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April 2013 Briefing - Family Practice

Last Updated: May 01, 2013.

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for April 2013. 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.

Outcomes Often Good for Extremely Premature Infants

TUESDAY, April 30 (HealthDay News) -- About three-quarters of infants born extremely prematurely who receive active care have mild or no neurodevelopmental disability at 2.5 years of age, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Female Smokers More Susceptible to Colon Cancer

TUESDAY, April 30 (HealthDay News) -- Female smokers seem to be more susceptible to colon cancer than male smokers, particularly to proximal colon cancer, according to a study published online April 30 in Cancer, Epidemiology, Biomarkers & Prevention.

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More Than One-Third of Stroke Patients Don't Utilize EMS

TUESDAY, April 30 (HealthDay News) -- More than one-third of stroke patients still do not use emergency medical services (EMS), despite the fact that EMS use is linked to significantly more rapid evaluation and treatment, according to a study published online April 29 in Circulation: Cardiovascular Quality and Outcomes.

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FDA Approves Kcentra to Reverse Anticoagulation

TUESDAY, April 30 (HealthDay News) -- Kcentra (prothrombin complex concentrate, human) has been approved by the U.S. Food and Drug Administration to treat severe acute bleeding in adults after administration of warfarin and similar products.

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Optimal Vitamin D Dosage for Infants Remains Uncertain

TUESDAY, April 30 (HealthDay News) -- Supplementing healthy, term, breastfed newborns with 1,600 international units (IU) of vitamin D daily raises plasma levels to the higher target level recommended by some pediatric societies after three months, while lower dosages can raise plasma levels to the lower target level recommended by the Institute of Medicine, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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FDA Concerned Caffeinated Foods Could Harm Children

TUESDAY, April 30 (HealthDay News) -- On the heels of the introduction of a new chewing gum containing as much caffeine as half a cup of coffee, the U.S. Food and Drug Administration is taking a closer look at the impact of caffeinated products on children's health.

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No Evidence of Lyme Disease in Children With Autism

TUESDAY, April 30 (HealthDay News) -- A small study of 120 children appears to show that children with autism have no serological evidence of Lyme disease, according to a research letter published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Multicenter Study Links Peri-Op SSRI Use to Adverse Outcomes

TUESDAY, April 30 (HealthDay News) -- Perioperative use of selective serotonin reuptake inhibitors (SSRIs) is associated with adverse outcomes, including in-hospital mortality, bleeding, and 30-day readmission, according to a multicenter study published online April 29 in JAMA Internal Medicine.

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Virological Failure Up With Nevirapine in HIV-Infected Youth

TUESDAY, April 30 (HealthDay News) -- For children with HIV infection in Botswana, treatment with nevirapine is associated with increased rates of virological failure compared with efavirenz, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Non-Inferior Response With Two-Dose HPV Vaccine

TUESDAY, April 30 (HealthDay News) -- For girls receiving two versus three doses of human papillomavirus (HPV) vaccine, antibody responses to HPV-16 and HPV-18 are non-inferior one month after the last dose, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Comprehensive Analysis Supports SERMs for Cutting Breast Cancer

TUESDAY, April 30 (HealthDay News) -- Treatment with selective estrogen receptor modulators (SERMs) is associated with a significant reduction in the incidence of breast cancer, especially for the first five years after treatment, according to research described as the first comprehensive analysis, published online April 30 in The Lancet.

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Renewed Efforts From AAFP to Repeal OTC Provision in ACA

TUESDAY, April 30 (HealthDay News) -- Members of the American Academy of Family Physicians (AAFP) and other medical associations are urging further consideration of Section 9003 of the Patient Protection and Affordable Care Act (ACA) that requires holders of tax-preferred health care accounts to obtain a physician's prescription to use funds from those accounts to pay for over-the-counter (OTC) medications. The concerns have been laid out in a letter to the chair and the ranking member of the House Committee on Ways and Means.

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Social Network Interests Can Predict Obesity Prevalence

TUESDAY, April 30 (HealthDay News) -- Online social interests can predict the prevalence of obesity in a given geographical area, according to a study published online April 24 in PLOS ONE.

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Hawaii Is Least Stressed State With Highest Enjoyment Levels

MONDAY, April 29 (HealthDay News) -- Hawaii remains the least stressed state, and also reports the highest level of enjoyment, according to a report from Gallup-Healthways.

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Comprehensive Discussion With Docs Ups Cancer Screening

MONDAY, April 29 (HealthDay News) -- Having more comprehensive discussions about colorectal cancer (CRC) screening with primary care providers (PCPs) is associated with increased odds of screening, according to a study published in the April issue of the American Journal of Managed Care.

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USPSTF Recommends Universal HIV Screening From Age 15 to 65

MONDAY, April 29 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening all 15- to 65-year olds, younger and older at-risk individuals, and all pregnant women for HIV, according to a Recommendation Statement published in the April 30 issue of the Annals of Internal Medicine.

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Mediterranean Diet Adherence Cuts Cognitive Impairment

MONDAY, April 29 (HealthDay News) -- Greater adherence to a Mediterranean diet (MeD) is associated with a lower likelihood of incident cognitive impairment (ICI), especially among those without diabetes, according to a study published in the April 30 issue of Neurology.

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High Doses of Saw Palmetto Appear Safe Over 18 Months

MONDAY, April 29 (HealthDay News) -- Extracts of saw palmetto berry used at doses of up to 960 mg daily appear to be safe over an 18-month period, according to a study published in the April issue of The Journal of Urology.

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Rx for High-Risk Meds Varies Widely in Medicare Advantage

MONDAY, April 29 (HealthDay News) -- There is wide variation in the prescription rates of high-risk medications (HRM) among Medicare Advantage (MA) enrollees, according to a study published in the April issue of the Journal of General Internal Medicine.

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Child Fruit Consumption Up With Pre-Slicing in Schools

MONDAY, April 29 (HealthDay News) -- Schools that use fruit slicers to pre-slice fruit report increased fruit sales, more fruit eaten, and less fruit wasted, according to a study published in the May issue of the American Journal of Preventive Medicine.

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Med Errors Common Among Pediatric Cancer Outpatients

MONDAY, April 29 (HealthDay News) -- Among pediatric cancer patients who receive medications at home, errors are common, with a rate of 3.6 errors with injury per 100 patients, according to a study published online April 29 in Pediatrics.

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Zoledronic Acid Linked to Early Increase in Sclerostin Levels

MONDAY, April 29 (HealthDay News) -- Women with postmenopausal osteoporosis treated with zoledronic acid show an early increase in serum levels of the negative regulator of bone formation, sclerostin, that return close to baseline after 360 days, according to a study published online April 17 in the Journal of Clinical Endocrinology & Metabolism.

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AAP Issues Guidelines for Care of Infants Born at Home

MONDAY, April 29 (HealthDay News) -- Every newborn infant, including those born at home, is entitled to appropriate care, according to a policy statement issued by the American Academy of Pediatrics (AAP) and published online April 29 in Pediatrics.

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Explicit Sex Materials Modestly Influence Sexual Behaviors

MONDAY, April 29 (HealthDay News) -- Consumption of sexually explicit material (SEM) has a modest, but significant, effect on sexual behaviors, according to a study published online April 26 in the The Journal of Sexual Medicine.

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Standardized Debriefing Ups Outcomes on CPR Simulation

MONDAY, April 29 (HealthDay News) -- Use of a standardized debriefing script during resuscitation training programs conducted by novice instructors is associated with improved acquisition of knowledge and team leader behavioral performance in subsequent simulated cardiopulmonary arrests, according to a study published online April 22 in JAMA Pediatrics.

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FDA Announces New Network to Focus Exclusively on Patients

MONDAY, April 29 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new interactive tool for educating patients, their advocates, and consumers about the processes involved in medication development.

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FDA: Purveyors of Phony Botox Targeting U.S. Practices

MONDAY, April 29 (HealthDay News) -- Medical practices that purchase Botox may unwittingly be purchasing a fraudulent product not approved by the U.S. Food and Drug Administration for sale in the United States, according to an April 26 drug safety alert issued by the agency.

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Medical Interns Spending Less Time With Patients

FRIDAY, April 26 (HealthDay News) -- Medical interns are spending less time with patients and more time at a computer since new rules limiting total work hours were instituted in 2011, according to a study published online April 18 in the Journal of General Internal Medicine.

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Teen Moms More Likely to Be Subsequently Overweight

FRIDAY, April 26 (HealthDay News) -- Teen mothers are more likely to be overweight or obese later in life compared to women who do not give birth as a teen, according to a study published online April 15 in the American Journal of Obstetrics & Gynecology.

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Standard Criteria Needed for Spinal Stenosis Diagnosis

FRIDAY, April 26 (HealthDay News) -- There is a need for a consensus on criteria to define and classify lumbar spinal stenosis, according to a review published in the April 15 issue of Spine.

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Smoking Water Pipes Is Not a Safe Cigarette Alternative

FRIDAY, April 26 (HealthDay News) -- Smoking tobacco in water pipes is associated with a different pattern of carcinogen exposure than smoking cigarettes, according to a study published online March 5 in Cancer Epidemiology, Biomarkers & Prevention.

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History of Skin Cancer Linked to Secondary Cancers

FRIDAY, April 26 (HealthDay News) -- Men and women with a history of non-melanoma skin cancer (NMSC) are at modestly greater risk of secondary cancers at other sites, according to a study published online April 23 in PLOS Medicine.

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Collagenase Clostridium Histolyticum OK in Peyronie's

FRIDAY, April 26 (HealthDay News) -- For patients with Peyronie's disease, treatment with collagenase clostridium histolyticum (CCH) intralesional injections is efficacious and tolerable, according to research published online Feb. 1 in The Journal of Urology.

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Post-Fracture Targeting Boosts Osteoporosis Management

FRIDAY, April 26 (HealthDay News) -- A mail-based intervention targeting patients with recent frailty fractures and their physicians is a more cost-effective means of osteoporosis management than usual care, according to a simulation-based study published online April 17 in the Journal of Clinical Endocrinology & Metabolism.

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Report Updates Impact of Hypoglycemia in Diabetes

FRIDAY, April 26 (HealthDay News) -- An update of the current state of knowledge about the impact of hypoglycemia on patients with diabetes reviews outcomes, strategies to prevent hypoglycemia, and current knowledge gaps, and has been published in the May issue of Diabetes Care.

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Mindfulness-Based Cognitive Therapy Improves PTSD

FRIDAY, April 26 (HealthDay News) -- Mindfulness-based cognitive therapy (MBCT) can provide significant and clinically meaningful improvement in posttraumatic stress disorder (PTSD) symptoms, according to a pilot study published online April 17 in Depression and Anxiety.

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One-Third of Female Marathon Runners Report Breast Pain

FRIDAY, April 26 (HealthDay News) -- Approximately one-third of female marathon runners report mastalgia, according to a study published online April 19 in the British Journal of Sports Medicine.

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Saturday Marks Sixth Annual Rx Drug Take-Back Day

FRIDAY, April 26 (HealthDay News) -- United States residents across the nation will have an opportunity to safely and anonymously unload expired, unwanted prescription medications on Saturday, April 27, during the sixth annual National Prescription Drug Take-Back Day.

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Review: All Approved Drugs Similarly Prevent Migraines

THURSDAY, April 25 (HealthDay News) -- There is no significant difference in effectiveness in approved drugs for preventing episodic migraine frequency by 50 percent or more, according to a review published in the April issue of the Journal of General Internal Medicine.

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Risk of Delay in Response to Patient E-Mails Up Over Weekend

THURSDAY, April 25 (HealthDay News) -- The risk of delays in opening and responding to primary care patient e-mail communication is significantly worse at the weekends, according to a study published in the April/June issue of Quality Management in Health Care.

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Even Light Smoking Increases Risk of RA Among Women

THURSDAY, April 25 (HealthDay News) -- Even light smoking increases the risk of rheumatoid arthritis (RA) among women, and smoking cessation reduces but does not eliminate this risk, according to a study published online April 22 in Arthritis Research & Therapy.

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Prevalence, Costs of Heart Failure Estimated for 2030

THURSDAY, April 25 (HealthDay News) -- The impact of heart failure is likely to increase, with more than eight million U.S. adults anticipated to have heart failure by 2030, at an estimated total cost of $70 billion, according to a study published online April 24 in Circulation: Heart Failure.

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One 12-Ounce Sweet Drink a Day Ups Risk of T2DM 22 Percent

THURSDAY, April 25 (HealthDay News) -- Consumption of sweetened soft drinks correlates with the incidence of type 2 diabetes in European adults, with one 12-ounce daily increase in sweetened soft drinks correlating with a 22 percent increase in risk of the disease, according to a study published online April 25 in Diabetologia.

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Air Pollution Linked to Marker of Atherosclerosis

THURSDAY, April 25 (HealthDay News) -- Greater exposure to air pollution is associated with greater progression of carotid artery thickness, a marker of atherosclerosis, according to a study published online April 23 in PLOS Medicine.

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Most With Confirmed H7N9 Avian Flu Are Critically Ill

THURSDAY, April 25 (HealthDay News) -- Most Chinese patients with confirmed avian influenza A (H7N9) are critically ill and 21 percent have died, according to a preliminary report published online April 24 in the New England Journal of Medicine.

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Physicians Less Empathetic in Talking to Heavy Patients

THURSDAY, April 25 (HealthDay News) -- Primary care physicians (PCPs) are less likely to bond with overweight and obese patients, according to research published online March 20 in Obesity.

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Analgesics in Endurance Events Can Have Serious Adverse Effects

THURSDAY, April 25 (HealthDay News) -- Analgesic use before endurance sports can cause serious medical events, according to a study published online April 19 in BMJ Open.

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Teens Targeting Strength, Cardio Fitness Battle Insulin Resistance

THURSDAY, April 25 (HealthDay News) -- Lower levels of abdominal muscle strength and cardiorespiratory fitness (CRF) in youth are independently associated with adverse levels of fasting insulin, insulin sensitivity, and β-cell function in young adulthood, according to a study published online April 11 in Diabetes Care.

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Diabetes Target Achievement Up From 1999 to 2010, More Needed

WEDNESDAY, April 24 (HealthDay News) -- For U.S. adults with diabetes there has been an improvement in achievement of targets from 1999 to 2010, but many still do not meet the recommended goals, according to research published in the April 25 issue of the New England Journal of Medicine.

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Teen Residence in Stroke Belt Linked to Risk of Stroke

WEDNESDAY, April 24 (HealthDay News) -- Living in the stroke belt during adolescence is linked with an increased risk of incident stroke, according to a study published online April 24 in Neurology.

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Breast CA Tx Delays Still More Common for Poor, Uninsured

WEDNESDAY, April 24 (HealthDay News) -- For young women with breast cancer, a longer treatment delay time (TDT) is associated with decreased survival, especially for African-American women, those with public or no insurance, and those with low socioeconomic status; and women with early-stage breast cancer with Medicaid are more likely to undergo mastectomy than those with private insurance, according to two studies published online April 24 in JAMA Surgery.

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Doc Describes Medical Tent Experience of Boston Marathon

WEDNESDAY, April 24 (HealthDay News) -- The experience of a physician in the medical tent at the Boston marathon provides insight into the impact of the bombings on medical professionals at the scene; the perspective piece was published online April 23 in the New England Journal of Medicine.

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Impact of Childhood Bacterial Meningitis Lasts Into Adulthood

WEDNESDAY, April 24 (HealthDay News) -- Bacterial meningitis in childhood has lasting effects, often leading to lower educational attainment and economic self-sufficiency in adulthood, according to a study published in the April 24 issue of the Journal of the American Medical Association.

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Review Looks at Best Modality for Diagnosing Ectopic Pregnancy

WEDNESDAY, April 24 (HealthDay News) -- For pregnant women with abdominal pain or vaginal bleeding, transvaginal sonography is the best modality for diagnosing ectopic pregnancy, according to research published in the April 24 issue of the Journal of the American Medical Association.

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Diagnostic Errors Are the Leading Type of Malpractice Claim

WEDNESDAY, April 24 (HealthDay News) -- In the past 25 years, diagnostic errors have been the leading type of malpractice claim and account for the highest proportion of total payments, according to a study published online April 22 in BMJ Quality & Safety.

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Asthma Health Care Access Worse for Young Adults

WEDNESDAY, April 24 (HealthDay News) -- Young adults with asthma have worse health care access and utilization compared with adolescents with asthma, according to a study published online April 22 in Pediatrics.

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AMA Reveals First Step Toward Improving Health Outcomes

WEDNESDAY, April 24 (HealthDay News) -- The American Medical Association (AMA) has announced the first stage of its improving health outcomes initiative, which aims to optimize the health of the nation with a focus on preventing cardiovascular disease and type 2 diabetes.

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American Lung Association Stresses Clean Air Act Benefits

WEDNESDAY, April 24 (HealthDay News) -- More than four in 10 people in the United States live in counties that have unhealthy levels of either ozone or particle pollution, according to the State of the Air 2013 report published April 24 by the American Lung Association (ALA).

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Obesity Tied to Risk of Prostate Cancer After Negative Biopsy

WEDNESDAY, April 24 (HealthDay News) -- In men with an initial benign biopsy or transurethral resection of the prostate, obesity at the time of the procedure is associated with the presence of precancerous lesions in the initial biopsy and a higher risk of developing prostate cancer, according to a study published online April 23 in Cancer Epidemiology, Biomarkers & Prevention.

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Firearms Account for About 2 Percent of Child Injuries

TUESDAY, April 23 (HealthDay News) -- In level 1 trauma centers in Denver and Aurora, Colo., about 2 percent of pediatric injuries result from firearms, according to a research letter published in the April 24 issue of the Journal of the American Medical Association.

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Maternal Use of Valproate Ups Risk of Autism in Offspring

TUESDAY, April 23 (HealthDay News) -- Prenatal exposure to valproate correlates with an increased risk of autism spectrum disorder and childhood autism in offspring, according to a study published in the April 24 issue of the Journal of the American Medical Association.

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>40 Percent of Parents Give Cough Meds to Young Children

TUESDAY, April 23 (HealthDay News) -- More than 40 percent of parents with children younger than 4 years of age give them cough medicine or multi-symptom cough and cold medicine, despite warning labels that products should not be used for young children, according to a report published by the C.S. Mott Children's Hospital.

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Peri-Noncardiac Op Exposure to β-Blockers Improves Outcome

TUESDAY, April 23 (HealthDay News) -- For patients undergoing major noncardiac surgery with two or more Revised Cardiac Risk Index factors, early exposure to β-blockers is associated with improved 30-day postoperative outcome, according to research published in the April 24 issue of the Journal of the American Medical Association.

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Breast Density Linked to Breast Cancer-Specific Survival

TUESDAY, April 23 (HealthDay News) -- For women with breast cancer receiving adjuvant tamoxifen treatment, a decrease in mammographic density appears to be associated with improved breast cancer-specific survival, according to a study published online April 22 in the Journal of Clinical Oncology.

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Interdisciplinary Model Ups Care of Hospitalized Elderly

TUESDAY, April 23 (HealthDay News) -- For elderly patients, admission to the Mobile Acute Care of the Elderly (MACE) service, a novel model of care delivered by an interdisciplinary team, correlates with lower rates of adverse events and shorter hospital stays, compared with usual care, according to a study published online April 22 in JAMA Internal Medicine.

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Parental Permissiveness Linked to Rx Drug Abuse, Misuse

TUESDAY, April 23 (HealthDay News) -- Nearly one-quarter of teenagers misuse or abuse a prescription drug at least once in their lifetime, with perceived parental permissiveness linked to misuse and abuse of prescription drugs as well as use of alcohol and marijuana, according to a report published online April 23 by The Partnership at Drugfree.org.

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Brain Stimulation Reduces Smoking Cravings

TUESDAY, April 23 (HealthDay News) -- High-frequency brain stimulation can temporarily reduce smoking cravings, according to a study published in the April 15 issue of Biological Psychiatry.

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Drop in Genital Warts in Young Women Since HPV Vaccination

TUESDAY, April 23 (HealthDay News) -- For Australian women aged 30 years or younger there has been a decrease in the proportion found to have genital warts following the introduction of the human papillomavirus (HPV) vaccine program, according to research published online April 18 in BMJ.

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U.S. Shortfall in Neurologists Expected to Get Worse

TUESDAY, April 23 (HealthDay News) -- The current national shortfall in neurologists is about 11 percent, and is likely to increase to 19 percent by 2025, according to research published online April 17 in Neurology.

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Behaviors Indicative of More Trips to Buffet Table Identified

TUESDAY, April 23 (HealthDay News) -- Surveying the food options before eating and using a smaller plate could result in less trips to the buffet at all-you-can-eat restaurants and buffets, according to a research letter published in the April issue of the American Journal of Preventive Medicine.

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Severe Cutaneous Adverse Rxns Up in Allopurinol Initiators

TUESDAY, April 23 (HealthDay News) -- Allopurinol initiators have an almost 10-fold increased risk of severe cutaneous adverse reactions (SCARs) compared with nonusers, according to a study published in the April issue of Arthritis Care & Research.

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USPSTF: Primary Care Screening Can Help ID Suicide Risk

MONDAY, April 22 (HealthDay News) -- The U.S. Preventive Services Task Force finds that primary care screening tools could probably identify adults at increased risk of suicide, although they have limited efficacy in adolescents. This Recommendation Statement is based on an evidence review published in the April 23 issue of the Annals of Internal Medicine.

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Food-Tied Parenting Practices Common in Parents of Teens

MONDAY, April 22 (HealthDay News) -- The use of controlling food-related parenting practices, including food restriction and pressure-to-eat, are common among parents of adolescents and vary according to weight status, according to a study published in online April 22 in Pediatrics.

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Mammogram Rates Unchanged Since USPSTF Recommendations

MONDAY, April 22 (HealthDay News) -- There has been no change in mammography screening rates among women aged 40 years or older following publication of the 2009 U.S. Preventive Services Task Force (USPSTF) recommendations, according to research published online April 19 in Cancer.

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Docs' Role in Gauging Fitness for Concealed Weapons Queried

MONDAY, April 22 (HealthDay News) -- Given the ethical, legal, and policy issues relating to the role of physicians in assessing competency for concealed-weapons permits, standards should be issued, according to a perspective piece published online April 17 in the New England Journal of Medicine.

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One-Year Survival Up for Critical Congenital Heart Defects

MONDAY, April 22 (HealthDay News) -- For infants with critical congenital heart defects (CCHDs), one-year survival has improved over time, with an increased risk of mortality associated with earlier diagnosis, low birth weight, and maternal age, according to a study published online April 22 in Pediatrics.

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HPV Exposure in Family, School Linked to Wart Development

MONDAY, April 22 (HealthDay News) -- For schoolchildren, exposure to human papillomavirus (HPV)-causing warts in the family and school class is associated with an increased risk of wart development, according to a study published online April 22 in Pediatrics.

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Dangers of the 'Cinnamon Challenge' Need Emphasis

MONDAY, April 22 (HealthDay News) -- With the increasing popularity of the "Cinnamon Challenge," especially among adolescents, the potential dangers need to be emphasized, according to a perspective piece published online April 22 in Pediatrics.

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Teen Type 1 Diabetes Outcomes Up With Internet Interventions

MONDAY, April 22 (HealthDay News) -- Internet-based psycho-educational programs are beneficial for young patients with type 1 diabetes as they transition into adolescence, according to a study published online April 11 in Diabetes Care.

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Genetics Linked to Abnormal Alzheimer's Markers

FRIDAY, April 19 (HealthDay News) -- Individuals with a family history of late-onset Alzheimer's disease who are cognitively normal or mildly impaired have a higher prevalence of abnormal cerebral markers, according to a study published online April 17 in PLOS ONE.

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FDA Approves Updated Label for Reformulated OxyContin

FRIDAY, April 19 (HealthDay News) -- The U.S. Food and Drug Administration has approved updated labeling for Purdue Pharma L.P.'s reformulated OxyContin (oxycodone hydrochloride controlled-release) tablets, which will indicate that the reformulated product has physical and chemical properties that should make abuse by injection very difficult and reduce intranasal abuse.

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CDC: Traffic-Related Pedestrian Deaths Increasing With Age

FRIDAY, April 19 (HealthDay News) -- Traffic-related pedestrian death rates over the last decade were highest among the elderly, males, and racial and ethnic minorities, according to research published in the April 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Community Gardening Programs Linked to Lower BMI

FRIDAY, April 19 (HealthDay News) -- Male and female participants in community gardening programs have significantly lower body mass indexes (BMIs) than their neighbors and siblings, according to a study published online April 18 in the American Journal of Public Health.

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Racial Disparity in Head and Neck Cancer Outcomes

FRIDAY, April 19 (HealthDay News) -- Among Medicaid beneficiaries diagnosed with head and neck cancer, considerable racial disparities exist in treatment patterns and survival, according to a study published online April 18 in JAMA Otolaryngology-Head & Neck Surgery.

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Patient-Centered Decision Making Ups Health Outcomes

FRIDAY, April 19 (HealthDay News) -- Patient-centered decision making (PCDM) is associated with improved health care outcomes, according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Pot Smoking Linked to Some Metabolic Changes

FRIDAY, April 19 (HealthDay News) -- Regularly smoking pot is associated with visceral adiposity and adipose tissue insulin resistance, but not other metabolic changes such as impaired β-cell function or hepatic steatosis, according to a study published online March 25 in Diabetes Care.

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Urine Cytology Adds Little to Hematuria Investigation

THURSDAY, April 18 (HealthDay News) -- Urine cytology adds little to the diagnostic value of standard hematuria investigations, according to a study published in the April issue of The Journal of Urology.

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NH-proBNP Strongly Predicts Cardiac Mortality in T2DM

THURSDAY, April 18 (HealthDay News) -- NH2-terminal probrain natriuretic peptide (NT-proBNP) predicts the risk of cardiovascular (CV) mortality in patients with type 2 diabetes without previous CV disease (CVD), according to a study published online April 5 in Diabetes Care.

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Outcomes Vary for Diverticular Disease After Surgery

THURSDAY, April 18 (HealthDay News) -- After elective colectomy, patients with diverticular disease (DD) have worse outcomes and higher costs than patients with colon cancer (CC) but better outcomes and lower costs than patients with inflammatory bowel disease (IBD), according to a study published in the April issue of JAMA Surgery.

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Accuracy of Smartphone Apps for Melanoma Risk Is Variable

THURSDAY, April 18 (HealthDay News) -- The diagnostic accuracy of smartphone applications that analyze photos of pigmented skin lesions for melanoma risk is highly variable and incorrectly classifies about a third of melanomas as benign, according to a study published in the April issue of JAMA Dermatology.

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Happiness Influenced by One's Own, Others' Sexual Activity

THURSDAY, April 18 (HealthDay News) -- Happiness is positively associated with an individual's sexual frequency and negatively associated with the sexual frequency of others, according to a study published in the February issue of Social Indicators Research.

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English-Acculturated Hispanics Report Less Sun-Safe Behavior

THURSDAY, April 18 (HealthDay News) -- English-acculturated and bicultural (high English and Spanish acculturation) Hispanic adults report lower engagement in skin cancer-related behaviors, according to a study published online April 17 in JAMA Dermatology.

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Relative Proportion of MRSA Increasing in S. aureus Isolates

THURSDAY, April 18 (HealthDay News) -- The relative proportion of methicillin-resistant Staphylococcus aureus (MRSA) is increasing in S. aureus isolates, and methicillin-sensitive S. aureus (MSSA) is becoming increasingly resistant to antibiotics, according to a study published in the April issue of JAMA Dermatology.

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Vascular Markers Linked to Cognitive Decline in Diabetes

THURSDAY, April 18 (HealthDay News) -- Stroke and subclinical markers of macrovascular disease are associated with cognitive decline in older adults with type 2 diabetes, according to a study published online April 11 in Diabetes Care.

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For Older Men, Prostate Biopsy Uncommon After Abnormal PSA

THURSDAY, April 18 (HealthDay News) -- For older men with abnormal prostate-specific antigen (PSA) levels, performance of prostate biopsies is uncommon and decreases with advancing age and worsening comorbidity, according to a study published online April 15 in JAMA Internal Medicine.

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Essay Questions Conventional Etiology of Obesity

THURSDAY, April 18 (HealthDay News) -- To progress in the fight against obesity it is necessary to accept that there may be alternative hypotheses underlying its etiology and be prepared to invest the necessary time and resources to understand the underlying causes, according to an essay published online April 16 in BMJ.

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Patient Expresses Concern About Lack of Data on Biological Drugs

THURSDAY, April 18 (HealthDay News) -- A patient with Crohn's disease is concerned about the attempt by the makers of adalimumab to prevent disclosure of trial data submitted during the drug's approval process, according to a personal view piece published online April 16 in BMJ.

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Family-Centered Teaching Rounds Good for Patients, Students

THURSDAY, April 18 (HealthDay News) -- Teaching and conducting rounds in the presence of patients and their families can be beneficial for patients and learners, according to research published online April 15 in Pediatrics.

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Guidelines Issued Relating to Online Medical Professionalism

THURSDAY, April 18 (HealthDay News) -- Physicians should be aware of the benefits on online media and should recognize the implications for patient confidentiality and public perception, according to a position paper published in the April 16 issue of the Annals of Internal Medicine.

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Ultrasound Model IDs Residual Joint Inflammation in RA

THURSDAY, April 18 (HealthDay News) -- A model including ultrasound (US) assessment of the wrist, metacarpophalangeal (MCP), ankle, and metatarsophalangeal (MTP) joints is highly sensitive for detecting B-mode and Doppler joint inflammation in patients with rheumatoid arthritis (RA), according to a study published in the April issue of Arthritis Care & Research.

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