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Category: Family Medicine | Monthly Briefing

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June 2016 Briefing - Family Practice

Last Updated: July 01, 2016.

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for June 2016. 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.

End-of-Life Decision-Making Video Aids Heart Failure Patients

THURSDAY, June 30, 2016 (HealthDay News) -- Watching a video about end-of-life care options may help patients with advanced heart failure choose the approach best for them, according to a study published online June 29 in Circulation.

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FDA Approves Eye Implant to Correct Presbyopia in Middle Age

THURSDAY, June 30, 2016 (HealthDay News) -- An implant that helps the aging eye focus on small print and nearby objects has been approved by the U.S. Food and Drug Administration.

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Metabolomics Signature Can Predict GDM to T2DM Transition

THURSDAY, June 30, 2016 (HealthDay News) -- A metabolomics signature can predict the transition from gestational diabetes mellitus (GDM) to type 2 diabetes (T2D), according to a study published online June 23 in Diabetes.

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Testosterone Gel Improves Sexual Function in Older Men

THURSDAY, June 30, 2016 (HealthDay News) -- Older men treated with testosterone gel experience a moderate but significant improvement in their sex drive, sexual activity, and erectile function compared to men given a placebo gel, according to a study published online June 29 in the Journal of Clinical Endocrinology and Metabolism.

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Concussions Found to Be Common in Water Polo

THURSDAY, June 30, 2016 (HealthDay News) -- Add water polo to the list of sports where concussions are common, according to findings published online June 27 in Frontiers of Neurology.

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Butter May Not Be As Unhealthy As Previously Thought

THURSDAY, June 30, 2016 (HealthDay News) -- Butter may not be the unhealthy food many Americans believe it to be; however, that doesn't mean that butter provides any real health benefit, according to research published online June 29 in PLOS ONE.

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Teaming With a Partner Ups Efficacy of Melanoma Self-Exams

THURSDAY, June 30, 2016 (HealthDay News) -- Enlisting a partner to assist with skin checks can improve the detection of cancer recurrence for melanoma patients, according to research published online June 29 in JAMA Dermatology.

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Zika Virus Congenital Syndrome: A New Teratogenic Disease

THURSDAY, June 30, 2016 (HealthDay News) -- Zika virus congenital syndrome is a new teratogenic disease, with many definite or probable cases presenting with normal head circumference values, according to research published online June 29 in The Lancet.

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Religious Service Attendance May Lower Suicide Risk in Women

WEDNESDAY, June 29, 2016 (HealthDay News) -- Women who regularly attend religious services may have a lower risk of suicide than those who don't, according to research published online June 29 in JAMA Psychiatry.

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Florida Reports First Case of Zika-Linked Microcephaly

WEDNESDAY, June 29, 2016 (HealthDay News) -- Florida's first case of a Zika-related birth defect has been reported by state officials.

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Too Little, Too Much Sleep Can Impair Insulin Sensitivity in Men

WEDNESDAY, June 29, 2016 (HealthDay News) -- Too much or too little sleep may raise the risk of diabetes in men, but not women, according to a study published online June 29 in the Journal of Clinical Endocrinology & Metabolism.

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Cardiovascular Disease Mortality Progress Slowing Down in U.S.

WEDNESDAY, June 29, 2016 (HealthDay News) -- The rate of decline in cardiovascular disease mortality has decelerated, according to research published online June 29 in JAMA Cardiology.

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Gastric Bypass Helps Achieve Diabetes Treatment Goals

WEDNESDAY, June 29, 2016 (HealthDay News) -- The addition of Roux-en-Y gastric bypass to lifestyle-medical management is associated with improved achievement of treatment goals in type 2 diabetes, according to a study published online June 16 in Diabetes Care.

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Unsatisfactory Chewing, Poor Diet Up Hospital Stay in Elderly

WEDNESDAY, June 29, 2016 (HealthDay News) -- For older adults, unsatisfactory chewing ability and poor diet are associated with longer hospital stays, according to a study published in the June issue of the Journal of the American Geriatrics Society.

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Prostate Cancer Diagnoses Down From 2011 to 2013

WEDNESDAY, June 29, 2016 (HealthDay News) -- From 2011 to 2013 there was a decrease in prostate cancer (PC) diagnoses, especially for younger men and low-risk disease, according to a research letter published online June 23 in JAMA Oncology.

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Depression Cuts Adherence to COPD Maintenance Meds

WEDNESDAY, June 29, 2016 (HealthDay News) -- In older adults, depression is associated with decreased adherence to maintenance medication regimens for chronic obstructive pulmonary disease (COPD), according to a study published online June 22 in the Annals of the American Thoracic Society.

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Electronic Record Demands Are Overwhelming Many Physicians

WEDNESDAY, June 29, 2016 (HealthDay News) -- Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.

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Escitalopram Not Beneficial for Heart Failure Patients

WEDNESDAY, June 29, 2016 (HealthDay News) -- The antidepressant escitalopram may not help heart failure patients suffering from depression, according to research published in the June 28 issue of the Journal of the American Medical Association.

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Pregnancy May Lengthen Life of Zika Virus Infection

WEDNESDAY, June 29, 2016 (HealthDay News) -- Infection with the Zika virus may protect against future infection, but pregnancy seems to extend how long the virus stays in the body, according to findings published online June 28 in Nature Communications.

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Genetic Heart Condition Common Cause of Sudden Death in Sports

WEDNESDAY, June 29, 2016 (HealthDay News) -- About one-third of sudden deaths are caused by hypertrophic cardiomyopathy, according to research published recently in The American Journal of Medicine.

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Pharmacy Programs to ID Opioid Abuse Effective, but Underused

WEDNESDAY, June 29, 2016 (HealthDay News) -- Pharmacy programs to reduce opioid abuse are effective but underused, according to a new study published in the July issue of the Journal of Studies on Alcohol and Drugs.

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FDA Approves Epclusa for Chronic Hepatitis C

TUESDAY, June 28, 2016 (HealthDay News) -- The combination drug Epclusa has been approved by the U.S. Food and Drug Administration to treat the six major strains of chronic hepatitis C virus.

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Two Vaccines Deemed Feasible Against Zika Virus Infection

TUESDAY, June 28, 2016 (HealthDay News) -- Experimental studies support the effectiveness of two vaccine candidates against the Zika virus, according to research published online June 28 in Nature.

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USPSTF: Evidence Lacking for Pelvic Screening Examinations

TUESDAY, June 28, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has concluded that the current evidence is insufficient to weigh the balance of benefits and harms for screening pelvic examinations in asymptomatic, nonpregnant adult women. These findings form the basis of a draft recommendation statement, published online June 28 by the USPSTF.

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Too Many Elderly, Terminal Patients Getting Unnecessary Tx

TUESDAY, June 28, 2016 (HealthDay News) -- Patients dying in old age often receive unnecessary end-of-life medical treatments in hospitals, according to research published online June 27 in the International Journal for Quality in Health Care.

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Coprescribing Naloxone to Opioid Users Helps Reduce ER Visits

TUESDAY, June 28, 2016 (HealthDay News) -- Patients on long-term opioid therapy who receive prescriptions for naloxone are less likely to return for emergency care related to opioid use, according to a study published online June 28 in the Annals of Internal Medicine.

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End-of-Life Care Received Varies Based on Type of Disease

TUESDAY, June 28, 2016 (HealthDay News) -- Family-reported quality of end-of-life care is significantly better for patients with cancer or dementia than for patients with other chronic conditions, according to research published online June 26 in JAMA Internal Medicine to coincide with presentation at AcademyHealth's Annual Research Meeting, held from June 26 to 28 in Boston.

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Omega-3s Tied to Lower Risk of Fatal Coronary Heart Disease

TUESDAY, June 28, 2016 (HealthDay News) -- Regularly eating fish and other foods rich in omega-3 fatty acids may lower the risk of fatal coronary heart disease (CHD), according to a review published online June 27 in JAMA Internal Medicine.

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AAP: Doctors Should Screen Teens for Suicide Risk Factors

TUESDAY, June 28, 2016 (HealthDay News) -- Suicide is the second leading cause of death among U.S. teens, and health care providers should screen teen patients for suicide risks, according to a report published online June 27 in Pediatrics.

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Few Young Males Receive HIV Testing at Physician Office Visits

TUESDAY, June 28, 2016 (HealthDay News) -- Few young males receive HIV testing during visits to physicians' offices, although the rates are higher for black and Hispanic males than for white males, according to a report published in the June 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Guidance Updated for Sedation of Pediatric Patients

TUESDAY, June 28, 2016 (HealthDay News) -- Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.

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Patients Face High Hospital Bills Despite Having Insurance

MONDAY, June 27, 2016 (HealthDay News) -- Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.

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Derms Seek Minimally Invasive Rx Mostly From Other Derms

MONDAY, June 27, 2016 (HealthDay News) -- A majority of female dermatologists undergo minimally invasive cosmetic procedures (MICPs), and most choose other dermatologists to perform the procedures, according to a study published online June 20 in the Journal of Cosmetic Dermatology.

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Many Teens Using Unregulated Supplements to Alter Appearance

MONDAY, June 27, 2016 (HealthDay News) -- Many teens are turning to risky, unregulated supplements to change their appearance, according to a new report from the American Academy of Pediatrics (AAP) published online June 27 in Pediatrics.

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Infant Milestones May Indicate Later Adaptive, Cognitive Skills

MONDAY, June 27, 2016 (HealthDay News) -- Infants who reach certain milestones sooner tend to have higher scores on some developmental measures by the time they are 4 years old, according to a study published online June 27 in Pediatrics.

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Daily Calcium Intake of 1,000 or 2,000 mg Best for Rickets

MONDAY, June 27, 2016 (HealthDay News) -- For children with rickets, radiographic healing is more rapid with 1,000 mg and 2,000 mg daily calcium intake compared with 500 mg, according to a study published online June 17 in the Journal of Bone and Mineral Research.

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CDC Expert Says Flint Water Crisis Could Easily Have Been Avoided

MONDAY, June 27, 2016 (HealthDay News) -- Analysis of blood samples from young children in Flint, Mich., shows they had much more lead in their blood when the city used local drinking water in an effort to cut costs, according to research published in the early release June 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Catheter Reduction Programs Do Reduce Use of Catheters

MONDAY, June 27, 2016 (HealthDay News) -- Catheter reduction programs are associated with a reduction in the number of catheter days per 100 patient-days, according to a research letter published online June 17 in the Journal of Hospital Medicine.

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ALT Levels Within Normal Range Linked to Cardiovascular Events

MONDAY, June 27, 2016 (HealthDay News) -- Alanine aminotransferase (ALT) levels within normal range are associated with cardiovascular event risk, according to a study published in the July 1 issue of The American Journal of Cardiology.

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Vaginal Pessary Beneficial in Pelvic Organ Prolapse

MONDAY, June 27, 2016 (HealthDay News) -- For women with symptomatic pelvic organ prolapse (POP), use of vaginal pessary in addition to pelvic floor exercises is associated with improvements in prolapse symptoms and quality of life, according to a study published in the July issue of Obstetrics & Gynecology.

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Diabetes Increases Mortality Risk After Acute Myocardial Infarction

FRIDAY, June 24, 2016 (HealthDay News) -- Patients with diabetes are much more likely to die after an acute myocardial infarction (AMI) than patients without diabetes, according to a study published online June 15 in the Journal of Epidemiology and Community Health.

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Misuse of Opioids Doubled in the United States Over a Decade

FRIDAY, June 24, 2016 (HealthDay News) -- Misuse of opioids by American adults more than doubled from the early 2000s to 2013, according to the U.S. National Institute on Alcohol Abuse and Alcoholism (NIAAA). The study was published online June 22 in the Journal of Clinical Psychiatry.

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2017 Will Bring Premium Rate Increases Under ACA

FRIDAY, June 24, 2016 (HealthDay News) -- Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.

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Diabetes Plus Kidney Disease Raises CVD Risk in Blacks

FRIDAY, June 24, 2016 (HealthDay News) -- For black Americans with diabetes, chronic kidney disease (CKD) appears to increase the risk of cardiovascular mortality, according to a study published online June 23 in the Clinical Journal of the American Society of Nephrology.

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High-Fiber Diet May Promote Healthy, Disease-Free Aging

FRIDAY, June 24, 2016 (HealthDay News) -- A diet inclusive of foods rich in fiber may fuel more successful aging, according to research published online June 1 in the Journals of Gerontology.

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Recommendations Developed for Managing Obstetric Lacerations

FRIDAY, June 24, 2016 (HealthDay News) -- Recommendations have been developed for the prevention and repair of obstetric lacerations during vaginal delivery. The new Practice Bulletin was published in the July issue of Obstetrics & Gynecology.

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Digital Technology Holds Potential in Emergency CVD Care

THURSDAY, June 23, 2016 (HealthDay News) -- Smartphones, apps, and other digital technology could speed emergency care to patients experiencing an acute myocardial infarction (AMI), stroke, or cardiac arrest, according to a new report issued by the American Heart Association (AHA) and published online June 22 in Circulation.

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CDC: FluMist Nasal Flu Vaccine Should Not Be Used 2016-2017

THURSDAY, June 23, 2016 (HealthDay News) -- The nasal spray form of the influenza vaccine should not be used next flu season, according to an announcement late Wednesday by the U.S. Centers for Disease Control and Prevention's Advisory Panel on Immunization Practices (ACIP).

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Exposure to the Dengue Virus May Up Potency of Zika Infection

THURSDAY, June 23, 2016 (HealthDay News) -- Prior exposure to the dengue fever virus may increase the severity of Zika virus infection, according to a study published online June 23 in Nature Immunology.

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Smartphone Use at Night May Result in Monocular 'Blindness'

THURSDAY, June 23, 2016 (HealthDay News) -- A short-lived optical sensation can lead some smartphone users to mistakenly believe they've lost sight in one eye, according to a research letter published in the June 23 issue of the New England Journal of Medicine.

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Decrease in Nevus Biopsies With Total Body Photography

THURSDAY, June 23, 2016 (HealthDay News) -- Total body photography (TBP) is associated with a reduction in nevus biopsies, according to a study published in the July issue of the Journal of the American Academy of Dermatology.

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Genetic Testing Helps Identify Causes of Sudden Cardiac Death

THURSDAY, June 23, 2016 (HealthDay News) -- Genetic testing can increase the identification of a possible cause of sudden cardiac death in children and young adults, according to a study published in the June 23 issue of the New England Journal of Medicine.

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Zika Infection Also Linked to Uveitis in Adults

THURSDAY, June 23, 2016 (HealthDay News) -- In a letter published online June 22 in the New England Journal of Medicine, researchers describe the case of a man who was infected with Zika and developed uveitis.

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Failure of Dual Antimicrobial Therapy for Gonorrhea Reported

THURSDAY, June 23, 2016 (HealthDay News) -- In a case report published in the June 23 issue of the New England Journal of Medicine, dual antimicrobial therapy failure is described in the treatment of gonorrhea.

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Hep C Core Antigen Assays Show High Sensitivity, Specificity

THURSDAY, June 23, 2016 (HealthDay News) -- Testing for hepatitis C virus core antigen (HCVcAg) could be a good alternative for nucleic acid testing (NAT) for diagnosis of chronic HCV, according to a review and meta-analysis published online June 21 in the Annals of Internal Medicine.

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Risk of Cardiovascular Events Up in Black Patients With A-Fib

WEDNESDAY, June 22, 2016 (HealthDay News) -- Black Americans with atrial fibrillation are at higher risk than whites for serious cardiovascular complications and death, according to a study published online June 22 in JAMA Cardiology.

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Male PCPs Less Likely to Assess CVD Risk in Female Patients

WEDNESDAY, June 22, 2016 (HealthDay News) -- Many male primary care physicians regard cardiovascular disease as a man's issue and don't assess risk in female patients, according to research published online June 21 in the European Journal of Preventive Cardiology.

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Use of Patient Navigators Improves Cancer Screening Rates

WEDNESDAY, June 22, 2016 (HealthDay News) -- The use of patient navigators improves cancer screening rates among low-income and ethnic minority patients, according to a study published online June 6 in JAMA Internal Medicine.

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Daily Steps in Children With T1DM Tied to Early Atherosclerosis

WEDNESDAY, June 22, 2016 (HealthDay News) -- For children with type 1 diabetes, the number of daily steps is associated with early signs of atherosclerosis and adverse cardiovascular risk, according to a study published online June 15 in Diabetes Care.

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CDC: Alternative Medicine a Booming Business in U.S.

WEDNESDAY, June 22, 2016 (HealthDay News) -- Americans spent more than $30 billion out of pocket in 2012 on chiropractors and other complementary health practitioners, as well as supplements and other forms of alternative medicine, according to research published online June 22 in the U.S. Centers for Disease Control and Prevention's National Health Statistics Reports.

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Statins Could Reduce Risk of Infection in Stroke Patients

WEDNESDAY, June 22, 2016 (HealthDay News) -- Statins could significantly reduce the risk of infection in stroke patients, according to a study published online June 9 in the Journal of Stroke and Cerebrovascular Diseases.

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APCs, Doctors Order Low-Value Services With Similar Frequency

WEDNESDAY, June 22, 2016 (HealthDay News) -- Advanced practice clinicians (APCs) and physicians order low-value health services with similar frequency, according to a study published online June 20 in the Annals of Internal Medicine.

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25(OH)D Levels Linked to Survival in Pancreatic Cancer

WEDNESDAY, June 22, 2016 (HealthDay News) -- Prediagnostic 25-hydroxyvitamin D (25[OH]D) levels are associated with survival in pancreatic cancer, according to a study published online June 20 in the Journal of Clinical Oncology.

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Vitamin K Antagonists Appear to Be Well Tolerated

WEDNESDAY, June 22, 2016 (HealthDay News) -- Vitamin K antagonists (VKA) are well tolerated and have a minimal effect on quality of life, according to a study published online June 21 in Circulation: Cardiovascular Quality and Outcomes.

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Nine-Protein Risk Score May Help Predict CV Events in Stable CHD

WEDNESDAY, June 22, 2016 (HealthDay News) -- A nine-protein risk score may help predict cardiovascular events among patients with stable coronary heart disease (CHD), according to a study published in the June 21 issue of the Journal of the American Medical Association.

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Phytoestrogen Supplementation Improves Menopause Symptoms

WEDNESDAY, June 22, 2016 (HealthDay News) -- Composite and specific phytoestrogen supplementation is associated with reductions in the frequency of hot flashes and vaginal dryness, according to a review published in the June 21 issue of the Journal of the American Medical Association.

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High Glycemic Index/Load Diet Linked to Acne Vulgaris

WEDNESDAY, June 22, 2016 (HealthDay News) -- Patients with acne vulgaris have significantly higher glycemic index and glycemic load levels and significantly lower serum adiponectin levels, according to a study published in the July issue of the Journal of the American Academy of Dermatology.

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Exercise May Be Protective Against Epithelial Ovarian Cancer

TUESDAY, June 21, 2016 (HealthDay News) -- Lack of exercise is associated with an increased risk of epithelial ovarian cancer (EOC) and mortality, two new studies suggest.

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Tips Provided for Leveraging Social Media

TUESDAY, June 21, 2016 (HealthDay News) -- During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.

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Moderately Low LDL May Be Enough to Ward Off CVD Risk

TUESDAY, June 21, 2016 (HealthDay News) -- Very low target low-density lipoprotein (LDL) cholesterol levels may not benefit all patients with preexisting heart disease, according to a study published online June 20 in JAMA Internal Medicine.

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Too Many A-Fib Patients Taking Aspirin Instead of Anticoagulant

TUESDAY, June 21, 2016 (HealthDay News) -- More than one-third of U.S. patients with atrial fibrillation who need anticoagulation to prevent strokes aren't receiving it, according to a study published in the June 28 issue of the Journal of the American College of Cardiology.

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Risk of T1DM Up in Children With Autoantibody Reversion

TUESDAY, June 21, 2016 (HealthDay News) -- The risk of type 1 diabetes remains elevated for children who have developed multiple β-cell autoantibodies, even after reversion of individual autoantibodies, according to a study published online June 16 in Diabetes Care.

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Persistent High Spending Common in Year Before Death

TUESDAY, June 21, 2016 (HealthDay News) -- Almost half of older Medicare beneficiaries have high persistent spending throughout the full year before death, according to a study published in the June issue of Health Affairs.

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Sleep Apnea Could Worsen Cognitive Deficits in MS Patients

TUESDAY, June 21, 2016 (HealthDay News) -- Obstructive sleep apnea (OSA) may be associated with cognitive dysfunction in patients with multiple sclerosis (MS), according to a study published in the May issue of SLEEP.

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Placebo Effect Seen in Brain-Training Program Effectiveness

TUESDAY, June 21, 2016 (HealthDay News) -- Cognitive-training programs may be offering only placebo effects, according to a study published online June 20 in the Proceedings of the National Academy of Sciences.

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AAP: No Amount of Lead Exposure Is Safe for Children

MONDAY, June 20, 2016 (HealthDay News) -- No amount of lead exposure is safe for children, and stricter regulations are needed to protect youngsters from this serious health threat, according to new recommendations by the American Academy of Pediatrics (AAP), published online June 20 in Pediatrics.

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Rates of Parkinson's Disease Rising Among U.S. Males

MONDAY, June 20, 2016 (HealthDay News) -- Rates of Parkinson's disease have increased for U.S. men over the past three decades, and the trend could be tied to declines in smoking, according to a report published online June 20 in JAMA Neurology.

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One Free Meal From Industry Ups Brand-Name Rx Among Doctors

MONDAY, June 20, 2016 (HealthDay News) -- Physicians who receive even one free meal, valued at less than $20 on average, are more likely to prescribe a promoted brand-name drug than a cheaper generic alternative, compared with doctors who did not accept a meal, according to a study published online June 20 in JAMA Internal Medicine.

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Reset Room Can Help Address Physician Burnout

MONDAY, June 20, 2016 (HealthDay News) -- The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.

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Bariatric Surgery Improves Adipose Tissue Function

MONDAY, June 20, 2016 (HealthDay News) -- Bariatric surgery is associated with improvements in adipose tissue function, some of which are independent of weight loss, according to research published online June 8 in Obesity Reviews.

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Tax Incentives Being Offered to Primary Care Preceptors

MONDAY, June 20, 2016 (HealthDay News) -- Tax incentives are being offered to encourage physicians to serve as preceptors to medical students, according to a report published by the American Academy of Family Physicians.

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Most Women Diagnosed With HIV in Pregnancy Retained in Care

MONDAY, June 20, 2016 (HealthDay News) -- Most women diagnosed with HIV during pregnancy are still retained in clinical care over the first year postpartum, according to a study published in the July issue of Obstetrics & Gynecology.

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Intervention Combination Can Cut Pediatric Hypoglycemic Events

FRIDAY, June 17, 2016 (HealthDay News) -- A multi-interventional approach can reduce preventable hypoglycemic events in hospitalized pediatric patients receiving insulin, according to a study published online June 17 in Pediatrics.

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CDC: New Test May Help Screen Blood Donations for Zika

FRIDAY, June 17, 2016 (HealthDay News) -- The Zika virus is spreading through Puerto Rico, placing hundreds of pregnant women at risk for delivering babies with microcephaly, and blood centers in Puerto Rico have begun testing donations for Zika, the U.S. Centers for Disease Control and Prevention said Friday.

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Strategy Needed to Address Impending Physician Shortage

FRIDAY, June 17, 2016 (HealthDay News) -- Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.

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Obesity in Older Male Teens Ups Risk for Liver Disease Later

FRIDAY, June 17, 2016 (HealthDay News) -- Older teen boys who are overweight or obese could be at increased risk for severe liver disease later in life, according to a study published online June 16 in the Journal of Hepatology.

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Varying Safety of Add-On Second-Line T2DM Treatments

FRIDAY, June 17, 2016 (HealthDay News) -- For patients with type 2 diabetes who are taking metformin, the risk of cardiovascular events and mortality varies with the addition of different second-line therapies, according to a study published online June 10 in Diabetes, Obesity and Metabolism.

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Vancomycin Trough Target May Be Lower for Teens

FRIDAY, June 17, 2016 (HealthDay News) -- The target trough concentration of vancomycin seems to be lower for adolescents than for adults, according to a study published online June 13 in the Journal of Clinical Pharmacology.

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Gluten-Free Diet Beneficial in T1D With Concurrent Celiac Disease

FRIDAY, June 17, 2016 (HealthDay News) -- For children with type 1 diabetes (T1D), the negative influence of celiac disease (CD) on high-density lipoprotein cholesterol (HDL-C) can be improved by adherence to a gluten-free diet (GFD), according to a study published online June 6 in Diabetes Care.

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Zika Infection in Third Trimester May Not Harm Development

THURSDAY, June 16, 2016 (HealthDay News) -- The danger of Zika-related birth defects may be confined to maternal infections that occur during the first two trimesters of pregnancy, according to a study led by Margaret Honein, Ph.D., of the U.S. Centers for Disease Control and Prevention, and published online June 15 in the New England Journal of Medicine.

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Pharmacist Involvement Can Improve Cardiovascular Care

THURSDAY, June 16, 2016 (HealthDay News) -- Patients with poorly controlled cardiovascular disease (CVD) risk factors could improve their prognosis by having pharmacists help manage their care, according to a study published in the June 21 issue of the Journal of the American College of Cardiology.

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Soles of the Feet Should Also Be Checked for Skin Cancer

THURSDAY, June 16, 2016 (HealthDay News) -- Stress and damage caused by walking or running could be a risk factor for melanoma on the soles of the feet, according to a research letter published in the June 16 issue of the New England Journal of Medicine.

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Potential Impact of Single-Payer Health Care Discussed

THURSDAY, June 16, 2016 (HealthDay News) -- Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.

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Genetic Data Help ID Risk of Future Impaired Fasting Glucose

THURSDAY, June 16, 2016 (HealthDay News) -- The addition of genetic risk variant data to conventional childhood risk factors improves risk assessment of impaired fasting glucose (IFG) and type 2 diabetes in adulthood, according to a study published online June 13 in Diabetes Care.

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Most Websites, Apps Not Accurate for Predicting Fertile Window

THURSDAY, June 16, 2016 (HealthDay News) -- Most fertility websites and applications (apps) are not accurate for predicting the fertile window, according to a study published in the July issue of Obstetrics & Gynecology.

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Prices for Care Rise Significantly As Multi-Hospital Systems Emerge

THURSDAY, June 16, 2016 (HealthDay News) -- Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.

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USPSTF Reaffirms Need for CRC Screen Beginning at Age 50

THURSDAY, June 16, 2016 (HealthDay News) -- Reiterating a recommendation last made in 2008, the U.S. Preventive Services Task Force (USPSTF) is advocating that regular colorectal cancer (CRC) screening begin at age 50 and continue until at least age 75. The updated recommendation was published online June 15 in the Journal of the American Medical Association.

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Sleep-Disordered Breathing Ups Risk of Complications After PCI

THURSDAY, June 16, 2016 (HealthDay News) -- Sleep-disordered breathing (SDB) may increase the risk of serious complications in patients who have undergone percutaneous coronary intervention (PCI), according to research published online June 15 in the Journal of the American Heart Association.

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No Conclusive Link Between Melanoma Risk, PDE5 Inhibitors

WEDNESDAY, June 15, 2016 (HealthDay News) -- The small apparent increase in risk of melanoma in men prescribed phosphodiesterase type 5 (PDE5) inhibitors may be explained by greater sun exposure, according to new research published online June 14 in PLOS Medicine.

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Very Few Cases of Chest Pain Seen in ER Are Life-Threatening

WEDNESDAY, June 15, 2016 (HealthDay News) -- Less than 6 percent of patients presenting to the emergency department with chest pain suffer from life-threatening conditions such as a heart attack, according to a research letter published online June 13 in JAMA Internal Medicine.

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Preemies' Hearts Benefit From Breastfeeding in the Long Term

WEDNESDAY, June 15, 2016 (HealthDay News) -- Breastfeeding premature infants appears to increase the likelihood that those infants will have healthier hearts in young adulthood, according to research published online June 14 in Pediatrics.

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Several Heart Conditions Affected Differently by Alcohol

WEDNESDAY, June 15, 2016 (HealthDay News) -- Texans living in "dry" counties are more likely to suffer myocardial infarction and congestive heart failure than those living in nearby "wet" counties, where alcohol sales are legal; however, atrial fibrillation is less likely in dry counties, according to a study published online June 14 in The BMJ.

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ERs Seeing More Severe Wounds From Gun Violence

WEDNESDAY, June 15, 2016 (HealthDay News) -- Injuries from gun violence may be increasing in severity in emergency departments across the United States, according to a research letter published in the June 14 issue of the Journal of the American Medical Association.

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Many PCPs Discuss Low-Dose CT Screening With Patients

WEDNESDAY, June 15, 2016 (HealthDay News) -- Many family physicians discuss low-dose computed tomography (LDCT) screening for lung cancer with patients at high risk, although referrals remain low, according to a study published online June 13 in Cancer.

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Four-Step Strategy Suggested for Boosting Practice Quality of Care

WEDNESDAY, June 15, 2016 (HealthDay News) -- Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).

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Sales of Zecuity Migraine Skin Patches Halted

TUESDAY, June 14, 2016 (HealthDay News) -- Sales of the migraine treatment skin patch Zecuity (sumatriptan iontophoretic transdermal system) have been halted after patients reported suffering burns and scars where the patches were applied, Teva Pharmaceutical says.

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Some Weight-Loss Drugs Are More Effective Than Others

TUESDAY, June 14, 2016 (HealthDay News) -- Any of the prescription weight-loss drugs on the market can help obese adults lose weight, although some appear to be more effective than others, according to research published in the June 14 issue of the Journal of the American Medical Association.

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Long-Acting Opioids May Increase Risk of All-Cause Mortality

TUESDAY, June 14, 2016 (HealthDay News) -- Opioid use may significantly increase mortality risk, according to a study published in the June 14 issue of the Journal of the American Medical Association.

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USPSTF Finds Evidence Lacking for Sleep Apnea Screening

TUESDAY, June 14, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found insufficient evidence for the benefit of obstructive sleep apnea (OSA) screening in asymptomatic populations. These findings form the basis of a draft recommendation statement, published online June 14 by the USPSTF.

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