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August 2019 Briefing - Family Practice

Last Updated: September 03, 2019.

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

Interest in Marijuana, Cannabinoids for Pain Rising Rapidly

FRIDAY, Aug. 30, 2019 (HealthDay News) -- There is rapidly growing interest in the use of marijuana and cannabinoids for pain, according to a survey commissioned by the American Society of Anesthesiologists (ASA).

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CDC Boosts Efforts to Fight Congo Ebola Outbreak

FRIDAY, Aug. 30, 2019 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has stepped up its efforts to help fight the Ebola outbreak in the Democratic Republic of the Congo (DRC).

More Information: CDC
CBS News Article

Massachusetts Communities at 'Critical Risk' for Mosquito-Borne Virus

FRIDAY, Aug. 30, 2019 (HealthDay News) -- There is a "critical risk" for a dangerous mosquito-transmitted virus in 28 Massachusetts communities, the state health department warns.

CNN Article
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As Lung Injury Cases Rise, CDC Advises 'Do Not Vape'

FRIDAY, Aug. 30, 2019 (HealthDay News) -- The number of people who have developed a severe form of lung disease potentially tied to vaping has now risen to 215 cases across 25 states, and federal health officials are recommending that Americans not use electronic cigarettes.

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CDC: Mumps Outbreak Reported in Migrant Detention Facilities

FRIDAY, Aug. 30, 2019 (HealthDay News) -- There have been confirmed and probable mumps cases reported among adult migrants detained in facilities, according to research published in the Aug. 30 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Racial Disparities Persist in Breastfeeding in U.S. Infants

FRIDAY, Aug. 30, 2019 (HealthDay News) -- Disparities in breastfeeding between black and white infants partly result from disparities in breastfeeding initiation, according to research published in the Aug. 30 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Cerebrovascular Risk Factors May Up Risk for Parkinson Disease

FRIDAY, Aug. 30, 2019 (HealthDay News) -- Most cerebrovascular risk factors are associated with an increased risk for subsequent diagnosis of Parkinson disease, according to a study published online Aug. 29 in the Annals of Neurology.

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Type and Timing of Menopausal HRT Affect Risk for Breast Cancer

FRIDAY, Aug. 30, 2019 (HealthDay News) -- Use of menopausal hormone therapy (MHT) is associated with an increased incidence of breast cancer, according to a study published online Aug. 29 in The Lancet.

Abstract/Full Text
Editorial

FDA: Risk From Tainted Blood Pressure Drugs Very Low

THURSDAY, Aug. 29, 2019 (HealthDay News) -- The health risk from contamination of widely used generic blood pressure medications, angiotensin II receptor blockers, is very low, according to the U.S. Food and Drug Administration.

AP News Article
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CDC: January to July 2018 Saw Decrease in Opioid Deaths

THURSDAY, Aug. 29, 2019 (HealthDay News) -- Opioid deaths decreased during January to July 2018, while deaths from illicitly manufactured fentanyl (IMF) increased during the same period, according to research published in the Aug. 30 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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WHO: 'Dramatic Resurgence' of Measles Occurring in Europe

THURSDAY, Aug. 29, 2019 (HealthDay News) -- Vaccine refusals have contributed to a "dramatic resurgence" of measles in Europe, the World Health Organization says.

AP News Article
More Information: WHO

U.S. Surgeon General Warns of Marijuana's Effect on Developing Brain

THURSDAY, Aug. 29, 2019 (HealthDay News) -- Marijuana use is risky for young people and pregnant women, a U.S. Surgeon General health advisory warns.

ABC News Article
Office of the Surgeon General

Elder Abuse Most Commonly Perpetrated by Family Members

THURSDAY, Aug. 29, 2019 (HealthDay News) -- Elder abuse is most commonly committed by family members, according to a study published online July 31 in the Journal of Applied Gerontology.

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1984 to 2016 Saw Increase in Age of Death for HIV-Infected

THURSDAY, Aug. 29, 2019 (HealthDay News) -- The mean age at death increased for patients with HIV infection from 1984 to 2016, according to a study published online Aug. 28 in the Archives of Pathology & Laboratory Medicine.

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Low Micronutrient Levels Tied to Frailty in Older Adults

THURSDAY, Aug. 29, 2019 (HealthDay News) -- Low levels of certain micronutrients are associated with measures of prefrailty and frailty in older adults, according to a study published online Aug. 7 in the Journal of Post-Acute and Long-Term Care Medicine.

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Cancer Survivors Face Long-Term Cardiovascular Risk

THURSDAY, Aug. 29, 2019 (HealthDay News) -- Cancer survivors face an increase in the long-term risk for cardiovascular disease, according to a study published online Aug. 20 in The Lancet.

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Guidelines Updated for Vaccination in Multiple Sclerosis

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- Guidelines have been updated on vaccinations in patients with multiple sclerosis (MS); a practice guideline update summary was published online Aug. 28 in Neurology.

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More Youth Being Exposed to Secondhand Aerosol From E-Cigs

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- The proportion of youth exposed to secondhand aerosol (SHA) from electronic cigarettes increased in 2018, according to a study published online Aug. 28 in JAMA Network Open.

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Millions of Contigo Kids Cleanable Water Bottles Recalled

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- About 5.7 million Contigo Kids Cleanable Water Bottles have been recalled in the United States because the clear silicone spout can detach and pose a choking hazard to children, the U.S. Consumer Product Safety Commission (CPSC) says.

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Vaccine-Related Searches on Pinterest Will Show Only Public Health Organizations

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- From now on, vaccine-related searches on Pinterest will only produce results from public health organizations.

CNN Article

Central Obesity Tied to CAD in Postmenopausal Chest Pain

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- For postmenopausal women with stable chest pain, central obesity, but not overall obesity, is associated with obstructive coronary artery disease (CAD), according to a study published online Aug. 28 in Menopause.

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Long-Term Night-Shift Work May Up Risk for Multiple Sclerosis

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- A history of 20+ years of rotating night-shift work is associated with an increased risk for definite diagnosis of multiple sclerosis (MS), according to a study published online Aug. 12 in Occupational & Environmental Medicine.

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LV Hypertrophy Predicts Long-Term Risk for CV Events

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Elevated left ventricular (LV) mass is associated with an increased long-term risk for cardiovascular (CV) events, according to a study published online Aug. 27 in Radiology.

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

Decline in Mortality Rates for Cardiometabolic Disease Slowing

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Age-adjusted mortality rates (AAMRs) for cardiometabolic diseases are continuing to decline but at a slower rate, according to a research letter published online Aug. 27 in the Journal of the American Medical Association.

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USPSTF Advises Broader Age Range for Hep C Screening

TUESDAY, Aug. 27, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force recommends hepatitis C virus (HCV) infection screening for individuals aged 18 to 79 years. These recommendations form the basis of a draft recommendation statement published online Aug. 27 by the USPSTF.

Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendations

Polyunsaturated Fatty Acids Have Little, No Impact on Diabetes

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Polyunsaturated fatty acids (PUFA) have little to no effect on the prevention or treatment of type 2 diabetes mellitus, according to a review published online Aug. 21 in The BMJ.

Abstract/Full Text

Prenatal Exposure to OMT Does Not Worsen Neonatal Outcomes

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Exposure to opioid maintenance treatment (OMT) in the womb does not seem to cause additional harm to newborns, according to a study published online Aug. 14 in Pharmacology Research & Perspectives.

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Psoriasis Independently Linked to Increased Mortality Risk

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Psoriasis is significantly associated with an increased mortality risk, according to a study published online Aug. 12 in the Journal of the American Academy of Dermatology.

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CT Scan Screen for Lung Cancer Can ID Smoking-Related Diseases

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Lung cancer screening (LCS) computed tomography (CT) scans can be used to identify smoking-related conditions that frequently are associated with adverse events, according to a study published in the July issue of Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation.

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Few Oncologists Suggest Health Promotion to Cancer Survivors

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Few oncologists and specialists recommend health promotion to cancer survivors, according to a study published online Aug. 26 in Cancer.

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Tourist With Measles Visited Southern California Attractions

MONDAY, Aug. 26, 2019 (HealthDay News) -- People who were at Disneyland and other Southern California tourist attractions earlier this month may have been exposed to measles by a tourist from New Zealand, say health officials from Los Angeles and Orange counties.

AP News Article

ACIP Recommendations Updated for 2019-20 U.S. Flu Season

MONDAY, Aug. 26, 2019 (HealthDay News) -- The recommendations of the Advisory Committee on Immunization Practices (ACIP) relating to the use of seasonal influenza vaccines in the United States have been updated for 2019 to 2020; the updated recommendations have been published in the Aug. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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PostRx Antimicrobial Stewardship Feasible in Community Hospitals

MONDAY, Aug. 26, 2019 (HealthDay News) -- Postprescription audit and review (PPR) is a feasible and effective strategy for antimicrobial stewardship in community hospitals, according to a study published online Aug. 16 in JAMA Network Open.

Abstract/Full Text
Editorial

Most Teen Cannabis Users Have Used Cannabis Concentrate

MONDAY, Aug. 26, 2019 (HealthDay News) -- Nearly three-quarters of all adolescent cannabis users report use of cannabis concentrates, which are plant extracts that contain high concentrations of Δ-9-tetrahydrocannbinol (THC), according to a study published online Aug. 26 in Pediatrics.

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Editorial (subscription or payment may be required)

In-Store E-Cigarette Marketing Influences Use in Young People

MONDAY, Aug. 26, 2019 (HealthDay News) -- Recall of electronic nicotine delivery systems (ENDS) marketing at retail stores is associated with increased subsequent ENDS initiation among youth and young adults, according to a study published online Aug. 26 in Pediatrics.

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Liraglutide Ups Risk for Gallbladder, Biliary Tract Events

MONDAY, Aug. 26, 2019 (HealthDay News) -- There is an increased risk for gallbladder- or biliary tract-related events among patients with type 2 diabetes taking liraglutide versus placebo, according to a study published online Aug. 9 in Diabetes Care.

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Risk for Cardiovascular Disease Greater for Childhood Cancer Survivors

MONDAY, Aug. 26, 2019 (HealthDay News) -- Survivors of childhood cancer have an increased risk for all subtypes of cardiovascular disease (CVD), according to a research letter published online Aug. 26 in Circulation.

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Aerobic Exercise Programs Benefit Stroke Survivors

MONDAY, Aug. 26, 2019 (HealthDay News) -- Group-based aerobic exercise programs, like cardiac rehabilitation, provide benefits to stroke survivors, according to a review published online Aug. 14 in the Journal of the American Heart Association.

Abstract/Full Text

Peds Mortality Down for Presentation at ED With Higher Readiness

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Presentation to hospitals with an emergency department with high levels of readiness to care for pediatric emergencies is associated with reduced mortality, according to a study published online Aug. 23 in Pediatrics.

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Editorial (subscription or payment may be required)

Patient Confidentiality Rule Changes Aim to Fight U.S. Opioid Crisis

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Patient confidentiality rule changes meant to help fight the opioid crisis in the United States have been proposed by the federal government.

AP News Article

Most HPV-Linked Cancers Due to Types Targeted by 9vHPV Vaccine

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Ninety-two percent of human papillomavirus (HPV)-related cancers are attributable to HPV types targeted by the 9-valent HPV vaccine (9vHPV), according to research published in the Aug. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Weight Loss Feasible Regardless of Psychiatric Meds Use

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Participants in a weight loss intervention can lose weight regardless of psychiatric medication use, according to a study published online Aug. 23 in Obesity.

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Prevalence of Celiac Disease High in First-Degree Relatives

FRIDAY, Aug. 23, 2019 (HealthDay News) -- The prevalence of celiac disease is higher among screened first-degree relatives (FDRs) of patients with celiac disease, according to a study published online Aug. 22 in the Mayo Clinic Proceedings.

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As-Needed Inhaler Use an Option for Children With Mild Asthma

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Children with mild asthma can use inhalers as needed, according to a study published online July 30 in the Journal of Allergy and Clinical Immunology: In Practice.

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Low-Cost, Fixed-Dose Polypill Reduces Risk for Major CV Events

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Use of a four-component polypill can effectively reduce the risk for major cardiovascular events, according to a study published in the Aug. 24 issue of The Lancet.

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Editorial (subscription or payment may be required)

Hospitalizations With Psych Diagnosis Common in ESKD

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Hospitalizations with psychiatric diagnoses are common in pediatric and adult patients with end-stage kidney disease (ESKD) and are associated with increased mortality, according to a study published online Aug. 22 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text
Editorial
Patient Voice

Reduction in PTSD Symptoms Linked to Decrease in T2DM

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Clinically meaningful reductions in posttraumatic stress disorder (PTSD) symptoms are associated with a decrease in the risk for type 2 diabetes, according to a study published online Aug. 21 in JAMA Psychiatry.

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Antibiotic Use Tied to Higher Risk for Rheumatoid Arthritis

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Antibiotic prescriptions are associated with a higher risk for rheumatoid arthritis (RA), according to a study published online Aug. 7 in BMC Medicine.

Abstract/Full Text

Multidrug-Resistant Salmonella Outbreak Characterized

THURSDAY, Aug. 22, 2019 (HealthDay News) -- A recent multidrug-resistant (MDR) Salmonella enterica serotype Newport outbreak, affecting patients in 32 states, was associated with soft cheese and beef consumption, according to a report published in the Aug. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Coverage With HPV Vaccine Continuing to Increase in Boys

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Coverage with the human papillomavirus (HPV) vaccine increased among boys from 2017 to 2018, according to research published in the Aug. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Opioid Addiction Treatment Used More in States That Expanded Medicaid

THURSDAY, Aug. 22, 2019 (HealthDay News) -- The use of the opioid addiction medication buprenorphine is much higher in states that expanded Medicaid under the Affordable Care Act than in those that did not expand the program, according to a new report from the Urban Institute, a nonprofit research group.

The New York Times Article
Urban Institute Report

WHO: Microplastics in Drinking Water Not a Health Risk

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Levels of microplastics in drinking water do not appear to be a health risk, according to the World Health Organization. However, the U.N. health agency also noted that more research is needed into how microplastics may impact human health and the environment, the Associated Press reported.

AP News Article

More Physical Activity at Any Intensity May Reduce Mortality

THURSDAY, Aug. 22, 2019 (HealthDay News) -- For middle-aged and older adults, more physical activity at any intensity and less sedentary time are associated with a reduced risk for premature mortality, according to a review published online Aug. 21 in The BMJ.

Abstract/Full Text
Editorial

Some Cities in Texas Susceptible to Measles Outbreaks

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Some cities in Texas are susceptible to measles outbreaks, according to a study published online Aug. 21 in JAMA Network Open.

Abstract/Full Text

Tuberculosis Rates for U.S. Children Are Low and Declining

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Overall tuberculosis rates are low among children and adolescents and are declining steadily, according to a study published online Aug. 21 in The Lancet Public Health.

Abstract/Full Text
Editorial

Many Providers Fail to Discuss Sun-Safe Behaviors With Patients

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Less than half of health care providers discuss sun-safe behaviors with patients, according to a study published in the September issue of Preventive Medicine.

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Risk Factors ID'd for Worse QOL From Knee Osteoarthritis

THURSDAY, Aug. 22, 2019 (HealthDay News) -- It may be possible to identify persons at risk for suffering a worsening in health-related quality of life (HRQoL) due to knee osteoarthritis (OA), according to a study published online July 19 in PLOS ONE.

Abstract/Full Text

Type 2 Diabetes Associated With Poorer Outcomes in Heart Failure

THURSDAY, Aug. 22, 2019 (HealthDay News) -- For patients with heart failure, type 2 diabetes is associated with structural changes in the heart, poorer quality of life, and increased mortality, according to a study published online Aug. 21 in the Journal of the American Heart Association.

Abstract/Full Text

Type 2 Diabetes Risk Up With Inflammatory Bowel Disease

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Patients with inflammatory bowel disease (IBD) have an increased risk for type 2 diabetes, according to a study published online Aug. 5 in Clinical Gastroenterology and Hepatology.

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Type 2 Diabetes May Impact Sleep in Middle-Aged Women

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Middle-aged women with type 2 diabetes mellitus (T2DM) have more sleep disturbances than women without diabetes, even when accounting for menopause and other health issues, according to a study published online Aug. 12 in Menopause.

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Serelaxin Does Not Lower CV Death in Acute Heart Failure

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- An infusion of serelaxin does not result in a lower incidence of death from cardiovascular causes or worsening of heart failure among patients hospitalized for acute heart failure, according to a study published in the Aug. 22 issue of the New England Journal of Medicine.

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

Short-Term Exposure to PM10 and PM2.5 Affects Mortality

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Short-term exposure to inhalable particulate matter (PM) with an aerodynamic diameter of 10 µm or less (PM10) and fine PM (PM2.5) is positively associated with daily all-cause, cardiovascular, and respiratory mortality in more than 600 cities, according to a study published in the Aug. 22 issue of the New England Journal of Medicine.

Abstract/Full Text
Editorial

Taking Buprenorphine for Opioid Use Disorder May Up Other Med Compliance

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Using buprenorphine to treat opioid use disorder (OUD) may increase adherence to treatments for other chronic conditions, according to a study published in the September issue of Medical Care.

Abstract/Full Text

Women With Diabetes More Likely Than Men to Not Take Meds as Prescribed

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Women with diagnosed diabetes are more likely than men to not take their medications as prescribed, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Abstract/Full Text

High, Increasing BP in Midlife Tied to Brain Changes in Late Life

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- There appears to be a correlation for high and increasing blood pressure (BP) from early adulthood and into midlife with white matter hyperintensity volume (WMHV) and smaller brain volumes at age 69 to 71 years, according to a study published online Aug. 21 in The Lancet Neurology.

Abstract/Full Text
Editorial

Quitting Smoking Linked to Lower CVD Risk Within Five Years

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Quitting smoking is associated with reduced rates of incident cardiovascular disease (CVD) within five years compared with current smoking, although the risks remain elevated after five years compared with never smoking, according to a study published in the Aug. 20 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editor's Note

Depression, Substance Use Increasing in Former Smokers

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Among former smokers, the prevalence of depression and substance use has increased over time, according to a study published online Aug. 20 in the American Journal of Preventive Medicine.

Abstract/Full Text

Family History of Diabetes Tied to Higher BMD in Normoglycemia

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Postmenopausal women with normoglycemia with a first-degree family history of diabetes (FHD) have elevated bone mineral density (BMD), according to a study published online Aug. 19 in Menopause.

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Planned Parenthood Withdraws From Federal Family Planning Program

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Planned Parenthood is withdrawing from the U.S. government's family planning program.

AP News Article

Some Pregnant Women Exposed to Common MRI Contrast Agent

TUESDAY, Aug. 20, 2019 (HealthDay News) -- A small but "concerning" number of pregnant women are exposed to a commonly used magnetic resonance imaging (MRI) contrast agent, often early in the pregnancy and likely before they are aware of the pregnancy, according to a study published Aug. 20 in Radiology.

Abstract/Full Text

Certain Dietary Supplements Tied to Dysphagia, Choking in Seniors

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Most reports of swallowing problems caused by dietary supplements involve seniors taking multivitamins or calcium supplements, according to a research letter published online Aug. 20 in the Annals of Internal Medicine.

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Childhood-Onset IBD Ups Risk for Psychiatric Morbidity

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Childhood-onset inflammatory bowel disease (IBD) is associated with an increased risk for psychiatric morbidity, including suicide attempt, according to a study published online Aug. 19 in JAMA Pediatrics.

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

Most U.K. Patients With UTI Receive Antibiotics on Same Day

TUESDAY, Aug. 20, 2019 (HealthDay News) -- More than 85 percent of patients with urinary tract infection (UTI) receive antibiotics the same day and more than half are treated with trimethoprim, according to a study published online Aug. 12 in EClinicalMedicine.

Abstract/Full Text

Minority, Low-Income Individuals Less Likely to Receive Oral Cancer Screening

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Despite a recent dental visit, more individuals of a minority race/ethnicity and low socioeconomic status report not receiving an oral cancer screening exam, according to a study published online Aug. 20 in the American Journal of Preventive Medicine.

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

Factors ID'd in Pregnancy Chances After Kidney Transplant

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Rates of pregnancy following kidney transplant have remained steady, but Hispanic women are more likely to become pregnant in the three years following transplant than white women, according to a study published online Aug. 9 in PLOS ONE.

Abstract/Full Text

Extreme Risk Protection Orders May Help in Averting Shootings

MONDAY, Aug. 19, 2019 (HealthDay News) -- The urgent individualized interventions to reduce firearm access, such as extreme risk protection orders (ERPOs), which provide a response when risk for imminent firearm violence is considered to be high, may play a role in preventing mass shootings, according to research published online Aug. 20 in the Annals of Internal Medicine.

Abstract/Full Text

Parents Divided on Primary Care Policies for Unvaccinated Patients

MONDAY, Aug. 19, 2019 (HealthDay News) -- Three in 10 parents say that their child's primary care office should ask parents who refuse all vaccines to find another health care provider, according to an Aug. 19 Mott Poll Report.

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VA Mental Health Initiative Linked to Improved Access to Care

MONDAY, Aug. 19, 2019 (HealthDay News) -- Adding mental health specialists, care managers, or both to primary care clinics for veterans results in more visits for both mental health and primary care but also increases the average yearly cost per patient, according to a report published online Aug. 9 in Health Affairs.

Abstract/Full Text

BP Outside of Clinic May Better Predict Outcomes in Black Patients

MONDAY, Aug. 19, 2019 (HealthDay News) -- Among African-Americans, higher daytime and nighttime systolic blood pressure (SBP) is associated with an increased risk for cardiovascular disease (CVD) events and all-cause mortality independent of blood pressure (BP) levels measured in the clinic, according to a study published online Aug. 14 in JAMA Cardiology.

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Hypoglycemia Up With Intensive Glucose-Lowering Therapy

MONDAY, Aug. 19, 2019 (HealthDay News) -- Intensive glucose-lowering therapy is prevalent among U.S. adults with diabetes and results in hospitalizations and emergency department visits for hypoglycemia, according to a study published online Aug. 15 in the Mayo Clinic Proceedings.

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Alcohol Consumption in Pregnancy Ups Miscarriage Risk

MONDAY, Aug. 19, 2019 (HealthDay News) -- Alcohol consumption during pregnancy is associated with a dose-dependent increase in miscarriage risk, according to a review published in the August issue of Alcoholism: Clinical & Experimental Research.

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Parent-Targeted Intervention Can Up Communication With Teens

MONDAY, Aug. 19, 2019 (HealthDay News) -- A parent-targeted intervention can increase adolescent-reported frequency of parent-adolescent communication (PAC) about sexual and alcohol use behaviors, according to a study published online Aug. 16 in JAMA Network Open.

Abstract/Full Text

Pediatric Cannabis Exposure Up After Medical Legalization

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Following medical marijuana legalization (MML) in Massachusetts in 2012, there was an increase in pediatric cannabis exposure, according to a study published online Aug. 16 in JAMA Network Open.

Abstract/Full Text

Cases of Severe Lung Injury After Vaping Reported in Three States

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Four cases of severe lung injury possibly linked with vaping in Minnesota are similar to dozens of cases in Wisconsin and Illinois. The patients had symptoms such as shortness of breath, fever, cough, vomiting, diarrhea, headache, dizziness, and chest pain, and some were hospitalized for "multiple weeks, with some patients being admitted to the intensive care unit," according to a Minnesota Department of Health statement, CNN reported.

CNN Article
Minnesota Department of Health

Recommendations Developed for Management of Lyme Disease

FRIDAY, Aug. 16, 2019 (HealthDay News) -- The Infectious Diseases Society of America, the American Academy of Neurology, and the American College of Rheumatology have released a draft of their joint clinical practice guidelines for the management of Lyme disease.

Draft Guidelines
Draft Supplemental Materials
Comment on Guidelines

Up to Half of Patients Do Not Disclose Imminent Threats to Physicians

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Up to 47.5 percent of patients withhold potentially life-threatening issues from their physicians, including depression, suicidal feelings, domestic violence, and sexual assault, according to a study published online Aug. 14 in JAMA Network Open.

Abstract/Full Text

Mental Health Burden Increased for Gender-Minority College Students

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Gender-minority (GM) students have an increased likelihood of having mental health problems compared with cisgender students, according to a study published online Aug. 16 in the American Journal of Preventive Medicine.

Abstract/Full Text

More U.K. Pharmacies Giving Patients Pill Organizers

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Pharmacies in the United Kingdom are giving out twice as many pill organizers as they were 10 years ago, according to a study published online July 27 in Research in Social and Administrative Pharmacy.

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Intensive BP Therapy Not Beneficial in Nursing Home Residents

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Long-term nursing home residents with hypertension do not experience significant benefits from more intensive antihypertensive treatment, according to a study published online July 22 in the Journal of the American Geriatrics Society.

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Diabetes Education, Support Cuts Hypoglycemia Risk

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Diabetes self-management education and support can cut hypoglycemia risk, according to a review published in the August issue of The Diabetes Educator.

Abstract/Full Text

Advertising Can Promote Interest in Health-Related Research

THURSDAY, Aug. 15, 2019 (HealthDay News) -- Advertising current local health-related research using large TV monitors in emergency department waiting rooms can increase the short-term interest in health-related research, according to a study published online Aug. 1 in BMJ Open.

Abstract/Full Text

FDA Proposes Graphic Warning Labels on Cigarettes

THURSDAY, Aug. 15, 2019 (HealthDay News) -- Smokers would have to get past some gruesome imagery to purchase a pack of cigarettes under a new rule proposed Thursday by the U.S. Food and Drug Administration.

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ACIP Recommends Catch-Up HPV Vaccines Through Age 26

THURSDAY, Aug. 15, 2019 (HealthDay News) -- Catch-up human papillomavirus (HPV) vaccinations are recommended for all persons through age 26 years and should be considered for some persons aged 27 to 45 years, according to research published in the Aug. 16 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Vaping Industry Group Sues to Delay FDA Review of E-Cigarettes

THURSDAY, Aug. 15, 2019 (HealthDay News) -- A vaping industry group has launched legal action to delay the U.S. Food and Drug Administration's upcoming review of electronic cigarettes.

AP News Article

Nonpersistence, Low Adherence to BP Meds Common in Under 65s

THURSDAY, Aug. 15, 2019 (HealthDay News) -- Nonpersistence and low adherence are common among younger adults initiating antihypertensive medications and have not improved over time, according to a study published in the July issue of Hypertension.

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CDC: Over One-Third of U.S. Youth Exposed to Secondhand Smoke

THURSDAY, Aug. 15, 2019 (HealthDay News) -- More than one-third of U.S. nonsmoking youth are exposed to secondhand smoke (SHS) from tobacco, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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2005-2016 Saw No Improvement in Diabetes Care Cascade

THURDAY, Aug. 15, 2019 (HealthDay News) -- From 2005 to 2016, there was no improvement in the diabetes care cascade, according to a study published online Aug. 12 in JAMA Internal Medicine.

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Burden of Obesity-Associated Cancers Shifted to Younger Age Groups

THURSDAY, Aug. 15, 2019 (HealthDay News) -- From 2000 to 2016, there was a shift of the obesity-associated cancer (OAC) burden to younger age groups, according to a study published online Aug. 14 in JAMA Network Open.

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Antipsychotic Rx Patterns in Children With ADHD Concerning

THURSDAY, Aug. 15, 2019 (HealthDay News) -- Although the number of young people with attention-deficit/hyperactivity disorder (ADHD) who are treated with antipsychotic drugs is low, many antipsychotic prescriptions do not appear to be clinically warranted, according to a study published online July 26 in JAMA Network Open.

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Model Predicts Hypoglycemia Risk in Adults With Diabetes

THURSDAY, Aug. 15, 2019 (HealthDay News) -- In a study published online Aug. 1 in Current Medical Research and Opinion, a predictive model is presented for hypoglycemia that combines nearly all known and readily assessed risk factors for hypoglycemia such as infection, non-long-acting insulin, and dementia.

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Evidence Supports Meds Used for Pain Relief in Pediatric Migraine

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- Evidence-based therapies are available for the acute symptomatic treatment of migraine in children and adolescents, but evidence is lacking for the impact of many treatments for migraine prevention, according to two updated guidelines published online Aug. 14 in Neurology.

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Israeli Flight Attendant Dies of Measles

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- An Israeli flight attendant and mother of three who contracted measles earlier this year died on Tuesday.

CNN Article

Gluten Intake, Celiac Disease Linked in Genetically Predisposed

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- For children at increased risk, increased gluten intake during the first five years of life is associated with an elevated incidence of celiac disease autoimmunity and celiac disease, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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Internet Self-Referrals Aid in Diagnosis of Rare Inherited Kidney Disease

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- A considerable proportion of families diagnosed at an autosomal dominant tubulointerstitial kidney disease specialist center are the result of direct family referral from the internet, according to a study published online July 24 in Genetics in Medicine.

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CDC: Prescription Drug Use Similar in United States, Canada

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- Use of prescription drugs is similar in the United States and Canada, with almost 70 percent of adults aged 40 to 79 years using at least one prescription drug, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Antiarrhythmic Drugs May Up Fall Injuries in Older A-Fib Patients

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- Use of antiarrhythmic drugs (AADs) is associated with a higher risk for fall-related injuries and syncope among older patients with atrial fibrillation (AF), according to a study published online July 24 in the Journal of the American Geriatrics Society.

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Low Muscle Mass in the Arms, Legs Tied to Mortality in Elderly

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- Low muscle mass is associated with all-cause and cardiovascular mortality risk in the elderly, according to a study published in the July issue of the Journal of Bone and Mineral Research.

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Impulsivity Lower When Children Meet Sleep, Screen Time Guides

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- Children who meet sleep and screen time recommendations have lower levels of impulsivity, according to a study published online Aug. 14 in Pediatrics.

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Adult Weight Gain Likely Explains Link Between Parity, T2DM Risk

WEDNESDAY, Aug. 14, 2019 (HealthDay News) -- The seeming association between parity and risk for type 2 diabetes among postmenopausal women is likely explained by adult weight gain, according to a study published online Aug. 7 in Obstetrics & Gynecology.

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USPSTF Recommends Screening Adults for Illicit Drug Use

TUESDAY, Aug. 13, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening for illicit drug use in adults, but the evidence is inadequate to ascertain the balance of benefits and harms of screening in adolescents. These findings form the basis of a draft recommendation statement published online Aug. 13 by the USPSTF.

Evidence Review - Screening
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Draft Recommendation Statement
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Non-Hospital-Based Provider-to-Patient Telehealth Use Growing

TUESDAY, Aug. 13, 2019 (HealthDay News) -- Use of non-hospital-based provider-to-patient telehealth grew almost 1,400-fold from 2014 to 2018, according to a FAIR Health White Paper.

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BP From Midlife to Late Life Tied to Risk for Subsequent Dementia

TUESDAY, Aug. 13, 2019 (HealthDay News) -- The risk for subsequent dementia is significantly increased for blood pressure patterns of midlife and late-life hypertension as well as midlife hypertension and late-life hypotension; and intensive blood pressure treatment is associated with a smaller increase in cerebral white matter lesion volume, according to two studies published in the Aug. 13 issue of the Journal of the American Medical Association.

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'Miracle Mineral Solution' Is No Miracle Cure, FDA Warns

TUESDAY, Aug. 13, 2019 (HealthDay News) -- Miracle Mineral Solution, which is sold online as a medical treatment, can cause serious and potentially life-threatening health problems and should not be bought or used by consumers, the U.S. Food and Drug Administration says.

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Doctors Say New Drugs 'Cured' Two Ebola Patients

TUESDAY, Aug. 13, 2019 (HealthDay News) -- New drugs cured two Ebola patients in Congo, showing that people can recover from the highly lethal disease if it is diagnosed and treated early, doctors say.

AP News Article

General, Abdominal Adiposity Linked to Mortality in Mexicans

TUESDAY, Aug. 13, 2019 (HealthDay News) -- General and abdominal adiposity are associated with mortality in a population of Mex


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