Internal Medicine.

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Pain Self-Efficacy Questionnaire Helps to Evaluate Migraine Pain

MONDAY, Jan. 8, 2018 (HealthDay News) — The Pain Self-Efficacy Questionnaire (PSEQ) successfully demonstrates the extent of debility in migraine surgery patients and puts migraine pain in perspective within the realm of other known pain conditions, according to a study published in the January issue of Plastic and Reconstructive Surgery.

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Increased Long-Term Mortality for All Weight Categories in T2DM

MONDAY, Jan. 8, 2018 (HealthDay News) — For patients with type 2 diabetes, all weight categories show increased long-term mortality, with a nadir at a body mass index (BMI) of 25 to <30 kg/m², according to a study published online Jan. 3 in Diabetes Care.

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2005 to 2015 Saw Fewer High School Students Having Sex

MONDAY, Jan. 8, 2018 (HealthDay News) — For high school students, the prevalence of ever having had sexual intercourse decreased from 2005 to 2015, according to research published in the Jan. 5 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Pharmacies Can Up Access to Direct-Acting Antivirals for Hep C

MONDAY, Jan. 8, 2018 (HealthDay News) — Provider collaboration with local specialty pharmacies (LSPs) is associated with reduced delays in therapy and lower rates of direct-acting antiviral (DAA) denial for patients with hepatitis C, according to a study published in the January/February issue of the Journal of the American Pharmacists Association.

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Repeated Flu Vaccinations Help Prevent Severe Infection

MONDAY, Jan. 8, 2018 (HealthDay News) — Vaccination for influenza for multiple seasons is twice as effective in preventing severe influenza — compared with non-severe influenza — in older patients admitted to hospital, according to a study published in the Jan. 8 issue of CMAJ, the journal of the Canadian Medical Association.

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Physicians Frequently Continue to Work While Ill

FRIDAY, Jan. 5, 2018 (HealthDay News) — Many physicians continue working and caring for patients while they are sick, according to an article published in Medical Economics.

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Socioeconomic Factors Associated With Opioid Prescriptions

FRIDAY, Jan. 5, 2018 (HealthDay News) — Among disabled Medicare beneficiaries, county-level socioeconomic factors are associated with opioid prescriptions, with more prescriptions seen with lower socioeconomic indicators, according to a study published in the January issue of Medical Care.

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Hydrochlorothiazide May Up Basal, Squamous Cell Cancer Risk

FRIDAY, Jan. 5, 2018 (HealthDay News) — Hydrochlorothiazide use is associated with an increased risk of non-melanoma skin cancer (NMSC), with evidence of a dose-response relationship, according to a study published online Dec. 3 in the Journal of the American Academy of Dermatology.

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Home Physical Activity Coaching May Up Physical Activity in COPD

FRIDAY, Jan. 5, 2018 (HealthDay News) — A home-based health coaching intervention can increase physical activity levels among patients with chronic obstructive pulmonary disease (COPD), according to a study published online Dec. 28 in the Annals of the American Thoracic Society.

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Bidirectional Association for Depression, Dysglycemia in T1DM

FRIDAY, Jan. 5, 2018 (HealthDay News) — For patients with type 1 diabetes (T1D), there is a bidirectional association between depression and severe hypoglycemia and hyperglycemia, according to a study published online Dec. 18 in Diabetes Care.

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Cancer Death Rate Continuing to Decline in United States

FRIDAY, Jan. 5, 2018 (HealthDay News) — In both men and women in the United States, the cancer death rate declined by about 1.5 percent annually from 2006 to 2015, according to a study published online Jan. 4 in CA: A Cancer Journal for Clinicians.

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For Hospitals, No Benefit for Early Adoption of Financial Incentives

FRIDAY, Jan. 5, 2018 (HealthDay News) — Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters), according to a study published online Jan. 4 in The BMJ.

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Half of Gastric Cancer Patients Diagnosed From ER Visit

THURSDAY, Jan. 4, 2018 (HealthDay News) — Half of patients with gastric cancer (GC) are diagnosed as a result of an emergency department visit, which is independently associated with increased mortality, according to a study published recently in the American Journal of Surgery.

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Certain Stresses, Burnout Causing Some Women to Leave Medicine

THURSDAY, Jan. 4, 2018 (HealthDay News) — Though equal numbers of men and women are now entering medical schools, the majority of physicians are still male, and female physicians face several unique stressors, according to a report published online in Medical Economics.

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Low Rates of Major Complications After Bariatric Surgery

THURSDAY, Jan. 4, 2018 (HealthDay News) — The rates of three major complications at less than 30 days after bariatric surgery are low and vary among surgical procedures, according to research published online Dec. 20 in Obesity Reviews.

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Scripted Callbacks Do Not Prevent 30-Day Returns of ER Discharges

THURSDAY, Jan. 4, 2018 (HealthDay News) — For older adults discharged to home from the emergency department, telephone follow-up does not improve outcomes, according to a study published online Dec. 22 in the Journal of the American Geriatrics Society.

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Esketamine Safe, Effective for Treatment-Resistant Depression

THURSDAY, Jan. 4, 2018 (HealthDay News) — Esketamine seems to be efficacious and safe for patients with treatment-resistant depression (TRD), according to a study published online Dec. 27 in JAMA Psychiatry.

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Immune-Related Adverse Events Up With Checkpoint Inhibitors

THURSDAY, Jan. 4, 2018 (HealthDay News) — Although patients with pre-existing autoimmune disease who receive checkpoint inhibitors (CPIs) are at risk for exacerbation of their disease, immune-related adverse events (irAEs), or both, events can often be managed without discontinuing CPIs, according to a review published online Jan. 2 in the Annals of Internal Medicine.

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Racial/Ethnic Disparities Up for Live Donor Kidney Transplant

THURSDAY, Jan. 4, 2018 (HealthDay News) — Racial/ethnic disparities in the receipt of live donor kidney transplantation (LDKT) among first-time kidney transplantation candidates in the United States increased from 1995-1999 to 2010-2014, according to a study published in the Jan. 2 issue of the Journal of the American Medical Association.

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CVD Risk Up With β2-Agonist, Antimuscarinic Antagonist Start

THURSDAY, Jan. 4, 2018 (HealthDay News) — For patients with chronic obstructive pulmonary disease (COPD), new initiation of inhaled long-acting β2-agonists (LABAs) and long-acting antimuscarinic antagonists (LAMAs) is associated with increased risk of cardiovascular disease (CVD), according to a study published online Jan. 2 in JAMA Internal Medicine.

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Stem-Cell Transplantation Beneficial for Scleroderma

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — For patients with scleroderma, myeloablative CD34+ selected autologous hematopoietic stem-cell transplantation is associated with lasting benefits, according to a study published in the Jan. 4 issue of the New England Journal of Medicine.

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Missed Opportunities to Screen for Lung CA With USPSTF Criteria

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — Lung cancer screening based on U.S. Preventive Services Task Force (USPSTF) criteria decreased from 2010 to 2015, and risk-targeted screening is associated with modest gains in terms of early lung cancer mortality per person screened, according to two studies published online Jan. 2 in the Annals of Internal Medicine.

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Best Diet Rankings Revealed for More Than 40 Diet Plans

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — More than 40 diet plans across nine categories have been ranked to help those dieting achieve healthier lifestyles. The results were published Jan. 3 in U.S. News & World Report.

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Higher Risk of Musculoskeletal Disorders in Some Physicians

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — The prevalence of work-related musculoskeletal disorders (MSDs) appears to be high for at-risk physicians, according to a review published online Dec. 27 in JAMA Surgery.

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Uterine Leiomyomas, Centrifugal Cicatricial Alopecia May Be Linked

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — Black women with central centrifugal cicatricial alopecia (CCCA) have increased likelihood of uterine leiomyomas (ULs), according to a research letter published online Dec. 27 in JAMA Dermatology.

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Predictors of Infliximab Response in Ulcerative Colitis Identified

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — For patients with acute severe ulcerative colitis (ASUC), the baseline Mayo Endoscopic Score and the C-reactive protein (CRP)/albumin ratio predict treatment response to infliximab, according to research published online Dec. 21 in the Journal of Gastroenterology and Hepatology.

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Silent Myocardial Infarction Linked to Heart Failure Risk

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — Silent myocardial infarction (SMI) is associated with an increased long-term risk of heart failure, according to a study published in the Jan. 2 issue of the Journal of the American College of Cardiology.

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Dasiglucagon Well Tolerated for Severe Hypoglycemia

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — Dasiglucagon is well tolerated and is associated with an early pharmacodynamic response similar to that of GlucaGen for severe hypoglycemia, according to a study published online Dec. 22 in Diabetes Care.

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10 Percent of Heart Recipients Develop De Novo Malignancy

TUESDAY, Jan. 2, 2018 (HealthDay News) — More than one in 10 adult heart transplant recipients develop de novo malignancy between one and five years after transplantation, and this is associated with increased mortality, according to a study published in the Jan. 2 issue of the Journal of the American College of Cardiology.

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Smart Extendin-4 Delivery Device Promising for Type 2 Diabetes

TUESDAY, Jan. 2, 2018 (HealthDay News) — A smart extendin-4 (Ex4) delivery device is a promising therapeutic option for type 2 diabetes that can provide safe, long-term, and on-demand Ex4 therapy, according to a study published online Nov. 24 in Nature Communications.

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Broader Statin Use Improves Atherosclerotic CVD Prevention

TUESDAY, Jan. 2, 2018 (HealthDay News) — Guidelines that recommend statins for more people for primary prevention of atherosclerosis are likely to prevent more atherosclerotic cardiovascular disease (ASCVD) events than guidelines that recommend fewer people take statins, according to a study published online Jan. 1 in the Annals of Internal Medicine.

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Increase Seen in Gabapentinoid Use From 2002 to 2015

TUESDAY, Jan. 2, 2018 (HealthDay News) — From 2002 to 2015 there was a substantial increase in gabapentinoid use, according to a research letter published online Jan. 2 in JAMA Internal Medicine.

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Pharmaceutical Aids Not Found to Be Helpful for Smoking Cessation

TUESDAY, Jan. 2, 2018 (HealthDay News) — Pharmaceutical aids are not effective for increasing long-term smoking cessation, according to a study published online Dec. 21 in the Journal of the National Cancer Institute.

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Same-Day, Low-Dose Bowel Prep Feasible for Colonoscopy

TUESDAY, Jan. 2, 2018 (HealthDay News) — A same-day, low-dose, 1-liter polyethylene glycol-based (1L-PEG) bowel preparation can achieve similar bowel cleansing to split-dose 4L-PEG bowel preparation in select high-risk patients before colonoscopy, according to a study published online Dec. 21 in the Journal of Digestive Diseases.

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Outcome Scores Predict Discharge Destination Post Stroke

TUESDAY, Jan. 2, 2018 (HealthDay News) — For patients with acute or subacute stroke, outcome measure scores are associated with discharge destination, according to a review published in the January issue of the Journal of Neurologic Physical Therapy.

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ACOG Advocates Cascade Testing for Hereditary Gene Mutations

TUESDAY, Jan. 2, 2018 (HealthDay News) — Obstetrician-gynecologists should be aware of who is eligible for cascade testing, use resources to ensure testing is offered, and know which options can help patients overcome potential barriers to testing, according to a Committee Opinion published online Dec. 21 in Obstetrics & Gynecology.

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Pre-Op Accelerometry Can Assess Cardiopulmonary Fitness

TUESDAY, Jan. 2, 2018 (HealthDay News) — For patients scheduled for major surgery, preoperative accelerometry can assess cardiopulmonary fitness and act as a supplement to formal cardiopulmonary exercise tests, according to a study published online Dec. 12 in Anaesthesia.

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Fractional Exhaled NO Moderately Accurate to Diagnose Asthma

TUESDAY, Jan. 2, 2018 (HealthDay News) — Fractional exhaled nitric oxide (FeNO) measurement can diagnose asthma in individuals aged 5 years and older with moderate accuracy, according to a review published online Dec. 20 in Mayo Clinic Proceedings.

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