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June 2014 Briefing - Family Practice

Last Updated: July 01, 2014.

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

Supreme Court: Some Companies Don't Need to Cover Birth Control

MONDAY, June 30, 2014 (HealthDay News) -- Family-owned companies don't have to comply with a provision of the Affordable Care Act that requires them to offer insurance coverage for contraception if that requirement violates their religious principles, the U.S. Supreme Court ruled Monday.

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Nursing Home Care May Be Out of Reach for Many Aging 'Boomers'

MONDAY, June 30, 2014 (HealthDay News) -- A growing number of older Americans are developing chronic diseases but can't cover the costs of long-term care in a nursing facility, the U.S. National Institute on Aging (NIA)-funded report says.

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New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

Kidney Disease Risk Factors Present for Decades

MONDAY, June 30, 2014 (HealthDay News) -- Risk factors for chronic kidney disease (CKD) can be detected 20 to 30 years before diagnosis, according to a study published online June 26 in the Journal of the American Society of Nephrology.

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Complications Only Account for Some Variation in Hospital LOS

MONDAY, June 30, 2014 (HealthDay News) -- For patients undergoing colorectal resection, much of the variation in extended length of stay is not due to patient illness or complications, according to a study published online June 25 in JAMA Surgery.

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Guidance Issued for Addressing Primary Ovarian Insufficiency

MONDAY, June 30, 2014 (HealthDay News) -- Adolescents diagnosed with primary ovarian insufficiency should be offered counseling and hormonal therapy, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

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Opportunity for Reduced Antibiotic Use in Acne Treatment

MONDAY, June 30, 2014 (HealthDay News) -- Duration of antibiotic use for acne appears to be decreasing; however, nearly one-fifth of courses exceed six months, according to a study published in the July issue of the Journal of the American Academy of Dermatology.

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Support for Childhood Sunscreen Use to Prevent Adult Melanoma

MONDAY, June 30, 2014 (HealthDay News) -- Use of a sun protection factor (SPF) 15 lotion is associated with a 10-fold reduction in the incidence of melanocytic nevi in a laboratory opossum model, according to an experimental study published online June 15 in Pigment Cell & Melanoma Research.

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Exposure to Violent TV Linked to Poorer Executive Function

MONDAY, June 30, 2014 (HealthDay News) -- Exposure to violent television is associated with poorer executive functioning and slower white matter growth in young adult males, according to a study published in the July issue of Brain and Cognition.

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Noroviruses Causes One-Fifth of Worldwide Gastroenteritis

MONDAY, June 30, 2014 (HealthDay News) -- Worldwide, across all age groups, noroviruses are responsible for almost one-fifth of acute gastroenteritis cases, according to a study published online June 27 in The Lancet Infectious Diseases.

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Salmonella-Induced Gastroenteritis Ups Risk of IBS

MONDAY, June 30, 2014 (HealthDay News) -- Salmonella-induced gastroenteritis during childhood is associated with increased risk of irritable bowel syndrome (IBS), according to a study published in the July issue of Gastroenterology.

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UnitedHealth Cutting More Docs From Medicare Advantage

FRIDAY, June 27, 2014 (HealthDay News) -- UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

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Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

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NYC Can't Ban Large Sugary Drinks: Appeals Court

FRIDAY, June 27, 2014 (HealthDay News) -- New York City's attempt to have its ban on large sodas and other sugary drinks reinstated was denied Thursday by the state's Court of Appeals.

Health Highlights: June 26, 2014

Gluten-Free Diet May Lift the 'Fog' of Celiac Patients

FRIDAY, June 27, 2014 (HealthDay News) -- The "brain fog" experienced by many celiac disease patients seems to improve as their intestines heal after adopting a gluten-free diet, a small new study suggests. The study appears in the July issue of the journal Alimentary Pharmacology and Therapeutics.

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Television Viewing Time Linked to All-Cause Mortality

FRIDAY, June 27, 2014 (HealthDay News) -- Television viewing, but not computer or driving time, is associated with all-cause mortality, according to a study published online June 25 in the Journal of the American Heart Association.

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Telemedicine Can Effectively ID Retinopathy of Prematurity

FRIDAY, June 27, 2014 (HealthDay News) -- A telemedicine system consisting of trained nonphysician imagers and readers is effective for detection of referral-warranted retinopathy of prematurity (RW-ROP) in at-risk infants, according to a study published online June 26 in JAMA Ophthalmology.

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Pediatricians Should Encourage Parents to Read Aloud

FRIDAY, June 27, 2014 (HealthDay News) -- Pediatricians should encourage parents to read regularly with young children to promote literacy, according to an American Academy of Pediatrics (AAP) policy statement published online June 23 in Pediatrics.

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Numbing Medications Can Harm Teething Babies, FDA Warns

FRIDAY, June 27, 2014 (HealthDay News) -- Viscous lidocaine and benzocaine-containing teething products should not be used for teething children, except under the advice and supervision of a health care professional, according to a new warning from the U.S. Food and Drug Administration.

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Cancer Screening Discussions Lack Shared Decision-Making

FRIDAY, June 27, 2014 (HealthDay News) -- The majority of patients report that shared decision-making (SDM) is lacking when it comes to cancer screening decisions, according to a study published online June 8 in the American Journal of Preventive Medicine.

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CDC: One in 10 Deaths Due to Excessive Drinking

THURSDAY, June 26, 2014 (HealthDay News) -- Nearly one in 10 deaths among working-age adults in the United States are attributable to excessive drinking, according to a study published online June 26 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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CDC: Flu Vaccine Spray Better Than Shots for Young Children

THURSDAY, June 26, 2014 (HealthDay News) -- Flu vaccination via spray is more effective for young children than injection, a U.S. government panel ruled Wednesday.

Health Highlights: June 26, 2014

FDA: Acne Products Can Trigger Severe Allergic Reactions

THURSDAY, June 26, 2014 (HealthDay News) -- Some popular over-the-counter acne treatments can cause severe irritation or even potentially life-threatening allergic reactions, the U.S. Food and Drug Administration said Wednesday. These topical products contain the active ingredients benzoyl peroxide or salicylic acid and are marketed under brand names such as Proactiv, Neutrogena, MaxClarity, Oxy, Ambi, Aveeno, and Clean & Clear, the FDA said.

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PCP Follow-Up Cuts Readmission After High-Risk Surgery

THURSDAY, June 26, 2014 (HealthDay News) -- For surgical patients at high risk of readmission, especially those with surgical complications, early primary care provider (PCP) follow-up reduces the rate of readmission, according to a study published online June 25 in JAMA Surgery.

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Tips Offered for Improving Practice Productivity

THURSDAY, June 26, 2014 (HealthDay News) -- Four steps can be utilized to improve practice productivity, according to an article published June 24 in Medical Economics.

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Unique Sexual Health Risks for Bisexual Men

THURSDAY, June 26, 2014 (HealthDay News) -- Men who have sex with men and women (MSMW) have unique vulnerability to HIV and sexually transmitted infections (STIs) and other sexual health problems, according to a review published online June 22 in American Journal of Preventive Medicine.

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Platelet-Rich Plasma Injections Don't Aid Muscular Injuries

THURSDAY, June 26, 2014 (HealthDay News) -- Intramuscular platelet-rich plasma (PRP) injections do not provide clinical benefit for acute hamstring injuries, according to a correspondence piece published June 26 in the New England Journal of Medicine.

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Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

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Soy, Isoflavone Intake Has No Effect on Endometrial Cancer Risk

THURSDAY, June 26, 2014 (HealthDay News) -- There is no association between soy intake and endometrial cancer risk, according to a study published online June 18 in BJOG: An International Journal of Obstetrics & Gynaecology.

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30-Day ECG Monitoring Ups A-Fib Detection After Stroke

THURSDAY, June 26, 2014 (HealthDay News) -- For patients with ischemic stroke or transient ischemic attack, electrocardiogram (ECG) monitoring with a 30-day event-triggered recorder improves detection of atrial fibrillation, according to a study published June 26 in the New England Journal of Medicine.

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Survival Up After Progression in HPV-Positive Oropharynx CA

THURSDAY, June 26, 2014 (HealthDay News) -- For patients with oropharynx cancer (OPC), human papillomavirus (HPV) positivity is associated with improved survival after disease progression, according to a study published online June 23 in the Journal of Clinical Oncology.

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One in Five Children With Persistent Cough Have Pertussis

THURSDAY, June 26, 2014 (HealthDay News) -- One-fifth of school-aged children with persistent cough have evidence of pertussis, even among those who are fully vaccinated, according to a study published online June 24 in BMJ.

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FDA Presents Guidance on Use of Nanotechnology in Industry

THURSDAY, June 26, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has released three final guidance documents and one draft guidance document in an effort to provide greater regulatory clarity for industry on the use of nanotechnology.

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Higher Plasma Vitamin D May Cut Hypertension Risk

THURSDAY, June 26, 2014 (HealthDay News) -- People who have genetic variants tied to low production of 25-hydroxyvitamin D (25[OH]D) have an increased risk of hypertension, according to a study published online June 26 in The Lancet Diabetes & Endocrinology.

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Survey Reveals 1 in 10 U.S. Beaches Fails Bacteria Test

WEDNESDAY, June 25, 2014 (HealthDay News) -- Ten percent of water samples taken from U.S. coastal and lake beaches fail to meet safety standards set by the U.S. Environmental Protection Agency, a new report finds.

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CDC: Over Half of Seniors Plagued by Incontinence

WEDNESDAY, June 25, 2014 (HealthDay News) -- More than 50 percent of older Americans struggle with incontinence, a new government report released Wednesday shows. The National Center for Health Statistics report was published in the June edition of the CDC's Vital and Health Statistics.

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States Opening Registries to Ease Backlog of Veterans' Care Cases

WEDNESDAY, June 25, 2014 (HealthDay News) -- Physicians in several states are acting to ease the access-to-care crisis recently exposed in the U.S. Department of Veterans Affairs (VA) health care system, according to the American Medical Association (AMA).

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Slight Risk of Congenital Defects Tied to Parents' Celiac

WEDNESDAY, June 25, 2014 (HealthDay News) -- There is a slight increased risk for congenital malformation among the offspring of mothers or fathers with celiac disease, according to a study published in the July issue of Clinical Gastroenterology and Hepatology.

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Postdiagnosis Calcium Intake Inversely Linked to Death in CRC

WEDNESDAY, June 25, 2014 (HealthDay News) -- For patients with colorectal cancer, postdiagnosis total calcium intake may be inversely associated with the risk of death, according to a study published online June 23 in the Journal of Clinical Oncology.

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Calcium, Vitamin D Improve Metabolic Profile in GDM

WEDNESDAY, June 25, 2014 (HealthDay News) -- For women with gestational diabetes mellitus (GDM), calcium-vitamin D co-supplementation correlates with improvements in metabolic profile, according to a study published online June 23 in Diabetologia.

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Active Surveillance Underused for Low-Risk Prostate Cancer

WEDNESDAY, June 25, 2014 (HealthDay News) -- Although most prostate cancer specialists believe active surveillance to be effective and underused, fewer endorse active surveillance than other therapies for low-risk prostate cancer, according to a study published in the July issue of Medical Care.

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Adults With Asperger Syndrome May Have Higher Suicide Risk

WEDNESDAY, June 25, 2014 (HealthDay News) -- Adults with Asperger syndrome are much more likely to think about and attempt suicide than those in the general population, according to a study published online June 25 in The Lancet Psychiatry.

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CDC Readies Latest Graphic Anti-Smoking Ads

TUESDAY, June 24, 2014 (HealthDay News) -- A new series of ads featuring former smokers whose lives have been harmed by tobacco is set to be released, U.S. health officials said Tuesday.

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Shortage Seen for Adult Endocrinologists

TUESDAY, June 24, 2014 (HealthDay News) -- There is a shortage of adult endocrinologists that will continue to grow with increasing patient demand, according to a study published online June 18 in The Journal of Clinical Endocrinology & Metabolism.

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Best Spinal Manipulation Result in LBP May Come From 12 Sessions

TUESDAY, June 24, 2014 (HealthDay News) -- For patients with chronic low back pain (cLBP), 12 sessions of spinal manipulation was found to result in modestly improved outcomes compared to light massage, but such improvements may not be clinically significant, according to a study published in the July issue of The Spine Journal.

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Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

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Exclusion From Child Care May Spur ER/Urgent Care Visits

TUESDAY, June 24, 2014 (HealthDay News) -- Parents of sick children excluded from child care frequently seek evaluation in the emergency department or urgent care setting, according to research published online June 23 in Pediatrics.

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Quitting Smokeless Tobacco Cuts Mortality Risk After Heart Attack

TUESDAY, June 24, 2014 (HealthDay News) -- Discontinuation of use of a moist smokeless tobacco product, snus (Swedish form of snuff), after myocardial infarction (MI) is associated with a reduced risk of mortality, according to a study published online June 23 in Circulation.

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'Financial Toxicity' Tool Developed for Cancer Patients

TUESDAY, June 24, 2014 (HealthDay News) -- A four-step process has been used to develop a patient-reported outcome measure of financial toxicity for cancer patients, according to a study published online June 20 in Cancer.

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Overweight, Obese More Likely to Adhere to Statin Therapy

TUESDAY, June 24, 2014 (HealthDay News) -- Among patients with cardiovascular comorbidities, lifestyle factors predict nonadherence to statin therapy, according to research published online June 23 in the Canadian Medical Association Journal.

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Prenatal Proximity to Pesticide Application Affects Offspring

TUESDAY, June 24, 2014 (HealthDay News) -- Residential proximity to agricultural pesticides during pregnancy is associated with an increased risk of autism spectrum disorders (ASDs) and developmental delay (DD), according to a study published online June 23 in Environmental Health Perspectives.

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USPSTF Says Evidence Doesn't Support Vitamin D Screening

TUESDAY, June 24, 2014 (HealthDay News) -- Current evidence is insufficient to weigh the benefits and harms of screening for vitamin D deficiency to improve health outcomes in asymptomatic adults, according to a draft evidence report from the U.S. Preventative Service Task Force.

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Obama Wants American Women to Have Paid Maternity Leave

TUESDAY, June 24, 2014 (HealthDay News) -- President Barack Obama hosted a daylong summit Monday to persuade more employers to adopt family friendly policies, but he said the federal government itself needs to do more in that regard.

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USPSTF Recommends One-Time AAA Screening for Male Smokers

TUESDAY, June 24, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) has concluded that a one-time abdominal aortic aneurysm (AAA) screening should be offered to asymptomatic men, aged 65 to 75 years, who have ever smoked, while screening for non-smoking men should be selective. These findings are presented in a final recommendation statement published online June 24 in the Annals of Internal Medicine.

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Strategies Presented to Avoid Overzealous Lung CA Screening

TUESDAY, June 24, 2014 (HealthDay News) -- The benefits and harms of low-dose computed tomography (LDCT) screening for lung cancer should be carefully considered before Medicare decides on its coverage policy, according to an editorial published online June 24 in the Annals of Internal Medicine.

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Pre-Op Genetic Testing Impacts Surgical Choice in Breast Cancer

MONDAY, June 23, 2014 (HealthDay News) -- For women with breast cancer, preoperative genetic testing affects surgical decision making, according to a study published online June 5 in Gynecologic Oncology.

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CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

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14.4% of Kids' Scoliosis Surgeries Have In-Hospital Complications

MONDAY, June 23, 2014 (HealthDay News) -- From 2000 to 2009, the overall in-hospital complication rate for pediatric patients with idiopathic scoliosis who underwent spinal fusion was 14.4 percent, with respiratory complications having the highest rate, according to a study published June 15 in Spine.

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Patients' Perceived Lifetime Risk for CVD Often Inaccurate

MONDAY, June 23, 2014 (HealthDay News) -- Patients' frequently have a misperception of lifetime risk for cardiovascular disease (CVD), according to a study published in the July issue of The American Journal of Cardiology.

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Sivextro Approved for Adult Acute Bacterial Skin Infections

MONDAY, June 23, 2014 (HealthDay News) -- The antibiotic Sivextro (tedizolid phosphate) has been approved by the U.S. Food and Drug Administration to treat adults with serious-to-severe skin and skin structure infections.

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IOM: Too Little Known About PTSD Treatments for Veterans

MONDAY, June 23, 2014 (HealthDay News) -- U.S. government agencies must do more to determine whether treatments are actually helping veterans suffering from post-traumatic stress disorder (PTSD), say experts involved in a new report from the Institute of Medicine (IOM).

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FDA: Bee Pollen Weight Loss Products Pose Health Risks

MONDAY, June 23, 2014 (HealthDay News) -- The undeclared ingredients sibutramine and/or phenolphthalein have been found in the following bee pollen weight loss products: Zi Xiu Tang, Ultimate Formula, Fat Zero, Bella Vi Amp'd Up, Insane Amp'd Up, Slim Trim U, Infinity, Perfect Body Solution, Asset Extreme, Asset Extreme Plus, Asset Bold, and Asset Bee Pollen, according to the U.S. Food and Drug Administration.

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Teen Tanning Bed Exposure Ups Early-Onset Skin Cancer Risk

MONDAY, June 23, 2014 (HealthDay News) -- Early exposure to indoor tanning during adolescence or young adulthood increases the risk of early development of basal cell carcinoma (BCC), according to a study published June 23 in Pediatrics.

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Variation in Use of Imaging Tests in Newly Diagnosed Heart Failure

MONDAY, June 23, 2014 (HealthDay News) -- Cardiovascular testing in patients with newly diagnosed heart failure (HF) varies among U.S. hospitals, according to research published online June 18 in the Journal of the American College of Cardiology: Cardiovascular Imaging.

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Components of Physical Fitness Linked to Academic Performance

MONDAY, June 23, 2014 (HealthDay News) -- Cardiorespiratory capacity and motor ability have independent and combined effects on academic performance in youth, according to a study published online June 19 in The Journal of Pediatrics.

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Effect of Screening Program on Breast Cancer Mortality Analyzed

MONDAY, June 23, 2014 (HealthDay News) -- Invitation to screening with modern mammography is associated with a 28 percent reduction in deaths from breast cancer, according to research published June 17 in BMJ.

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Racial Disparities Seen in Contraceptive Use

MONDAY, June 23, 2014 (HealthDay News) -- Racial disparities exist in contraceptive use, with more prominent disparities among younger women, according to a study published in the June issue of the American Journal of Obstetrics & Gynecology.

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Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

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Racial Disparity Seen in Use of Sentinel Lymph Node Biopsy

FRIDAY, June 20, 2014 (HealthDay News) -- While sentinel lymph node biopsy (SLNB) use has increased in all patients with breast cancer, black women are consistently less likely than white women to have SLNB, according to a study published online June 18 in JAMA Surgery.

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Patient Variables Predict Expectations in Spine Surgery

FRIDAY, June 20, 2014 (HealthDay News) -- Clinical and demographic variables can predict patients' expectations regarding anticipated improvement from cervical spine surgery, according to a study published June 15 in Spine.

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Frequent Prior Hospitalization May Predict Stroke Readmission

FRIDAY, June 20, 2014 (HealthDay News) -- Frequent prior hospitalization and National Institutes of Health Stroke Scale (NIHSS) rating at admission may predict 30-day readmission after ischemic or hemorrhagic stroke, according to a study published online June 11 in the American Journal of Medical Quality.

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Shared Medical Appointments Can Improve Quality of Life Measures

FRIDAY, June 20, 2014 (HealthDay News) -- Shared medical appointments (SMAs) with a group of patients with the same disorder can improve aspects of quality of life (QOL) in patients with a chronic neuromuscular conditions, according to a study published online June 18 Neurology.

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Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

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Significant Risk for Major Surgery in Low-Weight Infants

FRIDAY, June 20, 2014 (HealthDay News) -- In very low-birth-weight infants, major surgery is independently associated with more than a 50 percent increased risk of death or neurodevelopmental impairment at 18 to 22 months' corrected age, according to a study published online June 16 in JAMA Pediatrics.

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Canola Oil-Enriched Low Glycemic Diet Beneficial in T2DM

FRIDAY, June 20, 2014 (HealthDay News) -- A low glycemic load (GL) diet including α-linolenic acid (ALA) and monounsaturated fatty acid (MUFA) can improve glycemic control for patients with type 2 diabetes, according to a study published online June 14 in Diabetes Care.

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Meta-Analysis Confirms Serum 25(OH)D, Mortality Link

FRIDAY, June 20, 2014 (HealthDay News) -- Serum 25-hydroxyvitamin (25[OH]D) levels are associated with all-cause and cardiovascular mortality, according to a meta-analysis published online June 17 in BMJ.

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Depression Ups Risk of Death in Women With Heart Disease

FRIDAY, June 20, 2014 (HealthDay News) -- Among younger women being evaluated for coronary artery disease (CAD), the presence of depressive symptoms is associated with increased risk of death, according to research published June 18 in the Journal of the American Heart Association.

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Phone Assist Helps Women With Breast Cancer Lose Weight

FRIDAY, June 20, 2014 (HealthDay News) -- Among postmenopausal women receiving letrozole as adjuvant therapy for breast cancer, a telephone-based weight loss intervention was effective in promoting weight loss, according to research published online June 16 in the Journal of Clinical Oncology.

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Antidepressant Use Doesn't Up Congenital Cardiac Defect Risk

FRIDAY, June 20, 2014 (HealthDay News) -- Selective serotonin-reuptake inhibitor (SSRI) and other antidepressant use in the first trimester is not associated with increased risk of congenital cardiac defects, according to a study published June 19 in the New England Journal of Medicine.

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CDC Lab Workers May Have Been Exposed to Anthrax

FRIDAY, June 20, 2014 (HealthDay News) -- As many as 75 staffers at the U.S. Centers for Disease Control and Prevention (CDC) may have been exposed to anthrax because safety procedures weren't followed properly, the agency said Thursday.

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CDC: 1 in 10 Moms-to-Be Develop Gestational Diabetes

THURSDAY, June 19, 2014 (HealthDay News) -- As many as one in 10 pregnant women in the United States develop gestational diabetes, a new government study estimates. The report was published June 19 in Preventing Chronic Disease.

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Sharp Rise in 'Meth'-Linked ER Visits in U.S.

THURSDAY, June 19, 2014 (HealthDay News) -- The number of methamphetamine-related visits to U.S. hospital emergency departments jumped from about 68,000 in 2007 to almost 103,000 in 2011, the latest year for which such data is available, a new federal government report finds.

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Genetic Mutation May Lower Triglycerides, CVD Risk

THURSDAY, June 19, 2014 (HealthDay News) -- Mutations of the gene encoding apolipoprotein C3 (APOC3) appear to be associated with lower triglyceride levels and a lessened risk for ischemic cardiovascular disease, according to two articles published online June 18 in the New England Journal of Medicine.

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Reminders Up Colorectal Screening Rates for Vulnerable

THURSDAY, June 19, 2014 (HealthDay News) -- Low-cost interventions relying upon mailings, text messages, and phone calls can increase adherence to colorectal cancer screening with fecal immunochemical tests (FIT) among vulnerable populations, according to a study published June 16 in JAMA Internal Medicine.

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NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

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Teen Suicide Attempts Up Post-Antidepressant Warnings

THURSDAY, June 19, 2014 (HealthDay News) -- Teen suicide attempts rose nearly 22 percent after the U.S. Food and Drug Administration (FDA) warned about dangers of antidepressants, a new study finds. The report was published June 18 in BMJ online.

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Docs Asked to Judge Patients' Competency to Carry Guns

THURSDAY, June 19, 2014 (HealthDay News) -- Some U.S. jurisdictions are now requiring a doctor's OK for people to carry a concealed gun, but a new survey suggests many doctors aren't comfortable with that role. The new survey is reported in the June 19 issue of the New England Journal of Medicine.

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Diet May Affect Risk Recurrence of Some Breast Cancers

THURSDAY, June 19, 2014 (HealthDay News) -- Personalized dietary recommendations based on molecular characteristics of primary tumor tissue may be an effective strategy for breast cancer survivors, according to research published in the July issue of Cancer Epidemiology Biomarkers & Prevention.

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Glycemic Response to Metformin Differs by Race-Ethnicity

THURSDAY, June 19, 2014 (HealthDay News) -- Race-ethnicity appears to influence the effect of metformin on glycemic control in patients with diabetes, according to research published online June 12 in the Journal of Clinical Endocrinology & Metabolism.

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TNF-α Antagonists Exposure Doesn't Up Cancer Risk in IBD

THURSDAY, June 19, 2014 (HealthDay News) -- For patients with inflammatory bowel disease (IBD), exposure to tumor necrosis factor (TNF)-α antagonists is not associated with an increased risk of developing cancer, according to a study published online June 17 in the Journal of the American Medical Association.

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Targeted Thyroid Testing Not Effective in Pregnancy

THURSDAY, June 19, 2014 (HealthDay News) -- A targeted thyroid testing approach is not effective during pregnancy in clinical practice, according to a study published online June 4 in Obstetrics & Gynecology.

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Considerable Symptom Burden in Postural Tachycardia Syndrome

THURSDAY, June 19, 2014 (HealthDay News) -- Patients with postural tachycardia syndrome (PoTS) are mainly women, young, and well-educated, with considerable symptom burden, according to a study published online June 16 in BMJ Open.

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Anesthesiologists Issue Choosing Wisely Recommendations

THURSDAY, June 19, 2014 (HealthDay News) -- A list of the top five unnecessary medical services in anesthesiology has been developed as part of the Choosing Wisely campaign, according to a study published online June 16 in JAMA Internal Medicine.

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Screening Can Identify Early-Stage HCC But Benefits Unclear

THURSDAY, June 19, 2014 (HealthDay News) -- For patients with chronic liver disease, hepatocellular carcinoma (HCC) screening can identify patients at an earlier stage, but the benefits and harms of screening are unclear, according to a study published online June 16 in the Annals of Internal Medicine.

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Hospitalization Rates Vary With Breast Cancer Chemo Regimen

WEDNESDAY, June 18, 2014 (HealthDay News) -- For patients with early-stage breast cancer, hospitalization rates vary with different chemotherapy regimens, according to a study published online May 27 in the Journal of Clinical Oncology.

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Lower Blood Pressure Might Not Be Better Once HTN Managed

WEDNESDAY, June 18, 2014 (HealthDay News) -- Among patients with hypertension (HTN), elevated systolic blood pressure (SBP) is associated with the highest risk for cardiovascular events, although once SBP is below 140, lowering it below 120 does not further reduce the risk of cardiovascular events, according to a study published June 16 in JAMA Internal Medicine.

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No Harm to Child IQ Seen With AED Use in Breastfeeding Moms

WEDNESDAY, June 18, 2014 (HealthDay News) -- At six years of age, no adverse effects on IQ can be seen from antiepileptic drug (AED) exposure via breast milk, according to a study published June 16 in JAMA Pediatrics.

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Preop β-Blockers Don't Improve CABG Outcomes

WEDNESDAY, June 18, 2014 (HealthDay News) -- Preoperative β-blockers do not improve perioperative outcomes in patients undergoing nonemergent coronary artery bypass grafting (CABG) surgery, according to a study published June 16 in JAMA Internal Medicine.

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Beta-Blocker Therapy Cuts All-Cause Mortality in STEMI

WEDNESDAY, June 18, 2014 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI), beta-blocker therapy at discharge correlates with reduced all-cause mortality, according to a study published in the June issue of JACC: Cardiovascular Interventions.

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Text Message Program Seems Effective for Smoking Cessation

WEDNESDAY, June 18, 2014 (HealthDay News) -- An automated, personalized, and interactive mobile health program, Text2Quit, seems to be effective for promoting smoking cessation, according to a study published online June 5 in the American Journal of Preventive Medicine.

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Obstetric Safety Program Improves Liability Exposure

WEDNESDAY, June 18, 2014 (HealthDay News) -- A comprehensive obstetric safety program can improve liability claims exposure, according to a study published online June 10 in the American Journal of Obstetrics & Gynecology.

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ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's healt


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