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March 2014 Briefing - Family Practice

Last Updated: April 01, 2014.

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for March 2014. 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.

Long-Acting Clotting Agent Approved for Form of Hemophilia

MONDAY, March 31, 2014 (HealthDay News) -- The drug Alprolix has been approved by the U.S. Food and Drug Administration as the first long-acting hemophilia B clotting agent, the FDA said in a news release.

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New Guidelines Issued for Management of Atrial Fibrillation

MONDAY, March 31, 2014 (HealthDay News) -- New recommendations have been developed for the optimum management of atrial fibrillation. The American College of Cardiology/American Heart Association guidelines have been published online March 28 in the Journal of the American College of Cardiology, Circulation, and Heart Rhythm.

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Health Behavior Change Cuts CVD Risk After T2DM Diagnosis

MONDAY, March 31, 2014 (HealthDay News) -- For adults newly diagnosed with type 2 diabetes, adoption of healthy behavior changes is associated with reduced cardiovascular disease (CVD) risk, according to a study published online March 21 in Diabetes Care.

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Muscular Strength Linked to Teen Cardiometabolic Risk

MONDAY, March 31, 2014 (HealthDay News) -- Higher muscular strength correlates with lower cardiometabolic risk for adolescents, according to a study published online March 31 in Pediatrics.

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Azithromycin, Levofloxacin Up Cardiac Risk in Study of Veterans

MONDAY, March 31, 2014 (HealthDay News) -- Use of azithromycin or levofloxacin is associated with increased risks of death and cardiac arrhythmia compared with amoxicillin use, according to a study published in the March/April issue of the Annals of Family Medicine.

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Post-Discharge Deaths Drop in Young Acute MI Patients

MONDAY, March 31, 2014 (HealthDay News) -- In the most recent decade, compared with earlier decades, post-discharge death rates have dropped for young adults hospitalized for acute myocardial infarction (AMI), according to research published in the April 1 issue of The American Journal of Cardiology.

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Risk-Stratified Care Improves Outcomes in Low Back Pain

MONDAY, March 31, 2014 (HealthDay News) -- Use of risk-stratified care in a primary care setting for patients with low back pain improved outcomes without increasing health care costs, according to research published in the March/April issue of the Annals of Family Medicine.

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Allopurinol Modestly Cuts Death Risk With Hyperuricemia, Gout

MONDAY, March 31, 2014 (HealthDay News) -- Allopurinol initiation is associated with a modestly reduced risk of death in patients with hyperuricemia and gout, according to a study published online March 24 in the Annals of the Rheumatic Diseases.

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'White Coat Effect' Is Smaller for Nurses Than Doctors

FRIDAY, March 28, 2014 (HealthDay News) -- Doctors' readings of blood pressure are often higher than measurements made by nurses at the same visit, according to research published in the April issue of the British Journal of General Practice.

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CDC: Invasive Cancer Diagnoses Down Slightly in 2010

FRIDAY, March 28, 2014 (HealthDay News) -- Cancer incidence declined from 2009 to 2010, according to a report published in the March 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA Recommends Approval of At-Home Colon Cancer Test

FRIDAY, March 28, 2014 (HealthDay News) -- A panel of U.S. Food and Drug Administration experts on Thursday unanimously recommended approval of a new at-home stool test that screens for colorectal cancer with more than 90 percent accuracy.

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Coronary CT Angiography IDs Cardiac Allograft Vasculopathy

FRIDAY, March 28, 2014 (HealthDay News) -- Noninvasive coronary computed tomography angiography (CCTA) is a reliable alternative to coronary angiography for detection of cardiac allograft vasculopathy (CAV), according to a meta-analysis published online March 26 in the Journal of the American College of Cardiology.

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Better Outcomes With Consistent BP Control Post-Stroke

FRIDAY, March 28, 2014 (HealthDay News) -- For individuals with stroke, consistency of blood pressure (BP) control during two years of follow-up affects outcomes, according to a study published online March 27 in Stroke.

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One in 12,000 Hospital Deliveries Result in Cardiac Arrest

FRIDAY, March 28, 2014 (HealthDay News) -- Cardiac arrest occurs in approximately one of every 12,000 hospitalizations for delivery, according to a study published in the April issue of Anesthesiology.

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Aggressive Cognitions Mediate Impact of Violent Video Games

THURSDAY, March 27, 2014 (HealthDay News) -- The effect of playing violent video games on later aggressive behavior seems to be mediated primarily by aggressive cognitions, according to a study published online March 24 in JAMA Pediatrics.

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NCHS Estimates Health Insurance Coverage for 2013

THURSDAY, March 27, 2014 (HealthDay News) -- In the first nine months of 2013, 6.7 percent of children and 20.5 percent of adults were uninsured, according to a study published online March 27 by the National Center for Health Statistics (NCHS).

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CDC: U.S. Autism Estimates Rise by 30 Percent for Children

THURSDAY, March 27, 2014 (HealthDay News) -- One in 68 American children are now diagnosed with autism or a related disorder, according to a report published in the March 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. That's a 30 percent increase from just two years ago when the estimate was one in 88 children.

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NIH Launches Online Resource for End-of-Life Issues

THURSDAY, March 27, 2014 (HealthDay News) -- People grappling with terminal illness now have a new online source of advice and help, sponsored by the U.S. National Institute on Aging, part of the National Institutes of Health.

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Galanin System Genes Linked to Risk of Depression in Stress

THURSDAY, March 27, 2014 (HealthDay News) -- Variants of the stress-inducible neuropeptide and cotransmitter in serotonin and norepinephrine neurons, galanin, and its receptors confers increased risk of depression and anxiety among highly stressed individuals, according to a study published online March 24 in the Proceedings of the National Academy of Sciences.

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Physicians Lack Consensus on Use of Genetic Testing

THURSDAY, March 27, 2014 (HealthDay News) -- Physicians vary in attitudes about predictive multiplex somatic genetic testing and their plans to incorporate its use into practice, according to research published online March 24 in the Journal of Clinical Oncology.

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Adjunct Social Media Improves Contraceptive Knowledge

THURSDAY, March 27, 2014 (HealthDay News) -- Use of social media in addition to standard contraceptive education is associated with improved patient contraceptive knowledge, according to research published in the April issue of Obstetrics & Gynecology.

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Brain Stimulation Improves QoL in Fibromyalgia Patients

THURSDAY, March 27, 2014 (HealthDay News) -- Repetitive transcranial magnetic stimulation (rTMS) may improve quality of life (QoL) in patients with fibromyalgia, according to research published online March 26 in Neurology.

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Incidence of Hospital-Acquired Anemia During MI Varies

THURSDAY, March 27, 2014 (HealthDay News) -- For patients hospitalized with myocardial infarction, the incidence of hospital-acquired anemia (HAA) varies considerably across hospitals, according to a study published in the April 1 issue of The American Journal of Cardiology.

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Interferon Beta Tied to Spike in Thrombotic Microangiopathy

THURSDAY, March 27, 2014 (HealthDay News) -- There has been an unusually high number of cases of thrombotic microangiopathy associated with severe or malignant hypertension in patients with multiple sclerosis who were receiving therapy with recombinant interferon beta, according to a letter to the editor published in the March 27 issue of the New England Journal of Medicine.

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Neck Circumference Not Tied to Subclinical Atherosclerosis

THURSDAY, March 27, 2014 (HealthDay News) -- Neck circumference (NC) is not associated with either coronary or carotid subclinical atherosclerosis, according to a study published online March 19 in Clinical Cardiology.

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Interactive Phone Messages May Promote Cancer Screening

WEDNESDAY, March 26, 2014 (HealthDay News) -- Underserved Latina patients view interactive voice response (IVR) messages as an acceptable strategy to promote cancer screening, according to a study published online March 13 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Nitroglycerin Shortage Has Medical Community Worried

WEDNESDAY, March 26, 2014 (HealthDay News) -- An ongoing shortage of the drug nitroglycerin is causing problems and concerns for doctors and hospitals in the United States. The drug is often the first therapy used by emergency room doctors when treating a heart attack patient.

Health Highlights: March 26, 2014

1 in 25 Inpatients Has Health Care-Associated Infection Daily

WEDNESDAY, March 26, 2014 (HealthDay News) -- There were an estimated 648,000 patients with 721,800 health care-associated infections in U.S. acute care hospitals in 2011, according to research published in the March 27 issue of the New England Journal of Medicine.

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White House Extends Affordable Care Act Enrollment Deadline

WEDNESDAY, March 26, 2014 (HealthDay News) -- Americans who've started applying for health insurance under the Affordable Care Act but can't complete the process by the March 31 enrollment deadline will be given an extension.

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Physically Active Youth May Retain Bone Health

WEDNESDAY, March 26, 2014 (HealthDay News) -- Bone size and strength developed with physical activity in males during youth is maintained to some extent in old age, regardless of activity level, according to research published online March 24 in the Proceedings of the National Academy of Sciences.

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WHO: Air Pollution Claimed Seven Million Lives in 2012

WEDNESDAY, March 26, 2014 (HealthDay News) -- Air pollution killed about seven million people worldwide in 2012, and more than half of those deaths were caused by indoor smoke from cook stoves, a World Health Organization report says. The U.N. health agency said that heart disease, stroke, lung cancer, and chronic obstructive pulmonary disease were the leading causes of air pollution-related deaths, CNN reported.

Health Highlights: March 25, 2014

Glycated Hemoglobin Values Add Little to CVD Risk Prediction

WEDNESDAY, March 26, 2014 (HealthDay News) -- Addition of information on hemoglobin A1c (HbA1c) to conventional cardiovascular risk factors provides little benefit in terms of cardiovascular disease (CVD) risk prediction, according to a study published in the March 26 issue of the Journal of the American Medical Association.

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Permanent Leadless Cardiac Pacing Device Safe, Effective

WEDNESDAY, March 26, 2014 (HealthDay News) -- A completely self-contained, single-chamber leadless cardiac pacemaker seems to be safe and feasible, according to a small study published online March 24 in Circulation.

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AMA Introduces Medical Education Initiative

WEDNESDAY, March 26, 2014 (HealthDay News) -- The American Medical Association's (AMA) Accelerating Change in Education initiative is being introduced in 11 medical schools in an effort to shift the focus of education toward real-world practice and competency assessment, according to an AMA report.

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Americans Seem Unprepared for Health Insurance Exchanges

WEDNESDAY, March 26, 2014 (HealthDay News) -- Individuals in the United States seem not to be sufficiently informed about the health insurance exchanges established by the Affordable Care Act (ACA), according to a study published online March 24 in the Proceedings of the National Academy of Sciences.

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More Global Disability for Low Back Pain Than Other Ailments

TUESDAY, March 25, 2014 (HealthDay News) -- Low back pain (LBP), including that arising from ergonomic exposures at work, is associated with considerable global disability and burden, according to two studies published online March 24 in the Annals of the Rheumatic Diseases.

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E-Cigarette Use Does Not Up Quitting, Reduce Smoking

TUESDAY, March 25, 2014 (HealthDay News) -- Use of electronic-cigarettes (e-cigarettes) does not increase the rate of smoking cessation or reduce cigarette consumption after one year, according to a study published online March 24 in JAMA Internal Medicine.

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Nuclear Myocardial Perfusion Imaging Use Down, 2006-2011

TUESDAY, March 25, 2014 (HealthDay News) -- Nuclear myocardial perfusion imaging (MPI) use declined from 2006 through 2011, although there was also a significant drop in myocardial infarction (MI) incidence over that time, according to a research letter published in the March 26 issue of the Journal of the American Medical Association.

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Most Bloodstream Infections Are Community-Onset

TUESDAY, March 25, 2014 (HealthDay News) -- Most bloodstream infections (BSIs) are community-onset and health care-associated, and Staphylococcus aureus is the most common pathogen, according to a study published online March 18 in PLOS ONE.

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Pharmacokinetics of Cetrorelix Altered in Obese Women

TUESDAY, March 25, 2014 (HealthDay News) -- The pharmacokinetics of the gonadotropin-releasing hormone (GnRH) antagonist, cetrorelix, are altered in obese women, according to a study published online March 20 in the Journal of Clinical Endocrinology & Metabolism.

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Surgical Site Infection Rate Down With Lower Target Glucose

TUESDAY, March 25, 2014 (HealthDay News) -- For patients undergoing hepato-biliary-pancreatic surgery, having a lower blood glucose target (4.4 to 6.1 mmol/L) is associated with reduced incidence of surgical site infection (SSI), according to a study published online March 12 in Diabetes Care.

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Childhood Abuse May Up Risk of Adult Obesity

TUESDAY, March 25, 2014 (HealthDay News) -- Early-life adversity may contribute to metabolic abnormalities that lead to obesity later in life, according to research published online March 20 in the Journal of Clinical Endocrinology & Metabolism.

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Preconception Stress Ups the Risk of Infertility in Women

TUESDAY, March 25, 2014 (HealthDay News) -- Higher levels of stress as measured by salivary amylase levels are associated with reduced fecundity and increased risk of infertility, according to research published in online March 23 in Human Reproduction.

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Elevated Morbidity Lasts for Childhood Cancer Survivors

TUESDAY, March 25, 2014 (HealthDay News) -- By age 50 years, more than half of childhood cancer survivors have experienced a severe, disabling, life-threatening, or fatal health condition, according to a study published online March 17 in the Journal of Clinical Oncology.

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Valproic Acid Use May Reduce Incidence of Head, Neck Cancer

MONDAY, March 24, 2014 (HealthDay News) -- Long-term use of valproic acid (VPA) is associated with a reduced risk of smoking-related cancers of the head and neck, according to a study published online March 24 in Cancer.

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USPSTF: Evidence Lacking for Cognitive Impairment Screening

MONDAY, March 24, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) has found that evidence is currently insufficient to weigh the benefits and harms of universal screening for cognitive impairment in older adults. These findings are presented in a final recommendation statement published online March 25 in the Annals of Internal Medicine.

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Nicotine 'E-Liquids' Pose Serious Health Threat

MONDAY, March 24, 2014 (HealthDay News) -- A potent, liquid form of nicotine poses a serious and potentially deadly threat, but is sold legally in stores across the United States and online. The so-called "e-liquids" -- the key ingredients in e-cigarettes -- are extracted from tobacco and enhanced with flavorings, colorings, and various chemicals, The New York Times reported.

Health Highlights: March 24, 2014

Mortality Up for PCI After Cardiac Arrest

MONDAY, March 24, 2014 (HealthDay News) -- Patients who undergo percutaneous coronary intervention (PCI) after cardiac arrest are more likely to have more complex lesions, cardiogenic shock, and higher mortality, according to research published in the April 1 issue of The American Journal of Cardiology.

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Direct Link Found for Physical Activity in Moms, 4-Year-Olds

MONDAY, March 24, 2014 (HealthDay News) -- There is a direct association between physical activity levels in mothers and in their 4-year-old children, which is affected by temporal and demographic factors, according to a study published online March 24 in Pediatrics.

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Many Women in Latent Labor Don't Want to Be Sent Home

MONDAY, March 24, 2014 (HealthDay News) -- Many women in latent labor do not want to be discharged home, and women would like detailed and specific instructions about staying comfortable and when to come to the hospital, according to a study published in the March/April issue of the American Journal of Maternal/Child Nursing.

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Review: Recently Diagnosed Diabetes Linked to Pancreatic CA

MONDAY, March 24, 2014 (HealthDay News) -- There is a strong association between pancreatic ductal adenocarcinoma (PDAC) and recently diagnosed diabetes mellitus (DM), according to a systematic review and meta-analysis published in the March issue of the Annals of Surgical Oncology.

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Patient Request Impacts Doc Prescribing Behavior

MONDAY, March 24, 2014 (HealthDay News) -- Patients requesting specific medications are more likely to be prescribed those medications, according to research published in the April issue of Medical Care.

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Oropharyngeal Cancer Symptoms May Differ Based on HPV-Status

MONDAY, March 24, 2014 (HealthDay News) -- Initial symptom presentation seems to differ for human papillomavirus (HPV)-positive versus HPV-negative patients with oropharyngeal squamous cell carcinoma (OPSCC), according to a study published online March 20 in JAMA Otololaryngology.

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Husbands' Health, Attitude Play Larger Role in Marital Conflict

FRIDAY, March 21, 2014 (HealthDay News) -- In older married couples, the husband's health and attitude seem to affect perceptions of marital conflict, according to a study published in the February issue of the Journal of Marriage and Family.

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Practices Can Take Steps to Improve Care Transitions

FRIDAY, March 21, 2014 (HealthDay News) -- Implementation of a rigorous process can improve transitions of care, according to an article published March 10 in Medical Economics.

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Older Drivers More Susceptible to the Effects of Alcohol

FRIDAY, March 21, 2014 (HealthDay News) -- Older adults' driving performance may be more susceptible to the effects of alcohol, according to a study published in the February issue of Psychopharmacology.

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Fried Food Consumption Interacts With Gene-Adiposity Link

FRIDAY, March 21, 2014 (HealthDay News) -- Consumption of fried foods may influence the genetic association with adiposity, according to a study published March 19 in BMJ.

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Large Waist Size Ups Risk of Premature Mortality

FRIDAY, March 21, 2014 (HealthDay News) -- Among white adults, larger waist is associated with increased mortality at all levels of body mass index (BMI), according to research published in the March issue of the Mayo Clinic Proceedings.

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Statin Costs Impact Value of Coronary Artery Calcium Test

FRIDAY, March 21, 2014 (HealthDay News) -- For patients at intermediate risk of coronary heart disease (CHD), coronary artery calcium (CAC) measurement and targeted statin treatment is cost-effective if statin assumptions are less favorable (costly or impact quality of life), according to research published online March 11 in Circulation: Cardiovascular Quality and Outcomes.

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Rates of Colorectal Cancer Continue to Drop in Older Adults

FRIDAY, March 21, 2014 (HealthDay News) -- Incidence rates for colorectal cancer declined by approximately 3 percent per year from 2001 to 2010 in the United States, with the largest drops occurring in adults aged 65 and older, according to research published in the March/April issue of CA: A Cancer Journal for Clinicians.

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ω-3 Fatty Acids, Xanthophylls Don't Cut CVD Risk

FRIDAY, March 21, 2014 (HealthDay News) -- Dietary supplementation with ω-3 polyunsaturated fatty acids or macular xanthophylls do not seem to reduce the risk of cardiovascular disease (CVD) in older adults with age-related macular degeneration, according to a study published online March 17 in JAMA Internal Medicine.

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USPSTF Recommendations Have Led to Decrease in PSA Screening

FRIDAY, March 21, 2014 (HealthDay News) -- Prostate-specific antigen screening has decreased since publication of the U.S. Preventive Services Task Force Recommendations against screening, according to a study published in The Journal of Urology.

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Stress-Linked Protein May Play Major Role in Alzheimer's

FRIDAY, March 21, 2014 (HealthDay News) -- Dysfunction in the brain's stress response system may be an important factor in the memory and thinking problems experienced by people with Alzheimer's disease and other dementias, according to a report published online March 19 in Nature.

Health Highlights: March 20, 2014
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Phenylephrine + Acetaminophen Ups Plasma Phenylephrine

FRIDAY, March 21, 2014 (HealthDay News) -- The combination of phenylephrine and acetaminophen results in a pharmacokinetic interaction triggering increased plasma phenylephrine levels, according to a letter to the editor published in the March 20 issue of the New England Journal of Medicine.

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Age-Adjusted D-Dimer Levels Aid Pulmonary Embolism Dx

FRIDAY, March 21, 2014 (HealthDay News) -- Age-adjusted levels of D-dimer safely exclude pulmonary embolism (PE) in older patients, according to a study published in the March 19 issue of the Journal of the American Medical Association.

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BRCAPRO Model Underestimates BRCA1/2 Mutation Risk

THURSDAY, March 20, 2014 (HealthDay News) -- Use of the BRCAPRO model for assessment of the likelihood of having a germline BRCA1/BRCA2 mutation, based on age, ethnicity, and family history, may underestimate the risk of mutations, according to a study published online March 17 in the Journal of Clinical Oncology.

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Electrolarynx Allows Speech in Orally Intubated Patients

THURSDAY, March 20, 2014 (HealthDay News) -- An electrolarynx can be used successfully in orally intubated patients receiving mechanical ventilation, according to a letter to the editor published in the March 20 issue of the New England Journal of Medicine.

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CDC: Tuberculosis in the United States Hits Record Low

THURSDAY, March 20, 2014 (HealthDay News) -- Rates of tuberculosis in the United States are falling, with cases at a historic low, health officials from the U.S. Centers for Disease Control and Prevention reported Thursday, noting that improved screening of immigrants has helped reduce incidence.

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FDA: Implanted Hearing Device Approved

THURSDAY, March 20, 2014 (HealthDay News) -- The first implantable device for adults with a severe or profound form of a condition called "sensorineural hearing loss" has been approved by the U.S. Food and Drug Administration.

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Non-Ob-Gyns Deliver ~14 Percent of Routine Prenatal Care

THURSDAY, March 20, 2014 (HealthDay News) -- Routine prenatal care is often delivered by non-obstetrics and gynecology (Ob-Gyn) providers, according to a March data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Guidelines Developed for Pulmonary HTN in Sickle Cell Dz

THURSDAY, March 20, 2014 (HealthDay News) -- Evidence-based guidelines have been developed for adult patients with sickle cell disease (SCD) and pulmonary hypertension. The guidelines have been published in the March 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Alzheimer's Strikes Women Harder Than Men: Report

THURSDAY, March 20, 2014 (HealthDay News) -- A 65-year-old American woman has a one in six chance of developing Alzheimer's disease later in life, while a man the same age has about a one in 11 chance, according to a report published in the March issue of Alzheimer's & Dementia, the journal of the Alzheimer's Association.

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Midlife Diabetes May Contribute to Later Cognitive Decline

THURSDAY, March 20, 2014 (HealthDay News) -- Midlife onset of diabetes and hypertension each may contribute to cognitive impairment later in life, according to research published online March 19 in Neurology.

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Resolved Childhood Glomerular Disease Linked to HTN Risk

THURSDAY, March 20, 2014 (HealthDay News) -- Resolved childhood glomerular disease is associated with increased subsequent risk of hypertension, according to a research letter published in the March 19 issue of the Journal of the American Medical Association.

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Marker in Spinal Fluid Predicts Course in Parkinson's Disease

THURSDAY, March 20, 2014 (HealthDay News) -- Levels of α-synuclein in cerebrospinal fluid (CSF) might predict cognitive decline in patients with Parkinson's disease, according to research published online March 13 in the The American Journal of Pathology.

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Living Liver Donor Consent Form Needs Standardization

THURSDAY, March 20, 2014 (HealthDay News) -- Standardization of living liver donor evaluation consent forms is needed, according to a study published online Feb. 25 in Liver Transplantation.

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Multitarget DNA Test Sensitive for ID'ing Colorectal Cancer

WEDNESDAY, March 19, 2014 (HealthDay News) -- For patients at average risk of colorectal cancer, a multitarget DNA assay has greater sensitivity, but worse specificity than a fecal immunochemical test (FIT), according to a study published online March 19 in the New England Journal of Medicine.

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Pre-Existing Psych Diagnoses Higher in Critically Ill Patients

WEDNESDAY, March 19, 2014 (HealthDay News) -- Existing psychiatric diagnoses are more common in critically ill patients compared to other hospitalized patients and the general population, according to a study published in the March 19 issue of the Journal of the American Medical Association.

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COPD Tied to Development of Cognitive Impairment

WEDNESDAY, March 19, 2014 (HealthDay News) -- Chronic obstructive pulmonary disease (COPD) is associated with an increased risk for mild cognitive impairment (MCI), particularly nonamnestic MCI (NA-MCI), according to a study published online March 17 in JAMA Neurology.

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Simvastatin Might Help Slow Multiple Sclerosis Progression

WEDNESDAY, March 19, 2014 (HealthDay News) -- High-dose simvastatin appears to slow brain shrinkage in patients with multiple sclerosis, according to a small, early study from England, published online March 19 in The Lancet.

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Review: Tamiflu Saved Lives During Swine Flu Pandemic

WEDNESDAY, March 19, 2014 (HealthDay News) -- The antiviral drug Tamiflu (oseltamivir) reduced the risk of death by 25 percent among adults hospitalized during the 2009 H1N1 swine flu pandemic, according to a review published online March 19 in The Lancet Respiratory Medicine. In addition, antiviral treatment within 48 hours of developing flu symptoms halved the risk of death compared with starting treatment later or receiving no treatment.

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Haemophilus Influenzae Infection Up in Pregnancy

WEDNESDAY, March 19, 2014 (HealthDay News) -- The incidence of Haemophilus influenzae (H. influenzae) disease is increased during pregnancy, and infection correlates with poor pregnancy outcomes, according to a study published in the March 19 issue of the Journal of the American Medical Association.

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Continuity of Care Improves Outcomes in Chronic Disease

WEDNESDAY, March 19, 2014 (HealthDay News) -- For Medicare beneficiaries with congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and type 2 diabetes mellitus (T2DM), continuity of care is associated with differences in costs, emergency department use, and complications, according to a study published online March 17 in JAMA Internal Medicine.

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Offices With Open Floor Plans Tied to More Sick Days

WEDNESDAY, March 19, 2014 (HealthDay News) -- Offices with open floor plans and no individual workstations may take a toll on employee health, according to a study published in the February issue of Ergonomics.

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Gender Differences Identified in Access to Care in ACS

WEDNESDAY, March 19, 2014 (HealthDay News) -- Gender differences exist in access to care among younger adults with acute coronary syndrome, according to a study published online March 17 in CMAJ, the journal of the Canadian Medical Association.

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Mortality Rates Higher in Cancer Patients With Diabetes

WEDNESDAY, March 19, 2014 (HealthDay News) -- The comorbid condition of diabetes may contribute to increased mortality in patients with cancer, according to research published online March 13 in Diabetologia.

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Neuroimaging Ordered for >12 Percent of Headaches

WEDNESDAY, March 19, 2014 (HealthDay News) -- Neuroimaging is frequently ordered for patients with headache, according to a research letter published online March 17 in JAMA Internal Medicine.

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Lower HPV Uptake for Women Attending Sexual Health Services

WEDNESDAY, March 19, 2014 (HealthDay News) -- For young women attending sexual health services in England, human papillomavirus (HPV) vaccination uptake and completion rates are lower than national data, with an overall completion rate of 47 percent, according to a study published online March 17 in Sexually Transmitted Infections.

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Same Meningitis Strain Behind Drexel, Princeton Outbreaks: CDC

TUESDAY, March 18, 2014 (HealthDay News) -- The strain of bacterial meningitis that killed a Drexel University student earlier this month is the same strain behind a Princeton University outbreak last year, federal health officials said Tuesday. This suggests that the outbreak strain might still be present in the Princeton community and that the situation requires close monitoring, according to the U.S. Centers for Disease Control and Prevention.

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TB Control Program in China Linked to Drop in Prevalence

TUESDAY, March 18, 2014 (HealthDay News) -- The implementation of a tuberculosis control program in China was associated with a reduction in prevalence and increased treatment, according to a study published online March 18 in The Lancet.

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Infant Feeding Behaviors Vary by Race and Ethnicity

TUESDAY, March 18, 2014 (HealthDay News) -- Feeding and activity behaviors of parents caring for infants differ by race and ethnicity, according to research published online March 17 in Pediatrics.

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Elevated Levels of Brain Injury Biomarkers in Concussion

TUESDAY, March 18, 2014 (HealthDay News) -- Ice hockey players with sports-related concussion have elevations in the axonal injury biomarker total tau and the astroglial injury biomarker S-100 calcium-binding protein B, according to a study published online March 13 in JAMA Neurology.

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Penicillin 'Allergy' Complicates Inpatient Care

TUESDAY, March 18, 2014 (HealthDay News) -- Patients with a history of penicillin "allergy," even though that may be inaccurate, spend more time in the hospital and have a greater risk of acquiring antibiotic-associated infections, according to research published in the Journal of Allergy and Clinical Immunology.

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Hepatic Decompensation Higher With HIV, HCV Co-Infection

TUESDAY, March 18, 2014 (HealthDay News) -- Patients co-infected with HIV and hepatitis C virus (HCV) have higher rates of hepatic decompensation than those with HCV monoinfection, according to a study published in the March 18 issue of the Annals of Internal Medicine.

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Definition of Pneumonia Impacts Hospital Mortality Rates

TUESDAY, March 18, 2014 (HealthDay News) -- Risk-standardized hospital mortality rates are higher with a broader versus a narrower definition of pneumonia, according to a study published in the March 18 issue of the Annals of Internal Medicine.

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Treatment, Control of HTN Lacking in U.S. Hispanics/Latinos

TUESDAY, March 18, 2014 (HealthDay News) -- For U.S. Hispanics/Latinos, treatment and control of hypertension is inadequate, especially among those without health insurance, according to a study published online March 12 in the American Journal of Hypertension.

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No Evidence Fatty Acid Guidelines Cut Coronary Risk

TUESDAY, March 18, 2014 (HealthDay News) -- Evidence does not support the current fatty acid consumption guidelines, according to a review published in the March 18 issue of the Annals of Internal Medicine.

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Personality Measures in Young Patients Predict Later Health

TUESDAY, March 18, 2014 (HealthDay News) -- Personality measurements can be useful tools in predicting which young adult patients will have poor health in middle age, according to a study published in the March issue of the Journal of Personality and Social Psychology.

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Riding With Impaired Driver Ups Teen Risk of Driving Impaired

TUESDAY, March 18, 2014 (HealthDay News) -- Teenagers exposed to alcohol/drug impaired driving (riding while impaired [RWI]) have an increased likelihood of driving while alcohol/drug impaired (DWI) themselves, according to a stud


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