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Category: Internal Medicine | Monthly Briefing

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August 2019 Briefing - Internal Medicine

Last Updated: September 03, 2019.

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine 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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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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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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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

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

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

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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Family Dissatisfaction Greater When Intensive End-of-Life CKD Care Utilized

FRIDAY, Aug. 30, 2019 (HealthDay News) -- More intensive patterns of end-of-life care are associated with lower family ratings of quality of care among patients with advanced chronic kidney disease (CKD), according to a study published online Aug. 29 in the Clinical Journal of the American Society of Nephrology.

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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
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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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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
More Information: FDA

Hormone Tx Not Tied to Change in Muscle Mass in Older Women

THURSDAY, Aug. 29, 2019 (HealthDay News) -- Hormone therapy (HT) does not significantly impact muscle mass in postmenopausal women, according to a review published online Aug. 28 in JAMA Network Open.

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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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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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Low Nurse and Support Staffing Tied to Higher Inpatient Mortality

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- Low levels of nurse and nursing support staffing are associated with increased inpatient mortality, according to a study published online Aug. 7 in BMJ Quality & Safety.

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Concussion Symptom History Tied to Low Testosterone Levels

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- There is an association between the number of concussion symptoms at the time of injury and the odds of reporting indicators of low testosterone level and erectile dysfunction among former football players, according to a study published online Aug. 26 in JAMA Neurology.

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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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Treatment Guidelines Updated for Ankylosing Spondylitis, Axial SpA

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- In a special article published online Aug. 21 in Arthritis Care & Research, the American College of Rheumatology, Spondylitis Association of America, and Spondyloarthritis Research and Treatment Network present updated recommendations for the treatment of ankylosing spondylitis (AS) and nonradiographic axial spondyloarthritis (SpA).

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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)

DEA to Approve Dozens More Growers for Marijuana Research

TUESDAY, Aug. 27, 2019 (HealthDay News) -- The number of marijuana growers allowed to produce the drug for U.S. government-approved research will be expanded from one to 34, officials say.

AP News Article

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

Survival Poor for Elderly Admitted to Long-Term Acute Care Setting

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Hospitalized older adults transferred to a long-term acute care (LTAC) hospital have poor survival, with more than one-third never returning home, according to a study published online Aug. 26 in the Journal of the American Geriatrics Society.

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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.

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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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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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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

Guidelines Developed for Reducing Suicide in Veterans

MONDAY, Aug. 26, 2019 (HealthDay News) -- In clinical guidelines published online Aug. 27 in the Annals of Internal Medicine, recommendations are presented related to screening, treatment, and management strategies for reducing suicide among veterans.

Systematic Review
Synopsis of the Clinical Guidelines
Editorial (subscription or payment may be required)

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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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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Rates of Palliative Care Rising for Inpatients With ESKD on Dialysis

MONDAY, Aug. 26, 2019 (HealthDay News) -- There was an increase in provision of palliative care for patients hospitalized between 2006 and 2014 with end-stage kidney disease (ESKD) requiring dialysis, but rates were lower for black and Hispanic patients, according to a study published online Aug. 6 in the Journal of the American Society of Nephrology.

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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.

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Editorial

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.

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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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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

Poor HIV Control Ups Risk for Sudden Cardiac Death in Heart Failure

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Persons living with HIV (PHIV) who are hospitalized with heart failure are at an increased risk for subsequent sudden cardiac death (SCD), according to a study published online Aug. 7 in JACC: Heart Failure.

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Editorial (subscription or payment may be required)

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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Radiologists Performing More Paracenteses, Thoracenteses

FRIDAY, Aug. 23, 2019 (HealthDay News) -- The proportion of paracentesis and thoracentesis procedures performed by radiologists is continuing to increase, according to a study published online Aug. 14 in the Journal of Vascular and Interventional Radiology.

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Prurigo Nodularis Associated With Mental Health Disorders

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Prurigo nodularis (PN) is associated with mental health disorders, systemic illnesses, and HIV infection, according to a study published online Aug. 15 in the Journal of Investigative Dermatology.

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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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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.

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Editorial
Patient Voice

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.

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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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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.

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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

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

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

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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Intensifying BP Meds at Hospital Discharge May Harm Elderly

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Increasing blood pressure medications at hospital discharge for elderly patients hospitalized with noncardiac conditions does not improve long-term outcomes and is tied to short-term harms, according to a study published online Aug. 19 in JAMA Internal 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.

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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.

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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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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

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)

Oral Antibiotic Use Linked to Risk for Colorectal Cancer

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Oral antibiotic use is associated with an increased risk for colon cancer and a reduced risk for rectal cancer, according to a study published online Aug. 20 in Gut.

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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.

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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

Private Rooms Help Sustain Lower Rates of Some Nosocomial Colonization

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- A hospital's move to entirely single-patient rooms was associated with reductions in multidrug-resistant organism colonization, according to a study published online Aug. 19 in JAMA Internal Medicine.

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

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

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.

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Editor's Note

Virtual Reality Program Reduces Pain in Hospitalized Patients

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- A virtual reality (VR) program reduces pain in hospitalized patients compared with a television program control, according to a study published online Aug. 14 in PLOS ONE.

Abstract/Full Text

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.

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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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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

Exposure to Pollution May Up Risk for Psychiatric Disorders

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Environmental pollution appears to be associated with an increased risk for psychiatric disorders, especially bipolar disorder and major depression, according to a report published online Aug. 20 in PLOS Biology.

Abstract/Full Text
Editorial

USPSTF Recommends Genetic Counseling for High BRCA Risk

TUESDAY, Aug. 20, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that women who are at increased risk for BRCA1/2 mutations should undergo genetic counseling, and if indicated, genetic testing. These recommendations form the basis of a final recommendation statement published in the Aug. 20 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)
Editorial 3 (subscription or payment may be required)
Editorial 4 (subscription or payment may be required)

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.

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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

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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Use of Opioids + Cannabis Tied to Poorer Mental Health

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Adults who take prescription opioids for severe chronic pain are more likely to have increased anxiety, depression, and substance abuse issues if they also use cannabis, according to a study published in the July/August issue of the Journal of Addiction Medicine.

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Association for Diabetes, Stroke Risk Varies by Age, Race, Sex

TUESDAY, Aug. 20, 2019 (HealthDay News) -- The magnitude of the association of diabetes with stroke risk varies by age, race, and sex, according to a study published online Aug. 7 in Diabetes Care.

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Lipophilic Statins May Cut Liver Cancer in Chronic Viral Hepatitis

TUESDAY, Aug. 20, 2019 (HealthDay News) -- Lipophilic statin use is associated with significantly reduced hepatocellular carcinoma (HCC) incidence and mortality in adults with chronic viral hepatitis, according to a study published online Aug. 20 in the Annals of Internal Medicine.

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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.

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AHA: Prescription Omega-3 Fatty Acids Effectively Lower Triglycerides

MONDAY, Aug. 19, 2019 (HealthDay News) -- After any underlying causes are addressed and diet and lifestyle strategies are implemented, prescription omega-3 fatty acids (n-3 FAs), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) or EPA only, at a dose of 4 g/day are effective for lowering triglycerides as monotherapy or in combination with other agents, according to an American Heart Association science advisory published online Aug. 19 in Circulation.

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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

Genetic Liability to Insomnia Linked to Increased Odds of CVDs

MONDAY, Aug. 19, 2019 (HealthDay News) -- Genetic liability to insomnia is associated with increased odds of major cardiovascular diseases, according to a research letter published online Aug. 19 in Circulation.

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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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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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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

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.

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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.

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Air Pollutants Tied to Significant Worsening of Emphysema

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Long-term exposure to ambient air pollutants, especially ozone (O3), is significantly associated with worsening emphysema, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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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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SAVED Score Can Predict Risk for VTE in Multiple Myeloma

FRIDAY, Aug. 16, 2019 (HealthDay News) -- For patients with multiple myeloma (MM) receiving immunomodulatory drugs (IMiDs), a risk assessment model, SAVED, can predict the risk for venous thromboembolism (VTE), according to a study published in the July issue of the Journal of the National Comprehensive Cancer Network.

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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

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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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.

More Information

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

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.

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One in Seven Internal Medicine Residents Report Being Bullied

THURSDAY, Aug. 15, 2019 (HealthDay News) -- One in seven internal medicine residents report being bullied since starting residency training, according to a research letter published in the Aug. 13 issue of the Journal of the American Medical Association.

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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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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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Editorial (subscription or payment may be required)

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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Editorial (subscription or payment may be required)

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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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

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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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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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.

Abstract/Full Text
Editorial

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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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
Evidence Review - Interventions
Draft Recommendation Statement

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