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September 2013 Briefing - Family Practice

Last Updated: October 01, 2013.

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

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

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Poll: Americans Anxious About Long-Term Care

MONDAY, Sept. 30 (HealthDay News) -- More than two-thirds of Americans are worried about how they will pay for long-term care, and more than two-thirds of them are likely to need it someday, according to the results of a Harris Interactive/HealthDay poll.

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Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

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Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

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No Change in Admissions for Pediatric Sports-Related TBI

MONDAY, Sept. 30 (HealthDay News) -- Over the last 10 years there has been an increase in the number of emergency department visits for sports-related traumatic brain injury (TBI) in children, but no increase in the percentage of children admitted, according to a study published online Sept. 30 in Pediatrics.

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Non-Medical Exemptions One Factor in Pertussis Resurgence

MONDAY, Sept. 30 (HealthDay News) -- Non-medical exemptions (NMEs) are likely to have been one of the factors that contributed to the resurgence of pertussis in California in 2010, according to a study published online Sept. 30 in Pediatrics.

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Trends in Psychotropic Med Use in Young Children Explored

MONDAY, Sept. 30 (HealthDay News) -- For children aged 2 to 5 years, the likelihood of psychotropic medication use peaked in 2002 to 2005, according to a study published online Sept. 30 in Pediatrics.

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DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

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Mobile Devices Can Facilitate Universal Vital Sign Monitoring

MONDAY, Sept. 30 (HealthDay News) -- Mobile devices are well suited to provide universal access to the monitoring of vital signs, according to a review published in the October issue of Anesthesia & Analgesia.

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Vitamin D Alone Doesn't Better Postmenopausal Bone Health

MONDAY, Sept. 30 (HealthDay News) -- Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover, according to a study published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

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HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

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Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

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Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

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Mobile Apps May Expand Dermatology Practice

FRIDAY, Sept. 27 (HealthDay News) -- Mobile apps may offer an opportunity to expand delivery of dermatological care, according to research published online Sept. 25 in JAMA Dermatology.

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Social Media May Make Quitting Smoking Easier

FRIDAY, Sept. 27 (HealthDay News) -- People who participate in health issue-specific social networking sites find it easier to quit smoking, according to research published online Sept. 16 in the Journal of Communication.

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No Association Seen Between Celiac Disease, Autism Disorders

FRIDAY, Sept. 27 (HealthDay News) -- There is no association between celiac disease and autism spectrum disorders (ASDs), although there may be an increased risk of ASDs in patients with normal lining of the gastrointestinal tract but a positive antibody test, according to a study published online Sept. 25 in JAMA Psychiatry.

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Rates of Severe and Fatal Maternal Sepsis Up in the U.S.

FRIDAY, Sept. 27 (HealthDay News) -- Rates of severe sepsis and sepsis-related deaths during hospitalization for labor and delivery in the United States are increasing, according to research published in the October issue of Anesthesia & Analgesia.

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Effect of Testosterone on CV Disease in Men Uncertain

FRIDAY, Sept. 27 (HealthDay News) -- Further research is required to determine the relationship between testosterone levels and cardiovascular disease in men and to explore the risk-benefit of testosterone therapy, according to a review published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

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Obesity Gene Testing Offers Psychological Benefit

FRIDAY, Sept. 27 (HealthDay News) -- Results from genetic testing for weight gain-related genes may offer psychological benefits beyond their limited clinical utility, according to a study published in the July issue of the Journal of Genetic Counseling.

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Disparity Seen in Pain Tx for Kids in ER for Abdominal Pain

FRIDAY, Sept. 27 (HealthDay News) -- Racial disparities exist in the use of analgesics in pediatric patients in the emergency department presenting with abdominal pain, according to a study published online Sept. 23 in Pediatrics.

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CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

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Combo Approach Ups Flu Vaccine Receipt Among Pregnant Women

THURSDAY, Sept. 26 (HealthDay News) -- The combination of a health care provider recommending an influenza vaccination and offering the vaccine increases uptake among pregnant women, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Cardiovascular Data Registry Provides Useful Information

THURSDAY, Sept. 26 (HealthDay News) -- Programs within the National Cardiovascular Data Registry (NCDR) provide valuable information about cardiovascular trends, according to a report published online Sept. 18 in the Journal of the American College of Cardiology.

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ACP Launches Clinical Support Tool for Internal Medicine Docs

THURSDAY, Sept. 26 (HealthDay News) -- A web-based clinical decision support tool has been developed specifically for internal medicine physicians, according to a report published by the American College of Physicians (ACP).

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High Sensitivity for Ottawa Subarachnoid Hemorrhage Rule

THURSDAY, Sept. 26 (HealthDay News) -- For patients presenting to the emergency department with headache peaking within one hour and no neurologic deficits, the Ottawa Subarachnoid Hemorrhage Rule is highly sensitive for identifying subarachnoid hemorrhage, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

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Dementia Needs to Become a Government Priority

THURSDAY, Sept. 26 (HealthDay News) -- Governments must make dementia a priority, according to a report published by Alzheimer's Disease International.

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Improved Vision From Cataract Surgery Appears to Aid Survival

THURSDAY, Sept. 26 (HealthDay News) -- Surgical correction of visual impairment (VI) due to cataract is associated with significantly better long-term survival in older persons after adjusting for known cataract and mortality risk factors and indicators of general health, according to a study published in the September issue of Ophthalmology.

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Juvenile Idiopathic Arthritis Tx Recommendations Updated

THURSDAY, Sept. 26 (HealthDay News) -- Recommendations for treatment of systemic juvenile idiopathic arthritis (JIA), including those cases with or without active systemic features, have been updated to reflect an extensive literature review and evaluation of more than 1,000 scenarios, according to a special article published in the October issue of Arthritis & Rheumatism.

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Antibiotic Protocol Selects Against Drug Resistance

THURSDAY, Sept. 26 (HealthDay News) -- Cycling between antibiotics can select against the development of drug resistance, according to a study published in the Sept. 25 issue of Science Translational Medicine.

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No Cognitive Protective Role Seen for Omega-3 Fatty Acids

THURSDAY, Sept. 26 (HealthDay News) -- There is no evidence of a protective effect for omega-3 fatty acids on age-associated cognition or the rate of cognitive decline in older dementia-free women, according to research published online Sept. 25 in Neurology.

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More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

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HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

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Chronic Kidney Disease Up in the Oldest Old in the U.S.

WEDNESDAY, Sept. 25 (HealthDay News) -- The prevalence of chronic kidney disease (CKD) has increased among U.S. adults aged 80 years or older, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.

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Long-Term Metabolic Effects Seen With Bariatric Surgery

WEDNESDAY, Sept. 25 (HealthDay News) -- In obese patients, bariatric surgery can aid in achieving sustainable remission and improvement of type 2 diabetes mellitus (T2DM), according to a study published in the October issue of the Annals of Surgery.

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Prenatal Antiepileptic Drugs Affect Fine Motor Skills in Infants

WEDNESDAY, Sept. 25 (HealthDay News) -- Prenatal exposure to antiepileptic drugs is associated with impaired fine motor skills at 6 months of age, according to a study published online Sept. 23 in JAMA Neurology.

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New Survey Tool Predicts Immunization Status

WEDNESDAY, Sept. 25 (HealthDay News) -- The Parent Attitudes About Childhood Vaccines survey (PACV) predicts the immunization status of children with high reliability, according to a study published online Sept. 23 in JAMA Pediatrics.

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ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

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Mother-Infant Bedsharing Promotes Breastfeeding

WEDNESDAY, Sept. 25 (HealthDay News) -- Duration of breastfeeding is longer for mothers who frequently lie down and sleep with their infants for major sleep periods, according to research published online Sept. 23 in JAMA Pediatrics.

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Arsenic Exposure Ups Risk for Cardiovascular Disease

TUESDAY, Sept. 24 (HealthDay News) -- Chronic exposure to low-to-moderate levels of inorganic arsenic is associated with increased risk of cardiovascular morbidity and mortality, according to research published online Sept. 24 in the Annals of Internal Medicine.

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Second Bone Mineral Density Test Doesn't Up Fx Prediction

TUESDAY, Sept. 24 (HealthDay News) -- For older adults, a second bone mineral density (BMD) measure after four years does not improve prediction of hip or major osteoporotic fractures, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

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Diet, Diet + Exercise Better Than Exercise Alone in Knee OA

TUESDAY, Sept. 24 (HealthDay News) -- For overweight and obese adults with knee osteoarthritis (OA), 18 months of diet and diet + exercise interventions is better than an exercise only intervention, with lower knee compressive force in the diet group and lower plasma interleukin-6 (IL-6) levels in both groups, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

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HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

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FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

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Early Screening Tool IDs PTSD in Preschool-Aged Children

TUESDAY, Sept. 24 (HealthDay News) -- An early screening tool can be used to identify posttraumatic stress disorder (PTSD) in infants and young children shortly after unintentional injury, according to a study published online Sept. 23 in Pediatrics.

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Breastfeeding Concerns Prevalent Among New Mothers

TUESDAY, Sept. 24 (HealthDay News) -- Almost all new mothers experience breastfeeding concerns in the early postpartum period, and these are associated with stopping breastfeeding, according to a study published online Sept. 23 in Pediatrics.

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Model Can Predict Preemie Neonatal Outcome Severity

TUESDAY, Sept. 24 (HealthDay News) -- A statistical prediction model comprising eight characteristics can be used to determine the severity of neonatal outcomes for infants born at 23 to 30 weeks of gestation, according to a study published online Sept. 23 in Pediatrics.

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ACP Releases Guideline for Obstructive Sleep Apnea

TUESDAY, Sept. 24 (HealthDay News) -- The American College of Physicians (ACP) has developed a clinical practice guideline for the management of obstructive sleep apnea (OSA) in adults; the guideline has been published online Sept. 24 in the Annals of Internal Medicine.

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Medicare Expenditure Per Patient Up for Acute MI

TUESDAY, Sept. 24 (HealthDay News) -- For patients with acute myocardial infarction (AMI), Medicare expenditures per patient increased significantly from 1998-1999 to 2008, according to research published online Sept. 23 in JAMA Internal Medicine.

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Medicare Managed Care More Apt for Nursing Home Residents

TUESDAY, Sept. 24 (HealthDay News) -- For nursing home residents with advanced dementia, Medicare managed care is associated with more appropriate, less burdensome care, according to a study published online Sept. 23 in JAMA Internal Medicine.

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Marriage Shown to Provide Cancer Survival Benefit

TUESDAY, Sept. 24 (HealthDay News) -- Unmarried patients are at significantly higher risk of presentation with metastatic cancer, undertreatment, and cancer-related death, according to a study published online Sept. 23 in the Journal of Clinical Oncology.

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Infectious Endocarditis Risk ID'd in Congenital Heart Disease

MONDAY, Sept. 23 (HealthDay News) -- For children with congenital heart disease (CHD), the risk of infectious endocarditis (IE) is 6.1 per 1,000 children, and predictors include cyanotic CHD, endocardial cushion defects, and left-sided lesions, according to a study published in the Sept. 24 issue of Circulation.

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FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

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USPSTF: Offer Breast CA Risk-Reducing Rx to High-Risk Patients

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that women at increased risk of breast cancer be prescribed tamoxifen or raloxifene for risk reduction, according to a final Recommendation Statement published online Sept. 24 in the Annals of Internal Medicine.

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Unlike Adults, No Decline Seen in MRSA Infections in Children

MONDAY, Sept. 23 (HealthDay News) -- In contrast to decreasing incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in adults, no significant reductions in health care-associated MRSA infections, and increasing incidence of community-acquired MRSA infections, have been reported in children, according to research published online Sept. 23 in Pediatrics.

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HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

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Bioethicist Discusses Targeting Parents of Obese Children

MONDAY, Sept. 23 (HealthDay News) -- Parents of obese children should be targeted in an effort to deal with a serious national problem, according to a viewpoint piece published in the September issue of JAMA Pediatrics.

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Use of Digoxin Ups Risk of Death in Systolic Heart Failure

MONDAY, Sept. 23 (HealthDay News) -- Digoxin therapy was independently associated with increased mortality in patients with systolic heart failure, according to research published in the September issue of Circulation: Cardiovascular Quality and Outcomes.

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Pap, HPV Testing Unnecessarily High in Under-21-Year-Olds

MONDAY, Sept. 23 (HealthDay News) -- For women younger than 21 years, Papanicolaou (Pap) and human papillomavirus (HPV) testing are unnecessarily high, according to a study published in the September issue of the American Journal of Obstetrics & Gynecology.

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Majority of U.S. Consumers Want Full Access to EMR

MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.

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Racial Disparities in Functional Disability of Breast Cancer

MONDAY, Sept. 23 (HealthDay News) -- Older women with newly diagnosed non-metastatic breast cancer frequently have functional disability, with African-American (AA) women disproportionately affected, according to a study published online Sept. 23 in Cancer.

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HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

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Statin Use Tied to Increased Risk of Cataracts

FRIDAY, Sept. 20 (HealthDay News) -- Statin users are at increased risk for cataracts, according to a study published online Sept. 19 in JAMA Ophthalmology.

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Monitoring Ups Adherence to Antiretroviral Prophylaxis

FRIDAY, Sept. 20 (HealthDay News) -- High adherence to oral antiretroviral pre-exposure prophylaxis is achieved when HIV serodiscordant couples receive active monitoring and counseling, according to research published online Sept. 10 in PLOS Medicine.

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Metformin May Increase Risk of Cognitive Impairment

FRIDAY, Sept. 20 (HealthDay News) -- Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in Diabetes Care.

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Physical Exams Commonly Lacking in Low Back Pain Care

FRIDAY, Sept. 20 (HealthDay News) -- Among adults with low back pain (LBP) visiting a physician, 43 percent report no inspection and 20 percent report no palpation at physician encounters, according to a study published in the Sept. 15 issue of Spine.

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Mild Adverse Events Common With Chiropractic Care

FRIDAY, Sept. 20 (HealthDay News) -- Adverse events are common after chiropractic care, but seem to be due to non-specific effects and are mostly benign, according to a study published in the Sept. 15 issue of Spine.

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Little Correlation Between Care Quality, Patient Experience

FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.

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High Maternal BMI Tied to Worse Outcomes, Higher Costs

FRIDAY, Sept. 20 (HealthDay News) -- Maternal obesity is associated with considerable negative maternal and neonatal outcomes as well as substantially increased medical costs, according to research published online Sept. 18 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Countries Urged to Step Up Efforts to Reduce Child Deaths

FRIDAY, Sept. 20 (HealthDay News) -- Historical trends in coverage of interventions to improve maternal, newborn, and child health indicate that targets for child and neonatal mortality will not be met by 2035, according to research published in the Sept. 21 issue of The Lancet.

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Cost and Perceived Need Barriers to Diabetes Eye Care

FRIDAY, Sept. 20 (HealthDay News) -- Cost, lack of insurance, and no need are the most commonly cited reasons why adults with diabetes do not seek annual eye care, according to a study published online Sept. 5 in Diabetes Care.

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PSA Testing Tied to Higher Socioeconomic Status

FRIDAY, Sept. 20 (HealthDay News) -- Prostate-specific antigen testing is more likely among affluent men, according to a study published in the October issue of The Journal of Urology.

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Lawyers File Most Isotretinoin Adverse Drug Reports

FRIDAY, Sept. 20 (HealthDay News) -- Attorneys have submitted a disproportionate number of isotretinoin-associated inflammatory bowel disease (IBD) cases to the U.S. Food and Drug Administration, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

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Rosacea Risk Higher in Female Migraine Sufferers

FRIDAY, Sept. 20 (HealthDay News) -- There is a slight increased risk of rosacea among females with migraines, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

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CDC: Evocative Campaign Motivates Smokers to Quit

THURSDAY, Sept. 19 (HealthDay News) -- The Tips from Former Smokers (Tips) television campaign, which features true stories of former smokers living with the unfortunate consequences of their past habit, appears to motivate smokers to seek information through quitlines and the Internet, according to a report published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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New Medicaid Enrollees Under ACA May Be Healthier

THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.

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Fidelity to Prenatal Care Model Proves Beneficial

THURSDAY, Sept. 19 (HealthDay News) -- Maintaining fidelity to both facilitative group processes and content during administration of the CenteringPregnancy group prenatal model significantly reduces intensive utilization of care, according to a study published in the August Issue of the American Journal of Obstetrics & Gynecology.

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Increased QRS Duration on ECG Tied to Cardiovascular Mortality

THURSDAY, Sept. 19 (HealthDay News) -- Increased QRS duration on electrocardiogram (ECG) is an independent predictor of cardiovascular mortality, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

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Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

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Phototherapy Affects Serum 25(OH)D Levels

THURSDAY, Sept. 19 (HealthDay News) -- For patients with inflammatory skin conditions, phototherapy with ultraviolet (UV) A1 radiation induces a reduction in serum 25-hydroxyvitamin D3 (25[OH]D) levels, whereas narrowband UVB (UVBnb) and UVA/UVBnb induces significant increases in serum 25(OH)D, according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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'Bath Salts' Involved in Nearly 23,000 ER Visits in 2011

THURSDAY, Sept. 19 (HealthDay News) -- Bath salts, a group of drugs that contain one or more chemicals related to the amphetamine-like stimulant cathinone, were involved in nearly 23,000 drug-related emergency department visits in 2011, according to a report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Rarely 'Too Early' for Appearance-Enhancing Procedures

THURSDAY, Sept. 19 (HealthDay News) -- The effects of appearance-enhancing procedures such as neuromodulators, fillers, and light or laser treatments have lasting effects and can rarely be used "too early," according to a viewpoint piece published online Sept. 18 in JAMA Dermatology.

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Pros and Cons of Shortening Medical School Discussed

THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.

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Colorectal Cancer Screening Offers Lasting Benefits

WEDNESDAY, Sept. 18 (HealthDay News) -- Lower endoscopy and fecal occult-blood testing screening correlate with lasting reductions in colorectal cancer mortality, according to two studies published in the Sept. 19 issue of the New England Journal of Medicine.

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Vitamin B Supplements May Reduce the Risk of Stroke

WEDNESDAY, Sept. 18 (HealthDay News) -- Vitamin B supplements may help reduce the risk of stroke, according to a meta-analysis published online Sept. 18 in Neurology.

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Expansion of VA Mammography Services Impacts Care

WEDNESDAY, Sept. 18 (HealthDay News) -- Rapid expansion of mammography screening at a Veterans Affairs (VA) facility has translated to increased clinical volumes and increased time to definitive treatment, according to research published online Sept. 18 in JAMA Surgery.

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Gender Differences in Coronary Syndrome Presentation Studied

WEDNESDAY, Sept. 18 (HealthDay News) -- Chest pain is the most predominant symptom of acute coronary syndrome (ACS) in both middle-aged men and women, although women have a higher likelihood of presenting without chest pain, according to a study published online Sept. 16 in JAMA Internal Medicine.

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Binge Drinking 5+ Drinks Common in High School Seniors

WEDNESDAY, Sept. 18 (HealthDay News) -- One in five U.S. high school seniors report binge drinking at the traditionally defined 5+ drinking level in the past two weeks, according to a study published online Sept. 16 in JAMA Pediatrics.

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~11 Percent of Combat Wounded Have Spinal Injuries

WEDNESDAY, Sept. 18 (HealthDay News) -- Spine injuries account for more than 11 percent of all casualties among U.S. combat-wounded military in Iraq and Afghanistan, according to a study published in the Sept. 15 issue of Spine.

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Suicide Rates Increased After 2008 Global Economic Crisis

WEDNESDAY, Sept. 18 (HealthDay News) -- The 2008 global economic crisis correlated with increased rates of suicide in European and American countries, according to research published online Sept. 17 in BMJ.

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Enhanced Care Program Set Up at Six Mayo Clinic Hospitals

WEDNESDAY, Sept. 18 (HealthDay News) -- A new program has been developed and implemented at six Mayo Clinic Health System hospitals to improve care and shorten hospital stays using remote monitoring, according to a press release issued by the Mayo Clinic.

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Varenicline Safe and Effective in Those With Depression

WEDNESDAY, Sept. 18 (HealthDay News) -- Varenicline can increase smoking cessation rates in smokers with stable depression, without worsening depression or anxiety, according to a study published in the Sept. 17 issue of the Annals of Internal Medicine.

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Payment for Routine Office Visits Varies Substantially

WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.

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EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Patient-Centered Diabetes Care Best in Those With High HbA1c

WEDNESDAY, Sept. 18 (HealthDay News) -- Patient-centered diabetes care is most effective when targeted to patients with HbA1c >8.5 percent, according to a study published online Aug. 15 in Diabetes Care.

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Routine Screening IDs Elderly at Risk of Mobility Limitation

TUESDAY, Sept. 17 (HealthDay News) -- Routine screening can identify older adults at risk of mobility limitation, and addressing their functional deficits with mobility devices and exercise can lead to improvement in mobility limitation, according to a review published in the Sept. 18 issue of the Journal of the American Medical Association.

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Unfounded Fears Prompt Prophylactic Mastectomy Choice

TUESDAY, Sept. 17 (HealthDay News) -- Among young women who undergo a bilateral mastectomy for cancer in one breast, contralateral prophylactic mastectomy (CPM) is often chosen to reduce risk of future cancer and improve survival, according to research published in the Sept. 17 issue of the Annals of Internal Medicine.

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Chronic Care Management No Benefit for Drug Dependence

TUESDAY, Sept. 17 (HealthDay News) -- Chronic care management (CCM) is no better than usual primary care for self-reported abstinence for those with alcohol or drug dependence, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.

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Livestock Industrial Agriculture Exposure Ups Odds of MRSA

TUESDAY, Sept. 17 (HealthDay News) -- Exposure to swine and dairy/veal industrial agriculture is associated with increased odds of methicillin-resistant Staphylococcus aureus (MRSA) infection; and, the incidence of health care-associated community-onset (HACO) and hospital-onset MRSA infections has decreased since 2005, according to two studies published online Sept. 16 in JAMA Internal Medicine.

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Office Employees 'Too Tired' to Exercise

TUESDAY, Sept. 17 (HealthDay News) -- Barriers and enablers for good nutrition and physical activity influence employee health behaviors, according to research published online Sept. 12 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Care Pathway Proposed for Adolescent Depression

TUESDAY, Sept. 17 (HealthDay News) -- Researchers have gathered evidence, developed a care pathway, and identified quality indicators (QIs) for the management of adolescent depression, according to a special article published online Sept. 16 in Pediatrics.

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Caseload Midwifery Safe and Cost-Effective for All Women

TUESDAY, Sept. 17 (HealthDay News) -- For all pregnant women, irrespective of risk factors, caseload midwifery is safe and appears to be cost-effective, according to a study published online Sept. 17 in The Lancet.

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More Than 1.6 Million Americans Expected to Get Cancer in 2013

TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.

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Telomere Length Increase Lasts With Lifestyle Intervention

TUESDAY, Sept. 17 (HealthDay News) -- For men with low-risk prostate cancer, a comprehensive lifestyle intervention is associated with increased telomere length after five years of follow-up, according to a study published online Sept. 17 in The Lancet Oncology.

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High LDL Cholesterol Remains Common Among U.S. Adults

TUESDAY, Sept. 17 (HealthDay News) -- High low-density lipoprotein (LDL) cholesterol remains common among U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

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Detection Bias May Explain Raised Bladder CA Risk in T2DM

TUESDAY, Sept. 17 (HealthDay News) -- Early detection bias may explain the pattern of increased bladder cancer risk previously reported in patients with type 2 diabetes, according to a study published online Aug. 29 in Diabetes Care.

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