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Category: Family Medicine | Monthly Briefing

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September 2012 Briefing - Family Practice

Last Updated: October 01, 2012.

 

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

Standards for Diabetes Education, Support Updated

FRIDAY, Sept. 28 (HealthDay News) -- A task force from the American Association of Diabetes Educators and the American Diabetes Association has updated the national standards for diabetes self-management education and support, according to a report published online Sept. 20 in Diabetes Care.

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History of Sexual Abuse Slows Response to Bariatric Surgery

FRIDAY, Sept. 28 (HealthDay News) -- Although studies suggest that individuals with a history of sexual abuse may experience less weight loss soon after bariatric surgery, most individuals still benefit from the surgical procedure, with increased weight loss seen over time, according to research published in the October issue of Obesity Reviews.

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Pain Intensity in Juvenile Arthritis Varies Widely

FRIDAY, Sept. 28 (HealthDay News) -- In youth with juvenile idiopathic arthritis (JIA), pain intensity varies within days, impacting patient quality of life, according to a study published online Sept. 12 in Arthritis Care & Research.

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SNPs Linked to Erectile Dysfunction After Radiotherapy

FRIDAY, Sept. 28 (HealthDay News) -- Twelve single nucleotide polymorphisms (SNPs) are associated with development of erectile dysfunction (ED) following radiotherapy for prostate cancer, according to a study published online Sept. 28 in the International Journal of Radiation Oncology*Biology*Physics.

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Review Finds Little Impact of Exercise Interventions on Kids

FRIDAY, Sept. 28 (HealthDay News) -- Interventions to increase physical activity in children and adolescents have little impact, according to research published online Sept. 27 in BMJ.

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Benzodiazepine Use Linked to Increased Risk of Dementia

FRIDAY, Sept. 28 (HealthDay News) -- New use of benzodiazepines correlates with an increase in the risk of dementia, according to a study published online Sept. 27 in BMJ.

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Single Progesterone Test Can Rule Out Viable Pregnancy

FRIDAY, Sept. 28 (HealthDay News) -- For women in early pregnancy with symptoms and an inconclusive ultrasound assessment, a single progesterone measurement can rule out a viable pregnancy, according to a study published online Sept. 27 in BMJ.

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Many Support Financial Incentives for Organ Donation

FRIDAY, Sept. 28 (HealthDay News) -- At least 40 percent of Canadians consider it acceptable to offer financial incentives to encourage kidney donation, according to a study published online Sept. 27 in the Clinical Journal of the American Society of Nephrology.

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Simple Form Identifies Ovarian Cancer Warning Signs

FRIDAY, Sept. 28 (HealthDay News) -- A simple, quick, easy-to-use paper form can help identify symptoms potentially indicative of ovarian cancer in women treated in the primary care clinic setting, according to research published in the September issue of the Open Journal of Obstetrics and Gynecology.

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Pediatric Kidney Disease Tied to Abnormal Carotid Arteries

THURSDAY, Sept. 27 (HealthDay News) -- Ultrasound measurements of carotid intima-media thickness (cIMT) are significantly elevated among children with chronic kidney disease (CKD) compared with healthy controls, according to a study published online Sept. 13 in the Clinical Journal of the American Society of Nephrology.

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Study Supports Diet High in Total Antioxidants for Lower MI Risk

THURSDAY, Sept. 27 (HealthDay News) -- A diet high in total antioxidant capacity, based on fruits, vegetables, coffee, and whole grains, is associated with a lower risk of myocardial infarction, according to a study published in the October issue of The American Journal of Medicine.

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Much of Intellectual Disability Not Genetically Inherited

THURSDAY, Sept. 27 (HealthDay News) -- A considerable proportion of severe intellectual disability results from de-novo genetic variants, suggesting that only a small proportion of cases are likely to be inherited in an autosomal recessive fashion, according to a study published online Sept. 27 in The Lancet.

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Topical NSAIDs Effective for Chronic Musculoskeletal Pain

THURSDAY, Sept. 27 (HealthDay News) -- Topical nonsteroidal anti-inflammatory drugs (NSAIDs) can provide effective pain relief for chronic musculoskeletal pain in adults, according to a review published online Sept. 12 in The Cochrane Library.

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Infant Regulatory Problems Predict Somatic Symptoms

THURSDAY, Sept. 27 (HealthDay News) -- Functional somatic symptoms (FSS) in childhood may be predicted by feeding, sleeping, or tactile reactivity problems in the first 10 months of life, according to a study published online Sept. 27 in The Journal of Pediatrics.

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Negative Response to Uncertain Prenatal Microarray Results

THURSDAY, Sept. 27 (HealthDay News) -- Women do not necessarily consider the potential significance and ambiguity of the information they could receive from prenatal microarray testing, according to a study published online Sept. 6 in Genetics in Medicine.

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Insulin Sensitivity Lower in Adults Born Preterm

THURSDAY, Sept. 27 (HealthDay News) -- Middle-aged adults who were born preterm, even moderately preterm (32 to 36 weeks' gestation), are less insulin sensitive compared with adults who were born at term, according to research published in the October issue of Diabetes.

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Complementary Medicine Superior to Usual PTSD Therapy

THURSDAY, Sept. 27 (HealthDay News) -- A complementary medicine intervention of healing touch with guided imagery (HT+GI) reduces post-traumatic stress disorder (PTSD) and related symptoms in returning combat-exposed active duty military personnel, according to a study published in the September issue of Military Medicine.

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Choice of Psoriasis Treatment Affects CVD Event Rates

THURSDAY, Sept. 27 (HealthDay News) -- Compared with other anti-psoriatic therapies, systemic anti-inflammatory treatment of patients with severe psoriasis with biologic agents or methotrexate is associated with a lower combined risk of death, myocardial infarction, and stroke, according to research published online Sept. 11 in the Journal of Internal Medicine.

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Being Deemed 'Unfit to Drive' Cuts Subsequent Road Crashes

WEDNESDAY, Sept. 26 (HealthDay News) -- Medical warnings to patients who are potentially unfit to drive correlate with a reduction in the number of road crashes in which the patient is a driver, according to a study published in the Sept. 27 issue of the New England Journal of Medicine.

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Trio of Studies Look at Impact of Sugary Drinks on Weight

FRIDAY, Sept. 21 (HealthDay News) -- For adults, children, and teens, drinking sugar-sweetened beverages correlates with increases in body mass index (BMI) and obesity, according to three studies published online Sept. 21 in the New England Journal of Medicine to coincide with presentation at the annual meeting of The Obesity Society, held from Sept. 20 to 24 in San Antonio, Texas.

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Effect of BMI Category on CVD Risk Quantified in Children

WEDNESDAY, Sept. 26 (HealthDay News) -- For school-aged children, cardiovascular disease risk parameters are worse for those who are overweight, and substantially worse for those who are obese, compared with their normal-weight peers, according to a review published online Sept. 25 in BMJ.

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Physicians' Gut Feelings Should Not Be Dismissed

WEDNESDAY, Sept. 26 (HealthDay News) -- Having a gut feeling about the seriousness of an illness, despite clinical assessment of non-severe illness, is associated with an increased risk of serious illness, according to a study published online Sept. 25 in BMJ.

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Drugs Similar in Efficacy for Neuropathic Pain in Diabetes

WEDNESDAY, Sept. 26 (HealthDay News) -- In the treatment of patients with chronic diabetic peripheral neuropathic pain (DPNP), there are no significant differences in pain-relief efficacy between amitriptyline, duloxetine, and pregabalin; however, pregabalin improves sleep continuity and duloxetine improves daytime functioning, according to research published online Sept. 18 in Diabetes Care.

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Efficacy of Black Cohosh for Menopausal Symptoms Unclear

WEDNESDAY, Sept. 26 (HealthDay News) -- There is insufficient evidence to support the use of black cohosh for menopausal symptoms, according to the results of a systematic literature review published online Sept. 12 in The Cochrane Library.

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Antibiotic Use Varies by Season, Geographic Region for Elderly

WEDNESDAY, Sept. 26 (HealthDay News) -- Antibiotic usage among older adults varies widely by geographical region and season, according to a study published online Sept. 24 in the Archives of Internal Medicine.

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Energy Expenditure Up With Active Video Gaming

WEDNESDAY, Sept. 26 (HealthDay News) -- Compared with traditional sedentary video game playing, active video game playing (e.g., using the Xbox 360) significantly increases heart rate, oxygen uptake, and energy expenditure, according to research published online Sept. 24 in the Archives of Pediatrics & Adolescent Medicine.

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Risk of Post-Cesarean Infection Up for Overweight, Obese

WEDNESDAY, Sept. 26 (HealthDay News) -- About 10 percent of U.K. women who undergo cesarean section develop a surgical site infection, with the odds significantly increased for overweight or obese women, according to a study published in the October issue of BJOG: An International Journal of Obstetrics and Gynaecology.

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Early Menopause Ups Coronary Heart Disease and Stroke Risk

WEDNESDAY, Sept. 26 (HealthDay News) -- Women who experience menopause before the age of 46 have an increased risk of coronary heart disease and stroke, according to a study published in the October issue of Menopause.

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Medicare Knee Replacement Numbers Up Over Last 20 Years

TUESDAY, Sept. 25 (HealthDay News) -- From 1991 to 2010 there was a 161.5 percent annual volume increase in primary total knee arthroplasty (TKA) among Medicare enrollees as well as an increase in per capita utilization, according to research published in the Sept. 26 issue of the Journal of the American Medical Association.

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Marijuana-Like Chemical Corrects Behavior in Fragile X

TUESDAY, Sept. 25 (HealthDay News) -- The protein lost in fragile X syndrome, the most common genetic cause of autism, is part of a complex that, when targeted by a drug that boosts a natural marijuana-like chemical in the brain, corrects some of the behavioral abnormalities in mice, according to a study published online Sept. 25 in Nature Communications.

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Guidelines Issued for Improving Outcomes for ICD Recipients

TUESDAY, Sept. 25 (HealthDay News) -- Patient and family education and psychological support are key components for improving outcomes for implantable cardioverter defibrillator (ICD) recipients, according to a scientific statement issued by the American Heart Association and published online Sept. 24 in Circulation.

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Sporadic Jakob-Creutzfeldt Disease Often Misdiagnosed

TUESDAY, Sept. 25 (HealthDay News) -- Patients with sporadic Jakob-Creutzfeldt disease (sCJD) are often misdiagnosed, with only 18 percent correctly diagnosed at their first assessment, according to a study published online Sept. 24 in the Archives of Neurology.

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Stress-Weight Link in Black and White Teen Girls Studied

TUESDAY, Sept. 25 (HealthDay News) -- Increased stress is tied to weight gain in teenage girls, particularly black girls, according to a study published online Sept. 20 in the Annals of Behavioral Medicine.

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Bacteriophages of P. acnes Have Limited Genetic Diversity

TUESDAY, Sept. 25 (HealthDay News) -- Bacteriophages that infect the dominant bacteria inhabitant of the human sebaceous follicle, Propionibacterium acnes (P. acnes), which contributes to the pathogenesis of acne, have limited genetic diversity and display a broad host range, according to a study published online Sept. 25 in mBio.

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Obstructive Sleep Apnea Linked to Perinatal Complications

TUESDAY, Sept. 25 (HealthDay News) -- Obstructive sleep apnea (OSA) is associated with perinatal complications in obese pregnant women, according to a study published online Sept. 21 in Obstetrics & Gynecology.

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Study Examines Prevalence of Local Allergic Rhinitis

TUESDAY, Sept. 25 (HealthDay News) -- Local allergic rhinitis (LAR) is prevalent among patients with rhinitis, affecting about one in four, and is often associated with childhood onset and persistent, severe conjunctivitis and/or asthma, according to a study published in the October issue of Allergy.

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Interrelated Anxiety, GI, and Sensory Issues Common in ASD

TUESDAY, Sept. 25 (HealthDay News) -- For children with autism spectrum disorder (ASD), a possibly interrelated phenomenon of co-existing anxiety, sensory over-responsivity, and gastrointestinal (GI) problems is common, according to a study published online Aug. 1 in the Journal of Abnormal Child Psychology.

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Being Born Preterm Linked to Later Pregnancy Complications

MONDAY, Sept. 24 (HealthDay News) -- Women born preterm are at significantly increased risk of experiencing pregnancy complications of their own, according to a study published online Sept. 24 in CMAJ, the journal of the Canadian Medical Association.

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Leadership Inversely Associated With Stress Levels

MONDAY, Sept. 24 (HealthDay News) -- Leaders have lower levels of cortisol and lower reports of anxiety, with a dose-response association seen for levels of leadership, which seems to be mediated by a sense of control, according to a study published online Sept. 24 in the Proceedings of the National Academy of Sciences.

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Surveillance for Low-Risk Prostate Cancer Examined

MONDAY, Sept. 24 (HealthDay News) -- For men with low-risk prostate cancer, projections show that active surveillance may result in a modest decline in prostate cancer-specific survival, but allows men to remain treatment-free for several more years compared with immediate radical prostatectomy, according to a study published online Sept. 24 in Clinical Cancer Research.

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Pediatricians Should Provide Support for Adoptive Families

MONDAY, Sept. 24 (HealthDay News) -- As more children are adopted each year, pediatricians must be knowledgeable about adoption issues and model positive language for adoptive families, according to a clinical report published online Sept. 24 in Pediatrics.

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Effect of Behavioral Intervention on Alcohol Misuse Evaluated

MONDAY, Sept. 24 (HealthDay News) -- Behavioral counseling interventions may be beneficial for adults with risky drinking behaviors, according to a review and meta-analysis published online Sept. 25 in the Annals of Internal Medicine.

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Genetic Variants Identified for Risk of Male Breast Cancer

MONDAY, Sept. 24 (HealthDay News) -- Two single nucleotide polymorphisms (SNPs) associated with an increased risk of male breast cancer have been identified, according to a study published online Sept. 23 in Nature Genetics.

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Taste Perceptions Differ for Obese, Non-Obese Children

MONDAY, Sept. 24 (HealthDay News) -- Obese children are less able than their normal-weight peers to identify taste qualities, according to a study published online Sept. 20 in the Archives of Disease in Childhood.

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Deaths Due to Poisoning, Suicide, Falls Up in Last Decade

MONDAY, Sept. 24 (HealthDay News) -- Deaths due to suicide, falls, and unintentional poisoning increased over the last decade, while motor vehicle accident deaths declined by 25 percent, according to research published online Sept. 20 in the American Journal of Public Health.

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AAP Strongly Discourages Home Trampolines

MONDAY, Sept. 24 (HealthDay News) -- Home trampoline use is strongly discouraged by the American Academy of Pediatrics (AAP), according to a policy statement published online Sept. 24 in Pediatrics.

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Childhood Antibiotic Exposure Linked to Development of IBD

MONDAY, Sept. 24 (HealthDay News) -- Early exposure to antianaerobic antibiotics in childhood is associated with an increased risk of developing inflammatory bowel disease (IBD), according to research published online Sept. 24 in Pediatrics.

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Limited Evidence on Medication Use for Youth With Autism

MONDAY, Sept. 24 (HealthDay News) -- There is a lack of evidence supporting the use of medications in adolescents and young adults with autism spectrum disorders (ASDs), according to a review published online Sept. 24 in Pediatrics.

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Safe for Intravenous Catheters to Be Replaced As Needed

FRIDAY, Sept. 21 (HealthDay News) -- Replacement of peripheral intravenous catheters as clinically indicated is as safe as routine replacement, according to a study published in the Sept. 22 issue of The Lancet, a theme issue on surgery.

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Central Centrifugal Cicatricial Alopecia Pathogenesis Studied

FRIDAY, Sept. 21 (HealthDay News) -- Protease-activated receptor 2 (PAR-2), which is activated by cowhage, may play a role in central centrifugal cicatricial alopecia (CCCA), the most common cause of scarring hair loss in African-American women, according to research published online Sept. 17 in the British Journal of Dermatology.

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Fewer Older People on the Street May Lead Youth to Riskier Lives

FRIDAY, Sept. 21 (HealthDay News) -- There is a difference in the age profile of people observed on the streets in affluent and deprived neighborhoods, which is not always reflective of the actual age profile of the community and may influence life-history strategies, according to a study published in the September issue of Human Nature.

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Skin Cancer Incidence Up After Pancreas Transplantation

FRIDAY, Sept. 21 (HealthDay News) -- Nonmelanoma skin cancers (NMSCs) commonly occur after pancreas transplantation (PT), particularly in those who have a history of skin cancer, according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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Urge to Overeat Linked to Production of Natural Narcotic

FRIDAY, Sept. 21 (HealthDay News) -- When presented with tasty foods, the brain produces the opioid peptide enkephalin that stimulates an unexpected reward center in the brain and leads to overeating, according to a study published online Sept. 20 in Current Biology.

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Increased Prevalence of Obesity in Rural Areas

FRIDAY, Sept. 21 (HealthDay News) -- Rates of obesity are significantly higher among rural adults compared with urban residents, according to a study published in The Journal of Rural Health.

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Perceived Stress Linked to Asthma, Atopic Disorders

FRIDAY, Sept. 21 (HealthDay News) -- Perceived stress correlates with an increased risk of adult-onset asthma, allergic rhinitis, and atopic dermatitis as well as asthma medication use, according to a study published online Sept. 3 in Allergy.

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Health Benefits Seen for Moving to Less Poor Neighborhood

THURSDAY, Sept. 20 (HealthDay News) -- Moving from a high-poverty to a lower-poverty neighborhood correlates with long-term improvements in physical and mental health and subjective well-being, according to a study published in the Sept. 21 issue of Science.

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Channel Blockers Reduce Causes of Asthma Symptoms

THURSDAY, Sept. 20 (HealthDay News) -- Epithelial expression of the calcium-activated chloride channel (CaCC) TMEM16A is increased in patients with asthma, and its inhibition negatively regulates epithelial mucin secretion and airway smooth muscle contraction, according to a study published online Sept. 17 in the Proceedings of the National Academy of Sciences.

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Stress-Reducing Effect of Acute Exercise Persists

THURSDAY, Sept. 20 (HealthDay News) -- The anxiety-lowering effect of exercise seems to persist even after exposure to emotional stimuli, according to a study published online Aug. 14 in Medicine & Science in Sports & Exercise.

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Drug Improves Social Function in Fragile X Syndrome

THURSDAY, Sept. 20 (HealthDay News) -- A γ-aminobutyric acid type B (GABAB) agonist, STX209 (Arbaclofen), can significantly improve social function in patients with fragile X syndrome, according to a study published in the Sept. 19 issue of Science Translational Medicine.

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Thin Placenta at Birth Ups Risk of Sudden Cardiac Death Later

THURSDAY, Sept. 20 (HealthDay News) -- Sudden cardiac death in adults is associated with placental size at birth, with a significantly increased risk of death for decreased placental thickness, according to a study published online Sept. 19 in the International Journal of Epidemiology.

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Sequential Oral, Topical Tacrolimus Benefits Dermatitis

THURSDAY, Sept. 20 (HealthDay News) -- Sequential therapy with oral tacrolimus and topical tacrolimus may be an effective treatment for severe atopic dermatitis (AD), according to a pilot study published in the October issue of the Journal of the American Academy of Dermatology.

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Parent-Reported Child Food Allergies Often Unsubstantiated

THURSDAY, Sept. 20 (HealthDay News) -- Nearly one-third of parent-reported food allergies are not formally diagnosed by a physician, according to a study published online Sept. 3 in the Journal of Allergy and Clinical Immunology.

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Duration of Antiplatelet Drugs for Drug-Eluting Stents Studied

THURSDAY, Sept. 20 (HealthDay News) -- In patients receiving drug-eluting stents, dual antiplatelet therapy can be safely discontinued during the first year, according to two studies published online Sept. 19 in the Journal of the American College of Cardiology.

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Linaclotide Relieves Symptoms of IBS With Constipation

THURSDAY, Sept. 20 (HealthDay News) -- Over 26 weeks of treatment, the peptide guanylate cyclase-C agonist linaclotide significantly improves abdominal pain and bowel symptoms in patients with irritable bowel syndrome with constipation (IBS-C), according to research published online Sept. 18 in the American Journal of Gastroenterology.

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AHA: Sesame, Rice Oil Blend Lowers Blood Pressure

THURSDAY, Sept. 20 (HealthDay News) -- Daily use of a blend of sesame and rice bran oils can significantly lower blood pressure and lipids in patients with hypertension, according to a study presented at the American Heart Association's High Blood Pressure Research Scientific Sessions, held from Sept. 19 to 22 in Washington, D.C.

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African-Americans Less Adherent to DASH Diet for Lowering BP

THURSDAY, Sept. 20 (HealthDay News) -- Greater adherence to the Dietary Approaches to Stop Hypertension (DASH) diet is associated with larger reductions in blood pressure (BP), independent of weight loss; however, African-Americans are less likely to adhere to the DASH diet, according to a study published online Sept. 19 in the Journal of the Academy of Nutrition and Dietetics.

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Emotional Neglect in Childhood Ups Stroke Risk in Adults

THURSDAY, Sept. 20 (HealthDay News) -- Emotional neglect as a child may be tied to a higher risk of stroke as an adult, according to a study published online Sept. 19 in Neurology.

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Prognostic Factors ID'd for Q-Switched Laser Tattoo Removal

WEDNESDAY, Sept. 19 (HealthDay News) -- Several prognostic factors impact effective tattoo removal by Q-switched laser, while a new picosecond 755-nm alexandrite laser is safe and effective for removing tattoo pigment, according to two studies published online Sept. 17 in the Archives of Dermatology.

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Higher Dietary Fructose Tied to Lower Liver Energy Stores

WEDNESDAY, Sept. 19 (HealthDay News) -- Increased dietary fructose consumption may impair hepatocellular energy homeostasis, as seen with reduced levels of liver adenosine triphosphate (ATP), with lower levels seen in those with high uric acid (UA) levels, according to a study published in the September issue of Hepatology.

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Nonmedical School Vaccination Exemptions Increasing

WEDNESDAY, Sept. 19 (HealthDay News) -- Nonmedical exemptions for school vaccination requirements have increased since 2005, particularly in states with easy exemption policies, according to a letter to the editor published in the Sept. 20 issue of the New England Journal of Medicine.

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Alcohol-Related Esophageal Cancer Risk Is Reversible

WEDNESDAY, Sept. 19 (HealthDay News) -- The alcohol-related effects on esophageal cancer risk are reversible with cessation of alcohol consumption, according to research published in the July issue of Addiction.

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Nearly Half of European Mortality Due to Cancer, Chronic Disease

WEDNESDAY, Sept. 19 (HealthDay News) -- Deaths from cancer and chronic diseases accounted for approximately 42 percent of deaths in 2007 across the European Union (EU), according to a study published online Aug. 28 in BMJ Supportive & Palliative Care.

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A 5 Percent Reduction in BMI Could Alter U.S. Obesity Course

WEDNESDAY, Sept. 19 (HealthDay News) -- Obesity trends for 2030 could see considerable improvement if there was a 5 percent reduction in average body mass index for all adults by state, according to a report published online Sept. 18 by the Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF).

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New Guidelines Issued for Pediatric Fever and Neutropenia

WEDNESDAY, Sept. 19 (HealthDay News) -- New evidence-based guidelines have been compiled on the management of fever and and neutropenia (FN) in children with cancer and/or who are undergoing hematopoietic stem-cell transplantation; the guidelines were published online Sept. 17 in the Journal of Clinical Oncology.

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More Cardio-Related Life Years Lost at Extreme Temperatures

WEDNESDAY, Sept. 19 (HealthDay News) -- Cold spells and heat waves increase the number of life years lost from cardiovascular disease, with more of an increase seen during heat waves, according to research published in the September issue of Circulation: Cardiovascular Quality and Outcomes.

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Quitting Smoking Is Tough for Teens, Too

TUESDAY, Sept. 18 (HealthDay News) -- Teenagers mostly experience the same negative effects of smoking abstinence and withdrawal as adults, according to a study published online Sept. 4 in Nicotine & Tobacco Research.

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Adipose Tissue Distribution Aids Diabetes Risk Determination

TUESDAY, Sept. 18 (HealthDay News) -- Obese adults with dysfunctional adiposity (excess visceral body fat distribution and insulin resistance) are more likely to develop type 2 diabetes than obese adults with general adiposity, according to a study published in the Sept. 19 issue of the Journal of the American Medical Association, a theme issue on obesity.

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Bisphenol A Linked to Obesity in Children and Teens

TUESDAY, Sept. 18 (HealthDay News) -- Children and adolescents in the United States with elevated levels of urinary bisphenol A (BPA), a ubiquitous breakdown product of coatings used in food and beverage containers, are about twice as likely to be obese, according to a study published in the Sept. 19 issue of the Journal of the American Medical Association, a theme issue on obesity.

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Premature Death Rate Higher in People Who Self-Harm

TUESDAY, Sept. 18 (HealthDay News) -- People who self-harm have over three-fold higher rates of premature death, from both natural and external causes, according to a study published online Sept. 18 in The Lancet.

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VTE Risk Varies by Hormone Therapy Formulation

TUESDAY, Sept. 18 (HealthDay News) -- The risk of venous thromboembolism (VTE) in postmenopausal women differs considerably according to the formulation of hormone therapy (HT) used, with the highest VTE risk seen in users of oral estrogen-progestin HT containing medroxyprogesterone acetate, according to research published online Sept. 10 in the Journal of Thrombosis and Haemostasis.

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L-Carnitine Does Not Reduce Cancer-Related Fatigue

TUESDAY, Sept. 18 (HealthDay News) -- Patients with invasive malignancies who take L-carnitine supplements do not experience a reduction in fatigue, pain, or depression, according to research published online Sept. 17 in the Journal of Clinical Oncology.

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Resuming Warfarin After GI Bleed Cuts Mortality

TUESDAY, Sept. 18 (HealthDay News) -- In the 90 days following a gastrointestinal tract bleeding (GIB) event, patients who do not resume warfarin therapy experience an increased rate of thrombosis and death, according to research published online Sept. 17 in the Archives of Internal Medicine.

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Hip Circumference Inversely Tied to Diabetes Risk

TUESDAY, Sept. 18 (HealthDay News) -- There is an inverse relationship between hip circumference and risk of type 2 diabetes mellitus (T2DM), according to a meta-analysis published online Sept. 3 in Obesity Reviews.

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Gout Is Primary Indication in About 0.2 Percent of ER Visits

TUESDAY, Sept. 18 (HealthDay News) -- Gout is the primary indication in about 0.2 percent of emergency department visits annually, according to a study published online Sept. 4 in Arthritis Care & Research.

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Progestogens Not Effective in Multiple Gestations

TUESDAY, Sept. 18 (HealthDay News) -- Progestogen treatment may be beneficial for pregnant women who have previously given birth to preterm babies, but does not seem to be effective for multiple gestations, according to research published online Sept. 5 in Obstetrics & Gynecology.

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Community-Based Intervention Feasible for Obese Children

MONDAY, Sept. 17 (HealthDay News) -- A community-based scalable weight-management program correlates with significant reductions in overweight status in children, according to a study published online Sept. 17 in Pediatrics.

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Cancer Incidence and Mortality Declining for Hispanics

MONDAY, Sept. 17 (HealthDay News) -- Cancer incidence and death rates seem to be declining for Hispanics, but screening use is lower than for non-Hispanic whites, according to two studies published online Sept. 17 in CA: A Cancer Journal for Clinicians.

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Maternal Vitamin D Linked to Infant Development

MONDAY, Sept. 17 (HealthDay News) -- During pregnancy, higher maternal circulating concentrations of 25-hydroxyvitamin D3 (25[OH]D3) correlates with improved mental and psychomotor development in infants, according to a study published online Sept. 17 in Pediatrics.

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No Increased Cancer Risk With Herpes Zoster Infection

MONDAY, Sept. 17 (HealthDay News) -- There is no increased risk of cancer among patients with newly diagnosed herpes zoster infection, according to a study published online Sept. 17 in CMAJ, the journal of the Canadian Medical Association.

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Ethnic Variation Seen in Level of Pancreatic Triglycerides

MONDAY, Sept. 17 (HealthDay News) -- There is considerable ethnic variation in the levels of pancreatic triglycerides (TGs) and in β-cell dysfunction, according to research published online Sept. 11 in Diabetes Care.

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Nicotine Replacement Doesn't Increase Cardio Risk After ACS

MONDAY, Sept. 17 (HealthDay News) -- Use of nicotine replacement therapy (NRT) does not increase the risk of adverse cardiovascular events in the first year following acute coronary syndromes (ACS), according to research published in the Oct. 1 issue of The American Journal of Cardiology.

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Study Looks at Pain Processing Abnormalities in Knee OA

MONDAY, Sept. 17 (HealthDay News) -- For patients with knee osteoarthritis (K-OA), the lack of correlation between clinical pain and radiographic evidence of disease severity may be due to central sensitization, according to a study published online Sept. 7 in Arthritis & Rheumatism.

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Health Ambiguity Linked to Depression in Stroke Survivors

MONDAY, Sept. 17 (HealthDay News) -- Health ambiguity, or uncertainty about the outcome of illness, is significantly associated with depression in survivors of first stroke, and this association is stronger for men than women, according to research published online Sept. 14 in the Archives of Physical Medicine and Rehabilitation.

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White Matter Structural Changes ID'd in Children With T1DM

MONDAY, Sept. 17 (HealthDay News) -- Children with type 1 diabetes have significant structural differences in the white matter of their brain compared to healthy children, which correlates with hemoglobin A1c (HbA1c) values, according to a study published online Sept. 10 in Diabetes Care.

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Review: Inhaled Analgesia Provides Pain Relief in Labor

MONDAY, Sept. 17 (HealthDay News) -- For women in labor, inhaled analgesia provides pain relief but is associated with considerable side effects, according to a study published online Sept. 12 in The Cochrane Library.

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Mechanism of Smoking-Induced Insulin Resistance Elucidated

MONDAY, Sept. 17 (HealthDay News) -- Smoking-induced insulin resistance, which improves with smoking cessation, may be due to activation of mammalian target of rapamycin (mTOR), according to a study published online Sept. 10 in Diabetes.

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Sexting Linked to Riskier Sexual Behavior in Teens

MONDAY, Sept. 17 (HealthDay News) -- Sending or receiving sexually explicit materials via cellphone, "sexting," is associated with higher reported rates of sexual activity in adolescents, according to a study published online Sept. 17 in Pediatrics.

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