February 2019 Briefing - Family Practice

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

Teens' Social Media Use Does Not Predict Later Depression

THURSDAY, Feb. 28, 2019 (HealthDay News) -- Social media use does not predict later depressive symptoms among adolescents or college undergraduates, according to a study recently published in Clinical Psychological Science.

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FDA: Pulmonary Embolism Risk Up With Tofacitinib 10 mg for RA

THURSDAY, Feb. 28, 2019 (HealthDay News) -- A safety clinical trial has revealed that tofacitinib (Xeljanz, Xeljanz XR) 10 mg twice daily is associated with an increased risk for pulmonary embolism (PE) and death among patients with rheumatoid arthritis (RA), the U.S. Food and Drug Administration warned in a safety alert this week.

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Flu Vaccination During Pregnancy Does Not Cause Miscarriage

THURSDAY, Feb. 28, 2019 (HealthDay News) -- An influenza vaccine cannot cause a pregnant woman to miscarry, researchers say.

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Dietary Monitoring Key to Successful Weight Loss

THURSDAY, Feb. 28, 2019 (HealthDay News) -- The frequency of dietary self-monitoring is significantly associated with weight loss, according to a study published online Feb. 25 in Obesity.

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CDC: Progress in HIV Prevention Has Stalled in the United States

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- The battle against new HIV infections has lost some steam in recent years, according to the U.S. Centers for Disease Control and Prevention.

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Lowering BP, Lipids in Healthy Elderly Has No Cognitive Effect

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- Candesartan plus hydrochlorothiazide, rosuvastatin, or their combination do not impact cognitive decline among older people, according to a study published online Feb. 27 in Neurology.

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Prenatal Vitamin Intake in Early Pregnancy May Cut Autism Risk

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- Maternal prenatal vitamin intake during the first month of pregnancy is associated with a reduced risk for autism spectrum disorder (ASD) in siblings of children with ASD, according to a study published online Feb. 27 in JAMA Psychiatry.

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Achievement of Targets in T2DM Varies by Season

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- There is seasonal variation in achievement of the guideline targets for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein (LDL) cholesterol among persons with type 2 diabetes mellitus (T2DM), according to a study published online Feb. 22 in Diabetes Care.

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Sustained Smoking Cessation May Delay, Prevent Seropositive RA

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- While smoking is a strong risk factor for seropositive rheumatoid arthritis (RA), sustained smoking cessation could delay or even prevent disease development, according to a study published online Feb. 21 in Arthritis Care & Research.

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Antenatal Corticosteroid Tx Tied to Reduction in Birth Size

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- Antenatal corticosteroid therapy (ACT) is associated with reductions in birth size for infants, according to a study published online Feb. 26 in PLOS Medicine.

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Stewardship Programs Decrease Inpatient Fluoroquinolone Rx

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- Fluoroquinolone stewardship interventions at hospitals are associated with less fluoroquinolone prescribing during hospitalization but not at discharge, according to a study published online Feb. 13 in Clinical Infectious Diseases.

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Sufficient Investment Could Reduce HIV Epidemic by 2030

TUESDAY, Feb. 26, 2019 (HealthDay News) -- New HIV infections could be reduced and prevalence could begin to decline by 2030 with sufficient investment, including meeting 95 percent targets for diagnosis, care retention, and viral suppression by 2025, according to a study published online Feb. 22 in AIDS and Behavior.

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Contributors to Delay of Multiple Sclerosis Diagnosis ID'd

TUESDAY, Feb. 26, 2019 (HealthDay News) -- First symptoms and disease type are contributors to delays in multiple sclerosis (MS) diagnosis, according to a study recently published in the Multiple Sclerosis Journal.

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Ultrasound of Calcaneus Efficient for Screening Bone Health

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Ultrasonography (US) of the calcaneus is efficient for screening bone health, according to a study published in the March issue of the Journal of the American Osteopathic Association.

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Excessive Gestational Weight Gain Tied to Maternal Morbidity

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Gestational weight gain in excess of guidelines from the Institute of Medicine (IOM) is associated with increased risk of severe maternal morbidity, according to a study published in the March issue of Obstetrics & Gynecology.

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MRI Cardiac Stress Test Predicts Death From Heart Disease

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Stress cardiac magnetic resonance imaging (CMR) can predict mortality in patients with known or suspected coronary artery disease (CAD), according to a study published online Feb. 8 in JAMA Cardiology.

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Program Aids Weight Loss in Patients With Mental Illness

TUESDAY, Feb. 26, 2019 (HealthDay News) -- A behavioral weight loss intervention is effective among overweight and obese individuals with serious mental illness (SMI), regardless of their diabetes status, according to a study published online Feb. 14 in Diabetes Care.

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Classroom Initiative Ups Participation in School Breakfast

TUESDAY, Feb. 26, 2019 (HealthDay News) -- A breakfast-in-the-classroom initiative increases participation in the federal School Breakfast Program but has an unintended consequence of increasing the incidence and prevalence of obesity, according to a study published online Feb. 25 in JAMA Pediatrics.

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Environmental Exposures Before, After Birth Tied to Lung Function

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Exposure to several chemicals before and after birth appears to be associated with a decrease in lung function later in childhood, according to a study published in the February issue of The Lancet Planetary Health.

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Prognostic Bleeding Risk Models Developed for Aspirin Use

MONDAY, Feb. 25, 2019 (HealthDay News) -- Prognostic bleeding risk models that can estimate the absolute bleeding harms of aspirin have been developed for individuals in whom aspirin is being considered for primary prevention of cardiovascular disease (CVD), according to a study published online Feb. 26 in the Annals of Internal Medicine.

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Knowledge of Transgender Health Care Not Linked to Education

MONDAY, Feb. 25, 2019 (HealthDay News) -- Transphobia -- not formal or informal education -- predicts provider knowledge of transgender health care, according to a study recently published in Medical Education.

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FDA: Thermography No Substitute for Mammograms

MONDAY, Feb. 25, 2019 (HealthDay News) -- Despite claims to the contrary, thermography should not be used in place of mammography for breast cancer screening, detection, or diagnosis, according to the U.S. Food and Drug Administration.

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Nonmedical Rx Opioid Use in Teens Linked to Parental Use

MONDAY, Feb. 25, 2019 (HealthDay News) -- Nonmedical prescription opioid (NMPO) use in adolescents is associated with parental NMPO use and with smoking and parent-adolescent conflict, according to a study published online Feb. 25 in Pediatrics.

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Prenatal Care Inadequate for Moms With Child Taken Into Care

MONDAY, Feb. 25, 2019 (HealthDay News) -- Mothers with a history of having a child taken into care by child protection services have an increased risk for inadequate prenatal care in a future pregnancy, according to a study published online Feb. 25 in CMAJ, the journal of the Canadian Medical Association.

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Serious Medical Outcomes Reported With Kratom Exposure

MONDAY, Feb. 25, 2019 (HealthDay News) -- Kratom, or Mitragyna speciosa, exposure is associated with serious medical outcomes, especially as part of multiple-substance exposure, according to a study published online Feb. 20 in Clinical Toxicology.

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2014 to 2017 Saw Improvement in Burnout for U.S. Physicians

MONDAY, Feb. 25, 2019 (HealthDay News) -- From 2014 to 2017, there was an improvement in burnout and satisfaction with work-life integration among U.S. physicians, according to a study published online Feb. 22 in the Mayo Clinic Proceedings.

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Incidence of Acute Myocardial Infarctions Up Among Young Women

MONDAY, Feb. 25, 2019 (HealthDay News) -- The incidence of acute myocardial infarctions (AMI) has increased among younger women, and sedentary time is associated with an increased risk for cardiovascular disease (CVD) among women, according to two studies published in the Feb. 19 issue of Circulation, a "Go Red for Women" theme issue on cardiovascular disease in women.

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Opioid-Related Mortality Up From 1999 to 2016 in Eastern U.S.

MONDAY, Feb. 25, 2019 (HealthDay News) -- In the eastern United States, opioid-related mortality, particularly mortality associated with synthetic opioids, has increased, according to a study published online Feb. 22 in JAMA Network Open.

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Some Characteristics Unique to Depression Before, After Birth

MONDAY, Feb. 25, 2019 (HealthDay News) -- Several unique characteristics are linked with depression at different time points before and after giving birth, according to a study published online Feb. 5 in the Journal of Neuroscience Research.

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FDA: Gout Drug Uloric Increases Risk of Death

FRIDAY, Feb. 22, 2019 (HealthDay News) -- The gout medicine Uloric (febuxostat) carries a higher risk of death than allopurinol, according to the U.S. Food and Drug Administration.

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Higher Triglycerides May Be Protective in the Very Elderly

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Higher triglycerides (TGs) is associated with a decreased risk of cognitive decline, activities of daily living (ADL) decline, frailty aggravation, and mortality in the oldest old, according to a study recently published in the Journal of the American Geriatrics Society.

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Since Early 2000s, Overdose Death Rates Are Highest in U.S.

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Since the early 2000s, the United States has had the highest drug overdose death rates among its peer countries, according to a study published online Feb. 21 in the Population and Development Review.

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National Health Spending Set to Increase 5.5 Percent Annually

FRIDAY, Feb. 22, 2019 (HealthDay News) -- National health spending is projected to increase at an annual rate of 5.5. percent from 2018 to 2027, with fundamental economic and demographic factors the main drivers, according to a report published online Feb. 20 in Health Affairs.

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Most Patients Do Not Disclose Complementary Medicine Use

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Just one-third of users of biologically based complementary medicine (CM) disclose their use to traditional health care providers, according to a review published online Feb. 7 in Scientific Reports.

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Guideline Covers Extracutaneous Manifestations of Psoriasis

FRIDAY, Feb. 22, 2019 (HealthDay News) -- The extracutaneous manifestations of psoriasis and guidance on use of biologic treatment for management of psoriasis are discussed in two new guidelines published online Feb. 13 in the Journal of the American Academy of Dermatology.

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One-Third of PCPs Discuss Breast Cancer Treatments With Patients

FRIDAY, Feb. 22, 2019 (HealthDay News) -- One-third of primary care providers (PCPs) report participating in breast cancer treatment decisions, according to a study published online Feb. 1 in Cancer.

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Higher Salt Intake in DASH Diet Tied to More Lightheadedness

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Higher sodium intake in the context of the Dietary Approaches to Stop Hypertension (DASH) diet is tied to more frequent and severe lightheadedness, according to a study published recently in the Journal of Clinical Hypertension.

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44.4 Million Estimated to Be Diagnosed With Cervical Cancer by 2069

FRIDAY, Feb. 22, 2019 (HealthDay News) -- In the absence of further intervention, in the next 50 years, an estimated 44.4 million women will be diagnosed with cervical cancer globally, according to a study published online Feb. 19 in The Lancet Oncology.

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8 More U.S. Communities to Be Assessed for PFAS Toxin Exposure

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Eight additional communities near current or former U.S. military installations that will be included in assessments of human exposure to perfluoroalkyl and polyfluoroalkyl substances (PFAS) were announced Thursday by federal officials.

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FDA Advances Regulation to Ensure Sunscreen Safety, Efficacy

THURSDAY, Feb. 21, 2019 (HealthDay News) -- The U.S. Food and Drug Administration took steps Thursday to tighten regulation of over-the-counter sunscreen products.

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2005 to 2015 Saw Drop in Primary Care Physician Supply

THURSDAY, Feb. 21, 2019 (HealthDay News) -- From 2005 to 2015, there was a decrease in primary care physician supply per capita in the United States, with increased supply associated with lower mortality, according to a study published online Feb. 18 in JAMA Internal Medicine.

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U.S. Agencies Probing Johnson & Johnson Over Asbestos in Talc

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Johnson & Johnson is being investigated by the U.S. Justice Department and the U.S. Securities and Exchange Commission over possible asbestos contamination of the company's baby powder and other talc-based products.

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Acupuncture Alleviates Moderate-to-Severe Menopause Symptoms

THURSDAY, Feb. 21, 2019 (HealthDay News) -- A brief acupuncture intervention is associated with reductions in moderate-to-severe menopausal symptoms, according to a study published online Feb. 19 in BMJ Open.

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Vertical Integration Has Little Impact on Quality Measures

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Vertical integration between hospitals and physicians has little impact on quality measures, while increased hospital market concentration is strongly associated with reduced quality in measures of patient satisfaction, according to a study published online Feb. 9 in Medical Care Research and Review.

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Experimental Test May Quickly Diagnose Sepsis

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- A blood test that can quickly diagnose dangerous sepsis infections has been developed, according to research published in the Feb. 1 issue of Biosensors and Bioelectronics.

CNN Article
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New Kaiser Permanente Medical School Plans to Waive Tuition

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- A new medical school to be opened by California-based health system Kaiser Permanente will waive tuition for all students in its first five graduating classes.

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Morning Exercise Linked to BP Reduction in Sedentary Seniors

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- In sedentary overweight/obese older adults, morning exercise reduces systolic blood pressure, with additional benefit seen by combining exercise with regular breaks in sitting, according to a study published online Feb. 20 in Hypertension.

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FDA Head Says Feds May Intervene to Cut Vaccine Exemptions

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- The U.S. government may have to take steps to reduce vaccine exemptions for children if states do not do it, the head of the U.S. Food and Drug Administration suggested. His comments come as measles outbreaks rage in a number of states. Those outbreaks could have been prevented if children had all been vaccinated. But nearly all states allow children to attend school even if their parents opt out of inoculation programs, CNN reported.

CNN Article

Deep Learning-Enhanced Device Detects Diabetic Retinopathy

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- A deep learning-enhanced device can accurately detect diabetic retinopathy (DR), according to a study published online Feb. 14 in Diabetes Care.

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Eating Nuts Tied to Reduced CVD Incidence, Death in T2DM Patients

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- Higher consumption of nuts, especially tree nuts, is associated with reduced cardiovascular disease (CVD) incidence and mortality among patients with type 2 diabetes, according to a study published online Feb. 19 in Circulation Research.

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1997 to 2014 Saw Large Hike in Screen Time for Ages 0 to 2

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- Between 1997 and 2014, screen time more than doubled for children aged 0 to 2 years, with television time accounting for most screen time, according to a research letter published online Feb. 18 in JAMA Pediatrics.

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Prenatal Fluconazole Exposure Increases Neonatal Risks

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- Maternal exposure to fluconazole during pregnancy may increase the risk for spontaneous abortion, according to a study published online Feb. 19 in CMAJ, the journal of the Canadian Medical Association.

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Black-White Cancer Mortality Gap Decreasing in Some Age Groups

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- Cancer death rates are decreasing faster in blacks than whites in the United States, according to a report published online Feb. 14 in CA: A Cancer Journal for Clinicians.

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Chronic Wasting Disease Found in Deer in 24 States

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Chronic wasting disease has been found in wild deer, elk, and moose in 24 states, and hunters should avoid handling or eating potentially infected meat, the U.S. Centers for Disease Control and Prevention warned.

CNN Article
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Inappropriate Use of Fentanyl Preps Seen Despite Awareness

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Despite adequate levels of prescriber, pharmacist, and patient knowledge regarding transmucosal immediate-release fentanyls (TIRFs), the rates of inappropriate use are high, according to a study published in the Feb. 19 issue of the Journal of the American Medical Association.

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CDC: Salmonella Cases Tied to Raw Turkey Products Now at 279

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Sixty-three more cases of illness in a Salmonella outbreak linked to raw turkey products have been reported since Dec. 21, 2018, bringing the total number to 279, the U.S. Centers for Disease Control and Prevention says in an update.

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FDA Warns About 'Miracle' Young Blood Infusion Treatments

TUESDAY, Feb. 19, 2019 (HealthDay News) -- The use of plasma infusion therapies (often called "vampire" treatments, in which people undergo infusions of a young donor's blood) is on the rise across the United States, often costing thousands of dollars per treatment, according to the U.S. Food and Drug Administration.

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USPSTF Says Screen Women With Higher Risk for BRCA Mutations

TUESDAY, Feb. 19, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening for women at increased risk for carrying a BRCA1/2 mutation as well as genetic counseling and testing as indicated for those screening positive. These recommendations form the basis of a draft recommendation statement published online Feb. 19 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation

Recombinant Zoster Vaccine Cost-Effective in Simulation

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Vaccination with recombinant zoster vaccine (RZV) seems cost-effective under a wide range of conditions, according to a study published online Feb. 19 in the Annals of Internal Medicine.

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Lower Self-Perception Observed in Children With Amblyopia

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Children with amblyopia have significantly lower mean peer acceptance and physical competence scores at age 3 to 7 years, according to a study published online Feb. 14 in JAMA Ophthalmology.

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Low Vitamin D Tied to High Blood Glucose Levels in Women

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Lower serum 25-hydroxyvitamin D (25[OH]D) concentrations appear to be associated with high blood glucose levels in women, according to a study recently published online in Menopause.

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Late-Onset Migraine With Aura Linked to Increased Stroke Risk

TUESDAY, Feb. 19, 2019 (HealthDay News) -- There is an increased stroke risk in late life among patients with late-onset migraine with aura (MA), according to a study published online Jan. 21 in Headache.

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FDA Approves First Customizable Insulin Pump

FRIDAY, Feb. 15, 2019 (HealthDay News) -- The Tandem Diabetes Care t:Slim X2 insulin pump, which allows a patient to customize treatment, has been approved by the U.S. Food and Drug Administration.

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Fewer Older Men Assessed, Treated for Osteoporosis

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Fewer older men than women undergo evaluation for or management of osteoporosis, according to a study published online Feb. 12 in the Journal of Investigative Medicine.

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Hospital Prices Growing Faster Than Physician Prices

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Growth in hospital prices and payments outpaced growth in physician prices and payments from 2007 through 2014, according to a report published in the February issue of Health Affairs.

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CDC: Heterosexual Syphilis Transmission Up for Drug Users

FRIDAY, Feb. 15, 2019 (HealthDay News) -- A substantial proportion of heterosexual syphilis transmission seems to be occurring among those who use drugs, especially methamphetamine, according to research published in the Feb. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Most A-Fib Patients Have at Least One Identifiable Trigger

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Most patients with atrial fibrillation (AF) report at least one identifiable trigger, with the most common triggers being alcohol, caffeine, exercise, and lack of sleep, according to research published online Feb. 14 in HeartRhythm.

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Artificially Sweetened Drinks Linked to Stroke After Menopause

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Among postmenopausal women, consumption of artificially sweetened beverages (ASB) is associated with an increased risk for stroke, coronary heart disease, and all-cause mortality, according to a study published online Feb. 14 in Stroke.

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Sports Medicine Society Updates Concussion Guidelines

FRIDAY, Feb. 15, 2019 (HealthDay News) -- The American Medical Society for Sports Medicine (AMSSM) has released an updated position statement on concussion in sports. The statement was published in the February issue of the British Journal of Sports Medicine.

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Primary Care Providers Can Improve Diabetic Retinopathy Screening

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Screening for diabetic retinopathy (DR) in primary care settings has the potential to reach most U.S. adults with diabetes, according to a brief report published online Jan. 31 in JAMA Ophthalmology.

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CDC: Severity of Influenza Season Low Through Feb. 2, 2019

THURSDAY, Feb. 14, 2019 (HealthDay News) -- The 2018 to 2019 influenza season has been low in severity so far, and overall vaccine effectiveness is about 47 percent, according to two reports published in the Feb. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text - Blanton
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Burnout Predicts Clinician Turnover in Primary Care

THURSDAY, Feb. 14, 2019 (HealthDay News) -- The prevalence rates of burnout, low engagement, and turnover are all high among primary care clinicians and staff, according to a study published in the January/February issue of the Annals of Family Medicine.

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Child Enterovirus Infection May Up Risk for Developing Celiac Disease

THURSDAY, Feb. 14, 2019 (HealthDay News) -- A higher frequency of enterovirus infections in early childhood is associated with an increased risk for developing celiac disease, according to a study published online Feb. 13 in the The BMJ.

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High Rates of MenB Vaccination Advised in University Outbreaks

THURSDAY, Feb. 14, 2019 (HealthDay News) -- Achieving high serogroup B meningococcal (MenB) vaccination coverage is recommended following university-based outbreaks of meningococcal disease caused by serogroup B, according to a study published online Feb. 13 in the U.S. Centers for Disease Control and Prevention Emerging Infectious Diseases.

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Rates of Osteonecrosis of the Jaw Low for Denosumab-Treated Women

THURSDAY, Feb. 14, 2019 (HealthDay News) -- For denosumab-treated women with postmenopausal osteoporosis, invasive oral procedures and events (OPEs), including dental implants, tooth extraction, natural tooth loss, scaling/root planning, and jaw surgery, are common and associated with osteonecrosis of the jaw (ONJ), although the overall rate of ONJ is low, according to a study published online Feb. 13 in the Journal of Clinical Endocrinology & Metabolism.

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Human Milk Microbiota Shaped by Maternal Factors, Feeding Method

THURSDAY, Feb. 14, 2019 (HealthDay News) -- Compared with direct breastfeeding, indirect breastfeeding with pumped milk is associated with the depletion of oral bacteria and a higher abundance of potential pathogens, according to a study published in the Feb. 13 issue of Cell Host & Microbe.

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Physical Activity Down Across Chronic Disease Subgroups

THURSDAY, Feb. 14, 2019 (HealthDay News) -- People with a wide variety of chronic diseases are less physically active than individuals without chronic diseases, according to a study published online Feb. 5 in the International Journal of Epidemiology.

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CVD Does Not Modify Depression-Mortality Link in Elderly

THURSDAY, Feb. 14, 2019 (HealthDay News) -- In older adults, the association between depressive symptoms and mortality is not influenced by the presence of cardiovascular disease (CVD), according to a study recently published in the Journal of the American Geriatrics Society.

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Subsymptom Threshold Exercise Speeds Concussion Recovery

THURSDAY, Feb. 14, 2019 (HealthDay News) -- For adolescent athletes, subsymptom threshold aerobic exercise prescribed during the first week after sport-related concussion (SRC) speeds recovery, according to a study published online Feb. 4 in JAMA Pediatrics.

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Progress Made in Developing New Antibacterial Agents

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- Although there has been progress in the development of new antibacterial drugs, most of the recently approved agents have been modifications of existing chemical classes of antibiotics, according to research published online Feb. 1 in Clinical Infectious Diseases.

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Lower Birth Weight May Up Risk for Psychiatric Disorders

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- After adjustment for family-related factors and gestational age, lower birth weight is associated with a small but significant increased risk for several psychiatric disorders, according to a study published online Feb. 6 in JAMA Psychiatry.

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Yoga May Help With Rheumatoid Arthritis Symptoms, Severity

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- Yoga may be effective as a complementary or adjunct therapy for patients with rheumatoid arthritis (RA) taking disease-modifying antirheumatic drugs (DMARDs), according to a study published online Feb. 1 in Restorative Neurology and Neuroscience.

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CDC: Student Tobacco Use Increased From 2017 to 2018

TUESDAY, Feb. 12, 2019 (HealthDay News) -- From 2017 to 2018, there was an increase in any tobacco use, especially electronic cigarette use, for high school and middle school students, according to research published online Feb. 11 in the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Larger Physician Bonus May Improve Care in Chronic Disease

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Increased bonus size for physicians caring for patients with chronic disease is associated with improvements in care quality, according to a study published online Feb. 8 in JAMA Network Open.

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USPSTF Recommends Counseling to Prevent Perinatal Depression

TUESDAY, Feb. 12, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians provide or refer counseling interventions for pregnant or postpartum women at increased risk for perinatal depression. This recommendation forms the basis of a final recommendation statement published in the Feb. 12 issue of the Journal of the American Medical Association.

Recommendation Statement
Evidence Review
Editorial 1
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Editorial 3 (subscription or payment may be required)
Editorial 4 (subscription or payment may be required)

Health Care Spending Per Person Increased to $5,641 in 2017

TUESDAY, Feb. 12, 2019 (HealthDay News) -- In 2017, health care spending per person reached $5,641, according to the Health Care Cost Institute (HCCI) annual Health Care Cost and Utilization Report.

Health Care Cost and Utilization Report

Many Systematic Reviews Do Not Fully Report Adverse Events

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Many systematic review protocols in the International Prospective Register of Systematic Reviews (PROSPERO) do not include adverse event reporting, according to a study published in the April issue of the Journal of Clinical Epidemiology.

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Acne Relapses Linked to Lower Quality of Life, Productivity

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Acne relapses are significantly associated with impaired quality of life as well as productivity loss and absenteeism, according to a study recently published in the Journal of the European Academy of Dermatology and Venereology.

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CDC: Screening Policies for Critical Congenital Heart Dz Widespread

TUESDAY, Feb. 12, 2019 (HealthDay News) -- All 50 states and the District of Columbia have implemented newborn screening policies for critical congenital heart disease (CCHD), although there are opportunities for improving data collection, according to research published in the Feb. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Fractures Have Long-Term Impact on Quality of Life for Older Adults

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Incident fragility fractures are associated with long-term impacts on health-related quality of life (HRQOL) in older people, according to a study published online Feb. 5 in the Journal of Bone and Mineral Research.

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Aspirin Underused for Advanced Colorectal Polyps

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Aspirin is underused to reduce the risk for colorectal cancer among patients with advanced colorectal polyps, according to a study recently published in The American Journal of Medicine.

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Racial/Ethnic, Income Variation ID'd in the Opioid Epidemic

MONDAY, Feb. 11, 2019 (HealthDay News) -- There is considerable race/ethnicity and income-level variation in the opioid epidemic, according to research published online Feb. 11 in JAMA Internal Medicine.

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

Congo Ebola Outbreak Claims Nearly 100 Children's Lives

MONDAY, Feb. 11, 2019 (HealthDay News) -- The ongoing Ebola outbreak in the Democratic Republic of Congo has claimed the lives of nearly 100 children, and the number of cases are on the rise, according to the charity Save the Children.

CNN Article
More Information: CDC

FDA Warns 17 Companies About Illegal Alzheimer Disease Products

MONDAY, Feb. 11, 2019 (HealthDay News) -- A number of warning/advisory letters have been issued to 17 companies for selling illegal products that claim to prevent, treat, or cure Alzheimer disease and other serious conditions, the U.S. Food and Drug Administration says.

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Many Children Not Receiving Needed Mental Health Treatment

MONDAY, Feb. 11, 2019 (HealthDay News) -- About half of the estimated 16.5 percent of U.S. children with a treatable mental health disorder do not receive needed treatment from a mental health professional, according to a research letter published online Feb. 11 in JAMA Pediatrics.

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Low Fitness, Obesity Linked to Later Disability Pension

MONDAY, Feb. 11, 2019 (HealthDay News) -- Among men, low cardiorespiratory fitness and obesity in adolescence are associated with an increased risk for later receipt of a disability pension, according to a study published online Feb. 12 in the Annals of Internal Medicine.

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Rates of Diabetes Screening High Among Adults Age ≥45

MONDAY, Feb. 11, 2019 (HealthDay News) -- Rates of diabetes screening are high, with hemoglobin A1c (HbA1c) used less but more likely to result in clinical diagnosis, according to a study published online Feb. 6 in Diabetes Care.

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More Than a Half Million Deaths From Breast Cancer Averted

MONDAY, Feb. 11, 2019 (HealthDay News) -- From 1989 to 2018, between 384,046 and 614,484 cumulative breast cancer deaths are estimated to have been averted, according to a study published online Feb. 11 in Cancer.

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Children With Autism More Often Have Sleep Problems

MONDAY, Feb. 11, 2019 (HealthDay News) -- More children with autism spectrum disorder (ASD) have sleep problems compared with other children, according to a study published online Feb. 11 in Pediatrics.

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Smaller Germinal Centers Identified in Recurrent Tonsillitis

MONDAY, Feb. 11, 2019 (HealthDay News) -- Children with recurrent tonsillitis (RT) have smaller germinal centers, according to a study published in the Feb. 6 issue of Science Translational Medicine.

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Measles Outbreak Triggers Sharp Rise in Demand for Vaccine

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Health clinics in Clark County, Washington, are scrambling to meet the sharply increased demand for measles vaccination as people seek protection during an outbreak of the highly contagious virus.

Kaiser Health News Article

Johnson & Johnson to Provide Drug Prices in TV Ads

FRIDAY, Feb. 8, 2019 (HealthDay News) -- In a drug industry first, Johnson & Johnson will start giving the list prices of its prescription drugs in television ads.

AP News Article

Walgreens Worst Violator in Tobacco Sales to Minors, FDA Says

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Walgreens' high rate of violations for selling tobacco products to minors has led U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., to ask for a meeting with the company to discuss the issue.

CNN Article
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CDC: Heart Attack Awareness Improved Since 2008

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Since 2008, there has been an increase in the number of U.S. adults with awareness of heart attack symptoms and knowledge of the appropriate response to a heart attack, according to research published in the Feb. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Slower Gait Speed, Shorter Step Length Tied to Later Depression

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Older people who develop depression have significantly slower gait speed and shorter step length several years before diagnosis, according to a study published online Feb. 5 in the Journal of the American Geriatrics Society.

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High-Risk HPV Infection Linked to Increased Risk for CVD in Women

FRIDAY, Feb. 8, 2019 (HealthDay News) -- High-risk human papillomavirus (HPV) infection is associated with an increased risk for developing cardiovascular disease (CVD), according to a study published online Feb. 7 in Circulation Research.

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Certain Opioids Less Effective With SSRI Antidepressants

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Certain opioids are less effective for postoperative pain in patients taking selective serotonin reuptake inhibitor (SSRI) antidepressants, according to a study published online Feb. 6 in PLOS ONE.

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Chronic Rhinosinusitis Linked to Depression, Anxiety

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Chronic rhinosinusitis (CRS) is associated with incidence of depression and anxiety, according to a study published online Feb. 7 in JAMA Otolaryngology-Head & Neck Surgery.

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Parents Conflicted About Opioid Use in Children

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Parents are conflicted about the use of prescribed opioids in children, with most concerned about side effects and risks but believing opioids are the most effective option for managing pain, according to a survey commissioned by the American Society of Anesthesiologists (ASA) and released to coincide with Physician Anesthesiologists Week, held from Jan. 27 to Feb. 2.

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Many Children Not Following Toothbrushing Recommendations

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Most children are not brushing their teeth early enough, and many are not using the proper amount of toothpaste, according to research published in the Feb. 1 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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FDA: Number of U.S. Women With Breast Implant-Caused Cancer Has Increased

THURSDAY, Feb. 7, 2019 (HealthDay News) -- There has been an increase in the number of U.S. women diagnosed with a cancer caused by breast implants, the U.S. Food and Drug Administration said Wednesday.

NBC News Article
More Information: FDA
Letter to Health Care Providers

Discord Found in Clinician-, Criteria-Based Fibromyalgia Diagnosis

THURSDAY, Feb. 7, 2019 (HealthDay News) -- There is disagreement between clinical diagnosis and criteria-based diagnosis of fibromyalgia, according to a study published online Feb. 6 in Arthritis Care & Research.

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T2DM Initially Remits in Majority Who Undergo Gastric Bypass

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Roux-en-Y gastric bypass (RYGB) is associated with high levels of type 2 diabetes remission at one year, although 27 percent relapse after five years, according to a study published online Feb. 6 in Diabetologia.

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Most Americans Concerned About Weight, Link to Heart Health

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Most Americans are concerned about their weight and understand the connection between weight and cardiovascular health, but a substantial proportion of them are not doing much to lose excess weight, according to a Cleveland Clinic survey.

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Trazodone Not Associated With Reduced Risk for Dementia

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Trazodone is not associated with a reduced risk for dementia compared with other antidepressants at the prodromal stage of disease, according to a study published online Feb. 5 in PLOS Medicine.

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Patient Tested for Ebola at Philadelphia Hospital

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- Preliminary results from a patient being tested for Ebola suggest that the patient has another condition, say officials at the Hospital of the University of Pennsylvania in Philadelphia.

NBC News Article

Recommendations Updated for Tonsillectomy in Children

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- Recommendations have been updated for tonsillectomy in children; the revised clinical practice guideline was published in a supplement to the February issue of Otolaryngology-Head and Neck Surgery.

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Type 2 Diabetes Risk Up With PCOS Regardless of BMI

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- Irrespective of age and weight, women with polycystic ovary syndrome (PCOS) have an increased risk for type 2 diabetes, according to a study published online Jan. 31 in Diabetes Care.

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Hypertensive Crisis Prevalent in Urban African-Americans

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- The urban African-American population has a high prevalence of hypertensive crisis and hypertensive emergencies, according to a study published online Jan. 22 in Blood Pressure.

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Hepatitis C Infection Rates Up After OxyContin Reformulation

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- States with above-median OxyContin misuse before reformulation of the drug experienced a 222 percent increase in hepatitis C infection rates after reformulation, according to a report published in the February issue of Health Affairs.

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Antidepressant Overprescribing Appears Common in Elderly

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- Potential antidepressant overprescribing appears to be common among elderly patients and involves mostly newer antidepressants used for nonspecific psychiatric symptoms and subthreshold diagnoses, according to a study published online Jan. 23 in Pharmacology Research & Perspectives.

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Reading, Math Scores No Different for Children With T1DM

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Standardized reading and mathematics scores do not differ significantly for public schoolchildren with and without type 1 diabetes, according to a study published in the Feb. 5 issue of the Journal of the American Medical Association.

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California Bill Would Tighten Controls on Children's Genitalia Surgery

TUESDAY, Feb. 5, 2019 (HealthDay News) -- A bill that would place more restrictions on children's genitalia surgery in California raises serious concerns among doctors in the state. Under the bill, doctors would not be able to treat or perform surgery on children born with genitals that do not match a single gender or are otherwise atypical unless such surgery is medically necessary or the child consents, the Associated Press reported.

AP News Article

USPSTF Still Recommends Against Pancreatic Cancer Screening

TUESDAY, Feb. 5, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening for pancreatic cancer in asymptomatic adults. These findings form the basis of a draft recommendation statement published online Feb. 5 by the USPSTF.

Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendation Statement

Few Teens Meet Sleep, Exercise, Screen-Time Guidelines

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Few adolescents meet sleep, physical activity, and screen-time guidelines concurrently, according to a study published online Feb. 4 in JAMA Pediatrics.

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Burden of Sudden Cardiac Death Higher in Black Men, Women

TUESDAY, Feb. 5, 2019 (HealthDay News) -- African-Americans have a higher burden of sudden cardiac death (SCD) than whites, especially among women, according to a study published online Feb. 4 in Circulation.

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8 Questions Helpful for Assessing IBD in Primary Care

TUESDAY, Feb. 5, 2019 (HealthDay News) -- The CalproQuest, an eight-item questionnaire, is a feasible instrument for assessing patients for inflammatory bowel disease in primary care settings, according to a study published in the February issue of the Journal of Evaluation in Clinical Practice.

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Ethnic Differences Seen at Time of Dementia Diagnosis in U.K.

TUESDAY, Feb. 5, 2019 (HealthDay News) -- In the United Kingdom, patients from minority ethnic groups have lower cognitive scores and are younger at first diagnosis of dementia than the white U.K.-born population, according to a study published online Jan. 24 in the International Journal of Geriatric Psychiatry.

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Long-Term Opioid Use With OA Varies Across States

TUESDAY, Feb. 5, 2019 (HealthDay News) -- There is substantial variation across states in rates of long-term opioid therapy among patients with advanced osteoarthritis, according to a study published online Jan. 28 in Arthritis & Rheumatology.

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Evidence of Therapeutic Efficacy Substantial for Cannabis Use

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Most qualifying conditions for which patients are licensed to use cannabis medically have substantial or conclusive evidence of therapeutic efficacy, according to a report published in the February issue of Health Affairs.

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Compounded Topical Pain Creams No Better Than Placebo

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Compounded topical pain creams are no better than placebo creams for neuropathic pain, nociceptive pain, or mixed pain, according to a study published online Feb. 5 in the Annals of Internal Medicine.

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AAP Releases 2019 Childhood Immunization Schedules

TUESDAY, Feb. 5, 2019 (HealthDay News) -- The 2019 recommended childhood and adolescent immunization schedules have been issued by the American Academy of Pediatrics and published online Feb. 5 in Pediatrics.

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Washington State Measles Cases Now at 48 Since Jan. 1

MONDAY, Feb. 4, 2019 (HealthDay News) -- There have been 48 confirmed cases of measles in Washington state since the start of the year as health officials struggle to stop the spread of the infectious disease.

CNN Article

Expanded Recall of Warfarin Level Monitoring Test Strips

MONDAY, Feb. 4, 2019 (HealthDay News) -- Certain lots of Roche Diagnostics test strips should not be used with CoaguChek test meter devices to check levels of the blood thinner warfarin because patients may get inaccurate results and be at risk for serious injury or death, the U.S. Food and Drug Administration says in an updated recall notice.

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Updated ACIP Immunization Schedule Released for Adults

MONDAY, Feb. 4, 2019 (HealthDay News) -- The Advisory Committee on Immunization Practices has released its updated adult immunization schedule for 2019; the schedule was published online Feb. 5 in the Annals of Internal Medicine.

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E-Cigarette Use Linked to Cigarette Initiation in Adolescents

MONDAY, Feb. 4, 2019 (HealthDay News) -- Electronic cigarette use is associated with an increased risk for cigarette initiation and use in adolescents, according to a study published online Feb. 1 in JAMA Network Open.

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CDC Examines Safety of Recombinant Zoster Vaccine

MONDAY, Feb. 4, 2019 (HealthDay News) -- During the first eight months of recombinant zoster vaccine (RZV) use, there were reports of 4,381 adverse events, 3 percent of which were serious, according to research published in the Feb. 1 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Some Obesity-Related Cancers Increasing in Younger Adults

MONDAY, Feb. 4, 2019 (HealthDay News) -- The incidence of some obesity-related cancers is increasing in younger generations, according to a study published online Feb. 3 in The Lancet Public Health.

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Editorial

Unrestrained Driver Predicts Unrestrained Child Passenger

MONDAY, Feb. 4, 2019 (HealthDay News) -- An unrestrained driver is a strong predictor for having an unrestrained child passenger in both fatal and nonfatal crashes, according to a study published online Feb. 4 in Pediatrics.

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Discontinuing TNFi Before Gestational Week 20 Is Feasible

FRIDAY, Feb. 1, 2019 (HealthDay News) -- Discontinuing tumor necrosis factor inhibitors (TNFi) before gestational week 20 in women with well-controlled rheumatoid arthritis (RA) or juvenile idiopathic arthritis (JIA) is not associated with disease worsening in late pregnancy, according to a study published online Jan. 21 in Arthritis & Rheumatology.

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Physician Burnout Tied to Ability to Address Social Needs

FRIDAY, Feb. 1, 2019 (HealthDay News) -- Improving clinic capacity to respond to patients' social needs may reduce primary care physician burnout, according to a study published in the January-February issue of the Journal of the American Board of Family Medicine.

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Maternal Glucose in Pregnancy Tied to Child's Glucose Outcomes

FRIDAY, Feb. 1, 2019 (HealthDay News) -- In utero exposure to higher levels of maternal glucose is associated with higher glucose levels and insulin resistance during childhood, according to a study published online Jan. 7 in Diabetes Care.

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HPV Educational Video May Increase Vaccination Rates

FRIDAY, Feb. 1, 2019 (HealthDay News) -- Educational videos in pediatric clinics can increase rates of human papillomavirus (HPV) vaccination among adolescents, according to a study published in the January issue of Pediatrics.

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Maternal Factors Predict Postpartum Depression Trajectory

FRIDAY, Feb. 1, 2019 (HealthDay News) -- Four maternal characteristics can predict 12-month trajectories for women with postpartum depression with 72.8 percent accuracy, according to a study published online Jan. 15 in Depression & Anxiety.

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CDC: Most Black HIV Patients Interviewed for Partner Services

FRIDAY, Feb. 1, 2019 (HealthDay News) -- More black index patients diagnosed with HIV are interviewed for partner services than all index patients combined, according to research published in the Feb. 1 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

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