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Category: Family Medicine | Monthly Briefing

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April 2009 Briefing - Family Practice

Last Updated: May 01, 2009.

 

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for April 2009. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Cancer Society Issues Health Disparities Policy Statement

THURSDAY, April 30 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) is launching an all-out campaign to eliminate cancer health disparities among Hispanics, blacks, Native Americans, and other minorities, who together will account for more than half of the United States' population by the year 2050, according to a policy statement released during a media telebriefing and published online ahead of print April 29 in the Journal of Clinical Oncology.

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New Web-based Information Source to Support UK Clinicians

THURSDAY, April 30 (HealthDay News) -- The United Kingdom's National Institute for Health and Clinical Excellence (NICE) has announced the launch of NHS Evidence, a Web-based evidence resource for clinicians, public health professionals of the National Health Service, and others involved in making patient care decisions. The announcement came in the April 30 issue of The Lancet.

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Aging, Changing Nation Will Affect New Cancer Diagnoses

THURSDAY, April 30 (HealthDay News) -- Demographic changes in which older adults and minorities account for an increasing share of the population are expected to result in a soaring number of cancer cases in the next 20 years, according to a study released during a media telebriefing and published online ahead of print April 29 in the Journal of Clinical Oncology.

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Thromboembolism Linked to Cytotoxic Cancer Treatment

THURSDAY, April 30 (HealthDay News) -- Cisplatin may be more thrombogenic than oxaliplatin in patients with advanced gastroesophageal cancer, and thromboembolism may shorten patients' survival, according to research published online April 27 in the Journal of Clinical Oncology.

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Smoking, Hypertension Judged the Leading US Death Risks

THURSDAY, April 30 (HealthDay News) -- Smoking and high blood pressure are the leading risk factors contributing to death in the United States, according to a study reported April 28 in PLOS Medicine.

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Abciximab, Small Molecules Linked to Similar Outcomes

THURSDAY, April 30 (HealthDay News) -- Abciximab was associated with similar outcomes compared to the small molecules eptifibatide and tirofiban in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty, according to research published in the May 5 issue of the Journal of the American College of Cardiology.

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Estrogen Status Affects Breast Cancer Resistance Mechanisms

THURSDAY, April 30 (HealthDay News) -- Breast cancer cells develop different mechanisms of resistance to compounds such as tamoxifen depending on whether the cells are grown under premenopausal or postmenopausal conditions, researchers report in the May issue of Endocrinology.

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NEJM Commends New Conflict of Interest Proposal

THURSDAY, April 30 (HealthDay News) -- A new proposal to control conflict of interest is notable for its breadth and variety of recommended solutions, according to a Perspective article published online April 29 in the New England Journal of Medicine.

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Sleeping Issues Linked to Attention Deficit Symptoms

THURSDAY, April 30 (HealthDay News) -- Short sleep duration or troubled sleep may make children more likely to exhibit behavioral symptoms of attention-deficit/hyperactivity disorder (ADHD), according to research published in the May issue of Pediatrics.

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WHO Rasies Influenza Epidemic Alert Level From 4 to 5

THURSDAY, April 30 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention (CDC) has confirmed that the United States has had its first fatality as a result of swine flu. The case was a 23-month-old Mexican boy who was in Houston for medical treatment. Also, on April 29, the World Health Organization raised the influenza epidemic alert level from 4 to 5, meaning a pandemic is imminent.

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Aggressive Atorvastatin Use Cuts Detectable Inflammation

THURSDAY, April 30 (HealthDay News) -- Aggressive use of atorvastatin therapy over a three-month period produces anti-inflammatory results that can be detected using ultrasmall superparamagnetic iron oxide (USPIO)-enhanced MRI, according to a study published online ahead of print April 29 in the Journal of the American College of Cardiology.

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Critically Ill Patients May Often Be Vitamin D Deficient

WEDNESDAY, April 29 (HealthDay News) -- High percentages of critically ill patients in intensive care may be vitamin D deficient, potentially worsening outcomes, according to an article published in the April 30 issue of the New England Journal of Medicine.

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Telaprevir-Based Drugs Show Promise to Treat Hepatitis C

WEDNESDAY, April 29 (HealthDay News) -- Phase 2 clinical trials of treatment regimens based on telaprevir in combination with peginterferon alfa-2a and ribavirin show significantly improved virologic responses in chronic hepatitis C virus patients, according to two studies published in the April 30 issue of the New England Journal of Medicine.

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Poisoning Deaths Prompt Methadone Outreach

WEDNESDAY, April 29 (HealthDay News) -- A more than threefold increase in the number of deaths linked to methadone poisoning in recent years is prompting a new public information campaign on the safe use of the prescription drug in both addiction treatment and as a pain reliever, according to a statement released April 28 by the U.S. Food and Drug Administration (FDA).

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FDA Requires OTC Pain Relievers to Display Warnings

WEDNESDAY, April 29 (HealthDay News) -- Popular over-the-counter (OTC) pain relievers and fever medications containing acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) will be required to display prominent warnings about the risks of liver damage and internal bleeding, under a new rule announced April 28 by the U.S. Food and Drug Administration (FDA).

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Dietary Acrylamide Link to Lung Cancer Studied

WEDNESDAY, April 29 (HealthDay News) -- Higher intake of dietary acrylamide, a probable carcinogen found in heat-treated foods, may be associated with a lower risk of lung cancer in women, according to research published online April 28 in the Journal of the National Cancer Institute.

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Protein Reverses Diabetes-Associated Bone Loss in Mice

WEDNESDAY, April 29 (HealthDay News) -- Parathyroid hormone-related protein (PTHrP) can reverse the bone loss associated with reduced osteoblastic function due to diabetes, according to the results of a study in mice published in the May issue of Endocrinology.

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Specialist Centers Key to Treating Cystic Fibrosis

WEDNESDAY, April 29 (HealthDay News) -- Earlier diagnosis and more aggressive treatment at specialized centers has improved the outlook for cystic fibrosis patients, and the disease's underlying molecular-biological origins are now well understood, according to an article published online on April 28 in The Lancet.

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Consider Heart and Bones With Androgen-Deprivation Therapy

WEDNESDAY, April 29 (HealthDay News) -- Androgen-deprivation therapy for men with prostate cancer carries significant risk for cardiovascular and bone-related side effects, as well as for diabetes, according to a review of the medical literature published online April 27 in the journal Cancer.

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Attention-Deficit Drugs Linked to Better Test Scores

WEDNESDAY, April 29 (HealthDay News) -- Children with attention-deficit/hyperactivity disorder (ADHD) who were medicated for the condition scored higher on math and reading tests than their unmedicated peers, according to research published in the May issue of Pediatrics.

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China's Organ Procurement Troubles Most US Clinicians

WEDNESDAY, April 29 (HealthDay News) -- Because of China's organ procurement practices, including organ harvesting from executed prisoners, most health care professionals involved in liver transplantation do not recommend patients seek a transplant in that country, according to a study released online Jan. 12 in advance of publication in Clinical Transplantation.

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Female Sexual Dysfunction Common in Type 1 Diabetes

WEDNESDAY, April 29 (HealthDay News) -- Depression may raise the risk of female sexual dysfunction in women with type 1 diabetes, many of whom have sexual difficulties, according to research published in the May issue of Diabetes Care.

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CDC Confirms 64 Swine Flu Cases in United States

WEDNESDAY, April 29 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has confirmed 64 cases of swine-origin influenza A (H1N1) virus in the United States as of April 28, including five cases requiring hospitalization. The cases have occurred across five states, including 45 in New York, 10 in California, six in Texas, two in Kansas and one in Ohio, according to a dispatch on April 28 in the Morbidity and Mortality Weekly Report.

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H1N1 Swine Flu Susceptible to Oseltamivir and Zanamivir

WEDNESDAY, April 29 (HealthDay News) -- The swine-origin influenza A virus H1N1 is susceptible to both neuraminidase inhibitors oseltamivir and zanamivir, but is resistant to the M2 ion channel blockers amantadine and rimantadine, according to a dispatch on April 28 from the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Breech Presentation Linked to Autism Spectrum Disorders

WEDNESDAY, April 29 (HealthDay News) -- An association between breech presentation and autism spectrum disorders (ASD) in children may point to a shared etiology between the two, according to research published in the May issue of Pediatrics.

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FDA Issues Emergency OK for Broad Use of Antiviral Drugs

TUESDAY, April 28 (HealthDay News) -- In response to the threat of a swine flu epidemic, the U.S. Food and Drug Administration has issued an Emergency Use Authorization (EUA) to permit broader use of the antiviral medications zanamivir (Relenza) and oseltamivir (Tamiflu), and the use of the rRT-PCR Swine Flu Panel diagnostic test.

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Pharmacist Involvement May Decrease Medication Errors

TUESDAY, April 28 (HealthDay News) -- Adding a pharmacist to health care teams may significantly decrease patients' risk of adverse drug events and medication errors, according to a report published in the April 27 issue of the Archives of Internal Medicine. A second study indicates that an interdisciplinary medication reconciliation intervention can also reduce unintentional medication discrepancies with potential for harm.

Abstract - Murray
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Women Found to Have Less Access to Cardiologists

TUESDAY, April 28 (HealthDay News) -- Women with coronary artery disease or congestive heart failure have less access to consultations with cardiologists compared with men, according to study findings published online April 27 in Circulation: Journal of the American Heart Association.

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Glucose Control During Surgery Linked to Better Outcomes

TUESDAY, April 28 (HealthDay News) -- Aggressive glycemic control during surgery reduces the risk of major cardiovascular events, researchers report in the May issue of Anesthesiology.

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Gene Variant Linked to Worse Outcomes in Pneumonia

TUESDAY, April 28 (HealthDay News) -- Patients hospitalized with severe pneumonia have a higher risk of death and spend a longer time on mechanical ventilation if they have a variant of the plasminogen activator inhibitor-1 (PAI-1) gene, according to a study in the May issue of Anesthesiology.

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Imaging Exams Found to Be on Rise in Pregnant Women

TUESDAY, April 28 (HealthDay News) -- Imaging examinations, particularly with computed tomography (CT), may be growing more common in pregnant women, according to research published in the May issue of Radiology.

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Survival Poor in Adults with Rhabdomyosarcoma

TUESDAY, April 28 (HealthDay News) -- Adults with rhabdomyosarcoma, though rare, have significantly worse long-term survival than children with the disease, although many of the same factors predict survival in both cases, according to a study published online April 27 in the Journal of Clinical Oncology.

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Sedentary Children Have Greater Psychological Distress

TUESDAY, April 28 (HealthDay News) -- Children who are sedentary and watch a lot of television and movies have higher levels of psychological distress, according to research published in the May issue of Pediatrics.

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Computed Tomography May Help Early Chest Pain Triage

TUESDAY, April 28 (HealthDay News) -- Early use of coronary computed tomography angiography in the early triage of patients presenting with acute chest pain can play an important role in improving emergency department patient management, according to a study published in the May 5 issue of the Journal of the American College of Cardiology.

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Steep Copayments Increase Risk of Non-Adherence

TUESDAY, April 28 (HealthDay News) -- In patients who are newly diagnosed with a chronic disease, higher out-of-pocket costs for medications are associated with an increased likelihood of non-treatment, according to a study published in the April 27 issue of the Archives of Internal Medicine.

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Number of US Swine Flu Cases Rises, CDC Reports

TUESDAY, April 28 (HealthDay News) -- At least 40 cases of swine flu have been confirmed in the United States, prompting a wide range of governmental actions to counter what could become a worldwide pandemic, according to Richard Besser, M.D., acting director of the U.S. Centers for Disease Control and Prevention.

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Fatty Fish Consumption Linked to Less Heart Failure

TUESDAY, April 28 (HealthDay News) -- Although middle-aged and elderly men who have a moderate intake of fatty fish have lower incidence of heart failure than their counterparts who do not eat the food, the reduction is not statistically significant, and eating larger amounts confers less not more benefits, according to a study published online April 21 in the European Heart Journal.

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Vitamin D Linked to Asthma Severity in Children

MONDAY, April 27 (HealthDay News) -- Vitamin D insufficiency is present in about one-third of Costa Rican children with asthma and correlates with asthma severity, researchers report in the May 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Fewer Heart Attacks After Drop in Hormone Therapy Use

MONDAY, April 27 (HealthDay News) -- The drop in the use of hormone replacement therapy (HRT) in 2002 has resulted in a noticeable decrease in acute myocardial infarction among women aged 40 to 79 since then, according to a report released online March 23 in advance of publication in the journal Medical Care.

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Pediatricians, Radiologists Key in Diagnosing Child Abuse

MONDAY, April 27 (HealthDay News) -- Pediatricians and radiologists have important roles to play in the diagnosis of child abuse, according to two policy statements published in the May issue of Pediatrics.

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Swine Flu Declared Public Health Emergency in US

MONDAY, April 27 (HealthDay News) -- Two recent cases of swine influenza A (H1N1) virus infection in Southern California raised the possibility that the virus can be transmitted by human-to-human contact, according to a report published in the April 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. Subsequently, the number of U.S. cases continues to rise and U.S. officials have declared it a public health emergency.

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Ranolazine Shows Angina Benefits in Broader Group

FRIDAY, April 24 (HealthDay News) -- Ranolazine may be effective in treating chronic angina, but does not appear to serve as a disease-modifying secondary preventive therapy, according to research published in the April 28 Journal of the American College of Cardiology.

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Hormonal Contraceptive Link to HPV, Cervical Cancer Examined

FRIDAY, April 24 (HealthDay News) -- Women using hormonal contraception who tested positive for the human papillomavirus (HPV) are not at increased risk of developing cervical cancer, according to a study published in the May issue of the American Journal of Obstetrics & Gynecology. However, use of depot-medroxyprogesterone acetate (DMPA) is linked with higher risk of oncogenic HPV infection.

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Cervical Cancer Risk Persists After Age 50

FRIDAY, April 24 (HealthDay News) -- Women over the age of 50 who have several consecutive negative smear test results are at similar risk of cervical cancer as their younger counterparts with the same test history, according to a study published online April 24 in BMJ.

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Dialysis Knowledge May Be Linked to Vascular Access

FRIDAY, April 24 (HealthDay News) -- Patients who are more knowledgeable about dialysis when they begin hemodialysis may be more likely to use an arteriovenous fistula (AVF) or graft (AVG) compared to a catheter, according to research published online ahead of print April 23 in the Clinical Journal of the American Society of Nephrology.

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Electronic Medical Records Have Proven Their Worth

FRIDAY, April 24 (HealthDay News) -- The electronic medical record system that has been used by the Department of Veterans Affairs health care facilities since the mid-1980s has proven to be a useful way to reduce costs and errors and improve hands-off communication in the surgical setting, according to an article published in the April issue of the AORN Journal.

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Medicare Dialysis Payment Proposal Ignores Patient Race

FRIDAY, April 24 (HealthDay News) -- A new Medicare reimbursement scheme for patients on hemodialysis would shortchange centers for treating black patients who often need extra medication to increase hemoglobin levels, according to a study published online ahead of print April 23 in the Journal of the American Society of Nephrologists.

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Children With Cerebral Palsy Need Better Provision

FRIDAY, April 24 (HealthDay News) -- Provision of services to help children with cerebral palsy participate in life situations varies widely across Europe, and some countries should use legislative measures to improve provision, according to a study published online on April 24 in BMJ.

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Range of Motion May Not Predict Spinal Surgery Outcome

FRIDAY, April 24 (HealthDay News) -- Preoperative segmental lumbar range of motion (s-ROM) and total range of motion (t-ROM) do not appear to predict postoperative range of motion following lumbar total disc replacement, according to research published in the April 20 issue of Spine.

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Teen Binges Linked to White Matter Changes in Brain

FRIDAY, April 24 (HealthDay News) -- In adolescents, binge drinking may be associated with reduced white matter integrity in the frontal, cerebellar, temporal, and parietal regions of the brain, according to research published online April 21 in Alcoholism: Clinical and Experimental Research.

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Infection Not Uncommon in Girls Before Sexual Activity

FRIDAY, April 24 (HealthDay News) -- Positive tests for human papilloma virus (HPV) in young girls who were not yet sexually active suggest a wider subclinical prevalence of HPV infection than previously thought, according to a study reported in the May issue of the American Journal of Obstetrics & Gynecology.

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Perioperative Bullying Reduces Nurses' Effectiveness

FRIDAY, April 24 (HealthDay News) -- The perioperative setting is vulnerable to workplace bullying, but interventions to eliminate intimidating and unsettling behavior among nursing staff can help eliminate the problem, according to an article published in the April issue of the AORN Journal.

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Shoe Insoles Don't Appear to Prevent Back Pain

THURSDAY, April 23 (HealthDay News) -- Shoe insoles do not appear to be effective for preventing back pain, and limited evidence neither supports nor discourages their use for treating low back pain, according to research published April 20 in Spine.

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Rate of Obstetric Complications Unchanged

THURSDAY, April 23 (HealthDay News) -- The rate of intrapartum maternal morbidity related to obstetric complications was similar between two periods in the 1990s and the 2000s, according to research published in the May issue of Obstetrics & Gynecology.

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Two Urologic Conditions Have Similar Economic Impact

THURSDAY, April 23 (HealthDay News) -- Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and interstitial cystitis/painful bladder syndrome (IC/PBS) have a similar and significant economic impact, according to a study published in the April issue of Urology.

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In-Office Visit Offers Benefits Compared to Teledermatology

THURSDAY, April 23 (HealthDay News) -- In general, the use of teledermatology resulted in poorer diagnostic accuracy when evaluating nonpigmented lesions than clinic-based dermatology, according to research published in the April issue of the Journal of the American Academy of Dermatology.

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Maternal Obesity Linked to Lower Ultrasound Ability

THURSDAY, April 23 (HealthDay News) -- Maternal weight may affect the ability of ultrasound to detect fetal abnormalities during the second trimester, according to research published in the May Obstetrics & Gynecology.

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Prenatal Flu Exposure Linked to Lower Intelligence Scores

THURSDAY, April 23 (HealthDay News) -- Exposure to the Hong Kong flu in utero may be associated with lower intelligence in adulthood, according to research published online ahead of print March 18 in the Annals of Neurology.

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Side Effect Connection with Antidepressant Use Examined

THURSDAY, April 23 (HealthDay News) -- Many side effects reported by women who take a tricyclic antidepressant to treat functional gastrointestinal disorder, where symptoms are not explained by observable morphologic abnormalities, do not appear to be due to the drug and may be due to psychologic distress, according to a study in the April issue of Clinical Gastroenterology and Hepatology.

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Biopsy Variability Affects Diagnosis of Liver Disease

THURSDAY, April 23 (HealthDay News) -- The number of liver biopsies analyzed, biopsy length, and number of independent biopsy readings affects the variability of histologic findings and diagnosis of nonalcoholic steatohepatitis (NASH) in patients with suspected nonalcoholic fatty liver disease (NAFLD), according to a study in the April issue of Clinical Gastroenterology and Hepatology.

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Treatment Reduces Ovulation Time in Ovarian Syndrome

THURSDAY, April 23 (HealthDay News) -- Treatment consisting of gradually increasing doses of clomiphene followed by ultrasound is effective in reducing the time to ovulation and often improves the ovulation rate in women with polycystic ovarian syndrome (PCOS) who do not respond to lower doses of the drug, according to a study in the May issue of the American Journal of Obstetrics & Gynecology.

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Discontinuing Drugs for BPH May Prove Harmful

THURSDAY, April 23 (HealthDay News) -- Discontinuing combination therapy for benign prostate hyperplasia (BPH) leads to increased prostate volume and worsening of symptoms, according to a study in the April issue of Urology.

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Heavy NSAID Use Linked to Dementia in Elderly

THURSDAY, April 23 (HealthDay News) -- Contrary to earlier studies suggesting that users of nonsteroidal anti-inflammatory drugs (NSAIDs) have a reduced risk of developing dementia, heavy NSAID use in the elderly is associated with a higher risk of developing dementia, according to a study published online April 22 in Neurology.

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Having Health Insurance May Not Improve Mortality Risk

THURSDAY, April 23 (HealthDay News) -- People without health insurance have about the same mortality rate as people with health insurance, according to an observational study published online April 21 in Health Services Research.

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Parents Need More Education About Child's Cardiac Surgery

THURSDAY, April 23 (HealthDay News) -- Parents of patients undergoing fast-track cardiac surgery need to be educated and informed more fully prior to surgery if they are to be more effectively involved in their child's care, according to a study published in the April issue of the AORN Journal.

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Oral Bisphosphonates Link to Esophageal Cancer Analyzed

WEDNESDAY, April 22 (HealthDay News) -- Oral bisphosphonate does not appear to increase risk for esophageal cancer, according to analyses of Danish and U.S. data reported by separate researchers in the April 23 issue of the New England Journal of Medicine.

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Stretches Without Health Insurance More Common

WEDNESDAY, April 22 (HealthDay News) -- Periods of uninsurance have become more common in recent decades, particularly among those with less education, according to research published in the April 23 issue of the New England Journal of Medicine.

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Melanoma Screening Strategies Examined

WEDNESDAY, April 22 (HealthDay News) -- In middle-aged and older men, new strategies are needed to foster the early detection and treatment of melanoma, according to two studies published in the April issue of the Archives of Dermatology.

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Resuscitation at Birth Associated With Low IQ Score

WEDNESDAY, April 22 (HealthDay News) -- Infants who undergo resuscitation at birth are more likely to have a low IQ score later in childhood than those who do not, and resuscitated infants with asymptomatic encephalopathy account for a greater proportion of affected adults than those with encephalopathy, according to a study published online April 21 in The Lancet.

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Voglibose May Reduce Type 2 Diabetes Development

WEDNESDAY, April 22 (HealthDay News) -- Patients who have impaired glucose tolerance and who are at high risk for developing type 2 diabetes are less likely to do so if they are treated with voglibose (an α-glucosidase inhibitor) compared with placebo, according to a study published online on April 22 in The Lancet.

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Breastfeeding May Lower Women's Heart Disease Risks

WEDNESDAY, April 22 (HealthDay News) -- Breastfeeding may be associated with a later decrease in risk of hypertension, diabetes, hyperlipidemia, and cardiovascular disease during women's postmenopausal years, according to research published in the May issue of Obstetrics & Gynecology.

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Omega-3 Fatty Acids Inhibit Ovarian Cancer Growth

WEDNESDAY, April 22 (HealthDay News) -- Omega-3 fatty acids found in fish and plant oils inhibit the growth of some ovarian cancer cells, where growth inhibition correlates with changes in the transforming growth factor-β1 (TGF-β1) signaling pathway, according to a study in the May issue of the American Journal of Obstetrics & Gynecology.

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Organ Donation Consent Depends on Diverse Factors

WEDNESDAY, April 22 (HealthDay News) -- The number of organs available for transplantation could be significantly increased by improving the rate of consent for organ donation by relatives of people who have died, according to a study published in the April 21 issue of BMJ.

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Sirolimus-Eluting Stents Show Long-Term Effectiveness

WEDNESDAY, April 22 (HealthDay News) -- In patients with simple and medium complexity native coronary lesions, treatment with sirolimus-eluting stents reduces the long-term risk of subsequent revascularization events compared to bare-metal stents without adversely affecting safety, according to a study published in the April 28 issue of the Journal of the American College of Cardiology.

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Absorbable Metal Stents Degrade Within Months

WEDNESDAY, April 22 (HealthDay News) -- Absorbable metal stents degrade within four months of implantation in patients with coronary artery disease but are associated with high restenosis rates, primarily due to early recoil, according to a study in the April issue of Journal of the American College of Cardiology: Cardiovascular Interventions.

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Superobese Patients Benefit From Bariatric Surgery

WEDNESDAY, April 22 (HealthDay News) -- Superobese patients gain quality of life benefits from bariatric surgery, even though they may remain severely obese after surgery, according to a study published in the April issue of the Archives of Surgery. In the same issue, another study shows that bariatric surgery does not need to be performed in a center of excellence to get optimum results.

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Continuity of Care Declining for Medicare Beneficiaries

TUESDAY, April 21 (HealthDay News) -- Medicare beneficiaries in the hospital in 2006 were much less likely to be seen there by a familiar physician than those in the hospital a decade earlier, according to a study reported in the April 22/29 issue of the Journal of the American Medical Association.

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Transplant Center Distance No Factor in Kidney Transplant

TUESDAY, April 21 (HealthDay News) -- Living in a rural area or far from a kidney transplant center does not significantly affect a patient's chances of getting a transplant, according to a study in the April 22/29 issue of the Journal of the American Medical Association.

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Defibrillator Implant Success Varies by Specialty

TUESDAY, April 21 (HealthDay News) -- Patients who receive an implantable cardioverter-defibrillator (ICD) are more apt to get the most appropriate device and are less likely to suffer complications if an electrophysiologist performs the procedure, according to a study reported in the April 22/29 issue of the Journal of the American Medical Association.

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Genetic Score Can Help Identify High Diabetes Risk

TUESDAY, April 21 (HealthDay News) -- A risk score based on 10 polymorphisms associated with diabetes can help identify those at particularly high risk for the disease, but overall such tests are not a big improvement on conventional clinical screening tests, according to a study published in the April 21 issue of the Annals of Internal Medicine.

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Group Covers Cardiovascular Imaging Use in Myocarditis

TUESDAY, April 21 (HealthDay News) -- The proper assessment of myocarditis using cardiovascular magnetic resonance (CMR) is the subject of a white paper in the April 28 Journal of the American College of Cardiology.

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Prehospital Heart Attack Diagnosis Speeds Treatment

TUESDAY, April 21 (HealthDay News) -- Independent regional networks in the United States that integrate a prehospital diagnosis of ST-elevation myocardial infarction (STEMI), by emergency medical personnel, with specialized receiving centers achieve the recommended door-to-balloon time in 86 percent of cases, according to a study in the April issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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Glycemic Control Targets Can Be More Flexible

TUESDAY, April 21 (HealthDay News) -- Setting rigid glycemic control targets is of dubious benefit, and targets should be tailored to individual patients based on lifestyle and clinical factors, according to a study published online ahead of print April 21 in the Annals of Internal Medicine.

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Oral Carbohydrates Linked to Boost in Cycling Performance

TUESDAY, April 21 (HealthDay News) -- The improvement in athletic performance that follows the presence of carbohydrates in the mouth may be due to brain responses linked to reward, according to research published April 1 in the Journal of Physiology.

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Robotic Surgery Safe For Some Head And Neck Tumors

TUESDAY, April 21 (HealthDay News) -- Robot-assisted surgery to treat upper aerodigestive tract tumors is feasible and safe provided certain criteria are met, according to a study published in the April issue of the Archives of Otolaryngology- Head & Neck Surgery.

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Pulmonary Vein Stenosis Can Follow Arrhythmia Treatment

TUESDAY, April 21 (HealthDay News) -- Pulmonary vein stenosis can be a serious complication following ablation procedures for atrial fibrillation, which are becoming a more commonly used treatment, according to a review published in the April issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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Leisure Sports, Exercise May Not Be Back Pain Risk Factors

TUESDAY, April 21 (HealthDay News) -- Participating in leisure time sports or exercise does not appear to be a risk factor for developing lower back pain (LBP), but the evidence is conflicting when it comes to other leisure and work activities, according to a review of medical literature reported in the April 15 issue of Spine.

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Psoriasis Associated With Higher Diabetes Risk

TUESDAY, April 21 (HealthDay News) -- Patients with psoriasis are more likely to have diabetes and hypertension compared to their counterparts without the skin condition, according to a study published in the April issue of the Archives of Dermatology.

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Diabetes and Cardiovascular Disease Disparities Persist

TUESDAY, April 21 (HealthDay News) -- Despite the fact that among patients with cardiovascular disease and diabetes there have been improvements in the control of blood pressure, glucose

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Previous: April 2009 Briefing - Diabetes & Endocrinology Next: April 2009 Briefing - Gastroenterology

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