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August 2020 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for August 2020. 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.

Few U.S. Children Meet Guidelines for Exercise, Screen Time

MONDAY, Aug. 31, 2020 (HealthDay News) -- Few U.S. children meet all three guidelines for physical activity, screen time, and sleep, according to a study published online Aug. 27 in the American Journal of Preventive Medicine.

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FDA Could Green-Light COVID-19 Vaccines Before Clinical Trials Completed

MONDAY, Aug. 31, 2020 (HealthDay News) -- Emergency use authorization (EUA) or approval for a COVID-19 vaccine before phase 3 clinical trials are complete could be considered by the U.S. Food and Drug Administration, according to the agency's commissioner, Stephen Hahn, M.D.

CNN Article

Community-Level Factors Explain Some Racial Disparities in COVID-19

MONDAY, Aug. 31, 2020 (HealthDay News) -- Community-level factors explain some, but not all, racial and ethnic disparities in COVID-19 rates in Massachusetts, according to a report published online Aug. 27 in Health Affairs.

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Chlamydia, Gonorrhea Rates Up Among Young Women in the U.S.

MONDAY, Aug. 31, 2020 (HealthDay News) -- There has been an age shift in positivity for Chlamydia trachomatis and Neisseria gonorrhoeae among women, according to a study published online Aug. 20 in the American Journal of Preventive Medicine.

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Use of Fitness Trackers May Spur Exercise in Older Adults With MS

MONDAY, Aug. 31, 2020 (HealthDay News) -- Older adults with multiple sclerosis (MS) who say they use fitness trackers report greater amounts of physical activity, according to a study published online July 31 in the Disability & Health Journal.

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Use of Performance-Enhancing Substances Tied to Risk Behaviors

MONDAY, Aug. 31, 2020 (HealthDay News) -- Use of legal performance-enhancing substances (PES) in young adults is associated with an increased likelihood of future problematic alcohol use and drinking-related risk behaviors, according to a study published online Aug. 31 in Pediatrics.

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Pandemic May Have Delayed Type 1 Diabetes Diagnoses

MONDAY, Aug. 31, 2020 (HealthDay News) -- Many children may have delayed diagnosis of type 1 diabetes during the COVID-19 pandemic, according to a study published online Aug. 10 in Diabetes Care.

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Long-Term Follow-Up Reported for BP Telemonitoring Program

MONDAY, Aug. 31, 2020 (HealthDay News) -- Among adults with uncontrolled blood pressure, fewer cardiovascular events and lower costs were observed at five years with a pharmacist-led telemonitoring program, but the differences were not statistically significant compared with usual care, according to a study published online Aug. 31 in Hypertension.

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Lung-Specific Risk Factors Linked to Hip Fracture in Smokers

MONDAY, Aug. 31, 2020 (HealthDay News) -- The addition of lung-specific risk factors into fracture risk assessment tools may more accurately predict hip fracture risk in smokers, according to a study published online Aug. 4 in the Journal of Bone and Mineral Research.

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Most Shoulder Replacements Last More Than 10 Years

FRIDAY, Aug. 28, 2020 (HealthDay News) -- About 90 percent of shoulder replacements last for longer than 10 years, and patient-reported outcome measures show sustained benefits, according to a review published online Aug. 26 in The Lancet Rheumatology.

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Vitamin C Positively Linked to Skeletal Muscle Mass Measures

FRIDAY, Aug. 28, 2020 (HealthDay News) -- Dietary and circulating vitamin C are positively associated with measures of skeletal muscle mass in middle- and older-aged men and women, according to a study published online Aug. 27 in The Journal of Nutrition.

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Salmonella Outbreak Linked to Peaches Has Now Sickened 78 People

FRIDAY, Aug. 28, 2020 (HealthDay News) -- A Salmonella outbreak linked to recalled peaches from Prima Wawona and Wawona Packing Co. LLC has now sickened 78 people in 12 states, the U.S. Centers for Disease Control and Prevention said in an update Thursday. It said that 23 people have been hospitalized, but no deaths have been reported.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 24 to 28, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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FDA Warns of Hand Sanitizers in Food-Like Packaging

FRIDAY, Aug. 28, 2020 (HealthDay News) -- A warning about alcohol-based hand sanitizers in packaging that looks like food or drink has been issued by the U.S. Food and Drug Administration.

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Model Says COVID-19 Deaths Could Surpass 317,000 by December

FRIDAY, Aug. 28, 2020 (HealthDay News) -- A widely cited model for COVID-19 deaths in the United States predicts a total of 317,000 deaths by December.

CNN Article

Low Rates of Severe Disease, Death Reported for Children With COVID-19

FRIDAY, Aug. 28, 2020 (HealthDay News) -- Severe disease and death appear to be rare among children and young people hospitalized with laboratory-confirmed COVID-19, according to an observational study in the United Kingdom published online Aug. 27 in The BMJ.

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COVID-19 Infection May Initially Present as Acute Pancreatitis

FRIDAY, Aug. 28, 2020 (HealthDay News) -- Acute pancreatitis may be a gastrointestinal manifestation of COVID-19, according to research published online Aug. 26 in Gastroenterology.

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Risk for Cancer Reduced for Patients With Multiple Sclerosis

FRIDAY, Aug. 28, 2020 (HealthDay News) -- The risk for cancer is reduced among patients with multiple sclerosis (MS), according to a systematic review and meta-analysis published online Aug. 13 in Autoimmunity Reviews.

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Proportion of Deaths Due to Heart Failure, HTN Increasing

FRIDAY, Aug. 28, 2020 (HealthDay News) -- The proportion of deaths from heart disease attributed to heart failure and hypertensive heart disease is increasing, according to a study published online Aug. 13 in The BMJ.

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Respiratory Disease May Increase Risk for Rheumatoid Arthritis

FRIDAY, Aug. 28, 2020 (HealthDay News) -- Respiratory diseases increase the risk for rheumatoid arthritis, according to a study published online Aug. 16 in Arthritis & Rheumatology.

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Many Opt for Genetic Testing of Embryos for Kidney Disease

FRIDAY, Aug. 28, 2020 (HealthDay News) -- About half of couples referred for counseling due to a family history of kidney disease opt for preimplantation genetic testing for monogenic kidney disease, and 65 percent of those experience one or more live births of an unaffected child, according to a study published online Aug. 27 in the Clinical Journal of the American Society of Nephrology.

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Losing Weight Before Midlife Cuts Mortality Risk

FRIDAY, Aug. 28, 2020 (HealthDay News) -- Weight loss from obesity to overweight between early adulthood through midlife is associated with a lower risk for early death compared with maintaining obesity, according to a study published online Aug. 14 in JAMA Network Open.

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Parents Have Contradictory Views on Childhood Vaccines

THURSDAY, Aug. 27, 2020 (HealthDay News) -- The vast majority of parents believe vaccines are the best way to protect their children from infectious diseases, yet two-thirds are still nervous to take their children to their pediatrician's office during the COVID-19 pandemic, according to the results of a survey released by Orlando Health.

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Minority of Teens Receive Health Care Transition Planning

THURSDAY, Aug. 27, 2020 (HealthDay News) -- A minority of adolescents with diagnosed mental, behavioral, and developmental disorders (MBDDs) receive recommended health care transition planning, according to research published in the Aug. 27 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Maine Summer Camps Identified, Isolated COVID-19 Cases

THURSDAY, Aug. 27, 2020 (HealthDay News) -- Three COVID-19-positive people with no symptoms were successfully identified and isolated at four overnight camps in Maine, according to research published in the Aug. 26 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Risk for COVID-19 Hospitalization Follows Usual Pattern in Lupus

THURSDAY, Aug. 27, 2020 (HealthDay News) -- For patients with systemic lupus erythematosus (SLE), predictors of hospitalization include race, presence of comorbidity, and body mass index, according to a study published online July 26 in Arthritis & Rheumatology.

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Admissions for Stroke, TIA Down Early in COVID-19 Pandemic

THURSDAY, Aug. 27, 2020 (HealthDay News) -- Admissions for stroke and transient ischemic attack (TIA) have decreased during the COVID-19 pandemic, according to a study published online Aug. 26 in Stroke and Vascular Neurology.

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Metabolic Syndrome Linked to Worse Outcomes in COVID-19

THURSDAY, Aug. 27, 2020 (HealthDay News) -- Metabolic syndrome (MetS) is associated with a lethal outcome for patients with COVID-19, according to a study published online Aug. 25 in Diabetes Care.

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Smoking, High Early-Life BMI Projected to Add to MS Burden

THURSDAY, Aug. 27, 2020 (HealthDay News) -- The combined estimated multiple sclerosis (MS) population-attributable fractions (PAFs) for smoking and childhood and adolescent high body mass index (BMI) vary from 11 to 14 percent in conservative estimates, according to a study published online Aug. 26 in the International Journal of Epidemiology.

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Alcoholic Liver Disease Death Rates Up for Non-Hispanic Whites

THURSDAY, Aug. 27, 2020 (HealthDay News) -- There is considerable racial and ethnic disparity in alcoholic liver disease mortality, and although men have higher death rates, the male-to-female ratios decreased in the past two decades, according to a study published online Aug. 27 in the American Journal of Preventive Medicine.

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Guideline Updated for Nutrition in Chronic Kidney Disease

THURSDAY, Aug. 27, 2020 (HealthDay News) -- The National Kidney Foundation and the Academy of Nutrition and Dietetics have updated the clinical practice guideline for nutrition in chronic kidney disease (CKD); the 2020 update was published as a supplement to the September issue of the American Journal of Kidney Diseases.

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Program Improves Use of Chronic Opioid Therapy in HIV Care

THURSDAY, Aug. 27, 2020 (HealthDay News) -- The TEACH (Targeting Effective Analgesia in Clinics for HIV) intervention is a promising strategy for improving adherence to opioid prescribing guidelines among HIV care providers and their patients on chronic opioid therapy (COT), according to a study published online July 22 in Clinical Infectious Diseases.

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Topical Calcineurin Inhibitors Not Tied to Skin Cancer

THURSDAY, Aug. 27, 2020 (HealthDay News) -- There is no association between use of topical calcineurin inhibitors (TCIs) for the treatment of atopic dermatitis (AD) and an increased risk for skin cancer, according to a study published online Aug. 12 in JAMA Dermatology.

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Blacks Have Higher Incidence of Cerebral Venous Thrombosis

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Black Americans have a higher incidence of cerebral venous thrombosis (CVT) compared with other races, according to a study published online Aug. 26 in Neurology.

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About Half of Waivered Clinicians Prescribe Buprenorphine for OUD

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- About half of waivered clinicians prescribe buprenorphine for opioid use disorder and most treat at levels below their patient limits, according to a research letter published online Aug. 24 in JAMA Network Open.

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Changes to CDC COVID-19 Testing Guidelines Trigger Concern

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Experts are alarmed about revised U.S. Centers for Disease Control and Prevention guidelines advising that people who do not have symptoms of COVID-19 do not need to be tested, even if they have recently been exposed to the new coronavirus.

The New York Times Article

U.S. Nursing Home Staff Must Be Tested Regularly for COVID-19

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Nursing home staff will have to be tested regularly for COVID-19, and facilities that fail to do so will face fines, the Trump administration said Tuesday.

AP News Article

About One in Three Multiple Sclerosis Patients Have Migraine

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Internationally, more than three in 10 patients with multiple sclerosis (MS) have migraine, according to a review published in the September issue of the Journal of Clinical Neuroscience.

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Exposure to Burning Wood Linked to Abnormal Cardiac Parameters

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Occupational exposures to burning wood, pesticides, and metals is associated with abnormal parameters of left and right ventricular systolic function, according to a study published online Aug. 26 in the Journal of the American Heart Association.

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Escitalopram Reduces Symptoms of Anxiety in Teens With GAD

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- For adolescents with generalized anxiety disorder (GAD), escitalopram reduces symptoms of anxiety, according to a study published online Aug. 25 in The Journal of Clinical Psychiatry.

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Patient-Reported Outcome Measure May Be Useful in Hemodialysis

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- A patient-reported outcome measure (PROM) can standardize symptom screening processes and improve symptom awareness for hemodialysis patients in routine clinical care, according to a study published online Aug. 25 in the Clinical Journal of the American Society of Nephrology.

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Mental Health Resilience Tied to Fewer COVID-19 Worries

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Resilience helps alleviate COVID-19-related worries as well as anxiety and depression, according to a study published online Aug. 20 in Translational Psychiatry.

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Preterm Delivery Ups Risk for Premature Mortality in Mothers

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Preterm delivery is associated with an increased risk for premature mortality in women, according to a study published online Aug. 19 in The BMJ.

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Weight Loss May Lower Obesity-Related Cancer Risk in T2DM

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- An intensive lifestyle intervention (ILI) may reduce the incidence of obesity-related mortality among individuals with overweight or obesity and type 2 diabetes, according to a study published online Aug. 24 in Obesity.

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Type 2 Diabetes May Negatively Impact Bone Density in Youth

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Type 2 diabetes may negatively impact bone density around the age of peak bone mass, according to a study published online Aug. 10 in Diabetes Care.

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Vitamin D Supplement No Benefit in Pediatric Persistent Asthma

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Vitamin D3 supplementation does not prolong the time to severe asthma exacerbation among children with persistent asthma and low vitamin D levels, according to a study published in the Aug. 25 issue of the Journal of the American Medical Association.

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Prevalence of SARS-CoV-2 in Asymptomatic Children Identified

TUESDAY, Aug. 25, 2020 (HealthDay News) -- The pooled prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV02) in asymptomatic children is 0.65 percent and is significantly associated with the incidence of COVID-19 in the general population, according to a research letter published online Aug. 25 in JAMA Pediatrics.

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Deaths Up for U.S. Veterans Who Have PCI at Community Facilities

TUESDAY, Aug. 25, 2020 (HealthDay News) -- For U.S. veterans with stable angina, the use of community facilities for percutaneous revascularization is associated with increased mortality, according to a study published in the Sept. 1 issue of the Journal of the American College of Cardiology.

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Return to Hospital Infrequent After COVID-19 Admission

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Return to hospital after discharge for inpatients with COVID-19 is infrequent, according to a study published online Aug. 19 in the Journal of General Internal Medicine.

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Heart Events Observed for ~12 Percent of Adults Hospitalized With Flu

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Among adults hospitalized with laboratory-confirmed influenza, 11.7 percent have an acute cardiovascular event, according to a study published online Aug. 25 in the Annals of Internal Medicine.

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Web Searches Suggesting Acute Anxiety Spiked Early in COVID-19

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Internet searches indicative of acute anxiety peaked early in the COVID-19 pandemic, according to a research letter published online Aug. 24 in JAMA Internal Medicine.

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Maternal Caffeine Intake May Be Tied to Negative Pregnancy Outcomes

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Maternal caffeine consumption is associated with negative pregnancy outcomes, according to a review published online Aug. 24 in BMJ Evidence-Based Medicine.

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Pop Concert Held to Learn More About COVID-19 Spread

MONDAY, Aug. 24, 2020 (HealthDay News) -- About 1,500 people attended a pop concert in Germany to help researchers learn how the new coronavirus spreads in such situations.

AP News Article

Widespread Mask Use Could Save 70,000 U.S. Lives by Dec. 1

MONDAY, Aug. 24, 2020 (HealthDay News) -- There could be another 134,000 COVID-19 deaths in the United States by Dec. 1 if no new prevention measures are introduced, and the number of deaths could be much higher if rules are relaxed, researchers report. However, they also said that 70,000 lives could be saved if more people wore masks, CNN reported.

CNN Article

World's First Confirmed Case of COVID-19 Reinfection Reported in Hong Kong

MONDAY, Aug. 24, 2020 (HealthDay News) -- The world's first confirmed case of reinfection with the new coronavirus has been reported in Hong Kong.

The New York Times Article

Clinical Impact of Remdesivir in Moderate COVID-19 Unclear

MONDAY, Aug. 24, 2020 (HealthDay News) -- Patients with moderate COVID-19 receiving a five-day course of remdesivir have a statistically significant difference in clinical status compared with usual care, according to a study published online Aug. 21 in the Journal of the American Medical Association.

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RAAS Inhibitors May Benefit HTN Patients With COVID-19

MONDAY, Aug. 24, 2020 (HealthDay News) -- Renin-angiotensin-aldosterone system (RAAS) inhibitors are beneficial for hypertensive patients with COVID-19, according to a study published online Aug. 24 in Current Atherosclerosis Reports.

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p16INK4a Expression Increased in Young Cancer Survivors

MONDAY, Aug. 24, 2020 (HealthDay News) -- Pediatric and young adult cancer survivors, frail versus robust survivors, and newly diagnosed pediatric patients after cancer therapy have increased expression of p16INK4a, corresponding with age acceleration, according to a study published online Aug. 24 in Cancer.

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Antihypertensive Agents Not Tied to Higher Risk for Depression

MONDAY, Aug. 24, 2020 (HealthDay News) -- Nine individual antihypertensive agents from the classes of angiotensin agents, calcium antagonists, and β-blockers are associated with reduced rates of depression, according to a study published online Aug. 24 in Hypertension.

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Black-White Disparity in Lung Cancer Incidence Eliminated

MONDAY, Aug. 24, 2020 (HealthDay News) -- The historically higher lung cancer incidence in young Black people compared with White people has disappeared and reversed in men and women, respectively, in the United States, according to a study published online Aug. 20 in JNCI Cancer Spectrum.

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School-Located Influenza Vaccine Intervention Beneficial

MONDAY, Aug. 24, 2020 (HealthDay News) -- A school-located influenza vaccination (SLIV) intervention is associated with a reduction in the incidence of influenza hospitalization, according to a study published online Aug. 18 in PLOS Medicine.

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For Black Children With Autism, Diagnosis Occurs at About Age 5

MONDAY, Aug. 24, 2020 (HealthDay News) -- Diagnosis of African American children with autism spectrum disorder (ASD) occurs at an average of 64.9 months, many months after parents' first concerns about their child's development, according to a study published online Aug. 24 in Pediatrics.

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Feeling Dizzy Upon Standing May Point to Later Dementia

MONDAY, Aug. 24, 2020 (HealthDay News) -- Systolic orthostatic hypotension (OHYPO) and variability in visit-to-visit seated systolic blood pressure (BP) postural change are associated with greater dementia risk, according to a study published online July 20 in Neurology.

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More Women Entering Primary Care

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Gender significantly influences choice of specialty, with female osteopathic graduates 75 percent more likely to enter primary care (PC) than men, according to a study recently published in the Journal of the American Osteopathic Association.

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CDC: Risky Behaviors Common Among U.S. Teens

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Risky behaviors remain common among U.S. teens, according to the 2019 Youth Risk Behavior Surveillance report published as a supplement to the Aug. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 17 to 21, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Public COVID-19 Information Written at Too High a Level

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Online information about the COVID-19 pandemic posted by the World Health Organization, U.S. Centers for Disease Control and Prevention, and other public health organizations worldwide may be too difficult for many people to understand, a new study suggests.

CNN Article
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White House Blocks FDA's Power to Regulate Lab Tests

FRIDAY, Aug. 21, 2020 (HealthDay News) -- The Trump administration has blocked the U.S. Food and Drug Administration from regulating a wide swath of laboratory tests, including ones for COVID-19.

Washington Post Article

Extract From Deadly Plant Touted as COVID-19 Cure

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Experts have slammed claims by a major Trump donor that an extract from a deadly plant is a cure for COVID-19.

The New York Times Article

Older Adults With Depression Showing Resilience in Pandemic

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Most older adults with preexisting major depressive disorder (MDD) showed resilience in the first two months of the COVID-19 pandemic, but they express concerns about the future as the pandemic continues, according to a study published in the September issue of The American Journal of Geriatric Psychiatry.

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ACIP Issues Recommendations for 2020 to 2021 Flu Vaccination

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Advisory Committee on Immunization Practices (ACIP) recommendations have been updated to include the influenza vaccination for the 2020 to 2021 season; the recommendations were published in the Aug. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Adolescent Vaccinations Decreased During COVID-19 Pandemic

FRIDAY, Aug. 21, 2020 (HealthDay News) -- The decrease in vaccination orders seen during the COVID-19 pandemic could offset increases in vaccinations for adolescents from 2018 to 2019, according to research published in the Aug. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Growth Retardation Found for Adolescents With Anorexia Nervosa

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Adolescents with anorexia nervosa (AN) have growth retardation, according to a study published online Aug. 20 in the Journal of Clinical Endocrinology & Metabolism.

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Hypertensive Disorders of Pregnancy, Menopause Symptoms Linked

FRIDAY, Aug. 21, 2020 (HealthDay News) -- There is an association between a history of hypertensive disorders of pregnancy and more bothersome menopausal symptoms, according to a study published online Aug. 17 in Menopause.

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Exposure to Air Pollution Tied to New Asthma in Children

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Fine particulate matter contributes to the development of asthma and persistent wheezing in children, according to a study published online Aug. 19 in The BMJ.

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CDC: Mortality Rates Lowest for Infants of Normal-Weight Women

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Infants of women who are normal weight prepregnancy have the lowest total infant, neonatal, and postneonatal mortality rates, with increased rates seen for infants of women who are underweight or who have obesity prepregnancy, according to the Aug. 21 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Late Morbidity, Mortality Down for Survivors of Childhood ALL

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Contemporary survivors of childhood acute lymphoblastic leukemia (ALL) have reduced late morbidity and mortality, according to a study published online July 24 in the Journal of Clinical Oncology.

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Michigan to Pay $600 Million to Flint Water Crisis Victims

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Victims of the Flint water crisis will receive about $600 million from the state of Michigan in a major settlement to be announced this week, two people with knowledge of the deal say.

The New York Times Article

Wawona Bagged Peaches Linked to Salmonella Outbreak

THURSDAY, Aug. 20, 2020 (HealthDay News) -- A Salmonella outbreak that has sickened 68 people in nine states may be linked to Wawona-brand bagged peaches sold at ALDI stores, the U.S. Food and Drug Administration said Wednesday.

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Incidence of COVID-19 Up for American Indians, Alaska Natives

THURSDAY, Aug. 20, 2020 (HealthDay News) -- The overall incidence of COVID-19 is increased among American Indian and Alaska Native (AI/AN) persons in the United States, according to research published in the Aug. 19 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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SARS-CoV-2 Nasopharyngeal Load Higher in Children Than Adults

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Children with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have the highest nasopharyngeal viral load in the first two days of symptoms, according to a study published online Aug. 20 in The Journal of Pediatrics.

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Longer Bisphosphonate Use May Up Atypical Femur Fracture Risk

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Longer duration of bisphosphonate use is associated with an increased risk for atypical femur fracture, according to a study published in the Aug. 20 issue of the New England Journal of Medicine.

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Evinacumab Cuts LDL-C Level in Familial Hypercholesterolemia

THURSDAY, Aug. 20, 2020 (HealthDay News) -- For patients with homozygous familial hypercholesterolemia, evinacumab lowers low-density lipoprotein (LDL) cholesterol levels, according to a study published in the Aug. 20 issue of the New England Journal of Medicine.

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Antibiotic Exposure Linked to Risk for Inflammatory Bowel Disease

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Higher cumulative exposure to antibiotics is associated with an increased risk for new-onset inflammatory bowel disease (IBD), according to a study published online Aug. 17 in The Lancet Gastroenterology & Hepatology.

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Short-Term PrEP Feasible for Men at Risk for HIV on Vacation

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Preexposure prophylaxis (PrEP) is well tolerated by men who have sex with men (MSM) at episodic risk for HIV while on vacation, according to a study published online Aug. 15 in the Journal of Acquired Immune Deficiency Syndrome.

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Disparities Seen in COVID-19 Hospitalizations in Racial/Ethnic Subgroups

THURSDAY, Aug. 20, 2020 (HealthDay News) -- There are considerable disparities in the prevalence of COVID-19 across racial/ethnic subgroups in the United States, according to a research letter published online Aug. 17 in JAMA Internal Medicine.

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Each Week of Early Alcohol Use Tied to Incremental Miscarriage Risk

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Each additional week of alcohol exposure during the first trimester of pregnancy increases the risk for spontaneous abortion, according to a study published online July 12 in the American Journal of Obstetrics and Gynecology.

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Health Worse for Baby Boomer Caregivers Versus Noncaregivers

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Baby boomer caregivers more often have chronic health conditions and frequent mental distress (FMD) than noncaregivers, according to a study published online Aug. 13 in the U.S. Centers for Disease Control and Prevention Preventing Chronic Disease.

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Poll: More Older Adults Using Telehealth During Pandemic

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- More older adults have used telehealth to consult with a health care provider during the COVID-19 pandemic compared with that seen in the previous year, according to a report published online Aug. 17 based on the results of the University of Michigan National Poll on Healthy Aging.

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HHS: Pharmacists in All States Can Give Childhood Vaccinations

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Children can now be vaccinated by pharmacists in all 50 states as the U.S. government seeks to prevent a decline in routine vaccinations during the COVID-19 pandemic.

AP News Article

CDC: Recalled Onions Linked to 869 Salmonella Cases in 47 States

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Recalled onions have been linked to a Salmonella outbreak that has caused 869 illnesses in 47 states, according to an update late Tuesday by the U.S. Centers for Disease Control and Prevention.

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CDC: In 2018, 5.1 Percent of Adults Engaged in Heavy Drinking

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- In 2018, about 5 percent of U.S. adults engaged in heavy drinking during the previous year, 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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Disparities Seen in COVID-19 Hot Spots for Racial, Ethnic Minority Groups

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Disparities in COVID-19 cases are seen in one or more underrepresented racial/ethnic groups in almost all hot spots in the United States, according to research published in the Aug. 14 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Antibiotics May Reduce Efficacy of Hormonal Contraceptives

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- The efficacy of hormonal contraceptives may be reduced with use of antibiotics, according to a study published online Aug. 18 in BMJ Evidence-Based Medicine.

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CNS-Active Meds Often Prescribed for Older Adults With Dementia

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Patients with dementia are frequently prescribed central nervous system (CNS)-active medications, according to a research letter published online Aug. 18 in the Journal of the American Medical Association.

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USPSTF Urges Behavioral Counseling to Prevent STIs

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends behavioral counseling interventions for preventing sexually transmitted infections (STIs) in adolescents and adults at increased risk. These recommendations form the basis of a final recommendation statement published in the Aug. 18 issue of the Journal of the American Medical Association.

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Honey Beats Usual Care for Upper Respiratory Tract Infections

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- For upper respiratory tract infections (URTIs), honey seems superior to usual care, according to a review and meta-analysis published online Aug. 18 in BMJ Evidence-Based Medicine.

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Homelessness Tied to Higher Readmission Rates

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Homelessness is associated with significantly higher 30- and 90-day readmission rates even when adjusting for other demographic and clinical factors, according to a study recently published in the Journal of General Internal Medicine.

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Risk for Cannabis Use Increased Among Adults With Depression

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Individuals with depression are at a higher risk for cannabis use, with use significantly increased since 2005, according to a study published online Aug. 18 in JAMA Network Open.

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COVID-19 Spread Among Students Prompts UNC to Return to Online Teaching

TUESDAY, Aug. 18, 2020 (HealthDay News) -- In a potential harbinger of what could unfold on college campuses across the United States this fall, the University of North Carolina at Chapel Hill said Monday it will revert back to online teaching after testing showed a rapid spread of COVID-19 among students.

The New York Times Article

FDA: COVID-19 Test Could Give Inaccurate Results

TUESDAY, Aug. 18, 2020 (HealthDay News) -- A widely used COVID-19 test could produce inaccurate results due to issues with the equipment and software used to run the test, the U.S. Food and Drug Administration warned Monday.

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California Has First Plague Case in Five Years

TUESDAY, Aug. 18, 2020 (HealthDay News) -- California's first case of plague in five years has been confirmed by health officials.

CBS News Article

In-Person Obstetric Visits Not Likely to Spread COVID-19

TUESDAY, Aug. 18, 2020 (HealthDay News) -- There does not appear to be a significant association between the number of in-person health care visits and the rate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among obstetrical patients, according to a research letter published online Aug. 14 in the Journal of the American Medical Association.

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Higher BPA Exposure Linked to Increased Risk for All-Cause Mortality

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Higher bisphenol A (BPA) exposure is associated with an increased risk for all-cause mortality in a nationally representative cohort of U.S. adults, according to a study published online Aug. 17 in JAMA Network Open.

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Rates of Prescription Opioid Use Higher in Cancer Survivors

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Cancer survivors have higher rates of prescription opioid use but do not have increased rates of prescription opioid misuse compared with those without a history of cancer, according to a study published online Aug. 17 in JAMA Network Open.

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Many Pediatric Practitioners Do Not Advise Waiting Between New Foods

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Most pediatric practitioners do not counsel families to wait three days or longer between introducing new foods for infants, according to a study published online Aug. 17 in JAMA Network Open.

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ACP, AAFP Issue Guidelines for Acute Musculoskeletal Injuries

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Topical nonsteroidal anti-inflammatory drugs (NSAIDs) are recommended for the treatment of acute pain from non-low back, musculoskeletal injuries, according to a clinical guideline developed by the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) and published online Aug. 18 in the Annals of Internal Medicine.

Clinical Guideline
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Bariatric Surgery Linked to Reduction in Mortality Rate

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Bariatric surgery is associated with a reduction in mortality, and Roux-en-Y gastric bypass (RYGB) is effective for blood pressure (BP) control in patients with hypertension and obesity, according to two studies published online Aug. 18 in the Annals of Internal Medicine.

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Yoga Superior to Stress Education for Generalized Anxiety Disorder

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Yoga is effective for treating generalized anxiety disorder (GAD), but cognitive behavioral therapy (CBT) remains more effective, according to a study published online Aug. 12 in JAMA Psychiatry.

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Recent Diabetes + Weight Loss Tied to Pancreatic Cancer Risk

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Recent-onset diabetes accompanied by weight loss is associated with a substantially increased risk for developing pancreatic cancer, according to a study published online Aug. 13 in JAMA Oncology.

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Pitavastatin Effective for Lowering Lipids

MONDAY, Aug. 17, 2020 (HealthDay News) -- Pitavastatin lowers blood total cholesterol, low-density lipoprotein (LDL) cholesterol, and triglycerides in a dose-dependent manner, according to a review recently published in the Cochrane Database of Systematic Reviews.

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Baby Boomers Showing Higher Rates of Cognitive Decline

MONDAY, Aug. 17, 2020 (HealthDay News) -- Reversing recent trends, baby boomers are showing lower cognitive functioning as they age than previous generations, according to a study published online July 29 in The Journals of Gerontology: Series B.

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FDA: Cyclospora Outbreak Source Still Unknown

MONDAY, Aug. 17, 2020 (HealthDay News) -- The source of an outbreak of Cyclospora infections that have affected 690 people in 13 states is still unknown, the U.S. Food and Drug Administration says.

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COVID-19 Impact on Homeless People in U.S. Not as Bad as Feared

MONDAY, Aug. 17, 2020 (HealthDay News) -- The impact of the COVID-19 pandemic on homeless people in the United States has not been as severe as feared, data show.

AP News Article

Neck Gaiters 'Worse Than Nothing' in Preventing COVID-19 Spread

MONDAY, Aug. 17, 2020 (HealthDay News) -- Thin, stretchy neck gaiters are "worse than nothing" when it comes to preventing the spread of COVID-19, according to researchers.

CBS News Article
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CV Risk Factors, Comorbidity Tied to COVID-19 CV Complications

MONDAY, Aug. 17, 2020 (HealthDay News) -- For patients hospitalized with COVID-19, preexisting cardiovascular comorbidities or risk factors (RFs) are associated with cardiovascular complications, which contribute to mortality, according to a meta-analysis published online Aug. 14 in PLOS ONE.

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Incidence, Severity of Intimate Partner Violence Up During Pandemic

MONDAY, Aug. 17, 2020 (HealthDay News) -- The incidence and severity of physical intimate partner violence (IPV) have been higher during the COVID-19 pandemic than in the previous three years, according to a study published online Aug. 13 in Radiology.

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Guidance Issued for Genetic Testing in Prostate Cancer

MONDAY, Aug. 17, 2020 (HealthDay News) -- As a result of the Philadelphia Prostate Cancer Consensus Conference, hosted by Sidney Kimmel Cancer Center-Jefferson Health and the Department of Urology at Jefferson, recommendations have been developed for implementing germline testing for prostate cancer. The consensus framework was recently published in the Journal of Clinical Oncology.

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Diabetes Cuts Life Expectancy in U.K. by 6 Million Life Years

MONDAY, Aug. 17, 2020 (HealthDay News) -- Mortality resulting from poorly controlled diabetes could be associated with a loss of 6 million life years in the United Kingdom, according to a study recently published in Cardiovascular Endocrinology & Metabolism.

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Child Developmental Vulnerability Up With Maternal Depression

MONDAY, Aug. 17, 2020 (HealthDay News) -- Children exposed to maternal depression have an increased risk for developmental vulnerability at school entry, with stronger associations for exposure to maternal depression before age 1 year and between ages 4 and 5 years, according to a study published online Aug. 17 in Pediatrics.

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Some Doctors Endorse Thyroid Ultrasonography Unnecessarily

MONDAY, Aug. 17, 2020 (HealthDay News) -- A considerable proportion of physicians endorse use of thyroid ultrasonography for clinically unsupported reasons, according to a research letter published online Aug. 12 in JAMA Surgery.

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Smokers Less Likely to Receive Breast, Cervical, CRC Screening

MONDAY, Aug. 17, 2020 (HealthDay News) -- Current smokers have lower odds of obtaining cancer screening for breast, cervical, and colorectal cancer, according to a study published online Aug. 13 in BMJ Open.

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Factors Tied to Hormone Therapy Use After Oophorectomy ID'd

MONDAY, Aug. 17, 2020 (HealthDay News) -- Age at surgery, education level, and preventive mastectomy are associated with hormone therapy (HT) use after preventive oophorectomy in BRCA mutation carriers, according to a study published online Aug. 10 in Menopause.

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Breast Cancer Mortality Decreased With Mammography From Age 40

MONDAY, Aug. 17, 2020 (HealthDay News) -- Annual mammography from age 40 years is associated with a relative reduction in breast cancer mortality for 10 years, according to a study published online Aug. 12 in The Lancet Oncology.

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Shift Occurring in Deadly Overdoses

FRIDAY, Aug. 14, 2020 (HealthDay News) -- There has been a dramatic increase in overdose fatalities involving illicit opioids, stimulants, heroin, and cocaine but a simultaneous dramatic drop in the use of prescription opioids, according to the Opioid Task Force 2020 Progress Report released by the American Medical Association (AMA).

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 10 to 14, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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COVID-19 Deaths in Nursing Homes Climbing Again

FRIDAY, Aug. 14, 2020 (HealthDay News) -- The novel coronavirus is surging once more in U.S. nursing homes, where it killed tens of thousands at the start of the pandemic.

Washington Post Article

Excess Mortality During Peak of 1918 Flu Similar to COVID-19 in NYC

FRIDAY, Aug. 14, 2020 (HealthDay News) -- Excess mortality during the peak of the 1918 H1N1 influenza pandemic was comparable to that seen early in the COVID-19 pandemic outbreak in New York City, according to a research letter published online Aug. 13 in JAMA Network Open.

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Positivity Rates of SARS-CoV-2 Low for Children in England

FRIDAY, Aug. 14, 2020 (HealthDay News) -- Children in England had low positivity rates of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) during the first COVID-19 pandemic peak and also had a low case-fatality rate, according to a study published online Aug. 12 in the Archives of Disease in Childhood.

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Racial, Ethnic Disparities in Flu Shot Seen at Dialysis Facilities

FRIDAY, Aug. 14, 2020 (HealthDay News) -- For U.S. patients undergoing dialysis, the proportion receiving influenza vaccination is lower at facilities with higher proportions of Black and Hispanic patients, according to a study published online Aug. 13 in the Journal of the American Society of Nephrology.

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Lean Mass Lower in Survivors of Pediatric Abdominal, Pelvic Tumors

FRIDAY, Aug. 14, 2020 (HealthDay News) -- Survivors of pediatric abdominal or pelvic tumors have lower lean mass in association with radiation doses and worse metabolic outcomes, according to a study published online Aug. 13 in Cancer Epidemiology, Biomarkers & Prevention.

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Return-to-School Recommendations Issued for Organ Transplant Recipients

FRIDAY, Aug. 14, 2020 (HealthDay News) -- For solid organ transplant (SOT) recipients, the decision of whether to return to school should be a shared decision between families, transplant professionals, and educators, according to an expert opinion article published online Aug. 4 in the Journal of the Pediatric Infectious Diseases Society.

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More Than One-Third of U.S. Children Consume Fast Food

FRIDAY, Aug. 14, 2020 (HealthDay News) -- More than one-third of U.S. children and adolescents consumed fast food on a given day during 2015 to 2018, 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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Bisphosphonates Safe but May Not Improve Bone Marrow Lesion Volume

FRIDAY, Aug. 14, 2020 (HealthDay News) -- There is no clear benefit of bisphosphonates on bone marrow lesions (BMLs), according to a study published online Aug. 4 in Osteoarthritis and Cartilage.

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Exposure to Outdoor Air Pollution May Increase Risk for CVD

FRIDAY, Aug. 14, 2020 (HealthDay News) -- Long-term exposure to outdoor fine particulate matter (PM2.5) is associated with an increased risk for cardiovascular disease in adults, regardless of country wealth, according to a study recently published in The Lancet Planetary Health.

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Outdoor Artificial Light at Night May Worsen Sleep in Teens

FRIDAY, Aug. 14, 2020 (HealthDay News) -- Higher levels of outdoor artificial light at night (ALAN) are associated with less favorable sleep patterns as well as mood and anxiety disorders in adolescents, according to a study published online July 8 in JAMA Psychiatry.

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FDA Warns of Hand Sanitizers Tainted With 1-Propanol

THURSDAY, Aug. 13, 2020 (HealthDay News) -- The U.S. Food and Drug Administration is warning people not to use hand sanitizers made by Harmonic Nature S de RL de MI in Mexico.

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U.S. COVID-19 Death Tally Hits New High for Summer

THURSDAY, Aug. 13, 2020 (HealthDay News) -- America logged its highest single-day COVID-19 death total of the summer on Wednesday, as the toll from an earlier surge in cases in Sun Belt states continued to mount.

The New York Times Article

Adverse Mental, Behavioral Health Issues Common During COVID-19

THURSDAY, Aug. 13, 2020 (HealthDay News) -- More than 40 percent of adults across the United States have reported at least one adverse mental or behavioral health condition during the COVID-19 pandemic, according to research published in the Aug. 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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In-Person Clinic Visits at VA Down by Half Early in Pandemic

THURSDAY, Aug. 13, 2020 (HealthDay News) -- During the COVID-19 pandemic, there has been a 56 percent decline in in-person visits across Department of Veterans Affairs (VA) outpatient facilities, which is only partly offset by more than a twofold increase in the number of telephone and video visits, according to a research letter published online Aug. 10 in the Annals of Internal Medicine.

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Physicians Do Not See They Are Part of Antibiotic Rx Problem

THURSDAY, Aug. 13, 2020 (HealthDay News) -- Primary care physicians generally do not recognize antibiotic resistance and inappropriate prescribing as issues in their practice, according to a study published in the July issue of Open Forum Infectious Diseases.

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Women Have More Depression With Peripheral Artery Disease

THURSDAY, Aug. 13, 2020 (HealthDay News) -- Women with peripheral artery disease (PAD) have a higher burden of depressive symptoms compared with men, according to a study published online Aug. 12 in the Journal of the American Hospital Association.

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Outcomes Worse With No Surgery for Cholecystitis in Pregnancy

THURSDAY, Aug. 13, 2020 (HealthDay News) -- Contrary to current guidelines, most pregnant women admitted to U.S. hospitals for acute cholecystitis are managed nonoperatively, according to a study published online July 14 in the Annals of Surgery.

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Neonatal Adiposity Linked to Higher Childhood BMI Levels

THURSDAY, Aug. 13, 2020 (HealthDay News) -- Higher neonatal adiposity is significantly associated with higher overall body mass index (BMI) levels at ages 2 to 6 years, according to a study published online Aug. 13 in Pediatrics.

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Maternal Weight Tied to Early-Onset Neonatal Bacterial Sepsis

THURSDAY, Aug. 13, 2020 (HealthDay News) -- Risk for early-onset neonatal bacterial sepsis (EOS) increases with maternal overweight and obesity, particularly in term infants, according to a study recently published in Clinical Infectious Diseases.

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Brain Changes Identified in Nonconcussed Contact Athletes

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- There are longitudinal changes in the microstructure and function of the brain in otherwise healthy, asymptomatic athletes participating in contact sports, according to a study published online July 28 in Neurology.

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Burnout Less Likely for Doctors in Minority Race/Ethnic Groups

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- Compared with non-Hispanic White physicians, physicians in minority racial/ethnic groups are less likely to report burnout, according to a study published online Aug. 7 in JAMA Network Open.

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Editorial

Many Community Outbreaks of COVID-19 Traced to Restaurants, Bars

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- New data show that many of the community outbreaks of COVID-19 that have cropped up in the United States this summer have originated in restaurants and bars.

The New York Times Article

U.S. Government to Buy 100 Million Doses of COVID-19 Vaccine From Moderna

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- The Trump administration has agreed to pay $1.5 billion for 100 million doses of a COVID-19 vaccine from Moderna once it is approved, CNN reported Wednesday.

CNN Article

Sharp Drop in Non-Small Cell Lung Cancer Mortality Seen in Recent Years

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- Mortality from non-small-cell lung cancer (NSCLC) in the United States fell sharply from 2013 to 2016, while survival improved substantially, according to a study published in the Aug. 13 issue of the New England Journal of Medicine.

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Bifocal Contact Lenses May Slow Children's Myopia Progression

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- Among children with myopia, treatment with high add power multifocal contact lenses reduces the rate of myopia progression over three years compared with medium add power multifocal and single-vision contact lenses, according to a study published in the Aug. 11 issue of the Journal of the American Medical Association.

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CDC: Pediatric Hospitalizations for COVID-19 Increasing

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- While rates of hospitalization for children with COVID-19 remain low, they have been increasing, according to research published in the Aug. 7 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Preventable Hospitalizations Up Among Those With Dementia

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- The number of potentially preventable hospitalizations among older adults with dementia is increasing, according to a study published online July 23 in the Journal of the American Geriatrics Society.

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Surgical Delays Not Life-Threatening in Early Breast Cancer

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- Surgical delays do not seem to be life-threatening for women with ductal carcinoma in situ (DCIS) or with early-stage estrogen receptor-positive (ER+) breast cancer, according to a study published online Aug. 6 in the Journal of the American College of Surgeons.

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Self-Reported Biotin Use Increased From 1999 to 2016

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- From 1999 to 2016, the prevalence of self-reported biotin supplement use increased, especially among women and older adults, according to a research letter published in the Aug. 11 issue of the Journal of the American Medical Association.

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Environmental Factors Tied to Childhood Obesity

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- Childhood obesity is associated with multiple environmental factors, including exposure to smoking and air pollution, according to a study recently published in Environmental Health Perspectives.

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Guidance Helps Doctors Optimize Telemedicine for Seniors

TUESDAY, Aug. 11, 2020 (HealthDay News) -- In an Ideas and Opinions article published online Aug. 11 in the Annals of Internal Medicine, guidance is provided for physicians to optimize telemedicine, which can be challenging for older patients.

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E-Cigarette Use Linked to Increased Odds of COVID-19

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Use of electronic cigarettes (e-cigarettes) and dual use of cigarettes and e-cigarettes are associated with increased likelihood of COVID-19 diagnosis, according to a study published online Aug. 11 in the Journal of Adolescent Health.

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SARS-CoV-2 Rates Up for Minority, Disadvantaged Children

TUESDAY, Aug. 11, 2020 (HealthDay News) -- The rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are increased among minority and socioeconomically disadvantaged children, according to a study published online Aug. 5 in Pediatrics.

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Gilead Seeks FDA Approval for Remdesivir

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Gilead Sciences has applied to the U.S. Food and Drug Administration for approval for its COVID-19 treatment, remdesivir. The antiviral drug will take the brand name Veklury, the company said.

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FDA Head Says Any Approved COVID-19 Vaccine Will Be Safe

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Stephen Hahn, M.D., the head of the U.S. Food and Drug Administration, said Monday that the agency will not compromise safety when approving a COVID-19 vaccine, CNN reported.

CNN Article

Russia Approves COVID-19 Vaccine Before Trials Completed

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Before completing clinical trials to ensure the vaccine is safe and effective, the Russian government has gone ahead and approved a vaccine against the new coronavirus, The New York Times reported Tuesday.

The New York Times Article

Alcohol Use Is Less Prevalent in Second, Third Trimesters

TUESDAY, Aug. 11, 2020 (HealthDay News) -- The prevalence of self-reported drinking is lower among pregnant women in their second or third trimester compared to those in their first trimester, according to research published in the Aug. 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Respiratory-Related ED Visits Up in Days Before Thunderstorms

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Emergency department visits for acute respiratory illness among Medicare beneficiaries significantly increase in the days before major thunderstorms, according to a research letter published online Aug. 10 in JAMA Internal Medicine.

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Prenatal Cannabis Exposure May Harm Child Neurodevelopment

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Cannabis use during pregnancy is associated with an increased risk of neurodevelopmental disorders in offspring by age 10 years, according to a study published Aug. 10 in Nature Medicine.

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Malnutrition Common in Acute Coronary Syndrome Patients

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Patients with acute coronary syndrome (ACS) often have malnutrition, which is associated with increased risk for mortality and major adverse cardiovascular events (MACEs), according to a study published in the Aug. 18 issue of the Journal of the American College of Cardiology.

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Shared Decision Making Improves Youth Continuous Glucose Monitor Use

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Youth with diabetes who are involved with the decision to start continuous glucose monitoring (CGM) are more likely to continue using the technology, according to a study published online July 23 in Diabetes Care.

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Reproductive Factors Tied to Coronary Artery Disease

TUESDAY, Aug. 11, 2020 (HealthDay News) -- Certain reproductive factors may up the risk for obstructive coronary artery disease (CAD) in postmenopausal women, according to a study published online Aug. 3 in Menopause.

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Expanding Medicaid in Holdout States Could Insure 3.9 Million

MONDAY, Aug. 10, 2020 (HealthDay News) -- Expanding Medicaid to all states could reduce the number of uninsured by 28 percent based on pre-COVID-19 data, according to a report released by the Urban Institute and the Robert Wood Johnson Foundation.

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FDA: Outbreak of Salmonella Infections Linked to Onions

MONDAY, Aug. 10, 2020 (HealthDay News) -- The U.S. Food and Drug Administration is warning consumers not to use onions recalled by Thomson International Inc. as they may be contaminated with Salmonella, which has sickened more than 900 people in the United States and Canada.

More Information: FDA
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Report: 97,000 U.S. Children Infected With COVID-19 in Late July

MONDAY, Aug. 10, 2020 (HealthDay News) -- With millions of American children soon returning to school, a new study shows that at least 97,000 children were infected with COVID-19 during the last two weeks of July.

The New York Times Article
Multisystem Inflammatory Syndrome in Children

Legionella Bacteria Forces CDC Office Closures

MONDAY, Aug. 10, 2020 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention informed employees that office space it rents in the Atlanta area would be closed after Legionella, the bacteria that causes legionnaires disease, was found in the buildings, The New York Times reported. Fortunately, no employees have been sickened.

The New York Times Article

Two-Thirds of U.S. Adults Likely to Get COVID-19 Vaccine

MONDAY, Aug. 10, 2020 (HealthDay News) -- Two-thirds of U.S. adults say they would get a COVID-19 vaccine, according to the results of a survey released Aug. 6 by the COVID-19 Consortium for Understanding the Public's Policy Preferences Across States.

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Hospitalization Rates for AMI Dropped During Early COVID-19

MONDAY, Aug. 10, 2020 (HealthDay News) -- During the early COVID-19 period, there was a decrease in hospitalization rates for acute myocardial infarction (AMI), according to a brief report published online Aug. 7 in JAMA Cardiology.

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Serine 91 Genotype of gyrA Gonorrhea Successfully Treated With Ciprofloxacin

MONDAY, Aug. 10, 2020 (HealthDay News) -- For patients with gonorrhea, detection of the wild-type serine 91 genotype of the gyrA gene of Neisseria gonorrhoeae is predictive of a successful treatment outcome with ciprofloxacin, according to a study published online Aug. 7 in Clinical Infectious Diseases.

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Mental Stress-Induced Brain Activation Linked to Angina

MONDAY, Aug. 10, 2020 (HealthDay News) -- Mental stress-induced inferior frontal lobe activation is associated with angina among patients with coronary artery disease, according to a study published online Aug. 10 in Circulation: Cardiovascular Imaging.

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Four in 10 Children's Behavioral Care Facilities Offer Autism Services

MONDAY, Aug. 10, 2020 (HealthDay News) -- Fewer than half of U.S. mental health treatment facilities providing care for children offer services for autism spectrum disorder (ASD), according to a report published in the June issue of Health Affairs.

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Many U.S. Children Eligible for Type 2 Diabetes Screening

MONDAY, Aug. 10, 2020 (HealthDay News) -- Many children are eligible for type 2 diabetes screening, but few test positive for prediabetes or diabetes, according to a study published online Aug. 10 in Pediatrics.

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Almost One in Three Black Young Adults in U.S. Have Hypertension

FRIDAY, Aug. 7, 2020 (HealthDay News) -- Nearly one in three young non-Hispanic black adults and about one in five young Mexican-American and non-Hispanic white adults have hypertension, according to a study published in the July 1 issue of Mayo Clinic Proceedings.

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In Wales, One-Fifth of Adults With Hearing Aids Do Not Use Them

FRIDAY, Aug. 7, 2020 (HealthDay News) -- About 20 percent of adults with hearing aids in Wales, the United Kingdom, do not use them, according to a study recently published in the International Journal of Audiology.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 3 to 7, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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300,000 American Deaths Projected by December Without More Face Mask Use

FRIDAY, Aug. 7, 2020 (HealthDay News) -- As the U.S. COVID-19 case count neared 5 million on Thursday, a new model predicted that nearly 300,000 Americans could die of COVID-19 by December if more people do not wear masks or practice better social distancing.

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U.S. Cancels Blanket Warning for International Travel

FRIDAY, Aug. 7, 2020 (HealthDay News) -- On Thursday, the Trump administration canceled its warnings against international travel because of the COVID-19 pandemic, the Associated Press reported.

AP News Article
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Life Expectancy 78.60 Years for U.S. Population for 2009-2011

FRIDAY, Aug. 7, 2020 (HealthDay News) -- Life expectancy for 2009 to 2011 was 78.60 years for the total U.S. population, with the highest life expectancy for Hispanic women, according to the Aug. 7 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Longer Bisphosphonate Drug Holiday May Up Fracture Risk

FRIDAY, Aug. 7, 2020 (HealthDay News) -- In patients who have previously suffered a vertebral fracture, a longer bisphosphonate (BP) drug holiday is associated with an increased risk for major osteoporotic fractures (MOFs), according to a study published online in the September issue of Bone.

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COVID-19 Tied to Higher Risk for Large Vessel Occlusion Strokes

FRIDAY, Aug. 7, 2020 (HealthDay News) -- COVID-19 is associated with large vessel occlusion (LVO) strokes, according to a study published online July 29 in the American Journal of Roentgenology.

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Overscreening for Cancer Common Among Older Adults

FRIDAY, Aug. 7, 2020 (HealthDay News) -- Almost half of older U.S. adults report being screened for colorectal, cervical, or breast cancer beyond recommended upper age limits, particularly women living in metropolitan areas, according to a study published online July 27 in JAMA Network Open.

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Short-Term Risk for Below-Knee Amputation Not Increased With SGLT2i

FRIDAY, Aug. 7, 2020 (HealthDay News) -- For patients with type 2 diabetes, sodium glucose cotransporter 2 (SGLT2) inhibitors do not increase the risk for below-knee amputation compared with dipeptidyl peptidase 4 (DPP-4) inhibitors, according to a study published online Aug. 5 in Diabetes Care.

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Expanded Obstetric Comorbidity Score Developed, Validated

FRIDAY, Aug. 7, 2020 (HealthDay News) -- An expanded obstetric comorbidity score improves the prediction of severe maternal morbidity, according to a study published online Aug. 6 in Obstetrics & Gynecology.

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Moderna Charging Much More for COVID-19 Vaccine Than Others

FRIDAY, Aug. 7, 2020 (HealthDay News) -- Moderna is charging $37 a dose for its experimental vaccine, which is far more than what other companies say they plan to charge for their vaccines, CBS News reported Wednesday. Because two doses of the vaccine are needed to immunize people from COVID-19, total costs could be $74 per person.

CBS News Article

Johnson & Johnson Makes $1 Billion Vaccine Deal

THURSDAY, Aug. 6, 2020 (HealthDay News) -- The U.S. government will pay Johnson & Johnson $1 billion for 100 million doses of its vaccine if it is approved by the U.S. Food and Drug Administration, the Washington Post reported Wednesday.

Washington Post Article

Scientists Call for Broader Use of Faster COVID-19 Tests

THURSDAY, Aug. 6, 2020 (HealthDay News) -- As COVID-19 cases continue to surge across America, scientists on Wednesday called for widespread adoption of simpler, less accurate tests, as long as they are given often and quickly.

The New York Times Article

Gastric Cancer Incidence in Those ≥50 Differs by Race/Ethnicity

THURSDAY, Aug. 6, 2020 (HealthDay News) -- Significant differences are seen in gastric adenocarcinoma incidence according to race and ethnicity, according to a study published online Aug. 6 in Gastroenterology.

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Western Diet Tied to Adult Acne

THURSDAY, Aug. 6, 2020 (HealthDay News) -- Western diets rich in animal products and fatty and sugary foods are associated with adult acne, according to a study published online June 10 in JAMA Dermatology.

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ED Visits Decreased in Five States From January Through April 2020

THURSDAY, Aug. 6, 2020 (HealthDay News) -- As the COVID-19 pandemic intensified, there was a decrease in emergency department visits in five states from January through April 2020, according to a study published online Aug. 3 in JAMA Internal Medicine.

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Editorial

CDC: More American Indian, Alaska Natives in Fair, Poor Health

THURSDAY, Aug. 6, 2020 (HealthDay News) -- American Indian and Alaska Native (AIAN) adults are more likely to be in fair or poor health than all U.S. adults, 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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Skin Conditions Common in Older Adults

THURSDAY, Aug. 6, 2020 (HealthDay News) -- Dermatological disorders are extremely common in older individuals, according to a study published online Aug. 4 in the Journal of the American Geriatrics Society.

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ASCRS Updates Guidelines on Surgery for Crohn Disease

THURSDAY, Aug. 6, 2020 (HealthDay News) -- In clinical practice guidelines from the American Society of Colon and Rectal Surgeons, published in the August issue of Diseases of the Colon & Rectum, recommendations are presented for indications and considerations before, during, and after surgery for Crohn disease (CD).

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Diabetes-Related Lower-Limb Amputations Up in Older Adults

THURSDAY, Aug. 6, 2020 (HealthDay News) -- Since 2009, diabetes-related nontraumatic lower-extremity amputation (NLEA) has been increasing among older adults, according to a study published online July 28 in Diabetes Care.

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AHA: Cannabis May Have Adverse Cardiovascular Effects

THURSDAY, Aug. 6, 2020 (HealthDay News) -- Cannabis seems not to be associated with cardiovascular benefits but has adverse cardiovascular effects, according to a scientific statement from the American Heart Association published online Aug. 5 in Circulation.

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CDC Describes 238 Confirmed Cases of Acute Flaccid Myelitis

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Acute flaccid myelitis (AFM) mainly occurs during August to November, and weakness onset is often preceded by prodromal fever, respiratory illness, or both, according to research published in the Aug. 4 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Experimental COVID-19 Vaccine Shows Encouraging Results

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Maryland-based Novavax said Tuesday that preliminary trials of an experimental COVID-19 vaccine were promising.

The New York Times Article

Seven States Join Pact to Speed COVID-19 Testing

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- As the daily U.S. COVID-19 death toll averaged more than 1,000 for the ninth straight day on Tuesday, governors from seven states banded together to shorten turnaround time for COVID-19 test results.

The New York Times Article
CNN Article

COVID-19 Case Fatality Rate 29 Percent in Multiple Myeloma Patients

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- For patients with multiple myeloma and COVID-19, the case fatality rate is 29 percent among hospitalized patients, with increased odds of adverse outcomes among racial/ethnic minorities, according to a study published online July 30 in Blood Cancer Discovery.

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Worldwide Burden of Gout Increased From 1990 to 2017

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- From 1990 to 2017, the burden of gout increased across the world, according to a study published online Aug. 5 in Arthritis & Rheumatology.

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Bisphenol A Linked to More Asthma Symptoms in Young Boys

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Higher levels of bisphenol A (BPA), a chemical used to make certain plastics and resins, may cause more severe asthma symptoms in children, according to a study published online July 28 in the Journal of Allergy and Clinical Immunology.

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Risk for Cardiovascular Disease Up for Women With PCOS

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Women with polycystic ovary syndrome (PCOS) have an increased risk for cardiovascular disease (CVD), according to a research letter published online Aug. 2 in the European Journal of Preventive Cardiology.

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CV Meds Underused in Hispanics With Peripheral Artery Disease

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Individuals of Hispanic/Latino background with known peripheral artery disease (PAD) have the lowest use of all classes of cardiovascular medications, according to a study published online Aug. 5 in the Journal of the American Heart Association.

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Rheumatoid Arthritis Linked to Lower Risk for Incident T2DM

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Compared with populations without rheumatoid arthritis (RA), RA is associated with a lower risk for type 2 diabetes mellitus (T2DM), according to a study published online Aug. 5 in Arthritis Care & Research.

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Study Looks at Optimal Strategy for Reopening Schools in U.K.

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Population-wide testing and effective contact tracing are necessary to prevent an epidemic rebound following school reopening in the United Kingdom; and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission rates were low in an educational setting in Australia, according to two studies published online Aug. 3 in The Lancet Child & Adolescent Health.

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Editorial

Improved Screenings by Ob-Gyns May Help Detect Heart Problems

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Many women seen in outpatient obstetrics-gynecology (ob-gyn) clinics are unaware of their own cardiovascular risk factors and symptoms, according to a study published online July 13 in the Journal of Women's Health.

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Health Plans Not Implementing Prior Authorization Reforms

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Physicians say prior authorization (PA) continues to interfere with patient care and can lead to adverse clinical consequences, according to the results of a survey released by the American Medical Association.

Press Release
Physician Survey

President Says Medicare Should Expand Telehealth Services

TUESDAY, Aug. 4, 2020 (HealthDay News) -- President Donald Trump signed an order on Monday that will broaden the role of telehealth for Medicare patients, the Associated Press reported.

AP News Article

Number of Newly ID'd U.S. Patients With Cancer Dropped During COVID-19

TUESDAY, Aug. 4, 2020 (HealthDay News) -- During the COVID-19 pandemic period, there was a significant decline in newly identified U.S. patients with six common types of cancer, according to a research letter published online Aug. 4 in JAMA Network Open.

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Most Studies Still Fail to Analyze Data by Sex

TUESDAY, Aug. 4, 2020 (HealthDay News) -- The effect of gender is still largely ignored in scientific studies, according to a study published online June 9 in eLife.

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Burnout High Among Nonphysician Frontline Health Care Workers

TUESDAY, Aug. 4, 2020 (HealthDay News) -- More than 40 percent of nurses on the front lines during the pandemic may be experiencing burnout, according to a research letter published online Aug. 4 in JAMA Network Open.

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USPSTF Still Advises Against Carotid Artery Stenosis Screening

TUESDAY, Aug. 4, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening the general adult population for asymptomatic carotid artery stenosis. This recommendation forms the basis of a draft recommendation statement published online Aug. 4 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement

β2-Agonists Improve Nonaerobic Athletic Performance

TUESDAY, Aug. 4, 2020 (HealthDay News) -- Sprint and strength performance are improved in nonasthmatic athletes by using β2-agonists, according to a review published online Aug. 3 in the British Journal of Sports Medicine.

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Probiotics Not Recommended for Most Digestive Conditions

TUESDAY, Aug. 4, 2020 (HealthDay News) -- Probiotics are not recommended for most digestive conditions, according to a clinical practice guideline issued by the American Gastroenterological Association and published online June 9 in Gastroenterology.

AGA Clinical Practice Guidelines
Technical Review

Remote Weight-Loss Program Optimized to Cut Costs, Maximize Results

TUESDAY, Aug. 4, 2020 (HealthDay News) -- A new, remote weight-loss program from Northwestern Medicine, called Opt-IN, yields maximum weight loss for the lowest price and less burden compared with the Diabetes Prevention Program (DPP), the current gold standard of behavioral, nondrug weight-loss programs, according to a study published online July 12 in Obesity.

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Long-Term Negative Thinking Tied to Alzheimer Risk

TUESDAY, Aug. 4, 2020 (HealthDay News) -- Repetitive negative thinking (RNT) may be associated with increased Alzheimer disease (AD) risk, according to a study published in the July issue of Alzheimer's & Dementia.

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Program Cuts Outpatient Antibiotic Rx for Peds Respiratory Infections

TUESDAY, Aug. 4, 2020 (HealthDay News) -- A distance learning program is effective for reducing outpatient prescribing for pediatric acute respiratory tract infection (ARTI) visits, according to a study published online Aug. 3 in Pediatrics.

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Editorial (subscription or payment may be required)

Cost-Related Rx Nonadherence Highest in Young U.S. Women

MONDAY, Aug. 3, 2020 (HealthDay News) -- Cost-related prescription nonadherence is highest among younger U.S. women compared with individuals living in 10 other high-income countries, according to a report published in the August issue of Health Affairs.

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Adverse Experiences More Common Among Children Raised by Grandparents

MONDAY, Aug. 3, 2020 (HealthDay News) -- Children in grandparent-led households are much more likely to have a history of adverse childhood experiences (ACEs), according to a study published online Aug. 3 in Pediatrics.

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Short Video May Lower Parent Interest in Antibiotics for Child

MONDAY, Aug. 3, 2020 (HealthDay News) -- A 90-second animated video can reduce parents' interest in receiving antibiotics for their child's respiratory infection, according to a study published online June 15 in The Journal of Pediatrics.

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Obesity Ups Risk for Intubation, Death With COVID-19 in Adults <65

MONDAY, Aug. 3, 2020 (HealthDay News) -- Obesity is associated with an increased risk for intubation or death among hospitalized adults with COVID-19, with the association observed in adults younger than 65 years but not in older adults, according to a study published online July 29 in the Annals of Internal Medicine.

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More Than One in Three Stroke Survivors Have Uncontrolled HTN

MONDAY, Aug. 3, 2020 (HealthDay News) -- More than one-third of stroke survivors have uncontrolled hypertension, and about one in five are not taking antihypertensive medications, according to a study published online July 27 in JAMA Neurology.

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38 Percent of Older Adults in U.S. Not Ready for Video Doctor Visits

MONDAY, Aug. 3, 2020 (HealthDay News) -- An estimated 38 percent of all older adults in the United States are not ready for video visits with physicians, according to a research letter published online Aug. 3 in JAMA Internal Medicine.

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