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April 2019 Briefing - Family Practice

Last Updated: May 01, 2019.

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for April 2019. 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.

CDC: 704 Measles Cases Reported in U.S. Through April 26, 2019

TUESDAY, April 30, 2019 (HealthDay News) -- A total of 704 cases of measles were reported in the United States from Jan. 1 to April 26, 2019, representing the largest number of cases since 1994, according to research published in the April 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Poll: Americans Among Most Stressed People in the World

TUESDAY, April 30, 2019 (HealthDay News) -- Americans are more likely to be stressed and worried than people living in poorer parts of the world, and Americans' concerns are increasing, according to the Gallup 2019 Global Emotions Report.

Gallup 2019 Global Emotions Report
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Confidence in Inhaler Technique Poor Proxy for Correct Use

TUESDAY, April 30, 2019 (HealthDay News) -- Child and parent confidence are poor proxies for proper inhaler use among African-American children with asthma, according to a study published online April 30 in the Annals of Allergy, Asthma & Immunology.

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

Maternal Comorbidity Higher for Women With Congenital Heart Defects

TUESDAY, April 30, 2019 (HealthDay News) -- Pregnant women with congenital heart defects (CHDs) are more likely to have comorbidities and experience adverse events during delivery, according to a study published in the May 7 issue of the Journal of the American College of Cardiology.

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

Combo Nicotine Replacement Tx Ups Success in Quitting Smoking

TUESDAY, April 30, 2019 (HealthDay News) -- People who use combination nicotine replacement therapy (NRT) are more likely to successfully quit smoking than people who use a single form of NRT, according to a review published online April 18 in the Cochrane Database of Systematic Reviews.

Abstract/Full Text

2009 WIC Food Package Change Tied to Reduced Obesity Risk

TUESDAY, April 30, 2019 (HealthDay News) -- Changes to the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) food packages in 2009 to better align food options with the 2005 Dietary Guidelines for Americans appear to be associated with improved childhood obesity outcomes in young children, according to a study published online April 23 in The American Journal of Clinical Nutrition.

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

Adopted Children Should Undergo Comprehensive Health Evaluation

TUESDAY, April 30, 2019 (HealthDay News) -- Children who join families through the process of adoption should undergo a comprehensive health evaluation shortly after placement in an adoptive home, according to a clinical report published online April 29 in Pediatrics.

Abstract/Full Text

Patients Find Video Primary Care Visits Convenient

TUESDAY, April 30, 2019 (HealthDay News) -- Primary care video visits are convenient and may improve the patient-provider relationship, according to a research letter published online April 30 in the Annals of Internal Medicine.

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

Work Stress, Impaired Sleep Tied to CVD Risk in Workers With HTN

TUESDAY, April 30, 2019 (HealthDay News) -- Work stress and impaired sleep are associated with an increased risk for cardiovascular disease (CVD) mortality among workers with hypertension, according to a study published online April 27 in the European Journal of Preventive Cardiology.

Abstract/Full Text

Poor Olfaction Tied to Elevated Long-Term Mortality in Seniors

MONDAY, April 29, 2019 (HealthDay News) -- Among older adults, poor olfaction is associated with elevated long-term mortality, according to a study published online April 30 in the Annals of Internal Medicine.

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

Prevalence of Workplace Health Promotion Programs Low

MONDAY, April 29, 2019 (HealthDay News) -- Across U.S. worksites, the prevalence of workplace health promotion (WHP) programs has increased but still remains low, according to a study published online April 22 in the American Journal of Health Promotion.

Abstract/Full Text

Transition Support Program May Aid Young Adults With Type 1 Diabetes

MONDAY, April 29, 2019 (HealthDay News) -- Structured support for patients transitioning from pediatric to adult care for type 1 diabetes may improve outcomes, but those benefits are not sustained after completion of the intervention, according to a study published online April 22 in Diabetes Care.

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

Intensive Blood Pressure Therapy Aids Patients With T2DM

MONDAY, April 29, 2019 (HealthDay News) -- Patients with type 2 diabetes who receive intensive treatment to keep their blood pressure levels at 130/80 mm Hg or below experience fewer heart attacks, strokes, and other diabetes complications, according to a study published online April 29 in Hypertension.

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

Healthy Diet Tied to Lower Odds of Physical Impairment in Men

MONDAY, April 29, 2019 (HealthDay News) -- Better overall diet quality is significantly associated with lower odds of impairment in physical function among older men, according to a study recently published in the Journal of Nutrition, Health & Aging.

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

Ambiguous Genitalia in Newborns Not Uncommon

MONDAY, April 29, 2019 (HealthDay News) -- Ambiguous genitalia in newborns may be more common than previously thought, according to a study published online April 24 in the Journal of the Endocrine Society.

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

FDA Approves First Treatment for Pediatric Lupus

MONDAY, April 29, 2019 (HealthDay News) -- The first treatment has been approved for children with systemic lupus erythematosus (SLE), the U.S. Food and Drug Administration announced Friday.

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Hundreds Quarantined for Measles at Two Los Angeles Universities

FRIDAY, April 26, 2019 (HealthDay News) -- Quarantine orders have been issued to more than 200 students and employees at the University of California, Los Angeles, and California State-Los Angeles because they may have been exposed to measles.

The New York Times Article
UCLA Statement

CDC: First Confirmed ID of 'Kissing Bug' in Delaware

FRIDAY, April 26, 2019 (HealthDay News) -- The first confirmed identification of the bloodsucking "kissing bug" in Delaware involves one that bit a girl on the face last summer, the U.S. Centers for Disease Control and Prevention says.

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Swapping Red Meat for Plant-Based Proteins May Cut CVD Risk

FRIDAY, April 26, 2019 (HealthDay News) -- Substituting red meat with high-quality plant protein sources, but not with fish or low-quality carbohydrates, leads to greater improvements in blood lipids and lipoproteins, according to a review published online April 9 in Circulation.

Abstract/Full Text

Children With ADHD May Have Higher Risk for Poor Diet

FRIDAY, April 26, 2019 (HealthDay News) -- Children with more attention-deficit/hyperactivity disorder (ADHD) symptoms may be at higher risk for an unhealthy diet, but diet quality does not appear to affect ADHD risk, according to a study published in the April issue of The Journal of Nutrition.

Abstract/Full Text

Dapagliflozin Improves Glucose Outcomes in Type 1 Diabetes

FRIDAY, April 26, 2019 (HealthDay News) -- In patients with type 1 diabetes, treatment with dapagliflozin for 24 weeks improves time in range, mean glucose, and glycemic variability, according to a study published online April 9 in Diabetes Care.

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

CKD Risk Lower for Those Following Healthy Plant-Based Diet

FRIDAY, April 26, 2019 (HealthDay News) -- Greater adherence to healthy plant-based diets and a vegetarian diet is associated with a lower risk for chronic kidney disease (CKD), according to a study published online April 25 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text
Editorial

Improvement Needed in Doctor-Patient Lung Cancer Screening Discussions

FRIDAY, April 26, 2019 (HealthDay News) -- Among individuals across the spectrum of lung cancer risk, efforts are needed to improve physician-patient discussion about lung cancer screening, according to a study published online April 25 in Cancer Epidemiology, Biomarkers & Prevention.

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

Peanut Oral Immunotherapy May Up Allergic Reaction Risk

FRIDAY, April 26, 2019 (HealthDay News) -- Current peanut oral immunotherapy approaches are associated with increased risk and frequency of allergic reactions, including anaphylaxis, according to a review published online April 25 in The Lancet.

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

Gender Differences Seen in Adverse Drug Reactions

FRIDAY, April 26, 2019 (HealthDay News) -- The risk for adverse drug reactions (ADRs) may be higher for women, even when accounting for gender differences in drug use, according to a study published online April 2 in the British Journal of Clinical Pharmacology.

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

Minor Birth Defects Up in Progeny of Female Gulf War Veterans

THURSDAY, April 25, 2019 (HealthDay News) -- The odds of having a child with a minor birth defect are about five times higher for women veterans deployed during the Gulf War (DV) versus nondeployed women veterans (NDV), according to a study published in the April issue of the Journal of Occupational and Environmental Medicine.

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

CDC: Drinking Alcohol Not Uncommon Among Pregnant Women

THURSDAY, April 25, 2019 (HealthDay News) -- Approximately one in nine pregnant women report drinking alcohol in the past 30 days, and among those, about one-third report binge drinking, according to research published in the April 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

WHO: No More Than One Hour of Screen Time a Day for Young Children

THURSDAY, April 25, 2019 (HealthDay News) -- Screen time for children younger than 5 should be limited to one hour a day, and those younger than 1 year should get no screen time at all, new World Health Organization guidelines say.

More Information: WHO
More Information: AAP

CDC: Number of U.S. Measles Cases Reaches New High

THURSDAY, April 25, 2019 (HealthDay News) -- The number of reported measles cases this year has reached 695, the highest number of reported cases since measles was declared eliminated in the United States in 2000, the U.S. Centers for Disease Control and Prevention announced yesterday.

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Eating Breakfast Tied to Lower Risk for Death From CVD

THURSDAY, April 25, 2019 (HealthDay News) -- Skipping breakfast is significantly associated with an increased risk for death from heart disease, according to a study published in the April 30 issue of the Journal of the American College of Cardiology.

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

Peanut Oral Immunotherapy Appears Safe for Preschool-Age Children

THURSDAY, April 25, 2019 (HealthDay News) -- Preschool peanut oral immunotherapy (P-OIT) is safe in a real-world setting, although life-threatening reactions can occur in a minority of patients, according to a study published online April 17 in the Journal of Allergy and Clinical Immunology: In Practice.

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

U.S. Death Rate From Drug Poisoning Up for Teens, Young Adults

THURSDAY, April 25, 2019 (HealthDay News) -- For adolescents and young adults, the death rate from drug poisoning increased from 2006 to 2015, according to a study published online April 24 in the Journal of Studies on Alcohol and Drugs.

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

CDC Provides Clarification of Opioid Prescribing Guideline

WEDNESDAY, April 24, 2019 (HealthDay News) -- Implementation of the U.S. Centers for Disease Control and Prevention opioid prescribing recommendations should be consistent with the guideline's intent, according to a perspective piece published online April 24 in the New England Journal of Medicine.

Abstract/Full Text

New York City Measles Cases Increase to 390

WEDNESDAY, April 24, 2019 (HealthDay News) -- The number of measles cases in New York City has risen to 390, the health department said Wednesday.

New York City Department of Health and Mental Hygiene
More Information: CDC

Many Seniors Will Be Unable to Afford Care They Need by 2029

WEDNESDAY, April 24, 2019 (HealthDay News) -- The number of middle-income seniors is projected to almost double by 2029, and many will have inadequate financial resources to afford the level of care they need, according to a report published online April 24 in Health Affairs.

Abstract/Full Text
Perspective 1 (subscription or payment may be required)
Perspective 2 (subscription or payment may be required)

Some Children With Asthma Miss Critical Step in Inhaler Use

WEDNESDAY, April 24, 2019 (HealthDay News) -- Many children with asthma, especially older children using a spacer with mouthpiece, miss a critical step in inhaler technique, according to a study published online April 8 in the Journal of Hospital Medicine.

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

AAP Updates Guidance for Care in Neurofibromatosis Type 1

WEDNESDAY, April 24, 2019 (HealthDay News) -- Guidance has been updated for the health supervision of children with neurofibromatosis type 1 (NF1), according to a clinical report from the American Academy of Pediatrics published online April 22 in Pediatrics.

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Sleeping Pill Use Tied to Greater Need for BP Meds in Older Adults

WEDNESDAY, April 24, 2019 (HealthDay News) -- Consumption of sleeping pills is linked to a subsequent increase in the number of antihypertensive drugs taken among older adults, according to a study published online March 25 in Geriatrics & Gerontology International.

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Risk-Based Screening Improves Cardiovascular Disease Prevention

WEDNESDAY, April 24, 2019 (HealthDay News) -- Cardiovascular risk screening intervals based on risk category-specific progression rates would perform better and improve cost-effectiveness compared with established five-year screening intervals, according to a study published in the April issue of The Lancet Public Health.

Abstract/Full Text
Editorial

USPSTF Urges Asymptomatic Bacteriuria Screen in Pregnancy

TUESDAY, April 23, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening pregnant women for asymptomatic bacteriuria (ASB) but not nonpregnant women or men. These recommendations form the basis of a draft recommendation statement published online April 23 by the USPSTF.

Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement

Malawi First Country to Immunize Children Against Malaria

TUESDAY, April 23, 2019 (HealthDay News) -- Malawi has become the first country to start immunizing children against malaria, the World Health Organization says.

AP News Article

Los Angeles County Measles Outbreak Under Investigation

TUESDAY, April 23, 2019 (HealthDay News) -- A measles outbreak is being investigated by the Los Angeles County Department of Health.

The Los Angeles County Department of Public Health
More Information: CDC

Prevalence of TV, Video Watching High, Stable 2001 to 2016 in U.S.

TUESDAY, April 23, 2019 (HealthDay News) -- From 2001 to 2016, the estimated prevalence of watching television or videos for at least two hours/day remained high and stable, while the prevalence of computer use increased, according to a study published in the April 23/30 issue of the Journal of the American Medical Association.

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

Individualized Medical-Nutrition Therapy Important in Diabetes

TUESDAY, April 23, 2019 (HealthDay News) -- Diabetes-focused medical nutrition therapy (MNT) is fundamental to overall diabetes management and should be adapted as needed throughout life, according to a consensus report published in the May issue of Diabetes Care.

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Video Games Appear Not to Harm Boys' Social Development

TUESDAY, April 23, 2019 (HealthDay News) -- Playing video games is generally not harmful to boys' social development, though it may be associated with less social competence in girls, according to a study published online April 23 in Child Development.

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

Risk Model Developed for Readmission After AMI in Seniors

TUESDAY, April 23, 2019 (HealthDay News) -- A risk model has been developed and validated for hospital readmission within 30 days after acute myocardial infarction (AMI) in older patients and has demonstrated moderate performance, according to a study published online April 23 in Circulation: Cardiovascular Quality and Outcomes.

Abstract/Full Text
Editorial

Water Intake Affects Caloric Intake From Sugary Drinks

TUESDAY, April 23, 2019 (HealthDay News) -- Children who do not drink water have a higher intake of calories from sugar-sweetened beverages (SSBs), according to a study published online April 22 in JAMA Pediatrics.

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

Risks, Benefits of Long-Term Drug Therapy for Osteoporosis Reviewed

TUESDAY, April 23, 2019 (HealthDay News) -- Long-term osteoporosis drug therapy (ODT) reduces fracture risk in women but may increase risk for rare adverse events, and research gaps surround use of long-term drug therapies for osteoporotic fracture prevention, according to a review and position paper published online April 23 in the Annals of Internal Medicine.

Abstract/Full Text - Review (subscription or payment may be required)
Abstract/Full Text - Position Paper (subscription or payment may be required)
Editorial (subscription or payment may be required)

Preterm Birth Linked to Periconception HbA1c in T1DM

MONDAY, April 22, 2019 (HealthDay News) -- For women with type 1 diabetes (T1D), the risk for preterm birth is strongly associated with periconceptional hemoglobin A1c (HbA1c) level, according to a study published online April 22 in the Annals of Internal Medicine.

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

Metformin May Help Obese With Prediabetes Maintain Weight Loss

MONDAY, April 22, 2019 (HealthDay News) -- Metformin is associated with long-term weight loss (LTWL), according to the results of the Diabetes Prevention Program Outcomes Study (DPPOS) published online April 23 in the Annals of Internal Medicine.

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

Moderate/Vigorous Exercise Attenuates Risks of Sitting

MONDAY, April 22, 2019 (HealthDay News) -- Moderate-to-vigorous physical activity (MVPA) equivalent to meeting current recommendations attenuates the association of sitting with all-cause and cardiovascular disease (CVD) mortality, according to a study published online April 22 in the Journal of the American College of Cardiology.

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

CDC: United States Set to Break Measles Cases Record

MONDAY, April 22, 2019 (HealthDay News) -- Just a few months into the year, the United States is set to break an annual record for the number of measles cases.

More Information: CDC
NYC Department of Health and Mental Hygiene

Diminished HRQOL More Likely Among Transgender Adults

MONDAY, April 22, 2019 (HealthDay News) -- Transgender adults are more likely to report diminished health-related quality of life (HRQOL), according to a research letter published online April 22 in JAMA Internal Medicine.

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

FDA Approves Marketing of First Device to Treat ADHD

MONDAY, April 22, 2019 (HealthDay News) -- Marketing has been approved for the first medical device to treat attention-deficit/hyperactivity disorder (ADHD), the U.S. Food and Drug Administration announced Friday.

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Cardiometabolic Risk Better ID'd in Children Reclassified to Higher BP

MONDAY, April 22, 2019 (HealthDay News) -- Children reclassified to higher blood pressure categories based on 2017 pediatric hypertension definitions are at increased risk for developing adverse cardiometabolic outcomes, according to a study published online April 22 in Hypertension.

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

Suffocation Deaths in Infants Most Often Due to Soft Bedding

MONDAY, April 22, 2019 (HealthDay News) -- Cases of sudden unexpected infant death classified as suffocation are most often attributed to soft bedding, according to a study published online April 22 in Pediatrics.

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

High Resting Heart Rate Linked to Increased Cardiac Risk in Men

MONDAY, April 22, 2019 (HealthDay News) -- High resting heart rate (RHR) is associated with an increased risk for death and cardiovascular events in men, according to a study published online April 15 in Open Heart.

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

Measures May Predict Metabolic Syndrome in Older Adults

MONDAY, April 22, 2019 (HealthDay News) -- Three simple measurements may predict metabolic syndrome (MetS) in older patients, according to a study recently published in Metabolic Syndrome and Related Disorders.

Abstract/Full Text

Financial Incentives Do Not Boost Use of At-Home CRC Screening Tests

MONDAY, April 22, 2019 (HealthDay News) -- Financial incentives do not increase response rates among patients mailed at-home colorectal cancer screening tests, according to a study published online March 22 in JAMA Network Open.

Abstract/Full Text
Editorial

Increased Screen Time in Preschool Tied to Worse Inattention

FRIDAY, April 19, 2019 (HealthDay News) -- Increased screen time in preschool is associated with increased odds of clinically significant externalizing problems and clinically significant inattention problems, according to a study published online April 17 in PLOS ONE.

Abstract/Full Text

Elevated Blood Lead Levels Prevalent Among Refugee Children

FRIDAY, April 19, 2019 (HealthDay News) -- Almost 20 percent of refugee children have elevated blood lead levels (EBLLs), according to a study published online April 15 in Pediatrics.

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

Acetaminophen Safe as First-Line Analgesic for Most Older Adults

FRIDAY, April 19, 2019 (HealthDay News) -- Despite a potential increased risk for stroke in patients with diabetes, acetaminophen is a safe first-line analgesic for most older adults living in nursing homes, according to a study published online March 26 in the Journal of the American Geriatrics Society.

Abstract/Full Text

Loan Forgiveness, Educational Debt May Affect Practice Patterns

FRIDAY, April 19, 2019 (HealthDay News) -- Increased educational debt appears to directly influence physician practice choice, according to a study published in the April issue of the Journal of the American Osteopathic Association.

Abstract/Full Text

National Hand Hygiene Initiative Successful in Australia

FRIDAY, April 19, 2019 (HealthDay News) -- The National Hand Hygiene Initiative (NHHI) has successfully sustained improvement in hand hygiene compliance, according to a study recently published in The Lancet Infectious Diseases and presented at the European Congress of Clinical Microbiology & Infectious Diseases, held from April 13 to 16 in Amsterdam.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
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CDC: Recent Decline Seen in High-Grade Cervical Lesions

THURSDAY, April 18, 2019 (HealthDay News) -- The number of cervical precancers (CIN2+ cases) in the United States declined from 2008 to 2016, likely in part because of prevention with the human papillomavirus (HPV) vaccine, according to research published in the April 19 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Sixty People Charged in Massive Opioid Painkiller Investigation

THURSDAY, April 18, 2019 (HealthDay News) -- Fifty-three medical professionals, including 31 doctors, are among the 60 people charged by U.S. authorities for their alleged involvement in the illegal prescribing and distribution of opioid painkillers.

AP News Article

Sensory Sensitivity Tied to Constipation in Young Children

THURSDAY, April 18, 2019 (HealthDay News) -- Children with chronic constipation have underlying sensory characteristics that contribute to toileting behavioral difficulties, according to a study published online April 18 in The Journal of Pediatrics.

Abstract/Full Text

Late-Pregnancy US Could Prevent Undiagnosed Breech Presentation

THURSDAY, April 18, 2019 (HealthDay News) -- Universal ultrasound at 36 gestational weeks could virtually eliminate undiagnosed breech presentation in nulliparous women, according to a study published online April 16 in PLOS Medicine.

Abstract/Full Text

UB-421 Monotherapy Maintains HIV Viral Suppression

THURSDAY, April 18, 2019 (HealthDay News) -- Monotherapy with UB-421 antibody, which blocks the HIV virus-binding site on human CD4+ T-cells, maintains viral suppression for up to 16 weeks in HIV-infected persons undergoing analytic treatment interruption, according to a study published in the April 18 issue of the New England Journal of Medicine.

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

Perinatal Complications Tied to Childhood Social Anxiety

THURSDAY, April 18, 2019 (HealthDay News) -- Perinatal complications are associated with behavioral inhibition and social anxiety in children, according to a study published online March 19 in Infant and Child Development.

Abstract/Full Text

Infections May Up Risk for Developing Sjögren Syndrome

THURSDAY, April 18, 2019 (HealthDay News) -- Individuals with a history of infection have double the risk for developing Sjögren syndrome, according to a study published online March 20 in the Journal of Internal Medicine.

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

Most Diabetes Phone Apps Lack Education, Support Functions

WEDNESDAY, April 17, 2019 (HealthDay News) -- Most diabetes apps miss opportunities to improve care and health outcomes by not providing real-time decision support or situation-specific education on blood glucose self-management, according to a research letter published in the April 16 issue of the Journal of the American Medical Association.

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

More Than Half of Internal Medicine Graduates Choosing Primary Care

WEDNESDAY, April 17, 2019 (HealthDay News) -- More than half of internal medicine graduates in 2016 and 2017 pursued a career in primary care, according to a study published online April 8 in the Journal of General Internal Medicine.

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

CDC: Raw Tuna Linked to Salmonella Outbreak in Seven States

WEDNESDAY, April 17, 2019 (HealthDay News) -- A Salmonella outbreak linked to frozen, raw ground tuna from Jensen Tuna has sickened 13 people in seven states, the U.S. Centers for Disease Control and Prevention says. The illnesses began between Jan. 8 and March 20 of this year. Two people have been hospitalized. No deaths have been reported.

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Abnormal Romberg Test Predicts Prolonged Concussion in Children

WEDNESDAY, April 17, 2019 (HealthDay News) -- Abnormal performance on the Romberg test is independently associated with longer duration of symptoms among children and adolescents evaluated within 10 days after concussion, according to a study published online April 16 in the Journal of Neurosurgery: Pediatrics.

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iADL Dependency May Up Mortality in Hematologic Cancers

WEDNESDAY, April 17, 2019 (HealthDay News) -- For older adults with hematologic malignancies, instrumental activities of daily living (iADL) dependency is associated with increased mortality and acute care utilization, according to a study published online April 4 in the Journal of the American Geriatrics Society.

Abstract/Full Text

One in Three U.S. Adults Aged 35 to 44 May Have Drinking Problem

WEDNESDAY, April 17, 2019 (HealthDay News) -- Adults in their mid-30s to 40s are drinking too much too often, according to survey results released by the American Osteopathic Association.

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Sleep Myths Are Commonly Circulated

WEDNESDAY, April 17, 2019 (HealthDay News) -- Commonly held sleep myths have a questionable evidence base, according to a study published online April 16 in Sleep Health.

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Stroke Hospitalizations Down in Black, White Medicare Enrollees

WEDNESDAY, April 17, 2019 (HealthDay News) -- Rates of hospitalization for stroke have fallen since 1988 for both black and white Medicare enrollees, while black men and women have had greater improvements in 30-day mortality after stroke, according to a study published in the April issue of Medical Care.

Abstract/Full Text

Parenteral Antimicrobial Tx at Home Burdens Children's Caregivers

WEDNESDAY, April 17, 2019 (HealthDay News) -- The overall burden of outpatient parenteral antimicrobial therapy (OPAT) is substantially higher than that of oral therapy for caregivers of children on prolonged antimicrobial therapy after hospital discharge, according to a study published in the April issue of Hospital Pediatrics.

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USPSTF: Evidence Lacking for Elevated Lead Level Screening

TUESDAY, April 16, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force has determined that the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic young children and pregnant women cannot be ascertained. This finding forms the basis of an updated final recommendation statement published in the April 16 issue of the Journal of the American Medical Association.

Recommendation Statement
Evidence Report
Editorial 1 (subscription or payment may be required)
Editorial 2 (subscription or payment may be required)

Mixed Effects Observed for Workplace Wellness Program

TUESDAY, April 16, 2019 (HealthDay News) -- A workplace wellness program improves certain self-reported health behaviors but does not impact clinical measures of health or health care spending, according to a study published in the April 16 issue of the Journal of the American Medical Association.

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

Intensive BP Lowering May Up Cognitive Decline in Elderly

TUESDAY, April 16, 2019 (HealthDay News) -- Older adults (aged ≥75 years) undergoing antihypertensive treatment with systolic blood pressure (SBP) >150 mm Hg have less cognitive decline than those with SBP <130 mm Hg, according to a study published in the March/April issue of the Annals of Family Medicine.

Abstract/Full Text

Barriers to Opioid Use Disorder Treatment Should Be Addressed

TUESDAY, April 16, 2019 (HealthDay News) -- Barriers to accessing treatment for opioid use disorder (OUD) need to be addressed to help curb the epidemic, according to a report published by the National Academies of Sciences, Engineering, and Medicine.

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Trigeminal Nerve Stimulation Beats Sham Tx for Peds ADHD

TUESDAY, April 16, 2019 (HealthDay News) -- Trigeminal nerve stimulation (TNS) showed efficacy when compared with a similar sham procedure for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children, according to a double-blind, controlled pilot study published in the April issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

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

Cognitive Behavioral Therapy Effective for Prenatal Insomnia

TUESDAY, April 16, 2019 (HealthDay News) -- Cognitive behavioral therapy is an effective nonpharmacologic treatment for insomnia during pregnancy, according to a study published online April 5 in Obstetrics & Gynecology.

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

Replacing 30 Minutes of Sitting With Activity May Cut Mortality

TUESDAY, April 16, 2019 (HealthDay News) -- Replacing half an hour of daily sitting time with even light physical activity is associated with a reduction in mortality risk among less active adults, according to a study published online March 21 in the American Journal of Preventive Medicine.

Abstract/Full Text

Over Half of Patients Have Suboptimal Response to Statins

TUESDAY, April 16, 2019 (HealthDay News) -- More than half of patients initiating statin therapy have a suboptimal low-density lipoprotein cholesterol (LDL-C) response within 24 months, according to a study published online April 15 in Heart.

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

CDC: 555 Confirmed Measles Cases in U.S. Since Jan. 1

MONDAY, April 15, 2019 (HealthDay News) -- The 555 confirmed cases of measles reported in 20 states between Jan. 1 and April 11 this year represent the second highest number of measles cases reported in the United States since measles was eliminated in the nation in 2000, the U.S. Centers for Disease Control and Prevention says.

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WHO: Congo Ebola Outbreak Still Not a Global Emergency

MONDAY, April 15, 2019 (HealthDay News) -- The ongoing Ebola outbreak in Congo is of "deep concern" but does not yet qualify as a global emergency, the World Health Organization says.

AP News Article

Terminally Ill People in New Jersey Given Right to End Lives

MONDAY, April 15, 2019 (HealthDay News) -- Terminally ill adults in New Jersey will soon be allowed to seek medical help to end their lives.

CNN Article

Standardizing Demographics Ups Accuracy of Patient Matching

MONDAY, April 15, 2019 (HealthDay News) -- Standardizing demographic data can improve the accuracy of patient matching, according to a study published in the May issue of the Journal of the American Medical Informatics Association.

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New Scale Helps Identify More Serious Cases of Mononucleosis

MONDAY, April 15, 2019 (HealthDay News) -- A new scale for rating the severity of mononucleosis can identify patients at risk for more serious cases, including those who might develop chronic fatigue syndrome following infectious mononucleosis, according to a study recently published in The Journal of Pediatrics.

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Telehealth Video Visits Risk Fragmenting Care

MONDAY, April 15, 2019 (HealthDay News) -- Although telehealth video visits offer users greater convenience, they risk fragmenting care without greater coordination with usual care providers, according to a study recently published in the Journal of the American Medical Informatics Association.

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AEDs Tied to Higher Pneumonia Risk in Alzheimer Patients

MONDAY, April 15, 2019 (HealthDay News) -- Antiepileptic drug (AED) use may increase the risk for pneumonia in patients with Alzheimer disease (AD), according to a study recently published in the Journal of Alzheimer's Disease.

Abstract/Full Text

Gestational Diabetes Linked to Incident Diabetes in Offspring

MONDAY, April 15, 2019 (HealthDay News) -- Gestational diabetes mellitus is associated with incident diabetes in offspring throughout childhood and adolescence, according to a study published online April 15 in CMAJ, the journal of the Canadian Medical Association.

Abstract/Full Text

Metformin May Cut Risk for Prematurity, Miscarriage in PCOS

MONDAY, April 15, 2019 (HealthDay News) -- In pregnant women with polycystic ovary syndrome (PCOS), metformin treatment from the late first trimester until delivery might reduce the risk for late miscarriage and preterm birth but does not prevent gestational diabetes, according to a study published in the April issue of The Lancet Diabetes & Endocrinology.

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Editorial (subscription or payment may be required)

Added Sugar Labeling Could Reduce CVD, Diabetes Cases

MONDAY, April 15, 2019 (HealthDay News) -- The U.S. Food and Drug Administration policy on added sugar labeling could be a cost-effective way of improving health, according to a study published online April 15 in Circulation.

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Normalizing BP in Elderly With Hypertension May Up Mortality

MONDAY, April 15, 2019 (HealthDay News) -- Normalized blood pressure (BP) is associated with an increased risk for all-cause mortality for older adults during hypertension treatment, with increased risk seen in octogenarians and those with previous cardiovascular events, according to a study recently published in the European Heart Journal.

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Daily Dose of Nature Cuts Stress Hormone Levels

FRIDAY, April 12, 2019 (HealthDay News) -- Taking at least 20 minutes per day to leisurely walk or sit in a place that makes you feel in contact with nature can significantly lower stress hormone levels, according to a study published online April 4 in Frontiers in Psychology.

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ACR Issues Position Statements on Drug Pricing, Step Therapy

FRIDAY, April 12, 2019 (HealthDay News) -- Two position statements developed in relation to drug pricing and step therapy have been issued by the American College of Rheumatology (ACR).

Position Statement - Drug Pricing
Position Statement - Step Therapy

Foreign Body Ingestions Increasingly Common in Young Children

FRIDAY, April 12, 2019 (HealthDay News) -- Foreign-body ingestions (FBIs) are common in children aged younger than 6 years and have increased over time, according to a study published online April 12 in Pediatrics.

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Colchicine May Improve Obesity-Induced Inflammation

FRIDAY, April 12, 2019 (HealthDay News) -- Colchicine is safe and effective at improving obesity-associated inflammatory measures among adults with obesity and metabolic syndrome (MetS) without diabetes, according to a pilot study published online March 14 in Diabetes, Obesity and Metabolism.

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Pruritus Prevalent and Disruptive in Nondialysis Chronic Kidney Disease

FRIDAY, April 12, 2019 (HealthDay News) -- Almost one in four patients with nondialysis chronic kidney disease (CKD) has moderate-to-extreme pruritus, which is associated with poorer quality of life, according to a study published online April 11 in the Clinical Journal of the American Society of Nephrology.

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In Pregnancy, Buprenorphine Use Up, Methadone Use Down

FRIDAY, April 12, 2019 (HealthDay News) -- From 2009 to 2015, the prevalence of methadone use decreased and buprenorphine use increased among Medicaid-enrolled pregnant women with opioid use disorder, and the 4Ps Plus and Substance Use Risk Profile-Pregnancy (SURP-P) scale are sensitive for identifying illicit drug use, according to two studies published online April 5 in Obstetrics & Gynecology.

Abstract/Full Text (subscription or payment may be required) - Krans
Abstract/Full Text (subscription or payment may be required) - Coleman-Cowger

Prevalence of Extragenital STDs High in Men Who Have Sex With Men

FRIDAY, April 12, 2019 (HealthDay News) -- Extragenital (rectal and pharyngeal) chlamydia and gonorrhea are prevalent among men who have sex with men (MSM), according to research published in the April 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

CDC: Prevalence of Autism at Age 4 Years Increasing

THURSDAY, April 11, 2019 (HealthDay News) -- The prevalence of autism spectrum disorder (ASD) among children aged 4 years increased from 2010 to 2014, according to research published in the April 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

CDC: Superbug Fungus Has Sickened 600 Americans

THURSDAY, April 11, 2019 (HealthDay News) -- The United States has had more than 600 cases of infection with a type of fungus called a "serious global health threat" by the U.S. Centers for Disease Control and Prevention.

ABC News Article
More Information: CDC

Older Adults With Hearing Loss Have Lower Patient Activation

THURSDAY, April 11, 2019 (HealthDay News) -- Nearly half of older adults report difficulty hearing, and those reporting difficulty are at risk for low patient activation, according to a study published online April 2 in the Journal of the American Geriatrics Society.

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Stress-Related Disorders Associated With Increased CVD Risk

THURSDAY, April 11, 2019 (HealthDay News) -- Stress-related disorders are associated with cardiovascular disease, according to a study published online April 10 in The BMJ.

Abstract/Full Text
Editorial

Four Million New Peds Asthma Cases Attributed to NO2 Annually

THURSDAY, April 11, 2019 (HealthDay News) -- An estimated 4.0 million new pediatric asthma cases could be attributed to ambient nitrogen dioxide (NO2) pollution annually, according to a study published online April 10 in The Lancet Planetary Health.

Abstract/Full Text
Editorial

Very Low LDL-C, Triglycerides Tied to Hemorrhagic Stroke Risk in Women

THURSDAY, April 11, 2019 (HealthDay News) -- Women with very low low-density lipoprotein cholesterol (LDL-C) or low triglycerides have an increased risk for hemorrhagic stroke, according to a study published online April 10 in Neurology.

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Inflammatory Arthritis Linked to Sexual Dysfunction

THURSDAY, April 11, 2019 (HealthDay News) -- Sexual dysfunction appears to be highly prevalent in both men


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