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Category: Internal Medicine | Monthly Briefing

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September 2019 Briefing - Internal Medicine

Last Updated: October 01, 2019.

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

Panel Votes Yes to Current Level of Red, Processed Meat Intake

MONDAY, Sept. 30, 2019 (HealthDay News) -- An international panel suggests that adults continue their current levels of consumption of red or processed meat based on evidence from five systematic reviews published online Oct. 1 in the Annals of Internal Medicine.

Clinical Guideline
Review 1
Review 2
Review 3
Review 4
Review 5
Editorial

Washington State Bans Sale of Flavored Electronic Cigarettes

MONDAY, Sept. 30, 2019 (HealthDay News) -- Washington has become the fourth state to ban flavored vaping products, joining Michigan, New York, and Rhode Island, CBS News reports.

CBS News Article

CDC Says People Can Contract Tuberculosis From Deer

MONDAY, Sept. 30, 2019 (HealthDay News) -- According to the U.S. Centers for Disease Control and Prevention, humans can contract a rare type of tuberculosis, called bovine tuberculosis, from deer.

CNN Article
More Information: CDC

CVS Halts Sales of OTC Zantac

MONDAY, Sept. 30, 2019 (HealthDay News) -- CVS is the latest drugstore chain to stop selling over-the-counter Zantac (ranitidine), as well as the store's own generic version of the heartburn medicine, because of contamination with a known carcinogen.

AP News Article

Rivaroxaban Cuts Recurrent Blood Clots in Obese Patients

MONDAY, Sept. 30, 2019 (HealthDay News) -- Real-world evidence shows that rivaroxaban reduces the risk for recurrent venous thromboembolism (VTE) in morbidly obese patients, with similar safety and efficacy as warfarin, according to a study published in the October issue of Thrombosis Research.

Abstract/Full Text

Crude Incidence of Candidemia 8.7 Per 100,000 in 2012 to 2016

MONDAY, Sept. 30, 2019 (HealthDay News) -- The crude incidence of candidemia was 8.7 per 100,000 population across four states in 2012 to 2016, according to a surveillance summary published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Heart Disease May Up Risk for Allopurinol-Linked Cutaneous AEs

MONDAY, Sept. 30, 2019 (HealthDay News) -- Heart disease is associated with an increased risk for hospital admission for allopurinol-associated severe cutaneous adverse reactions, according to a study published online Sept. 25 in CMAJ, the journal of the Canadian Medical Association.

Abstract/Full Text

Low Cancer Suspicion Tied to Delay in CRC Referral in Primary Care

MONDAY, Sept. 30, 2019 (HealthDay News) -- Delay in referral for colorectal cancer (CRC) in primary care is associated with low cancer suspicion, according to a study published in the September/October issue of Annals of Family Medicine.

Abstract/Full Text
Editorial

Childhood Secondhand Smoke Tied to Later Atrial Fibrillation

MONDAY, Sept. 30, 2019 (HealthDay News) -- Childhood secondhand smoke exposure predicts an increased risk for adulthood atrial fibrillation (AF) after adjusting for other risk factors, according to a study published in the Oct. 1 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)

Most Severe Forms of Mental Illness Lead to Highest CVD Risk

MONDAY, Sept. 30, 2019 (HealthDay News) -- Multiple mental illnesses are associated with an increased risk for cardiovascular disease (CVD) outcomes in veterans, with psychosis having the largest effect sizes, according to a study published online Sept. 24 in Circulation: Cardiovascular Quality and Outcomes.

Abstract/Full Text

Eight Touchpoints May Predict Opioid Overdoses

FRIDAY, Sept. 27, 2019 (HealthDay News) -- Eight candidate touchpoints are associated with increased risk of fatal opioid overdose, according to a study published in the Nov. 1 issue of Drug and Alcohol Dependence.

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

Cases of Legionnaires' Disease Tied to NC State Fair Rise to 25

FRIDAY, Sept. 27, 2019 (HealthDay News) -- The number of cases of Legionnaires' disease tied to the North Carolina Mountain State fair has risen to 25, with one death, according to the state division of public health.

CNN Article
More Information: CDC

CDC: THC May Be to Blame for Most Vaping-Related Illnesses

FRIDAY, Sept. 27, 2019 (HealthDay News) -- Products containing the marijuana chemical tetrahydrocannabinol (THC) appear to be a main driver behind the hundreds of U.S. cases of serious respiratory illness related to vaping, health officials announced Friday.

More Information

ASCO: More Than One in Five Millennials Use E-Cigarettes

FRIDAY, Sept. 27, 2019 (HealthDay News) -- One in eight U.S. adults report using electronic cigarettes regularly, according to the American Society of Clinical Oncology's 2019 Cancer Opinions Survey.

More Information

Psoriasis Tied to High BMI, Low Meat Intake in Japanese Study

FRIDAY, Sept. 27, 2019 (HealthDay News) -- Psoriasis is associated with high body mass index (BMI) and low intake of meat, according to a Japanese study published in the September issue of the Journal of Dermatology.

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

Infectious Disease Consultation May Lower Candida Mortality

FRIDAY, Sept. 27, 2019 (HealthDay News) -- Mortality is lower for patients with candida bloodstream infection receiving an infectious disease consultation, according to a study published online Sept. 24 in The Lancet Infectious Diseases.

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

Recommendations Developed for Evaluating Chronic Diarrhea

FRIDAY, Sept. 27, 2019 (HealthDay News) -- In new American Gastroenterological Association (AGA) clinical practice guidelines, published in the September issue of Gastroenterology, recommendations are presented for laboratory evaluation of chronic watery diarrhea.

Abstract/Full Text

DPP4 Inhibitors Do Not Up Risk of Inflammatory Bowel Disease

FRIDAY, Sept. 27, 2019 (HealthDay News) -- Short-term use of a dipeptidyl peptidase 4 inhibitor (DPP4i) for the treatment of diabetes does not increase the risk of inflammatory bowel disease (IBD), according to a study published online Aug. 30 in Diabetes Care.

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

Mental Health Service Use Up After Bariatric Surgery

FRIDAY, Sept. 27, 2019 (HealthDay News) -- There is an increase in mental health service presentations after bariatric surgery, according to a study published online Sept. 25 in JAMA Psychiatry.

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

Average Annual Premium for Workers Increased in 2019

THURSDAY, Sept. 26, 2019 (HealthDay News) -- In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.

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

Many Systemic Lupus Erythematosus Patients Use Opioids

THURSDAY, Sept. 26, 2019 (HealthDay News) -- Patients with systemic lupus erythematosus (SLE) are more likely to use opioids than persons without SLE, and most SLE patients who use opioids do so for more than one year, according to research published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

More Than 800 Cases of Vaping-Linked Illness Reported in 46 States

THURSDAY, Sept. 26, 2019 (HealthDay News) -- The number of confirmed or suspected severe lung illnesses linked to vaping has now climbed to 805 cases across 46 states and the Virgin Islands, U.S. health officials reported Thursday.

More Information

Prostate Cancer Risk Higher in Men Receiving Fertility Treatment

THURSDAY, Sept. 26, 2019 (HealthDay News) -- Men fathering children through assisted reproduction techniques rather than natural conception have an increased risk for prostate cancer, including early-onset disease, according to a study published online Sept. 25 in The BMJ.

Abstract/Full Text

Primary Care Use Aids Patients With Diabetes and Coexisting Psych Disorders

THURSDAY, Sept. 26, 2019 (HealthDay News) -- For patients with mental health (MH) or substance use (SU) disorders with newly diagnosed diabetes, primary care engagement may offer moderate health benefits, according to a study published online Sept. 25 in JAMA Network Open.

Abstract/Full Text

Oral Health Symptoms in Seniors Associated With Cognitive Decline

THURSDAY, Sept. 26, 2019 (HealthDay News) -- Among U.S. Chinese older adults, oral (teeth and gums) health symptoms are associated with a decline in cognitive function, according to a study published online Aug. 12 in the Journal of the American Geriatrics Society.

Abstract/Full Text

Step-Up Strategy May Differ in Black Children With Asthma

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- In contrast to findings in black adolescents and adults, almost half of black children with poorly controlled asthma have a superior response to an increased dose of an inhaled glucocorticoid and almost half have a superior response to the addition of a long-acting beta-agonist (LABA), according to a study published in the Sept. 26 issue of the New England Journal of Medicine.

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ACOG Updates Guidance on OTC Contraception Access

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- In a Committee Opinion published in the October issue of Obstetrics and Gynecology, the American College of Obstetricians and Gynecologists (ACOG) presents recommendations for expanding over-the-counter access to hormonal contraception.

Abstract/Full Text

E-Cigarette Maker Juul Stops All Advertising, Replaces CEO

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- Amid a national outbreak of vaping-linked illnesses and deaths, vape device maker Juul Labs said Wednesday it is stopping all print, digital, and television advertising, and its CEO, Kevin Burns, is stepping down.

AP News Article

Incidence of Hodgkin Lymphoma Up in Least Deprived Areas

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- Individuals living in the most affluent areas of the United Kingdom seem to have an increased incidence of Hodgkin lymphoma (HL), according to a study published in the August issue of BMJ Open.

Abstract/Full Text

ACA Provided Care to 1.9 Million People With Diabetes

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- The Affordable Care Act (ACA) provided care to an estimated 1.9 million people with diabetes, according to a research letter published online Sept. 23 in Diabetes Care.

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

Exposure to Pesticides Tied to Cardiovascular Disease Incidence

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- Occupational exposure to pesticides is associated with cardiovascular disease incidence in the first 10 years of follow-up, according to a study published online Sept. 25 in the Journal of the American Heart Association.

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

Risk for Developing Idiopathic Pulmonary Fibrosis Up in IBD

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- Patients with inflammatory bowel disease (IBD), especially male patients, have an increased risk for development of idiopathic pulmonary fibrosis (IPF), according to a study published online Aug. 16 in the Journal of Gastroenterology and Hepatology.

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

Healthy Dietary Patterns Linked to Lower Incidence of CKD

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- A healthy dietary pattern is associated with a reduced incidence of chronic kidney disease and albuminuria, according to a review published online Sept. 24 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text
Editorial

Teens Not Receiving Evidence-Based Treatment Options to Quit Smoking

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- Use of evidence-based treatment for nicotine use disorder (NUD) is extremely limited among adolescents and young adults with Medicaid coverage, according to a research letter published online Sept. 23 in JAMA Pediatrics.

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Racial/Ethnic Disparities in Mortality Persist in the U.S.

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.

Abstract/Full Text

Quality of Carbohydrates, Protein Has Improved in U.S. Diet

WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- From 1999 to 2016, the percentage of energy intake from low-quality carbohydrates decreased and that from high-quality carbohydrates and plant protein increased, according to a study published in the Sept. 24 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)

Exposure to Insecticide Might Explain 'Sonic Attack' in Cuba

TUESDAY, Sept. 24, 2019 (HealthDay News) -- In 2016, American and Canadian diplomats in Cuba complained of vertigo, ringing in the ears, pain, blurred vision, dizziness, and memory and concentration problems.

CNN Article

Vaping-Related Death in Kansas Brings National Total to Nine

TUESDAY, Sept. 24, 2019 (HealthDay News) -- A 50-year-old man has become the second patient in Kansas to die from lung damage tied to electronic cigarette use. That brings the national total of deaths from this illness to nine, CNN reported.

CNN Article
More Information: CDC

More Blood Pressure Drugs Recalled

TUESDAY, Sept. 24, 2019 (HealthDay News) -- The recall of the commonly prescribed blood pressure drug losartan has been expanded once again to include an additional five lots.

More Information

Percentage of Women in Internal Med Residencies Increasing

TUESDAY, Sept. 24, 2019 (HealthDay News) -- From 1999 to 2016, the percentage of women in internal medicine residencies increased, but the percentage in subspecialty fellowships decreased, according to a research letter published online Sept. 23 in JAMA Internal Medicine.

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Hurricanes Up Mortality Risk for Seniors With Diabetes

TUESDAY, Sept. 24, 2019 (HealthDay News) -- Living through a hurricane increases both the short- and long-term risk for death among seniors with diabetes, according to a study published online Sept. 23 in Diabetes Care.

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Nut Consumption Tied to Less Annual Weight Gain, Obesity

TUESDAY, Sept. 24, 2019 (HealthDay News) -- Increasing daily consumption of nuts is associated with less long-term weight gain and a lower risk for obesity in adults, according to a study published online Sept. 23 in BMJ Nutrition, Prevention & Health.

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For Seniors With T2DM, Insulin Use Up With Poor Health

TUESDAY, Sept. 24, 2019 (HealthDay News) -- Among older individuals with type 2 diabetes, those with poor health have more prevalent insulin use, according to a study published online Sept. 23 in JAMA Internal Medicine.

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

E-Cig Use Up in Young Adults, Stable or Down in Older Adults

TUESDAY, Sept. 24, 2019 (HealthDay News) -- From 2014 to 2018, current and daily electronic cigarette use increased among U.S. young adults but declined or remained stable in older age groups, according to a research letter published online Sept. 16 in the Journal of the American Medical Association.

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

Behavioral Treatment Helps Reduce Insomnia in Cancer Survivors

TUESDAY, Sept. 24, 2019 (HealthDay News) -- A stepped care approach seems beneficial for insomnia treatment among cancer survivors, according to a study published online Sept. 24 in Cancer.

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

Guideline Updated for Prevention, Management of Hep C in CKD

MONDAY, Sept. 23, 2019 (HealthDay News) -- In a synopsis of the 2018 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline, published online Sept. 24 in the Annals of Internal Medicine, updated recommendations are presented for the prevention, diagnosis, treatment, and management of hepatitis C virus (HCV) infection in adults with chronic kidney disease (CKD).

Abstract/Full Text

Protected Health Info Breaches Compromise Sensitive Data

MONDAY, Sept. 23, 2019 (HealthDay News) -- Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.

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Connecticut Sees First Death This Year From Mosquito-Borne EEE

MONDAY, Sept. 23, 2019 (HealthDay News) -- A Connecticut resident has died from eastern equine encephalitis (EEE), the first such death in the state since 2013, health officials report. In addition, another person in the state has contracted the infection, as an outbreak grows.

CNN Article
More Information: CDC

Exercise May Slow Brain Deterioration in Alzheimer Disease

MONDAY, Sept. 23, 2019 (HealthDay News) -- Exercising may delay brain deterioration in people at high risk for Alzheimer disease, according to a proof-of-concept study published Sept. 17 in the Journal of Alzheimer's Disease.

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

Higher Fat Mass May Up Risk for Major Adverse CV Events in T2DM

MONDAY, Sept. 23, 2019 (HealthDay News) -- In patients with type 2 diabetes, higher fat mass is associated with a higher risk for major adverse cardiovascular events, according to a study published in the Sept. 23 issue of CMAJ, the journal of the Canadian Medical Association.

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

Higher Mortality Seen for Male Breast Cancer Patients

MONDAY, Sept. 23, 2019 (HealthDay News) -- Male breast cancer patients have higher mortality after cancer diagnosis than female patients, according to a study published online Sept. 19 in JAMA Oncology.

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

More Aggressive Tx Needed for Familial Hypercholesterolemia

MONDAY, Sept. 23, 2019 (HealthDay News) -- Even with care in specialty clinics, low-density lipoprotein cholesterol (LDL-C) persists above target levels in more than half of patients with familial hypercholesterolemia (FH), according to a study published in the October issue of Atherosclerosis.

Abstract/Full Text

Emergency Departments Need to Up HIV Testing, Linkage to Care

MONDAY, Sept. 23, 2019 (HealthDay News) -- HIV testing in South African emergency departments shows a high prevalence and incidence of HIV, as well as significant attrition along the HIV care cascade for HIV-positive individuals, according to a study published online Aug. 18 in EClinicalMedicine.

Abstract/Full Text

Marijuana Use Common Among Adults With Medical Conditions

FRIDAY, Sept. 20, 2019 (HealthDay News) -- Marijuana use is common among adults with medical conditions, especially younger people, according to a study published online Sept. 20 in JAMA Network Open.

Abstract/Full Text

Racial/Ethnic Disparities Seen in PrEP Awareness, Discussions

FRIDAY, Sept. 20, 2019 (HealthDay News) -- Considerable racial/ethnic disparities exist in HIV preexposure prophylaxis (PrEP) awareness, discussion, and use among men who have sex with men (MSM), according to research published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Vaping-Linked Lung Illness Claims Eighth Life

FRIDAY, Sept. 20, 2019 (HealthDay News) -- A Missouri man in his 40s is the eighth person in the United States to die from complications of a lung injury tied to using electronic cigarettes, the Missouri Department of Health and Senior Services reported.

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Cardiovascular Disease Risk Underestimated in Patients With Mental Illness

THURSDAY, Sept. 19, 2019 (HealthDay News) -- Cardiovascular disease (CVD) risk assessment tools that do not include severe mental illness as a predictor could be substantially underestimating CVD risk, according to a study published online Sept. 18 in PLOS ONE.

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

Kidney Donation Linked to Increased Hypertension Risk

FRIDAY, Sept. 20, 2019 (HealthDay News) -- Kidney donation is associated with an increased risk for hypertension, according to a study published online Sept. 19 in the Clinical Journal of the American Society of Nephrology.

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

CDC: Asthma Visit Rates Decreased From 2001 to 2016

FRIDAY, Sept. 20, 2019 (HealthDay News) -- Asthma is a common reason for physician visits, although the rate of asthma visits decreased from 2001 through 2016, according to a report published Sept. 20 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Abstract/Full Text

Multifaceted Home-Based PT Does Not Aid Walking After Hip Fracture

FRIDAY, Sept. 20, 2019 (HealthDay News) -- A multicomponent home-based physical therapy intervention does not improve the ability of older patients recovering from hip fracture to walk again, according to a study published in the Sept. 10 issue of the Journal of the American Medical Association.

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

SGLT2 Inhibitors Linked to Lower Risk for Heart Failure

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Use of sodium glucose cotransporter 2 (SGLT2) inhibitors for type 2 diabetes is associated with a reduced risk for heart failure, but not a reduced risk for major cardiovascular events, compared with use of dipeptidyl peptidase 4 (DPP4) inhibitors, according to a study published online Aug. 29 in The BMJ.

Abstract/Full Text

CDC: Cases of Vaping-Linked Lung Illness Rise to 530 Across 38 States

THURSDAY, Sept. 19, 2019 (HealthDay News) -- The number of confirmed or suspected severe lung illnesses linked to vaping has risen to 530 cases across 38 states and the Virgin Islands, U.S. health officials reported Thursday.

More Information

House Speaker Unveils Plan to Lower Drug Costs

THURSDAY, Sept. 19, 2019 (HealthDay News) -- House Speaker Nancy Pelosi has revealed a plan to lower the cost of medications for people on Medicare and those with private insurance.

AP News Article

Maker Halts Distribution of Generic Zantac Due to Possible Carcinogen

THURSDAY, Sept. 19, 2019 (HealthDay News) -- Novartis, the maker of a generic form of Zantac, said Wednesday it will cease distribution of the medicine after investigations suggested that generic and branded versions contain a known carcinogen.

CBS News Article
More Information: FDA

CDC: Valley Fever Cases Increased From 2014 to 2017

THURSDAY, Sept. 19, 2019 (HealthDay News) -- Coccidioidomycosis is still a national public health problem, and the number of cases has increased in recent years, according to research published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Rates of Diabetes Higher at Lower BMIs Among Minorities

THURSDAY, Sept. 19, 2019 (HealthDay News) -- Even at lower body weights, members of certain racial and ethnic-minority groups have a higher prevalence of diabetes or prediabetes than whites, according to a study published online Sept. 19 in Diabetes Care.

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Cognitive Therapy by Phone, Web May Ease Irritable Bowel Symptoms

TUESDAY, Sept. 10, 2019 (HealthDay News) -- Cognitive behavioral therapy (CBT) delivered via telephone and web is effective for relieving the symptoms of irritable bowel syndrome (IBS), according to a study published online Sept. 3 in The Lancet Gastroenterology & Hepatology.

Abstract/Full Text

Frailty Assessment May Aid Liver Transplant Evaluation

THURSDAY, Sept. 19, 2019 (HealthDay News) -- A frailty assessment as part of liver transplant evaluation may help identify transplant candidates at higher risk for death, according to a study published online Sept. 11 in JAMA Surgery.

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Skipping Cancer Referral Appointments Linked to Earlier Death

THURSDAY, Sept. 19, 2019 (HealthDay News) -- Cancer diagnosis is less likely in patients not attending referral appointments for suspected cancer, but these patients have worse early mortality outcomes than attending patients, according to a study published online Sept. 11 in Cancer Epidemiology.

Abstract/Full Text

Increasing DTP3 Coverage Tied to Drop in Diphtheria Cases in Under 15s

THURSDAY, Sept. 19, 2019 (HealthDay News) -- The proportion of diphtheria case-patients younger than 15 years of age decreased as diphtheria-tetanus-pertussis (DTP) 3 coverage increased, according to a study published in the October issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

Abstract/Full Text

Many Hospitals, Practices Not Screening for Social Needs

THURSDAY, Sept. 19, 2019 (HealthDay News) -- Most hospitals and physician practices are not screening for five key social needs associated with health outcomes, according to a study published online Sept. 18 in JAMA Network Open.

Abstract/Full Text
Editorial

Medical Students Not Ready to Provide Nutritional Care

THURSDAY, Sept. 19, 2019 (HealthDay News) -- Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.

Abstract/Full Text
Editorial

New York State Institutes Ban on Flavored E-Cigarettes

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Using his executive powers, New York Governor Andrew Cuomo is banning flavored electronic cigarettes in the state.

AP News Article

12.6 Million in U.S. Could Benefit From Tx to Prevent Active TB

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- An estimated 12.6 million persons in the United States could benefit from treatment to prevent active tuberculosis (TB), according to a report published in the October issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

Abstract/Full Text

Polypill Strategy Promising in Socioeconomically Vulnerable

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- In a socioeconomically vulnerable minority population, a combination pill (polypill) leads to greater reductions in systolic blood pressure and low-density lipoprotein (LDL) cholesterol levels, according to a study published in the Sept. 19 issue of the New England Journal of Medicine.

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Seniors Should Undergo Annual Cognitive Health Assessment

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Adults aged 65 years and older should undergo annual cognitive health assessments to improve recognition of mild cognitive impairment (MCI), according to a special article published online Sept. 18 in Neurology.

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Nonphysician Providers Rarely Interpret Diagnostic Images

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Despite increasing roles of nonphysician providers (NPPs) in health care (nurse practitioners and physician assistants), they still rarely interpret diagnostic imaging studies, according to a study published online Sept. 11 in the American Journal of Roentgenology.

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Aortic, Mitral Regurgitation Risk Up With Fluoroquinolone Use

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- The risk for aortic and mitral regurgitation is increased with current and recent fluoroquinolone (FQ) use, according to a study published in the Sept. 17 issue of the Journal of the American College of Cardiology.

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Editorial (subscription or payment may be required)

Hysterectomy Tied to Long-Term Risk for Depression, Anxiety

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Hysterectomy, even with ovarian conservation, is associated with an increased long-term risk for de novo depression, according to a study published online Aug. 30 in Menopause.

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Diabetes Distress Common at Large Midwestern University

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- In a large university population, the prevalence of diabetes distress is high, and high diabetes distress levels are associated with lower diabetes quality of life (QOL) for both type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) patients, according to a study published in the September issue of the Journal of the American Osteopathic Association.

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Four Modifiable Risk Factors Tied to Hyperuricemia

WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Four modifiable risk factors -- body mass index (BMI), the Dietary Approaches to Stop Hypertension (DASH) diet, alcohol use, and diuretic use -- could individually account for a notable proportion of hyperuricemia and possibly gout cases, according to a study published online Sept. 4 in Arthritis & Rheumatology.

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Stepwise Approach Effective for Primary Care Dementia Screening

TUESDAY, Sept. 17, 2019 (HealthDay News) -- Assessment of dementia risk using three common screening tools at baseline predicts incident dementia over the course of about seven years, according to a study published in the September/October issue of the Annals of Family Medicine.

Abstract/Full Text

Pulegone Levels in Mint, Menthol E-Cigarettes May Be Unsafe

TUESDAY, Sept. 17, 2019 (HealthDay News) -- Users of mint- and menthol-flavored electronic cigarettes and smokeless tobacco are exposed to pulegone levels higher than what the U.S. Food and Drug Administration considers acceptable for intake of synthetic pulegone in food, according to a research letter published online Sept. 16 in JAMA Internal Medicine.

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Vaping-Linked Lung Illness Claims Seventh Victim

TUESDAY, Sept. 17, 2019 (HealthDay News) -- A 40-year-old California man is the seventh person to die from a severe respiratory illness brought on by using electronic cigarettes.

Tulare County Health & Human Services Agency
Kansas Department of Health and Environment
More Information: CDC

Patients With Rheumatic Disease Often Have Trouble Accessing Care

TUESDAY, Sept. 17, 2019 (HealthDay News) -- Americans with rheumatic disease struggle to access affordable specialty care, according to a national patient survey released by the American College of Rheumatology in conjunction with Rheumatic Disease Awareness Month.

2019 Rheumatic Disease Patient Survey

Gaps in Physician Knowledge, Management of Prediabetes ID'd

TUESDAY, Sept. 17, 2019 (HealthDay News) -- There are considerable gaps in primary care physician (PCP) knowledge regarding risk factors that prompt screening for prediabetes and management recommendations for patients with prediabetes, according to a study published online Sept. 9 in the Journal of General Internal Medicine.

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Men Less Knowledgeable About HPV, HPV Vaccination

TUESDAY, Sept. 17, 2019 (HealthDay News) -- Men are less knowledgeable than women about human papillomavirus (HPV), HPV vaccination, and the correlation between HPV and cancer, according to a research letter published online Sept. 16 in JAMA Pediatrics.

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High-Risk Antibiotic Use Linked to Hospital-Associated C. Difficile

TUESDAY, Sept. 17, 2019 (HealthDay News) -- Hospital-level high-risk antibiotic use is associated with the risk for hospital-associated (HA) Clostridioides difficile infection (CDI), according to a study published online Sept. 16 in Infection Control & Hospital Epidemiology.

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Initiating Empirical Tx for Sepsis Reduces Blood Culture Sensitivity

TUESDAY, Sept. 17, 2019 (HealthDay News) -- When empirical antimicrobial therapy is initiated in patients with severe manifestations of sepsis, the sensitivity of blood cultures drawn shortly after treatment initiation is reduced, according to a study published online Sept. 17 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Combo Antithrombotic Therapy Increases Bleeding Risk

TUESDAY, Sept. 17, 2019 (HealthDay News) -- Patients with chronic coronary artery disease or peripheral artery disease treated with the combination of rivaroxaban and aspirin face a greater risk for bleeding versus patients treated with aspirin alone, according to a study published in the Sept. 24 issue of the Journal of the American College of Cardiology.

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

Screening for Breast Cancer in Men Has Increased Over Time

TUESDAY, Sept. 17, 2019 (HealthDay News) -- Screening for breast cancer in men has increased over time, with high sensitivity and specificity for mammographic screening, according to a study published online Sept. 17 in Radiology.

Abstract/Full Text

Aspirin for Primary Prevention May Offer Net Benefit for Some

MONDAY, Sept. 16, 2019 (HealthDay News) -- Aspirin for primary prevention of cardiovascular disease (CVD) is likely to result in net benefit for some patients, according to a study published online Sept. 17 in the Annals of Internal Medicine.

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New York State to Ban Flavored E-Cigarettes

MONDAY, Sept. 16, 2019 (HealthDay News) -- Using his executive powers, New York Governor Andrew Cuomo has ordered a ban on most flavored electronic cigarettes in the state.

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No New U.S. Measles Cases Reported Last Week

MONDAY, Sept. 16, 2019 (HealthDay News) -- The measles outbreak that has spread throughout the United States may be winding down as no new cases were reported last week, health officials said Monday.

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Donepezil Ups Risk for Hospital Admission for Rhabdomyolysis

MONDAY, Sept. 16, 2019 (HealthDay News) -- Initiating donepezil to manage symptoms of Alzheimer disease or other dementias is associated with a higher risk for 30-day admission to the hospital with rhabdomyolysis compared with initiating rivastigmine or galantamine, according to a study published in the Sept. 16 issue of CMAJ, the journal of the Canadian Medical Association.

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Primary Care Faces Challenges in Caring for Kidney Disease

MONDAY, Sept. 16, 2019 (HealthDay News) -- Primary care providers (PCPs) report substantial, but modifiable, barriers to caring for patients with chronic kidney disease (CKD), according to a study published online Aug. 22 in PLOS ONE.

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ED Openings, Closures May Affect Tx, Outcomes for Acute MI

MONDAY, Sept. 16, 2019 (HealthDay News) -- High-occupancy hospitals may be sensitive to openings and closures in neighboring emergency departments, according to a study published in the September issue of Health Affairs.

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Biopsychosocial Frailty Measure Predicts Risk for Dementia

MONDAY, Sept. 16, 2019 (HealthDay News) -- Biopsychosocial frailty (BF) can predict short- and longer-term dementia risk, according to a study published in the August issue of Alzheimer's & Dementia.

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Continued Use Low Three Months After ED Opioid Rx for Acute Pain

MONDAY, Sept. 16, 2019 (HealthDay News) -- Opioid use at three months after an emergency department visit where opioids were prescribed for acute pain is relatively low and not necessarily tied to opioid misuse, according to a study published in the August issue of Academic Emergency Medicine.

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MCI Linked to Lower Use of Cardiac Catheterization in AMI

FRIDAY, Sept. 13, 2019 (HealthDay News) -- Preexisting mild cognitive impairment (MCI) is associated with a lower use of cardiac catheterization and coronary revascularization after acute myocardial infarction (AMI), according to a study published online Aug. 13 in the Journal of General Internal Medicine.

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CDC Revises Number of Vaping-Linked Lung Illnesses to 380

FRIDAY, Sept. 13, 2019 (HealthDay News) -- U.S. health officials have revised downward the number of cases of severe lung injury linked to vaping, from more than 450 cases cited last week to the total of 380 cases announced late Thursday.

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FDA: Zantac May Contain Small Amounts of Known Carcinogen

FRIDAY, Sept. 13, 2019 (HealthDay News) -- A substance that could cause cancer has been found in some ranitidine heartburn and ulcer medicines, including the brand-name drug Zantac, and the source of this contamination is being investigated, the U.S. Food and Drug Administration says.

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Prevalence of Short Sleep Duration Up From 2010 to 2018

FRIDAY, Sept. 13, 2019 (HealthDay News) -- The prevalence of short sleep duration increased among working American adults from 2010 to 2018, according to a study published online Sept. 5 in the Journal of Community Health.

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Lifetime Risks for Peripheral Artery Disease Higher for Blacks

FRIDAY, Sept. 13, 2019 (HealthDay News) -- The lifetime risks for peripheral artery disease (PAD) are higher in black men and women than in whites or Hispanics, according to a study published online Sept. 10 in the Journal of the American Heart Association.

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Prevalence of Apnea High in Individuals With Resistant HTN

FRIDAY, Sept. 13, 2019 (HealthDay News) -- Individuals with resistant hypertension (RH) have a high prevalence of obstructive sleep apnea (OSA), with a dose-response association observed between the severity of OSA and blood pressure (BP) values, according to a study published online Sept. 13 in the Annals of the American Thoracic Society.

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Helmets Are Underutilized by Cyclists in the United States

FRIDAY, Sept. 13, 2019 (HealthDay News) -- From 2002 to 2012, only 22 percent of bicyclists with head/neck injury in the United States wore helmets, according to a study published online Sept. 13 in Brain Injury.

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Medicaid Expansion Increases Access to Kidney Transplants

FRIDAY, Sept. 13, 2019 (HealthDay News) -- There was an increase in Medicaid-covered preemptive kidney transplants (KT) among patients with end-stage renal disease (ESRD) living in Medicaid expansion states versus nonexpansion states, according to a study published online Aug. 19 in the Journal of General Internal Medicine.

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Women With Heart Attack Do Present With Typical Symptoms

FRIDAY, Sept. 13, 2019 (HealthDay News) -- Typical symptoms of myocardial infarction are more common and have greater predictive value in women than in men, according to a study published in the Sept. 3 issue of the Journal of the American Heart Association.

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Most Diagnosed With Dementia Do Not Receive Specialty Care

THURSDAY, Sept. 12, 2019 (HealthDay News) -- The majority of older adults diagnosed with dementia do not receive specialty care, according to a study published online Sept. 4 in Alzheimer's & Dementia.

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Nine States Now Have an Obesity Rate Above 35 Percent

THURSDAY, Sept. 12, 2019 (HealthDay News) -- The number of U.S. states with adult obesity rates above 35 percent reached an all-time high of nine in 2018, according to the Trust for America's Health, the nonprofit group behind the 16th annual "State of Obesity: Better Policies for a Healthier America" report.

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HIV Infection May Raise Risk for Atrial Fibrillation

THURSDAY, Sept. 12, 2019 (HealthDay News) -- HIV infection is independently associated with an increased risk for atrial fibrillation (AF), according to a research letter published in the Sept. 17 issue of the Journal of the American College of Cardiology.

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Screening for Opioid-Related Low Testosterone Underused

THURSDAY, Sept. 12, 2019 (HealthDay News) -- More men with long-term opioid use are screened for low testosterone than men taking opioids for a short period of time; however, given the known link between opioid use and low testosterone, these rates were still lower than expected, according to a study published in the September issue of Mayo Clinic Proceedings: Innovations, Quality & Outcomes.

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Allergy Immunotherapy May Decrease Asthma Progression

THURSDAY, Sept. 12, 2019 (HealthDay News) -- Allergy immunotherapy (AIT) is associated with a decreased risk for asthma progression, particularly in younger patients, according to a study published online Aug. 13 in Allergy.

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Incidence of T2DM Rising in Fewer Populations Since 2006

THURSDAY, Sept. 12, 2019 (HealthDay News) -- Since 2006, the incidence of type 2 diabetes has continued to rise in a minority of populations, with decreasing incidence in more than one-third of populations, according to a review published online Sept. 11 in The BMJ.

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H. Pylori Treatment May Reduce Gastric Cancer Incidence, Death

THURSDAY, Sept. 12, 2019 (HealthDay News) -- Helicobacter pylori treatment, vitamin supplementation, and garlic supplementation are associated with a reduced risk for gastric cancer mortality, according to a study published online Sept. 11 in The BMJ.

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Intrauterine Device Use May Reduce Incidence of Ovarian Cancer

THURSDAY, Sept. 12, 2019 (HealthDay News) -- Intrauterine device (IUD) use among reproductive women is associated with a decreased incidence of ovarian cancer, according to a review published online Sept. 10 in Obstetrics & Gynecology.

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Risk for Long-Term Opioid Use Up in Hidradenitis Suppurativa

WEDNESDAY, Sept. 11, 2019 (HealthDay News) -- Patients with hidradenitis suppurativa (HS) have an increased risk for long-term opioid use, according to a study published online Sept. 11 in JAMA Dermatology.

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EPA to Phase Out Chemical Testing on Mammals

WEDNESDAY, Sept. 11, 2019 (He


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