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Category: Family Medicine | Monthly Briefing

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August 2012 Briefing - Family Practice

Last Updated: September 04, 2012.

 

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

HbA1c ≥6.5 Percent Is Specific, Not Sensitive for T1DM

FRIDAY, Aug. 31 (HealthDay News) -- Using a glycated hemoglobin (HbA1c) threshold of ≥6.5 percent is a specific but not sensitive early indicator of type 1 diabetes (T1D) in high-risk children and young adults, according to a study published in the September issue of Diabetes Care.

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Fructose and Sugar Substitutes Alter Gut Microbiota

FRIDAY, Aug. 31 (HealthDay News) -- High consumption of fructose, artificial sweeteners, and sugar alcohols affect host-gastrointestinal microbe interactions and may contribute to the development of metabolic disorders and obesity, according to research published in the September issue of Obesity Reviews.

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Study Quantifies Effect of TV Viewing on Adolescent BMI

FRIDAY, Aug. 31 (HealthDay News) -- For adolescents, a decrease in television (TV) viewing time correlates with a lower body mass index (BMI) z score, according to a study published in the September/October issue of the Journal of Nutrition Education and Behavior.

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Advanced-Stage Cancer Patients Often Reluctant to Exercise

FRIDAY, Aug. 31 (HealthDay News) -- For individuals with advanced cancer, reluctance to participate in exercise may be due to symptoms, lack of specific guidance, and lack of recognition of the role of exercise in mitigating symptoms, according to a study published in the July issue of the Journal of Pain and Symptom Management.

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Factors Affecting Life Expectancy for Older Adults Studied

FRIDAY, Aug. 31 (HealthDay News) -- Even for adults aged 75 years and older, keeping up a healthy lifestyle, including physical activity and not smoking, is associated with increased life expectancy, according to a study published online Aug. 30 in BMJ.

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Preemie, Low Birth Weight Risk Up After Induced Abortions

FRIDAY, Aug. 31 (HealthDay News) -- Women who have had induced abortions (IAs) have an increased likelihood of having a very premature or low birth weight first baby, and the likelihood increases with each IA, according to research published online Aug. 29 in Human Reproduction.

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Effective Short-, Long-Term Weight-Loss Strategies Differ

FRIDAY, Aug. 31 (HealthDay News) -- In postmenopausal women, some weight-loss strategies that are successful for the short-term are not effective or sustainable for long-term weight loss, according to a study published in the September issue of the Journal of the Academy of Nutrition and Dietetics.

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Even Normal Range Albuminuria Ups Cardiovascular Risk

FRIDAY, Aug. 31 (HealthDay News) -- For patients with type 2 diabetes with normal albumin levels, any degree of albuminuria is associated with an increased risk of cardiovascular events, according to a study published online Aug. 30 in the Journal of the American Society of Nephrology.

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'Temper Loss' Model Defines Spectrum of Child Tantrums

FRIDAY, Aug. 31 (HealthDay News) -- The "Temper Loss" model indicates that temper tantrums occur occasionally in most preschoolers, and differentiates between normative misbehavior and less frequent clinically concerning behavior, according to a study published online Aug. 29 in the Journal of Child Psychology and Psychiatry.

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Afinitor Disperz Approved for Rare Tumor

THURSDAY, Aug. 30 (HealthDay News) -- The U.S. Food and Drug Administration has approved Afinitor Disperz (everolimus tablets for oral suspension), the first form of the drug Afinitor to be created especially for children.

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Teen Vaccinations Found to Be Increasing As Recommended

THURSDAY, Aug. 30 (HealthDay News) -- Since 2006, a year after the Advisory Committee on Immunization Practices expanded the vaccination schedule for adolescents, vaccination coverage has increased, but vaccination against the human papillomavirus (HPV) in females lags behind other routine vaccinations, according to research published in the Aug. 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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New Drug Approved for Irritable Bowel, Chronic Constipation

THURSDAY, Aug. 30 (HealthDay News) -- Linzess (linaclotide) has been approved by the U.S. Food and Drug Administration to treat forms of chronic constipation that don't respond to traditional treatment, and irritable bowel syndrome (IBS) accompanied by constipation, the agency said Thursday in a news release.

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Little Evidence on Efficacy of Interventions in Autism

THURSDAY, Aug. 30 (HealthDay News) -- For adolescents and young adults with autism spectrum disorders, few studies have assessed treatment approaches, and there is limited evidence available to support specific interventions, with most available studies of poor quality, according to a review published online Aug. 27 by the Agency for Healthcare Research and Quality.

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Human Whey Better Promotes Gut Bacteria Colonization

THURSDAY, Aug. 30 (HealthDay News) -- Infant formulas may not support biofilm growth as effectively as human milk does, according to a study published in the August issue of Current Nutrition & Food Science.

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Only Female Gender Ups Stoke Risk in A-Fib Patients ≥75 Years

THURSDAY, Aug. 30 (HealthDay News) -- For patients with atrial fibrillation (AF), female gender increases the risk of stroke only in patients aged 75 years or older, according to a study presented at the annual European Society of Cardiology Congress, held from Aug. 25 to 29 in Munich.

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Resistance to Second-Line TB Drugs Is Common Globally

THURSDAY, Aug. 30 (HealthDay News) -- Nearly half of patients with tuberculosis in eight countries show resistance to at least one second-line drug, with previous treatment with second-line drugs strongly associated with resistance to these drugs and with extensively drug-resistant (XDR) tuberculosis, according to a study published online Aug. 30 in The Lancet.

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Mites, Associated Bacteria Possibly Play Role in Rosacea

THURSDAY, Aug. 30 (HealthDay News) -- A role has been suggested for Demodex mites and their associated bacteria in rosacea, according to a study published online Aug. 29 in the Journal of Medical Microbiology.

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Nutrient Intake Reduces Sperm DNA Damage in Older Men

THURSDAY, Aug. 30 (HealthDay News) -- Older men who consume higher amounts of certain micronutrients such as vitamin C, vitamin E, and zinc have less DNA damage to their sperm, according to a study published online Aug. 28 in Fertility and Sterility.

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Similar Rate of CV Events With Atenolol, Metoprolol Tartrate

THURSDAY, Aug. 30 (HealthDay News) -- There are no significant differences in the rates of incident myocardial infarction (MI), heart failure, or stroke for patients with hypertension starting treatment with atenolol or metoprolol tartrate, according to a study published online Aug. 27 in the Archives of Internal Medicine.

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Novel Pathogenic Virus Identified in Missouri

THURSDAY, Aug. 30 (HealthDay News) -- A novel pathogenic virus dubbed the Heartland virus, which is a member of the phlebovirus genus, has been identified in two patients from Missouri, according to a report published in the Aug. 30 issue of the New England Journal of Medicine.

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Cognitive Decline Worse for Women vs. Men in Alzheimer's

THURSDAY, Aug. 30 (HealthDay News) -- Women with Alzheimer's disease consistently experience greater cognitive deterioration than men, according to results from a meta-analysis published Aug. 23 in the Journal of Clinical and Experimental Neuropsychology.

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Lung Cancer Risk Unaffected by Metformin Use in Diabetes

THURSDAY, Aug. 30 (HealthDay News) -- Patients with type 2 diabetes who take metformin do not have a reduced risk of lung cancer, in contrast to previous observational studies, according to a study published online Aug. 24 in Diabetes Care.

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Lower Prostate Cancer-Specific Death With Anticoagulant Use

THURSDAY, Aug. 30 (HealthDay News) -- Anticoagulant (AC) therapy, particularly aspirin, is associated with a reduced risk of prostate cancer-specific mortality (PCSM) among men treated with radical prostatectomy (RP) or radiotherapy (RT), according to a study published online Aug. 27 in the Journal of Clinical Oncology.

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Lacunar Stroke Outcomes No Better With Dual Antiplatelets

WEDNESDAY, Aug. 29 (HealthDay News) -- Treating patients with recent lacunar strokes with dual antiplatelet therapy (clopidogrel plus aspirin) is not associated with a reduction in the risk of recurrent stroke, and correlates with significant increases in the risk of major hemorrhage and death, according to research published in the Aug. 30 issue of the New England Journal of Medicine.

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Eating Chocolate May Lower Stroke Risk for Men

WEDNESDAY, Aug. 29 (HealthDay News) -- In men, moderate chocolate consumption on a regular basis may lower the risk of any type of stroke by about 17 to 19 percent, according to research published online Aug. 29 in Neurology.

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High Midlife Fitness Levels Linked to Healthier Old Age

WEDNESDAY, Aug. 29 (HealthDay News) -- High midlife fitness levels are significantly associated with a lower risk of developing chronic conditions later in life, according to a study published online Aug. 27 in the Archives of Internal Medicine.

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Dual Effects Noted for Alcohol and Energy Drink Co-Ingestion

WEDNESDAY, Aug. 29 (HealthDay News) -- Although consuming alcohol mixed with energy drinks (AmED) increases alertness and may negate some intoxication-related sedation effects, it can lead to negative physiological and psychological side effects associated with overstimulation, according to a study published online Aug. 15 in Alcoholism: Clinical & Experimental Research.

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GI Pathogen at Lake Linked to Human Fecal Contamination

WEDNESDAY, Aug. 29 (HealthDay News) -- Water at beaches along Lake Erie contains a pathogen associated with human fecal contamination, Arcobacter species, which are known to cause gastrointestinal illness in humans, and levels correlate with beach advisories, according to a study published in the August issue of Applied and Environmental Microbiology.

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Subclinical Atherosclerosis Noted in Diffuse Scleroderma

WEDNESDAY, Aug. 29 (HealthDay News) -- Patients with diffuse systemic sclerosis (SSc), without any clinical evidence of cardiovascular disease, have indicators of subclinical atherosclerosis, according to a study published online Aug. 16 in Arthritis Care & Research.

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STEMI Mortality Down in France From 1995 to 2010

TUESDAY, Aug. 28 (HealthDay News) -- ST-segment elevation myocardial infarction (STEMI) mortality declined in France from 1995 to 2010 due to greater use of reperfusion therapy and early admission and medications as well as changes in patient characteristics, according to a study published online Aug. 27 in the Journal of the American Medical Association to coincide with presentation at the annual European Society of Cardiology Congress, held from Aug. 25 to 29 in Munich.

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Sleep Apnea Tied to Insulin Resistance in Young, Lean Men

TUESDAY, Aug. 28 (HealthDay News) -- In healthy, lean, young men, the presence of obstructive sleep apnea (OSA) correlates with insulin resistance and compensatory hyperinsulinemia to maintain normal glucose levels, according to a study published online Aug. 21 in Diabetes Care.

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Pharmacist-Led Intervention Benefits Knee Osteoarthritis

TUESDAY, Aug. 28 (HealthDay News) -- Community-based pharmacists can initiate a coordinated care strategy to better identify knee osteoarthritis (OA) and improve function, pain, and quality of life, according to a study published online Aug. 28 in Arthritis Care & Research.

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New Diagnostic Definition of Myocardial Infarction Issued

TUESDAY, Aug. 28 (HealthDay News) -- An updated universal definition of myocardial infarction (MI) includes detection of a rise and/or fall in cardiac biomarker values, preferably cardiac troponin (cTn), according to a statement published online Aug. 26 in Circulation to coincide with presentation at the annual European Society of Cardiology Congress, held from Aug. 25 to 29 in Munich.

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Gabapentin Efficacious for Refractory Chronic Cough

TUESDAY, Aug. 28 (HealthDay News) -- For patients with refractory chronic cough, treatment with gabapentin is associated with improved cough-specific quality of life and is well-tolerated, according to a study published online Aug. 28 in The Lancet.

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LABA Withdrawal Increases Asthma-Related Impairment

TUESDAY, Aug. 28 (HealthDay News) -- For patients with asthma controlled with a combination of an inhaled corticosteroid (ICS) and a long-acting β2-agonist (LABA), withdrawal of the LABA once asthma is controlled correlates with increased asthma-associated impairment, according to a study published online Aug. 27 in the Archives of Internal Medicine.

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Variation Noted in Pattern of Alcohol-Related Birth Defects

TUESDAY, Aug. 28 (HealthDay News) -- Exposure to alcohol early in pregnancy produces a pattern of facial and brain defects that can vary greatly depending on the time of exposure, according to an experimental study published online Aug. 22 in PLoS One.

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New Class of Drugs Shows Promise for Heart Failure

TUESDAY, Aug. 28 (HealthDay News) -- After 12 weeks of treatment, the first-in-class angiotensin receptor neprilysin inhibitor, LCZ696, lowers N-terminal pro-brain natriuretic peptide (NT-proBNP) levels in patients with New York Heart Association (NYHA) class II to III heart failure and preserves left ventricular ejection fraction (LVEF) significantly more than valsartan, according to a study published online Aug. 26 in The Lancet to coincide with presentation at the annual European Society of Cardiology Congress, held from Aug. 25 to 29 in Munich.

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Regular Aspirin Use Doesn't Reduce Breast Cancer Risk

TUESDAY, Aug. 28 (HealthDay News) -- Regular use of aspirin, other nonsteroidal anti-inflammatory drugs (NSAIDs), or acetaminophen does not appear to affect the risk of breast cancer overall or by specific subtypes in postmenopausal women, according to a study published online Aug. 27 in the Journal of Clinical Oncology.

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Teenage Pot Use Linked to Neuropsychological Decline

MONDAY, Aug. 27 (HealthDay News) -- Persistent marijuana use is associated with neuropsychological decline, with those who start regularly using marijuana as teenagers experiencing greater declines in neuropsychological function than those who start later, and function is not fully restored even if they eventually quit, according to a study published online Aug. 27 in the Proceedings of the National Academy of Sciences.

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Myeloperoxidase Marker of Inflammation in Obese Children

MONDAY, Aug. 27 (HealthDay News) -- In obese prepubertal children, myeloperoxidase (MPO) is an early biomarker of inflammation and cardiovascular disease risk, according to a study published online Aug. 21 in Diabetes Care.

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Effect of Maternal Eating Disorder on Perinatal Outcome Minimal

MONDAY, Aug. 27 (HealthDay News) -- Pregnant women with current or past eating disorders have few adverse perinatal outcomes, according to a study published online Aug. 20 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Obesity Up With Transition to Information-Based Society

MONDAY, Aug. 27 (HealthDay News) -- The transition toward an information/knowledge-based society has increased the worldwide prevalence of obesity, according to a report, Waistlines of the World: The Effect of Information and Communications Technology on Obesity, published online Aug. 21 by the Milken Institute.

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Improved Survival for Prostate Cancer Seen in Post-PSA Era

MONDAY, Aug. 27 (HealthDay News) -- Overall survival for metastatic prostate cancer is significantly improved in a post-prostate-specific antigen (PSA) era trial compared with two trials conducted before the PSA era, according to research published online Aug. 23 in The Journal of Urology.

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AAP: Health Benefits of Male Circumcision Outweigh Risks

MONDAY, Aug. 27 (HealthDay News) -- The health benefits of circumcision for newborn males outweigh the risks, according to a policy statement from the American Academy of Pediatrics (AAP) published online Aug. 27 in Pediatrics.

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Poor Survival for Obese Women With HR+ Breast Cancer

MONDAY, Aug. 27 (HealthDay News) -- Women with hormone receptor-positive operable breast cancer have reduced survival if they are obese, according to a study published online Aug. 27 in Cancer.

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Poorer Bone Health Seen in Black Children With Fractures

MONDAY, Aug. 27 (HealthDay News) -- African-American children with forearm fractures are more likely to have vitamin D deficiency and lower bone mineral density than their peers without fractures, according to a study published online Aug. 27 in Pediatrics.

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Prasugrel, Clopidogrel Similar for Acute Coronary Syndromes

MONDAY, Aug. 27 (HealthDay News) -- For patients with unstable angina or myocardial infarction without ST-segment elevation who do not undergo revascularization, intensified platelet inhibition with prasugrel does not reduce the frequency of the primary end point (death from cardiovascular causes, myocardial infarction, or stroke) and has similar risks of bleeding as clopidogrel, according to a study published online Aug. 26 in the New England Journal of Medicine to coincide with presentation at the annual European Society of Cardiology Congress, held from Aug. 25 to 29 in Munich.

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Mild Cognitive Decline in Nearly Half Lacunar Stroke Patients

MONDAY, Aug. 27 (HealthDay News) -- Mild cognitive impairment (MCI) is present in nearly half of patients with lacunar stroke, according to a study published online Aug. 18 in the Annals of Neurology.

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Updated Recommendations for Sleep Apnea in Children

MONDAY, Aug. 27 (HealthDay News) -- The American Academy of Pediatrics (AAP) is revising its recommendations for the diagnosis and management of obstructive sleep apnea syndrome (OSAS) in children and adolescents, according to a clinical practice guideline published online Aug. 27 in Pediatrics.

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In Type 2 DM, Proteinuria With SBP <130 Ups CVD Mortality

FRIDAY, Aug. 24 (HealthDay News) -- Patients with type 2 diabetes, proteinuria, and systolic blood pressure (BP) <130 mm Hg are at an increased risk of total and cardiovascular disease (CVD) mortality, suggesting that proteinuria should be taken into account when establishing target systolic BP levels for prevention of fatal CVD events, according to research published online Aug. 14 in the Journal of Internal Medicine.

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Stress Causes Lower INR in VTE Patients Not on Blood Thinners

FRIDAY, Aug. 24 (HealthDay News) -- The effect of psychological distress on clotting times and clotting factors varies in patients with venous thromboembolism (VTE) and depends on whether or not they are receiving oral anticoagulant (OAC) therapy, according to a Swiss study published in the August issue of the Journal of Thrombosis and Haemostasis.

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Claustrophobia Linked to Depression With Back Pain

FRIDAY, Aug. 24 (HealthDay News) -- Claustrophobia is tied to higher rates of depression and psychological distress, but not disability, in back pain patients, according to a study published in the August issue of the Journal of Spinal Disorders & Techniques.

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Anorexics Overestimate Own Body Size, but Not That of Others

FRIDAY, Aug. 24 (HealthDay News) -- Patients with anorexia nervosa (AN) tend to overestimate the size of their body but not the bodies of others, basing their weight and body dimensions on their pre-AN body dimensions, according to research published online Aug. 22 in PLoS One.

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Multidisciplinary Approach Cuts Symptoms of Fibromyalgia

FRIDAY, Aug. 24 (HealthDay News) -- Multidisciplinary treatment adapted for women with low educational levels is superior to conventional pharmacotherapy in reducing key symptoms of fibromyalgia (FM), including sleep disturbances, catastrophizing, and psychological distress, according to research published online Aug. 16 in Arthritis Care & Research.

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New Model Explains How Lungs Clear Foreign Matter

FRIDAY, Aug. 24 (HealthDay News) -- Mucus in the lungs clears foreign matter by moving along a brush-like periciliary layer rather than a watery layer, which keeps it from sticking to the airway surface, according to a study published in the Aug. 24 issue of Science.

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Smoking in Pregnancy Linked to Preschool Wheeze, Asthma

FRIDAY, Aug. 24 (HealthDay News) -- Children who are exposed to maternal smoking during pregnancy, but not in their first year of life, have an increased likelihood of developing wheeze and asthma at age 4 to 6 years, according to a study published online Aug. 17 in the American Journal of Respiratory and Critical Care Medicine.

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In Diabetes, Gastric Emptying Remains Stable Over Time

FRIDAY, Aug. 24 (HealthDay News) -- Gastric emptying of solids and liquids and gastrointestinal symptoms remain stable over time in patients with long-term type 1 and type 2 diabetes, according to a study published online Aug. 13 in Diabetes Care.

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Procedure Aids Severe, Rigid Scoliosis in Low-Weight Adults

FRIDAY, Aug. 24 (HealthDay News) -- For patients with severe and rigid scoliosis and low body weight, a two-stage vertebral column resection (VCR) procedure with posterior pedicle screw instrumentation can achieve good correction of scoliosis, according to a study published online Aug. 20 in The Spine Journal.

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Muscle-Related Statin Effects Seem to Correlate With Potency

FRIDAY, Aug. 24 (HealthDay News) -- The rates of muscle-related adverse effects (AEs) differ greatly for various statins, with the highest reported rates seen for rosuvastatin, according to research published online Aug. 22 in PLoS One.

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Depression Tied Negatively to Sexual Function in Pregnancy

FRIDAY, Aug. 24 (HealthDay News) -- Depressive symptom scores negatively predict sexual function during pregnancy, according to a study published online Aug. 15 in the Journal of Sexual Medicine.

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OASIS Risk Up for Nulliparous Women With Vacuum Delivery

FRIDAY, Aug. 24 (HealthDay News) -- For women whose infants are delivered by vacuum extraction, the risk of obstetric anal sphincter injury (OASIS) is significantly higher among nulliparous women than multiparous women, according to a study published online Aug. 13 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Outcomes Similar With Partial, Whole Breast Irradiation

FRIDAY, Aug. 24 (HealthDay News) -- Accelerated partial breast irradiation (APBI) yields five-year clinical outcomes and patterns of failure similar to those achieved with whole breast irradiation (WBI), with excellent three-year survival for women who develop an ipsilateral breast tumor recurrence (IBTR), according to a study published in the Sept. 1 issue of Cancer.

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Melanoma Risk Declines With Self-Exams Plus Doctor Visit

FRIDAY, Aug. 24 (HealthDay News) -- Risk of deeper melanomas is reduced with self-examination of the skin one to 11 times a year, according to a study published online Aug. 16 in the British Journal of Dermatology.

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Sequencing Identifies Spread of Deadly Bacterial Outbreak

THURSDAY, Aug. 23 (HealthDay News) -- A drug-resistant bacterial strain that caused a serious outbreak resulting in deaths has been traced back to the original patient, and transmission patterns have been identified based on sequencing the genomes of the bacterial isolates, according to research published in the Aug. 22 issue of Science Translational Medicine.

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Study Casts Doubts on Brain Regions for Self-Awareness

THURSDAY, Aug. 23 (HealthDay News) -- The case of a self-aware man with extensive damage to brain regions thought to be critical for self-awareness suggests that a more diffuse brain network and other brain networks are involved, according to a study published online Aug. 22 in PLoS One.

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Neti Pots Linked to Deaths From Amebic Infection

THURSDAY, Aug. 23 (HealthDay News) -- Two patients who died of an amebic infection had no history of freshwater exposure but had ameba in their household plumbing and used a nasal irrigation device for sinus problems, according to a study published online Aug. 22 in Clinical Infectious Diseases.

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Mortality Rates Down for Adult Trauma Patients in Last Decade

THURSDAY, Aug. 23 (HealthDay News) -- The mortality rate for adult patients admitted to trauma centers in Pennsylvania has declined over the past decade, according to research published in the August issue of the Archives of Surgery.

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Childhood Radiation Exposure of Pancreas Linked to Diabetes

THURSDAY, Aug. 23 (HealthDay News) -- There is a dose-response relationship between childhood radiation exposure of the pancreas and subsequent risk of diabetes, according to a study published online Aug. 23 in The Lancet Oncology.

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Dual Action Antibody Reverses Menopausal Bone Loss

THURSDAY, Aug. 23 (HealthDay News) -- An antibody can reverse bone loss in menopausal mice by both blocking bone breakdown and stimulating bone formation, according to an experimental study published online Aug. 20 in the Proceedings of the National Academy of Sciences.

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Modifiable Risk Factors Key in Social Inequality of Diabetes

THURSDAY, Aug. 23 (HealthDay News) -- Modifiable risk factors, particularly health behaviors and body mass index (BMI), measured repeatedly over time, account for about half of the socioeconomic differential observed in type 2 diabetes, according to a study published online Aug. 21 in BMJ.

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Reporting of Dietary Intake Methods in Obesity Trials Poor

THURSDAY, Aug. 23 (HealthDay News) -- More care needs to be taken in reporting dietary intake methods in childhood and adolescent obesity intervention trials in order to be able to better evaluate and replicate study methods, according to the results of a systematic review published online Aug. 15 in Obesity Reviews.

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Nearly Half of U.S. Physicians Have Symptoms of Burnout

THURSDAY, Aug. 23 (HealthDay News) -- Nearly half of all U.S. physicians report at least one symptom of burnout, with family, internal, and emergency medicine specialists reporting the highest rates of burnout, according to research published online Aug. 20 in the Archives of Internal Medicine.

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New Decision Aid for Treatment of Herniated Disc Beneficial

THURSDAY, Aug. 23 (HealthDay News) -- A new patient decision instrument meets the criteria of acceptability, reliability, and validity, and improves the quality of patient decision-making for treatment of a herniated disc, according to a study published in the Aug. 15 issue of Spine.

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Racial Disparity ID'd in Health Behaviors of Fifth-Graders

THURSDAY, Aug. 23 (HealthDay News) -- Harmful health-related behaviors are more common among black and Latino fifth-graders than among white fifth-graders, according to a study published in the Aug. 23 issue of the New England Journal of Medicine.

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Tattoo Ink Found to Be Source of M. Chelonae Outbreak

WEDNESDAY, Aug. 22 (HealthDay News) -- Premixed tattoo ink has been found to be the source of an outbreak of Mycobacterium chelonae in 19 patients in Rochester, N.Y., according to a study published online Aug. 22 in the New England Journal of Medicine.

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Psychological Consequences Up for Spouses of MI Victims

WEDNESDAY, Aug. 22 (HealthDay News) -- Spouses of individuals who have a sudden heart attack are more likely to experience depression, anxiety, and suicide, even if the individual survives, than spouses of those who experience other illnesses, according to a study published online Aug. 21 in the European Heart Journal.

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Bariatric Surgery Cuts Incidence of Type 2 Diabetes in Obese

WEDNESDAY, Aug. 22 (HealthDay News) -- Bariatric surgery is very effective in reducing the long-term incidence of type 2 diabetes in obese individuals, according to a study published in the Aug. 23 issue of the New England Journal of Medicine.

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Opportunistic Infections Associated With Antibodies to IFN

WEDNESDAY, Aug. 22 (HealthDay News) -- Neutralizing anti-interferon-γ autoantibodies are detected in most Asian adults with multiple opportunistic infections, according to a study published in the Aug. 23 issue of the New England Journal of Medicine.

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De Novo Mutation Rate Higher in Children of Older Fathers

WEDNESDAY, Aug. 22 (HealthDay News) -- Children of older fathers have a higher rate of new mutations, which may affect the risk of diseases such as autism and schizophrenia, according to a study published in the Aug. 23 issue of Nature.

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Infant Exposure to Antibiotics Linked to Later Obesity

WEDNESDAY, Aug. 22 (HealthDay News) -- Infants exposed to antibiotics at younger than 6 months of age are at higher risk of being overweight in childhood, according to a study published online Aug. 21 in the International Journal of Obesity.

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Lower MI Risk With TNF Inhibitor Therapy for Psoriasis

WEDNESDAY, Aug. 22 (HealthDay News) -- Patients with psoriasis who are treated with tumor necrosis factor (TNF) inhibitors have a significantly lower risk and incidence of myocardial infarction (MI) compared with those who are treated with topical agents, according to a study published online Aug. 20 in the Archives of Dermatology.

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Low Back Pain Outcomes Not Improved by Early Imaging

WEDNESDAY, Aug. 22 (HealthDay News) -- For workers with low back pain, early magnetic resonance imaging (MRI) is not associated with better health outcomes at one year, according to a study published in the Aug. 15 issue of Spine.

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Fewer Circumcisions May Increase Infections and Costs

WEDNESDAY, Aug. 22 (HealthDay News) -- The reduced rate of neonatal male circumcision (MC) procedures performed in the United States is estimated to lead to increased infection prevalence and higher medical costs for men and women, according to a study published online Aug. 20 in the Archives of Pediatrics & Adolescent Medicine.

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T Cells Key in Atherosclerosis-Linked Inflammation

WEDNESDAY, Aug. 22 (HealthDay News) -- In a mouse model of atherosclerosis, CD4+ T cells interact with antigen-presenting cells (APCs) in the presence of cognate antigen, leading to cell activation and proliferation and the secretion of proinflammatory cytokines, according to an experimental study published online Aug. 13 in the Journal of Clinical Investigation.

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Low HDL Cholesterol Ups Risk of Diabetic Nephropathy

WEDNESDAY, Aug. 22 (HealthDay News) -- High-density lipoprotein cholesterol (HDL-C) is an independent risk factor for the development of diabetic nephropathy, but not retinopathy, in patients with type 2 diabetes, according to research published online Aug. 13 in Diabetes Care.

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At-Home Diode Laser Effective for Permanent Hair Reduction

WEDNESDAY, Aug. 22 (HealthDay News) -- Eight treatments with a home-use diode laser provide effective and safe permanent hair reduction one year after the last treatment, according to research published in the September issue of Lasers in Surgery and Medicine.

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Mindfulness Stress Reduction Reduces Loneliness in Elderly

WEDNESDAY, Aug. 22 (HealthDay News) -- An eight-week mindfulness-based stress reduction (MBSR) program reduces loneliness compared with a wait-list control, and also reduces pro-inflammatory gene expression in older adults, according to a study published online July 20 in Brain, Behavior, and Immunity.

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Meta-Analysis Links Statins to Reduced Pancreatitis Risk

TUESDAY, Aug. 21 (HealthDay News) -- For patients with normal or mildly elevated triglyceride levels, statin therapy correlates with a reduction in the risk of pancreatitis, according to a meta-analysis published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Drug-Eluting Stents Lead to Fewer Adverse Cardiac Events

TUESDAY, Aug. 21 (HealthDay News) -- Among ST-segment elevation myocardial infarction (STEMI) patients, the use of biolimus-eluting stents with biodegradable polymer results in a lower rate of major adverse cardiac events, compared with patients with bare-metal stents, at one year following primary percutaneous coronary intervention (PCI), according to a study published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Novel Risk Markers Improve Prediction of Heart Disease

TUESDAY, Aug. 21 (HealthDay News) -- The addition of certain novel risk markers can improve risk prediction for incident coronary heart disease (CHD) or cardiovascular disease (CVD) above that of the Framingham Risk Score (FRS) in intermediate-risk individuals; while the addition of the carotid intima-media thickness (CIMT) offers limited improvement in risk prediction for first-time myocardial infarction or stroke, above that of the FRS, according to two studies published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Evidence-Based Public Health Interventions Identified

TUESDAY, Aug. 21 (HealthDay News) -- Evidence-based public health interventions to improve dietary habits, increase physical activity, and reduce tobacco use are identified in an American Heart Association scientific statement published online Aug. 20 in Circulation.

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BMI, Post-Exercise Knee Laxity Change Tied to OA Progression

TUESDAY, Aug. 21 (HealthDay News) -- In patients with osteoarthritis (OA) of the knee, changes in knee joint laxity during stair climbing or other repetitive physical activity and baseline body mass index (BMI) are associated with disease progression, according to a study published online Aug. 8 in Arthritis & Rheumatism.

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Prior Substance Abuse Linked to Opioid Abuse in Young Men

TUESDAY, Aug. 21 (HealthDay News) -- Any prior substance abuse is associated with current abuse of prescription opioids among 18- to 25-year-old men, but only previous marijuana use correlates with subsequent prescription opioid abuse in young women, according to a study published online Aug. 21 in the Journal of Adolescent Health.

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Study Identifies Sleep Apnea in 50 Percent of Women

TUESDAY, Aug. 21 (HealthDay News) -- Half of adult women aged 20 to 70 years may have obstructive sleep apnea, which correlates with age, obesity, and hypertension, according to a study published online Aug. 16 in the European Respiratory Journal.

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Family Hx of Early Death Ups Risk of Early Cardiac Disease

TUESDAY, Aug. 21 (HealthDay News) -- The risk of early cardiovascular disease in patients younger than 50 years of age is significantly and consistently increased for those with a family history of premature cardiovascular death, according to a study published in the Aug. 28 issue of the Journal of the American College of Cardiology.

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