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Category: Family Medicine | Monthly Briefing

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May 2010 Briefing - Family Practice

Last Updated: June 01, 2010.

 

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for May 2010. 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.

Underage Drinking Emergency Room Visits Rise Over Holiday

MONDAY, May 31 (HealthDay News) -- Daily underage drinking-related visits to hospital emergency departments are higher over the three-day Memorial Day weekend than on an average day, according to a new study from the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Most Lumbar Disc Herniation Occurs Spontaneously

FRIDAY, May 28 (HealthDay News) -- Lumbar disc herniation (LDH) usually occurs without any inciting event, and when there is an inciting event, it is not associated with a more severe presentation, according to a study in the May issue of The Spine Journal.

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Children Respond Well to Adjuvanted H1N1 Vaccine

FRIDAY, May 28 (HealthDay News) -- An adjuvanted split virion H1N1 vaccine is more immunogenic but is also associated with more reactions compared to a whole virion, non-adjuvanted vaccine in children, according to research published online May 27 in BMJ.

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Less Frequent Toothbrushing Linked to Heart Disease

FRIDAY, May 28 (HealthDay News) -- Poor oral hygiene is associated with a higher risk of cardiovascular disease, as well as higher concentrations of C-reactive protein and fibrinogen, according to research published online May 27 in BMJ.

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Use of Statins After Stroke Increasing Slowly

FRIDAY, May 28 (HealthDay News) -- The percentage of stroke patients given prescriptions for evidence-based statin treatment at hospital discharge has increased over time, but nearly one in five still leaves the hospital without a prescription, according to research published online May 27 in Stroke.

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CRP, D-Dimer Levels Don't Affect Statin-Mortality Link

FRIDAY, May 28 (HealthDay News) -- In peripheral arterial disease (PAD) patients, statin use is associated with lower risk of cardiovascular disease (CVD) mortality and all-cause mortality, though this association is not influenced by baseline C-reactive protein (CRP) or D-dimer levels, according to research published in the May 1 issue of the American Journal of Cardiology.

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CT Contrast Agents May Cause Delayed Adverse Reactions

FRIDAY, May 28 (HealthDay News) -- Delayed adverse reactions (DARs) occur more frequently in patients undergoing contrast-enhanced computed tomography (CT) than in those undergoing unenhanced CT, according to a study in the June issue of Radiology.

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Statins May Reduce Revision Risk After Hip Arthroplasty

FRIDAY, May 28 (HealthDay News) -- The risk of revision after primary total hip arthroplasty is lower among those using statins than those not on statins, according to a study published in the May 1 issue of the Journal of Bone & Joint Surgery.

Abstract
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Depression Key Consideration in Acute Coronary Syndrome

FRIDAY, May 28 (HealthDay News) -- Health care providers should address depressive symptoms in survivors of acute coronary syndrome (ACS), especially women, whose early recovery may differ from their male counterparts, according to a prospective longitudinal study published in the May issue of Applied Nursing Research.

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In Diabetes Patients at Low CVD Risk, Aspirin Not Recommended

THURSDAY, May 27 (HealthDay News) -- Low-dose aspirin for prevention of cardiovascular disease (CVD) is reasonable for adults with diabetes who are at increased CVD risk but should not be routinely recommended for those at low CVD risk, according to a combined statement from the American Diabetes Association, the American Heart Association, and the American College of Cardiology Foundation, published online May 27 in Circulation, Diabetes Care, and the Journal of the American College of Cardiology.

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CDC Outlines State Health-Care-Associated Infection Data

THURSDAY, May 27 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention outlined state health-care-associated infection (HAI) data during a telebriefing on May 27 to coincide with a report in the May 28 issue of the CDC's Morbidity and Mortality Weekly Report.

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Analysis Questions Quality of Direct-to-Consumer Ads

THURSDAY, May 27 (HealthDay News) -- Direct-to-consumer advertising (DTCA) for urological medications lacks research data or references to substantiate the claims they make, pointing to room for improvement in the information offered by such advertisements, according to an analysis published in the May issue of Urology.

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Indoor Tanning Beds/Booths Increase Melanoma Risk

THURSDAY, May 27 (HealthDay News) -- Use of indoor tanning equipment substantially increases the risk of melanoma, with the highest risk found for people who use high-speed/intensity and high-pressure indoor tanning beds, according to a report published online May 26 in Cancer Epidemiology, Biomarkers & Prevention.

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Review Examines Racial, Ethnic Reproductive Health Disparities

THURSDAY, May 27 (HealthDay News) -- Racial and ethnic disparities of uncertain etiology exist in several areas of reproductive health, suggesting a need for further research to understand the source of the disparities and to optimize care, according to a review published in the May issue of the American Journal of Obstetrics & Gynecology.

Abstract
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Early Glycemic Control Vital in Type 1 Diabetes

THURSDAY, May 27 (HealthDay News) -- Intense glycemic control early on should be attempted for individuals with type 1 diabetes to reduce the risk of complications related to diabetes arising over time, according to research published in the May issue of Diabetes.

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Antiretroviral Therapy Greatly Cuts HIV Partner Transmission

THURSDAY, May 27 (HealthDay News) -- In heterosexual HIV-1 patients, antiretroviral therapy (ART) can reduce the risk of HIV transmission to sexual partners by 92 percent, according to research published online May 27 in The Lancet.

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FDA Changes Label on Weight-Loss Drug Orlistat

WEDNESDAY, May 26 (HealthDay News) -- The U.S. Food and Drug Administration has alerted health care providers and consumers regarding a label change to the weight-loss drug orlistat, marketed by prescription by F. Hoffmann-La Roche Ltd. as Xenical (orlistat 120 mg) and over-the-counter (OTC) without a prescription by GSK Consumer Healthcare as Alli (orlistat 60 mg), due to the potential but rare risk of severe liver injury.

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Stents, Endarterectomy Equally Effective at Preventing Stroke

WEDNESDAY, May 26 (HealthDay News) -- Carotid-artery stenting and carotid endarterectomy are equally effective in preventing stroke in the long term, according to a study published online May 26 in the New England Journal of Medicine to coincide with its presentation at the European Stroke Conference, held from May 25 to 28 in Barcelona, Spain.

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New Tramadol Label Warns of Suicide, Overdose Risks

WEDNESDAY, May 26 (HealthDay News) -- The U.S. Food and Drug Administration and Ortho-McNeil-Janssen have alerted health care professionals of changes to the prescribing information warnings section for tramadol, a centrally acting synthetic opioid analgesic used to manage moderate to moderately severe chronic pain.

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Single Lens Distance Glasses May Reduce Falls

WEDNESDAY, May 26 (HealthDay News) -- Older individuals who wear multifocal glasses and take part in regular outdoor activity may prevent falls by using single lens distance glasses for outside use; however, this intervention may be harmful in those who wear multifocal glasses and take part in limited outdoor activity, according to a study published online May 25 in BMJ.

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Drug Switch Tied to Depression Remission at Six Months

WEDNESDAY, May 26 (HealthDay News) -- More than one-third of adolescents with treatment-resistant depression may achieve remission within six months after simply switching their medication or undergoing cognitive behavioral therapy along with a medication switch, and those who show symptom benefits early after switching are more likely to have lasting benefits, according to a study published online May 17 in the American Journal of Psychiatry.

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Benefit Seen From High-Protein Diet, Resistance Exercise

WEDNESDAY, May 26 (HealthDay News) -- In overweight individuals with type 2 diabetes, a high-protein, restricted-energy diet in combination with resistance exercise training is associated with particular improvements in body weight and composition when compared with other approaches, according to research published in the May issue of Diabetes Care.

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FDA: Proton Pump Inhibitors Linked to Fracture Risk

WEDNESDAY, May 26 (HealthDay News) -- The U.S. Food and Drug Administration has alerted consumers and health care providers regarding the potential increased risk of hip, wrist and spine fractures associated with high doses or long-term use of proton-pump inhibitors (PPIs).

FDA's MedWatch Adverse Event Reporting Program
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Early Antibiotics in COPD Hospitalizations Beneficial

TUESDAY, May 25 (HealthDay News) -- Chronic obstructive pulmonary disease (COPD) patients hospitalized for exacerbations of their illness who receive antibiotic treatment within the first two days of their hospitalization fare better than those who do not, according to research published in the May 26 issue of the Journal of the American Medical Association.

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Hypertension Control Hits Healthy People 2010 Goal

TUESDAY, May 25 (HealthDay News) -- The proportion of hypertensive patients with control of the condition has reached a Healthy People 2010 goal, though rates of hypertension have remained unchanged during the past decade, according to research published in the May 26 issue of the Journal of the American Medical Association.

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Spondylolisthesis Rate in Older Men Higher Than Thought

TUESDAY, May 25 (HealthDay News) -- Lumbar spondylolisthesis may be more common in older men than previously thought, and those who are more physically active are more likely to report the condition, according to a study in the May 1 issue of Spine.

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Large Variations in C-Section Rates Seen in British Columbia

TUESDAY, May 25 (HealthDay News) -- There is a large, unexplained variation in rates of cesarean deliveries across the 16 health service delivery districts of British Columbia, Canada, according to research published in the June issue of Obstetrics & Gynecology.

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New Rule Reduces Low-Yield Outpatient Imaging Exams

TUESDAY, May 25 (HealthDay News) -- A rule that prevents medical support staff from completing computerized orders for outpatient imaging exams that have a high likelihood of being negative results in fewer low-yield examinations and an increased percentage of tests ordered by clinicians themselves, according to a study in the June issue of Radiology.

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Common School Scoliosis Screening Test Lacks Precision

TUESDAY, May 25 (HealthDay News) -- The simple and common forward bending test (FBT) used in school scoliosis screening programs lacks precision for detecting spinal curvature and by itself is insufficient, according to a meta-analysis published in the May 1 issue of Spine.

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Predisposition to Spontaneous Preterm Delivery Inherited

TUESDAY, May 25 (HealthDay News) -- Spontaneous preterm birth is more likely to occur in women who were born spontaneously preterm themselves, or who have siblings who were, according to research published in the June issue of Obstetrics & Gynecology.

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Pregnant Women Using Herbals Despite Lack of Safety Data

TUESDAY, May 25 (HealthDay News) -- Many women use herbal or natural products immediately prior to or during pregnancy, though little is known about these products' safety or efficacy, according to two articles published in the May issue of the American Journal of Obstetrics & Gynecology.

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Increasing Exercise Linked to Decreasing Obesity in Women

TUESDAY, May 25 (HealthDay News) -- In adult women, there is a crude, graded inverse dose-response relationship between total volume of leisure-time physical activity and obesity, according to a study published in the May issue of the Journal of Epidemiology and Community Health.

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Moderate Drinkers' Health Better Than Non-Drinkers'

TUESDAY, May 25 (HealthDay News) -- Moderate drinkers have a better health status than non-drinkers or heavy drinkers, but moderate alcohol consumption may be a marker, rather than a cause, of this status, according to research published May 19 in the European Journal of Clinical Nutrition.

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Trial Finds Topical Gel Effective for Facial Acne in Preteens

TUESDAY, May 25 (HealthDay News) -- Preteens with mild-to-moderate facial acne respond well to treatment with tretinoin microsphere gel (TMG) without serious adverse effects, according to a small study published online May 24 in Pediatrics.

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H1N1 in Pregnant Women Is Serious Threat to Fetuses

TUESDAY, May 25 (HealthDay News) -- Pregnant women admitted to the hospital with pandemic novel influenza A(H1N1) are at increased risk for abdominal and gastrointestinal symptoms, fetal distress and mortality, emergency cesarean delivery, and premature births, according to research published in the May 24 issue of the Archives of Internal Medicine.

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Survivors of Childhood Cancer Less Healthy as Adults

TUESDAY, May 25 (HealthDay News) -- Adult survivors of childhood cancers appear to suffer worse health outcomes and more job limitations than people who never had cancer, according to research published online May 24 in Cancer.

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Frequent Doctor Visits Benefit Hypertensive Diabetes Patients

MONDAY, May 24 (HealthDay News) -- In hypertensive patients with diabetes, shorter intervals between encounters with physicians are associated with a faster decrease in blood pressure and earlier blood pressure normalization -- particularly intervals shorter than those currently recommended, according to a study published online May 24 in Hypertension.

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β-Blockers May Be Beneficial in Treating COPD

MONDAY, May 24 (HealthDay News) -- Chronic obstructive pulmonary disease (COPD) patients taking β-blockers may have a decreased risk of exacerbations, as well as a decreased mortality risk, according to research published in the May 24 issue of the Archives of Internal Medicine.

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Sugar-Sweetened Beverages May Affect Blood Pressure

MONDAY, May 24 (HealthDay News) -- Reducing consumption of sugar-sweetened beverages (SSBs) has a significant association with decreased blood pressure, according to research published online May 24 in Circulation.

Abstract
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Childhood Mortality Worldwide May Be Lower Than Thought

MONDAY, May 24 (HealthDay News) -- Among children younger than 5, the annual global death toll may be 820,000 lower than the latest UNICEF estimate, as there has been progress in many poorer countries toward achieving the Millennium Development Goal 4 of reducing mortality in this age group by two-thirds between 1990 and 2015, according to an article published online May 24 in The Lancet.

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Alfalfa Sprouts Recalled Due to Salmonella Outbreak

MONDAY, May 24 (HealthDay News) -- Caldwell Fresh Foods has issued a recall of raw alfalfa sprouts due to a Salmonella Newport outbreak in 10 states, according to the U.S. Food and Drug Administration.

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Visceral Fat, Total Brain Volume Inversely Associated

MONDAY, May 24 (HealthDay News) -- In middle-aged adults, abdominal fat -- especially visceral fat -- is inversely associated with total brain volume, according to research published online May 20 in the Annals of Neurology.

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Recent Outbreak of Dengue in Key West Raises Concern

MONDAY, May 24 (HealthDay News) -- A recent outbreak of 28 dengue cases in Key West, Fla., should prompt clinicians to consider dengue in diagnosing patients who live in or have recently traveled to subtropical parts of the United States, according to a report published in the May 21 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Simplexa H1N1 Test Approved

MONDAY, May 24 (HealthDay News) -- The Simplexa diagnostic test to detect infection with the H1N1 "swine" flu virus has been approved by the U.S. Food and Drug Administration, the agency said Monday in a news release.

Centers for Disease Control and Prevention

Many Women Age 40 and Older Avoid Follow-Up Eye Care

MONDAY, May 24 (HealthDay News) -- Despite self-reported diagnoses of diabetic retinopathy, glaucoma and age-related macular degeneration (ARMD), many women aged 40 and older do not receive eye care in the recommended follow-up period due to cost, lack of insurance coverage, or believing there is no reason for follow-up care, according to a report published in the May 21 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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On-Time Vaccinations in First Year Don't Hurt Development

MONDAY, May 24 (HealthDay News) -- Children who are vaccinated on schedule in their first year of life exhibit neuropsychological development at ages 7 to 10 that is as good as or better than children who receive delayed vaccination or do not get vaccinated, according to a study published online May 24 in Pediatrics.

Abstract
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Battery Ingestions Have Devastating Complications

MONDAY, May 24 (HealthDay News) -- The increased use of 20-mm lithium button batteries has led to a rise in devastating complications from their ingestion. Prevention should be encouraged through education and secure household product design, and, when prevention doesn't work, the removal of batteries from the esophagus must be expedited to prevent major complications, according to two studies published online May 24 in Pediatrics.

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AAP Statement Urges Drowning Prevention Efforts

MONDAY, May 24 (HealthDay News) -- With drowning a leading cause of accidental death in children, the American Academy of Pediatrics (AAP) is urging pediatricians to actively educate and counsel parents and support community drowning prevention efforts in a revised policy statement published online May 24 in Pediatrics.

Policy Statement
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Major Pool Code Violations Common in United States

MONDAY, May 24 (HealthDay News) -- Swimming pool operation violations are relatively common in the United States, with almost one out of eight inspections resulting in immediate pool closure because of serious code violations, according to a report published in the May 21 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Low Phosphorus Linked to Early Death in HIV Therapy

MONDAY, May 24 (HealthDay News) -- Low blood phosphorus levels are associated with high death rates among HIV-infected patients beginning antiretroviral therapy (ART) in sub-Saharan Africa, according to a study published online May 18 in PLoS ONE.

Abstract
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Most Uninsured Young Adults May Gain Health Insurance

FRIDAY, May 21 (HealthDay News) -- In the United States, there are 13.7 million uninsured young adults, and most of them could gain health insurance coverage under the recently passed Affordable Care Act, according to a report released today by the Commonwealth Fund.

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Misoprostol Does Not Decrease Postpartum Hemorrhage

FRIDAY, May 21 (HealthDay News) -- The prostaglandin analogue misoprostol, when added to standard uterotonic therapy, does not result in decreased postpartum blood loss, according to research published in the May 22 issue of The Lancet.

Abstract
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Intervention Improves Parent-Autistic Child Interactions

FRIDAY, May 21 (HealthDay News) -- A parent-mediated social communication intervention in preschool children with autism improves parent-child interaction but does not result in clinically significant benefits in autism severity, according to research published in the May 21 online edition of The Lancet.

Abstract
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Metformin Associated With Decreased B-12

FRIDAY, May 21 (HealthDay News) -- Patients being treated with metformin to control their diabetes may have a higher risk of decreased levels of vitamin B-12 and increased homocysteine levels, according to research published in the May 20 online edition of the BMJ.

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Statins Have Wide Range of Unintended Adverse Effects

FRIDAY, May 21 (HealthDay News) -- Statins appear to have no significant association with a large number of diseases, but they may have a wide range of unintended adverse effects, according to data published in the May 20 online edition of the BMJ.

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Article Addresses Suicide Risks for Seniors in Residential Homes

THURSDAY, May 20 (HealthDay News) -- Elderly residents of communal living facilities are at risk of suicidal behaviors that may be due to their underlying reasons for moving into the residential homes, and public health systems and residential communities should take steps to counter these behaviors, according to an article published online May 18 in PLoS Medicine.

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Cesarean Delivery and Celiac Disease Significantly Associated

THURSDAY, May 20 (HealthDay News) -- There is a significant association between cesarean delivery and celiac disease but not Crohn's disease or ulcerative colitis, according to research published online May 17 in Pediatrics.

Abstract
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Self-Reported Peanut, Tree Nut Allergies in Children on the Rise

MONDAY, May 24 (HealthDay News) -- Although the number of adults allergic to peanuts, tree nuts and sesame seems to have remained relatively stable since 1997, the prevalence of self-reported peanut and tree nut allergies in children has climbed substantially, according to research published online May 12 in the Journal of Allergy and Clinical Immunology.

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Faster Weight Loss Appears to Yield Better Results

THURSDAY, May 20 (HealthDay News) -- People who lose greater amounts of weight initially in weight-loss attempts may experience better weight loss and maintenance results than those who lose weight gradually, according to research published in the June issue of the International Journal of Behavioral Medicine.

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Vitamin D Insufficiency Common in Young Women

THURSDAY, May 20 (HealthDay News) -- Many U.S. women of childbearing age have vitamin D insufficiency, and the current recommended dosage for prenatal vitamin D supplementation may need to be increased to reach recommended levels, according to a study in the American Journal of Obstetrics & Gynecology.

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Botox Injections Resolve Chronic Cough

THURSDAY, May 20 (HealthDay News) -- Injection with botulinum toxin type A (BtxA) can resolve chronic cough caused by laryngeal hypertonicity and neuroplastic changes, according to research published in the May issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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With Intermediate Risk of CAD, CTCA Valuable First Test

WEDNESDAY, May 19 (HealthDay News) -- As a tool for predicting the need for invasive coronary angiography (ICA), computed tomography coronary angiography (CTCA) appears to be most useful for patients at intermediate risk of coronary artery disease and may be more useful than stress testing in that population, according to research published May 18 in the Annals of Internal Medicine.

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Maternal Measles Antibodies Wane by 6 Months of Age

WEDNESDAY, May 19 (HealthDay News) -- Maternal measles antibodies wane quickly after birth, with nearly all babies losing maternal antibody protection by age 6 months, according to research published online May 18 in the BMJ.

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Antibiotic Resistance May Persist Months After Treatment

WEDNESDAY, May 19 (HealthDay News) -- After a course of antibiotics for respiratory or urinary tract infection, an individual is likely to develop resistance to the antibiotic that may persist for up to 12 months, according to research published online May 18 in the BMJ.

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Physician's Cost-Profile Differs by Insurer's Rules

WEDNESDAY, May 19 (HealthDay News) -- The cost-profiling done by health plans varies substantially in methodology and can affect which cost category physicians are placed in, depending on which cost-attribution rules are used, according to research published May 18 in the Annals of Internal Medicine.

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TB Global Fight Still Has a Way to Go

WEDNESDAY, May 19 (HealthDay News) -- Even though 36 million people worldwide were cured of tuberculosis and 6 million lives were saved between 1995 and 2008, the disease still takes a substantial toll and long-term goals for its eradication may not be met, according to a paper published online May 19 in The Lancet, the first in a series of papers on tuberculosis.

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Steroids for Hemangiomas Affect Immune Function

WEDNESDAY, May 19 (HealthDay News) -- Corticosteroids used for the treatment of infantile hemangiomas are associated with reductions in lymphocyte cell numbers and changes in immune function, according to a study published online May 17 in Archives of Dermatology.

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Sagent Announces Recall of Metronidazole Injection

WEDNESDAY, May 19 (HealthDay News) -- Sagent Pharmaceuticals Inc. has announced a nationwide voluntary recall of all lots of metronidazole injection, USP 500 mg/100 mL, distributed by the company and manufactured by Claris Lifesciences, due to non-sterility in two lots of the product, according to the U.S. Food and Drug Administration (FDA).

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Optimism Not Linked to Plastic Surgery Satisfaction

WEDNESDAY, May 19 (HealthDay News) -- Baseline pessimism and optimism are not associated with patient satisfaction with facial plastic surgery, and those treated for depression show greater satisfaction than patients not treated for depression, according to research published in the May/June issue of the Archives of Facial Plastic Surgery.

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Major Depression Prevalent After Traumatic Brain Injury

TUESDAY, May 18 (HealthDay News) -- Within the first year after traumatic brain injury (TBI), more than half of patients meet criteria for major depressive disorder (MDD), which independently predicts poorer health-related quality of life, according to research published in the May 19 issue of the Journal of the American Medical Association.

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Learning/Management Model Effective for Anxiety Treatment

TUESDAY, May 18 (HealthDay News) -- A blended intervention approach to anxiety treatment is superior to usual care for patients treated in primary care clinics, according to research published May 18 in the Journal of the American Medical Association.

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Fathers Show Risk of Prenatal, Postpartum Depression

TUESDAY, May 18 (HealthDay News) -- A substantial number of expecting and new fathers have prenatal and postpartum depression, and paternal depression is moderately correlated with maternal depression, according to research published in the May 19 issue of the Journal of the American Medical Association.

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In Prostate Cancer, Selective Alendronate Use Cost-Effective

TUESDAY, May 18 (HealthDay News) -- A bone mineral density test followed by selective use of alendronate for fracture prevention in men beginning androgen deprivation therapy for localized prostate cancer is cost-effective, according to research published in the May 18 issue of the Annals of Internal Medicine.

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Age Affects Benefits of Cochlear Implants

TUESDAY, May 18 (HealthDay News) -- Elderly patients can benefit significantly from cochlear implants, though not as much as younger patients on some measures, according to a study in the May issue of Archives of Otolaryngology -- Head & Neck Surgery. According to another study in the same journal, the substantial increase in endoscopic surgery for chronic sinus problems in the Medicare population is of uncertain value.

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Cerebral Vasoreactivity Related to Gait, Possibly Falls, in Elderly

TUESDAY, May 18 (HealthDay News) -- Impaired regulation of cerebral blood flow is associated with slowed gait and may be related to increased falls in the elderly, according to research published in the May 18 issue of the journal Neurology.

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Vitamin A Analogues Not Linked to Fracture Risk

TUESDAY, May 18 (HealthDay News) -- The use of vitamin A analogues such as isotretinoin and acitretin, even at high doses, is not associated with an increased risk of fractures, according to a study published in the May issue of Archives of Dermatology.

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Racial Disparities Reduced in Quality Monitoring Program

TUESDAY, May 18 (HealthDay News) -- Hospitals enrolled in a national quality monitoring and improvement program showed improvements in adherence to evidence-based guidelines for acute myocardial infarction (AMI), as well as reductions or elimination of racial/ethnic care disparities, according to research published May 17 in the journal Circulation.

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Brain-Injured Youths Have More Postconcussive Symptoms

TUESDAY, May 18 (HealthDay News) -- Postconcussive symptoms (PCSs) are not unique to children with mild traumatic brain injuries (MTBIs), but children with such injuries experience more PCSs and different neurocognitive recovery than their non-head-injured peers, according to research published online May 17 in Pediatrics.

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Appearance-Focused Approach May Reduce Indoor Tanning

MONDAY, May 17 (HealthDay News) -- Among women who tan indoors and exhibit seasonal affective disorder (SAD) symptoms or pathological tanning motives, an appearance-focused skin cancer prevention intervention may help reduce indoor tanning, according to a study published in the May issue of Archives of Dermatology.

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Many Have Low Distress During Prostate Cancer Surveillance

MONDAY, May 17 (HealthDay News) -- Men with low-risk prostate cancer on active surveillance generally have favorably low anxiety and distress in the first nine months of surveillance, according to research published in the May issue of The Journal of Urology. Another article in the same issue examines how health status and life expectancy influenced selection of men age 75 and older for prostate-specific antigen (PSA) screenings before the United States Preventive Services Task Force (USPSTF) recommended against screening them.

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Race May Impact Clinician's Infant Drug Screening Choices

MONDAY, May 17 (HealthDay News) -- Health care providers may be impacted by maternal race in determining whether to screen for illicit drug exposure in infants, regardless of their institution's standard criteria for screening, according to a study published online May 17 in Pediatrics.

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Higher Pesticide Exposure Linked to Increased ADHD Risk

MONDAY, May 17 (HealthDay News) -- High levels of organophosphate exposure have been associated with adverse effects on neurodevelopment, and cross-sectional data suggest that levels of exposure common in U.S. children may contribute to attention-deficit/hyperactivity disorder (ADHD) prevalence, according to research published online May 17 in Pediatrics.

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A Few Preventive Health Services Could Save Many Lives

MONDAY, May 17 (HealthDay News) -- Increased use of a few proven clinical preventive services, especially those aimed at reducing cardiovascular disease, could result in substantial improvements in health on a population-wide level, according to a study published online May 4 in the American Journal of Preventive Medicine.

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Sprix Approved for Moderate-to-Severe Pain

MONDAY, May 17 (HealthDay News) -- Roxro Pharma's Sprix (ketorolac tromethamine) nasal spray has been approved by the U.S. Food and Drug Administration for the short-term treatment of moderate to moderately severe pain, the manufacturer said Monday in a news release.

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Obesity, Diabetes Associated With Low Free Testosterone

MONDAY, May 17 (HealthDay News) -- Among obese men older than 45 years of age, 40 percent of those without diabetes and half of those with diabetes have below-normal free testosterone (FT) concentrations, according to research published online in Diabetes Care.

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Common Diagnostic Tests for UTI Miss Many Infections

MONDAY, May 17 (HealthDay News) -- Commonly used tests for diagnosing lower urinary tract infections in patients with lower urinary tract symptoms but no dysuria lack sensitivity and should be abandoned, according to research published in the May issue of The Journal of Urology.

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Antibiotic Patterns for S. Aureus in Children Have Changed

MONDAY, May 17 (HealthDay News) -- Since the emergence of community-associated methicillin-resistant Staphylococcus aureus (S. aureus) infections, antibiotic treatment for hospitalized children with S. aureus infections has changed dramatically, and clindamycin has become the primary antibiotic treatment for those infections, according to research published online May 17 in Pediatrics.

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Patterns Changing in Substance Use Admissions

MONDAY, May 17 (HealthDay News) -- Some patterns of substance use treatment admissions changed substantially from 1998 to 2008, according to a study published in April by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency within the U.S. Department of Health and Human Services.

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CPAP Found Feasible for Extremely Preterm Infants

MONDAY, May 17 (HealthDay News) -- In extremely preterm infants, early treatment with continuous positive airway pressure (CPAP) may be a viable alternative to early treatment with intubation and surfactant, according to a study published online May 16 in the New England Journal of Medicine to coincide with presentation at the annual meeting of the American Thoracic Society, held from May 14 to 19 in New Orleans. The study also found that a lower target range of oxygen saturation does not reduce a composite of severe retinopathy or death and may be associated with increased mortality.

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FDA Clears Use of Rotavirus Vaccine, Rotarix

MONDAY, May 17 (HealthDay News) -- The introduction of the RotaTeq (RV5) vaccine is associated with a reduction in hospitalizations for acute gastroenteritis in children under 5, according to research published in the June 1 Journal of Infectious Diseases. And the U.S. Food and Drug Administration (FDA) has announced that health care professionals can resume using the vaccine Rotarix, and continue using RotaTeq, to prevent rotavirus in children.

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Pernicious Anemia Patients at Higher Risk for Hip Fractures

FRIDAY, May 14 (HealthDay News) -- Even after years of vitamin B-12 therapy, people with pernicious anemia are still at increased risk for hip fractures, which suggests a mechanism other than B-12 deficiency could be driving their vulnerability, according to research published in the April issue of Gastroenterology.

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