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Category: Family Medicine | Monthly Briefing

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November 2017 Briefing - Family Practice

Last Updated: December 01, 2017.

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

Severe Hypoglycemia a Potent Marker of Cardiovascular Risk

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Among patients with diabetes, severe hypoglycemia is associated with high absolute risk of cardiovascular events and mortality, according to a study published online Nov. 10 in Diabetes Care.

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Most Older Adults Willing to Play Game to Monitor Vision

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Many older patients with age-related macular degeneration (AMD) use personal electronic devices, and most are willing to play a game to monitor vision, according to a study published online Nov. 13 in Clinical & Experimental Ophthalmology.

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Physicians Report High Rate of Uncontrolled Atopic Dermatitis

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Physicians rate a high proportion of patients with atopic dermatitis (AD) as having inadequate disease control, according to a study published online Nov. 13 in the Journal of Dermatology.

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Incidence of HIV Dropped From 1999 to 2016 in Uganda

THURSDAY, Nov. 30, 2017 (HealthDay News) -- The incidence of HIV infection declined significantly in Uganda between 1999 and 2016, according to a study published in the Nov. 30 issue of the New England Journal of Medicine.

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Fremanezumab, Erenumab Effective in Treatment of Migraine

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Fremanezumab is effective for the prevention of chronic migraine, and erenumab is beneficial for treatment of episodic migraine, according to two studies published in the Nov. 30 issue of the New England Journal of Medicine.

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Evidence Lacking for Prenatal Vitamin D Supplementation

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Prenatal vitamin D supplementation during pregnancy may have some benefits, although the evidence is low quality, according to research published online Nov. 29 in The BMJ.

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More Than Half Today's Children Expected to Be Obese at 35

THURSDAY, Nov. 30, 2017 (HealthDay News) -- More than half of today's children are expected to be obese at the age of 35 years, with about half of the prevalence occurring during childhood, according to a study published in the Nov. 30 issue of the New England Journal of Medicine.

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Leaving the House Tied to Lower Mortality Risk in Seniors

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Elderly individuals who frequently leave the house have a lower risk of mortality, according to a study published online Nov. 22 in the Journal of the American Geriatrics Society.

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FODMAP Diet Beats General Dietary Advice for IBS

THURSDAY, Nov. 30, 2017 (HealthDay News) -- While both improve gastrointestinal symptoms, the low Fermentable Oligo-Di-Mono-saccharides and polyols (FODMAP) diet shows greater benefit for patients with irritable bowel syndrome (IBS) than general dietary advice (GDA), according to a study published online Nov. 20 in the Journal of Gastroenterology and Hepatology.

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Mortality Up for Some Cancers in Urban-Dwelling Native Americans

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Urban American Indians and Alaskan Natives (AIAN) with cancer have a significantly higher comorbidity burden, and have higher mortality for some cancers, according to a study published online Nov. 29 in Cancer Research.

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Magnesium Boosts Environmental Enrichment in Alzheimer's

THURSDAY, Nov. 30, 2017 (HealthDay News) -- The combination of environmental enrichment (EE) and magnesium-L-threonate (MgT) is more effective than either treatment alone for improving cognition and spatial memory in a mouse model of Alzheimer's disease (AD), according to a study published online Nov. 10 in CNS Neuroscience & Therapeutics.

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Many Seniors Have Not Discussed Avoiding Drug Interactions

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- Older adults report feeling confident that they know how to avoid drug interactions despite only 35 percent having spoken to someone about it in the past year, according to findings from the National Poll on Healthy Aging, published online Nov. 29.

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Doctors Increasingly Becoming 'Nursing Home Specialists'

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- From 2012 to 2015 there was a relative increase in the number of nursing home specialists, including an increasing number of generalist physicians billing for nursing home care, according to a research letter published in the Nov. 28 issue of the Journal of the American Medical Association.

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Wait Time Linked to Worse Outcomes in Hip Fracture Surgery

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- Increased wait time is associated with an increased risk of complications and 30-day mortality among adults undergoing hip fracture surgery, according to a study published in the Nov. 28 issue of the Journal of the American Medical Association.

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Over 5 Percent of Incident Cancer Due to Diabetes, High BMI

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- More than 5 percent of all incident cancers in 2012 were attributable to diabetes and high body mass index (BMI), according to a study published online Nov. 28 in The Lancet Diabetes & Endocrinology.

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AAFP Issues Summary of 2018 Final Medicare Fee Schedule

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- A four-page executive summary of the 2018 final Medicare physician fee schedule that was released by the Centers for Medicare & Medicaid Services (CMS) has been published by the American Academy of Family Physicians.

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MRI-Based Ovarian Morphologic Measurements Can ID PCOS

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- For adolescents with suspicion for polycystic ovary syndrome (PCOS), magnetic resonance (MR) imaging-based ovarian morphologic measurements can help with diagnosis, according to a study published in the December issue of Radiology.

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Patients Often Uncomfortable With Overlapping Surgeries

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- On average, patients are neutral toward or uncomfortable with concurrent or overlapping surgical procedures, according to a study published in the Nov. 15 issue of The Journal of Bone & Joint Surgery.

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Endocrine-Disrupting Chemicals Linked to Diabetes Disparities

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- Disparities in exposure to diabetes-associated environmental endocrine-disrupting chemicals (EDCs) may contribute to disparities in diabetes, according to a review published online Nov. 15 in Diabetes Care.

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Education Program Builds GP's Knowledge of Radiation Therapy

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- Australia's national education program improves general practitioner (GP) knowledge about radiation therapy (RT) and may influence patient referrals for RT, according to a study published online Oct. 28 in the Journal of Medical Imaging and Radiation Oncology.

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Value-Based Payment Modifier Not Tied to Practice Performance

TUESDAY, Nov. 28, 2017 (HealthDay News) -- The Value-Based Payment Modifier (VM) is not associated with performance differences between practices serving higher-risk and lower-risk patients, according to a study published online Nov. 28 in the Annals of Internal Medicine.

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Clinician Denial of Patient Requests Impacts Satisfaction

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician, according to a study published online Nov. 27 in JAMA Internal Medicine.

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CDC: HIV Being Diagnosed Sooner After Infection

TUESDAY, Nov. 28, 2017 (HealthDay News) -- HIV is being diagnosed sooner after infection than previously reported, according to a Nov. 28 press release issued by the U.S. Centers for Disease Control and Prevention.

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Measuring Plasma PCSK9 May ID Resistance to PCSK9 Inhibitors

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Plasma levels of proprotein convertase subtilisin/kexin type 9 (PCSK9) may help assess apparent resistance to PCSK9 inhibitors, according to a research letter published online Nov. 28 in the Annals of Internal Medicine.

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Prevalence of Arthritis Underestimated in United States

TUESDAY, Nov. 28, 2017 (HealthDay News) -- The prevalence of arthritis in the United States seems to have been underestimated, with 91.2 million adults affected in 2015, according to a study published online Nov. 27 in Arthritis & Rheumatology.

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Less Frequent Biopsy May Be Option in Prostate Cancer Care

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Biennial biopsies are an acceptable alternative to annual biopsies for men managing low-risk prostate cancer through active surveillance (AS), according to a research published online Nov. 27 in the Annals of Internal Medicine.

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Guidance Issued for Seasonal Allergic Rhinitis Pharmacologic Tx

TUESDAY, Nov. 28, 2017 (HealthDay News) -- A workgroup from the Joint Task Force on Practice Parameters has reviewed evidence and provided guidance for health care providers regarding treatment of seasonal allergic rhinitis in patients aged 12 years or older. The clinical guideline was published online Nov. 28 in the Annals of Internal Medicine.

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Ablation Cuts Risk of Recurrent Stroke in Patients With A-Fib

TUESDAY, Nov. 28, 2017 (HealthDay News) -- For patients with atrial fibrillation (AF) and prior cerebrovascular accident (CVA), ablation is associated with reduced risk of recurrent stroke, according to a study published online Nov. 13 in the Journal of Cardiovascular Electrophysiology.

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1998 to 2014 Saw Drop in CVD Hospitalization Rates in Diabetes

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Cardiovascular disease (CVD) hospitalization rates have declined in recent years among individuals with and those without diabetes, according to a study published online Nov. 17 in Diabetes Care.

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Simple ECG May Help Distinguish MDD From Bipolar Depression

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Heart rate variability (HRV) and specific inflammatory biomarkers can differentiate major depressive disorder (MDD) from depression in bipolar disorder (BD), according to a study published online Oct. 5 in The World Journal of Biological Psychiatry.

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Risk of ≥CIN3 Drops With Negative HPV, Cytology Co-Tests

TUESDAY, Nov. 28, 2017 (HealthDay News) -- The five-year risks of cervical intraepithelial neoplasia grade 3 (CIN3), adenocarcinoma in situ, and cervical cancer (≥CIN3) decrease after each successive negative human papillomavirus (HPV) and cytology co-testing, according to a study published online Nov. 27 in the Annals of Internal Medicine.

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Practice Variation in Treatment for Bronchiolitis in Infants

TUESDAY, Nov. 28, 2017 (HealthDay News) -- For infants with bronchiolitis, the use of evidence-based supportive therapies (EBSTs) varies by hospital site, according to a study published online Nov. 28 in Pediatrics.

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Sex, Race, Age Disparities in Survival for HPV-Linked Cancer

TUESDAY, Nov. 28, 2017 (HealthDay News) -- For patients with human papillomavirus (HPV)-associated cancers, there are large disparities in survival based on sex, race, and age, according to a study published online Nov. 6 in Cancer.

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Abdominal Obesity Linked to All-Cause Mortality in HFpEF

MONDAY, Nov. 27, 2017 (HealthDay News) -- For patients with heart failure with preserved ejection fraction (HFpEF), abdominal obesity is associated with increased risk of all-cause mortality, according to a study published in the Dec. 5 issue of the Journal of the American College of Cardiology.

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Considerable Costs Incurred in Response to Single Measles Cases

MONDAY, Nov. 27, 2017 (HealthDay News) -- Single measles cases trigger coordinated public health action that is associated with considerable costs, according to research published in the Nov. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Anticholinergic Cognitive Burden Scale IDs Adverse Outcomes

MONDAY, Nov. 27, 2017 (HealthDay News) -- For older adults, the Anticholinergic Cognitive Burden Scale (ACB) shows good dose-response relationships between anticholinergic burden and adverse outcomes, according to a study published in the November/December issue of the Annals of Family Medicine.

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New Workflows Have Potential to Address Provider Burnout

MONDAY, Nov. 27, 2017 (HealthDay News) -- New solutions are needed to address burnout among health care team members, yet, in a catch-22 situation for health industry leaders, change fatigue contributes to burnout, according to a Vocera Communications report entitled In Pursuit of Resilience, Well-Being, and Joy in Healthcare.

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Essay Adds to Discourse on Impact of Suggestive Jokes

MONDAY, Nov. 27, 2017 (HealthDay News) -- Seemingly benign, recurring patterns of joking around a single theme (joke cycles) can contribute to humorizing and legitimizing sexual misconduct, according to an essay published online Nov. 12 in Communication and Critical/Cultural Studies.

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Recommendations Developed for Addressing Child Trafficking

MONDAY, Nov. 27, 2017 (HealthDay News) -- In a policy statement published online Nov. 27 in Pediatrics, recommendations are presented for health care professionals to help prevent child trafficking, recognize victims, and intervene appropriately.

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Coffee Consumption Appears to Provide More Benefit Than Harm

MONDAY, Nov. 27, 2017 (HealthDay News) -- Coffee consumption seems safe and is associated with reduced risk for various health outcomes, according to a review published online Nov. 22 in The BMJ.

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Clinician Suspicion Minimally Accurate for Lyme Disease

MONDAY, Nov. 27, 2017 (HealthDay News) -- Clinician suspicion has minimal accuracy for the diagnosis of Lyme disease, according to a study published online Nov. 24 in Pediatrics.

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Vitamin E in Early Childhood Tied to Lower ALT Levels Later

MONDAY, Nov. 27, 2017 (HealthDay News) -- Higher early childhood intake of alpha-tocopherol is associated with lower odds of elevated mid-childhood alanine aminotransferase (ALT) levels, according to a study published online Nov. 9 in Hepatology.

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AVATAR Therapy Promising for Auditory Hallucinations

MONDAY, Nov. 27, 2017 (HealthDay News) -- AVATAR therapy, in which patients who hear voices have a dialogue with a digital representation (avatar) of the presumed persecutor, voiced by the therapist, so that the avatar becomes less hostile and concedes power over the course of therapy, reduces the severity of persistent auditory verbal hallucinations, according to a study published online Nov. 23 in The Lancet Psychiatry.

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Cinnamon Shows Potential As Tool in Fight Against Obesity

MONDAY, Nov. 27, 2017 (HealthDay News) -- The compound cinnamaldehyde (CA), found in cinnamon, activates fat cells to start burning energy in both mice and humans, according to a study published in the December issue of Metabolism.

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History of Prior Cancer Common in Newly Diagnosed Patients

MONDAY, Nov. 27, 2017 (HealthDay News) -- A substantial number of patients diagnosed with incident cancer in the United States have a prior history of cancer, according to a brief report published online Nov. 22 in JAMA Oncology.

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Raw Flour Can Be Source of Shiga Toxin-Producing E. coli

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Raw flour can be a source of outbreak of Shiga toxin-producing Escherichia coli (STEC) infections, according to a study published in the Nov. 23 issue of the New England Journal of Medicine.

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Gaps Seen Between Hearing Loss, Receipt of Medical Evaluation, Tx

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Many patients with self-reported hearing loss do not receive medical evaluation and recommended treatments, according to a study published online Nov. 22 in JAMA Otolaryngology-Head and Neck Surgery.

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NTproBNP Levels Are Significantly Lower in Blacks

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Plasma N-terminal pro-B-type natriuretic peptide (NTproBNP) levels are significantly lower for black than white individuals, according to a study published online Nov. 22 in JAMA Cardiology.

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Data May Weigh on Pros/Cons of Expanded Care Optometry

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- More than three-quarters of residents living in states where optometrists have been granted expanded scope of practice live within an estimated travel time (ETT) of 30 minutes to the nearest ophthalmologist office, according to a study published online Nov. 22 in JAMA Ophthalmology.

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Female Physicians' Spouses More Likely to Work

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Spouses of female physicians are on average more educated and work more hours outside the home than spouses of male physicians, according to a research letter published online Nov. 21 in the Annals of Internal Medicine.

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Maternal GDM Tied to Child's Cardiometabolic Profile

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Teenage offspring of mothers with gestational diabetes mellitus (GDM) have increased adiposity and an adverse cardiometabolic profile, according to a study published online Oct. 16 in Diabetes Care.

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CDC Issues Warning on Contaminated Raw Milk

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Individuals who may have consumed contaminated raw milk and milk products from the Udder Milk company are urged to seek medical care, according to a report published by the U.S. Centers for Disease Control and Prevention.

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Immediate Access to Opioid Agonists Found Cost-Effective

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Immediate access to opioid agonist treatment (OAT) for patients presenting with opioid use disorder may provide greater health benefits at less cost than observed standard of care, according to a study published online Nov. 21 in the Annals of Internal Medicine.

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Guidelines Can Cut Nonindicated Acid-Suppressing Rx in Infants

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Implementation of a guideline can reduce nonindicated use of proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) among newborns, according to a study published online Nov. 21 in Pediatrics.

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Baby Boomers Have Increased Risk of Rx Opioid Overdose Death

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Individuals born between 1947 and 1964 have a significantly increased risk of prescription opioid overdose death and heroin overdose death, and those born from 1979 to 1992 also have an increased risk of heroin overdose death, according to a study published online Nov. 21 in the American Journal of Public Health.

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Cerebral Morphometric Changes Discriminate ADHD, Controls

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Cerebral morphometric alterations can discriminate between children with attention-deficit/hyperactivity disorder (ADHD) and controls, according to a study published online Nov. 22 in Radiology.

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Insulin Doesn't Prevent Diabetes in Relatives of T1DM Patients

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Oral insulin does not delay onset of type 1 diabetes in autoantibody-positive relatives of patients with type 1 diabetes, according to a study published in the Nov. 21 issue of the Journal of the American Medical Association.

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High Costs Associated With Physician Burnout, Attrition

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Physicians who are experiencing burnout are more than twice as likely to leave their organization within two years, and this is associated with significant economic costs, according to a report from the American Medical Association.

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Doubts Raised About Use of Products Containing Oxybenzone

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Use of oxybenzone (Benzophenone-3) in sunscreen and personal care products should be minimized due to its dermatological and environmental toxicity, according to a review published online Oct. 31 in the Journal of Cosmetic Dermatology.

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Increased Repolarization Dispersion Seen in SCD Survivors

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Survivors of sudden cardiac death (SCD) with structurally normal hearts have increased dispersion of repolarization after exertion, and this is detectable on non-invasive electrocardiographic imaging (ECGi), according to a study published online Nov. 1 in the Journal of Cardiovascular Electrophysiology.

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5-Fluorouracil Promising for Vaginal Intraepithelial Neoplasia

TUESDAY, Nov. 21, 2017 (HealthDay News) -- 5-fluorouracil is associated with a 74 percent success rate as the initial treatment modality for high-grade intraepithelial vaginal dysplasia, according to a study published online Nov. 7 in Obstetrics & Gynecology.

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Higher β-Blocker Dose Linked to Lower Mortality Risk

TUESDAY, Nov. 21, 2017 (HealthDay News) -- An increased β-blocker dose is associated with a greater prognostic advantage in patients with chronic heart failure (CHF) and diabetes than in those with CHF but no diabetes, according to a study published online Oct. 25 in Diabetes Care.

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Stool-Based Protein Combos Can Improve CRC Screening

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Combinations of four proteins from stool samples can detect colorectal cancer (CRC) and advanced adenomas with higher sensitivity than hemoglobin alone, according to a study published online Nov. 21 in the Annals of Internal Medicine.

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Best Practice Advice Issued for Hep B Vaccination, Screening

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Best practice advice statements from the American College of Physicians and the U.S. Centers for Disease Control and Prevention, published online Nov. 21 in the Annals of Internal Medicine, encourage hepatitis B virus (HBV) screening in high-risk populations, vaccination of all unvaccinated at-risk adults, and linkage to care for HBV-positive patients.

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NOACs Show Lower Risk of Adverse Renal Outcomes in A-Fib

TUESDAY, Nov. 21, 2017 (HealthDay News) -- For patients with atrial fibrillation (AF), non-vitamin K antagonist oral anticoagulants (NOACs) are associated with lower risks of adverse renal outcomes than warfarin, according to a study published in the Nov. 28 issue of the Journal of the American College of Cardiology.

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Few U.S. Adults Meet Fruit, Veg Intake Recommendations

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Across all 50 states and the District of Columbia (D.C.), few adults consume the recommended amount of fruits and vegetables, according to research published in the Nov. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Treatment Trajectories Vary for Children With Depression

MONDAY, Nov. 20, 2017 (HealthDay News) -- For youths with depression, there are distinct treatment trajectories, which have varying health outcomes, according to a study published online Nov. 20 in JAMA Pediatrics.

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Salivary miRNAs Can ID Duration of Concussion Symptoms

MONDAY, Nov. 20, 2017 (HealthDay News) -- For children with concussion, salivary microRNAs (miRNAs) can accurately identify the duration of symptoms, according to a study published online Nov. 20 in JAMA Pediatrics.

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High Salt Intake Impacts Gut Microbiome

MONDAY, Nov. 20, 2017 (HealthDay News) -- High salt intake affects the gut microbiome; however, certain intestinal bacteria may help prevent high-salt diets contributing to hypertension, according to research published online Nov. 15 in Nature.

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Certain Traits Tied to More HIV Tests in Transgender Individuals

MONDAY, Nov. 20, 2017 (HealthDay News) -- Transgender individuals with certain characteristics, including a history of incarceration and self-referral, have more HIV tests, according to a short report published in Transgender Health.

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Spinal Cord Stimulation May Reduce Neuropathic Pain

MONDAY, Nov. 20, 2017 (HealthDay News) -- Spinal cord stimulation (SCS) effectively reduces chronic pain symptoms in individuals with painful diabetic polyneuropathy (PDPN), according to a study published online Nov. 6 in Diabetes Care.

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Fat Distribution May Influence Bone Strength in Adolescence

MONDAY, Nov. 20, 2017 (HealthDay News) -- Visceral adipose tissue (VAT) in girls and central adiposity in boys play a role in the acquisition of bone strength during adolescence, according to a study published online Oct. 30 in the Journal of Bone and Mineral Research.

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Chronic Conditions Increasing Among Childbearing Women

MONDAY, Nov. 20, 2017 (HealthDay News) -- Between 2005 and 2014, the prevalence of chronic conditions increased across all segments of the childbearing population, according to a study published online Nov. 7 in Obstetrics & Gynecology.

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Attributes of High-Value Primary Care Identified

MONDAY, Nov. 20, 2017 (HealthDay News) -- Six statistically significant attributes of high-value primary care have been identified, and they include decision support for evidence-based medicine, risk-stratified care management, and coordination of care, according to a study published in the November/December issue of the Annals of Family Medicine.

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NAFLD Linked to Increased Cancer Incidence Rate

MONDAY, Nov. 20, 2017 (HealthDay News) -- Non-alcoholic fatty liver disease (NAFLD) is associated with development of cancer, specifically hepatocellular carcinoma (HCC), colorectal cancer in males, and breast cancer in females, according to a study published online Nov. 14 in the Journal of Hepatology.

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SMS Reminders Moderately Effective for Flu Vaccination

MONDAY, Nov. 20, 2017 (HealthDay News) -- Short message service (SMS) reminders are a moderately effective way to increase the rate of influenza vaccination among high-risk patients, according to a study published in the November/December issue of the Annals of Family Medicine.

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Dating Violence Victimization, Nonmedical Rx Med Use Linked

MONDAY, Nov. 20, 2017 (HealthDay News) -- For male and female high school students, nonmedical use of prescription drugs (NMUPD) is associated with experiences of dating violence victimization (DVV), according to a study published online Nov. 20 in Pediatrics.

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Many Health Care Providers Work While Sick

FRIDAY, Nov. 17, 2017 (HealthDay News) -- More than 40 percent of health care personnel (HCP) with influenza-like illness (ILI) work while ill, according to a study published in the November issue of the American Journal of Infection Control.

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Intensive BP Control Lacks Benefit in Chronic Kidney Disease

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Intensive blood pressure (BP) control may provide no benefit and may even be harmful for patients with moderate-to-advanced chronic kidney disease, according to a study published online Oct. 16 in the Journal of Internal Medicine.

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Simple Checklist Can Identify Useful Clinical Practice Guidelines

FRIDAY, Nov. 17, 2017 (HealthDay News) -- A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in the September/October issue of the Annals of Family Medicine.

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Psychosocial Benefit Seen With Probiotic, Peanut Oral Immunotx

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Probiotic and peanut oral immunotherapy (PPOIT) has a sustained beneficial effect on psychosocial impact of food allergy after end-of-treatment, according to a study published online Oct. 20 in Allergy.

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First-Line Metformin Use for DM Up; Sulfonylurea Use Down

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Among patients with type 2 diabetes initiating antidiabetes drugs (ADDs), first-line use of metformin has increased since 2005, while sulfonylureas have remained the most popular second-line agent, according to a study published online Nov. 6 in Diabetes Care.

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Erlotinib Overdose Tied to Conjunctivitis

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Overdosing of erlotinib may be associated with rapid onset of conjunctivitis, according to a case report published online Oct. 25 in the Journal of Clinical Pharmacy and Therapeutics.

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Risk of Falls Up With Mild, Moderate Diabetic Retinopathy

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Among Asians, individuals with mild and moderate diabetic retinopathy (DR) are more likely to have fallen, and greater perceived barriers to diabetes self-management (DSM) are associated with the severity of DR, according to two studies published online Nov. 16 in JAMA Ophthalmology.

Abstract/Full Text (subscription or payment may be required) -- Gupta
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AMD Risk Has Dropped By Birth Cohort Throughout 20th Century

FRIDAY, Nov. 17, 2017 (HealthDay News) -- There was a decrease in the five-year risk for age-related macular degeneration (AMD) by birth cohorts throughout the 20th century, according to a study published online Nov. 16 in JAMA Ophthalmology.

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Docs' Preparedness Influences Exercise Recommendations

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Primary care providers who feel prepared are more likely to recommend physical activity to patients with disabilities, according to a study published online Nov. 16 in Preventing Chronic Disease.

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Vitamin D Tied to Better Assisted Reproductive Therapy Outcomes

THURSDAY, Nov. 16, 2017 (HealthDay News) -- For women undergoing assisted reproductive treatment (ART), those who are replete in vitamin D have better outcomes, including live birth, a positive pregnancy test, and clinical pregnancy, according to a review published online Nov. 14 in Human Reproduction.

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FDA Investigation Linked to Drop in Codeine Rx for Children

THURSDAY, Nov. 16, 2017 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) investigation into the safety of codeine use by children, which culminated in a black box warning in February 2013, led to substantially decreased codeine prescribing to children after tonsillectomy and/or adenoidectomy, according to a study published online Nov. 16 in Pediatrics.

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Heart Murmur Disappearance on Standing Can Rule Out Pathology

THURSDAY, Nov. 16, 2017 (HealthDay News) -- For children aged 2 and older, disappearance of a heart murmur on standing is a reliable tool for excluding pathologic murmur, according to a study published in the November/December issue of the Annals of Family Medicine.

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Model Predicts Development of Chronic Kidney Disease

THURSDAY, Nov. 16, 2017 (HealthDay News) -- A multivariable model that uses routine laboratory data is able to predict advanced chronic kidney disease after hospitalization with acute kidney injury, according to a study published online Nov. 14 in the Journal of the American Medical Association.

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Accurate Diagnosis Seen With Photographs of Skin Conditions

THURSDAY, Nov. 16, 2017 (HealthDay News) -- Smartphone photographs of pediatric skin conditions taken by parents are of sufficient quality to allow accurate diagnosis, according to a study published online Nov. 15 in JAMA Dermatology.

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Peer Review Policy Cuts Atypical Antipsychotic Use in Children

THURSDAY, Nov. 16, 2017 (HealthDay News) -- For young children, implementation of a peer review prior authorization (PA) policy can reduce the use of atypical antipsychotic (AAP) medications, according to a research letter published online Nov. 15 in JAMA Psychiatry.

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Simpler Tool Promising for Atherosclerosis Prediction

THURSDAY, Nov. 16, 2017 (HealthDay News) -- The ideal cardiovascular health score (ICHS) and the Fuster-BEWAT (blood pressure, exercise, weight, alimentation, and tobacco) score (FBS) are similar in their ability to predict subclinical atherosclerosis, according to a study published online Nov. 13 in the Journal of the American College of Cardiology.

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HPV Vaccine Tied to Reduced Respiratory Papillomatosis Rate

THURSDAY, Nov. 16, 2017 (HealthDay News) -- The incidence of juvenile-onset recurrent respiratory papillomatosis (JORRP) in Australia decreased from 2012 to 2016 after implementation of a quadrivalent human papillomavirus (HPV) vaccination program for females aged 12 to 26 years in 2007-2009, according to a study published online Nov. 9 in The Journal of Infectious Diseases.

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FDA Approves Drug With Digital Ingestion Tracking System

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- The first drug in the United States with a digital ingestion tracking system has been approved by the U.S. Food and Drug Administration.

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ER- Breast CA Risk Up for African-Americans With T2DM

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- African-American (AA) women with type 2 diabetes (T2D) appear to be at increased risk of developing estrogen receptor-negative (ER-) breast cancer, with the highest risk among nonobese individuals, according to a study published online Nov. 15 in Cancer Research.

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Insurance Underlies Black-White Survival Disparity in CRC

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Insurance coverage differences account for about half of the disparity in survival rates between black and white patients aged 18 to 64 years with colorectal cancer (CRC), according to a study published online Nov. 14 in Gastroenterology.

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In 2007-2014, Glycemic Control Plateaued in Diabetes Patients

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Despite increases in HbA1c testing and awareness, glycemic control seems to have plateaued among patients with diabetes between 2007 and 2014, according to a research letter published online Nov. 14 in the Journal of the American Medical Association.

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Health Care Experts in Favor of Patient Contribution to Notes

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Health care experts are supportive of OurNotes, an intervention in which patients and families co-produce medical notes with clinicians, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.

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PCP Care in Hospital Linked to Resource Use, Outcome

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Patients cared for in the hospital by their own primary care physician (PCP) have longer length of stay and are more likely to be discharged home than those cared for by hospitalists or other generalists, according to a study published online Nov. 13 in JAMA Internal Medicine.

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Poorer Neuropsychological Test Scores for HIV-Positive

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- HIV-positive individuals treated with combination antiretroviral therapy (cART) have poorer neuropsychological test scores than controls but no significant neuropsychological decline over time, according to a study published online Nov. 13 in JAMA Neurology.

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Peanut Patch Found Safe, Effective for Treating Allergies

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- A 250-μg peanut patch produces a significant treatment response in peanut-allergic patients treated for a year, according to a study published online Nov. 14 in the Journal of the American Medical Association.

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AHA: Noninvasive Testing Ups LOS in Patients With Chest Pain

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Noninvasive cardiac testing leads to longer length of stay (LOS) for patients presenting to the emergency department with chest pain, according to a study published online Nov. 14 in JAMA Internal Medicine to coincide with the American Heart Association's Scientific Sessions, being held Nov. 11 to 15 in Anaheim, California.

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Findings Support Endovascular Repair of Aortic Aneurysm

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- For patients with suspected ruptured abdominal aortic aneurysm, endovascular repair is associated with a survival advantage at three years compared with open repair, according to a study published online Nov. 14 in the BMJ.

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XR Naltrexone, Sublingual BUP-NX Deemed Equally Effective

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Although initiation of extended-release naltrexone (XR-NTX) may be more difficult, XR-NTX and sublingual buprenorphine-naloxone (BUP-NX) are equally safe and effective once initiated for opioid relapse prevention, according to a study published online Nov. 14 in The Lancet.

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Psychostimulant Use Tied to Placental Complications

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Psychostimulant use during pregnancy is associated with a small increased relative risk of preeclampsia and preterm birth, according to a study published online Nov. 7 in Obstetrics & Gynecology.

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Sport Sampling in Children Tied to More Exercise in Adolescence

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Sport sampling in childhood may be associated with higher physical activity (PA) levels during adolescence, according to a study published online Nov. 13 in Pediatrics.

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Extended Breastfeeding May Cut Later Flexural Dermatitis Risk

TUESDAY, Nov. 14, 2017 (HealthDay News) -- Promotion of prolonged and exclusive breastfeeding may reduce the risk of flexural dermatitis in adolescence but does not affect lung function or questionnaire-derived measures of asthma or atopic eczema, according to a study published online Nov. 13 in JAMA Pediatrics.

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Eating More Nuts Associated With Lower Heart Disease Risk

TUESDAY, Nov. 14, 2017 (HealthDay News) -- Nut consumption is tied to a decreased risk of cardiovascular disease and coronary heart disease (CHD), according to a study published online Nov. 13 in the Journal of the American College of Cardiology.

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