Here are what the editors at HealthDay consider to be the most important developments in Nursing for November 2019. 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.

Antimicrobial Resistance Patterns Examined for Adult, Peds HAIs

WEDNESDAY, Nov. 27, 2019 (HealthDay News) — In two reports published online Nov. 25 in Infection Control & Hospital Epidemiology, authors present updated summaries of common pathogens and antimicrobial resistance patterns among health care-associated infections (HAIs) in adult and pediatric patients.

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Household Environment Plays Role in MRSA Acquisition

WEDNESDAY, Nov. 27, 2019 (HealthDay News) — The household environment plays a key role in the acquisition of methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infection, according to a study published online Nov. 26 in The Lancet Infectious Diseases.

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Editorial (subscription or payment may be required)

Asthma Exacerbations May Worsen Pregnancy Outcomes

WEDNESDAY, Nov. 27, 2019 (HealthDay News) — For women with asthma, asthma exacerbation (AE) during pregnancy is associated with an increased risk for pregnancy complications, adverse perinatal outcomes, and early childhood respiratory disorders, according to a study published online Nov. 26 in the European Respiratory Journal.

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Exposure to Psychoactive Substances Up From 2000 to 2017

WEDNESDAY, Nov. 27, 2019 (HealthDay News) — From 2000 to 2017, the overall rate of exposure to psychoactive substances of natural origin increased, according to a study published online Nov. 25 in Clinical Toxicology.

Abstract/Full Text (subscription or payment may be required)

Potentially Tainted Marijuana Sold in Colorado

TUESDAY, Nov. 26, 2019 (HealthDay News) — A warning about possibly contaminated and moldy recreational and medical marijuana has been issued by Colorado officials.

CNN Article

U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults

TUESDAY, Nov. 26, 2019 (HealthDay News) — U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014, according to research published in the Nov. 26 issue of the Journal of the American Medical Association.

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Editorial (subscription or payment may be required)

Alarm Settings of CGM Systems Impact Glucose Control in T1DM

TUESDAY, Nov. 26, 2019 (HealthDay News) — Adjusting glucose thresholds for hypoglycemia and hyperglycemia alarms in continuous glucose monitoring (CGM) can help achieve better glucose control in patients with type 1 diabetes mellitus, according to a study published online Nov. 19 in the Journal of the Endocrine Society.

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Changes in Metabolic Syndrome Status Linked to MACE Risk

TUESDAY, Nov. 26, 2019 (HealthDay News) — Recovery from metabolic syndrome (MetS) is associated with a decreased risk for major adverse cardiovascular events (MACE), while increased risk is seen in association with MetS development, according to a study published online Nov. 26 in the Annals of Internal Medicine.

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Cancer Patients With Obesity Show Poorer Psychosocial Health

TUESDAY, Nov. 26, 2019 (HealthDay News) — Patients with breast or prostate cancer who are obese score higher in psychosocial problem-related distress than nonobese patients, according to a study recently published in Psycho-Oncology.

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Poll: Adults Who Vape Often Buy From Unauthorized Sellers

MONDAY, Nov. 25, 2019 (HealthDay News) — Nearly one in 10 Americans who vape purchase their products from an unauthorized seller, according to the results of a survey released Nov. 18 by the American Osteopathic Association.

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Decline in Primary Care Visits Continued After ACA

MONDAY, Nov. 25, 2019 (HealthDay News) — The long-term decrease in primary care contact was not interrupted following implementation of the Affordable Care Act (ACA), according to a study published in the November/December issue of the Annals of Family Medicine.

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Most Toddlers Exceed Screen Time Guidelines

MONDAY, Nov. 25, 2019 (HealthDay News) — Most children aged 2 and 3 years do not meet screen time guidelines, and 26.7 percent of children have an increasing screen time trajectory from age 1 to 3 years, according to two reports published online Nov. 25 in JAMA Pediatrics.

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Abstract/Full Text – Trinh (subscription or payment may be required)

Overall Rate of Pediatric Nonpowder Firearm Injuries Down

MONDAY, Nov. 25, 2019 (HealthDay News) — From 1990 to 2016, there was a decrease in nonpowder firearm injuries treated in emergency departments among children but an increase in the rate of eye injuries, according to a study published online Nov. 25 in Pediatrics.

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Most Teens Worldwide Are Not Exercising Enough

FRIDAY, Nov. 22, 2019 (HealthDay News) — The majority of adolescents worldwide do not meet current physical activity guidelines, according to a study published online Nov. 21 in The Lancet Child & Adolescent Health.

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Editorial

Electronic Health Record Usability Graded F by Physicians

FRIDAY, Nov. 22, 2019 (HealthDay News) — The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout, according to a study published online Nov. 14 in the Mayo Clinic Proceedings.

Abstract/Full Text

Obesity Prevalence Decreased Modestly for Children in WIC

FRIDAY, Nov. 22, 2019 (HealthDay News) — During 2010 to 2016, there were modest decreases in obesity prevalence among children aged 2 to 4 years enrolled in 73 percent of 56 Special Supplemental Nutrition Program for Women, Infants and Children (WIC) state or territory agencies, according to research published in the Nov. 22 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Massachusetts Passes Bill to Ban All Flavored Vaping Products

FRIDAY, Nov. 22, 2019 (HealthDay News) — A bill banning flavored vaping and tobacco products was passed by the Massachusetts Senate on Thursday and could become the first such statewide legislation in the United States.

AP News Article

CDC: PCV13 No Longer Routinely Recommended for Adults ≥65

THURSDAY, Nov. 21, 2019 (HealthDay News) — The 13-valent pneumococcal conjugate vaccine (PCV13) is no longer recommended for routine use among adults aged ≥65 years, according to research published in the Nov. 22 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Inducing Labor at 41 Weeks May Cut Stillbirth Rates

THURSDAY, Nov. 21, 2019 (HealthDay News) — In women with a low-risk pregnancy, induction at 41 weeks of gestation may be safer than a wait-and-see approach to 42 weeks, according to a study published online Nov. 20 in The BMJ.

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Editorial

Employee Premiums, Deductibles Eating Larger Share of Income

THURSDAY, Nov. 21, 2019 (HealthDay News) — During the last decade, health care costs have eaten up a larger share of income for millions of middle-class Americans with employer coverage, according to Trends in Employer Health Care Coverage, 2008-2018, a Nov. 21 report from The Commonwealth Fund.

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CDC: 63.5 Percent of 3- to 5-Year-Olds Have Had Vision Tested

WEDNEDAY, Nov. 20, 2019 (HealthDay News) — Overall, 63.5 percent of children aged 3 to 5 years have ever had their vision tested, according to a November data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Most Infants, Toddlers Consuming Added Sugars

WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Most infants and toddlers consume added sugars in their daily diets, according to a study published online Nov. 14 in the Journal of the Academy of Nutrition and Dietetics.

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Poll: Parents Cite Barriers to Recognizing Depression in Adolescents

WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Two-thirds of parents acknowledge there are barriers to recognizing depression in their own adolescent child, according to a Mott Poll Report, published Nov. 18 by the University of Michigan.

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Prenatal Antidepressant Use May Up Risk for Gestational Diabetes

WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Taking certain antidepressants while pregnant can increase the risk for developing gestational diabetes, according to a study recently published in The BMJ.

Abstract/Full Text

Distribution of Self-Test Kits Can Up HIV Awareness

TUESDAY, Nov. 19, 2019 (HealthDay News) — Distribution of HIV self-tests among men who have sex with men (MSM) can increase testing and newly identified infections, according to a study published online Nov. 18 in JAMA Internal Medicine.

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AMA, AHA Support Refresher Training for Measuring Blood Pressure

TUESDAY, Nov. 19, 2019 (HealthDay News) — Health care professionals (HCPs) should receive consistent and frequent training in measuring blood pressure (BP), according to a report prepared for the American Medical Association and the American Heart Association and released Nov. 18.

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AAP: Emergency Contraception Should be Given to Sexually Active Teens

TUESDAY, Nov. 19, 2019 (HealthDay News) — Pediatricians should provide emergency contraception (EC) to teenagers who have had unprotected or underprotected intercourse, according to a policy statement from the American Academy of Pediatrics published online Nov. 18 in Pediatrics.

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CDC: ~20 Percent of U.S. Adults Currently Use Tobacco Products

TUESDAY, Nov. 19, 2019 (HealthDay News) — In 2018, 19.7 percent of U.S. adults reported currently using any tobacco products, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

VA, DoD Update Guideline for Rehabilitation After Stroke

TUESDAY, Nov. 19, 2019 (HealthDay News) — In a systematic review and clinical practice guideline, published online Nov. 19 in Annals of Internal Medicine, recommendations from the U.S. Department of Veterans Affairs and the U.S. Department of Defense are presented for stroke rehabilitation and nonpharmacologic and pharmacologic treatments for motor deficits and mood disorders in adults who have had stroke.

The Management of Stroke Rehabilitation
Abstract/Full Text – Review (subscription or payment may be required)

White House Wants Hospitals, Insurers to Provide Actual Costs of Care

MONDAY, Nov. 18, 2019 (HealthDay News) — New rules requiring hospitals and insurers to disclose the actual prices for common tests and procedures before they are performed have been proposed by the Trump Administration.

AP News Article

Studies Confirm Safety of 9-Valent HPV Vaccination

MONDAY, Nov. 18, 2019 (HealthDay News) — The safety of the 9-valent human papillomavirus vaccine (9vHPV) has been confirmed, according to two studies published online Nov. 18 in Pediatrics.

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Abstract/Full Text – Donahue (subscription or payment may be required)
Editorial (subscription or payment may be required)

Less Sleep Tied to Lower Bone Mineral Density in Women

MONDAY, Nov. 18, 2019 (HealthDay News) — Short sleep duration is associated with lower bone mineral density (BMD) and a higher risk for osteoporosis among postmenopausal women, according to a study published online Nov. 6 in the Journal of Bone and Mineral Research.

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CDC: Number of Vaping-Linked Lung Illnesses Up to 2,172

FRIDAY, Nov. 15, 2019 (HealthDay News) — The number of Americans stricken with a severe respiratory illness tied to vaping has now reached 2,172, the U.S. Centers for Disease Control and Prevention reported Thursday. That is a rise from the 2,051 case total from a week ago.

More Information: CDC
CNN Article

FDA Sends Warning Letter About OTC Drugs to Dollar Tree

FRIDAY, Nov. 15, 2019 (HealthDay News) — Dollar Tree has been sent a warning letter for selling over-the-counter (OTC) drugs made by foreign companies with serious, multiple violations of federal manufacturing laws, the U.S. Food and Drug Administration says.

CNN Article
More Information: FDA

Too Few Medicare Beneficiaries With Diabetes Getting Eye Exams

FRIDAY, Nov. 15, 2019 (HealthDay News) — Nationwide, about half of Medicare fee-for-service beneficiaries with diabetes had eye exams in 2017, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Some Progress Made in Slowing Antibiotic Resistance-Linked Deaths

FRIDAY, Nov. 15, 2019 (HealthDay News) — Progress has been made in slowing antibiotic resistance-associated deaths, but more than 2.8 million antibiotic-resistant infections occur each year in the United States, according to a report published by the U.S. Centers for Disease Control and Prevention.

Antibiotic Resistance Threats in the United States 2019

About 2.7 Million ED Visits Reported for Sports Injuries in 2010 to 2016

FRIDAY, Nov. 15, 2019 (HealthDay News) — About 2.7 million emergency department visits for sports injuries occurred during 2010 to 2016, according to a study published online Nov. 15 in the National Health Statistics Reports, a publication of the U.S. Centers for Disease Control and Prevention.

Abstract/Full Text

WHO to Test, Approve Generic Insulin

THURSDAY, Nov. 14, 2019 (HealthDay News) — Testing and approval of generic insulin will be conducted by the World Health Organization in an attempt to combat rising prices and shortages of the drug.

The New York Times Article

Minimum Age to Buy Tobacco, E-Cigarettes Raised in NY State

THURSDAY, Nov. 14, 2019 (HealthDay News) — The minimum age to buy tobacco and electronic cigarette products in New York State is now 21.

CNN Article

Survey of U.S. Registered Nurses Points to Worsening Shortages

THURSDAY, Nov. 14, 2019 (HealthDay News) — The 2019 AMN Healthcare Survey of Registered Nurses raises concerns about the outlook for the nursing profession in the United States.

2019 Survey of Registered Nurses

1999 to 2016 Saw Increase in U.S. Adults Trying to Lose Weight

THURSDAY, Nov. 14, 2019 (HealthDay News) — From 1999 to 2016, there were trends for increases in measured body mass index (BMI) and weight among adults in the United States, and there was an increase in the proportion of adults attempting to lose weight, according to a study published online Nov. 13 in JAMA Network Open.

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Invasive Melanoma Incidence Decreasing in Teens, Young Adults

WEDNESDAY, Nov. 13, 2019 (HealthDay News) — Melanoma incidence seems to be decreasing in adolescents and young adults, according to a study published online Nov. 13 in JAMA Dermatology.

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Cannabis Use Disorder Up With Recreational Pot Legalization

WEDNESDAY, Nov. 13, 2019 (HealthDay News) — Cannabis use disorder (CUD) has increased among adolescents and adults (≥26 years) after recreational marijuana legalization (RML) enactment, according to a study published online Nov. 13 in JAMA Psychiatry.

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Editorial (subscription or payment may be required)

Health Groups Urge President to Ban All Flavored E-Cigarettes

WEDNESDAY, Nov. 13, 2019 (HealthDay News) — An ad campaign urging U.S. President Donald Trump to follow through on a commitment to ban all flavored electronic cigarettes, including mint and menthol, has been launched by a number of public health groups.

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Syringe Exchange Program Has Positive Impact on HIV Diagnoses

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — A syringe exchange program (SEP) has averted thousands of injection drug use (IDU)-associated HIV diagnoses over 10 years in Philadelphia and Baltimore, according to a study published in the Dec. 1 issue of the Journal of Acquired Immune Deficiency Syndrome.

Abstract/Full Text

Physical Activity After Cancer Diagnosis Improves Survival

WEDNESDAY, Nov. 13, 2019 (HealthDay News) — At least 150 minutes per week of moderate-intensity physical activity is associated with lower all-cause mortality among postmenopausal breast cancer patients, regardless of their levels of physical activity before diagnosis, according to a study published online Nov. 7 in Breast Cancer Research.

Abstract/Full Text

Less Weight Regain With EHR-Based Tracking Plus Coaching

TUESDAY, Nov. 12, 2019 (HealthDay News) — An electronic health record (EHR)-based weight maintenance intervention coupled with coaching is associated with less weight regain compared with EHR-based care alone, according to a study published online Nov. 12 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Double Lung Transplant Performed for Vaping-Related Illness

TUESDAY, Nov. 12, 2019 (HealthDay News) — What is believed to be the first double lung transplant in the United States for a patient whose lungs were irreparably damaged after vaping was performed by doctors at the Henry Ford Health System in Detroit.

CNN Article

Juul Stops Sales of Mint-Flavored E-Cigarettes

FRIDAY, Nov. 8, 2019 (HealthDay News) — Juul Labs will halt sales of its mint-flavored electronic cigarettes, the company announced Thursday.

AP News Article

Number of Potentially Excess Deaths Up in Nonmetropolitan Counties

THURSDAY, Nov. 7, 2019 (HealthDay News) — During 2010 to 2017, nonmetropolitan counties had higher percentages of potentially excess deaths from five leading causes than metropolitan counties nationwide, according to research published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

CDC: Number of Vaping-Linked Lung Illnesses Tops 2,000

THURSDAY, Nov. 7, 2019 (HealthDay News) — The number of Americans stricken with a severe respiratory illness tied to vaping has now reached 2,051, the U.S. Centers for Disease Control and Prevention reported Thursday.

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More Awareness of Choosing Wisely Campaign Needed for Nurses

THURSDAY, Nov. 7, 2019 (HealthDay News) — Greater awareness of Choosing Wisely recommendations among nurses could promote high-value care for acute and critically ill patients, according to a study published in the November issue of the American Journal of Critical Care.

Abstract/Full Text

Ibuprofen Does Not Increase Postpartum Blood Pressure

THURSDAY, Nov. 7, 2019 (HealthDay News) — Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, do not increase blood pressure among postpartum women with hypertensive disorders of pregnancy, according to a study published online Nov. 4 in Obstetrics & Gynecology.

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Early Postop Infection Ups One-Year Infection, Mortality Risk

THURSDAY, Nov. 7, 2019 (HealthDay News) — Patients with 30-day postoperative infection have an increased risk for long-term infection and mortality, according to a study published online Nov. 6 in JAMA Surgery.

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Editorial (subscription or payment may be required)

San Francisco Vaping Ban Upheld by Voters

WEDNESDAY, Nov. 6, 2019 (HealthDay News) — A ban on electronic cigarette sales in San Francisco was widely backed by voters despite the city being home to Juul Labs, which dominates the e-cigarette market in the United States.

Forbes Article

Mailing HPV Kits to Underscreened Women Can Up Screening

WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Mailing human papillomavirus (HPV) kits to underscreened women is associated with increased screening uptake but does not significantly increase precancer detection or treatment, according to a study published online Nov. 6 in JAMA Network Open.

Abstract/Full Text
Editorial

Menopause Occurs at Median Age of 48 in Canadian Women With HIV

WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Canadian women with HIV have a median age of menopause of 48 years, with lower education and hepatitis C coinfection independently associated with menopause at <45 years, according to a study published online Nov. 6 in Menopause.

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Weight-Loss Counseling With Group Visits Improves HbA1c

WEDNESDAY, Nov. 6, 2019 (HealthDay News) — The addition of intensive weight management (WM) to group medical visits (GMVs) for diabetes is noninferior for lowering hemoglobin A1c (HbA1c) levels and is associated with clinically important outcomes, according to a study published online Nov. 4 in JAMA Internal Medicine.

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Exercise Should Be Prescribed to Cancer Survivors

WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Exercise should be prescribed for cancer survivors, according to recommendations published in the November issue of Medicine & Science in Sports & Exercise and an article published online Oct. 16 in CA: A Cancer Journal for Clinicians.

Exercise Guidelines for Cancer Survivors
Abstract/Full Text – Schmitz Article

2010 to 2016 Saw Increase in Teens Admitted to ED for Abuse

TUESDAY, Nov. 5, 2019 (HealthDay News) — From 2010 to 2016, there was an increase in the number of adolescents admitted to emergency departments for confirmed sexual abuse, according to a research letter published online Nov. 4 in JAMA Pediatrics.

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Prevalence of E-Cigarette Use High Among U.S. Preteens, Teens

TUESDAY, Nov. 5, 2019 (HealthDay News) — The prevalence of self-reported current electronic cigarette use is high among U.S. middle and high school students, according to a study published online Nov. 5 in the Journal of the American Medical Association.

Abstract/Full Text

FDA: Biotin Supplements Could Affect Results of Medical Tests

TUESDAY, Nov. 5, 2019 (HealthDay News) — Biotin supplements can interfere with the results of some critical lab tests, the U.S. Food and Drug Administration warned Tuesday.

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Medical Practices Burdened by Regulatory Requirements

TUESDAY, Nov. 5, 2019 (HealthDay News) — The vast majority of group medical practices report that regulatory requirements, including prior authorization and quality payment programs, are burdensome, according to a survey released by the Medical Group Management Association.

Annual Regulatory Burden Survey

Effect of Legislation on School Vaccination Rates May Be Limited

TUESDAY, Nov. 5, 2019 (HealthDay News) — Assuming the current rates of medical exemptions persist, the overall exemption rate in California schools is expected to stabilize at 1.87 percent by 2027, according to a research letter published online Nov. 5 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Poll: Many Seniors Do Not Follow Instructions Related to Antibiotics

TUESDAY, Nov. 5, 2019 (HealthDay News) — Many older adults do not follow instructions related to antibiotic use, according to a report published online Nov. 4 based on the results of the University of Michigan National Poll on Healthy Aging.

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Dr. Stephen Hahn Nominated to Head FDA

MONDAY, Nov. 4, 2019 (HealthDay News) — Radiation oncology expert Stephen Hahn, M.D., has been nominated as the new U.S. Food and Drug Administration commissioner.

CNN Article

Religious Exemption Rate for Vaccination Up in 2017 to 2018

MONDAY, Nov. 4, 2019 (HealthDay News) — The rate of religious exemptions for vaccination among kindergartners is associated with the availability of personal belief exemptions, according to a study published online Nov. 4 in Pediatrics.

Abstract/Full Text

2007 to 2016 Saw Increase in Child Psychiatrists in U.S.

MONDAY, Nov. 4, 2019 (HealthDay News) — The number of child psychiatrists has increased in the United States, although there is considerable regional variability, according to a study published online Nov. 4 in Pediatrics.

Abstract/Full Text
Editorial

CDC: 1 Dead, 8 Hospitalized in Salmonella Outbreak Tied to Ground Beef

MONDAY, Nov. 4, 2019 (HealthDay News) — Ground beef tainted with Salmonella has led to 10 known infections across six states, including eight people who were hospitalized, and one death.

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Type 2 Diabetes Linked to Higher Risk for Vertebral Fractures

MONDAY, Nov. 4, 2019 (HealthDay News) — Individuals with type 2 diabetes (T2D) are at higher risk for sustaining an incident vertebral fracture (VF) compared with individuals without T2D, according to a review published online Oct. 28 in Diabetes Care.

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One in Three Young Adults Get Meds for Opioid Use Disorder After Overdose

MONDAY, Nov. 4, 2019 (HealthDay News) — One in three young adults receive medication for opioid use disorder in the 12 months after surviving an overdose, according to a study published online Oct. 4 in the Annals of Emergency Medicine.

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