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Category: Family Medicine | Monthly Briefing

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April 2011 Briefing - Family Practice

Last Updated: May 02, 2011.

 

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for April 2011. 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.

Weight Linked to Post-Hysterectomy Complications

FRIDAY, April 29 (HealthDay News) -- Obesity is associated with increased risk of bleeding and infection after abdominal hysterectomy (AH), while having a body mass index (BMI) of less than 20 kg/m² is linked with bleeding and infection after both AH and laparoscopic hysterectomy (LH), according to a study published online April 5 in Human Reproduction.

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Large-Scale Autism Screening at 1 Year of Age Feasible

FRIDAY, April 29 (HealthDay News) -- Screening implemented at infants' 12-month check-ups may be able to identify autism and other developmental disorders, which can help researchers learn more about these disorders in their earliest manifestations, according to research published online April 29 in The Journal of Pediatrics.

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Children of Depressed Parents Experience More Stress

FRIDAY, April 29 (HealthDay News) -- Young children respond to stressful situations with higher levels of the stress hormone cortisol when their parents have a history of depression and exhibit negative behavior toward them, according to a study published online April 1 in Psychological Science.

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Bleeding Score Improves Mild Bleeding Disorder Diagnosis

FRIDAY, April 29 (HealthDay News) -- Use of bleeding assessment tools (BATs) improves the evaluation of patients with suspected mild bleeding disorders (MBD), according to a study published online March 21 in the Journal of Thrombosis and Haemostasis.

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Fractures Seen in Older Levothyroxine Users

FRIDAY, April 29 (HealthDay News) -- Older people who take levothyroxine may be at risk for fractures, particularly if their cumulative doses are medium or high, according to research published online April 28 in BMJ.

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Obese White Teens May Have Increased Risk of Depression

FRIDAY, April 29 (HealthDay News) -- Non-Hispanic obese white adolescents may have an increased risk of high-depressive symptoms, according to a study published online March 14 in the Journal of Adolescent Health.

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Height and Obesity May Raise Venous Thromboembolism Risk

FRIDAY, April 29 (HealthDay News) -- Tall men may have an increased risk of venous thromboembolism (VTE); whereas tall stature and obesity are associated with an increased VTE risk in both men and women, according to a study published online April 28 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Increasing Cancer Burden Projected for Ethnic Minorities

THURSDAY, April 28 (HealthDay News) -- Consideration of genetic, ethnic, biologic, and sociological factors is necessary to appropriately diagnose and treat cancer in all U.S. subpopulations, according to the President's Cancer Panel 2009 to 2010 report published April 28.

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Flu Vaccination Safe for Post-Transplant Patients

THURSDAY, April 28 (HealthDay News) -- Influenza vaccination in the first year after renal transplantation is not associated with transplant rejection or loss, according to a study published online April 21 in the Clinical Journal of the American Society of Nephrology.

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CDC: Injuries Cause More Missed Days in Older Workers

THURSDAY, April 28 (HealthDay News) -- While older workers, aged ≥55 years, represented just 17 percent of employer-reported nonfatal occupational injuries and illnesses in 2009, the median number of days older workers spent absent from work exceeded that of younger age groups, according to a report in the April 29 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Infarct Size Varies According to Time of Day

THURSDAY, April 28 (HealthDay News) -- Significant variations in infarct size are associated with circadian oscillations at the time of ST-segment elevation myocardial infarction (STEMI) onset, with the largest infarcts occurring during the dark-to-light transition period (6:00 am to noon), according to a study published online April 27 in Heart.

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Strategy Found Effective for Women With Cervical Neoplasia

THURSDAY, April 28 (HealthDay News) -- Women with a history of high-grade cervical intraepithelial neoplasia (CIN grade 2 or 3) who have had three consecutive negative cytological smears are at a similar five-year risk of developing cervical cancer or recurrent disease as women in the general population, according to a study published online April 28 in The Lancet Oncology.

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Autism Treatment Program May Help Toddler Subset

THURSDAY, April 28 (HealthDay News) -- An autism treatment approach, Hanen's "More Than Words" (HMTW), appears to improve communication skills in a subset of children younger than 2 years showing early signs of an autism spectrum disorder, according to a study published online March 22 in the Journal of Child Psychology and Psychiatry.

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Scoliosis Prevalence Increases With Age

THURSDAY, April 28 (HealthDay News) -- The prevalence of scoliosis increases with advancing age, with a higher prevalence in whites, according to a study published in the April 20 issue of Spine.

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Group Care Feasible in Patients With Parkinson's Disease

THURSDAY, April 28 (HealthDay News) -- Group patient visits, in which medical appointments are shared by patients with a common condition, may provide a feasible means of caring for patients with Parkinson's disease, according to research published online April 27 in Neurology.

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Obesity in Pregnancy Linked to Fetal and Infant Death

THURSDAY, April 28 (HealthDay News) -- Early pregnancy obesity significantly increases the risk of fetal and infant death, independent of risks associated with congenital anomalies and maternal pre-gestational diabetes, according to a study published online April 5 in Human Reproduction.

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Monthly Injection Effective for Opioid Dependence

THURSDAY, April 28 (HealthDay News) -- A once-monthly injection of extended-release naltrexone (XR-NTX) appears to be effective and safe for the treatment of opioid dependence after detoxification, according to a study published online April 28 in The Lancet.

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Regulatory Problems in Infancy Tied to Behavioral Issues

WEDNESDAY, April 27 (HealthDay News) -- Children with previous regulatory problems during infancy may have an increased risk of behavioral problems compared to controls, according to a meta-analysis published online April 20 in the Archives of Disease in Childhood.

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Low-Dose Aspirin Affects Post-Surgery Blood Drainage

WEDNESDAY, April 27 (HealthDay News) -- Patients taking low-dose aspirin have significantly increased blood drainage and are at increased risk of complications after spinal surgery, even if they stop taking aspirin seven days before surgery, according to a study published in the April issue of The Spine Journal.

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Lung Problems Common During and After Natural Disasters

WEDNESDAY, April 27 (HealthDay News) -- Pulmonary complications resulting from direct or indirect injury to the lung are a major cause of morbidity and mortality following natural disasters, according to a review published in the April issue of Respirology.

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New Approaches Useful for Management of IBD

WEDNESDAY, April 27 (HealthDay News) -- New therapeutic approaches may be useful in management of inflammatory bowel disease (IBD), specifically for inducing remission and preventing relapse in ulcerative colitis (UC), and Crohn's disease (CD), according to a review published as a supplement to the April issue of The American Journal of Gastroenterology.

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Serum Peptide Levels Linked to Subsequent Preterm Birth

WEDNESDAY, April 27 (HealthDay News) -- The proteomic profile of specific serum peptides can be used to identify women at risk for spontaneous preterm birth (SPTB), according to a study published online Nov. 12, 2010, in the American Journal of Obstetrics & Gynecology.

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Preoperative MRI Doesn't Affect Scoliosis Surgery Outcomes

WEDNESDAY, April 27 (HealthDay News) -- Preoperative magnetic resonance imaging (MRI) for adolescent idiopathic scoliosis may not affect the surgical outcome even if a neural abnormality is detected, according to a study published in the April 15 issue of Spine.

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Post-Vietnam-Era Vets Have Highest Substance Use Rate

WEDNESDAY, April 27 (HealthDay News) -- Substance use rates are highest in war veterans who served in the post-Vietnam era (VET), and in those who served in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) in Iraq and Afghanistan and have comorbid diagnoses of bipolar disorder and schizophrenia, according to a study published in the May-June issue of the American Journal on Addictions.

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Student Views of Internal Medicine Have Changed

WEDNESDAY, April 27 (HealthDay News) -- Although medical school students in 2007 were more likely than those in 1990 to view internal medicine (IM) as a potentially meaningful career, the more recent students had higher debt, more negative views of workload and stress in IM, and less interest in general IM as a career, according to a study published in the April 25 issue of the Archives of Internal Medicine.

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Anti-Inflammatory Drugs May Lower Antidepressant Efficacy

WEDNESDAY, April 27 (HealthDay News) -- Anti-inflammatory drugs, including ibuprofen, aspirin, and naproxen, appear to reduce the effectiveness of selective serotonin reuptake inhibitors (SSRIs), according to a study published online April 25 in the Proceedings of the National Academy of Sciences.

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Oophorectomy May Not Adversely Affect Health

WEDNESDAY, April 27 (HealthDay News) -- Elective bilateral salpingo-oophorectomy (BSO) with hysterectomy is associated with a lower risk of ovarian cancer than ovarian conservation and hysterectomy, and BSO does not appear to have adverse effects on cardiovascular health, hip fracture, cancer, or total mortality compared with ovarian conservation and hysterectomy, according to research published in the April 25 issue of the Archives of Internal Medicine.

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Vitamin E and Metformin Don't Improve Pediatric NAFLD

WEDNESDAY, April 27 (HealthDay News) -- For pediatric patients with nonalcoholic fatty liver disease (NAFLD), neither treatment with vitamin E nor metformin significantly reduces alanine aminotransferase (ALT) levels compared to placebo, according to a study published in the April 27 issue of the Journal of the American Medical Association.

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Low Health Literacy Tied to Higher Heart Failure Mortality

TUESDAY, April 26 (HealthDay News) -- For outpatients with heart failure, low health literacy is significantly correlated with higher all-cause mortality, according to a study published in the April 27 issue of the Journal of the American Medical Association.

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Epilepsy Drug Nonadherence Tied to Socioeconomic Status

TUESDAY, April 26 (HealthDay News) -- Adherence to antiepileptic drug therapy in children with newly diagnosed epilepsy varies greatly between children, and is significantly correlated with socioeconomic status, according to a study published in the April 27 issue of the Journal of the American Medical Association.

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Health Behavior Interventions Increase Healthy Behaviors

TUESDAY, April 26 (HealthDay News) -- Interventions targeting multiple health-related behaviors are successful at increasing health-related behaviors in HIV-serodiscordant heterosexual African-American couples, according to a study published in the April 25 issue of the Archives of Internal Medicine.

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Black Cancer Patients More Willing to Pay to Extend Life

TUESDAY, April 26 (HealthDay News) -- Black cancer patients are more willing to expend their personal financial resources in order to extend life compared to white cancer patients, according to a study published online April 26 in Cancer.

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ACC/AHA Issue Blood Pressure Control Guidelines for Elderly

TUESDAY, April 26 (HealthDay News) -- The American College of Cardiology (ACC) and the American Heart Association (AHA) have released a consensus document to help clinicians control and reduce the risks for high blood pressure in elderly adults; the document has been published online April 25 in the Journal of the American College of Cardiology.

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Restricted Diet Lowers Triglycerides in Fatty Liver

TUESDAY, April 26 (HealthDay News) -- Restricted intake of carbohydrates or calories for two weeks significantly reduces hepatic triglycerides in individuals with nonalcoholic fatty liver disease (NAFLD), according to a study published in the May issue of The American Journal of Clinical Nutrition.

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Cervical Instabilities Progress in Rheumatoid Arthritis

TUESDAY, April 26 (HealthDay News) -- In patients with rheumatoid arthritis (RA), vertical subluxation (VS) and subaxial subluxation (SAS) increase over time, especially in patients with pre-existing VS, SAS, and/or mutilating changes, according to a study published in the April 15 issue of Spine.

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Diabetes Patients Benefit From Amlodipine Titration

TUESDAY, April 26 (HealthDay News) -- An amlodipine/olmesartan medoxomil (OM)-based titration regimen is well tolerated and may reduce blood pressure (BP) in patients with hypertension and type 2 diabetes, according to a study published in the May 1 issue of The American Journal of Cardiology.

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Mortality Rate in Adults With Hypertension Has Fallen

TUESDAY, April 26 (HealthDay News) -- The all-cause mortality rate among hypertensive adults has dropped in recent decades, but the mortality gap between adults with and without hypertension has remained constant, according to research published in the April 26 issue of Circulation.

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AAP Recommends Electronic Infrastructure in Medical Home

TUESDAY, April 26 (HealthDay News) -- Implementation of a comprehensive electronic infrastructure will centralize and support the relationship between pediatric patients and their health care providers through advanced health information management, according to a policy statement from the American Academy of Pediatrics (AAP) published online April 25 in Pediatrics.

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Tai Chi Benefits Heart Failure Patients

TUESDAY, April 26 (HealthDay News) -- Tai chi may improve quality of life, exercise self-efficacy, and mood in people with chronic systolic heart failure, according to research published in the April 26 issue of the Archives of Internal Medicine.

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AAP: Chemical Management Policy Needs Revision

MONDAY, April 25 (HealthDay News) -- Stating that the Toxic Substances Control Act (TSCA) of 1976 has failed to protect children, pregnant women, and others from marketplace exposure to harmful chemicals, the American Academy of Pediatrics (AAP) recommends current U.S. chemical management policy be revised, according to a policy report published online April 25 in Pediatrics.

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Persistent Poverty Undermines Cognitive Function at Age 5

MONDAY, April 25 (HealthDay News) -- Persistent poverty at a very early age is an independent risk factor that can undermine a child's cognitive development at age 5, according to a study published online April 20 in the Journal of Epidemiology & Community Health.

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Approval for Meningitis Vaccine Expanded to Include Toddlers

MONDAY, April 25 (HealthDay News) -- Use of the Menactra vaccine has been expanded by the U.S. Food and Drug Administration to prevent meningitis and other forms of meningococcal disease in children as young as 9 months, the agency said in a news release.

Centers for Disease Control and Prevention

P. falciparum Infection May Confer Long-Term Protection

MONDAY, April 25 (HealthDay News) -- Artificially induced immunity against infection with Plasmodium falciparum (P. falciparum) may last for 2.5 years or longer, according to a study published online April 25 in The Lancet.

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Risk Taking Similar in Very Obese, Normal Weight Teens

MONDAY, April 25 (HealthDay News) -- High school students (HSS) with extreme obesity appear to engage in risky behaviors at a rate similar to that of their healthy weight peers, with higher rates of some high-risk behaviors, according to research published online April 25 in Pediatrics.

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Policy Statement Addresses Chaperones in Pediatric Exams

MONDAY, April 25 (HealthDay News) -- Patient comfort, privacy, and confidentiality are matters to consider when it comes to the presence of chaperones during physical examinations of pediatric patients, according to a policy statement published online April 25 in Pediatrics.

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Autism Diagnosis Marginally Affected by Income

MONDAY, April 25 (HealthDay News) -- As the prevalence rate of autism slowed, socioeconomic status (SES) seems to have become less of an impact on the likelihood of diagnosis than during times of increasing prevalence, according to a study published in the April issue of the American Sociological Review.

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Raised Death Risk With Low and High Glycated Hemoglobin

MONDAY, April 25 (HealthDay News) -- The relationship between glycated hemoglobin (A1C) and mortality or complications suggests setting a target A1C level higher than 6 percent, and lower than 8 percent in elderly patients with type 2 diabetes, according to a study published online April 19 in Diabetes Care.

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Getting Right Amount of Sleep May Help With Weight Loss

MONDAY, April 25 (HealthDay News) -- Sleeping between six and eight hours a night and having less stress may predict an individual's success in a behavioral weight loss intervention, according to a study published online March 29 in the International Journal of Obesity.

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Hypertension Drugs Tied to Risk of Cancer Recurrence

MONDAY, April 25 (HealthDay News) -- Angiotensin-converting enzyme inhibitors (ACEi) appear to be associated with an elevated risk of breast cancer recurrence in women, while beta blockers (BBs) seem to have a protective effect, according to a study published online April 11 in Breast Cancer Research and Treatment.

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Asthma May Increase Risk of Erectile Dysfunction

FRIDAY, April 22 (HealthDay News) -- Asthma may be an independent risk factor for erectile dysfunction (ED), with the risk increasing with asthma severity, according to a study published online March 22 in The Journal of Sexual Medicine.

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Tooth Loss Not Independently Linked to Cognitive Function

FRIDAY, April 22 (HealthDay News) -- Tooth loss due to periodontitis is not independently associated with reduced cognitive function, but may be a marker for poor cognitive function when combined with low socioeconomic status (SES) and advanced age, according to a study published in the April 1 issue of the Journal of the American Dental Association.

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Ectopic Pregnancy Rates Increased in Recent Period

FRIDAY, April 22 (HealthDay News) -- Ectopic pregnancy rates in the United States increased over a recent 15-year period, according to a population-based study published in the May issue of the American Journal of Preventive Medicine.

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Brief, Intense Exercise May Have Cardioprotective Role

FRIDAY, April 22 (HealthDay News) -- Brief, intense exercise is a time-efficient alternative to traditional endurance training and reduces the level of various markers of cardiovascular diseases (CVD) in adolescents, according to a study published online April 4 in the American Journal of Human Biology.

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Studies Add to Evidence on Clot Risk Tied to Contraceptives

FRIDAY, April 22 (HealthDay News) -- Oral contraceptives containing drospirenone appear to be associated with a higher risk of non-fatal venous thromboembolism than formulations containing levonorgestrel, according to two studies published online April 21 in BMJ.

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Disc Degeneration More Prevalent in Obese Adolescents

FRIDAY, April 22 (HealthDay News) -- Overweight and obese adolescents without spinal deformities have increased prevalence and severity of juvenile disc degeneration compared with their normal-weight peers, according to a study published in the April 6 issue of The Journal of Bone & Joint Surgery.

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Children and Parents Have Similar Responses to Pain

FRIDAY, April 22 (HealthDay News) -- There is a significant correlation between the way parents and their children respond to pain, according to a study published online March 8 in the International Journal of Behavioral Medicine.

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Cognitive Therapy Found to Reduce Cortical Activation

FRIDAY, April 22 (HealthDay News) -- Cognitive behavioral therapy (CBT) may improve Gilles de la Tourette Syndrome (GTS) symptoms by modifying motor cortical activation, according to a study published in the April issue of the International Journal of Cognitive Therapy.

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Kidney Disease Common in Very Elderly, Tied to CVD

FRIDAY, April 22 (HealthDay News) -- Chronic kidney disease (CKD) appears to be quite prevalent in octogenarians and may be linked with cardiovascular disease (CVD), though different formulas used to assess prevalence provide different results, according to research published online April 21 in the Clinical Journal of the American Society of Nephrology.

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Diabetes Does Not Affect Sexual Dysfunction Prevalence

FRIDAY, April 22 (HealthDay News) -- Sexual dysfunction in women with type 1 diabetes may be predicted by depression symptoms, but the prevalence is similar to that in women without type 1 diabetes, according to a study published online April 7 in The Journal of Sexual Medicine.

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CDC: Family Violence Associated With Bullying

FRIDAY, April 22 (HealthDay News) -- Bullies and victims of bullies have an increased likelihood of witnessing family violence or being physically hurt by a family member, according to a report in the April 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Treatment-Resistant Epilepsy Common in Idiopathic Autism

THURSDAY, April 21 (HealthDay News) -- Treatment-resistant epilepsy (TRE) is relatively common in patients with autism, but surgical resection and vagus nerve stimulator (VNS) implantation offer limited benefit, according to a study published online April 19 in Epilepsia.

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CDC: Half of States Have Smoke-Free Policies

THURSDAY, April 21 (HealthDay News) -- Comprehensive smoke-free policies among U.S. states increased dramatically between 2000 and 2010, making the Healthy People 2020 target of all states having comprehensive smoke-free policies achievable with continued efforts and accelerated efforts in the Southern states, according a report in the April 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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It Pays to Screen Immigrants for Tuberculosis

THURSDAY, April 21 (HealthDay News) -- Screening immigrants to the United Kingdom for latent tuberculosis infection based on the incidence in their countries of origin is a cost-effective way of preventing future active cases of tuberculosis, according to a study published online April 21 in The Lancet.

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Pesticide Exposure Tied to Lower IQ in Children

THURSDAY, April 21 (HealthDay News) -- Pesticide exposure appears to be associated with poorer IQ scores in children and may impair cognitive development, according to three studies published online April 21 in Environmental Health Perspectives.

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High BNP Post-CABG Predicts Worse Physical Function

THURSDAY, April 21 (HealthDay News) -- Higher peak postoperative levels of B-type natriuretic peptide (BNP), secreted by the heart in response to stress, are independently associated with worse physical function up to two years after coronary artery bypass graft (CABG) surgery, according to a study published in the April issue of Anesthesiology.

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Intravaginal Probiotic May Lower UTIs in Premenopausal Women

THURSDAY, April 21 (HealthDay News) -- Treatment with an intravaginal suppository probiotic may help prevent recurrent urinary tract infection (UTI) in premenopausal women, according to research published online April 14 in Clinical Infectious Diseases.

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Pioglitazone Not Tied to Most Cancers in Diabetes Patients

THURSDAY, April 21 (HealthDay News) -- Pioglitazone does not appear to be associated with common cancers in people with diabetes, though there may be an increased risk for bladder cancer in those who have received more than two years' treatment with the agent, according to two articles published in the April issue of Diabetes Care.

Abstract - Ferrara
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Multilevel Surgery Improves Outcomes in Cerebral Palsy

THURSDAY, April 21 (HealthDay News) -- Functional and dynamic positional outcomes improve in children with hemiplegic cerebral palsy who undergo single-event multilevel surgery, according to a study published in the April 6 issue of The Journal of Bone & Joint Surgery.

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Depression After Traumatic Brain Injury Common

THURSDAY, April 21 (HealthDay News) -- About 30 percent of people who suffer traumatic brain injury (TBI) will experience depression, but there is a dearth of evidence to guide the care of the 1.2 million people in the United States who experience TBI each year, according to research published by the Agency for Healthcare Research and Quality.

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Behavioral Interventions Succeed in Promoting Condom Use

THURSDAY, April 21 (HealthDay News) -- Behavioral interventions in young women to promote safer sexual behaviors to protect against transmission of sexually transmitted infections (STIs) may be effective, primarily at encouraging condom use, according to a review published in the Cochrane Database of Systematic Reviews.

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Restricted Life Space Tied to Increased Alzheimer's Risk

THURSDAY, April 21 (HealthDay News) -- Older adults whose life space is restricted to the home environment have a substantially increased risk of Alzheimer's disease (AD), according to a study published online March 22 in the American Journal of Geriatric Psychiatry.

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Sedentary Life Tied to Narrow Retinal Arterioles

THURSDAY, April 21 (HealthDay News) -- Six-year-olds who spend the most time watching television, using a computer, or playing video games have narrower retinal arteries compared with those who spend more time engaged in physical activities, according to a study published in the May 1 issue of Arteriosclerosis, Thrombosis, and Vascular Biology.

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Researchers Review Risks Tied to Nuclear Accidents

THURSDAY, April 21 (HealthDay News) -- In a new article, researchers review the short- and long-term health risks associated with nuclear power plant accidents in light of the recent earthquake in Japan that caused substantial damage to a nuclear plant. The article has been published online April 20 in the New England Journal of Medicine.

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Calcium Supplements Modestly Increase Risk of Heart Attack

WEDNESDAY, April 20 (HealthDay News) -- Use of personal calcium supplements -- with or without vitamin D -- modestly increases the risk of cardiovascular events, especially myocardial infarction (MI), a finding obscured in the Women's Health Initiative Calcium/Vitamin D Supplementation Study (WHI CaD Study), according to an article published online April 19 in BMJ.

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Ultrasound Shows Pathology in Joints Despite Remission

WEDNESDAY, April 20 (HealthDay News) -- Children with juvenile idiopathic arthritis (JIA) in clinical remission may continue to show signs of pathology on joint ultrasounds, which may be indicative of ongoing inflammation, according to a study published online April 11 in Arthritis Care & Research.

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More Than Five Million Youth Treated for Football Injuries

WEDNESDAY, April 20 (HealthDay News) -- An estimated 5.25 million children and adolescents in the age group 6 to 17 years were treated for football-related injury in U.S. emergency departments from 1990 to 2007, according to a study published in the March issue of Clinical Pediatrics.

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Physical Activity Guidelines May Improve Survival

WEDNESDAY, April 20 (HealthDay News) -- Meeting the recommendations set out in the federal 2008 Physical Activity Guidelines for Americans is associated with reduced all-cause mortality in U.S. adults, according to a study published online April 5 in the American Journal of Preventive Medicine.

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Progesterone Gel Linked With Lower Rate of Preterm Birth

WEDNESDAY, April 20 (HealthDay News) -- Administration of vaginal progesterone gel in women with a sonographically short cervix in the second trimester is correlated with a significant reduction in the rate of preterm birth, according to a study published online April 6 in Ultrasound in Obstetrics & Gynecology.

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Perioperative MI Common and Usually Asymptomatic

WEDNESDAY, April 20 (HealthDay News) -- Perioperative myocardial infarction (MI) after noncardiac surgery is the most common major vascular complication, with most patients not experiencing ischemic symptoms, according to a study published in the April 19 issue of the Annals of Internal Medicine.

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People With Anosmia Attach Less Importance to Olfaction

WEDNESDAY, April 20 (HealthDay News) -- The importance of smell in the daily life of people with olfactory disorders appears to be less than those with a normal sense of smell, suggesting healthy adaptation to reduced olfactory function, according to research published in the April issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Triple-Class Viral Failure Low in HIV-Infected Children

WEDNESDAY, April 20 (HealthDay News) -- The rate of triple-class virological failure to three or more antiretroviral therapy (ART) drugs in children infected perinatally with HIV is low, but higher than the rate in adults, according to a study published online April 20 in The Lancet.

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Alcohol, Energy Drink Mix Impairs Behavioral Inhibition

TUESDAY, April 19 (HealthDay News) -- Alcohol mixed with energy drinks (AmED) increases self-reported stimulation and impairs behavioral response inhibition compared to alcohol alone, according to a study published online April 19 in Alcoholism: Clinical and Experimental Research.

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New Test Effective for Detection of Tuberculosis

TUESDAY, April 19 (HealthDay News) -- Diagnosis of Mycobacterium tuberculosis (MTB) and rifampicin resistance (RIF), detected by the MTB/RIF test, is accurate and feasible in resource-poor countries, according to a study published online April 19 in The Lancet.

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Airway Exam Rare in Infants With Life-Threatening Events

TUESDAY, April 19 (HealthDay News) -- Well-appearing infants hospitalized with apparent life-threatening events (ALTEs) rarely undergo airway evaluation or require subsequent otolaryngologic surgical intervention, according to research published in the April issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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AHA: Exercise and Dietary Changes Reduce Trigylcerides

TUESDAY, April 19 (HealthDay News) -- Dietary and lifestyle changes that include engaging in regular physical activity, losing excess weight, and replacing saturated dietary fats with healthy unsaturated fats can reduce elevated triglycerides, according to an American Heart Association scientific statement published online April 18 in Circulation.

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Diagnostic Guidelines for Alzheimer's Disease Updated

TUESDAY, April 19 (HealthDay News) -- The National Institute on Aging and the Alzheimer's Association have updated their diagnostic guidelines for Alzheimer's disease for the first time in 27 years; the guidelines have been published online April 19 in Alzheimer's & Dementia: The Journal of the Alzheimer's Association.

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Multiple Sclerosis Variance Linked to UVB Rays, Epstein-Barr

TUESDAY, April 19 (HealthDay News) -- Much of the variance of multiple sclerosis (MS) in England can be explained by exposure to infectious mononucleosis (IM), caused by the Epstein-Barr virus (EBV), and ultraviolet B radiation (UVB), according to a study published in the April 19 issue of Neurology.

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Preterm Birth May Raise Attention Deficit Disorder Risk

TUESDAY, April 19 (HealthDay News) -- Children who are born moderately or extremely preterm may have an increased risk of developing attention-deficit/hyperactivity disorder (ADHD), according to a study published online April 18 in Pediatrics.

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Low Prevalence of Chronic Fatigue Syndrome Among Youth

TUESDAY, April 19 (HealthDay News) -- Incidence and prevalence rates of clinically diagnosed chronic fatigue syndrome (CFS) in adolescents are low, and diagnosis is more common among pediatricians than general practitioners (GPs), according to a study published online April 18 in Pediatrics.

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Maternal Obesity Linked to Neurodevelopmental Disorders

MONDAY, April 18 (HealthDay News) -- Maternal obesity and overweight may be linked to neurodevelopmental problems in offspring in childhood, adolescence, or adulthood, according to a review published online March 17 in Obesity Reviews.

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Injecting Facility Reduces Illicit Drug Use Overdose Deaths

MONDAY, April 18 (HealthDay News) -- A supervised injecting facility (SIF), where drug users can inject pre-obtained illicit drugs, appears to reduce overdose mortality, according to a study published online April 18 in The Lancet.

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Post-Cancer Fatigue Linked to Autonomic Nervous System

MONDAY, April 18 (HealthDay News) -- The long-term fatigue that affects breast cancer survivors may be caused by higher sympathetic and lower parasympathetic activity, according to a study published online March 9 in Psychoneuroendocrinology.

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Most Parents Consider Children's Vaccines Important

MONDAY, April 18 (HealthDay News) -- The majority of parents believe childhood vaccinations are safe and important, and while the most-trusted resource parents list for vaccine safety information is their child's doctor, non-health professional resources carry some weight as well, according to research published online April 18 in Pediatrics.

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Societal Support Lowers Suicide Among Gay Youth

MONDAY, April 18 (HealthDay News) -- A negative social environment increases the risk of suicide attempts among lesbian, gay, and bisexual (LGB) youth, independent of individual-level risk factors, according to a study published online April 18 in Pediatrics.

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Parents Feel Benefits of Genetic Testing Outweigh Risks

MONDAY, April 18 (HealthDay News) -- Parents are interested in getting their children tested for genetic susceptibility to common, adult-onset health conditions, according to a study published online April 18 in Pediatrics.

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