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Category: Family Medicine | Monthly Briefing

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August 2018 Briefing - Family Practice

Last Updated: September 04, 2018.

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for August 2018. 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.

Helmets May Not Protect Skiers From Traumatic Brain Injury

FRIDAY, Aug. 31, 2018 (HealthDay News) -- The use of helmets may not protect alpine sports participants from traumatic brain injury, according to a study recently published in Wilderness & Environmental Medicine.

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Risk of Depression Up in Autism Spectrum Disorder

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Autism spectrum disorder (ASD) is associated with increased risk of depression in young adulthood, according to a study published online Aug. 31 in JAMA Network Open.

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Ground Chuck Products Recalled by Publix Super Markets

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Possible Escherichia coli contamination has triggered the recall of ground beef products made from chuck that were sold at Publix Super Markets in Florida.

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FDA Warns of Dangers of Liquid Nitrogen in Food, Drinks

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Consuming or handling food and drink products where liquid nitrogen is added just before consumption can lead to serious injury, according to the U.S. Food and Drug Administration.

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Medicaid Expansion Ups Access to Family Planning Services

FRIDAY, Aug. 31, 2018 (HealthDay News) -- One-third of women of reproductive age report better ability to access birth control and family planning services with Medicaid expansion coverage, according to a study published online Aug. 31 in JAMA Network Open.

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Many Soldiers Who Attempt Suicide Have No Mental Health Dx

FRIDAY, Aug. 31, 2018 (HealthDay News) -- More than one-third of enlisted soldiers with a documented suicide attempt have no history of mental health diagnosis, according to a study published online Aug. 29 in JAMA Psychiatry.

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Excess Cardiac Risk Varies With Age of Onset of T1DM

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Excess cardiovascular risk varies with age at diagnosis of type 1 diabetes, according to a study published online Aug. 27 in The Lancet.

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14.6 Percent of U.S. Adults Used Marijuana in Past Year

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Overall, 14.6 percent of U.S. adults report marijuana use in the past year, according to a research letter published online Aug. 28 in the Annals of Internal Medicine.

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Pediatric Revisits, Admissions for UTI Similar With Oral or IV Meds

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Very young children with urinary tract infections (UTIs) who receive parenteral antibiotics before emergency department discharge do not have lower rates of revisits leading to admission than children receiving oral antibiotics, according to a study published online Aug. 21 in Pediatrics.

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Medical Bills in Collections Decrease With Patient Age

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs.

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FDA: Common Diabetes Meds Tied to Serious Genital Infection

THURSDAY, Aug. 30, 2018 (HealthDay News) -- A rare but serious genital infection known as necrotizing fasciitis of the perineum, also called Fournier's gangrene, has been reported in some patients taking a certain class of type 2 diabetes medicine, according to the U.S. Food and Drug Administration. As a result, the FDA has ordered a new warning about this risk to be added to the prescribing information and patient medication guide of all sodium-glucose cotransporter-2 (SGLT2) inhibitors.

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Drinking Water Turned Off in All Detroit's Public Schools

THURSDAY, Aug. 30, 2018 (HealthDay News) -- Due to elevated levels of lead or copper in drinking water at some schools, drinking water is being turned off in all of Detroit's public schools.

CNN Article

Oral High-Risk HPV Prevalence Appears to Be Low in England

THURSDAY, Aug. 30, 2018 (HealthDay News) -- The prevalence of oral high-risk human papillomavirus (HR-HPV) infection in adult men and women is low in England, according to a study published online Aug. 20 in BMJ Open.

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In Stroke Survivors, Cost-Related Non-Adherence Down After ACA

THURSDAY, Aug. 30, 2018 (HealthDay News) -- Among adult survivors of stroke, health insurance coverage increased and cost-related non-adherence (CRN) decreased after implementation of the Affordable Care Act (ACA), according to research published online Aug. 27 in JAMA Neurology.

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Many ED Visits for Antibiotic Adverse Drug Events in Children

THURSDAY, Aug. 30, 2018 (HealthDay News) -- Emergency department (ED) visits for antibiotic adverse drug events (ADEs) in children account for 46.2 percent of emergency department visits for ADEs resulting from systemic medication, according to a study published online Aug. 23 in the Journal of the Pediatric Infectious Diseases Society.

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No Meaningful Increase in Physician Compensation Last Year

THURSDAY, Aug. 30, 2018 (HealthDay News) -- There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.

Press Release
Survey (subscription or payment may be required)

Many Teens Are Concerned Over Societal Discrimination

THURSDAY, Aug. 30, 2018 (HealthDay News) -- Many adolescents in Los Angeles are concerned over societal discrimination, and this concern is associated with behavioral health problems one year later, according to research published online Aug. 20 in JAMA Pediatrics.

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Third of Vets Who Own Firearms Store Them Loaded, Unlocked

THURSDAY, Aug. 30, 2018 (HealthDay News) -- One in three American veterans who own firearms stores at least one firearm loaded and unlocked, according to a study published online Aug. 27 in the American Journal of Preventive Medicine.

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U.S. Opioid Use Not Declining, Despite Focus on Abuse

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Rates of opioid use in the United States do not appear to be declining, according to a study published online Aug. 1 in The BMJ.

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Label Mix-Up Spurs Recall of Accord Blood Pressure Meds

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- One lot of high blood pressure medication is being recalled after a labeling mix-up, Accord Healthcare Inc. has announced.

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Pfizer Recalls a Type of Children's Liquid Advil

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- One lot of 4-ounce bottles of Children's Advil Suspension Bubble Gum Flavored is being recalled because a packaging problem could lead to an overdose, Pfizer Consumer Healthcare says.

Pfizer Statement

CDC: Salmonella Outbreak in 4 States Linked to Kosher Chicken

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- One person has died and 16 others sickened in a four-state Salmonella outbreak linked to kosher chicken, U.S. health officials say.

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Positive Link for BMI and Blood Pressure in Chinese Population

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- In a Chinese adult population (ages 35 to 80 years), there is a positive association between body mass index (BMI) and blood pressure (BP), according to a study published online Aug. 17 in JAMA Network Open.

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High-Quality Diet Linked to Lower Mortality in Cancer Survivors

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- For cancer survivors, a high-quality diet is associated with a reduced risk of overall and cancer-specific mortality, according to a study recently published in JNCI: Cancer Spectrum.

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Marketplace Premiums Increase More With Monopolist Insurers

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs.

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High, Low Carbohydrate Diets Linked to Increased Mortality

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Both high and low percentages of carbohydrates in diets are associated with increased mortality, according to a study published online Aug. 16 in The Lancet Public Health.

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CDC: Greater Awareness of Valley Fever Needed Nationally

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Greater nationwide awareness of the fungal infection Valley fever (coccidioidomycosis) is needed, according to a report published in the August issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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CDC: Most Babies Born in 2015 Started Out Breastfeeding

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Most infants born in 2015 started breastfeeding, but many stopped earlier than recommended, according to a report card published by the U.S. Centers for Disease Control and Prevention.

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Medical Practices Should Address Negative Online Reviews

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice.

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FDA: Hundreds of Human, Pet Homeopathy Products Recalled

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Hundreds of Dr. King's water-based homeopathic drugs for children, adults, and pets may be unsafe to use because of high levels of microbial contamination, according to the U.S. Food and Drug Administration.

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FDA Warning Letters Target Illegal Online Sales of Opioids

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Four more online networks that operate 21 websites illegally selling potentially dangerous, unapproved, and misbranded versions of opioid pain medications have been told to immediately stop their sales, the U.S. Food and Drug Administration says. The order was made in warning letters sent to the networks.

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Artificial Intelligence Holds Promise in Medicine

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive.

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Buprenorphine/Naloxone Rx Fills Up With Medicaid Expansion

TUESDAY, Aug. 28, 2018 (HealthDay News) -- There was an increase in buprenorphine with naloxone fills in expansion versus nonexpansion counties after Medicaid expansion, according to a study published online Aug. 17 in JAMA Network Open.

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Poor Shared Decision-Making for Lung Cancer Screening

TUESDAY, Aug. 28, 2018 (HealthDay News) -- The quality of shared decision-making (SDM) about the initiation of lung cancer screening (LCS) is poor, according to a study published online Aug. 13 in JAMA Internal Medicine.

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Cannabinoid in Breast Milk Up to Six Days After Marijuana Use

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Most breast milk samples have measurable Δ-9-tetrahydrocannabinol (Δ9-THC) up to about six days after maternal use, according to a study published online Aug. 27 in Pediatrics.

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Alcohol Is Leading Risk Factor for Global Disease Burden

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet.

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Physicians Lack Knowledge About Serogroup MenB Vaccination

TUESDAY, Aug. 28, 2018 (HealthDay News) -- U.S. pediatricians and family physicians (FPs) have considerable knowledge gaps regarding serogroup B meningococcal (MenB) vaccination, according to a study published online Aug. 20 in Pediatrics.

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Experts Address Loss of the National Guideline Clearinghouse

TUESDAY, Aug. 28, 2018 (HealthDay News) -- The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine.

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High LDL in Young, Healthy Adults Leaves Them Vulnerable to CVD

MONDAY, Aug. 27, 2018 (HealthDay News) -- Low-density lipoprotein cholesterol (LDL-C) and non-high density lipoprotein cholesterol (non-HDL-C) ≥160 mg/dL are independently associated with increased relative risk of cardiovascular disease (CVD) mortality in a low-risk cohort, according to a study published online Aug. 20 in Circulation.

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Prevalence of E-Cigarette Use 4.5 Percent in U.S. Adults

MONDAY, Aug. 27, 2018 (HealthDay News) -- The prevalence of electronic cigarette (e-cigarette) use among U.S. adults is 4.5 percent, with higher prevalence among those aged 18 to 24 years, according to a study published online Aug. 28 in the Annals of Internal Medicine.

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Bigger Drop in Opioid Prescribing After CDC Guideline Release

MONDAY, Aug. 27, 2018 (HealthDay News) -- Release of the U.S. Centers for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain in March 2016 corresponded to greater increases in several opioid prescribing patterns, according to a study published online Aug. 28 in the Annals of Internal Medicine.

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Pediatricians Advise Against Use of Marijuana in Pregnancy

MONDAY, Aug. 27, 2018 (HealthDay News) -- Due to the potential adverse effect of marijuana use during pregnancy and breastfeeding, pediatricians should recommend against marijuana use, according to a clinical report published online Aug. 27 in Pediatrics.

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Two Ebola Patients Who Received Experimental Tx Have Recovered

MONDAY, Aug. 27, 2018 (HealthDay News) -- Two of the first 10 people to receive an experimental Ebola treatment have recovered from the highly dangerous disease, Congo's health ministry says.

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Doctors Have Difficulty Finding Practices Offering Deliveries

MONDAY, Aug. 27, 2018 (HealthDay News) -- Finding a practice that provides opportunities to do deliveries is a considerable barrier to performing obstetric deliveries, according to a study published in the May-June issue the Journal of the American Board of Family Medicine.

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Most Research Participants Not Concerned About Data Sharing

MONDAY, Aug. 27, 2018 (HealthDay News) -- Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine.

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Care Coordination Strategies Aid in Multiple Chronic Diseases

MONDAY, Aug. 27, 2018 (HealthDay News) -- Care coordination strategies can be beneficial for older patients with multiple chronic diseases, according to a review published in the Aug. 27 issue of CMAJ, the journal of the Canadian Medical Association.

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Experiencing Parental Cancer As Child Has Lasting Impact

MONDAY, Aug. 27, 2018 (HealthDay News) -- Individuals who experience parental cancer as children or adolescents have a higher risk of low educational attainment and attenuated income at age 30 years, according to a study published online Aug. 20 in the Journal of Epidemiology & Community Health.

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Smartphone App Can Help Improve Outcomes With HIV

MONDAY, Aug. 27, 2018 (HealthDay News) -- A smartphone app designed for people living with HIV increases users' consistency in doctor visits and improves their health outcomes, according to a study recently published in AIDS Patient Care and STDs.

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Odds of Marijuana Use Up With Nausea, Vomiting in Pregnancy

MONDAY, Aug. 27, 2018 (HealthDay News) -- Women with nausea and vomiting in pregnancy (NVP) have increased odds of marijuana use, according to a research letter published online Aug. 20 in JAMA Internal Medicine.

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AMA Adopts Policy Promoting Health Equity As a Goal

FRIDAY, Aug. 24, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization's AMA Wire.

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Medicaid Expansion Linked to Increase in Diabetes Rx Fills

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Expansions in Medicaid eligibility are associated with an increase in Medicaid diabetes prescriptions filled, according to a study published in the August issue of Health Affairs.

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FDA: Illnesses Linked to McDonald's Salads Reach 507

FRIDAY, Aug. 24, 2018 (HealthDay News) -- The number of confirmed cases of Cyclospora infection linked to salads from McDonald's restaurants was 507 in 15 states and New York City as of Aug. 23, according to the U.S. Food and Drug Administration.

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Arkansas Law Restricting Abortion Pills Remains on Hold

FRIDAY, Aug. 24, 2018 (HealthDay News) -- An Arkansas law that would severely limit the use of abortion pills must remain on hold, a federal appeals court says.

AP News Article

Broader Scope of Practice Linked to Lower Rates of Burnout

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Early-career family physicians who practice inpatient medicine or obstetrics have reduced odds of burnout, according to a study published in the May/June issue of the Annals of Family Medicine.

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Cardiovascular Health Tied to Dementia Risk in Older Adults

FRIDAY, Aug. 24, 2018 (HealthDay News) -- For older adults, increased numbers of optimal cardiovascular health metrics are associated with reduced risk of dementia, according to a study published in the Aug. 21 issue of the Journal of the American Medical Association.

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Living in Deprived Area Is Risk Factor for Cognitive Dysfunction

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Area-level deprivation is an independent risk factor for cognitive dysfunction in older adults, according to a study published in the July issue of the Journal of the American Geriatrics Society.

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Education RE: Herd Immunity Can Up Readiness to Be Vaccinated

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Educating adults about herd immunity can increase the proportion willing to be vaccinated for influenza, according to a study recently published in Vaccine.

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Breastfeeding Linked to Lower Risk of Stroke Post-Menopause

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Breastfeeding is associated with a lower risk of stroke among older women, with a stronger correlation for longer duration of breastfeeding, according to a study published online Aug. 22 in the Journal of the American Heart Association.

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Increased First-Trimester HbA1c Predicts Gestational Diabetes

THURSDAY, Aug. 23, 2018 (HealthDay News) -- First-trimester glycated hemoglobin (HbA1c) may aid in early identification of women at risk for gestational diabetes mellitus (GDM), according to a study published online Aug. 16 in Scientific Reports.

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Frailty in Middle-Aged With Multimorbidity Tied to Mortality

THURSDAY, Aug. 23, 2018 (HealthDay News) -- For middle-aged individuals with multimorbidity, frailty is significantly associated with mortality, according to a study published in the July issue of The Lancet Public Health.

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FDA Bans E-Cig Liquid Products That Look Like Snacks, Candies

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Potentially poisonous electronic cigarette liquid (e-liquid) made by 17 different manufacturers comes in packaging that strongly resembles that of candies, cookies, and other snacks popular with children.

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Non-Medical Costs Burden Families of Hospitalized Children

THURSDAY, Aug. 23, 2018 (HealthDay News) -- The non-medical cost burden, which includes lost earnings plus expenses, is considerable among families of children who are hospitalized, according to a study published online Aug. 13 in Pediatrics.

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1997 to 2015 Saw Increase in HIV Viral Suppression Rates

THURSDAY, Aug. 23, 2018 (HealthDay News) -- From 1997 to 2015 there was a considerable increase in HIV viral suppression rates among people living with HIV (PLWH), according to a study published online Aug. 21 in the Annals of Internal Medicine.

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Information Lacking on Effect of Prenatal Use of Marijuana

THURSDAY, Aug. 23, 2018 (HealthDay News) -- More information is needed on marijuana use in pregnancy, according to an Ideas and Opinions piece published online Aug. 21 in the Annals of Internal Medicine.

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Long-Term PPI Use Linked to Pneumonia Risk in Older Adults

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Among older adults in primary care, use of proton pump inhibitors (PPIs) is associated with greater risk of pneumonia in the second year of treatment, according to a study published in the July issue of the Journal of the American Geriatrics Society.

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Sodium Intake, BP Linked in Communities With Highest Intake

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Mean systolic blood pressure is increased with increasing sodium intake only in communities in the highest tertile of sodium intake, according to a study published online Aug. 9 in The Lancet.

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Time to Stop Cancer Screenings: What Do Patients Want to Hear?

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Older adults prefer explanations about stopping cancer screening that emphasize the shift to focus on other health issues, according to a research letter published in the August issue of JAMA Oncology.

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High Prevalence of Diabetes in Those With Severe Mental Illness

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Antipsychotic-treated patients with severe mental illnesses (SMI) have a high prevalence of diabetes and prediabetes, according to a research letter published recently in Diabetes Care.

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Small Practices Also at Risk for Data Breaches

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics.

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Gym Class Memories Can Influence Adults' Exercise Habits

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Memories of school gym class may affect a person's exercise habits today, according to a study published in the Aug. 15 issue of the Translational Journal of the American College of Sports Medicine.

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4 Experimental Ebola Therapies Approved for Use in Congo

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Four more experimental treatments for Ebola virus have been approved by the Congo health ministry for use in an outbreak of the deadly infectious disease in the country's northeast.

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Strategy Outlined for Shooter Incident in Health Care Facility

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Adhering to a "secure, preserve, fight" strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine.

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Teen Smoke Exposure Tied to Increase in Related Symptoms

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Non-smoking adolescents with tobacco smoke exposure (TSE) have increased risk of TSE-related symptoms, according to a study published online Aug. 6 in Pediatrics.

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National Provider Identifiers Are Vulnerable to Theft

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice.

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Similar Outcomes for Rural, Urban Cancer Patients in SWOG Trials

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Rural and urban cancer patients with uniform care access through participation in a SWOG (formerly the Southwest Oncology Group) treatment trial have similar outcomes, according to a study published online Aug. 17 in JAMA Network Open.

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Catch-Up HPV Doses Effective to Age 21 Against Cervical Neoplasia

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Catch-up doses of quadrivalent human papillomavirus (HPV) vaccination are effective for girls and women aged 14 to 20 years at the time of first dose, according to a study published online Aug. 7 in The Lancet Child & Adolescent Health.

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Advantages for HDHP Enrollees in Large Versus Small Firms

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs.

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Accuracy of Hypoxia-Based Baby Monitors Is Concerning

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Findings regarding the accuracy of two pulse oximetry-based baby monitors are concerning, according to a research letter published in the Aug. 21 issue of the Journal of the American Medical Association.

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Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Twelve weeks of spinal manipulative therapy (SMT) combined with exercise therapy (ET) is more effective than ET alone over a one-year period for adolescents with chronic low back pain (LBP), according to a study published in the July issue of PAIN.

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FDA Extends EpiPen Expiration Dates to Tackle Shortage

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The expiration dates of certain batches of EpiPens have been extended by the U.S. Food and Drug Administration in an effort to reduce shortages of the life-saving devices.

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USPSTF Updates Guidance for Cervical Cancer Screening

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has updated the recommendations for screening for cervical cancer; the final recommendation statement has been published in the Aug. 21 issue of the Journal of the American Medical Association.

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Doctors Often Not Discussing Risk Factors With Patients

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.

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Patient Education Urged to Prevent Opioid OD After Sobriety

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The American Medical Association (AMA) encourages patient education to raise awareness of the risks associated with opioid use after a prolonged period of sobriety, according to a report in the organization's AMA Wire.

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Plan to Relax Coal-Fired Power Plant Rules Could Up Mortality

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Trump administration's plan to relax pollution rules for coal-fired power plants will increase carbon emissions and cause up to 1,400 premature deaths a year, according to details released Tuesday.

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Amount of Physical Exercise Affects Mental Health Burden

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Physical exercise is associated with self-reported mental health burden in the past month, according to a study published online Aug. 8 in The Lancet Psychiatry.

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Interim Guidance Provided for Men With Possible Zika Infection

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Interim guidance recommends that men with possible Zika virus infection wait three months before trying to conceive or engaging in unprotected sex, according to research published in the Aug. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Pennsylvania Case Could Affect Evidence for Malpractice Defense

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association's AMA Wire.

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Young, Growing Athletes at High Risk for ACL Injuries

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Young, growing athletes are at high risk for anterior cruciate ligament (ACL) injuries, according to a report published by Penn State Health News.

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Side Effects of Biologics for Rheumatic Dz May Up Anxiety

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Potential side effects of biological agents may increase anxiety in patients with rheumatic disease, according to research published in the June issue of the International Journal of Rheumatic Diseases.

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WPSI Recommends Annual Urinary Incontinence Screening

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Women's Preventive Services Initiative (WPSI) recommends annual urinary incontinence screening for women and referral for further evaluation and treatment if indicated, according to a clinical guideline published online Aug. 14 in the Annals of Internal Medicine.

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Wildfire Smoke Causing Poor Air Quality in U.S. Pacific Northwest

MONDAY, Aug. 20, 2018 (HealthDay News) -- Smoke from wildfires will cause poor air quality in parts of the U.S. Pacific Northwest this week, officials warn.

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Odds of Death Up With Exposure to Pregabalin, Opioids

MONDAY, Aug. 20, 2018 (HealthDay News) -- Concomitant exposure to pregabalin and opioids is associated with increased odds of opioid-related death, according to a research letter published online Aug. 21 in the Annals of Internal Medicine.

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NYU Becomes First Medical School to Cover All Tuition

MONDAY, Aug. 20, 2018 (HealthDay News) -- The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.

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Experts Offer Tips for Provider Appeal of Denied Medical Claims

MONDAY, Aug.20, 2018 (HealthDay News) -- Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics.

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Physicians Rate Communication During Visit Lower Than Patients

MONDAY, Aug. 20, 2018 (HealthDay News) -- There is a lack of correlation between physician scores and those of others for physician-patient communication, according to a study published in the July/August issue of the Annals of Family Medicine.

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Many Children With Asthma Do Not Have Medications Ready

MONDAY, Aug. 20, 2018 (HealthDay News) -- Many low-income urban preschool-aged children with asthma do not meet the criteria for home medication readiness, according to a study published online Aug. 7 in Pediatrics.

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Review Addresses Cell-Free DNA Sequencing in Pregnancy

MONDAY, Aug. 20, 2018 (HealthDay News) -- Cell-free DNA (cfDNA) sequencing represents an advance in genomic medicine and has associated ethical challenges, according to a review article published in the Aug. 2 issue of the New England Journal of Medicine.

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Novel hs-cTnT Protocol Better Rules Out Myocardial Infarction

MONDAY, Aug. 20, 2018 (HealthDay News) -- A novel high-sensitivity (hs) cardiac troponin T (cTnT) protocol for ruling out myocardial infarction (MI) rules out more patients than the existing protocol, according to a research letter published online Aug. 6 in Circulation.

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AAP Outlines Appropriate Pediatric Nephrology Testing

MONDAY, Aug. 20, 2018 (HealthDay News) -- As part of the Choosing Wisely campaign, a list of specific nephrology tests and procedures that are commonly ordered but not always needed when treating children for kidney-related conditions has been released by the American Academy of Pediatrics (AAP).

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Heat-Driven Air Conditioning May Contribute to Additional Deaths

MONDAY, Aug. 20, 2018 (HealthDay News) -- In what can be described as a vicious catch-22, approximately 5 to 9 percent of exacerbated air-pollution-related deaths will be due to increases in power sector emissions from the extra air conditioning use resulting from climate change, according to a study published online July 3 in PLOS Medicine.

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Little Global Development Assistance for Adolescent Health

MONDAY, Aug. 20, 2018 (HealthDay News) -- Development assistance for adolescent health (DAAH) makes up a small proportion of total development assistance for health, according to a study published online Aug. 10 in JAMA Network Open.

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Declines in Life Expectancy in Many High-Income Countries

MONDAY, Aug. 20, 2018 (HealthDay News) -- Life expectancy has declined in recent years in some high-income countries, and in the United States, midlife mortality has increased due to several causes, according to two studies published online Aug. 15 in The BMJ.

Abstract/Full Text - Ho and Hendi
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Tobacco Content Still Common on U.K. Prime-Time Television

MONDAY, Aug. 20, 2018 (HealthDay News) -- Audiovisual tobacco content remains common in prime-time U.K. television programs and is virtually unchanged from 2010, according to a study published online Aug. 13 in Tobacco Control.

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Cognitive Disability Most Prevalent Type in Young Adults

MONDAY, Aug. 20, 2018 (HealthDay News) -- Cognitive disability is the most prevalent disability type among young adults, while middle-aged and older adults have the highest prevalence of mobility disability, according to a report published in the Aug. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Comments Open on End of NIH Review for Gene Therapy Studies

FRIDAY, Aug. 17, 2018 (HealthDay News) -- A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.

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U.S. Measles Outbreak Hits 107 Cases in 21 States, D.C.

FRIDAY, Aug. 17, 2018 (HealthDay News) -- A measles outbreak that's so far affected 21 states and the District of Columbia is being investigated by U.S. health officials.

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Juneau Empire Article

Psych Screening Beneficial in Pediatric Abdominal Pain

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Systematic screening for anxiety, disability, and pain can increase psychological referral rates among pediatric patients with abdominal pain, according to a study published in the August issue of Pediatrics.

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EHR Review Can Measure Diagnostic Uncertainty

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Retrospective review of clinician documentation in the electronic health record (EHR) can help identify diagnostic uncertainty with moderate reliability, according to a study published in the June issue of the Journal of Evaluation in Clinical Practice.

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Residents' Sleep Deteriorates During Training

FRIDAY, Aug. 17, 2018 (HealthDay News) -- First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General Internal Medicine.

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E-Cigarette Vapor Condensate Toxic to Alveolar Macrophages

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Electronic cigarette (e-cigarette) vapor condensate (ECVC) is significantly more toxic to alveolar macrophages than e-cigarette liquid (ECL), according to a study published online Aug. 13 in Thorax.

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Risk of Death Not Up in T2DM When Risk Factors Within Target

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Little excess risk of death is seen for patients with type 2 diabetes with five risk-factor variables within target ranges, according to a study published in the Aug. 16 issue of the New England Journal of Medicine.

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FDA Approves First Generic EpiPen

FRIDAY, Aug. 17, 2018 (HealthDay News) -- The first generic version of the EpiPen has been approved by the U.S. Food and Drug Administration, paving the way for more affordable versions of the lifesaving allergy emergency medication.

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Report Details Corneal Infection Tied to Sleeping in Contacts

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Six cases of corneal infections associated with sleeping in contact lenses are described in a case report published in the Aug. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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VAT Score Improves Predictive Value of MMSE for Dementia

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Administering the Visual Association Test (VAT) improves the predictive value of the Mini-Mental State Examination (MMSE) score for dementia, according to a study published in a recent issue of the Annals of Family Medicine.

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Honey May Protect Children Who Swallow Button Batteries

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Ingesting honey after swallowing a button battery may reduce injuries and improve outcomes in children, according to research published recently in Laryngoscope.

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NIH Panel Will No Longer Review Gene Therapy Experiments

THURSDAY, Aug. 16, 2018 (HealthDay News) -- A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine.

Abstract/Full Text
NIH Statement

Doctors Remove Contact Lens Embedded in Eyelid for Years

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Doctors recently removed a contact lens that was embedded in a woman's eyelid for nearly three decades after she was hit in the eye while


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