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

Physicians Often Don’t Address Their Burnout

FRIDAY, Sept. 28, 2018 (HealthDay News) — More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association’s AMA Wire.

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Business Degree Increasingly Useful for Doctors

THURSDAY, Sept. 27, 2018 (HealthDay News) — Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice.

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Practices Should Set Rules for Staff Social Media Use

THURSDAY, Sept. 27, 2018 (HealthDay News) — Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics.

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Burnout, Career Choice Regret Prevalent in U.S. Residents

WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.

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Childhood Poverty Can Affect Cognitive Skills in Old Age

WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Variation in childhood socioeconomic position (SEP) partially accounts for cognitive performance in older age, with adverse childhood SEP associated with lower level of baseline cognitive performance, according to a study published online Sept. 26 in Neurology.

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Lower Levels of Depression, Higher QOL for Older MS Patients

WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Older individuals with multiple sclerosis (MS) report less severe depressive symptoms and better physical quality of life (QOL), compared to younger patients, according to a brief report recently published in Rehabilitation Psychology.

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Education Can Up Emotional Intelligence in Residents

TUESDAY, Sept. 25, 2018 (HealthDay News) — Following an educational intervention, residents from pediatrics and med-ped residency programs have an increase in total emotional intelligence (EI), according to a study published online Sept. 20 in Advances in Medical Education and Practice.

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Facebook Program Doesn’t Up Smoking Abstinence at One Year

TUESDAY, Sept. 25, 2018 (HealthDay News) — The Tobacco Status Project (TSP) Facebook smoking cessation intervention for young adults does not improve abstinence from smoking over one year, according to a study published in the September issue of Addiction.

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High-Risk Anticholinergics Prescribed to 6 Percent of Elderly

TUESDAY, Sept. 25, 2018 (HealthDay News) — High-risk anticholinergic prescriptions are listed for 6.2 percent of visits of older adults, according to a study published in a recent issue of the Journal of the American Geriatrics Society.

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Physician-Group ACOs Generate Medicare Savings

TUESDAY, Sept. 25, 2018 (HealthDay News) — Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine.

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In 2016, Proportion of Uninsured Americans Down to 10 Percent

TUESDAY, Sept. 25, 2018 (HealthDay News) — From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.

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Gender Nonconformity Linked to Students’ Mental Distress

MONDAY, Sept. 24, 2018 (HealthDay News) — Gender nonconformity (GNC) is associated with mental distress for female and male students, according to a study published online Sept. 24 in JAMA Pediatrics.

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Mortality for Unintentional Drug Poisonings Up Since 1979

MONDAY, Sept. 24, 2018 (HealthDay News) — Since at least 1979, there has been an exponential increase in the overall mortality rate for unintentional drug poisonings, according to a research article published online Sept. 21 in Science.

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Prenatal, Postnatal Homelessness Tied to Poor Health in Children

MONDAY, Sept. 24, 2018 (HealthDay News) — Homelessness is associated with an increased risk of adverse pediatric outcomes regardless of whether it occurs prenatally or postnatally, according to a study published online Sept. 3 in Pediatrics.

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Prevalence of Alzheimer’s, Related Dementia Set to Double

FRIDAY, Sept. 21, 2018 (HealthDay News) — The burden of Alzheimer’s disease and related dementias (ADRD) is expected to increase to 3.3 percent in the United States by 2060, according to a study published online Sept. 19 in Alzheimer’s & Dementia.

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Some Clinicians, Patients Record Clinic Visits for Patient Use

FRIDAY, Sept. 21, 2018 (HealthDay News) — A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient’s personal use, according to a study published in the September issue of the Journal of Medical Internet Research.

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Dozens of Medical Groups Join Forces to Improve Diagnoses

FRIDAY, Sept. 21, 2018 (HealthDay News) — Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed — resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).

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Black Individuals at Highest Risk of Legal Intervention Injury

THURSDAY, Sept. 20, 2018 (HealthDay News) — Black males were at the highest risk of legal intervention injury per capita from 2005 to 2015, according to a study published online Sept. 14 in JAMA Network Open.

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Research Links Doctor Burnout to Patient Safety Incidents

THURSDAY, Sept. 20, 2018 (HealthDay News) — Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine.

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Combo Physical, Mental Activity Prevents Cognitive Decline

THURSDAY, Sept. 20, 2018 (HealthDay News) — Behavioral activation that increases mental, physical, and social activity may prevent cognitive and functional decline in older black patients, according to a study published online Sept. 10 in JAMA Neurology.

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Hospitals Charge 479 Percent of Cost of Drugs on Average

THURSDAY, Sept. 20, 2018 (HealthDay News) — On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).

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>60 Percent of Adults Report Adverse Childhood Experiences

THURSDAY, Sept. 20, 2018 (HealthDay News) — More than 60 percent of adults report having had at least one adverse childhood experience (ACE), and almost 25 percent report three or more, according to a study published online Sept. 17 in JAMA Pediatrics.

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Residents Should Take Advantage of Paid Time Off

THURSDAY, Sept. 20, 2018 (HealthDay News) — Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association’s AMA Wire.

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Medicaid Expansion Linked to Gains in Insurance Coverage

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Medicaid expansion was associated with gains in insurance among low-income adults with substance use disorders, but corresponding treatment gains were not seen, according to a study published in the August issue of Health Affairs.

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Pediatricians Have Role in Supporting Transgender Youth

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — In an American Academy of Pediatrics policy statement published online Sept. 17 in Pediatrics, recommendations are presented to ensure comprehensive care and support for youth who identify as transgender and gender diverse (TGD).

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Global Prevalence of Insufficient Activity 27.5 Percent

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health.

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Opioid Deaths 1999 to 2015 May Be Dramatically Underestimated

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — States may be greatly underestimating the effect of opioid-related overdose deaths because of incomplete cause-of-death reporting, according to a study recently published in Public Health Reports.

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20% of Children, Adolescents Use Prescription Medications

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Almost 20 percent of children and adolescents used prescription medications in 2013 to 2014, and 8.2 percent of concurrent users of prescription medications in 2009 to 2014 were at risk for a potentially major drug-drug interactions (DDIs), according to a study published in the September issue of Pediatrics.

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Patient Health Information Often Shared Electronically

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

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U.S. Senate Passes Opioids Bill

TUESDAY, Sept. 18, 2018 (HealthDay News) — The Senate on Monday passed on a 99-1 vote legislation aimed at curbing the nation’s ongoing opioid addiction crisis.

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Many Middle, High Schoolers Report E-Cigarette Cannabis Use

TUESDAY, Sept. 18, 2018 (HealthDay News) — Nearly one in 11 U.S. middle and high school students used cannabis in electronic cigarettes (e-cigarettes) in 2016, according to a research letter published online Sept. 17 in JAMA Pediatrics.

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Scribes Improve Physician Workflow, Patient Interaction

TUESDAY, Sept. 18, 2018 (HealthDay News) — Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions, according to a study published online Sept. 17 in JAMA Internal Medicine.

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Compliance With Requirement to Report Results on EUCTR Is Poor

TUESDAY, Sept. 18, 2018 (HealthDay News) — Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission’s requirement that all trials post results to the registry within 12 month of completion, according to a study published online Sept. 13 in The BMJ.

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Drug Prices Increase More Than Expected After Shortages

TUESDAY, Sept. 18, 2018 (HealthDay News) — Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine.

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Many Foster Kids Inappropriately Prescribed Psychiatric Drugs

MONDAY, Sept. 17, 2018 (HealthDay News) — A new report finds that foster children are often given powerful psychiatric medicines without regard for proper safeguards.

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Association Health Plans Can Help Small Businesses Offer Coverage

MONDAY, Sept. 17, 2018 (HealthDay News) — Association health plans (AHPs) will provide small businesses with more choices, access, and coverage options, although critics warn that they may undermine the Affordable Care Act (ACA) marketplace, according to an article published in Managed Healthcare Executive.

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Situation Framing, Language Can Influence Decision-Making

FRIDAY, Sept. 14, 2018 (HealthDay News) — How a situation is framed and the language used to describe risks can influence patients’ decision-making, according to an article published in Physicians Practice.

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CDC: Some Sexual Minorities Have Higher Sexual Risk Behaviors

FRIDAY, Sept. 14, 2018 (HealthDay News) — Bisexual females and “not sure” male students report higher prevalences for many sexual risk behaviors than heterosexual students, according to research published in the Sept. 14 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Many Older Adults Transition to Long-Term Benzodiazepine Use

FRIDAY, Sept. 14, 2018 (HealthDay News) — More than one-quarter of older adults newly prescribed benzodiazepine by an non-psychiatric clinician transition to long-term use, according to a research letter published online Sept. 10 in JAMA Internal Medicine.

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Physicians Need Training for Mass Casualty Incidents

THURSDAY, Sept. 13, 2018 (HealthDay News) — Proper training and post-incident steps can help lessen the secondary trauma health professionals experience providing care during mass casualty incidents (MCIs), according to an article published in the American Medical Association’s AMA Wire.

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Pediatricians Have a Role in Encouraging Play Among Children

THURSDAY, Sept. 13, 2018 (HealthDay News) — Pediatricians should encourage parents to ensure their children play, according to a clinical report published in the September issue of Pediatrics.

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Gains in Insurance Coverage Seen for Lesbian, Gay, Bisexual Adults

THURSDAY, Sept. 13, 2018 (HealthDay News) — Lesbian, gay, and bisexual (LGB) adults report continued problems affording care despite coverage gains offered by the Affordable Care Act, according to a study published in the August issue of Health Affairs.

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Highest Opioid-Related Mortality Seen in Construction Jobs

WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Proportional mortality ratios (PMRs) for heroin-related overdose deaths and methadone-related overdose deaths from 2007 to 2012 were highest among construction workers, according to research published in the Aug. 24 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Parents’ Technology Use Can Negatively Impact Children

WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Parents’ use of digital devices may exacerbate their child’s poor behavior, according to a study recently published in Pediatric Research.

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Medicaid Benefits for Addiction Treatment Expanded After ACA

WEDNESDAY, Sept. 12, 2018 (HealthDay News) — The Affordable Care Act (ACA) may have prompted state Medicaid programs to expand addiction treatment benefits in alternative benefit plans, according to a study published in the August issue of Health Affairs.

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Residents Working Long Hours Can Increase Alertness

WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Medical residents can take steps to maintain their energy and alertness during long shifts, according to an article published in the American Medical Association’s AMA Wire.

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Six-Step Analysis Can Help Improve Practice Logistics

WEDNESDAY, Sept. 12, 2018 (HealthDay News) — A six-step analysis can help redesign and improve the outpatient health care process, according to a study recently published in the Journal of Evaluation in Clinical Practice.

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CDC: Tobacco Product Use Varies by Race Among U.S. Teens

WEDNESDAY, Sept. 12, 2018 (HealthDay News) — From 2014 to 2017, ever-use and current use of any tobacco product among U.S. middle and high school students were highest among Native Hawaiian/Other Pacific Islanders (NHOPIs) and American Indian/Alaska Natives (AI/ANs) and lowest among Asians, according to research published in the Aug. 31 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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One in Five Pot Products Fails Potency, Purity Tests in California

TUESDAY, Sept. 11, 2018 (HealthDay News) — Close to 20 percent of marijuana products in California have failed to pass tests for potency or purity since the state began mandating such testing July 1, a new report finds.

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Medicaid Work Requirements Don’t Impact Many Enrollees

TUESDAY, Sept. 11, 2018 (HealthDay News) — Medicaid work requirements will only impact a small proportion of persons and may only generate minimal savings, according to two research letters published online Sept. 10 in JAMA Internal Medicine.

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Data Age in Clinical Trials Is About Three Years at Publication

TUESDAY, Sept. 11, 2018 (HealthDay News) — The median data age in clinical trials in journals with a high impact factor is about three years at publication, according to a study published in the Aug. 10 issue of JAMA Network Open.

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Many Opportunities for Doctors Using Twitter

MONDAY, Sept. 10, 2018 (HealthDay News) — Doctors can use Twitter to build networks and learn more about research in real time, according to a blog post published by Penn Medicine News.

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Oxycontin’s Maker Now Selling Drug to Curb Opioid Addiction

MONDAY, Sept. 10, 2018 (HealthDay News) — Purdue Pharma, the maker of Oxycontin who some have blamed for the epidemic of opioid painkiller addictions, has patented a medicine aimed at curbing those disorders.

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FDA Approves New Treatment for Opioid Dependence

MONDAY, Sept. 10, 2018 (HealthDay News) — Cassipa (buprenorphine and naloxone), a film designed to be placed under the tongue, has been approved to treat opioid dependence, the U.S. Food and Drug Administration said in a news release.

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Chronic Pain May Be Contributor to Suicide

MONDAY, Sept. 10, 2018 (HealthDay News) — Chronic pain may be an important contributor to suicide, with 8.8 percent of suicide decedents having evidence of chronic pain, according to a study published online Sept. 11 in the Annals of Internal Medicine.

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Naloxone Rarely Administered by Layperson in Opioid Deaths

MONDAY, Sept. 10, 2018 (HealthDay News) — From July 2016 to June 2017, bystanders were documented in 44 percent of opioid overdose deaths, but naloxone was rarely administered by a layperson, according to a study published Aug. 31 in Morbidity and Mortality Weekly Report.

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Gender Minorities Less Engaged in Health-Promoting Behaviors

MONDAY, Sept. 10, 2018 (HealthDay News) — Lesbian and bisexual women and transgender adults have lower participation in health-related behaviors than heterosexual men and women, according to research published in the Aug. 17 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Physician Burnout Rates Vary by Medical Specialty

MONDAY, Sept. 10, 2018 (HealthDay News) — Nearly half of physicians report being burned out, but rates vary substantially by medical specialty, according to an article published in AMA Wire.

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Docs, Consumers Agree on Benefits of Virtual Care

MONDAY, Sept. 10, 2018 (HealthDay News) — Physicians and consumers agree on the benefits of virtual care, but physician adoption of virtual care technologies is low, according to a report on the Deloitte 2018 Survey of U.S. Physicians.

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Social Determinants Linked to Provision of Primary Care

FRIDAY, Sept. 7, 2018 (HealthDay News) — Social determinants are associated with provision of primary care services, according to a study recently published in the Annals of Family Medicine.

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Personalized Weighting Could Enhance Hospital Rating Tools

FRIDAY, Sept. 7, 2018 (HealthDay News) — The weighting systems that underlie hospital performance rating tools should incorporate the needs, values, and preferences of patients, according to a perspective article published in the Aug. 30 issue of the New England Journal of Medicine.

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Better Training Needed to Boost LGBTQ Patient Health Care

THURSDAY, Sept. 6, 2018 (HealthDay News) — High-quality health care needs to be provided to lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, and improved training is necessary to deliver that care, according to a report published in the American Medical Association’s AMA Wire.

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Hospital Groups Launch Own Generic Drug Company

THURSDAY, Sept. 6, 2018 (HealthDay News) — Three U.S. health care foundations and seven hospital groups have formed a generic drug company to combat high prices and chronic shortages of medicines.

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Goop Reaches Settlement in False Advertising Lawsuit

THURSDAY, Sept. 6, 2018 (HealthDay News) — A $145,000 settlement will be paid by actress Gwyneth Paltrow’s company, Goop, in a lawsuit over unfounded claims that some of its products improve women’s sexual and emotional health.

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Psychological Distress Linked to Increased Risk of MI, Stroke

THURSDAY, Sept. 6, 2018 (HealthDay News) — Psychological distress is associated with myocardial infarction (MI) and stroke in men and women, according to a study published online Aug. 28 in Circulation: Cardiovascular Quality and Outcomes.

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Public Service Loan Forgiveness Program Has Uncertain Future

WEDNESDAY, Sept. 5, 2018 (HealthDay News) — Uncertainty surrounds the future of the Public Service Loan Forgiveness (PSLF) program, according to an Ideas and Opinions article published online Aug. 28 in the Annals of Internal Medicine.

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ED Plays Critical Role in Caring for Patients With Opioid Use Disorder

WEDNESDAY, Sept. 5, 2018 (HealthDay News) — Emergency department providers need evidence-based strategies to identify and manage patients with opioid use disorder, according to a review published in the Annals of Emergency Medicine.

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Enrollment in High-Deductible Health Plans Up From ’07 to ’17

TUESDAY, Sept. 4, 2018 (HealthDay News) — Enrollment in high-deductible health plans (HDHPs) has increased among adults with employment-based insurance coverage, according to an August data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

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Patient Distressed by Overturn of California End of Life Option Act

TUESDAY, Sept. 4, 2018 (HealthDay News) — The decision to overturn the End of Life Option Act has added stress and anxiety to terminally ill patients, including those with amyotrophic lateral sclerosis (ALS), according to a patient testimonial published online Sept. 4 in the Annals of Internal Medicine.

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Last 20 Years Saw Increase in Prevalence of ADHD in Children

TUESDAY, Sept. 4, 2018 (HealthDay News) — From 1997-1998 to 2015-2016, there was an increase in the prevalence of attention-deficit/hyperactivity disorder (ADHD) among children, according to a study published online Aug. 31 in JAMA Network Open.

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Self-Injury Tops Diabetes As Cause of Death in United States

TUESDAY, Sept. 4, 2018 (HealthDay News) — In the United States, self-injury mortality (SIM) exceeded diabetes as a cause of death in 2015, with the gap expanding in 2016, according to a study published online Aug. 27 in Injury Prevention.

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Adding Pharmacist to Team Can Improve Patient Outcomes

TUESDAY, Sept. 4, 2018 (HealthDay News) — Integration of pharmacists into team-based care practice models can improve patient outcome, especially in chronic diseases, such as diabetes, according to a report published in the American Medical Association’s AMA Wire.

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Remission of Schizophrenia Seen With Amisulpride, Clozapine

TUESDAY, Sept. 4, 2018 (HealthDay News) — Remission can be achieved for most cases of schizophrenia and schizophreniform disorder with amisulpride and clozapine, according to a study published online Aug. 13 in the The Lancet Psychiatry.

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