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February 2017 Briefing - Family Practice

Last Updated: March 01, 2017.

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for February 2017. 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.

Strategies Suggested to Protect Practices From Hackers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Steps should be taken to protect medical practices, including small practices, from hackers, according to a report published in Medical Economics.

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CRC Incidence on the Rise Among Younger Americans

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Americans in their early 50s and younger are experiencing significant increases in colorectal cancer incidence, according to research published online Feb. 28 in the Journal of the National Cancer Institute.

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Diazepam Not Beneficial for Acute Low Back Pain in ER

TUESDAY, Feb. 28, 2017 (HealthDay News) -- There is doubt as to whether diazepam provides benefit in the treatment of low back pain in the emergency department environment, according to a study published online Feb. 7 in the Annals of Emergency Medicine.

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Task Force Recommends Vision Screening in Children 3 to 5

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Young children should be screened at least once for amblyopia before they turn 5 years old, according to a draft recommendation statement issued by the U.S. Preventive Services Task Force (USPSTF).

Evidence Review
Draft Recommendation Statement
Comment on Recommendation

Both Detection, False-Positives Up With Digital Mammograms

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Digital imaging has improved diagnostic capability of mammograms but the percentage of false-positives is up, too, according to a study published online Feb. 28 in Radiology.

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Doctors Need to Discuss Herbal Medication Use With CVD Patients

TUESDAY, Feb. 28, 2017 (HealthDay News) -- While there's little evidence that herbal medications are safe or effective to treat cardiovascular conditions, they remain popular among patients with cardiovascular disease, according to a review published in the March 7 issue of the Journal of the American College of Cardiology.

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Access to Primary Care Not Affected by Medicaid Expansion

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Doctors' offices capably shouldered the burden of millions of new Medicaid patients gaining access to health insurance through the Affordable Care Act, according to a research letter published online Feb. 27 in JAMA Internal Medicine.

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Care Update for Newborns With Meconium-Stained Amniotic Fluid

TUESDAY, Feb. 28, 2017 (HealthDay News) -- In a Committee Opinion published in the March issue of Obstetrics & Gynecology, guidelines are updated for the management of delivery of newborns with meconium-stained amniotic fluid.

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Comorbid Neuropathies Common With MCI Diagnosis

TUESDAY, Feb. 28, 2017 (HealthDay News) -- A diagnosis of mild cognitive impairment (MCI) is frequently associated with comorbid neuropathologies, according to a study published online Feb. 22 in the Annals of Neurology.

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Higher Dietary Potassium to Sodium Ratio Can Lower CVD Risk

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Higher dietary potassium seems to be associated with reduced blood pressure, regardless of sodium intake, with the postulated mechanism involving the distal tubule sodium chloride cotransporter (NCC), according to research published online Feb. 7 in the American Journal of Physiology - Endocrinology and Metabolism.

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Antidepressant Efficacy Varies for Depressive Symptom Clusters

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Antidepressant treatment efficacy varies for empirically-defined clusters of symptoms, according to a study published online Feb. 22 in JAMA Psychiatry.

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Physician Burnout Eroding Sense of Calling

TUESDAY, Feb. 28, 2017 (HealthDay News) -- For physicians across specialties, burnout is associated with reduced odds of a sense of calling, according to a study published online Feb. 8 in the Mayo Clinic Proceedings.

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Supreme Court Rules Patient Safety Data Subject to Litigation

MONDAY, Feb. 27, 2017 (HealthDay News) -- The Supreme Court of Florida has reversed a District Court of Appeal decision deeming information related to patient safety unprotected from litigation discovery, according to a report published from the American Medical Association.

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AAP Offers Guidance for Treating Victims of Sexual Assault

MONDAY, Feb. 27, 2017 (HealthDay News) -- Pediatricians should be comfortable with treating and screening for sexual assault, and they should know where to send their teenage patients for any additional help, according to a clinical report from the American Academy of Pediatrics (AAP) published online Feb. 27 in Pediatrics.

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Sugar-Sweetened Drink Tax Tied to Sustained Drop in Purchase

MONDAY, Feb. 27, 2017 (HealthDay News) -- Implementation of a tax on sugar-sweetened beverages is associated with a sustained reduction in purchases of taxed beverages, according to a study published online Feb. 22 in Health Affairs.

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AAP Addresses Rising Risks to Youth From New Marijuana Laws

MONDAY, Feb. 27, 2017 (HealthDay News) -- In a clinical report published online Feb. 27 in Pediatrics, the American Academy of Pediatrics (AAP) offers guidance to pediatricians regarding the increased dangers faced by children and teens since the legalization of marijuana in many states.

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Multidrug-Resistant Bacteria Found in Hospital Sinks

MONDAY, Feb. 27, 2017 (HealthDay News) -- Spread of antibiotic-resistant bacteria can occur through sinks and other areas where water can pool inside hospitals, according to a study published online Feb. 24 in Applied and Environmental Microbiology.

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Deep Brain Stimulation Beneficial in Anorexia Nervosa

MONDAY, Feb. 27, 2017 (HealthDay News) -- Deep brain stimulation (DBS) is associated with significant improvements in affective symptoms and body mass index (BMI) in treatment-refractory anorexia nervosa, according to a study published online Feb. 23 in The Lancet.

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Editorial (subscription or payment may be required)

Many Patients Get Opioid Rx While Receiving Buprenorphine

MONDAY, Feb. 27, 2017 (HealthDay News) -- A substantial proportion of patients with opioid use disorder fill prescriptions for non-buprenorphine opioids during and following treatment with buprenorphine, according to a study published online Feb. 23 in Addiction.

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Depressed Psoriasis Patients at Higher Risk of Psoriatic Arthritis

MONDAY, Feb. 27, 2017 (HealthDay News) -- Patients with psoriasis who also have major depressive disorder may face a much higher risk for psoriatic arthritis, according to a study published online Feb. 22 in the Journal of Investigative Dermatology.

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USPSTF Recommendation for Overweight, Obese Cost-Effective

MONDAY, Feb. 27, 2017 (HealthDay News) -- Implementing the 2014 U.S. Preventive Services Task Force (USPSTF) recommendations for behavioral counseling is likely to be cost-effective for overweight and obese adults, according to research published online Feb. 17 in Diabetes Care.

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Inhaled Corticosteroids Not Linked to Pneumonia in Children

MONDAY, Feb. 27, 2017 (HealthDay News) -- Inhaled corticosteroids (ICS) do not appear to be associated with the risk of pneumonia in children with asthma, according to a review published online Feb. 24 in Pediatrics.

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Adherence to Clinical Decision Support Ups Odds of Acute PE ID

MONDAY, Feb. 27, 2017 (HealthDay News) -- For patients with suspected pulmonary embolism (PE) in the emergency department, adherence to evidence-based clinical decision support (CDS) for ordering computed tomographic (CT) pulmonary angiography is associated with increased odds of an acute PE finding, according to research published in the March issue of Radiology.

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ACOG Recommends Use of Carrier Screening Before Pregnancy

MONDAY, Feb. 27, 2017 (HealthDay News) -- The American College of Obstetricians and Gynecologists (ACOG) recommends use of carrier screening for all women, according to two Committee Opinions published in the March issue of Obstetrics & Gynecology.

Committee Opinion 1
Committee Opinion 2

Rates of Resistant Infections Up in U.S. Children

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Antibiotic-resistant Enterobacteriaceae bacterial infections have increased 700 percent in American children since 2007, according to a study published online Feb. 22 in the Journal of the Pediatric Infectious Diseases Society.

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CDC: Fatal Drug Overdoses More Than Doubled Since 1999

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Drug overdose deaths have nearly tripled in the United States since 1999, with the largest increases seen for whites and middle-aged Americans, according to a February data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Periodontitis May Be Early Sign of Undiagnosed Diabetes

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Periodontal disease may be a sign of undiagnosed type 2 diabetes, according to a study published in the January issue of BMJ Open Diabetes Research & Care.

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$20 Million Awarded for Quality Payment Program Training

FRIDAY, Feb. 24, 2017 (HealthDay News) -- About $20 million has been awarded to 11 organizations for the first of a five-year program to provide training and education about the Quality Payment Program for clinicians in individual or small group practices, with up to $80 million to be invested over the remaining four years, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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DPP-4i Treatment Doesn't Up MI, Stroke Risk in Seniors

FRIDAY, Feb. 24, 2017 (HealthDay News) -- For older U.S. Medicare beneficiaries, dipeptidyl peptidase-4 inhibitors (DPP-4i) treatment is not associated with increased cardiovascular (CV) risk relative to sulfonylureas (SU) and thiazolidinediones (TZD), according to a study published online Feb. 14 in Diabetes, Obesity and Metabolism.

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Fruit, Vegetable Consumption Linked to Lower Risk of COPD

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Eating lots of fruits and vegetables may help current and former smokers avoid chronic obstructive pulmonary disease (COPD), according to a study published online Feb. 22 in Thorax.

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Internet-Based CBT Effective for Depressive Symptoms

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Self-guided internet-based cognitive behavioral therapy (iCBT) is effective for treating adults with depressive symptoms, according to a review published online Feb. 22 in JAMA Psychiatry.

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Central Adiposity More Harmful Than Obesity in Older Women

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Among women 70 to 79, being overweight or obese doesn't appear to shorten life span -- unless the weight is centered around the waist; however, being underweight does appear to shorten life span, according to a study published online Feb. 23 in the Journal of the American Geriatrics Society.

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10 Portions of Produce a Day Can Confer Great Health Benefit

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Ten daily servings of fruits and vegetables may be a key to reducing the risk of myocardial infarction, stroke, cancer, and premature death, according to a review published online Feb. 22 in the International Journal of Epidemiology.

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Similar Outcomes for Disc Surgery in Older, Younger Patients

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Older patients, over the age of 65, seem to experience the same lower back pain relief as their younger peers from surgery for a herniated lumbar disc, according to a research letter published online Feb. 22 in JAMA Surgery.

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Burnout Is Prevalent Among Pediatric Residents

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Burnout is prevalent among pediatric residents and is associated with suboptimal patient care attitudes and behaviors, according to research published online Feb. 23 in Pediatrics.

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Cytomegalovirus May Up Risk of Diabetes, CVD in Some Women

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cytomegalovirus (CMV) infection may make some women more susceptible to both cardiovascular disease and type 2 diabetes, according to research published online Feb. 23 in Obesity.

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Cyberattacks Remain Serious Threat to Health Providers

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cyberattacks remain a serious threat to small providers as well as big institutions, according to a report published in Medical Economics.

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Stratification Tool IDs Who Will Benefit From Adding Ezetimibe

THURSDAY, Feb. 23, 2017 (HealthDay News) -- For patients stabilized after acute coronary syndrome (ACS), a nine-point risk stratification tool can identify patients who will derive benefit from the addition of ezetimibe to statin therapy, according to a study published in the Feb. 28 issue of the Journal of the American College of Cardiology.

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Gestational Weight Gain Linked to Psychosis Risk in Children

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Gaining too little weight during pregnancy may increase the odds that offspring will develop schizophrenia later in life, according to a study published online Feb. 22 in JAMA Psychiatry.

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MRI Can Be Safe for Patients With Older Pacemakers, ICDs

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Patients with cardiovascular implantable electronic devices not designed to be magnetic resonance imaging (MRI)-compatible can safely receive MRI, when a specific protocol is followed, according to a study published in the Feb. 23 issue of the New England Journal of Medicine.

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Pediatric ACL Injuries Continue to Rise, Especially Among Girls

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- The incidence of anterior cruciate ligament (ACL) tears has steadily increased among 6- to 18-year-olds in the United States, rising more than 2 percent a year over the last two decades, according to a report published online Feb. 22 in Pediatrics.

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Off-Label Antidepressant Use Common, but Evidence Lacking

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Up to one-third of antidepressants are prescribed for pain, insomnia, migraine, or other unapproved uses, but just 16 percent of those off-label prescriptions are supported by strong research, according to a study published online Feb. 21 in The BMJ.

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Health Information Theft a Pressing Concern for U.S. Patients

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Forty-four percent of U.S. adults are worried about having their personal health care information stolen, according to findings from the Xerox eHealth Survey published Feb. 9 in HIT Consultant.

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Nursing Homes Rarely Use Isolation for Drug-Resistant Bugs

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Isolation precautions are infrequently used for nursing home (NH) residents with multidrug-resistant organism (MDRO) infection, according to a study published online Feb. 17 in the Journal of the American Geriatrics Society.

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Weight Loss of 10% Beneficial in Overweight, Not Obese, With DM

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- For overweight, but not obese, individuals with type 2 diabetes (T2D), sustained weight loss (WL) of 10 percent body weight is associated with clinically meaningful cardiometabolic changes, according to research published online Feb. 19 in Diabetes Care.

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Cancer Survivors Likely to Change Rx Drug Use for Financial Reasons

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Nonelderly cancer survivors are more likely to report changes in prescription drug use for financial reasons than individuals without a cancer history, according to a study published online Feb. 20 in Cancer.

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Collaborative Care Cuts Depressive Symptoms in Seniors

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- For older adults with subthreshold depression, collaborative care is associated with a reduction in depressive symptoms compared with usual care, according to a study published online Feb. 21 in the Journal of the American Medical Association.

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Trials Highlight Benefits, Risks of Testosterone Treatment

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Testosterone treatment can boost bone density and reduce anemia in older men with low levels of the hormone, but it might also increase the risk of future adverse cardiovascular events, a new set of trials suggests. The research was published Feb. 21 in either the Journal of the American Medical Association or JAMA Internal Medicine.

Abstract/Full Text - Anemia Trial
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Editorial (subscription or payment may be required)
Abstract/Full Text - Cardiovascular Study
Editorial (subscription or payment may be required)

Exercise Most Important Lifestyle Change for Breast CA Survivors

TUESDAY, Feb. 21, 2017 (HealthDay News) -- For breast cancer survivors, exercise may help lower their mortality risk more than other healthy habits, according to a review published in the Feb. 21 issue of CMAJ, the journal of the Canadian Medical Association.

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CMS Rule Set to Stabilize Small Health Insurance Markets

TUESDAY, Feb. 21, 2017 (HealthDay News) -- The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

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One in Four Ocular ER Visits for Nonurgent Conditions

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Nearly one-quarter of enrollees in a U.S. managed care network who visit the emergency department for an ocular condition have a nonurgent condition, according to a study published online Feb. 1 in Ophthalmology.

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Postpartum Depressive Symptoms Fell in 2004 to 2012

TUESDAY, Feb. 21, 2017 (HealthDay News) -- From 2004 to 2012 there was a decrease in postpartum depressive symptoms (PDS), according to research published in the Feb. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AAP Policy Statement Focuses on Child Witness Well-Being

TUESDAY, Feb. 21, 2017 (HealthDay News) -- In two policy statements published online Feb. 20 in Pediatrics, guidance is provided for safeguarding the well-being of child witnesses, and recommendations are given for pediatricians relating to expert testimony.

Policy Statement 1
Policy Statement 2

Internet-Delivered Exercise, Pain-Coping Skills Alleviate Knee Pain

TUESDAY, Feb. 21, 2017 (HealthDay News) -- An internet-delivered physical therapist-prescribed home exercise and pain-coping skills training (PCST) intervention is beneficial for individuals with chronic knee pain, according to a study published online Feb. 21 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Readmission Common After Hospitalization for Heart Failure

TUESDAY, Feb. 21, 2017 (HealthDay News) -- For patients with hospitalization for heart failure, readmission within 30 days is common, according to a study published in the March 1 issue of The American Journal of Cardiology.

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Patients With Opioid Addiction Benefit From Tx Initiated in ER

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Patients addicted to opioids treated in a hospital emergency department do better when they receive medication to reduce opioid cravings, according to a study published online Feb. 13 in the Journal of General Internal Medicine.

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Maintenance Intervention Improves Long-Term Weight Loss

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Successful weight maintenance may be more likely with a series of post-diet coaching sessions conducted mostly by phone, according to a study published online Feb. 21 in the Annals of Internal Medicine.

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AAP Urges Doctors Not to Punish Pregnant Women for Opioid Use

MONDAY, Feb. 20, 2017 (HealthDay News) -- Prevention and treatment, not legal action, should be the focus when dealing with pregnant women who use opioids, according to a policy statement from the American Academy of Pediatrics (AAP) published online Feb. 20 in Pediatrics.

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OD Risk Up in Children Whose Mothers Are Prescribed Opioids

MONDAY, Feb. 20, 2017 (HealthDay News) -- A child's risk of a potentially fatal drug overdose more than doubles if a parent is prescribed an opioid, and appropriate storage guidelines are often not followed, according to research published online Feb. 20 in Pediatrics.

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Excess BMI Ups Risk of T1DM in Autoantibody-Positive Relatives

MONDAY, Feb. 20, 2017 (HealthDay News) -- For autoantibody-positive relatives of patients with type 1 diabetes, elevated body mass index (BMI) is associated with increased risk of progression to type 1 diabetes, especially for those aged younger than 12 years, according to a study published online Feb. 15 in Diabetes Care.

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Post-Deployment Screening Has Limited Benefit in U.K. Military

MONDAY, Feb. 20, 2017 (HealthDay News) -- Post-deployment screening for mental disorders is not effective for reducing the prevalence of posttraumatic stress disorder (PTSD), depression, anxiety, or alcohol misuse among U.K. military personnel, according to a study published online Feb. 16 The Lancet.

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Depression, Anxiety Prevalent in Hospice Caregivers

MONDAY, Feb. 20, 2017 (HealthDay News) -- A considerable proportion of hospice caregivers are moderately to severely depressed or have moderate to severe symptoms of anxiety, according to a study published online recently in the Journal of Palliative Medicine.

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Increase in Foodborne Disease Outbreaks Tied to Imported Food

MONDAY, Feb. 20, 2017 (HealthDay News) -- There has been an increase in the number and proportion of foodborne disease outbreaks associated with imported food, according to research published in the March issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Drug-Induced Lupus Seen With Adalimumab Treatment

MONDAY, Feb. 20, 2017 (HealthDay News) -- In a case report published online Feb. 12 in the Journal of Clinical Pharmacy and Therapeutics, drug-induced lupus erythematosus (DILE) is described in a patient taking adalimumab for psoriasis.

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ICU Appears Overused for Some Patients With Heart, Lung Disease

MONDAY, Feb. 20, 2017 (HealthDay News) -- Admission to the intensive care unit (ICU) is not associated with a survival benefit for patients with uncertain ICU needs hospitalized with exacerbation of chronic obstructive pulmonary disease (COPD), exacerbation of heart failure, or acute myocardial infarction (AMI), according to a study published online Feb. 17 in the Annals of the American Thoracic Society.

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Early PT Not Tied to Lower Health Care Use Later On

MONDAY, Feb. 20, 2017 (HealthDay News) -- Early use of physical therapy (PT) for new low back pain in older adults is not associated with less subsequent back pain-specific health care utilization, compared with patients not receiving early PT, according to a study published in the March issue of The Spine Journal.

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CDC: Influenza Vaccine 48 Percent Effective Overall

FRIDAY, Feb. 17, 2017 (HealthDay News) -- This year's influenza vaccine is a fairly good match for the circulating viruses, according to research published in the Feb. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Doctors Often Write Rx for Antibiotics If Patients Expect It

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Doctors are more likely to prescribe antibiotics if they think patients expect the medications, according to a study published online Feb. 16 in Health Psychology.

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Antibiotics Could Be Alternative to Surgery for Appendicitis

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Avoiding surgery and treating appendicitis with antibiotics alone may be a safe approach for many children, according to a review published online Feb. 17 in Pediatrics.

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D.C. Zika Tests Were Flawed

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Two women in Washington, D.C., were incorrectly found to be negative for Zika virus last year due to flawed testing, health officials said Thursday.

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Postpartum Depression Also Affects New Fathers

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Expectant and new fathers who are in poor health or have high levels of stress are at increased risk for depression, according to a study published online Feb. 15 in JAMA Psychiatry.

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Optimal Length of Pregnancy With GDM Questioned

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Adverse perinatal outcomes are higher in insulin-treated gestational diabetes (GDM) than in non-insulin-treated GDM for most outcomes; however, optimal timing of delivery may be earlier than currently recommended, according to a study published online Feb. 15 in Diabetologia.

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Gluten-Free Diet Linked to Increased Levels of Toxic Metals

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Higher levels of arsenic and mercury have been identified in individuals consuming gluten-free diets, according to a study published online Feb. 3 in Epidemiology.

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Metformin Use Linked to Less Vitamin B12 Measurement

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Long-term metformin use is associated with lower serum vitamin B12 concentration, although metformin users are less likely to receive vitamin B12 testing, according to a study published online Feb. 9 in the Journal of the American Geriatrics Society.

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Hormone Therapy Doesn't Appear to Protect Against Alzheimer's

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Women who use hormone therapy (HT) after menopause may not have a lower risk of developing Alzheimer's disease (AD), although there is some evidence that long-term use -- over a decade -- might be tied to a lower risk, according to a study published online Feb. 15 in Neurology.

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Health Care Spending Expected to Grow 5.6% Annually to 2025

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025, according to a report published online Feb. 15 in Health Affairs.

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Vitamin D May Help Reduce Risk of Acute Respiratory Infection

THURSDAY, Feb. 16, 2017 (HealthDay News) -- There's preliminary evidence that adequate amounts of vitamin D might help lower rates of acute respiratory infections, according to a review published online Feb. 15 in The BMJ.

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Doctors' Opioid Rx Patterns Tied to Patient Risk for Long-Term Use

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Emergency department patients are at greater risk for long-term opioid use even after a single prescription from an emergency medicine physician who regularly prescribes them, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

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Direct Admission to PCI Center Reduces Mortality in STEMI

THURSDAY, Feb. 16, 2017 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI), direct admission to a primary PCI center is associated with lower 12-month mortality, according to a study published online Feb. 15 in JACC: Cardiovascular Interventions.

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Bariatric Surgery Tied to T2DM Resolution in Obese Patients

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

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Bacteria, Fungi Found in Some Medicinal Marijuana Samples

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Medical marijuana may carry infectious bacteria and fungi that can pose a life-threatening risk to cancer patients who use it to ease the side effects of chemotherapy, according to a study published online recently in Clinical Microbiology and Infection.

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Health Care Use Up for Relapse-Free Hodgkin's Survivors

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Relapse-free Hodgkin's lymphoma (HL) survivors have increased health care use up to 10 years after diagnosis, according to a study published online Feb. 4 in the American Journal of Hematology.

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Health Care Utilization Common After ICD Shock Events

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Health care utilization (HCU) is common after appropriate and inappropriate implantable cardioverter-defibrillator shock events, according to a study published online Feb. 14 in Circulation: Cardiovascular Quality and Outcomes.

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Lixisenatide Beneficial in Seniors With Uncontrolled Diabetes

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Lixisenatide is more effective than placebo for older patients with uncontrolled diabetes on their current medication, with no unexpected safety findings, according to a study published online Feb. 10 in Diabetes Care.

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Similar Adverse Event Risk for Typical, Atypical Antipsychotics

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- The risks of adverse events are similar with short-term use of typical and atypical antipsychotic medications (APMs) after cardiac surgery in seniors, according to a study published online Feb. 10 in the Journal of the American Geriatrics Society.

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Dermoscopy + Triple Light Source Reliable in ID of Pityriasis Rosea

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Dermoscopy with three light sources is ideal for diagnosing pityriasis rosea (PR), according to a research letter published online Feb. 10 in the International Journal of Dermatology.

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Dulaglutide Linked to Higher Adherence in T2DM

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), dulaglutide is associated with higher adherence and lower discontinuation than exenatide once weekly (QW) or liraglutide, according to a study published online Feb. 9 in Diabetes, Obesity and Metabolism.

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AHA: CVD Expected to Cost U.S. $1.1 Trillion Per Year by 2035

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Cardiovascular disease (CVD) is increasing in the United States, with costs expected to double from $555 billion in 2016 to $1.1 trillion in 2035, a new American Heart Association report estimates.

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ACP Issues Guideline for Treating Acute, Subacute, Chronic LBP

TUESDAY, Feb. 14, 2017 (HealthDay News) -- First-line therapy for patients with low back pain should be simple non-pharmacological remedies -- from heat wraps to physical therapy, according to a new clinical practice guideline from the American College of Physicians (ACP) published online Feb. 14 in the Annals of Internal Medicine.

Review 1
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Clinical Practice Guideline

NOACs Have Been Widely Adopted Into Practice

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Non-vitamin K antagonist oral anticoagulants (NOACs) have been adopted into practice and are more frequently prescribed than vitamin K antagonists (VKAs) in the Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation trial, according to research published in the Feb. 21 issue of the Journal of the American College of Cardiology.

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Fatigue Occurs in ~50 Percent With Chronic Plaque Psoriasis

TUESDAY, Feb. 14, 2017 (HealthDay News) -- About half of patients with chronic plaque psoriasis have fatigue, according to a study published online Feb. 9 in the British Journal of Dermatology.

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Interventions Up Discussion of Advanced Care Planning

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Quality improvement interventions can increase discussions relating to advanced care planning and the mention of advance directives (ADs) in the electronic medical record (EMR), according to a study published online Feb. 9 in the Journal of the American Geriatrics Society.

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Orbital Cellulitis Reported After Use of Facial Soft-Tissue Filler

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Delayed and recurrent orbital cellulitis following use of facial soft-tissue filler is described in a case report published online Feb. 10 in Clinical & Experimental Ophthalmology.

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Medicare Shared Savings Linked to Lower Post-Acute Spending

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Participation in the Medicare Shared Savings Program (MSSP) is associated with an overall reduction in post-acute spending, and the performance of Oregon's Medicaid Accountable Care Organization (ACO) model is similar to that of Colorado, according to two studies published online Feb. 13 in JAMA Internal Medicine.

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AAP Provides Guidance on Anaphylaxis Emergency Plans

MONDAY, Feb. 13, 2017 (HealthDay News) -- All caregivers for children at risk of anaphylaxis should have a written action plan and epinephrine auto-injectors readily available, according to two clinical reports from the American Academy of Pediatrics (AAP) published online Feb. 13 in the Pediatrics.

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Reduced Immune Response After Intradermal Flu Shot in Eczema

MONDAY, Feb. 13, 2017 (HealthDay News) -- For patients with moderate/severe atopic dermatitis (AD), those colonized with Staphylococcus aureus have a reduced immune response to intradermal influenza vaccination, according to a study published online Feb. 13 in the Journal of Allergy and Clinical Immunology.

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FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons

MONDAY, Feb. 13, 2017 (HealthDay News) -- Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events, according to the U.S. Food and Drug Administration.

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Rise in Unsafe Practices Among Men Who Have Sex With Men

MONDAY, Feb. 13, 2017 (HealthDay News) -- Men who have sex with men are much less likely to use condoms now than they were two decades ago, according to research published online Feb. 6 in the Archives of Sexual Behavior.

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Use of Multiple CNS-Affecting Drugs Increasing Among Seniors

MONDAY, Feb. 13, 2017 (HealthDay News) -- There has been a sharp rise in the number of American seniors who take three or more medications that affect their central nervous system, according to a research letter published online Feb. 13 in JAMA Internal Medicine.

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Review Links Albuminuria to Cognitive Impairment, Dementia

MONDAY, Feb. 13, 2017 (HealthDay News) -- Albuminuria is associated with cognitive impairment, dementia, and cognitive decline, according to a review published online Feb. 2 in the Journal of the American Geriatrics Society.

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Similar Metabolic Response to Animal, Plant Protein Diets

MONDAY, Feb. 13, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), isocaloric diets high in animal protein (AP) or plant protein (PP) are associated with similar improvements in metabolism and cardiovascular risk factors, according to a study published online Feb. 9 in Diabetes, Obesity and Metabolism.

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Access to Naloxone Eased in Louisiana, Utah

MONDAY, Feb. 13, 2017 (HealthDay News) -- Health officials in Utah and Louisiana have issued orders to make naloxone more widely available in an effort to prevent overdose deaths, according to a report from the American Medical Association.

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Ambient Air Pollution May Raise T2DM Risk in Hispanic Children

FRIDAY, Feb. 10, 2017 (HealthDay News) -- High levels of air pollution may increase some Hispanic children's risk of type 2 diabetes, according to a study published online Jan. 30 in Diabetes.

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Concussion May Affect Driving Even After Symptoms Are Gone

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Even after their symptoms disappear, concussion patients may still have difficulty driving, according to research published online Jan. 24 in the Journal of Neurotrauma.

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NICU Auditory Environment Shows Room for Improvement

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Premature infants in neonatal intensive care units (NICUs) are exposed to potentially harmful noise levels, according to a study published online Feb. 8 in the Journal of Pediatrics.

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Yoga Linked to Low Back Pain Relief, Improvement in Function

FRIDAY, Feb. 10, 2017 (HealthDay News) -- For patients experiencing low back pain, yoga may be an effective pain reliever, according to a review published online Jan. 12 in The Cochrane Library.

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Variation in Complication Rates for Term Newborns in Florida

FRIDAY, Feb. 10, 2017 (HealthDay News) -- There is considerable variation in hospital total unexpected complication rates among newborns in Florida, according to a study published online Feb. 10 in Pediatrics.

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About One in Three Ob-Gyns Relocated in Past 10 Years

FRIDAY, Feb. 10, 2017 (HealthDay News) -- About one-third of obstetrician-gynecologists (ob-gyns) moved at least once in the past 10 years, according to a study published in the March issue of Obstetrics & Gynecology.

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Twelve Percent of Women Fill Opioid Rx After Vaginal Delivery

FRIDAY, Feb. 9, 2017 (HealthDay News) -- Twelve percent of women fill an outpatient opioid prescription within five days of vaginal delivery, according to a study published in the March issue of Obstetrics & Gynecology.

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