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Category: Geriatrics | Monthly Briefing

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January 2012 Briefing - Geriatrics

Last Updated: February 01, 2012.

 

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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for January 2012. 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.

Fenofibrate Found Safe in Diabetes With Renal Impairment

TUESDAY, Jan. 31 (HealthDay News) -- Long-term daily use of fenofibrate is beneficial for patients with type 2 diabetes and moderate renal impairment and is not associated with an increase in drug-related safety concerns compared with those with mild renal impairment, according to research published in the February issue of Diabetes Care.

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High-Fiber Diet May Not Lower Risk of Diverticulosis

TUESDAY, Jan. 31 (HealthDay News) -- High dietary fiber intake was not associated with a lower prevalence of diverticulosis. In fact, people who ate a high-fiber diet and those having 15 or more bowel movements per week had a higher, not lower, prevalence of diverticulosis, according to research published in the February issue of Gastroenterology.

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Meta-Analysis: Statin Therapy Equally Effective in Women, Men

MONDAY, Jan. 30 (HealthDay News) -- Statin therapy is equally effective for decreasing cardiovascular events in women and men, according to a meta-analysis published in the Feb. 7 issue of the Journal of the American College of Cardiology.

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Disc Degeneration More Likely in Overweight, Obese Adults

MONDAY, Jan. 30 (HealthDay News) -- Overweight and obese adults are significantly more likely to have lumbar disc degeneration compared with those who have a normal body mass index (BMI), according to a study published online Jan. 27 in Arthritis & Rheumatism.

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Family Teamwork Gives Valued Boost to Senior Care

MONDAY, Jan. 30 (HealthDay News) -- Family companions involved in physician visits with older adults usually offer task assistance in activities of daily living (ADLs) and can help build patient-provider partnerships to efficiently manage senior health, according to a study published in the January issue of the Journal of the American Geriatrics Society.

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Preventive Health Services Missed in Half of Patients

MONDAY, Jan. 30 (HealthDay News) -- During periodic health examinations (PHEs), a variety of patient, physician, and visit factors together affect the recommendation and delivery of evidence-based preventive health services, with patients receiving only about half of those services for which they are due, according to research published in the February issue of the American Journal of Preventive Medicine.

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Isoflurane Harmful to Mitochondrial Function in Mice

FRIDAY, Jan. 27 (HealthDay News) -- Anesthetics isoflurane and desflurane have distinct effects on mitochondrial function and learning and memory, according to an experimental study published online Jan. 19 in the Annals of Neurology.

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Self-Rated Health Status Predicts Mortality Among CVD Patients

FRIDAY, Jan. 27 (HealthDay News) -- Self-rated health status is a risk factor for future vascular events and mortality in patients with cardiovascular diseases, particularly in those with asymptomatic atherosclerotic disease, according to a study published online Jan. 18 in the Journal of Internal Medicine.

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Steroid-Sparing Renal Transplant Yields Successful Outcomes

FRIDAY, Jan. 27 (HealthDay News) -- Rapid discontinuation of prednisone (RDP) five days after renal transplantation from a living (LD) or deceased donor (DD) yields acceptable 10-year patient and graft outcomes, according to research published online Jan. 26 in the Clinical Journal of the American Society of Nephrology.

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COPD Assessment Test Predicts Exacerbation Severity

FRIDAY, Jan. 27 (HealthDay News) -- The COPD Assessment Test (CAT) provides a reliable score of exacerbation severity in patients with chronic obstructive pulmonary disease (COPD), according to a study published online Jan. 26 in the American Journal of Respiratory and Critical Care Medicine.

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Warfarin Use Lowers Mortality in Septuagenarians With A-Fib

FRIDAY, Jan. 27 (HealthDay News) -- In a group of septuagenarian patients with atrial fibrillation, followed for up to six years, warfarin use is associated with a significant reduction in all-cause mortality, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

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More Than 40 Percent of Adults With RA Are Inactive

THURSDAY, Jan. 26 (HealthDay News) -- More than 40 percent of adults with rheumatoid arthritis (RA) are inactive, with lack of both strong motivation and belief in physical activity accounting for most of the excess inactivity, according to a study published online Jan. 25 in Arthritis Care & Research.

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Decline in Rate of Diabetic Lower-Extremity Amputation

THURSDAY, Jan. 26 (HealthDay News) -- From 1996 to 2008 there was a decline in the rates of hospitalization for nontraumatic lower-extremity amputation (NLEA) in the U.S. population with diabetes, according to a study published in the February issue of Diabetes Care.

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ACE Inhibitors Not Linked to Improved Outcomes After ACS

THURSDAY, Jan. 26 (HealthDay News) -- For patients with acute coronary syndrome (ACS), prior chronic use of an angiotensin-converting enzyme (ACE) inhibitor is not independently associated with improved in-hospital outcomes, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

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Exposure to Iodinated Contrast Media Affects Thyroid Function

THURSDAY, Jan. 26 (HealthDay News) -- Exposure to iodinated contrast media (ICM), which are frequently used during imaging procedures, is associated with changes in thyroid function, specifically an increased risk of developing incident hyperthyroidism and incident overt hypothyroidism, according to a study published in the Jan. 23 issue of the Archives of Internal Medicine.

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Positive Affirmation Improves Medication Adherence

THURSDAY, Jan. 26 (HealthDay News) -- Patient education (PE) enhanced with positive affirmation (PA) improves medication adherence over education alone in African-Americans with hypertension, but it does not lead to significant improvements in blood pressure (BP) reduction, according to a study published online Jan. 23 in the Archives of Internal Medicine.

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Radiation Benefits Mixed After Breast-Preserving Surgery

THURSDAY, Jan. 26 (HealthDay News) -- Treatment with radiation therapy after excision of ductal carcinoma in situ (DCIS) in women age 60 is associated with a slight improvement in survival, but may increase the likelihood of eventual mastectomy, according to a study published in the Feb. 1 issue of Cancer.

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Survival Reduced for Patients With Cancer Who Have Diabetes

THURSDAY, Jan. 26 (HealthDay News) -- Patients with cancer generally have reduced survival if they also have type 2 diabetes, although this depends on the type of cancer and diabetes treatment, according to a study published online Jan. 20 in Diabetes Care.

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Risk-Factor Burden Impacts Lifetime Risk of Cardio Disease

WEDNESDAY, Jan. 25 (HealthDay News) -- Variation in risk-factor burden results in considerable differences in the lifetime risk of cardiovascular disease, and these differences are consistent across race and birth cohorts, according to a meta-analysis published in the Jan. 26 issue of the New England Journal of Medicine.

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Men at Higher Risk for Mild Cognitive Impairment

WEDNESDAY, Jan. 25 (HealthDay News) -- The incidence of both amnestic and nonamnestic mild cognitive impairment (aMCI and naMCI) is higher in men than women, according to a study published online Jan. 25 in Neurology.

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Neurologists Should Routinely Assess Patients for Abuse

WEDNESDAY, Jan. 25 (HealthDay News) -- Neurologists should evaluate patients for abuse and neglect, according to a position statement issued by the American Academy of Neurology published online Jan. 25 in Neurology.

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Enriched Milk Powder Linked to Reduction in Gout Flare-Ups

WEDNESDAY, Jan. 25 (HealthDay News) -- For patients with gout, consumption of an enriched skim milk powder (SMP) is associated with a reduced number of flare-ups, compared with plain skim milk powder or lactose, according to a proof-of-concept study published online Jan. 23 in the Annals of the Rheumatic Diseases.

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Overuse of Health Care Services Understudied

WEDNESDAY, Jan. 25 (HealthDay News) -- Overuse of health care services in the United States is an understudied problem, with the majority of research limited to a few interventions, according to a review published in the Jan. 23 issue of the Archives of Internal Medicine.

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Foods Fried in Olive Oil Not Linked to Heart Disease

WEDNESDAY, Jan. 25 (HealthDay News) -- Eating foods fried in olive or sunflower oil is not linked to heart disease or all-cause mortality, according to a Spanish study published online Jan. 24 in BMJ.

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Reduced [11C]PiB Uptake in Cognitively Active Elderly

TUESDAY, Jan. 24 (HealthDay News) -- Elderly individuals who keep their brains active through activities such as reading, writing, and playing games have reduced uptake of carbon 11-labeled Pittsburg Compound B ([11C]PiB), according to a study published online Jan. 23 in the Archives of Neurology.

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HealthGrades IDs Notable Hospitals for Clinical Excellence

TUESDAY, Jan. 24 (HealthDay News) -- The top 5 percent of U.S. hospitals has more than a 30 percent lower risk-adjusted mortality across 17 procedures and diagnoses, compared with other hospitals, according to the 10th annual HealthGrades Hospital Quality and Clinical Excellence study published online Jan. 24.

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Dutasteride Delays Low-Risk Prostate Cancer Progression

TUESDAY, Jan. 24 (HealthDay News) -- For men with low-risk prostate cancer who undergo active surveillance, treatment with dutasteride delays the time to cancer progression, according to a study published online Jan. 24 in The Lancet.

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Sleep Disturbance Linked to Cardiometabolic Disease Risk

MONDAY, Jan. 23 (HealthDay News) -- Sleep duration and sleep disturbance are associated with cardiometabolic disease, according to a study published online Dec. 12 in the Journal of Sleep Research.

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Substantial Minority Continue Smoking After Cancer Diagnosis

MONDAY, Jan. 23 (HealthDay News) -- A considerable minority of patients with lung and colorectal cancer continue smoking after being diagnosed, according to study published online Jan. 23 in Cancer.

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Neuromodulators Reduce Pain in Rheumatoid Arthritis

FRIDAY, Jan. 20 (HealthDay News) -- Neuromodulators are superior to placebo for reducing pain in patients with rheumatoid arthritis (RA), but treatment is associated with adverse events; whereas muscle relaxants show no benefit for improving pain in RA, according to two reviews published online Jan. 18 in the Cochrane Database of Systematic Reviews.

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SSRIs Increase Fall Risk in Elderly Dementia Patients

FRIDAY, Jan. 20 (HealthDay News) -- Even at low doses, selective serotonin reuptake inhibitors (SSRIs) increase the risk of injuries due to falls in elderly dementia patients, and the risk increases further at higher doses and when hypnotics and sedatives are added, according to a study published online Jan. 18 in the British Journal of Clinical Pharmacology.

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Warfarin Patients With Head Trauma Need Second CT Scan

FRIDAY, Jan. 20 (HealthDay News) -- For patients on warfarin with minor head trauma who have an initial negative computed tomography (CT) scan, 24-hour observation followed by an additional CT scan identifies the majority of cases of delayed bleeding, according to a study published online Jan. 16 in the Annals of Emergency Medicine.

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Positive Patch Test Reaction Rates Similar for Elderly, Adults

FRIDAY, Jan. 20 (HealthDay News) -- Approximately two-thirds of older individuals have at least one positive patch test reaction to contact allergens, similar to the rates for adults and significantly increased compared with the rates for children, according to a study published in the February issue of the Journal of the American Academy of Dermatology.

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Design Flaws Cast Doubt on Million Woman Study

THURSDAY, Jan. 19 (HealthDay News) -- The largest study linking hormone replacement therapy (HRT) to breast cancer, the Million Women Study (MWS), had flaws in its design and the findings do not satisfy the principles of causation, according to an evidence review published online Jan. 16 in the Journal of Family Planning & Reproductive Health Care.

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Worse Outcomes for Stroke Patients With Delirium

THURSDAY, Jan. 19 (HealthDay News) -- Stroke patients who develop delirium have worse outcomes, including higher mortality and longer hospitalizations, and are more likely to be discharged to a care facility, according to a review published online Jan. 19 in Stroke.

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Sexual Activity Safe for Most Cardiovascular Disease Patients

THURSDAY, Jan. 19 (HealthDay News) -- For most individuals with stable cardiovascular disease (CVD), sexual activity is safe, according to a scientific statement from the American Heart Association published online Jan. 19 in Circulation.

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Calcium Associated With Lower Risk of Prostate Cancer

THURSDAY, Jan. 19 (HealthDay News) -- Dietary calcium intake is inversely associated with prostate cancer risk, according to a study published online Jan. 12 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Cancer Prevention Guidelines Updated

THURSDAY, Jan. 19 (HealthDay News) -- The American Cancer Society (ACS) Nutrition and Physical Activity Guidelines were recently updated and published in the January/February issue of CA: A Cancer Journal for Clinicians.

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Osteoporotic Fracture Risk High in Systemic Mastocytosis

THURSDAY, Jan. 19 (HealthDay News) -- There is a high risk of osteoporotic fractures and osteoporosis in patients with indolent systemic mastocytosis (ISM), according to a study published online Jan. 9 in Allergy.

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Cognitive Impairment Seen in Overweight Retired NFL Players

THURSDAY, Jan. 19 (HealthDay News) -- Overweight retired National Football League (NFL) players have decreased blood flow in certain areas of the brain as well as significant decreases in attention, cognitive proficiency, and memory, according to a study published online Jan. 17 in Translational Psychiatry.

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Study IDs Optimal Interval Between Bone Density Tests

WEDNESDAY, Jan. 18 (HealthDay News) -- The recommended bone mineral density (BMD) screening interval is approximately 16 years for postmenopausal women with normal BMD, 4.5 years for women with moderate osteopenia, and one year for women with advanced osteopenia, according to a study published in the Jan. 19 issue of the New England Journal of Medicine.

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Age-Related Intelligence Changes Linked to Genetics

WEDNESDAY, Jan. 18 (HealthDay News) -- Genetic factors account for some of the changes in intelligence that occur between childhood and old age, according to a letter published online Jan. 18 in Nature.

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Cybercycling Improves Cognitive Function in Elderly

WEDNESDAY, Jan. 18 (HealthDay News) -- Virtual reality-enhanced exercise, or "exergames," such as cybercycling, is associated with a greater cognitive benefit for older adults than traditional exercise, according to a study published online Jan. 17 in the American Journal of Preventive Medicine.

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Rates of Post-Arthroplasty Symptomatic VTE Identified

WEDNESDAY, Jan. 18 (HealthDay News) -- The rates of postoperative symptomatic venous thromboembolism (VTE) are 1.09 percent after total or partial knee arthroplasty (TPKA) and 0.53 percent after total or partial hip arthroplasty (TPHA), according to a review published in the Jan. 18 issue of the Journal of the American Medical Association.

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Tool Predicts Improved Function After Hip Arthroplasty

TUESDAY, Jan. 17 (HealthDay News) -- Preoperative patient characteristics and radiographic assessment can be used to predict expected functional improvement for patients undergoing total hip arthroplasty (THA), according to a study published online Jan. 9 in Arthritis Care & Research.

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Comorbidities Affect Hospital Costs After Hip Fracture

TUESDAY, Jan. 17 (HealthDay News) -- For older Americans with hip fracture, the presence of comorbidities is associated with increased cost of hospitalization, according to a study published in the Jan. 4 issue of The Journal of Bone & Joint Surgery.

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Untreated Sleep Apnea Linked to Cardio Mortality in Women

TUESDAY, Jan. 17 (HealthDay News) -- Untreated obstructive sleep apnea (OSA) is associated with increased cardiovascular mortality in women, but continuous positive airway pressure (CPAP) treatment reduces the risk of mortality, according to a study published in the Jan. 17 issue of the Annals of Internal Medicine.

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Endovascular Graft Approved for Tears of Aorta

MONDAY, Jan. 16 (HealthDay News) -- The U.S. Food and Drug Administration has expanded approval of an endovascular graft to include ruptures of the aorta.

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Patients With Breast Cancer Lack Knowledge of the Disease

MONDAY, Jan. 16 (HealthDay News) -- Many early-stage breast cancer survivors lack knowledge about their disease and report not being involved in treatment decisions, although most receive treatment consistent with their goals, according to a study published in the January issue of the Journal of the American College of Surgeons.

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Access to Quality Primary Care Reduces Mortality Risk

MONDAY, Jan. 16 (HealthDay News) -- Greater access to high-quality primary medical care that includes features of comprehensiveness, patient-centeredness, and extended office hours is associated with a reduced risk of death, according to a study published in the January/February issue of the Annals of Family Medicine.

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Integrated Diabetes-Depression Treatment Improves Outcome

MONDAY, Jan. 16 (HealthDay News) -- Integrating the treatment of type 2 diabetes and depression improves outcomes, including glycemic control and depression, for patients in the primary care setting, according to a study published in the January/February issue of the Annals of Family Medicine.

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Hyaluronic Acid Similar to Placebo for Ankle Arthritis

MONDAY, Jan. 16 (HealthDay News) -- A single intra-articular injection of hyaluronic acid was no more effective in treating osteoarthritis of the ankle than an injection of normal saline solution, according to a study published in the Jan. 4 issue of The Journal of Bone & Joint Surgery.

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Surgery Beats Non-Op Care for Intervertebral Disc Herniation

FRIDAY, Jan. 13 (HealthDay News) -- Surgery is more effective than nonoperative treatment for patients with intervertebral disc herniation (IDH), with marital status, joint problems, and symptom trend at baseline identified as significant modifiers of treatment effect, according to a study published in the Jan. 15 issue of Spine.

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U.S. Health Care Expenditure Still Unevenly Distributed

FRIDAY, Jan. 13 (HealthDay News) -- Health care expenditure in the United States is still unevenly distributed, with 1 percent of the population accounting for approximately 20 percent of expenditure in 2008 and 2009, according to a January statistical brief published by the Agency for Healthcare Research and Quality (AHRQ).

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Thromboprophylaxis Rate Low for Knee Arthroplasty in Taiwan

FRIDAY, Jan. 13 (HealthDay News) -- Pharmacologic thromboprophylaxis for Taiwanese patients undergoing total knee arthroplasty (TKA) is very low, at 2.2 percent, which may correlate with the low incidence of post-surgery venous thromboembolism (VTE), according to a study published in the January issue of the Journal of Thrombosis and Haemostasis.

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Cirrhosis Ups Disability, Health Care Utilization in Seniors

FRIDAY, Jan. 13 (HealthDay News) -- Older individuals with cirrhosis have higher rates of health care utilization, disability, and requirements for informal caregiving than those without cirrhosis, according to a study published in the January issue of Hepatology.

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Physical Activity in Work or Leisure Tied to Lower MI Risk

THURSDAY, Jan. 12 (HealthDay News) -- Physical activity during work or leisure time is associated with a significantly lower risk of myocardial infarction (MI), according to a multinational study published online Jan. 11 in the European Heart Journal.

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Subclinical Tachyarrhythmias Tied to Increased Risk of Stroke

WEDNESDAY, Jan. 11 (HealthDay News) -- Subclinical atrial tachyarrhythmias, which occur in approximately 10 percent of patients in the first three months after pacemaker or defibrillator implantation, are associated with an increased risk of clinical atrial fibrillation, stroke, and systemic embolism, according to a study published in the Jan. 12 issue of the New England Journal of Medicine.

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Gene Variant Linked to Hereditary Prostate Cancer

WEDNESDAY, Jan. 11 (HealthDay News) -- A mutation in a gene important in prostate development is associated with a higher risk of hereditary prostate cancer, particularly early-onset cancers, according to a study published in the Jan. 12 issue of the New England Journal of Medicine.

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Medicare Fitness-Membership Benefits Attract Healthy People

WEDNESDAY, Jan. 11 (HealthDay News) -- Medicare Advantage plans that offer fitness-membership benefits attract a healthier population than control plans that offer no such benefits, according to a study published in the Jan. 12 issue of the New England Journal of Medicine.

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CDC: 2010 Saw Decrease in Age-Adjusted Death Rates

WEDNESDAY, Jan. 11 (HealthDay News) -- From 2009 to 2010, age-adjusted death rates decreased and life expectancy increased, according to a Jan. 11 report published by the U.S. Centers for Disease Control and Prevention.

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Rx Provides Fast Relief of Pain, Urgency of Interstitial Cystitis

WEDNESDAY, Jan. 11 (HealthDay News) -- Alkalinized lidocaine plus heparin provides significant and immediate relief from the pain and urgency symptoms of interstitial cystitis (IC) for 12 hours after treatment, according to a study published in the January issue of the Journal of Sexual Medicine.

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Insufficient Evidence to Recommend Prognostic Indices

WEDNESDAY, Jan. 11 (HealthDay News) -- There is insufficient evidence to recommend the widespread clinical use of validated prognostic indices to predict the risk of mortality in older adults, according to a review published in the Jan. 11 issue of the Journal of the American Medical Association.

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CDC: Binge Drinking Prevalence High in United States

TUESDAY, Jan. 10 (HealthDay News) -- About one in six adults in the United States regularly engages in binge drinking, which accounts for more than 40,000 alcohol-related deaths every year, according to research published in the Jan. 10 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Too High, Too Low Serum Potassium Linked to Mortality

TUESDAY, Jan. 10 (HealthDay News) -- Patients hospitalized after an acute myocardial infarction (AMI) with post-admission serum potassium levels between 3.5 and 4.5 mEq/L (milliEquivalents per liter) have a lower risk of death than those with higher or lower levels, according to a study published in the Jan. 11 issue of the Journal of the American Medical Association.

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Dementia Associated With More Hospital Admissions

TUESDAY, Jan. 10 (HealthDay News) -- Hospital admission rates for all causes, and for ambulatory care-sensitive conditions (ACSCs), are significantly higher among patients with dementia compared to older patients without dementia, according to a study published in the Jan. 11 issue of the Journal of the American Medical Association.

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Benefit of Aspirin in Primary Prevention Questioned

TUESDAY, Jan. 10 (HealthDay News) -- For individuals without prior cardiovascular disease (CVD), aspirin prophylaxis does not reduce cardiovascular death or cancer mortality, although it is associated with reductions in nonfatal myocardial infarction (MI), according to a meta-analysis published online Jan. 9 in the Archives of Internal Medicine.

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A Broken Heart Does Increase Heart Attack Risk

TUESDAY, Jan. 10 (HealthDay News) -- The death of a significant person in someone's life is associated with a significantly increased risk of acute myocardial infarction (MI) for the grieving individual in the days following the death, according to a study published online Jan. 9 in Circulation.

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Long-Term Prognostic Value of Dobutamine Stress Echo Limited

TUESDAY, Jan. 10 (HealthDay News) -- Dobutamine stress echocardiography (DSE) has limited long-term predictive value for patients with diabetes who are unable to perform an exercise stress test, particularly during the first seven years after initial testing, according to a study published online Jan. 6 in Diabetes Care.

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Adiponectin Tied to Dementia, Alzheimer's Risk in Women

MONDAY, Jan. 9 (HealthDay News) -- Plasma levels of adiponectin are an independent risk factor for all-cause dementia and Alzheimer's disease (AD) in women, according to a study published online Jan. 2 in the Archives of Neurology.

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Acupuncture May Have Minor Effect in Migraine Prevention

MONDAY, Jan. 9 (HealthDay News) -- For patients with migraine, acupuncture may have a minor clinical prophylactic effect, compared with sham acupuncture, according to a study published online Jan. 9 in CMAJ, the journal of the Canadian Medical Association.

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Statins Increase Diabetes Risk for Postmenopausal Women

MONDAY, Jan. 9 (HealthDay News) -- Postmenopausal women taking statin medications have an increased risk of incident diabetes mellitus (DM), according to an analysis published online Jan. 9 in the Archives of Internal Medicine.

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Post-Op QOL Poor in Some Esophageal Cancer Survivors

MONDAY, Jan. 9 (HealthDay News) -- While most esophageal cancer patients recover their pre-surgery health-related quality of life (HRQL), a notable percentage continue to suffer adverse effects from the surgery five years later, according to a study published online Jan. 3 in the Journal of Clinical Oncology.

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Larger Trabecular Holes Explain Bone Fragility in Diabetes

MONDAY, Jan. 9 (HealthDay News) -- The higher fracture risk observed in women with type 2 diabetes mellitus (T2DM) may be due, in part, to the larger average hole size and, consequently, the more porous nature of their trabecular bone microarchitecture, according to a study published in the January issue of Arthritis Care & Research.

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Rilonacept Reduces Gout Flares During Acute Urate Lowering Rx

MONDAY, Jan. 9 (HealthDay News) -- The use of rilonacept significantly reduces gout flare-ups in the first few months following initiation of urate-lowering therapy (ULT), according to research published online Jan. 4 in Arthritis & Rheumatism.

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No Mortality Benefit for Annual Prostate Cancer Screening

FRIDAY, Jan. 6 (HealthDay News) -- There is no evidence of a mortality benefit for organized annual prostate cancer screening versus usual care, according to a study published online Jan. 6 in the Journal of the National Cancer Institute.

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Hypoglycemia in Intensive Diabetes Control May Up Survival

FRIDAY, Jan. 6 (HealthDay News) -- For adults with type 2 diabetes, recognized and unrecognized hypoglycemia is more common in those with intensive blood sugar control, and is associated with a small but significant reduction in the risk of mortality, according to a study published online Dec. 16 in Diabetes Care.

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Cognitive Decline May Begin As Early As Age 45

FRIDAY, Jan. 6 (HealthDay News) -- Cognitive functioning, including memory, reasoning, and comprehension skills, can start to deteriorate as early as age 45 and declines even faster in men and women over age 65, according to a large, prospective study published online Jan. 5 in BMJ.

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Frequent Aspirin Use Linked to Aging Macula Disorder

FRIDAY, Jan. 6 (HealthDay News) -- Frequent use of aspirin in patients aged 65 years and older is associated with early aging macula disorder (AMD) and wet late AMD, according to a study published in the January issue of Ophthalmology.

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Poorer Leg Muscle Quality Associated With Knee OA

FRIDAY, Jan. 6 (HealthDay News) -- Muscle quality is significantly poorer in a biracial group of older patients with radiographic knee osteoarthritis (RKOA), regardless of their pain status, according to a study published in the January issue of Arthritis Care & Research.

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Hand Bone Loss Predicts Radiographic Progression in RA

FRIDAY, Jan. 6 (HealthDay News) -- Hand bone loss during the first year of treatment of rheumatoid arthritis (RA) is associated with a high likelihood of radiographic progression, but it is not associated with long-term patient-reported outcomes, according to a study published in the January issue of Arthritis Care & Research.

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In-Hospital, 30-Day Standardized Mortality Measures Differ

THURSDAY, Jan. 5 (HealthDay News) -- The mean risk-standardized mortality rates (RSMRs) differ for in-hospital and 30-day models, with wide variability across U.S. hospitals, according to a study published in the Jan. 3 issue of the Annals of Internal Medicine.

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Cancer Incidence, Mortality Higher in Adults With Diabetes

THURSDAY, Jan. 5 (HealthDay News) -- The incidence of cancer and the mortality rate due to cancer is higher in people with type 2 diabetes compared to those without the condition, according to a study published in the January issue of Diabetes Care.

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Potential Genetic Marker of Colorectal Cancer Risk Found

THURSDAY, Jan. 5 (HealthDay News) -- There is an association between an increase in the degree of germline allele-specific expression (ASE) of the adenomatous polyposis coli (APC) gene and the risk of common forms of colorectal cancer (CRC), according to a study published in the January issue of Gastroenterology.

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Hyperuricemia Is Independent Risk Factor for Incident CKD

THURSDAY, Jan. 5 (HealthDay News) -- Patients with type 2 diabetes and normal kidney function are twice as likely to develop incident chronic kidney disease (CKD) if they have hyperuricemia, according to a study published in the January issue of Diabetes Care.

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Formula Diet Aids Weight Loss, Nutritional Gains in Obese

THURSDAY, Jan. 5 (HealthDay News) -- A 16-week formula-based diet program significantly improves the nutritional status and bone health in obese patients with osteoarthritis, according to a study published online Dec. 21 in the European Journal of Clinical Nutrition.

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Spinal Manipulation Superior to Medication for Neck Pain

THURSDAY, Jan. 5 (HealthDay News) -- For patients with acute and subacute nonspecific neck pain, symptoms improved with spinal manipulation therapy (SMT), medication, and home exercise, but spinal manipulation was found to be the most effective method for both short-term and long-term pain relief, according to a study published online Jan. 2 in the Annals of Internal Medicine.

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Half of Older Women Report Sexual Activity

WEDNESDAY, Jan. 4 (HealthDay News) -- Half of older women report engaging in sexual activity within the previous month, with the majority reporting satisfaction with their sex life, according to a study published in the January issue of The American Journal of Medicine.

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Cancer-Related Mortality Continues to Decrease

WEDNESDAY, Jan. 4 (HealthDay News) -- Overall cancer rates have decreased for men and remained stable for women, but mortality from cancer has declined for both men and women, according to a report from the American Cancer Society published online Jan. 4 in CA: A Cancer Journal for Clinicians.

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Most Type 2 Diabetes, CAD Patients Present With Angina

WEDNESDAY, Jan. 4 (HealthDay News) -- A large proportion of patients with type 2 diabetes mellitus and documented stable coronary artery disease have symptoms of angina, and the nature of symptom presentation may be associated with the type of previous revascularization, according to a study published in the Jan. 1 issue of The American Journal of Cardiology.

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Usual Care Doesn't Stop Muscle Loss in Idiopathic Fracture

WEDNESDAY, Jan. 4 (HealthDay News) -- Routine management of men with idiopathic vertebral fracture has no effect on observed muscle loss; and patients still have significantly lower physical functioning and quality of life than controls after six years of follow-up, according to a study published in the January issue of Arthritis Care & Research.

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Neurostimulation Improves Swallowing After Stroke

WEDNESDAY, Jan. 4 (HealthDay News) -- A new neurostimulation technique called paired associated stimulation (PAS), which combines peripheral stimulation of the targeted muscle with cortical stimulation of the targeted muscle's representational area, may be useful in the rehabilitation of patients with dysphagia due to stroke, according to a study published in the January issue of Gastroenterology.

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Burden of Treatment in Diabetes Rarely Addressed

WEDNESDAY, Jan. 4 (HealthDay News) -- Although the burden of diabetes treatments is discussed in more than 90 percent of primary care office visits, problem-solving efforts are made in only about one-third of cases, according to a study published in the January issue of Diabetes Care.

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Pneumonia Vaccine Approved for Older People

TUESDAY, Jan. 3 (HealthDay News) -- The Prevnar 13 bacterial pneumonia vaccine has been approved for people aged 50 and older, the U.S. Food and Drug Administration said.

pneumococcal disease

Multiple Blockages, U.S. Heart Attack Care Ups Readmissions

TUESDAY, Jan. 3 (HealthDay News) -- Patients treated for heart attacks in the United States have shorter initial hospital stays but significantly higher rates of 30-day readmission compared with patients in other countries, according to a study published in the Jan. 4 issue of the Journal of the American Medical Association.

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Lack of Resources Barrier to Vets' Weight-Management Plan

TUESDAY, Jan. 3 (HealthDay News) -- Successful implementation of the MOVE! weight-management program in Veterans Health Administration medical facilities depends upon organizational readiness and an innovation champion, according to a study published in the January issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Infarcts, Hippocampal Volume Independently Linked to Memory

TUESDAY, Jan. 3 (HealthDay News) -- In elderly individuals without dementia, the presence of brain infarcts and a smaller hippocampal volume are independently associated with poor memory, according to a study published in the Jan 3. issue of Neurology.

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Prostatic Urethral Lift Relieves Lower Urinary Tract Symptoms

TUESDAY, Jan. 3 (HealthDay News) -- Use of a prostatic urethral lift procedure, a minimally invasive treatment for lower urinary tract symptoms (LUTS) resulting from benign prostatic hyperplasia (BPH), preserves sexual function, according to a study published online Dec. 16 in The Journal of Sexual Medicine.

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