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Category: Family Medicine | Monthly Briefing

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July 2016 Briefing - Family Practice

Last Updated: August 01, 2016.

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

QOL Not Affected by Active Surveillance of Prostate Cancer

FRIDAY, July 29, 2016 (HealthDay News) -- Men with low-risk prostate cancer report a good quality of life after choosing active surveillance as a treatment for their disease, according to research published in the August issue of The Journal of Urology.

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Conception During Low Mosquito Activity May Lower Zika Odds

FRIDAY, July 29, 2016 (HealthDay News) -- Women in Zika-affected countries might reduce their risk of infection during pregnancy by timing conception with periods of low mosquito activity, according to a perspective piece published July 28 in PLOS Biology.

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Biological Changes Real for Non-Celiac Wheat Sensitivity

FRIDAY, July 29, 2016 (HealthDay News) -- There are clear biological changes in patients presenting with non-celiac wheat sensitivity, according to research published online July 25 in Gut.

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CDC Calls for Tighter Restrictions on Teen Nighttime Driving

FRIDAY, July 29, 2016 (HealthDay News) -- Getting U.S. teens out of the driver's seat before midnight would reduce their risk of fatal crashes, according to research published in the July 29 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Breakeven Rate Estimated for Mid-Size Pediatric Practice

FRIDAY, July 29, 2016 (HealthDay News) -- The capitated payment breakeven rate has been calculated for a mid-size pediatric practice, with a breakeven per-member per-month (PMPM) rate of $24.10, according to research published online July 29 in Pediatrics.

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Esophageal Cancer Risk Raised by Alcohol Intake, Obesity

FRIDAY, July 29, 2016 (HealthDay News) -- New research suggests that in the United States, a third of esophageal cancer cases -- about 5,600 per year -- could be prevented if people maintained a healthy weight and didn't drink.

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Exercising One Hour/Day May Eliminate Sitting's Toll on Health

FRIDAY, July 29, 2016 (HealthDay News) -- Just one hour of physical activity a day -- something as simple as a brisk walk or a bicycle ride -- may undo the increased mortality risk that comes with sitting eight hours or more on a daily basis, according to research published online July 27 in The Lancet.

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Online Communication Tied to Positive Appraisal of Tx Decisions

FRIDAY, July 29, 2016 (HealthDay News) -- For women with newly diagnosed breast cancer, frequent online communication users more positively appraise their decision making, according to a research letter published online July 28 in JAMA Oncology.

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About One in Five Have Recurrent Diabetic Ketoacidosis

FRIDAY, July 29, 2016 (HealthDay News) -- Recurrent diabetic ketoacidosis (DKA) is common, occurring in more than one in five patients, according to a study published online July 15 in Diabetes Care.

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Early Mortality for Most Infants With Trisomy 13, 18

FRIDAY, July 29, 2016 (HealthDay News) -- Early mortality is the most common outcome among children born with trisomy 13 or 18, although one-year survival is high for those undergoing surgical procedures, according to a study published online July 26 in The Journal of the American Medical Association.

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Fracture Risk Up for Patients Undergoing Bariatric Surgery

FRIDAY, July 29, 2016 (HealthDay News) -- Patients undergoing bariatric surgery have increased risk of fracture, according to a study published online July 28 in the BMJ.

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FDA Approves Adlyxin for Type 2 Diabetes Mellitus

THURSDAY, July 28, 2016 (HealthDay News) -- Adlyxin (lixisenatide), a glucagon-like peptide-1 receptor agonist, has been approved by the U.S. Food and Drug Administration to treat type 2 diabetes in adults, the agency said Thursday in a news release.

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Clinicians Should Consider Valley Fever in Some Flu Patients

THURSDAY, July 28, 2016 (HealthDay News) -- Clinicians should suspect coccidioidomycosis, also known as San Joaquin Valley fever, in patients with pneumonia or ongoing flu-like symptoms who live in or have visited the west or southwest United States, especially Arizona and central California, according to updated guidelines from the Infectious Diseases Society of America (IDSA) published online July 27 in Clinical Infectious Diseases.

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Even Midrange Vision Impairment Can Negatively Affect QOL

THURSDAY, July 28, 2016 (HealthDay News) -- Patients with even moderately impaired vision may face a higher risk of unemployment, poverty, and mental health problems, according to research published online July 28 in JAMA Ophthalmology.

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Two More Possible Cases of Non-Travel-Related Zika in Florida

THURSDAY, July 28, 2016 (HealthDay News) -- Florida health officials are investigating two more unexplained cases of Zika infection, bringing to four the number of cases that don't seem to be related to travel to countries where the virus is circulating.

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Even Moderate Exercise Can Reduce Risk of Gestational DM

THURSDAY, July 28, 2016 (HealthDay News) -- Obese pregnant women can reduce their risk of gestational diabetes and lower their blood pressure by exercising as little as three times a week, according to a study published online July 26 in PLOS Medicine.

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Miscarriage Linked to Maternal Zika Infection

THURSDAY, July 28, 2016 (HealthDay News) -- Dutch researchers are reporting a case of miscarriage tied to maternal infection with the Zika virus. The report was published online July 27 in the New England Journal of Medicine.

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Late Preterm, Early Term Birth Rates Down in the United States

THURSDAY, July 28, 2016 (HealthDay News) -- Late preterm and early term birth rates decreased from 2006 to 2014 in the United States and some other high-income countries, according to research published online July 26 in the Journal of the American Medical Association.

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Brachial-Ankle Pulse Wave Velocity Can Predict Mortality

THURSDAY, July 28, 2016 (HealthDay News) -- Brachial-ankle pulse wave velocity (baPWV) can predict all-cause mortality in patients with diabetes after first non-traumatic lower extremity amputation (LEA), according to a study published online July 16 in the Journal of Diabetes Investigation.

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Marijuana May Cause More Damage to Heart Than Tobacco

THURSDAY, July 28, 2016 (HealthDay News) -- In an experimental study published online July 27 in the Journal of the American Heart Association, lab rats experienced substantially impaired endothelial function after a minute's exposure to secondhand smoke (SHS) from marijuana.

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'Ice Bucket Challenge' Led to Significant ALS Gene Discovery

WEDNESDAY, July 27, 2016 (HealthDay News) -- The hugely popular "Ice Bucket Challenge" funded a study that has discovered an important new amyotrophic lateral sclerosis (ALS) gene. The study, which involved more than 80 researchers in 11 countries, was published online July 25 in Nature Genetics.

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Fitness Almost As Important As Not Smoking for Longevity

WEDNESDAY, July 27, 2016 (HealthDay News) -- Poor physical fitness ranks right behind smoking as leading risk factors for early mortality, according to a study published online July 26 in the European Journal of Preventive Cardiology.

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New Rule Tied to Fewer Head Impacts in High School Football

WEDNESDAY, July 27, 2016 (HealthDay News) -- Limiting tackling during high school football practices lowers the risk of head impacts, according to a study published online June 22 in the Journal of Athletic Training.

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Flu Vaccine Protective Against Hospitalization, Death in T2DM

WEDNESDAY, July 27, 2016 (HealthDay News) -- The seasonal influenza vaccine may significantly reduce mortality for patients with type 2 diabetes, as well as hospitalizations for stroke and cardiovascular and pulmonary issues, according to a study published online July 25 in CMAJ, the journal of the Canadian Medical Association.

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FDA Strengthens Safety Warnings for Fluoroquinolones

WEDNESDAY, July 27, 2016 (HealthDay News) -- The U.S. Food and Drug Administration announced Tuesday that it's strengthening label warnings on fluoroquinolones because the drugs can lead to disabling side effects, including long-term nerve damage and ruptured tendons.

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Perceived Stigmatization Common for Patients With Psoriasis

WEDNESDAY, July 27, 2016 (HealthDay News) -- Sociodemographic, disease-related, and personality variables can predict perceived stigmatization in psoriasis, which occurs in the majority of patients, according to a study published online July 20 in the British Journal of Dermatology.

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Binge-Eating Disorders May Be Linked to Suicidality

WEDNESDAY, July 27, 2016 (HealthDay News) -- Adults and adolescents with binge-eating disorder (BED) may have increased risk of suicidality, according to research published online July 20 in the International Journal of Eating Disorders.

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Review: Biofeedback Seems Effective for Pediatric Migraine

WEDNESDAY, July 27, 2016 (HealthDay News) -- For pediatric patients with migraine, biofeedback seems to be an effective intervention, according to a review published online July 26 in Pediatrics.

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Six Years Average Time Between Onset and Diagnosis of Bipolar

WEDNESDAY, July 27, 2016 (HealthDay News) -- The average delay to diagnosis of bipolar disorder is six years, according to a review published online July 26 in the Canadian Journal of Psychiatry.

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Ob-Gyns Should Counsel Patients on Immediate Postpartum LARC

TUESDAY, July 26, 2016 (HealthDay News) -- Obstetrician-gynecologists should counsel pregnant women about use of long-acting reversible contraception (LARC), such as implants and intrauterine devices (IUDs), immediately after they give birth, according to an American College of Obstetricians and Gynecologists (ACOG) Committee Opinion published in the August issue of Obstetrics & Gynecology.

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USPSTF: Evidence Lacking to Recommend Skin Cancer Screens

TUESDAY, July 26, 2016 (HealthDay News) -- There is insufficient evidence to recommend regular full-body exams for skin cancer as a means of preventing deaths from these cancers, according to a new review and recommendation statement published in the July 26 issue of the Journal of the American Medical Association.

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Even Low Levels of Exercise Can Lower CHD Risk in Young Women

TUESDAY, July 26, 2016 (HealthDay News) -- Younger women who exercise just 2.5 hours a week may cut their risk for coronary heart disease (CHD) by up to 25 percent, according to research published in the July 26 issue of Circulation.

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Primary Stroke Centers Have Slight Survival Edge

TUESDAY, July 26, 2016 (HealthDay News) -- The odds of surviving a stroke are slightly better for patients treated at hospitals with primary stroke centers (PSCs), but only if stroke patients get to the center in less than 90 minutes, according to research published online July 25 in JAMA Internal Medicine.

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American Red Cross Says Blood Donations Needed Urgently

TUESDAY, July 26, 2016 (HealthDay News) -- The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.

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Medical Students Often Track Progress of Former Patients

TUESDAY, July 26, 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.

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Delaying Pregnancy Could Reduce Risk of Zika Infection

TUESDAY, July 26, 2016 (HealthDay News) -- For the population of Colombia, pregnancy delays of sufficient duration can reduce the risk of prenatal Zika virus infections, according to research published online July 26 in the Annals of Internal Medicine.

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Teen Athletes at Low Risk for Opioid Addiction

TUESDAY, July 26, 2016 (HealthDay News) -- Teenage athletes are less likely to abuse opioids than adolescents who don't play sports or exercise, according to research published online July 25 in Pediatrics.

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Marijuana Poisonings in Toddlers on the Rise in Colorado

TUESDAY, July 26, 2016 (HealthDay News) -- In 2014, Colorado and Washington became the first two states to legalize recreational marijuana. Shortly after, a sharp increase occurred in the number of Colorado children younger than 10 who became ill after being exposed to marijuana, according to a study published online July 25 in JAMA Pediatrics.

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Induced Labor Not Associated With Autism Risk

TUESDAY, July 26, 2016 (HealthDay News) -- Inducing labor won't raise a pregnant woman's risk of having a child with autism, according to a study published online July 25 in JAMA Pediatrics.

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Recent Increases in Rate of Hep C Detection in Young Women

TUESDAY, July 26, 2016 (HealthDay News) -- From 2011 to 2014 there were increases in the rate of hepatitis C virus (HCV) detection among women of childbearing age, according to research published in the July 25 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Guidelines Developed for Pain Management in Cancer Survivors

TUESDAY, July 26, 2016 (HealthDay News) -- Guidelines have been developed for chronic pain management in adult cancer survivors. The American Society of Clinical Oncology Clinical Practice Guideline was published online July 25 in the Journal of Clinical Oncology.

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Risk of Contracting Zika at Rio Olympics Small

TUESDAY, July 26, 2016 (HealthDay News) -- Travelers and competitors at the 2016 Olympic Games in Brazil are not likely to contract the Zika virus during their stay or bring it back to their home countries, according to an Ideas and Opinions piece published online July 26 in the Annals of Internal Medicine.

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Up to 1.6 Million Childbearing Women Possibly at Risk for Zika

MONDAY, July 25, 2016 (HealthDay News) -- Up to 1.6 million childbearing women in Central and South America may be at risk for infection with the Zika virus by the end of the first phase of the epidemic, according to a letter published online July 25 in Nature Microbiology.

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CDC Updates Guidelines on Sexual Transmission of Zika

MONDAY, July 25, 2016 (HealthDay News) -- U.S. health officials on Monday updated their Zika virus guidelines, saying that pregnant women could contract Zika from a sex partner of either gender.

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Delirium Often Seen in Cancer Patients in the ER

MONDAY, July 25, 2016 (HealthDay News) -- Delirium is fairly common, yet often missed, in advanced cancer patients who visit emergency departments, according to a study published online July 25 in Cancer.

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Antimicrobial Rx Up With Hospitalization for Acute Mania

MONDAY, July 25, 2016 (HealthDay News) -- Individuals hospitalized with acute mania have an increased rate of bacterial infections, as evidenced by the recent prescription of antimicrobial agents, according to a study published online July 17 in Bipolar Disorders.

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Total Drug Expenditures Projected to Increase in 2016

MONDAY, July 25, 2016 (HealthDay News) -- Total drug expenditures are expected to increase by 11 to 13 percent in 2016, according to a study published online in the American Journal of Health-System Pharmacy.

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Behavioral Activation Therapy Viable Option in Depression

MONDAY, July 25, 2016 (HealthDay News) -- Behavioral activation therapy is as effective as cognitive behavioral therapy for treating depression in adults, according to a study published online July 22 in The Lancet.

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Meds Up Hospitalization for Dehydration, Heat-Linked Illness

MONDAY, July 25, 2016 (HealthDay News) -- Among veterans, initiation of many commonly-used medications is associated with increased risk of hospitalization for dehydration or heat-related illness, according to research published online July 4 in the Journal of Clinical Pharmacy and Therapeutics.

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'Walking Meetings' Feasible Strategy for Employee Wellness

MONDAY, July 25, 2016 (HealthDay News) -- Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Another Non-Travel Related Case of Zika in Florida

FRIDAY, July 22, 2016 (HealthDay News) -- Florida health officials say they're investigating a second possible case of locally transmitted Zika infection.

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Program Can Help Patient-Centered Practice Transition

FRIDAY, July 22, 2016 (HealthDay News) -- A new study describes a scalable solution for transforming health care delivery in primary care into the patient-centered medical home model. The report was published online July 15 in the Journal of Cognitive Engineering and Decision Making.

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Low-FODMAP Bread May Reduce Symptoms of IBS

FRIDAY, July 22, 2016 (HealthDay News) -- Rye bread low in fermentable oligo-, di-, monosaccharides and polyols (FODMAPs) can help control symptoms of irritable bowel syndrome (IBS), according to a study published online July 15 in Alimentary Pharmacology and Therapeutics.

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Severe Hypoglycemia Linked to Mortality, CVD Events in T1DM

FRIDAY, July 22, 2016 (HealthDay News) -- For patients with type 1 diabetes mellitus (T1DM), severe hypoglycemia is associated with increased risk of all-cause mortality and cardiovascular disease (CVD), according to research published online July 6 in Diabetes Care.

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Widely Protective Vaccine Against Chlamydia Appears Promising

FRIDAY, July 22, 2016 (HealthDay News) -- A vaccine to help protect against chlamydia is proving to be effective, according to an experimental study published in the July 25 issue of Vaccine.

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AAFP Objects to Plan to Expand VA Nurses' Scope of Practice

FRIDAY, July 22, 2016 (HealthDay News) -- The American Academy of Family Physicians (AAFP) is opposed to a Department of Veterans Affairs (VA) plan to unilaterally expand the scope of practice for advanced practice registered nurses (APRNs) in an effort to reduce the backlog of military veterans waiting for medical care, according to a report published by the AAFP.

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Intake of Marine ω-3 PUFAs Tied to Colorectal Cancer Survival

FRIDAY, July 22, 2016 (HealthDay News) -- Colorectal cancer (CRC) patients who consume higher amounts of omega-3 polyunsaturated fatty acids (PUFAs), mainly from oily fish, may have better odds of survival, according to a study published online July 19 in Gut.

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Overall Mortality Similar in DCCT/EDIC, General Population

FRIDAY, July 22, 2016 (HealthDay News) -- Overall mortality is similar in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) study cohort and the general population, according to a study published online July 13 in Diabetes Care.

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Shared Drug Snorting Straws May Transmit Hepatitis C Virus

FRIDAY, July 22, 2016 (HealthDay News) -- Sharing snorting straws for noninjection drug use may be a source for hepatitis C virus (HCV) transmission, according to research published in the August issue of Obstetrics & Gynecology.

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Local Hyperthermia Can Clear Molluscum Contagiosum Lesions

FRIDAY, July 22, 2016 (HealthDay News) -- For patients with molluscum contagiosum (MC) lesions, local hyperthermia with a targeted device is successful for lesion clearance, according to a research letter published online July 5 in the British Journal of Dermatology.

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Persistent Use Higher With New Generation Beta-Blockers

FRIDAY, July 22, 2016 (HealthDay News) -- Persistent use of antihypertensive treatments is greater with the new generation of beta-blockers, compared to atenolol, according to a study published in the August issue of Cardiovascular Therapeutics.

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Antipsychotic Polypharmacy Has Prevalence of 12 Percent

FRIDAY, July 22, 2016 (HealthDay News) -- Among adult patients discharged from state psychiatric inpatient hospitals, the prevalence of antipsychotic polypharmacy is 12 percent, according to a study published in the July issue of the Journal of Psychiatric Practice.

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Surgery Not Always Necessary for Meniscal Tears

THURSDAY, July 21, 2016 (HealthDay News) -- In many cases of meniscal tear, exercise may work just as well as surgery in middle-aged patients, according to a study published online July 20 in The BMJ.

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Rapid HIV Transmission Seen in Injection Drug Users in Rural U.S.

THURSDAY, July 21, 2016 (HealthDay News) -- The U.S. prescription drug abuse epidemic has increased the risk of HIV outbreaks in rural and suburban communities, where up to now the virus has posed little threat, according to a report published in the July 21 issue of the New England Journal of Medicine.

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Health Expenditures Rising for Middle Class, Wealthy

THURSDAY, July 21, 2016 (HealthDay News) -- While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.

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Seropositivity of Meningitis B Vaccine Lower Than Expected

THURSDAY, July 21, 2016 (HealthDay News) -- About one-third of Princeton University students given a vaccine to combat a meningitis B outbreak on campus in 2013 didn't show signs of protection against the infection eight weeks later, according to a study published in the July 21 issue of the New England Journal of Medicine.

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Walking Briskly May Outperform Jogging in Prediabetes

THURSDAY, July 21, 2016 (HealthDay News) -- Brisk walking may be more effective than jogging in controlling blood glucose levels in patients with prediabetes, according to a study published online July 15 in Diabetologia.

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Buprenorphine-Naloxone Use in Medicare Patients Low

THURSDAY, July 21, 2016 (HealthDay News) -- Doctors aren't using one of the most effective weapons at their disposal in battling opioid addiction -- buprenorphine-naloxone (Suboxone), according to a research letter published online July 20 in JAMA Psychiatry.

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Estradiol Doesn't Boost Cognitive Function After Menopause

THURSDAY, July 21, 2016 (HealthDay News) -- Improvement in cognitive ability is not associated with estrogen therapy among women who use it after menopause, no matter when they start taking it, according to a study published online July 15 in Neurology.

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Buprenorphine May Be Helpful in Peripheral Neuropathic Pain

THURSDAY, July 21, 2016 (HealthDay News) -- For patients with moderate to severe diabetic peripheral neuropathic pain (DPNP), transdermal buprenorphine is effective for reducing pain, but is associated with adverse events, according to a study published online June 16 in Diabetes Care.

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Structured Pretravel Advice Should Be Provided to Patients

THURSDAY, July 21, 2016 (HealthDay News) -- Structured advice should be provided to individuals planning to travel internationally, according to a review article published in the July 21 issue of the New England Journal of Medicine.

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Diabetes Rates for U.S. Teens Higher Than Previously Reported

WEDNESDAY, July 20, 2016 (HealthDay News) -- More American teens have diabetes or prediabetes than previously thought, and many don't know they have the condition, according to a research letter published in the July 19 issue of the Journal of the American Medical Association.

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Higher Education Linked to Reduced Post-MI Heart Failure

WEDNESDAY, July 20, 2016 (HealthDay News) -- Acute myocardial infarction (AMI) survivors with higher levels of education are less likely to develop heart failure, according to a study published online July 20 in the European Journal of Preventive Cardiology.

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Possible Local Transmission of Zika Virus in Florida

WEDNESDAY, July 20, 2016 (HealthDay News) -- Florida health officials are investigating what could be the first case of locally transmitted Zika virus infection in the continental United States.

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ACS Endorses CDC's HPV Vaccine Guidelines

WEDNESDAY, July 20, 2016 (HealthDay News) -- The American Cancer Society has endorsed the U.S. government's HPV vaccination recommendations, which include immunizing all preteens against human papillomavirus (HPV). The report was published online July 19 in CA: A Cancer Journal for Clinicians.

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Implant Non-Inferior to Daily Pill for Opioid Dependence

WEDNESDAY, July 20, 2016 (HealthDay News) -- Patients addicted to opioids are more likely to overcome their dependence if they receive a new long-acting implant rather than a daily treatment pill, according to a study published in the July 19 issue of the Journal of the American Medical Association.

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Postpartum Women Prefer Delayed Physician Rounding

WEDNESDAY, July 20, 2016 (HealthDay News) -- Delayed physician rounding increases postpartum women's satisfaction with their hospital experience and patient-physician communication, according to a study published in the August issue of Obstetrics & Gynecology.

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Review Examines Topical Complementary Meds in Eczema

WEDNESDAY, July 20, 2016 (HealthDay News) -- For patients with atopic eczema (AE), six studies assessing topical complementary and alternative medicines display superiority to placebo but only two (licorice gel and Hypericum perforatum) have low risk of bias on all domains, according to a review published online July 4 in the British Journal of Dermatology.

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Diabetes Meds Deemed Equal, but Metformin Still First-Line

WEDNESDAY, July 20, 2016 (HealthDay News) -- There are no significant differences in the associations between available glucose-lowering drugs (alone or in combination) and the risk of cardiovascular or all-cause mortality, according to a review published in the July 19 issue of the Journal of the American Medical Association.

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IVF Treatment Does Not Appear to Increase Breast Cancer Risk

WEDNESDAY, July 20, 2016 (HealthDay News) -- Women who undergo in vitro fertilization (IVF) are not at increased risk of breast cancer, according to a study published in the July 19 issue of the Journal of the American Medical Association.

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Diabetes Confers Worse Prognosis for Patients With ACS

WEDNESDAY, July 20, 2016 (HealthDay News) -- For patients with acute coronary syndromes (ACS), diabetes confers a worse prognosis, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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Osteoporosis Treatment-Linked Changes in BMD ID Fracture Risk

WEDNESDAY, July 20, 2016 (HealthDay News) -- For women initiating osteoporosis treatment, treatment-related changes in total hip bone mineral density (BMD) are associated with fracture risk, according to a study published online July 19 in the Annals of Internal Medicine.

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Medicare Spending Up for Decedents Versus Survivors

WEDNESDAY, July 20, 2016 (HealthDay News) -- Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.

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ACOG Addresses Obstetrical Services and Zika Transmission

TUESDAY, July 19, 2016 (HealthDay News) -- A new case of Zika virus infection associated with a very high Zika viral load has renewed attention to Zika transmission, according to the American College of Obstetrics & Gynecology (ACOG).

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Metastatic Prostate Cancer Cases Increasing in the United States

TUESDAY, July 19, 2016 (HealthDay News) -- New cases of metastatic prostate cancer in the United States have increased 72 percent in the past decade, according to a study published online July 19 in Prostate Cancer and Prostatic Diseases.

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High-Fat Mediterranean Diet Can Still Be Healthy

TUESDAY, July 19, 2016 (HealthDay News) -- Even a high-fat Mediterranean diet may protect against breast cancer, diabetes, and cardiovascular disease, according to a review published online July 19 in the Annals of Internal Medicine.

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Global Fight Against HIV Remains Challenging

TUESDAY, July 19, 2016 (HealthDay News) -- The number of HIV/AIDS deaths worldwide each year has fallen since peaking in 2005, but the number of new HIV infections is up in 74 countries, according to a study published online July 19 in The Lancet HIV to coincide with the 21st International AIDS Conference, held from July 18 to 22 in Durban, South Africa.

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AAP Urges Awareness of Female Athlete Triad

TUESDAY, July 19, 2016 (HealthDay News) -- Physicians should be aware of the "female athlete triad," which includes amenorrhea, osteoporosis, and disordered eating, according to the American Academy of Pediatrics. The report was published online July 18 in Pediatrics.

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Nasal Irrigation Offers Some Relief for Sinusitis Patients

TUESDAY, July 19, 2016 (HealthDay News) -- Nasal irrigation appears beneficial in symptom improvement for patients with chronic sinusitis, according to a study published online July 18 in CMAJ, the journal of the Canadian Medical Association.

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Radiologists Vary Widely on How They Define Dense Breasts

TUESDAY, July 19, 2016 (HealthDay News) -- Radiologists vary widely on how often they define mammography patients' breasts as dense, according to research published online July 19 in the Annals of Internal Medicine.

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Psoriasis-Tailored Interview Training Beneficial for Clinicians

TUESDAY, July 19, 2016 (HealthDay News) -- Psoriasis-tailored motivational interview (MI)-based training (Psoriasis and Well-being [Pso Well] training) increases clinicians' MI skills and knowledge, according to a study published online July 4 in the British Journal of Dermatology.

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Grindr Feasible for Distributing HIV Self-Tests to High-Risk MSM

TUESDAY, July 19, 2016 (HealthDay News) -- The social networking app Grindr is feasible for distributing HIV self-test kits to men who have sex with men (MSM), according to a study published online recently in Sexual Health.

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Abnormal Uterine Bleeding Can Signal Hematologic Cancer

TUESDAY, July 19, 2016 (HealthDay News) -- Among women presenting with a chief complaint of abnormal uterine bleeding (AUB), there is an estimated incidence of hematologic cancer of 3.6 cases per 1,000 women, according to research published in the August issue of Obstetrics & Gynecology.

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Labor Compensation, Purchased Goods, Service Biggest Spends

TUESDAY, July 19, 2016 (HealthDay News) -- Labor compensation remains the single largest contributor to costs among physicians' offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.

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Proinsulin-to-C-Peptide Ratio Linked to Progression to T1DM

TUESDAY, July 19, 2016 (HealthDay News) -- Elevation in the serum proinsulin-to-C-peptide (PI:C) ratio is associated with progression to type 1 diabetes, according to a study published online July 6 in Diabetes Care.

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U.S. Zika Patient in Utah Apparently Infected Caregiver

MONDAY, July 18, 2016 (HealthDay News) -- On Monday, U.S. health officials said they were trying to determine how a now-deceased elderly Utah man who had Zika managed to infect a family caregiver.

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Fracking Site Proximity May Affect Asthma Exacerbation Risk

MONDAY, July 18, 2016 (HealthDay News) -- Living near fracking sites may lead to asthma exacerbations, according to a study published online July 18 in JAMA Internal Medicine.

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Player-to-Player Hits in Football Up Magnitude of Head Impacts

MONDAY, July 18, 2016 (HealthDay News) -- As officials at all levels of American football continue to debate how to prevent concussions, a new study, published online July 18 in Pediatrics, using data from devices inside the helmets of high school players confirms that hits with other players are especially damaging.

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AAP: Parents Need to Limit Kids' Exposure to Media Violence

MONDAY, July 18, 2016 (HealthDay News) -- Media violence has become a routine part of the daily lives of American children, and parents, lawmakers, and the media should take steps to change that, according to a policy statement published online July 18 in Pediatrics.

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Burnout Can Have Acute Personal, Professional Consequences

MONDAY, July 18, 2016 (HealthDay News) -- Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

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Baseline Depression Symptoms Tied to Low Med Adherence

MONDAY, July 18, 2016 (HealthDay News) -- Among clinical and sociodemographic characteristics, only baseline depressive symptoms are tied to low medication adherence in teen patients with type 2 diabetes, according to a study published online June 28 in Diabetes Care.

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Facial Fracture Risk Up for Older Women With Facial Injury

MONDAY, July 18, 2016 (HealthDay News) -- The risk of facial fracture varies with age, sex, and race, with increased risk among white and Asian older women, according to research published online July 14 in JAMA Facial Plastic Surgery.

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Stellate Ganglion Block Beneficial in Postherpetic Neuralgia

MONDAY, July 18, 2016 (HealthDay News) -- The therapeutic benefit of stellate ganglion block for debilitating photophobia secondary to trigeminal postherpetic neuralgia has been described in a case report published online July 5 in Pain Practice.

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Baseline ALT, AST Frequently Assessed With Statin Initiation

MONDAY, July 18, 2016 (HealthDay News) -- Most Medicare fee-for-service beneficiaries with dyslipidemia who initiate statins undergo baseline alanine aminotransferase (ALT) and aspartate aminotransferase (AST) testing, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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Biologic Response Modifier Use in Kids Ups Infectious Complications

MONDAY, July 18, 2016 (HealthDay News) -- For pediatric patients, the use of biologic response modifiers (BRMs) is associated with increased risk of infectious complications, according to a clinical report published online July 18 in Pediatrics.

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CDC Reports First Female-to-Male Sexual Transmission of Zika

FRIDAY, July 15, 2016 (HealthDay News) -- A New York City woman who became infected with the Zika virus on a trip outside the United States passed the infection to her boyfriend during sex, according to research published in the July 15 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Growth in U.S. Health Spending Set to Average 5.8 Percent

FRIDAY, July 15, 2016 (HealthDay News) -- Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.

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CMS Proposes Changes to Physician Fee Schedule

FRIDAY, July 15, 2016 (HealthDay News) -- Changes have been proposed to the Physician Fee Schedule to transform how Medicare pays for primary care, focusing on improvements in pay for care coordination and planning, according to a new payment rule published by the Centers for Medicare & Medicaid Services (CMS).

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Cancer Patients, Oncologists Have Discordant Opinions on Prognosis

FRIDAY, July 15, 2016 (HealthDay News) -- Cancer patients and their oncologists often hold different opinions about the patient's chances for survival and how long they might live, according to a study published online July 14 in JAMA Oncology.

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PMS, PMDD Linked to Increased Odds of Bulimia Nervosa

FRIDAY, July 15, 2016 (HealthDay News) -- Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are associated with increased odds of bulimia nervosa (BN), but not with binge-eating disorder (BED), according to a study published in the July issue of the International Journal of Eating Disorders.

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Increase in Acute Synthetic Cannabinoid Poisonings

FRIDAY, July 15, 2016 (HealthDay News) -- Synthetic cannabinoids are sending increasing numbers of U.S. users to hospitals, according to research published in the July 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Antibiotic-Resistant Gonorrhea on the Rise in the United States

FRIDAY, July 15, 2016 (HealthDay News) -- Antibiotic-resistant cases of gonorrhea have more than quadrupled in the United States, according to research published in the July 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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