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Category: Family Medicine | Monthly Briefing

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August 2017 Briefing - Family Practice

Last Updated: September 01, 2017.

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

No Link for Cardiovascular Meds Use, Cognitive Impairment

THURSDAY, Aug. 31, 2017 (HealthDay News) -- For older adults, there is no association between cardiovascular medication use and cognitive impairment, according to a study published online Aug. 24 in Cardiovascular Therapeutics.

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Higher Event Rate of T2DM in Polycystic Ovary Syndrome

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Women with polycystic ovary syndrome (PCOS) have a higher event rate of type 2 diabetes (T2D), with diagnosis at a younger age, according to a study published online Aug. 29 in the Journal of Clinical Endocrinology & Metabolism.

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CDC: 60 Percent of America's Single Men Report Using Condoms

THURSDAY, Aug. 31, 2017 (HealthDay News) -- About six in 10 sexually active single men in the United States are taking responsibility for birth control, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Minimal Evidence for Electronic Communication Guidelines

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Minimal evidence is available for guidelines for electronic communication between patients and providers, according to research published online Aug. 28 in the Journal of the American Medical Informatics Association.

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Transvenous Pacemaker Complications Common, Costly

THURSDAY, Aug. 31, 2017 (HealthDay News) -- The incidence of complications for single- and dual-chamber transvenous pacemakers (TVPs) is considerable, reaching about 15 and 16 percent, respectively, by three years, with high associated costs, according to research published online Aug. 30 in JACC: Clinical Electrophysiology.

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Spousal Caregiver Well-Being Tied to Recipient Health Expenses

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Poor spousal caregiver well-being is associated with increased care recipient expenditures and emergency department use, according to a study published online Aug. 24 in the Journal of the American Geriatrics Society.

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More Evidence Links Epstein-Barr Virus to MS Risk

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Infection with Epstein-Barr virus (EBV) or cytomegalovirus may up the risk for multiple sclerosis (MS), and the link isn't limited to whites, according to a study published online Aug. 30 in Neurology.

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CPR Less Likely for Cardiac Arrests in Black Neighborhoods

THURSDAY, Aug. 31, 2017 (HealthDay News) -- In cases of cardiac arrest, the racial make-up of the neighborhood may determine the likelihood of receiving cardiopulmonary resuscitation (CPR) from a passer-by or having access to a public defibrillator, according to a study published online Aug. 30 in JAMA Cardiology.

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Local Allergic Rhinitis Often Progresses Over Time

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Patients with local allergic rhinitis (LAR) show worsening of rhinitis, greater tendency toward development of asthma, and impairment of quality of life after 10 years, but have a similar rate of development of allergic rhinitis with systemic atopy as controls, according to research published online Aug. 22 in Allergy.

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Retinal Emboli Linked to Cardiac Risk Factors, Kidney Disease

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Retinal emboli are associated with conventional cardiovascular risk factors, stroke, and chronic kidney disease, according to a study published online Aug. 24 in JAMA Ophthalmology.

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Sedentary Time a 'Potent Risk Factor' for Mobility Loss

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Excessive sitting, especially while watching television, poses a significant health hazard to older Americans, according to a study published online Aug. 30 in the Journal of Gerontology: Medical Sciences.

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FDA Approves Vabomere for Complicated UTIs

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The intravenous antibiotic Vabomere (meropenem and vaborbactam) has been approved by the U.S. Food and Drug Administration to treat certain complicated urinary tract infections, including pyelonephritis.

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Proactive Approach Encouraged for Online Patient Reviews

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Most patients are using online reviews as a first step to finding a new doctor, with 65 percent forming an opinion from reading one to six reviews, according to a report published in Medical Economics.

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Paternal Age in the United States Is Rising

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The average age of fathers of newborns has risen in recent decades, raising questions about the possible social and public health impact, according to research published online Aug. 30 in Human Reproduction.

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Insurer Aetna's Envelopes Revealed Customers' HIV Status

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Customers of health insurance giant Aetna in many states were sent mail with envelopes that clearly revealed their HIV status, say the Legal Action Center and AIDS Law Project of Pennsylvania.

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Many Parents Aren't Divulging CAM Use to Child's Provider

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Parents often try complementary treatments when their children are ill, but many don't tell their pediatricians about it, according to a report published online Aug. 28 in Pediatrics.

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Many U.S. Women Unaware of Minimally Invasive Fibroid Tx

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Many American women with uterine fibroids don't know there's a minimally invasive embolization technique that may be an alternative to a hysterectomy, a new poll finds.

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Most Melanomas Don't Start As Existing Moles

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The majority of melanomas arise from new lesions rather than existing moles, according to a review published online Aug. 29 in the Journal of the American Academy of Dermatology.

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Too Many New Mothers Silent on Postpartum Depression

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- One in five new mothers who develops postpartum depression or another mood disorder after childbirth suffer in silence, according to a study published online Aug. 1 in the Maternal and Child Health Journal.

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Review Links Sleep-Disordered Breathing, Cognitive Impairment

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Sleep-disordered breathing (SDB) is associated with increased likelihood of cognitive impairment, according to a review published online Aug. 28 in JAMA Neurology.

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Risk of Needing Nursing Home Care Is Rising

TUESDAY, Aug. 29, 2017 (HealthDay News) -- More than half of Americans will require nursing home care at some point in their lives, according to a report published online Aug. 28 in the Proceedings of the National Academy of Sciences.

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Younger Adults, Especially Men, Lag in HTN Treatment, Control

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Despite recent improvements in hypertension awareness, treatment, and control overall, all three remain worse in adults aged 18 to 39, according to research published online Aug. 28 in Hypertension.

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Options Available for Estrogen Depletion After Breast Cancer

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Many non-hormone options and therapies are available for the treatment of estrogen-depletion symptoms in breast cancer survivors, and individualized treatment is important, according to a review published online Aug. 2 in the Journal of Clinical Endocrinology & Metabolism.

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AAP: Hep B Vaccine to Be Given Within First 24 Hours of Life

TUESDAY, Aug. 29, 2017 (HealthDay News) -- The first dose of the hepatitis B vaccine should be given within the first 24 hours of life, according to an American Academy of Pediatrics (AAP) policy statement published online Aug. 28 in Pediatrics.

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Estrogen Via Patch Superior for Menopausal Sexual Symptoms

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Supplemental estrogens may be beneficial for sexual function in menopausal women, but the form of medication delivery appears to matter, according to a study published online Aug. 28 in JAMA Internal Medicine.

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FDA Cites 'Significant Deviations' at Florida Stem Cell Clinic

TUESDAY, Aug. 29, 2017 (HealthDay News) -- A Florida stem cell clinic has received a warning letter from the U.S. Food and Drug Administration about what the agency describes as serious problems that could pose health risks to patients.

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Low Rate of Recurrence Seen for Serious Reactions to Vaccines

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Severe vaccine reactions recur rarely, if ever, when a child receives the same vaccine again, or one with similar ingredients, according to a review published online Aug. 28 in Pediatrics.

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Gender-Specific High-Risk 'Window' Seen in Alzheimer's

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Women with a genetic predisposition for Alzheimer's disease face a 10-year window -- between ages 65 and 75 -- when they have far greater chances of developing the disease than men with similar genetic risks, according to a study published online Aug. 28 in JAMA Neurology.

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Clinicians Urged to Heighten Alert for Perinatal Suicide Risk

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Suicide is a leading cause of death among pregnant and recently pregnant women, according to a study published online Aug. 28 in CMAJ, the journal of the Canadian Medical Association.

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Race/Ethnicity Shown to Factor Into Quality of Care in NICU

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Race and ethnicity may be factors in the quality of care a premature baby receives in a neonatal intensive care unit (NICU), according to a study published online Aug. 28 in Pediatrics.

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CDC: Not All Newborns Getting Heart Disease, Hearing Loss Tests

MONDAY, Aug. 28, 2017 (HealthDay News) -- Some newborns in the United States still aren't getting screened for hearing loss or congenital heart disease, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Androgen-Deprivation Therapy May Carry Cardiovascular Risks

MONDAY, Aug. 28, 2017 (HealthDay News) -- Use of androgen-deprivation therapy (ADT) may increase the risk of certain cardiovascular conditions in men with prostate cancer, according to a study published online Aug. 24 in the British Journal of Cancer.

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Flame Retardants Associated With Reduced IVF Success

MONDAY, Aug. 28, 2017 (HealthDay News) -- Higher exposure to organophosphate flame retardants is associated with reduced success of in vitro fertilization, according to a study published online Aug. 25 in Environmental Health Perspectives.

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Community Consumption Comprises Most Antibacterial Use

MONDAY, Aug. 28, 2017 (HealthDay News) -- Community antibacterial consumption comprises about 85 to 95 percent of total antibacterial consumption, according to a study published online Aug. 18 in the Journal of Clinical Pharmacy and Therapeutics.

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Less Than Half of Seniors With A-Fib Receive Anticoagulants

MONDAY, Aug. 28, 2017 (HealthDay News) -- Less than 45 percent of older adults with atrial fibrillation (AF) admitted to the hospital are prescribed an anticoagulant, according to a study published online Aug. 21 in the Journal of the American Geriatrics Society.

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Cycling Crash Deaths Rising in the United States

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Bicyclist deaths on U.S. roadways are up significantly, and men -- not children -- are commonly the victims, a new report finds.

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Opioids Often Prescribed Unnecessarily for Migraine

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Too many patients with migraines are prescribed opioids, while too few may be getting recommended medications, according to research published recently in Cephalalgia.

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CDC: More U.S. Teens Starting HPV Vaccination

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Six out of 10 U.S. teens ages 13 to 17 received one or more doses of a human papillomavirus (HPV) vaccine in 2016, but many are still not completing the vaccination series, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Insufficient Sleep May Lead to Increased Risk-Taking Behavior

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Chronic sleep restriction may lead to risk-seeking behavior, according to a study published online Aug. 21 in the Annals of Neurology.

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Lithium in Drinking Water Linked to Dementia Incidence

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Lithium in drinking water is associated with the incidence of dementia in a nonlinear pattern, according to a study published online Aug. 23 in JAMA Psychiatry.

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More Evidence Evolocumab Exceeds Cost-Effectiveness

FRIDAY, Aug. 25, 2017 (HealthDay News) -- At its current price, the addition of evolocumab to standard therapy in patients with atherosclerotic cardiovascular disease generally exceeds accepted cost-effectiveness thresholds, according to a study published online Aug. 23 in JAMA Cardiology.

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Only One-Third of Heart Attack Patients Enter Cardiac Rehab

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Only one in three heart attack survivors in the United States attends outpatient cardiac rehabilitation, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Hearing Loss Contributing to Patient-Doctor Miscommunication

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Many seniors may not hear everything their doctors tell them, and that could raise the risk of medical errors, according to a research letter published online Aug. 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Meth Use Tied to Higher Risk of Stroke in Younger People

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Younger adults who use methamphetamine appear to be at greater risk for stroke, particularly hemorrhagic stroke, according to research published online Aug. 23 in the Journal of Neurology Neurosurgery & Psychiatry.

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Google Search for 'Depression' Now to Provide Screening Test

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Web search giant Google is partnering with the National Alliance on Mental Illness (NAMI) to make depression screening a part of a search for 'depression' on the site.

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No Increase in Acute Kidney Injury Risk for SGLT2 Users

THURSDAY, Aug. 24, 2017 (HealthDay News) -- The risk of acute kidney injury (AKI) is not increased for new sodium-glucose cotransporter-2 (SGLT2) inhibitor users, according to a study published online Aug. 21 in Diabetes Care.

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Patient Beliefs May Explain High Rate of Medicine Intake

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Subjective norms and attitudes toward medicine consumption predict the intention and expectation to consume medicines, according to a study published online Aug. 19 in the Journal of Clinical Pharmacy and Therapeutics.

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Intensive BP Treatment Appears Safe, Well Tolerated

THURSDAY, Aug. 24, 2017 (HealthDay News) -- For patients at increased risk of cardiovascular disease, intensive blood pressure control may be just as safe as standard treatment, and is likely cost-effective, according to research published in the Aug. 24 issue of the New England Journal of Medicine.

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Less REM May Indicate Higher Dementia Risk in Seniors

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Seniors who spend less time each night in rapid eye movement (REM) sleep may be more likely to develop dementia as they age, according to a study published online Aug. 23 in Neurology.

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Increased Risk of MI, Stroke for Patients With Hip Fracture

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Patients with hip fracture have an increased risk of myocardial infarction (MI) and stroke, according to a study published online Aug. 21 in the Journal of Bone and Mineral Research.

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Collaborative Communication Could Improve HTN Rx Adherence

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Health care providers can help boost patient adherence to antihypertensive medications by communicating more collaboratively with patients, and including discussion of socioeconomic challenges, according to a study published online Aug. 22 in Circulation: Cardiovascular Quality and Outcomes.

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Day-Supply of Opioid Rx Factor in Likelihood of Long-Term Use

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The days supplied is far more important than the dosage level or even the type of pain being treated in risk of opioid use disorder following opioid prescription, according to a study published recently in The Journal of Pain.

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Cost-Effectiveness of PCSK9 Inhibitors Called Into Question

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The costs of PCSK9 inhibitors would have to be 71 percent lower to be deemed cost-effective, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Vitamin B6, B12 Supplements May Up Risk of Lung Cancer in Men

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Men, and especially male smokers, appear to be more likely to develop lung cancer if they take high doses of vitamins B6 and B12, according to a study published online Aug. 22 in the Journal of Clinical Oncology.

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Tablet Use Encourages Patients to Explore Diabetes Risk

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The multispecialty San Bernardino Medical Group has replaced magazines with digital devices in waiting rooms, which can help patients learn about their risk of diabetes and take preventive action, according to a report published by the American Medical Association (AMA).

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Once-Yearly Counseling Tied to More Physical Activity in T2DM

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Theoretical and practical once-yearly counseling for three years is associated with increased physical activity (PA) and reduced sedentary (SED) time in patients with type 2 diabetes, according to a study published online Aug. 18 in Diabetes Care.

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Demand for Liver Transplant for NASH Set to Continue Rising

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Given population obesity trends, the increase in the demand for liver transplantation (LT) for nonalcoholic steatohepatitis (NASH) noted since 2000 is expected to continue, according to a study published online Aug. 17 in Hepatology.

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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.

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Five Prebariatric Subtypes Identified With Specific Profiles

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Five prebariatric subtypes have been identified with specific self-control, emotional dysregulation, and disinhibited eating behavior profiles, according to research published online Aug. 16 in the International Journal of Eating Disorders.

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Leukomelanoderma After Hydroquinone Use Described

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- In a case report published online Aug. 16 in the Journal of Dermatology, leukomelanoderma is described in patients using hydroquinone at a concentration of 10 percent.

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In T2D, Glycemic Control Up With Continuous Glucose Monitoring

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Adults with type 2 diabetes receiving multiple daily insulin injections randomized to continuous glucose monitoring (CGM) have improved glycemic control versus usual care, according to a study published online Aug. 22 in the Annals of Internal Medicine.

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Oral Corticosteroids No Benefit for LRI in Non-Asthmatic Adults

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For adults without asthma, with acute cough and at least one lower respiratory tract symptom, prednisolone does not reduce cough duration or severity, according to a study published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Even Overdose Doesn't Stop Opioid Prescribing

TUESDAY, Aug. 22, 2017 (HealthDay News) -- After treatment for an opioid overdose, many Medicaid patients continue to receive prescriptions for them and few are prescribed anti-addiction medications after hospital discharge, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Telehealth Feasible for Family-Based Anorexia Treatment

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Telehealth-enabled family-based treatment (FBT) for adolescents with anorexia nervosa is both feasible and effective, according to a study published online Aug. 11 in the International Journal of Eating Disorders.

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AAP Issues New Guidelines for ID, Treatment of HTN in Children

TUESDAY, Aug. 22, 2017 (HealthDay News) -- More U.S. children are likely to be diagnosed and treated for hypertension under new recommendations from the American Academy of Pediatrics. The updated clinical practice guideline was published online Aug. 21 in Pediatrics.

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Zika Thrives in Pregnancy Due to Vulnerable Immune System

TUESDAY, Aug. 22, 2017 (HealthDay News) -- The Zika virus thrives in pregnant women by suppressing their already dampened immune systems and running roughshod over their body's natural defenses, which allows the virus to directly attack the fetus, according to a study published online Aug. 21 in Nature Microbiology.

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Many Parents Would Support Transgender Teen's Transition

TUESDAY, Aug. 22, 2017 (HealthDay News) -- More than half of U.S. adults surveyed would be supportive if they had a teenage child who wanted to transition to the opposite gender, according to a Harris Poll commissioned by the American Osteopathic Association.

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Lower SBP Target for Blacks May Benefit Cognitive Function

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For seniors and particularly blacks with hypertension, lowering systolic blood pressure to 120 mm Hg or lower may help prevent cognitive decline, according to a report published online Aug. 21 in JAMA Neurology.

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Few Smokers Hospitalized With CHD Get Smoking Cessation Meds

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Few smokers hospitalized for coronary heart disease (CHD) receive smoking cessation pharmacotherapy (SCP), according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Global Prevalence of Fetal Alcohol Spectrum Disorder 7.7 per 1,000

TUESDAY, Aug. 22, 2017 (HealthDay News) -- The global prevalence of fetal alcohol spectrum disorder (FASD) among children is estimated at 7.7 per 1,000 in the general population, according to a review published online Aug. 21 in JAMA Pediatrics.

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Higher BMI in Childhood Linked to Adult Stroke Risk

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Above-average childhood body mass index (BMI) and increases in BMI during childhood are associated with increased risk of early adult ischemic stroke, according to a study published online Aug. 21 in JAMA Neurology.

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Occult Cancer Found in ~5 Percent With Unprovoked VTE

TUESDAY, Aug. 22, 2017 (HealthDay News) -- About one in 20 patients with unprovoked venous thromboembolism (VTE) have occult cancer detected within one year, according to a review published online Aug. 22 in the Annals of Internal Medicine.

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Maraviroc-Containing HIV PrEP Regimens Safe, Well Tolerated

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Maraviroc (MVC)-containing HIV pre-exposure prophylaxis (PrEP) regimens are well tolerated for preventing HIV infection in uninfected women, according to a study published online Aug. 22 in the Annals of Internal Medicine.

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Flexible Sigmoidoscopy Screening Reduces Mortality

MONDAY, Aug. 21, 2017 (HealthDay News) -- Screening with flexible sigmoidoscopy reduces all-cause mortality, according to a research letter published online Aug. 22 in the Annals of Internal Medicine.

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Hours Worked Impacted by Kids for Female, Not Male Doctors

MONDAY, Aug. 21, 2017 (HealthDay News) -- For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Anti-Vaccine Info in Pregnancy May Delay Infant Immunization

MONDAY, Aug. 21, 2017 (HealthDay News) -- Pregnancy is an important time for educating about infant immunization, according to a study published online Aug. 18 in Pediatrics.

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Mortality Estimates Favor Annual Mammography From Age 40

MONDAY, Aug. 21, 2017 (HealthDay News) -- An annual screening mammogram starting at age 40 is the optimal strategy to avert an early breast cancer death, according to a study published online Aug. 21 in Cancer.

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Depression, Anxiety May Affect Bone Metabolism in Older Teens

MONDAY, Aug. 21, 2017 (HealthDay News) -- Major depressive disorder (MDD), generalized anxiety disorder (GAD), and selective serotonin reuptake inhibitor (SSRI) use are associated with bone metabolism in older adolescents and young adults, according to a study published online Aug. 16 in the Journal of Bone and Mineral Research.

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Transcranial Magnetic Stimulation Aids PTSD in Eating Disorders

MONDAY, Aug. 21, 2017 (HealthDay News) -- Repetitive transcranial magnetic stimulation (rTMS) of the dorsomedial prefrontal cortex (DMPFC) seems to be beneficial for treatment of posttraumatic stress disorder (PTSD) in patients with eating disorders, according to research published online Aug. 16 in the International Journal of Eating Disorders.

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Once-Daily Triple-Tx Improves Lung Function, HRQoL in COPD

MONDAY, Aug. 21, 2017 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD), once-daily single-inhaler triple therapy is better for lung function and health-related quality of life than inhaled corticosteroid (ICS)/long-acting β2-agonist (LABA) therapy, according to a study published in the Aug. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Geriatric Consults Remain Rare in Kidney Cancer Care

MONDAY, Aug. 21, 2017 (HealthDay News) -- Use of geriatric consultation remains sparse among older patients undergoing surgery for kidney cancer, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.

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Secure Messaging Linked to Better Diabetes Management

MONDAY, Aug. 21, 2017 (HealthDay News) -- For patients with diabetes, use of secure messaging for medical advice is associated with better diabetes management, according to a study published online Aug. 14 in Diabetes Care.

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Link for Sedentary Time, Mortality Varies With Frailty Level

MONDAY, Aug. 21, 2017 (HealthDay News) -- The association between sedentary time and mortality varies with level of frailty among adults aged 50 years and older, according to a study published online Aug. 21 in CMAJ, the journal of the Canadian Medical Association.

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Higher Odds of Infection With Reduced Kidney Function

FRIDAY, Aug. 18, 2017 (HealthDay News) -- As kidney function declines, infection risk rises, according to a study published online Aug. 17 in the Clinical Journal of the American Society of Nephrology.

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Radioiodine Therapy for Thyroid Cancer Doesn't Up Stroke Risk

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Radioiodine (I-131) therapy for thyroid cancer is not associated with increased risk of stroke, according to a study published online Aug. 16 in Head & Neck.

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Procalcitonin Testing Not Impacting Antibiotic Rx for COPD

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Hospital adoption of procalcitonin (PCT) testing has had little impact on antibiotic prescribing for chronic obstructive pulmonary disease (COPD) exacerbations, according to a study published online Aug. 10 in the Annals of the American Thoracic Society.

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Physical Activity Predicts Disability in Older Adults

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Accelerometer-measured physical activity (PA) levels are strongly associated with major mobility disability (MMD) and persistent MMD (PMMD) events in older adults with limited mobility, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.

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Zika Does Not Appear to Last in Semen As Long As Thought

FRIDAY, Aug. 18, 2017 (HealthDay News) -- The Zika virus might not remain in the semen of some infected men as long as previously thought, according to a research letter published in the Aug. 17 issue of the New England Journal of Medicine.

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Telehealth Feasible for Parkinson's Care

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Virtual house calls by neurologists may be of great interest to and provide substantial convenience for patients with Parkinson's disease, according to a study published online Aug. 16 in Neurology.

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Worse Survival Seen for Alternative Vs Usual Cancer Rx

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Patients who choose alternative medicine over traditional cancer treatments for curable cancers have a higher risk of dying early, according to research published online Aug. 10 in the Journal of the National Cancer Institute.

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Candida Antigen Safe, Effective for Treating Common Warts

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Candida antigen is a promising, effective, and safe immunotherapeutic treatment for common warts, according to a study published online Aug. 8 in the International Journal of Dermatology.

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Studies Often Fail to Include Info on T2DM Medication Adherence

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Studies often fail to include information on outcomes by medication adherence in type 2 diabetes, according to research published online Aug. 11 in Diabetes Care.

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Oral Contraceptive Use Linked to Lower Rheumatoid Arthritis Risk

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Oral contraceptive (OC) use is associated with reduced risk of rheumatoid arthritis (RA), according to research published online Aug. 17 in the Annals of Rheumatic Diseases.

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Visual Dysfunction Tied to Poor Cognitive Function in Seniors

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Visual dysfunction at baseline is associated with poor cognitive function among older U.S. adults, according to a study published online Aug. 17 in JAMA Ophthalmology.

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One-Quarter With Early Breast Cancer Strongly Considers CPM

FRIDAY, Aug. 18, 2017 (HealthDay News) -- More than half of newly diagnosed patients with early-stage breast cancer consider contralateral prophylactic mastectomy (CPM), with one-quarter considering it strongly, according to a study published online Aug. 15 in Cancer.

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Psychosocial Intervention App Feasible in Serious Mental Illness

FRIDAY, Aug. 18, 2017 (HealthDay News) -- A psychosocial self-management intervention can be adapted for smartphone application and used by adults with serious mental illness, according to a study published in the August issue of the American Journal of Geriatric Psychiatry.

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Moderate, Severe OSA Linked to Elevated Blood Coagulability

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Moderate and severe obstructive sleep apnea (OSA) are associated with elevated blood coagulability markers, according to a study published online Aug. 17 in JAMA Otolaryngology-Head & Neck Surgery.

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Increase in Survival Without Severe Disability for Preemies

THURSDAY, Aug. 17, 2017 (HealthDay News) -- During the past two decades, survival and survival without severe or moderate neuromotor or sensory disabilities have increased among preterm infants, according to a study published online Aug. 17 in The BMJ.

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Increasing Physical Activity, Function Can Decrease Fall Fears

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Enhancing physical activity level and function can decrease the fear of falling among elderly patients, according to a study published online Aug. 9 in the Journal of Clinical Nursing.

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Online Nursing Education Can Up Patient Use of VTE Prophylaxis

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Online training for nurses has been found to increase hospital patients' use of venous thromboembolism (VTE) prophylaxis, according to a study published online Aug. 16 in PLOS ONE.

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Intensive Blood Pressure Tx Aids Those With Prediabetes

THURSDAY, Aug. 17, 2017 (HealthDay News) -- The beneficial effects of intensive systolic blood pressure (SBP) treatment are similar among those with prediabetes and fasting normoglycemia, according to a study published online Aug. 9 in Diabetes Care.

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Evolocumab Doesn't Affect Cognition When Added to Statins

THURSDAY, Aug. 17, 2017 (HealthDay News) -- There is no significant difference in cognitive function for patients treated with evolocumab or placebo added to statin therapy, according to a study published in the Aug. 17 issue of the New England Journal of Medicine.

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Families Shoulder Majority of Costs Related to Dementia Care

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Lifetime costs of care are substantially increased for individuals with dementia, according to a study published online Aug. 17 in the Journal of the American Geriatrics Society.

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Dietary Energy Density May Up Risk of Obesity-Linked Cancers

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Higher dietary energy density (DED; the ratio of energy intake to food weight) is associated with increased risk of obesity-related cancers among normal-weight women, according to a study published online Aug. 17 in the Journal of the Academy of Nutrition and Dietetics.

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Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Within a cohort of patients insured through TRICARE, the most common diagnosis associated with initial opioid prescription is other ill-defined conditions, according to a research letter published online Aug. 16 in JAMA Surgery.

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Coping Support Assists Parents of Hospitalized Children

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Coping support interventions can reduce anxiety and stress, but not depression, among parents of hospitalized children, according to a review published online Aug. 17 in Pediatrics.

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Risk Assessment Differs for Doctors, Heart Failure Patients

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Physicians consider the majority of ambulatory patients with advanced heart failure on medical therapy to be at high risk for transplant, left ventricular assist device (LVAD) placement, and death, although patients rarely consider themselves at high risk, according to a study published online Aug. 16 in JACC: Heart Failure.

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Electrotherapy, Acupuncture Ease Post Knee Arthroplasty Pain

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Electrotherapy and acupuncture seem to be beneficial for pain management after total knee arthroplasty, according to a meta-analysis published online Aug. 16 in JAMA Surgery.

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Frequency, Degree of Pubic Hair Grooming Linked to Injury Risk

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The frequency and degree of pubic hair grooming is associated with the risk of grooming-related injury and high-frequency injury, according to a study published online Aug. 16 in JAMA Dermatology.

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FDA: Potential Contamination in Some Liquid Pharma Products

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The U.S. Food and Drug Administration has announced a recall of numerous liquid pharmaceutical products because of possible bacterial contamination that could cause severe infections in vulnerable patients.

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Geriatric Trauma Outcome Score Estimates Unfavorable Discharge

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The geriatric trauma outcome score II (GTOS II) prognostic calculator can estimate the probability of unfavorable discharge in injured elders, according to a study published online Aug. 14 in the Journal of the American Geriatrics Society.

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Antidepressants Used by 12.7 Percent of Those Age ≥12 in U.S.

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Antidepressant use is common among U.S. individuals aged 12 years and older, with non-Hispanic whites more likely to take antidepressants than other racial/ethnic groups, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Automated Analyses of Night Blood O2 Detects Apnea

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