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Category: Family Medicine | Monthly Briefing

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December 2012 Briefing - Family Practice

Last Updated: January 01, 2013.

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

Little Change in Global Infertility Rates Since 1990

MONDAY, Dec. 31 (HealthDay News) -- Infertility rates worldwide are similar to those in 1990, though the number of couples affected by infertility rose to nearly 50 million in 2010 due to population growth, according to a study published online Dec. 18 in PLOS Medicine.

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Type of Involvement in Gaming Impacts Perceived Social Support

MONDAY, Dec. 31 (HealthDay News) -- The level of psychological involvement in gaming determines the measure of a player's perceived social support, according to a study published in the current issue of Society & Leisure.

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Primary Care Physicians Perform Well on Diabetes Care Measures

FRIDAY, Dec. 28 (HealthDay News) -- Compared to covering physicians or midlevel providers, primary care physicians (PCPs) perform better on multiple critical process measures for diabetes care, according to a study published online Dec. 10 in Diabetes Care.

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Low Insulin Secretion Tied to Depressive Symptoms in Women

FRIDAY, Dec. 28 (HealthDay News) -- Middle-aged women with insulin secretion levels in the lowest quintile appear to have more than twice the risk of developing new-onset depressive symptoms compared with those with higher insulin secretion levels, according to research published online Dec. 10 in Diabetes Care.

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Recent U.S. Food-Linked Listeriosis Outbreaks Shorter

FRIDAY, Dec. 28 (HealthDay News) -- Compared with earlier outbreaks, more recent food-associated listeriosis outbreaks in the United States have been shorter and affected fewer people, according to research published online Dec. 12 in Emerging Infectious Diseases.

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Elevated C-Reactive Protein Linked to Distress, Depression

FRIDAY, Dec. 28 (HealthDay News) -- Elevated plasma levels of C-reactive protein (CRP) are associated with psychological distress and depression in the general population, according to a study published online Dec. 24 in the Archives of General Psychiatry.

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Sustained Virological Response Lowers Mortality Risk in Hep C

FRIDAY, Dec. 28 (HealthDay News) -- Sustained virological response (SVR) is associated with lower all-cause mortality in patients with chronic hepatitis C virus (HCV) and advanced hepatic fibrosis, according to a study published in the Dec. 26 issue of the Journal of the American Medical Association.

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Inpatient Resource Use Up for Children With Chronic Illness

FRIDAY, Dec. 28 (HealthDay News) -- Children with chronic conditions, particularly conditions affecting two or more body systems, increasingly use more resources when hospitalized than those without chronic conditions, according to a study published online Dec. 24 in the Archives of Pediatrics & Adolescent Medicine.

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Weight-Based Victimization Common Among Heavy Teens

FRIDAY, Dec. 28 (HealthDay News) -- Weight loss treatment-seeking adolescents frequently report weight-based victimization (WBV) at school, which is perpetrated by adults as well as peers and friends, according to a study published online Dec. 24 in Pediatrics.

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Dietary PA/OA Fat Ratio May Affect T2DM Risk in Women Only

FRIDAY, Dec. 28 (HealthDay News) -- A diet low in palmitic acid (PA) and high in oleic acid (OA) improves insulin sensitivity and is associated with lower levels of markers of metabolic and oxidative stress in women only, according to a study published online Dec. 13 in Diabetes.

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Limited Value for Pap Tests in Endometrial Cancer Recurrence

FRIDAY, Dec. 28 (HealthDay News) -- For women who have undergone a hysterectomy for endometrial cancer, abnormal Papanicolaou (Pap) test results do not aid in diagnosing recurrent disease, according to a study published in the January issue of Obstetrics & Gynecology.

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Urine Biomarkers May Help Diagnose Kawasaki Disease

FRIDAY, Dec. 28 (HealthDay News) -- Proteins present in urine exhibit excellent diagnostic performance for Kawasaki disease, according to a study published online Dec. 20 in EMBO Molecular Medicine.

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High Risk of Pulmonary Embolism Seen in Severe Asthma

FRIDAY, Dec. 28 (HealthDay News) -- Patients with asthma are at higher risk of pulmonary embolism, particularly if the asthma is severe or they take oral corticosteroids, according to a study published online Dec. 20 in the European Respiratory Journal.

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Teen Vitamin D Intake Not Related to Adult RA or SLE Risk

THURSDAY, Dec. 27 (HealthDay News) -- Dietary vitamin D intake during adolescence does not appear to be associated with the risk of adult-onset rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE), according to research published in the December issue of Arthritis Care & Research.

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Indicators Show Little Change in Overuse of Ambulatory Care

THURSDAY, Dec. 27 (HealthDay News) -- In the United States from 1999 to 2009, the delivery of underused care in the ambulatory setting improved, but fewer changes were seen in inappropriate care, according to a study published online Dec. 24 in the Archives of Internal Medicine.

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MRI Fairly Accurate As Surrogate for CSF Biomarkers

THURSDAY, Dec. 27 (HealthDay News) -- Magnetic resonance imaging (MRI) is a fairly accurate screening tool for distinguishing between Alzheimer's disease (AD) and frontotemporal lobar degeneration (FTLD), according to a study published online Dec. 26 in Neurology.

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Cancer Screening Goals Not Being Met by General Population

THURSDAY, Dec. 27 (HealthDay News) -- In the United States, the general population only meets the recommended cancer screening goals for colorectal cancer, while cancer survivors meet all requirements except for cervical cancer screening, according to a study published online Dec. 27 in Frontiers in Cancer Epidemiology and Prevention.

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FDA Approves Juxtapid for Rare Cholesterol Disorder

THURSDAY, Dec. 27 (HealthDay News) -- The U.S. Food and Drug Administration has approved the orphan drug Juxtapid (lomitapide) for patients with homozygous familial hypercholesterolemia (HoFH), for use in combination with a low-fat diet and other lipid lowering treatments, according to a Dec. 26 press release.

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Review: Poor Outcomes With Blood Transfusion in MI

THURSDAY, Dec. 27 (HealthDay News) -- For patients with acute myocardial infarction, a strategy of blood transfusion is associated with increased all-cause mortality and subsequent myocardial infarction compared with a strategy of no transfusion, according to a meta-analysis published online Dec. 24 in the Archives of Internal Medicine.

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Imaging Widely Used in Presumed Pediatric Appendicitis

THURDAY, Dec. 27 (HealthDay News) -- Most children with presumed appendicitis undergo preoperative computed tomography (CT) and ultrasound imaging before surgery, with significant variation by hospital type and patient sex, according to research published online Dec. 24 in Pediatrics.

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Understanding of Infantile Hemangiomas Is Improving

THURSDAY, Dec. 27 (HealthDay News) -- Improved understanding of the pathogenesis of infantile hemangiomas (IHs) is leading to better treatment options, according to a review published online Dec. 24 in Pediatrics.

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Fewer Than a Quarter Call 911 During Acute Heart Problem

THURSDAY, Dec. 27 (HealthDay News) -- During acute coronary syndromes, fewer than one-quarter of patients call 911, according to a study published in the Jan. 1 issue of The American Journal of Cardiology.

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Prophylactic Options Compared for Women With BRCA1/2

THURSDAY, Dec. 27 (HealthDay News) -- The results of a simulation model suggest that, when quality of life is considered, prophylactic bilateral salpingectomy with delayed oophorectomy may be an acceptable alternative to bilateral salpingo-oophorectomy for women with BRCA mutations, according to research published in the January issue of Obstetrics & Gynecology.

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Early Menopause Tied to Greater Type 2 Diabetes Risk

THURSDAY, Dec. 27 (HealthDay News) -- Women who experience early menopause have a greater risk of type 2 diabetes, according to a study published online Dec. 10 in Diabetes Care.

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Reports of Child Maltreatment Down in 2011

WEDNESDAY, Dec. 26 (HealthDay News) -- The number of child neglect and abuse cases reported in the United States dropped in 2011, with an estimated 681,000 unique victims, according to the Child Maltreatment 2011 report.

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Fertility Drugs Not Linked to Uterine Cancer Recurrence

WEDNESDAY, Dec. 26 (HealthDay News) -- For women who undergo fertility-sparing treatment for uterine cancer, subsequent use of fertility drugs is not associated with a higher incidence of cancer recurrence, according to research published in the January issue of Obstetrics & Gynecology.

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Almost Half of Children With Food Allergy Report Being Bullied

WEDNESDAY, Dec. 26 (HealthDay News) -- For children with food allergy, bullying is common, and correlates with decreased quality of life and increased distress for children and their parents, according to a study published online Dec. 24 in Pediatrics.

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Lower Developmental Scores at Age 3 Seen in Plagiocephaly

WEDNESDAY, Dec. 26 (HealthDay News) -- Preschool-aged children with deformational plagiocephaly (DP) have lower scores on a measure of child development than unaffected controls, according to a study published online Dec. 24 in Pediatrics.

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Pre-Consult Genitourinary Exams Performed Infrequently

WEDNESDAY, Dec. 26 (HealthDay News) -- Initial genitourinary (GU) physical examinations are performed in less than a third of cases prior to requesting a urologic consultation, and this rate is affected by patient age and sex, according to research published in the December issue of Urology.

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C-Peptide Levels May Predict Mortality in Angiography Patients

WEDNESDAY, Dec. 26 (HealthDay News) -- Higher levels of C-peptide, a pro-insulin cleavage product, is associated with all-cause and cardiovascular mortality in patients undergoing coronary angiography, according to a study published online Nov. 30 in Diabetes Care.

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Topics of Sibling Conflict Have Distinct Effects on Teens

TUESDAY, Dec. 25 (HealthDay News) -- For adolescents, each underlying topic of sibling conflict has a distinct impact on their emotional adjustment, according to a study published online Dec. 20 in Child Development.

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Small Survival Advantage Noted for Olympic Athletes

TUESDAY, Dec. 25 (HealthDay News) -- Olympic athletes have a small survival advantage, with no significant difference in the mortality risk based on the level of exercise intensity variation of each discipline, according to two studies published Dec. 13 in BMJ.

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Sit and Rise Test Score Inversely Linked to Mortality

MONDAY, Dec. 24 (HealthDay News) -- For adults aged 51 to 80 years, the ability to sit and rise from the floor without support (hand/knee) is associated with improved survival, according to a study published online Dec. 13 in the European Journal of Preventive Cardiology.

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Internet Use Cuts Cancer Fatalism in Poorly Educated

MONDAY, Dec. 24 (HealthDay News) -- For adults with average or lower than average education or health knowledge, use of the Internet can reduce cancer fatalism, according to a study published in the December issue of the Journal of Communication.

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FDA Recommends Against Drug to Treat Chronic Fatigue Syndrome

FRIDAY, Dec. 21 (HealthDay News) -- A U.S. Food and Drug Administration advisory committee on Thursday recommended against approval of the first proposed drug to treat chronic fatigue syndrome (CFS), intravenous Ampligen (rintatolimod).

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Varizig Approved to Reduce Chickenpox Symptoms

FRIDAY, Dec. 21 (HealthDay News) -- Varizig (varicella zoster immune globulin) has been approved by the U.S. Food and Drug Administration to minimize chickenpox symptoms when administered within four days of exposure to the virus that causes the disease.

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FDA Expands Tamiflu Use to Treat Babies Under 1 Year Old

FRIDAY, Dec. 21 (HealthDay News) -- Tamiflu (oseltamivir) can now be given to children as young as 2 weeks old under an expanded approval announced Friday by the U.S. Food and Drug Administration.

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ACP Pledges to Try and End Firearms-Linked Death, Injuries

FRIDAY, Dec. 21 (HealthDay News) -- In the wake of the Dec. 14 tragic shooting in Newtown, Conn., the American College of Physicians (ACP) has pledged to play a part in ending recurring firearm-related deaths and injuries, according to an ACP statement published Dec. 20.

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Familial Cancer Risk Not Limited to Parents' Early-Onset Cancer

FRIDAY, Dec. 21 (HealthDay News) -- For many cancers, the familial risks of cancer are seen in offspring whose parents received a diagnosis of concordant cancer at all ages, although the highest risk is seen for those diagnosed at an early age, according to a study published online Dec. 20 in BMJ.

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Children Eat More Fruits and Vegetables at Family Meals

FRIDAY, Dec. 21 (HealthDay News) -- Eating meals together as a family leads to significantly higher consumption of fruits and vegetables for children, according to a study published online Dec. 19 in the Journal of Epidemiology & Community Health.

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ACOG: IOM's Gestational Weight Gain Guide Is Basis for Practice

FRIDAY, Dec. 21 (HealthDay News) -- The Institute of Medicine's (IOM) 2009 guidelines on gestational weight gain should serve as a basis for clinical practice, according to a Committee Opinion published by the American College of Obstetricians and Gynecologists (ACOG) in the January issue of Obstetrics & Gynecology.

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Motor Vehicle Incidents Common in Medical Residents

FRIDAY, Dec. 21 (HealthDay News) -- During training, internal medicine residents commonly experience motor vehicle incidents, including crashes and near misses, but less commonly experience blood and body fluid (BBF) exposures, according to research published in the December issue of the Mayo Clinic Proceedings.

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Longitudinal Algorithm May Detect Ovarian Cancer Earlier

FRIDAY, Dec. 21 (HealthDay News) -- Compared with a single-threshold (ST) rule, a parametric empirical Bayes (PEB) longitudinal screening algorithm can identify ovarian cancer earlier and at a lower concentration of CA125, according to research published online Dec. 17 in the Journal of Clinical Oncology.

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High Perceived Stress Related to Incident CHD

FRIDAY, Dec. 21 (HealthDay News) -- High perceived stress is associated with a moderate 27-percent increased risk of incident coronary heart disease (CHD), according to the results of a meta-analysis published in the Dec. 15 issue of The American Journal of Cardiology.

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Upper Lumbar Disc Space Related to Hip Pain

FRIDAY, Dec. 21 (HealthDay News) -- Disc space narrowing at disc levels L1/L2 and L2/L3, visible on lumbar radiographs, may help to identify hip pain patients whose pain originates in the lumbar spine, according to research published in the November issue of the European Spine Journal.

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Standards of Medical Care in Diabetes Released for 2013

FRIDAY, Dec. 21 (HealthDay News) -- Updated evidence for diabetes care, including guidelines for self-monitoring glucose, new blood pressure targets, and other aspects of care, are presented in a major position statement from the American Diabetes Association (ADA), "Standards of Medical Care in Diabetes," published as a supplement to the January issue of Diabetes Care.

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Data Suggest Smoking Doesn't Impact RA Treatment Response

THURSDAY, Dec. 20 (HealthDay News) -- For patients with early rheumatoid arthritis (RA), smoking status does not impact treatment response to early combination therapy or initial methotrexate treatment with step-up therapy, according to a study published in the December issue of Arthritis Care & Research.

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Fatty Acids Don't Reduce Atrial Fibrillation Recurrence

THURSDAY, Dec. 20 (HealthDay News) -- Polyunsaturated fatty acids (n-3 PUFA) do not reduce the recurrence of atrial fibrillation (AF), according to a study published online Dec. 19 in the Journal of the American College of Cardiology.

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FDA: Pradaxa Not for Patients With Mechanical Heart Valves

THURSDAY, Dec. 20 (HealthDay News) -- Pradaxa (dabigatran etexilate mesylate) should not be used to prevent stroke or blood clots (major thromboembolic events) in patients with mechanical heart valves, according to a Dec. 19 safety announcement issued by the U.S. Food and Drug Administration.

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AAP to Obama: Make Safety of Children a National Focus

THURSDAY, Dec. 20 (HealthDay News) -- Responding to the Dec. 14 tragic shooting in Newtown, Conn., the American Academy of Pediatrics (AAP) has expressed a willingness to work together with the government to ensure the health and safety of children, according to a letter written from the AAP to President Obama.

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In U.S., Only 3.3 Percent Have Ideal Cardiovascular Health

THURSDAY, Dec. 20 (HealthDay News) -- Only 3.3 percent of Americans are in ideal cardiovascular health, with considerable between-state variation noted, according to research published online Dec. 19 in the Journal of the American Heart Association.

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Overall, Teen Drug Use Remains Steady in 2012

THURSDAY, Dec. 20 (HealthDay News) -- Overall, illicit drug use among U.S. teenagers was unchanged over the past year; however, from 2007 to 2012, there has been an increase in illicit drug use among 12th graders and an increase in the use of marijuana among 10th graders, according to a report issued Dec. 19 by the White House Office of National Drug Control Policy.

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High-Nutrient Dense Snack Cuts Calorie Intake for Children

THURSDAY, Dec. 20 (HealthDay News) -- Giving children a high-nutrient dense (HND) snack of cheese and vegetables reduces calorie intake compared with a non-nutrient dense (NND) snack, according to a study published online Dec. 17 in Pediatrics.

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Metformin Treatment Beneficial for Obese Children, Teens

THURSDAY, Dec. 20 (HealthDay News) -- Obese children and adolescents treated with twice-daily metformin have significantly improved body mass index standard deviation scores (BMI-SDS), fasting glucose, and other metabolic risk factors, according to research published online Nov. 21 in the Journal of Clinical Endocrinology & Metabolism.

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Spanish Registry IDs Predictors of Low Back Pain Improvement

THURSDAY, Dec. 20 (HealthDay News) -- For patients with acute or chronic low back pain (LBP), predictors have been identified for clinically relevant improvements in LBP, pain down the leg (LP), and disability at three months, according to research published in the November issue of The Spine Journal.

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Alzheimer's Trial Participation Linked to Study Partner

THURSDAY, Dec. 20 (HealthDay News) -- Patients with Alzheimer's disease (AD) with non-spouse caregivers participate less frequently in AD clinical trials, according to research published online Dec. 19 in Neurology.

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Meds Adherence Self-Report Valid in Type 2 Diabetes

THURSDAY, Dec. 20 (HealthDay News) -- Self-reported measures of medication adherence in adults with type 2 diabetes are valid, although some self-reports are moderated by depression, according to a study published online Nov. 30 in Diabetes Care.

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10th Annual Report Shows Gaps in Emergency Preparedness

WEDNESDAY, Dec. 19 (HealthDay News) -- There seem to be considerable gaps in the ability of states to respond to health emergencies, according to the 10th annual report, Ready or Not? Protecting the Public from Diseases, Disasters, and Bioterrorism, published Dec. 19 by the Trust for America's Health.

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Substantial Morbidity, Mortality From Fungus-Tainted Steroid

WEDNESDAY, Dec. 19 (HealthDay News) -- Considerable morbidity and mortality resulted from the use of three lots of fungus-contaminated methylprednisolone acetate, recalled by the pharmacy, according to a preliminary report published online Dec. 19 in the New England Journal of Medicine.

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Vertex Announces Boxed Warning on Hepatitis C Drug

WEDNESDAY, Dec. 19 (HealthDay News) -- In the wake of multiple deaths, the oral hepatitis C drug telaprevir (Incivek) will now carry a boxed warning, according to a statement released Dec. 19 by Vertex Pharmaceuticals.

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Implications of Employer Contraceptive Coverage Explored

WEDNESDAY, Dec. 19 (HealthDay News) -- The Affordable Care Act's (ACA) provision of preventive services, including contraceptive methods, has raised religious objections and complex legal issues for secular employers, according to a perspective piece published online Dec. 19 in the New England Journal of Medicine.

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Secondhand Smoke Affects Many Living in Multiunit Housing

WEDNESDAY, Dec. 19 (HealthDay News) -- Many residents of multiunit housing (MUH) experience secondhand smoke (SHS) infiltration, despite having smoke-free home rules, according to a study published online Dec. 17 in Nicotine & Tobacco Research.

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Amoxicillin of Little Benefit in Lower-Respiratory Infection

WEDNESDAY, Dec. 19 (HealthDay News) -- In cases of lower-respiratory-tract infection when pneumonia is not suspected, amoxicillin provides little symptomatic benefit, according to a study published online Dec. 19 in The Lancet Infectious Diseases.

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Pediatric Ingestions of Caustic Substances Down in 2009

WEDNESDAY, Dec. 19 (HealthDay News) -- Hospitalizations of children ingesting caustic substances such as lye were fewer in 2009 than previous estimates, according to a study published in the December issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Childhood Abuse Tied to Adult-Onset Asthma in Black Women

WEDNESDAY, Dec. 19 (HealthDay News) -- There is a positive association between adult-onset asthma and physical abuse in childhood among African-American women, according to a study published online Dec. 7 in the Journal of Allergy and Clinical Immunology.

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Many Docs Use Social Media to Find, Share Medical Data

WEDNESDAY, Dec. 19 (HealthDay News) -- Most physicians use social media on at least a weekly basis, and report that it improves the quality of patient care they deliver, according to a study published in the September/October issue of the Journal of Medical Internet Research.

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Lost Productivity ~20 Percent of Cancer Costs for Employees

WEDNESDAY, Dec. 19 (HealthDay News) -- Productivity losses due to disability days for employees being treated for cancer represent about 20 percent of the overall health care expenditure, according to a study published in the December issue of the Journal of Occupational and Environmental Medicine.

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HPV Diagnosis at Older Age May Be 'Latent' Infection Reactivation

TUESDAY, Dec. 18 (HealthDay News) -- Among U.S. women with a sexual debut before the sexual revolution, a lower cumulative probability of human papillomavirus (HPV) infection may be masking an age-related increase in HPV reactivation, according to a study published online Dec. 12 in the Journal of Infectious Diseases.

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Two Distinct High-Risk Diabetes Populations ID'd in Children

TUESDAY, Dec. 18 (HealthDay News) -- Children with high-risk A1C (hrA1C) and impaired fasting glucose (IFG) define different populations, with differentially increased risk markers, according to research published online Nov. 27 in Diabetes Care.

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Intensive Lifestyle Changes Do Raise Odds of T2DM Remission

TUESDAY, Dec. 18 (HealthDay News) -- For overweight adults, an intensive lifestyle intervention (ILI) is associated with a greater likelihood of remission compared with diabetes support and education (DSE), although the absolute remission rates are modest, according to a study published in the Dec. 19 issue of the Journal of the American Medical Association.

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Incidence of Specific Cancers Up for WTC Rescue Workers

TUESDAY, Dec. 18 (HealthDay News) -- For rescue/recovery workers at the World Trade Center (WTC), the incidence of prostate and thyroid cancers and multiple myeloma was increased for 2007 to 2008, according to a study published in the Dec. 19 issue of the Journal of the American Medical Association.

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Aspirin Use 10 Years Prior Tied to Incidence of Late AMD

TUESDAY, Dec. 18 (HealthDay News) -- For adults, regular use of aspirin 10 years prior to retinal examination is associated with increased incidence of late and neovascular age-related macular degeneration (AMD), according to a study published in the Dec. 19 issue of the Journal of the American Medical Association.

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For Whiplash, Usual Care, Single PT Session Found Adequate

TUESDAY, Dec. 18 (HealthDay News) -- For patients with acute whiplash, usual care in the emergency department and a single session with a physical therapist are recommended, according to a study published online Dec. 18 in The Lancet.

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Significant, Complex Link ID'd Between Sleepiness, Vitamin D

TUESDAY, Dec. 18 (HealthDay News) -- There is a significant correlation between 25-hydroxyvitamin D (25[OH]D) and sleepiness, which is affected by race for individuals with vitamin D deficiency (VitDd; defined as 25(OH)D <20 ng/mL), according to research published in the December issue of the Journal of Clinical Sleep Medicine.

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Suicide Risk Highest Shortly After Parental Psychiatric Event

TUESDAY, Dec. 18 (HealthDay News) -- Among adults and adolescents who have been hospitalized for an attempted suicide, the risk of suicide is highest within two years of a parental event (suicide attempt and suicide, inpatient care, and disability pension due to psychiatric diagnoses), especially among girls, according to a study published online Dec. 12 in PLOS ONE.

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Polygenic Risk Score Helpful for Women With Familial Breast CA

TUESDAY, Dec. 18 (HealthDay News) -- For women affected by familial breast cancer, a polygenic risk score based on 22 genomic variants can identify women at high-risk of breast cancer, according to a study published in the Dec. 10 issue of the Journal of Clinical Oncology.

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Life Expectancy Has Increased With Drop in Air Pollutants

TUESDAY, Dec. 18 (HealthDay News) -- Life expectancy has improved, particularly in urban and densely populated areas of the country, in response to reductions in ambient levels of fine particulate matter seen from 2000 to 2007, according to a study published in the January issue of Epidemiology.

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Workplace Bullying Linked to Psychotropic Medication Use

TUESDAY, Dec. 18 (HealthDay News) -- Experiencing or observing workplace bullying increases the risk of subsequent psychotropic medication use, according to a study published online Dec. 12 in BMJ Open.

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Length-of-Stay, Readmissions Down in VA Hospitals

TUESDAY, Dec. 18 (HealthDay News) -- Over a 14-year period (1997 to 2010), the risk-adjusted hospital length of stay (LOS) and hospital readmission rates decreased throughout Veterans Affairs hospitals, according to a study published in the Dec. 18 issue of the Annals of Internal Medicine.

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Aerobic Exercise Optimal for Reducing Fat Mass, Body Mass

TUESDAY, Dec. 18 (HealthDay News) -- For sedentary, overweight, or obese adults, aerobic training (AT) seems to be the optimal mode of exercise for reducing fat mass and body mass, while a combined approach of AT and resistance training (RT) increases the time commitment with no added loss compared with AT alone, according to a study published in the Dec. 15 issue of the Journal of Applied Physiology.

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Children With Mild TBI Exhibit White Matter Abnormalities

TUESDAY, Dec. 18 (HealthDay News) -- Children and adolescents who have experienced mild traumatic brain injury (concussion) show changes in brain white matter that persist months after the injury, even after symptoms have disappeared, according to a study published in the Dec. 12 issue of The Journal of Neuroscience.

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Adalimumab Relieves Hidradenitis Suppurativa

TUESDAY, Dec. 18 (HealthDay News) -- For patients with moderate-to-severe hidradenitis suppurativa (HS), a chronic skin disease characterized by painful abscesses, nodules, and draining fistulas in the axilla and groin, treatment with once-weekly adalimumab is associated with improvements in pain and inflammation, according to a study published online Dec. 17 in the Annals of Internal Medicine.

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STEMI Guidelines Emphasize Timely Reperfusion, Ideally PCI

MONDAY, Dec. 17 (HealthDay News) -- New guidelines urge timely management for patients with ST-segment elevation myocardial infarction (STEMI), according to a scientific report co-published online Dec. 17 in Circulation and the Journal of the American College of Cardiology.

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AAP Urges United Nations Not to Ban Thimerosal in Vaccines

MONDAY, Dec. 17 (HealthDay News) -- In response to the United Nations (UN) Environmental Program international treaty, which seeks to reduce mercury exposure from different sources, the American Academy of Pediatrics (AAP) has joined the World Health Organization (WHO) in urging the UN to reconsider their stance on thimerosal (ethyl mercury), a component used in multi-dose vaccine vials to prevent contamination. The AAP's statement of endorsement of the WHO's recommendation along with three related commentaries have been published online Dec. 17 in Pediatrics.

Statement of Endorsement
Commentary 1
Commentary 2
Commentary 3

Supplementation of Formula With LCPUFAs Ups Infant Visual Acuity

MONDAY, Dec. 17 (HealthDay News) -- For infants, supplementation of formula with long-chain polyunsaturated fatty acids (LCPUFAs) correlates with improved visual acuity in the first year of life, according to research published online Dec. 17 in Pediatrics.

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Vitamin D, Iron Balanced With 500 mL Milk/Day for Children

MONDAY, Dec. 17 (HealthDay News) -- Two cups of cow's milk per day is sufficient to maintain healthy vitamin D and iron stores for most young children, according to a study published online Dec. 17 in Pediatrics.

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Snack Foods Linked to Colorectal Cancer Risk in Lynch Syndrome

MONDAY, Dec. 17 (HealthDay News) -- People with Lynch syndrome have a higher risk of developing early colon cancer if they eat a diet heavy on snacks such as fried foods and sodas, according to a study published online Dec. 17 in Cancer.

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Dietary Fat Increases Glucose Level and Insulin Needs

MONDAY, Dec. 17 (HealthDay News) -- A high-fat meal increases the postprandial glucose levels and insulin requirements of patients with type 1 diabetes, according to research published online Nov. 27 in Diabetes Care.

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Health Care Satisfaction Rated As High by Unacculturated Hispanics

MONDAY, Dec. 17 (HealthDay News) -- Hispanic patients, particularly unacculturated Hispanics, rate their health care experience more highly than do other patient groups, according to a study published in the October issue of the Journal of Immigrant and Minority Health.

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Viewing CPR Video Tool Lowers CPR Use in Advanced Cancer

MONDAY, Dec. 17 (HealthDay News) -- Compared to patients with advanced cancer who were simply told about the likelihood of success with cardiopulmonary resuscitation (CPR), those who viewed a video of CPR were less likely to opt for its use, according to research published online Dec. 10 in the Journal of Clinical Oncology.

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Risk Factors ID'd for Revision of Total Hip Replacement

MONDAY, Dec. 17 (HealthDay News) -- Younger, taller, and heavier patients who undergo primary total hip replacement (THR) are at a greater risk of needing a revision surgery, according to research published in the December issue of Arthritis Care & Research.

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UV Nail Lamps Do Not Significantly Up Skin Cancer Risk

FRIDAY, Dec. 14 (HealthDay News) -- Ultraviolet (UV) nail lamps, used for professional and personal nail techniques, do not pose a clinically significant skin cancer risk, according to a letter to the editor published online Dec. 6 in the Journal of Investigative Dermatology.

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Tenofovir Effectively Treats Adolescents With Chronic HBV

FRIDAY, Dec. 14 (HealthDay News) -- In adolescents infected with hepatitis B virus (HBV), once-daily tenofovir treatment for 72 weeks effectively suppresses HBV DNA and normalizes alanine aminotransferase (ALT) values, regardless of prior HBV treatment exposure, according to research published in the December issue of Hepatology.

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Trunk Exercise Reduces Pain, Disability in Low Back Pain

FRIDAY, Dec. 14 (HealthDay News) -- For patients with chronic low back pain, compared with general exercise, specific trunk exercise results in significant reductions in self-rated disability and pain but similar changes in anticipatory postural adjustments, according to a study published in the Dec. 1 issue of Spine.

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Cardiac Rhythm Devices Mar Quality of Life for Children

FRIDAY, Dec. 14 (HealthDay News) -- The presence of cardiac rhythm devices negatively impacts pediatric patient and parent-reported quality of life (QOL), according to a study published online Dec. 4 in Circulation: Arrhythmia and Electrophysiology.

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Predictors of Organ Damage Identified in Patients With SLE

FRIDAY, Dec. 14 (HealthDay News) -- Patient age, hypertension, and corticosteroid use are the most important predictors of the cumulative organ damage that occurs in patients with systemic lupus erythematosus (SLE), according to research published in the December issue of Arthritis & Rheumatism.

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Leisure-Time Physical Activity Could Add Up to Five Years to Life

FRIDAY, Dec. 14 (HealthDay News) -- Leisure-time physical activity is associated with an increased life expectancy of up to 5.5 years, according to a study published online Dec. 11 in the American Journal of Preventive Medicine.

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For Elderly, Stroke Risk Up With Psychosocial Distress

FRIDAY, Dec. 14 (HealthDay News) -- In older black and white adults, psychosocial distress is related to fatal and nonfatal stroke, according to a study published onli


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