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Category: Family Medicine | Monthly Briefing

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February 2009 Briefing - Family Practice

Last Updated: March 02, 2009.

 

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for February 2009. 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.

Fampridine Boosts Mobility in Multiple Sclerosis

FRIDAY, Feb. 27 (HealthDay News) -- Fampridine, an investigational potassium-channel blocker, improves walking ability and reduces ambulatory disability in patients with multiple sclerosis, according to research published in the Feb. 28 issue of The Lancet.

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Risk Score May Help Predict Atrial Fibrillation

FRIDAY, Feb. 27 (HealthDay News) -- A newly developed risk score based on readily available clinical factors can predict an individual's absolute risk of developing atrial fibrillation, allowing high-risk individuals to be targeted for prevention, according to research published in the Feb. 28 issue of The Lancet.

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Daytime Sleepiness Linked to Risk of Death in Elderly

FRIDAY, Feb. 27 (HealthDay News) -- Older individuals who are excessively sleepy during the day may face a higher risk of mortality, according to research published online Feb. 26 in the journal Stroke.

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Ischemic Strokes Rise Steeply with Age Even in Young

FRIDAY, Feb. 27 (HealthDay News) -- Modifiable risk factors for stroke, such as high cholesterol and hypertension, were common in a group of younger stroke patients, according to research published online Feb. 26 in the journal Stroke.

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Guidelines for Prevention of Rheumatic Fever Updated

FRIDAY, Feb. 27 (HealthDay News) -- Prevention of rheumatic fever relies on proper identification and treatment of the bacteria responsible, with penicillin being the preferred treatment, according to updated guidelines published online Feb. 26 in Circulation: Journal of the American Heart Association.

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Exacerbations Cluster in Time in Chronic Lung Disease

FRIDAY, Feb. 27 (HealthDay News) -- Exacerbations cluster together in time in patients with chronic obstructive pulmonary disease, with second exacerbations occurring within eight weeks of the first in about one-quarter of patients, researchers report in the Mar. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Type 2 Diabetes Prevalence Increasing in United Kingdom

FRIDAY, Feb. 27 (HealthDay News) -- In the United Kingdom, the prevalence of type 2 diabetes increased from 2.8 percent in 1996 to 4.3 percent in 2005, according to a report published online Feb. 24 in the Journal of Epidemiology and Community Health.

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Tacrolimus, Corticosteroid Regimen May Improve Dermatitis

FRIDAY, Feb. 27 (HealthDay News) -- A sequential regimen of tacrolimus ointment and tapered use of topical corticosteroids in children may provide control of atopic dermatitis while limiting exposure to corticosteroids, according to research published in the February issue of the Journal of the American Academy of Dermatology.

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PSA Provides Higher Cancer Prediction By Race

FRIDAY, Feb. 27 (HealthDay News) -- Prostate-specific antigen (PSA) has a higher prediction for prostate cancer in African American men, which may be explained by genetic West African ancestry, according to a study published online Feb. 24 in Cancer Prevention Research.

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Sexual Lyrics Associated with Early Sexual Experience

FRIDAY, Feb. 27 (HealthDay News) -- Degrading sexual lyrics, which account for two-thirds of all sexual references in popular music, are associated with early sexual experiences in adolescents, according to study findings released online Feb. 24 in advance of publication in the March issue of the American Journal of Preventive Medicine.

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Light Alcohol Use Linked to Cancer Risk in Women

THURSDAY, Feb. 26 (HealthDay News) -- Even low levels of alcohol consumption may raise women's risks of certain cancers, according to research published in the Mar. 4 issue of the Journal of the National Cancer Institute.

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Liver Cancer Rates Tripled in the United States Since 1970s

THURSDAY, Feb. 26 (HealthDay News) -- The incidence of hepatocellular carcinoma in the United States has tripled since the 1970s, although survival has continued to improve due to better diagnosis and treatment, according to a report published online Feb. 17 in the Journal of Clinical Oncology.

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Supplements Affect Expression of Prostate Cancer Genes

THURSDAY, Feb. 26 (HealthDay News) -- In prostate cancer patients scheduled for radical prostatectomy, selenium and vitamin E have significant effects on expression levels of genes commonly associated with cancer development and progression that may have clinical implications, according to an article published in the Mar. 4 issue of the Journal of the National Cancer Institute.

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Causes of Stillbirth Remain Poorly Understood

THURSDAY, Feb. 26 (HealthDay News) -- In a bid to tackle the lack of understanding about the risk factors and causes of stillbirth, the American College of Obstetricians and Gynecologists has issued guidelines for clinicians in a new Practice Bulletin published in the March issue of Obstetrics & Gynecology.

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Early Exposure to Fungi Raises Risk of Wheezing

THURSDAY, Feb. 26 (HealthDay News) -- Exposure to spores and pollen in the first three months of life affects children's risk of early wheezing, according to a report published online Feb. 24 in Thorax.

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Age, Treatment Predictive of Leukemia Prognosis

THURSDAY, Feb. 26 (HealthDay News) -- Complete response, time to treatment failure and overall survival are useful outcomes for developing new prognostic models for chronic lymphocytic leukemia, according to research published online Feb. 17 in the Journal of Clinical Oncology.

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Male Infertility Linked to Testicular Cancer Risk

THURSDAY, Feb. 26 (HealthDay News) -- Men with male factor infertility showed a markedly higher risk of testicular cancer than men in the general population, according to research published in the Feb. 23 issue of the Archives of Internal Medicine.

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Jobs Linked with Poor Behavior in Fifth Graders

THURSDAY, Feb. 26 (HealthDay News) -- Fifth graders who work are more likely to engage in various forms of substance use or delinquencies compared with their non-working peers, according to study findings released online Feb. 24 in advance of publication in the April issue of the American Journal of Preventive Medicine.

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Two Types of Stents Get Similar Results

THURSDAY, Feb. 26 (HealthDay News) -- Unprotected left main coronary artery disease can be safely treated with either paclitaxel- or sirolimus-eluting stents, according to the results of a study published online Feb. 25 in the Journal of the American College of Cardiology.

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Novel Drugs May Help Prevent Cerebral Palsy

THURSDAY, Feb. 26 (HealthDay News) -- In high-risk pregnancies, the use of selective neuronal nitric oxide synthase inhibitors could help prevent cerebral palsy, according to research published online Feb. 20 in the Annals of Neurology.

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Antihypertensive Treatment Benefits Dialysis Patients

THURSDAY, Feb. 26 (HealthDay News) -- In dialysis patients, treatment with blood pressure-lowering medications may significantly reduce rates of cardiovascular morbidity and mortality, according to the results of a study published online Feb. 26 in The Lancet.

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Pain May Occur After Magnetic Resonance Arthrography

THURSDAY, Feb. 26 (HealthDay News) -- Patients may notice pain following magnetic resonance arthrography, particularly several hours after the procedure, according to research published in the March issue of Radiology.

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Various Diet Compositions Effective for Weight Loss

WEDNESDAY, Feb. 25 (HealthDay News) -- Diets where calories come from a range of fat, protein and carbohydrate combinations are similarly effective in promoting weight loss and reducing cardiovascular risk factors, researchers report in the Feb. 26 issue of the New England Journal of Medicine.

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Gene Mutations Linked to Premature Ovarian Failure

WEDNESDAY, Feb. 25 (HealthDay News) -- Mutations in the NR5A1 gene may be a cause of ovarian insufficiency, according to research published online Feb. 25 in the New England Journal of Medicine.

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Drug-Resistant Meningitis Present in North America

WEDNESDAY, Feb. 25 (HealthDay News) -- Ciprofloxacin-resistant meningitis has appeared in North America, although the bacteria remain susceptible to other antibiotics, according to a report in the Feb. 26 issue of the New England Journal of Medicine.

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Iodine Levels of Many Prenatal Multivitamins Inaccurate

WEDNESDAY, Feb. 25 (HealthDay News) -- Although sufficient maternal iodine is important for normal thyroid and neurological function, many prenatal vitamins available in the United States that claim to contain iodine do not carry the amount indicated on the label, according to a letter published in the Feb. 26 issue of the New England Journal of Medicine.

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HPV-Positive Test Less Likely Than Previously Reported

WEDNESDAY, Feb. 25 (HealthDay News) -- The incidence of a positive carcinogenic human papillomavirus (HPV) test in a general population of women is less likely than previously reported, suggesting concerns over HPV testing in general clinical practice may be overstated, according to research published in the March issue of Obstetrics & Gynecology.

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More Rapid Communication of Breast Biopsy Results Needed

WEDNESDAY, Feb. 25 (HealthDay News) -- Uncertainty while awaiting a final diagnosis following a large-core breast biopsy is associated with an abnormal salivary cortisol profile, indicative of biochemical distress, according to research published in the March issue of Radiology.

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Osteopontin May Be Heart Risk Factor in Psoriasis Patients

WEDNESDAY, Feb. 25 (HealthDay News) -- Circulating osteopontin -- a glycophosphoprotein secreted by epithelial and many other cell types -- may be a cardiovascular risk factor in individuals with psoriasis, according to research published in the February issue of the Journal of the American Academy of Dermatology.

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Difficult Patient Encounters Common for Primary Care Docs

WEDNESDAY, Feb. 25 (HealthDay News) -- Though difficult patient encounters are common for primary care physicians, certain physician characteristics were linked to more frequent encounters that were perceived as difficult, according to research published in the Feb. 23 issue of the Archives of Internal Medicine.

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Exercise Testing Predicts Death in Lung Fibrosis Patients

WEDNESDAY, Feb. 25 (HealthDay News) -- Patients with idiopathic pulmonary fibrosis whose maximal oxygen uptake during exercise is below a certain threshold have a higher risk of death, according to study findings published in the Mar. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Adolescent Obesity As Harmful to Health As Smoking

WEDNESDAY, Feb. 25 (HealthDay News) -- Adolescents who are overweight or obese have a similar mortality risk in adulthood as their peers who are light or heavy smokers, respectively, according to a report published online Feb. 24 in BMJ.

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Calcium, Other Nutrients May Reduce Disease Risk

WEDNESDAY, Feb. 25 (HealthDay News) -- Several nutrients were associated with possible protection from cancer and age-related macular degeneration (AMD), according to two studies published in the Feb. 23 issue of the Archives of Internal Medicine.

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Diabetes May Increase Risk for Perinatal Depression

TUESDAY, Feb. 24 (HealthDay News) -- Women who develop diabetes either prior to or during pregnancy are more likely to experience perinatal depression, including postpartum depression, researchers report in the Feb. 25 issue of the Journal of the American Medical Association.

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More Heart Guidelines Based on Low Levels of Evidence

TUESDAY, Feb. 24 (HealthDay News) -- Many recommendations in guidelines are based on low levels of evidence or expert opinion, according to an article published in the Feb. 25 issue of the Journal of the American Medical Association.

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Released Inmates Unlikely to Fill Antiretroviral Prescriptions

TUESDAY, Feb. 24 (HealthDay News) -- A vast majority of HIV-infected prison inmates, after release, do not fill their prescriptions for antiretroviral therapy medication in a timely manner to avoid treatment interruption, according to study findings published in the Feb. 25 issue of the Journal of the American Medical Association.

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Insurance Essential for Good Health, Well-Being

TUESDAY, Feb. 24 (HealthDay News) -- Having health insurance is vital for health and well-being, and when rates of uninsurance are high, even insured people are more likely to struggle to obtain necessary care, according to a new report from the Institute of Medicine released online Feb. 24.

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Vitamin D Levels Linked to Respiratory Tract Infections

TUESDAY, Feb. 24 (HealthDay News) -- Vitamin D levels are inversely associated with upper respiratory tract infections, in a robust dose-response relationship that is clinically and statistically significant, according to research published in the Feb. 23 issue of the Archives of Internal Medicine.

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US Health Spending May Have Hit $2.4 Trillion in 2008

TUESDAY, Feb. 24 (HealthDay News) -- Health spending in the United States was estimated to be $2.4 trillion last year, and is expected to account for an unprecedented share of the economy this year, according to a report published online Feb. 24 in Health Affairs.

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Reminders May Improve Rates of Colorectal Cancer Screening

TUESDAY, Feb. 24 (HealthDay News) -- Mailed reminders to patients and electronic reminders to physicians may improve rates of colorectal cancer screening and detection of adenomas, according to study findings published in the Feb. 23 issue of the Archives of Internal Medicine.

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Anger Induces Heart Instability and Arrhythmias

TUESDAY, Feb. 24 (HealthDay News) -- Anger-induced T-wave alternans, a marker of repolarization instability, predicts ventricular arrhythmias in patients with implantable cardioverter-defibrillators (ICDs), providing a link between stress and sudden death, according to a report in the Mar. 3 issue of the Journal of the American College of Cardiology.

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Workers' Comp Linked to Poor Back Surgery Outcomes

TUESDAY, Feb. 24 (HealthDay News) -- Workers' compensation patients who undergo lumbar discectomy may have a greater risk of poor outcomes than non-compensated patients, according to study findings published in the March issue of The Spine Journal.

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Global Burden of Stroke Varies Widely

TUESDAY, Feb. 24 (HealthDay News) -- The burden of stroke mortality varies widely around the world, and the incidence of stroke in high-income countries has declined in the last four decades, while it has doubled in low- and middle-income countries over the same time period, according to two articles published online Feb. 20 in The Lancet Neurology.

Abstract - Johnston
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Study Supports Halt of PSA Testing in Some Older Men

TUESDAY, Feb. 24 (HealthDay News) -- Men who are 75 to 80 years old and have a prostate specific antigen (PSA) less than 3 ng/mL are not likely to have life-threatening prostate cancer during the remainder of their lives, according to research released online in advance of publication in the April issue of the Journal of Urology.

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DVT Prevention to Be Considered for All Urologic Surgeries

MONDAY, Feb. 23 (HealthDay News) -- Consideration of deep vein thrombosis (DVT) prophylaxis is recommended for all patients undergoing a urological surgical procedure, according to a best practice statement from the American Urological Association published in the March issue of the Journal of Urology.

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Standardized Admission Forms Get Residents' Approval

MONDAY, Feb. 23 (HealthDay News) -- A standardized pediatric admission order set was widely approved by hospital residents, and it may offer a method of reducing medical errors and improving patient care, according to a report published online Feb. 13 in the Journal of Hospital Medicine.

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Procedure Significantly Improves Urinary Incontinence

MONDAY, Feb. 23 (HealthDay News) -- A transobturator tape procedure resulted in nearly an 80 percent improvement in urge urinary incontinence, according to research published in the March issue of Obstetrics & Gynecology.

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Black Women Face Higher Risk of Early Mycosis Fungoides

MONDAY, Feb. 23 (HealthDay News) -- Women are more likely than men to present with mycosis fungoides -- the most common type of cutaneous T-cell lymphoma -- before the age of 40, as are black and Hispanic patients, according to research published in the February issue of the Journal of the American Academy of Dermatology.

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Racial Disparity Persists in Total Knee Replacements

MONDAY, Feb. 23 (HealthDay News) -- Racial disparity between blacks and whites in total knee replacement procedures has persisted, despite adoption of a Healthy People 2010 objective to eliminate these disparities, according to a report published in the Feb. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Increased Cesarean Efficiency with Improvement Program

MONDAY, Feb. 23 (HealthDay News) -- Cesarean delivery efficiency, measured by the time from decision to incision, significantly improved over two years with the implementation of a quality improvement program, according to research published in the March issue of Obstetrics & Gynecology.

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Heat Increases Respiratory Hospital Admissions in Elderly

MONDAY, Feb. 23 (HealthDay News) -- Increasing temperatures in Europe in the spring and summer are associated with an increase in hospital admissions for respiratory problems in the elderly, which may become worse with global warming and an aging population, researchers report in the Mar. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Contralateral Prophylactic Mastectomy Use On The Rise

FRIDAY, Feb. 20 (HealthDay News) -- During recent years, contralateral prophylactic mastectomy has become a more commonly used treatment in women with ductal carcinoma in situ, according to research published online Feb. 17 in the Journal of Clinical Oncology.

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FDA Issues Exemption for Device That Treats OCD

FRIDAY, Feb. 20 (HealthDay News) -- The U.S. Food and Drug Administration has issued a human device exemption for a system that uses electrical therapy in the brain to suppress severe obsessive-compulsive disorder (OCD) symptoms, according to a release issued by the agency Feb. 19.

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Rare Brain Infection Confirmed in Patients on Efalizumab

FRIDAY, Feb. 20 (HealthDay News) -- Three cases of progressive multifocal leukoencephalopathy (PML) have been confirmed in patients taking the psoriasis drug efalizumab (Raptiva), according to a public health advisory issued by the U.S. Food and Drug Administration on Feb. 19.

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Healthy Lifestyle Behaviors Lower Risk of Stroke

FRIDAY, Feb. 20 (HealthDay News) -- In middle-aged and older adults, a combination of four healthy lifestyle behaviors may significantly reduce the risk of stroke, according to a study published online Feb. 20 in the British Medical Journal.

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Young Adults Experience Significant Health Challenges

THURSDAY, Feb. 19 (HealthDay News) -- Young adults have a number of health challenges, including risk of obesity, high rates of injury and lack of insurance coverage, according to the report Health, United States: 2008, published Feb. 18 by the U.S. Centers for Disease Control and Prevention.

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High-Dose Candesartan Can Reduce Proteinuria

THURSDAY, Feb. 19 (HealthDay News) -- Extra-high dosages of candesartan may be beneficial in reducing persistent proteinuria, according to research published online Feb. 11 in the Journal of the American Society of Nephrology.

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Combo Blood Pressure-Lowering Regimen Good for Kidneys

THURSDAY, Feb. 19 (HealthDay News) -- A blood pressure-lowering treatment strategy of perindopril-indapamide may prevent renal dysfunction in some patients with type 2 diabetes, regardless of baseline blood pressure level, according to the results of a study published online Feb. 18 in the Journal of the American Society of Nephrology.

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Genetic Variants Associated with Blood Pressure Variations

THURSDAY, Feb. 19 (HealthDay News) -- Genetic variants at the NPPA-NPPB locus may influence hypertension due to effects on natriuretic peptide concentrations, according to research published online Feb. 15 in Nature Genetics.

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Chorionic Villus Sampling Method Deemed Safe

THURSDAY, Feb. 19 (HealthDay News) -- Chorionic villus sampling (CVS) is a frequent and safe prenatal method for genetic screening, according to the conclusions of a review published online Feb. 11 in the Journal of Craniofacial Surgery.

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Early Recognition of Depression May Benefit Cancer Survivors

THURSDAY, Feb. 19 (HealthDay News) -- People diagnosed with cancer may face an increased risk of depression that persists for years, according to research published online Feb. 17 in the Journal of Clinical Oncology.

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Most US Newborns Receiving Screening for Many Disorders

THURSDAY, Feb. 19 (HealthDay News) -- Nearly all of the more than 4 million children born annually in the United States are now required to undergo screening for at least 21 genetic or functional disorders, according to a report released Feb. 18 by the March of Dimes.

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Proposed Changes to Health Care Would Reduce Costs

THURSDAY, Feb. 19 (HealthDay News) -- Simultaneous gains in universal health coverage, improved health outcomes and slowed spending growth would have a major impact on the development of public policy, according to a perspective published in the Feb. 26 issue of the New England Journal of Medicine.

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PCI After Heart Attack Not Effective Over Long Term

THURSDAY, Feb. 19 (HealthDay News) -- Percutaneous coronary intervention (PCI) is expensive and does not benefit quality of life, only producing a modest short-term benefit in cardiac physical function that is not maintained, according to a report published in the Feb. 19 issue of the New England Journal of Medicine.

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Transparency, Globalization Growing in Clinical Research

THURSDAY, Feb. 19 (HealthDay News) -- All clinical trial data and the U.S. Food and Drug Administration database should be publicly available, and global clinical research should be conducted in relevant populations for potential applications of the intervention, according to two articles published in the Feb. 19 issue of the New England Journal of Medicine.

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Pharmacogenetic Algorithm Improves Warfarin Dosage

WEDNESDAY, Feb. 18 (HealthDay News) -- A pharmacogenetic dosing algorithm for warfarin is better able to predict the stable therapeutic dose, providing a basis for a larger clinical trial to test the efficacy of these algorithms, according to research published in the Feb. 19 issue of the New England Journal of Medicine.

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Ocular Damage Common in Severe Skin Reactions

WEDNESDAY, Feb. 18 (HealthDay News) -- It is common for patients with the rare skin reactions toxic epidermal necrolysis (TEN) or Stevens-Johnson syndrome (SJS) to also experience involvement of the eyes, according to the results of a study published in the February issue of the Archives of Dermatology.

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Coordinating Care Puts Burden on Primary Care Physicians

WEDNESDAY, Feb. 18 (HealthDay News) -- Primary care physicians face a logistical challenge in coordinating care for primary and non-primary patients because they must interact with large numbers of other physicians and practices, according to a report published in the Feb. 17 issue of the Annals of Internal Medicine.

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Protected Block Surgical Resident Course Effective

WEDNESDAY, Feb. 18 (HealthDay News) -- A course given to surgical residents in their first and second years during protected time away from clinical duties is effective in improving knowledge, communication and surgical skills, according to an article published in the February issue of Archives of Surgery.

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Repairing Heart Defect May Relieve Migraines

WEDNESDAY, Feb. 18 (HealthDay News) -- Patent foramen ovale closure can greatly reduce the frequency and severity of migraines, according to study findings published in the February issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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Non-Invasive Imaging After Exercise Detects Heart Disease

WEDNESDAY, Feb. 18 (HealthDay News) -- Using strain imaging to quantify regional heart function after treadmill exercise is an effective and non-invasive way to detect coronary artery disease, researchers report in the Feb. 24 issue of the Journal of the American College of Cardiology.

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Predeployment Skin Checks Can Reduce Skin Disease Evacuations

WEDNESDAY, Feb. 18 (HealthDay News) -- The number of aeromedical evacuations conducted by the military for patients with ill-defined skin diseases could be reduced if combatants with chronic skin diseases were identified prior to deployment, according to a study published in the February issue of the Archives of Dermatology.

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Treatment Improves Platelet Function During Stenting

WEDNESDAY, Feb. 18 (HealthDay News) -- Treatment with bivalirudin plus eptifibatide reduces platelet reactivity and clot strength in patients undergoing elective stenting, which are associated with the risk of myocardial infarction, according to the results of a study published in the Feb. 24 issue of the Journal of the American College of Cardiology.

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Eye Problems Found in Many Children with Hearing Loss

WEDNESDAY, Feb. 18 (HealthDay News) -- Routine ophthalmologic examinations may be helpful in supporting proper development in children with sensorineural hearing loss, according to research published in the February Archives of Otolaryngology -- Head & Neck Surgery.

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Implementing a Quality Improvement Faculty Path

WEDNESDAY, Feb. 18 (HealthDay News) -- A new career pathway in academic medicine, termed clinicians in quality improvement, is a justified concept to achieve and recognize excellence in patient safety, according to a commentary published in the Feb. 18 issue of the Journal of the American Medical Association.

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Unemployment Higher Among Cancer Survivors

TUESDAY, Feb. 17 (HealthDay News) -- Cancer survivors, especially of the breast, gastrointestinal system and female reproductive organs, have an increased risk of experiencing unemployment, according to a review published in the Feb. 18 issue of the Journal of the American Medical Association.

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Possible Risk of Herpes Zoster with Anti-TNF-α Therapy

TUESDAY, Feb. 17 (HealthDay News) -- Monoclonal antibodies directed against tumor necrosis factor-alpha (TNF-α), a class of drugs that treat a variety of systemic inflammatory diseases, are associated with an increased risk of herpes zoster, according to research published in the Feb. 18 issue of the Journal of the American Medical Association.

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Incidence of ICU MRSA Infections Declining

TUESDAY, Feb. 17 (HealthDay News) -- Incidence of methicillin-resistant Staphylococcus aureus (MRSA) central line-associated bloodstream infections has decreased over recent years in most intensive care units (ICUs), according to research published Feb. 18 in the Journal of the American Medical Association.

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Ads Featuring 'Drug Facts Box' Help Educate Consumers

TUESDAY, Feb. 17 (HealthDay News) -- Replacing the brief summary in direct-to-consumer ads with a "drug facts box" may result in improved consumer knowledge and judgment about medication benefits and side effects, according to study findings released online Feb. 17 in advance of publication in the Apr. 21 issue of the Annals of Internal Medicine.

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Sudden Death in Athletes Rare, But Increasing

TUESDAY, Feb. 17 (HealthDay News) -- Sudden death in competitive athletes -- a rare but significant event -- is primarily due to cardiovascular disease, which lends support to the use of cardiovascular screening prior to participation in athletic training, according to research published online Feb. 16 in Circulation: Journal of the American Heart Association.

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Risk of Death After Surgery Lower at Teaching Hospitals

TUESDAY, Feb. 17 (HealthDay News) -- Patients receiving surgery at major teaching hospitals are less likely to die and less likely to die after complications, although this finding is not observed among black patients, according to a report in the February issue of the Archives of Surgery.

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Coffee, Mediterranean Diet Linked to Lower Stroke Risk

TUESDAY, Feb. 17 (HealthDay News) -- In women, long-term coffee consumption and adherence to a Mediterranean diet are both associated with a decreased risk of stroke, according to two studies published online Feb. 16 in Circulation: Journal of the American Heart Association.

Abstract - Lopez-Garcia
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Abstract - Fung
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Social Norms Influence Lifeguards' Safe Sun Habits

TUESDAY, Feb. 17 (HealthDay News) -- Workplace safe sun policies and participation in skin cancer prevention programs both help improve the sun protection habits of lifeguards and aquatic instructors, but social norms exert the greatest influence, researchers report in the February issue of the Archives of Dermatology.

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Most States in Line with New HIV Recommendations

TUESDAY, Feb. 17 (HealthDay News) -- Most states' statutory frameworks aren't in conflict with 2006 U.S. Centers for Disease Control and Prevention recommendations to improve HIV screening and diagnosis, according to research published in the Feb. 17 issue of the Annals of Internal Medicine.

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Counseling by Phone or in Person Helps Weight Loss

TUESDAY, Feb. 17 (HealthDay News) -- Frequent contact with a dietitian in person or by phone may be equally as effective in helping individuals lose weight, according to research published in the Feb. 17 issue of the Annals of Internal Medicine.

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Guidelines for Cholesterol Treatment Cost-Effective

TUESDAY, Feb. 17 (HealthDay News) -- Full implementation of national cholesterol treatment guidelines could have a major health impact at a cost-effective price, according to research published in the Feb. 17 issue of the Annals of Internal Medicine.

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Few Adolescents Need Treatment for Cholesterol

TUESDAY, Feb. 17 (HealthDay News) -- Using national data, less than 1 percent of adolescents are potentially eligible to receive pharmacological treatment for elevated concentrations of low-density lipoprotein (LDL) cholesterol, according to research published online Feb. 16 in Circulation: Journal of the American Heart Association.

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Sleep Problems, Headaches May Influence Each Other

MONDAY, Feb. 16 (HealthDay News) -- The use of sleep as a method of headache relief may help promote insomnia in women with tension-type headaches, according to research published in the Feb. 15 issue of the Journal of Clinical Sleep Medicine.

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Coccidioidomycosis Incidence More Than Tripled in Six Years

MONDAY, Feb. 16 (HealthDay News) -- There were more than three times the number of U.S. cases of coccidioidomycosis from 2000 to 2006 compared with the number from 1995 to 2000, according to a report published in the Feb. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Early Gesture Behaviors Influence Child's Vocabulary

MONDAY, Feb. 16 (HealthDay News) -- Parents with higher socioeconomic status are more likely to employ gesture when communicating with infants, which may help explain why children from more affluent homes have a more extensive vocabulary when they start school, according to a report published in the Feb. 13 edition of Science.

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Increase Seen in Early Neonatal Group B Strep Infections

MONDAY, Feb. 16 (HealthDay News) -- There was an increase in the incidence of early-onset neonatal group B Streptococcus infections from 2003 to 2006, but the incidence of late-onset infections has remained stable from 2000 to 2006, according to a report published in the Feb. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Poorer Prognosis for Black Women with Uterine Tumors

MONDAY, Feb. 16 (HealthDay News) -- Black women with uterine corpus tumors have a higher likelihood of mortality compared with white women, revealing a racial disparity that has continued over time, according to research published online Feb. 9 in Cancer.

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Drug May Help Erase Scary Memories

MONDAY, Feb. 16 (HealthDay News) -- Treatment with the beta-adrenergic receptor antagonist propranolol can erase scary memories by blocking memory reconsolidation, a process where fear memories change when recalled, according to research published online Feb. 15 in Nature Neuroscience.

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HIV Gene Therapy Safe and Effective

MONDAY, Feb. 16 (HealthDay News) -- Gene therapy using a ribozyme that targets HIV RNA is safe and has modest efficacy in reducing viral load and raising CD4+ T cell counts, according to study findings published online Feb. 15 in Nature Medicine.

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Lifestyle Intervention May Cure Sleep Apnea

MONDAY, Feb. 16 (HealthDay News) -- Lifestyle intervention incl

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