November 2018 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for November 2018. 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.

Family Functioning Does Not Impact Family Dinner, Diet Link

FRIDAY, Nov. 30, 2018 (HealthDay News) -- Among adolescents and young adults, family dinner frequency is associated with healthful dietary intake, regardless of family functioning, according to a study published online Nov. 21 in JAMA Network Open.

Abstract/Full Text

Limiting Social Media May Improve Psychological Well-Being

FRIDAY, Nov. 30, 2018 (HealthDay News) -- Limiting social media use to 30 minutes per day may lead to significant improvement in well-being, according to a study published in the December issue of the Journal of Social and Clinical Psychology.

Abstract/Full Text

Case Description Can Reliably Define Acute Flaccid Myelitis

FRIDAY, Nov. 30, 2018 (HealthDay News) -- A case description can reliably define patients with acute flaccid myelitis (AFM), according to a study published online Nov. 30 in JAMA Pediatrics.

Abstract/Full Text
Editorial 1
Editorial 2

Teva Recalls Two Blood Pressure Medications

FRIDAY, Nov. 30, 2018 (HealthDay News) -- All lots of amlodipine/valsartan and amlodipine/valsartan/hydrochlorothiazide combination blood pressure tablets have been recalled by Teva Pharmaceuticals due to higher-than-acceptable levels of a chemical that may cause cancer.

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For Teen Girls, Depression May Predict Subsequent Alcohol Use

FRIDAY, Nov. 30, 2018 (HealthDay News) -- For adolescent girls, depression, but not anxiety, predicts future alcohol use, according to a study published online Nov. 25 in Alcoholism: Clinical and Experimental Research.

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Hypnotherapy Beats Education for Relief of IBS Symptoms

FRIDAY, Nov. 30, 2018 (HealthDay News) -- For patients with irritable bowel syndrome (IBS), individual and group hypnotherapy are more effective than educational supportive therapy in relieving symptoms, according to a study published online Nov. 22 in The Lancet Gastroenterology & Hepatology.

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

Increase Seen in Amphetamine, Opioid Use in Pregnant Women

FRIDAY, Nov. 30, 2018 (HealthDay News) -- The incidence of amphetamine and opioid use has increased among pregnant women, especially in rural counties, according to a study published online Nov. 29 in the American Journal of Public Health.

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Results of Pediatric Genomic Epilepsy Tests Often Reclassified

FRIDAY, Nov. 30, 2018 (HealthDay News) -- The interpretation of genomic epilepsy tests has evolved rapidly in the last five years, and genetic variants identified in pediatric patients are often reclassified, according to research published online Nov. 5 in JAMA Pediatrics.

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Genetic Analysis Shows Higher BMI May Up Risk for Depression

THURSDAY, Nov. 29, 2018 (HealthDay News) -- Being overweight likely plays a causal role in the development of depression, even in the absence of other health problems, according to a study published online Nov. 13 in the International Journal of Epidemiology.

Abstract/Full Text

Most Bills Enacted Into Law Limit Vaccine Exemptions

THURSDAY, Nov. 29, 2018 (HealthDay News) -- Most proposed bills in state legislatures from 2011 to 2017 sought to expand access to immunization exemptions, but the majority of bills enacted into law limited exemptions, according to a study published online Nov. 29 in the American Journal of Public Health.

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Climate Change Ups Heat Deaths, Especially Among Elderly

THURSDAY, Nov. 29, 2018 (HealthDay News) -- Risk for heat-related disease and death is rising worldwide due to climate change, according to a report published online Nov. 28 in The Lancet.

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

Dementia Often Misclassified With Brief Cognitive Assessments

THURSDAY, Nov. 29, 2018 (HealthDay News) -- When using brief cognitive assessments, dementia is often misclassified, according to a study published online Nov. 28 in Neurology Clinical Practice.

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Certain SGLT2 Inhibitors, GLP-1 RAs for T2DM Also Cut CV Risk

THURSDAY, Nov. 29, 2018 (HealthDay News) -- Certain sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide 1 receptor agonists (GLP-1 RAs) demonstrate significant cardiovascular (CV) benefit and should be used for reducing CV risk in patients with type 2 diabetes (T2D) and atherosclerotic cardiovascular disease (ASCVD), according to a report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways published online Nov. 26 in the Journal of the American College of Cardiology.

Abstract/Full Text

Persistent Back Pain Linked to Earlier Mortality in Older Women

THURSDAY, Nov. 29, 2018 (HealthDay News) -- Frequent persistent back pain is associated with increased mortality in older women, according to a study recently published in the Journal of General Internal Medicine.

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ADHD Diagnosis, Treatment Up for August-Born Children

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- In states with a Sept. 1 cutoff for kindergarten entry, the rates of attention-deficit/hyperactivity disorder (ADHD) diagnosis and treatment are higher for children born in August than those born in September, according to a study published in the Nov. 29 issue of the New England Journal of Medicine.

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Feature Tagging of Home Videos Promising in Autism Diagnosis

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- Feature tagging of home videos for machine learning classification of autism spectrum disorder (ASD) with the use of a mobile device produces accurate results in short time frames, according to a study published online Nov. 27 in PLOS Medicine.

Abstract/Full Text

FDA: Kratom Products Have High Levels of Heavy Metals

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- In addition to many other health risks, kratom products can have high levels of heavy metals, according to Scott Gottlieb, M.D., commissioner of the U.S. Food and Drug Administration.

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Healthy Lifestyle Tied to Less Atherosclerosis for Women

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- A healthy lifestyle during midlife is associated with less subclinical atherosclerosis among women, according to a study published online Nov. 28 in the Journal of the American Heart Association.

Abstract/Full Text

Large at Birth, Maternal Diabetes Up Child's Risk for Obesity

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- Large for gestational age (LGA) is a stronger marker than maternal diabetes for subsequently being overweight or obese in early childhood, according to a study published online Nov. 13 in Diabetologia.

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Home-Based Intervention Helpful for Disadvantaged CKD Patients

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- A home-based intervention can improve disadvantaged chronic kidney disease (CKD) patients' activation in their health and health care, according to a study published online Nov. 15 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text
Editorial 1
Editorial 2

Amblyopia Linked to Lower Self-Perception in Children

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- Children with amblyopia report lower self-perception for scholastic, social, and athletic measures, which may be associated with slower reading speed and worse motor skills, according to a study published online Nov. 15 in JAMA Ophthalmology.

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Editorial (subscription or payment may be required

Protein Intake Tied to Disability Trajectory in Very Old

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- For very old adults, higher protein intake is associated with better disability trajectories, according to a study published online Nov. 1 in the Journal of the American Geriatrics Society.

Abstract/Full Text

FDA: Safe to Eat Romaine Lettuce Again, but Check Labels

TUESDAY, Nov. 27, 2018 (HealthDay News) -- In a statement released late yesterday, the U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced that the agency was lifting its advisory against eating romaine lettuce, first put in place last Tuesday. At that point, the agency had not been able to narrow down the source of the tainted lettuce. But now the source seems to be "end-of-season" lettuce harvested somewhere in the Central Coast regions of central and northern California. And "harvesting of romaine lettuce from this region has [already] ended for the year," Gottlieb noted.

More Information: FDA
More Information: CDC

FDA to Update Medical Device Approvals Process

TUESDAY, Nov. 27, 2018 (HealthDay News) -- A major update of the United States' system for approving medical devices was announced yesterday by the Food and Drug Administration.

CBS/AP News Article
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USPSTF: Evidence Lacking for Prevention of Child Maltreatment

TUESDAY, Nov. 27, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence on the benefits and harms of primary care interventions for preventing child maltreatment is currently inadequate. These findings form the basis of a final recommendation statement published online Nov. 27 in the Journal of the American Medical Association.

Final Recommendation Statement
Evidence Report
Editorial (subscription or payment may be required)

Prevalence of Eating Disorders 1.4 Percent in Preteens

TUESDAY, Nov. 27, 2018 (HealthDay News) -- The prevalence of eating disorders among 9- to 10-year-olds in the United States is 1.4 percent, with no difference in prevalence between boys and girls, according to a research letter published online Nov. 26 in JAMA Pediatrics.

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

Four Principles Underlie Patient and Family Partnership in Care

TUESDAY, Nov. 27, 2018 (HealthDay News) -- Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals, according to a position paper published online Nov. 27 in the Annals of Internal Medicine.

Position Paper
Editorial (subscription or payment may be required)

Food Assistance May Help Older Adults Adhere to Diabetes Meds

TUESDAY, Nov. 27, 2018 (HealthDay News) -- Participation in the Supplemental Nutrition Assistance Program (SNAP) may reduce the number of low-income older adults with diabetes forgoing medications because of cost, according to a study published online Nov. 19 in JAMA Internal Medicine.

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Pregnancy-Associated Mortality Involving Opioids Up

TUESDAY, Nov. 27, 2018 (HealthDay News) -- From 2007 to 2016, there was a sharp increase in pregnancy-associated mortality involving opioids, according to a research letter recently published in the American Journal of Obstetrics & Gynecology.

Abstract/Full Text

Less Pediatric Screen Time Tied to Better Well-Being

TUESDAY, Nov. 27, 2018 (HealthDay News) -- A higher amount of screen time per day is associated with decreased psychological well-being in children and adolescents, according to a study published in the December issue of Preventive Medicine Reports.

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Vitamin D Levels Linked to Cardiorespiratory Fitness

TUESDAY, Nov. 27, 2018 (HealthDay News) -- Serum vitamin D levels are associated with cardiorespiratory fitness (CRF), according to a study recently published in the European Journal of Preventive Cardiology.

Abstract/Full Text

Early Antibiotic Use May Be Tied to Higher Childhood Body Weight

MONDAY, Nov. 26, 2018 (HealthDay News) -- Antibiotic use in children <24 months of age is associated with a slightly higher body weight at 5 years of age, according to a study published recently in Pediatrics.

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ACA Coverage Substantial, but Did Not Impact Labor Markets

MONDAY, Nov. 26, 2018 (HealthDay News) -- Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets, according to a report published by the Robert Wood Johnson Foundation and the Urban Institute.

Report: How Have Workers Fared Under the ACA?

Estimated 2.5 Percent of U.S. Children Diagnosed With Autism

MONDAY, Nov. 26, 2018 (HealthDay News) -- The prevalence of parent-reported autism spectrum disorder (ASD) is estimated at 2.5 percent among U.S. children aged 3 to 17 years, according to a study published online Nov. 26 in Pediatrics.

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

Newborns Infected With Ebola in Congo Outbreak

MONDAY, Nov. 26, 2018 (HealthDay News) -- Ebola infections in newborns are being reported in the current outbreak of the deadly disease in Congo, the World Health Organization says.

AP News Article
More Information: CDC

USPSTF Suggests Universal HIV Screening, PrEP for High-Risk Patients

TUESDAY, Nov. 20, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends HIV screening for individuals aged 15 to 65 years, including all pregnant women, and pre-exposure prophylaxis (PrEP) should be offered to those at high risk of HIV. These findings form the basis of two draft recommendation statements published online Nov. 20 by the USPSTF.

Draft Evidence Review - Adolescents/Adults
Draft Recommendation Statement - Adolescents/Adults
Comment on Recommendation Statement - Adolescents/Adults
Draft Evidence Review - Pregnancy
Draft Recommendation Statement - Pregnancy
Comment on Recommendation Statement - Pregnancy
Draft Evidence Review - PrEP
Draft Recommendation Statement - PrEP
Comment on Recommendation Statement - PrEP

Insulin Needed for T2DM Tx Set to Increase >20 Percent by 2030

MONDAY, Nov. 26, 2018 (HealthDay News) -- From 2018 to 2030, the insulin required to treat type 2 diabetes is expected to increase more than 20 percent, according to a study published online Nov. 20 in The Lancet Diabetes & Endocrinology.

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

Youth Smoking Decline Mirrors Rise in Vaping Popularity

MONDAY, Nov. 26, 2018 (HealthDay News) -- Even with the rapid rise in popularity of electronic cigarettes, there has been a simultaneous decline in smoking prevalence among U.S. teens and young adults, suggesting e-cigarettes may not prompt young people to start smoking, according to a study published online Nov. 20 in Tobacco Control.

Abstract/Full Text

Probiotics Show No Benefits for Pediatric Acute Gastroenteritis

MONDAY, Nov. 26, 2018 (HealthDay News) -- For children with acute gastroenteritis, probiotics show no significant benefit versus placebo, according to two studies published in the Nov. 22 issue of the New England Journal of Medicine.

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

Child Overweight, Obesity Linked to Increased Asthma Risk

MONDAY, Nov. 26, 2018 (HealthDay News) -- Children who are overweight or obese have an increased risk for asthma, according to a study published online Nov. 26 in Pediatrics.

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

Lung Cancer Screening Implementation Guide Developed

MONDAY, Nov. 26, 2018 (HealthDay News) -- The American Lung Association and the American Thoracic Society have established a website to guide implementation of lung cancer screening, according to an editorial published in the Nov. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

Editorial (subscription or payment may be required)
Implementation Guide for Lung Cancer Screening

Obesity Tied to Increased Risk for Early-Onset CRC in Women

MONDAY, Nov. 26, 2018 (HealthDay News) -- Obesity is associated with an increased risk for early-onset colorectal cancer (CRC) among women, according to a study recently published in JAMA Oncology.

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CDC: U.S. Abortion Rate Declined 24 Percent From 2006 to 2015

WEDNESDAY, Nov. 21, 2015 (HealthDay News) -- The abortion rate in the United States fell 24 percent between 2006 and 2015, according to research published in the Nov. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

FDA Approves Drug to Treat Rare Immune Disease

WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- The U.S. Food and Drug Administration on Monday approved Gamifant (emapalumab-lzsg) for the treatment of primary hemophagocytic lymphohistiocytosis (HLH) in pediatric (as young as newborn) and adult patients who have refractory, recurrent, or progressive disease or intolerance with conventional HLH treatment.

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U of Maryland Student Dies of Adenovirus-Related Illness

WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- An 18-year-old University of Maryland student has died from an adenovirus-related illness, and there have been reports of five other cases among students.

CBS News Article
More Information: CDC

FDA Approves Drug for Treatment of Travelers' Diarrhea

WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- The U.S. Food and Drug Administration on Friday announced it has approved Aemcolo (rifamycin), an antibacterial drug indicated for treating adult patients with travelers' diarrhea caused by noninvasive strains of Escherichia coli (E. coli) without fever or blood in the stool.

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Few Mandatory Pediatric Postmarketing Studies Completed

WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- During a median follow-up of 6.8 years, only 33.8 percent of mandatory pediatric postmarketing studies were completed, according to a study published online Nov. 19 in JAMA Pediatrics.

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Editorial (subscription or payment may be required)

Smoke-Free Policies Linked to Lower Systolic Blood Pressure

WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- Smoke-free policies are associated with small reductions in blood pressure (BP), according to a study published online Nov. 21 in the Journal of the American Heart Association.

Abstract/Full Text

Switching to High-Deductible Insurance Delays Diabetes Care

WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- For patients with diabetes, those switching from low-deductible to high-deductible insurance have increased delays in seeking care and diagnostic testing for macrovascular symptoms and for first procedure-based treatment, according to a study published online Nov. 20 in the Annals of Internal Medicine.

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Vaccine-Exempt Students Behind N.C. Chickenpox Outbreak

TUESDAY, Nov. 20, 2018 (HealthDay News) -- North Carolina's largest chickenpox outbreak in decades is centered in a primary school with a large number of vaccine-exempt students, according to health officials.

BBC News Article

FDA: Another E. coli Outbreak Linked to Romaine Lettuce

TUESDAY, Nov. 20, 2018 (HealthDay News) -- The U.S. Food and Drug Administration and U.S. Centers for Disease Control and Prevention along with health officials from various states are asking American consumers to avoid romaine lettuce due to an outbreak of Escherichia coli illness.

FDA Fast Facts
CDC Food Safety Alert

CDC Announces Acute Flaccid Myelitis Task Force

TUESDAY, Nov. 20, 2018 (HealthDay News) -- A task force to investigate a rising number of cases of a rare polio-like disease among children in the United States has been created by the U.S. Centers for Disease Control and Prevention.

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Prenatal Nitric Oxide Exposure Linked to Higher Risk for Autism

TUESDAY, Nov. 20, 2018 (HealthDay News) -- Prenatal exposure to nitric oxide (NO) is associated with an increased risk for autism spectrum disorder (ASD), according to a study published online Nov. 19 in JAMA Pediatrics.

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

Dementia Tied to Mortality in Older Adults With Down Syndrome

TUESDAY, Nov. 20, 2018 (HealthDay News) -- Dementia is associated with mortality in most older adults with Down syndrome, according to a study published online Nov. 19 in JAMA Neurology.

Abstract/Full Text
Editorial

NPs and PAs Can Effectively Manage Diabetes in Primary Care

TUESDAY, Nov. 20, 2018 (HealthDay News) -- Diabetes outcomes do not differ for patients treated with a primary care provider who is either a physician, nurse practitioner (NP), or physician assistant (PA), according to a study published online Nov. 20 in the Annals of Internal Medicine.

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

Pain Management Telementoring May Cut Opioid Prescribing

TUESDAY, Nov. 20, 2018 (HealthDay News) -- Military patients whose primary care clinicians participated in a telementoring program, including education on pain management best practices, have larger declines in opioid-related prescriptions than patients whose clinicians did not participate, according to a study published online Oct. 31 in the Journal of General Internal Medicine.

Abstract/Full Text

FDA Warns Against Giving Honey-Filled Pacifiers to Infants

MONDAY, Nov. 19, 2018 (HealthDay News) -- Pacifiers filled with or dipped in honey should not be given to infants, the U.S. Food and Drug Administration says.

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Cap'n Crunch Cereal Recalled Due to Salmonella Scare

MONDAY, Nov. 19, 2018 (HealthDay News) -- A small number of boxes of Cap'n Crunch's Peanut Butter Crunch are being recalled due to potential Salmonella contamination, Quaker Oats says.

FDA Recall Notice
More Information: CDC

Prevalence of Food Allergy 7.6 Percent in U.S. Children

MONDAY, Nov. 19, 2018 (HealthDay News) -- The prevalence of food allergy (FA) is 7.6 percent among children in the United States, according to a study published online Nov. 19 in Pediatrics.

Abstract/Full Text

MS Relapse Drops During Pregnancy but Rises After

MONDAY, Nov. 19, 2018 (HealthDay News) -- Rates of multiple sclerosis (MS) relapse decrease during pregnancy but increase postpartum, according to a study published online Oct. 23 in Neurology.

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

Opioid Misuse Varies With Sexual Orientation

MONDAY, Nov. 19, 2018 (HealthDay News) -- Opioid misuse varies with sexual orientation, with increased misuse among female bisexuals, according to a study published online Nov. 19 in the American Journal of Preventive Medicine.

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HIV Transmission Risk Small With Antiretroviral Compliance

MONDAY, Nov. 19, 2018 (HealthDay News) -- The risk for sexual transmission of HIV is negligible when an HIV-positive sex partner adheres to antiretroviral therapy and maintains viral suppression, according to research published in the November issue of CMAJ, the journal of the Canadian Medical Association.

Abstract/Full Text

Onset of Musculoskeletal Adverse Events Varies Between Statins

MONDAY, Nov. 19, 2018 (HealthDay News) -- The onset of musculoskeletal adverse events (MAEs) during statin monotherapy is significantly faster with use of atorvastatin and rosuvastatin versus simvastatin, according to a study published online Nov. 7 in Pharmacology Research & Perspectives.

Abstract/Full Text

Climate Change Expected to Lead to Rise in Lyme Disease

FRIDAY, Nov. 16, 2018 (HealthDay News) -- Rising temperatures are expected to increase the number of cases of Lyme disease in the United States by more than 20 percent by mid-century, according to a study published online Oct. 24 in the Canadian Journal of Infectious Diseases and Medical Microbiology.

Abstract/Full Text

AAP Updates Management of Sport-Related Concussion

FRIDAY, Nov. 14, 2018 (HealthDay News) -- Recommendations have been developed for the diagnosis and management of pediatric sport-related concussion (SRC), according to a clinical report published online Nov. 12 in Pediatrics.

Abstract/Full Text

Epinephrine Personal Autoinjectors Cost-Effective at $24

FRIDAY, Nov. 16, 2018 (HealthDay News) -- In a simulation of children with peanut allergy, epinephrine personal autoinjectors are cost-effective at $24, according to a study published online Nov. 16 in JAMA Network Open.

Abstract/Full Text

CDC: Increase Seen in Salmonella Illnesses From Ground Beef

FRIDAY, Nov. 16, 2018 (HealthDay News) -- There have been 126 more cases of illness added to an investigation into a Salmonella outbreak linked to recalled ground beef products from JBS Tolleson Inc., bringing the total to 246 cases in 25 states, the U.S. Centers for Disease Control and Prevention says.

CDC Food Safety Alert

Higher Risk for Amputation, DKA With SGLT2 Inhibitors for T2DM

FRIDAY, Nov. 16, 2018 (HealthDay News) -- Use of sodium glucose cotransporter 2 (SGLT2) inhibitors is associated with an increased risk for lower-limb amputation and diabetic ketoacidosis compared with use of glucagon-like peptide 1 (GLP1) receptor agonists, according to a study published online Nov. 14 in The BMJ.

Abstract/Full Text

CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

FRIDAY, Nov. 16, 2018 (HealthDay News) -- In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017, according to a report published Nov. 15 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Abstract/Full Text

Health Care Costs, Use Up for Untreated Hearing Loss

FRIDAY, Nov. 16, 2018 (HealthDay News) -- Older adults with untreated hearing loss have increased total health care costs and an increased risk for medical comorbidities, according to two studies published online Nov. 8 in JAMA Otolaryngology-Head & Neck Surgery.

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

Rates of Mental Health Tx, Diagnosis Up for College Students

FRIDAY, Nov. 16, 2018 (HealthDay News) -- From 2007 to 2017, there was an increase in the rates of mental health treatment and diagnosis among college students and a decrease in stigma, according to a study published online Nov. 5 in Psychiatric Services.

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Drug Overdose Mortality Rates Highest in United States

FRIDAY, Nov. 16, 2018 (HealthDay News) -- In 2015, the United States had higher drug overdose mortality rates than those of many other Organisation for Economic Co-operation and Development member countries, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.

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Obesity as a Teen Ups Risk for Later Pancreatic Cancer

FRIDAY, Nov. 16, 2018 (HealthDay News) -- Men and women who are obese as adolescents are at an increased risk for pancreatic cancer in adulthood, according to an study published online Nov. 12 in Cancer.

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

Treatments Appear No Better Than Placebo for Tennis Elbow

FRIDAY, Nov. 16, 2018 (HealthDay News) -- At best, all treatments provide only small pain relief for tennis elbow, according to a review published online Oct. 31 in the American Journal of Sports Medicine.

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Name-Brand Medications Driving Spike in U.S. Drug Spending

THURSDAY, Nov. 15, 2018 (HealthDay News) -- Rising drug spending in the United States is being fueled by expensive name-brand prescription medicines, a new study shows.

NBC News Article
Blue Cross Blue Shield Report

FDA Moves to Restrict Flavored E-Cig Sales, Ban Menthol Cigarettes

THURSDAY, Nov. 15, 2018 (HealthDay News) -- The U.S. Food and Drug Administration said today it will take steps to limit or ban access to flavored electronic cigarettes, menthol cigarettes, and flavored cigars.

The New York Times Article
Statement From FDA Commissioner

CDC: Many Americans May Have Prediabetes and Not Know It

THURSDAY, Nov. 15, 2018 (HealthDay News) -- More than one-third of Americans have prediabetes, but 90 percent of them do not know they have it, medical experts say.

Do I Have Prediabetes
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No Age-Related Increase in BP for Yanomami Community

THURSDAY, Nov. 15, 2018 (HealthDay News) -- The Amerindian Yanomami community, which has no exposure to Western lifestyle, has no age-associated rise in blood pressure (BP), according to a research letter published online Nov. 14 in JAMA Cardiology.

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Patient Experiences Shed Light on Diagnostic Errors

THURSDAY, Nov. 15, 2018 (HealthDay News) -- Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors, according to a study published in the November issue of Health Affairs.

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CDC: Record Number of Tickborne Disease Cases in U.S. Last Year

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- The number of Americans with tickborne diseases reached a record high of nearly 60,000 in 2017, the U.S. Centers for Disease Control and Prevention says.

NBC News Article
CDC Tickborne Disease Surveillance Data Summary
Tickborne Disease Working Group 2018 Report to Congress

Under Pressure, JUUL Withdraws Most Flavored E-Cigs From Market

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- JUUL Labs, which commands 70 percent of the U.S. electronic cigarette market, announced yesterday that it would cease selling most flavored versions of its popular vaping pods in retail stores.

The New York Times Article
JUUL Statement

AMA to Collect Data on Suicide Among Doctors-in-Training

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among doctors-in-training. The data collection policy was approved at a meeting yesterday.

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CDC Probe Continues as Cases of Acute Flaccid Myelitis Rise

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- Cases of a mysterious polio-like illness continue to mount in the United States, and health officials are scrambling to figure out the cause.

HealthDay Article
Abstract/Full Text

Changes in Risk Indicators of MetS Severity Tied to T2DM Risk

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- For patients with prediabetes who are randomly assigned to interventions, changes in risk indicators of metabolic syndrome (MetS) severity are associated with the risk for type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD), according to a study published in the November issue of Diabetes Care.

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Pharmacist-Led Effort Cuts Inappropriate Rx in Older Adults

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- A pharmacist-led intervention has the potential to reduce prescriptions for inappropriate medication in older adults, according to a study published in the Nov. 13 issue of the Journal of the American Medical Association.

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

Many 6-Month, 12-Month-Olds Do Not Sleep Through the Night

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- Many 6- and 12-month-old infants do not sleep through the night, according to a study published online Nov. 12 in Pediatrics.

Abstract/Full Text
Editorial

Heart Disease Leading Cause of Death in Low-Income Counties

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- The leading cause of death varies with income in the United States, with heart disease still the leading cause of death in low-income counties, according to a study published online Nov. 13 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Short Interpregnancy Intervals Tied to Adverse Outcome Risk

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- Short intervals between pregnancies are associated with increased risks for adverse pregnancy outcomes for women of all ages, according to a study published online Oct. 29 in JAMA Internal Medicine.

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

Online Tool Helps Patients With Advance Care Planning

TUESDAY, Nov. 13, 2018 (HealthDay News) -- The patient-facing PREPARE advance care planning program plus an easy-to-read advance directive significantly increases documentation of advance care planning and patient-reported engagement, according to a study published online Oct. 29 in JAMA Internal Medicine.

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USPSTF Recommends Screening Adults for Unhealthy Alcohol Use

TUESDAY, Nov. 13, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians screen all adults, including pregnant women, for unhealthy alcohol use and provide brief behavioral counseling to reduce unhealthy alcohol use. These findings form the basis of a final recommendation statement published in the Nov. 13 issue of the Journal of the American Medical Association.

Final Recommendation Statement
Evidence Report
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No Efficacy Signal for Fluoxetine in EV-D68 Acute Flaccid Myelitis

TUESDAY, Nov. 13, 2018 (HealthDay News) -- The antiviral agent fluoxetine is well tolerated but is not effective for patients with proven or presumptive enterovirus D68-associated acute flaccid myelitis (AFM), according to a study published online Nov. 9 in Neurology.

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Ebola Outbreak Worst in Congo's History

TUESDAY, Nov. 13, 2018 (HealthDay News) -- The current Ebola outbreak in Congo is the worst in the country's recorded history, the health ministry says.

AP News Article
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Denosumab Promising for TDT-Induced Osteoporosis Treatment

TUESDAY, Nov. 13, 2018 (HealthDay News) -- Denosumab (DNM), a fully human monoclonal antibody against the receptor activator of nuclear factor kappa-B ligand (RANKL), may be beneficial for managing transfusion-dependent thalassemia (TDT)-induced osteoporosis, according to a study published online Oct. 31 in Blood Advances.

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One-Third of Peds Medication Errors Due to Usability Issues

TUESDAY, Nov. 13, 2018 (HealthDay News) -- More than one-third of pediatric patient safety reports in 2012 to 2017 that were related to electronic health record (EHR) use were attributed to usability issues, according to a study published in the November issue of Health Affairs.

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Coordinated Care Needed for Cancer Survivors, Caregivers

TUESDAY, Nov. 13, 2018 (HealthDay News) -- There is an urgent need for coordinated, comprehensive, personalized care for cancer survivors and caregivers, according to a report published online Oct. 30 in CA: A Cancer Journal for Clinicians.

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Repetitive Hits May Predispose Athletes to Concussion

TUESDAY, Nov. 13, 2018 (HealthDay News) -- Repetitive head impact exposure appears to be a predisposing factor for the onset of concussion, according to a study published online Oct. 22 in the Annals of Biomedical Engineering.

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FDA to Ban Most Flavored Electronic Cigarettes

FRIDAY, Nov. 9, 2018 (HealthDay News) -- As part of the U.S. Food and Drug Administration's efforts to reduce teens' use of flavored electronic cigarettes, a ban on sales of most flavored e-cigarettes in retail stores and gas stations across the United States is to be introduced, according to media reports.

The New York Times Article

Quick New Ebola Test Approved by FDA

FRIDAY, Nov. 9, 2018 (HealthDay News) -- A fast, single-use fingerstick test for infection with the Ebola virus has been approved by the U.S. Food and Drug Administration.

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Progress Toward Goals in Global Health Is Slowing

FRIDAY, Nov. 9, 2018 (HealthDay News) -- Global progress in health has slowed, and improvements in health have been unevenly distributed, according to a series of articles published in a special issue of The Lancet, highlighting the fact that global progress in health is not inevitable.

The Lancet - The Global Burden of Disease Study 2017

CDC: About One in Three Adults With Prediabetes Has Arthritis

FRIDAY, Nov. 9, 2018 (HealthDay News) -- About one in three adults with prediabetes has arthritis, and half of those with both conditions are physically inactive and/or obese, according to research published in the Nov. 9 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Soy Feeding in Infancy Linked to Menstrual Pain in Blacks

FRIDAY, Nov. 9, 2018 (HealthDay News) -- Soy formula feeding in infancy is associated with an increased risk for menstrual pain in young African-American women, according to a study published online Nov. 9 in Human Reproduction.

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Income, Lifestyle May Contribute to Disparity in Cancer Deaths

FRIDAY, Nov. 9, 2018 (HealthDay News) -- Socioeconomic and health-related behaviors contribute to county-level disparities in cancer deaths, according to a study published online Oct. 5 in JAMA Network Open.

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Urinary Incontinence Common in Women Over 50 Years

FRIDAY, Nov. 9, 2018 (HealthDay News) -- Nearly half of women older than 50 years report having urinary incontinence, according to the results of the National Poll on Healthy Aging, published on Nov. 1.

National Poll on Healthy Aging

Firearm Violence Is a Public Health Issue, Physicians Say

THURSDAY, Nov. 8, 2018 (HealthDay News) -- In a position paper published online Oct. 30 in the Annals of Internal Medicine, the American College of Physicians (ACP) has updated its policy recommendations for reducing gun-related injuries and deaths in the United States.

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CDC: Increases in Yoga, Meditation for Children in 2012-2017

THURSDAY, Nov. 8, 2018 (HealthDay News) -- The use of yoga and meditation have increased in recent years among children and adults, while use of chiropractors has also increased among adults, according to two November data briefs published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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FDA Approves New Version of OTC Primatene Mist

THURSDAY, Nov. 8, 2018 (HealthDay News) -- A new version of an over-the-counter asthma inhaler that was taken off the market in 2011 has been approved by the U.S. Food and Drug Administration.

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Trump Administration Finalizes Birth Control Coverage Opt-Out

THURSDAY, Nov. 8, 2018 (HealthDay News) -- A birth control coverage opt-out for employers was finalized by the Trump administration on Wednesday.

AP News Article

CDC Warns of Salmonella Illnesses Linked to Raw Turkey

THURSDAY, Nov. 8, 2018 (HealthDay News) -- The total number of illnesses in a Salmonella outbreak linked with raw turkey products now stands at 164 people across 35 states, according to the U.S. Centers for Disease Control and Prevention.

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Quitting Cannabis Tied to Improved Memory

THURSDAY, Nov. 8, 2018 (HealthDay News) -- Abstaining from cannabis is associated with improvements in memory and verbal learning in adolescents and young adults, according to a study published online Oct. 30 in the Journal of Clinical Psychiatry.

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Herpes Zoster Recombinant Vaccine Seems Most Effective

THURSDAY, Nov. 8, 2018 (HealthDay News) -- The herpes zoster adjuvant recombinant subunit vaccine may be more effective than the live attenuated vaccine, though it is associated with an increased risk for adverse events at the injection site, according to a review published online Oct. 25 in The BMJ.

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HTN in Young Adulthood Linked to CVD Later in Life

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- High blood pressure (BP) in early adulthood is associated with an increased risk for cardiovascular disease (CVD) later in life, according to two studies published in the Nov. 6 issue of the Journal of the American Medical Association.

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Possible Salmonella Prompts Duncan Hines Cake Mix Recall

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- Four varieties of Duncan Hines cake mix have been recalled due to possible Salmonella contamination.

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Medicaid Expansion Approved in Three Republican-Leaning States

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.

CNBC Article

Excess Gestational Weight Gain Not Better for Child Bone Health

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- Among women who are under/normal weight, gestational weight gain (GWG) is associated with slightly increased bone measures in offspring at age 7 years, but there is no effect for overweight/obese mothers, according to a study published online Nov. 7 in the Journal of Bone and Mineral Research.

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Happy Childhood Memories Associated With Better Health

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- Those with fond memories of childhood and strong relationships with their parents have better health throughout adulthood, according to a study published online Nov. 5 in Health Psychology.

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Abx-Resistant Enterobacteriaceae Tied to Clinical Failure in UTI

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- Community-onset urinary tract infection (UTI) due to extended-spectrum cephalosporin-resistant (ESC-R) Enterobacteriaceae (EB) is significantly associated with clinical failure, according to a study published online Oct. 30 in Infection Control & Hospital Epidemiology.

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Peds Firearm-Related Injuries Lead to Clinical, Financial Burden

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- For pediatric patients, the clinical and financial burdens associated with firearm-related injuries are considerable, according to a research letter published online Oct. 29 in JAMA Pediatrics.

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Over Two Million People Living With Hep C From 2013 to 2016

TUESDAY, Nov. 6, 2018 (HealthDay News) -- During 2013 to 2016, more than two million people in the United States had current hepatitis C virus (HCV) infection, according to a study published online Nov. 6 in Hepatology.

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CDC: Cases of Polio-Like Illness Still Increasing in the U.S.

TUESDAY, Nov. 6, 2018 (HealthDay News) -- Cases of a polio-like condition that mainly affects children continue to rise this year in the United States, health officials say.

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CDC Director Says Congo Ebola Outbreak May Be Uncontainable

TUESDAY, Nov. 6, 2018 (HealthDay News) -- It may not be possible to bring the Ebola outbreak in Congo under control, and the deadly disease may become entrenched in the northeastern part of the country, U.S. Centers for Disease Control and Prevention Director Robert Redfield says.

Washington Post Article
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New Guidelines Issued for Patellofemoral Pain Management

TUESDAY, Nov. 6, 2018 (HealthDay News) -- The National Athletic Trainers' Association has issued recommendations for identifying and managing patients with patellofemoral pain (PFP); these recommendations form the basis of a position statement published in the September issue of the Journal of Athletic Training.

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Prevalence of Atopic Dermatitis 7.3 Percent in U.S. Adults

TUESDAY, Nov. 6, 2018 (HealthDay News) -- The prevalence of atopic dermatitis is 7.3 percent among U.S. adults, and patients with atopic dermatitis and more severe disease have worse quality of life, according to a study published online Oct. 30 in the Journal of Investigative Dermatology.

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Majority of Internists Still Have Financial Ties to Industry

MONDAY, Nov. 5, 2018 (HealthDay News) -- A majority of internists still report financial ties to industry, according to a study published online Oct. 5 in the Journal of General Internal Medicine.

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Surgery Restores Boy's Ability to Walk Post-Acute Flaccid Myelitis

MONDAY, Nov. 5, 2018 (HealthDay News) -- A first-of-its-kind surgery has restored the ability to walk in a boy paralyzed by acute flaccid myelitis (AFM).

CBS News Article
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Most Meds Affecting Neurotransmitters Not Linked to Autism Risk

MONDAY, Nov. 5, 2018 (HealthDay News) -- Prenatal exposure to most medications affecting neurotransmitter systems is not associated with estimates of autism spectrum disorder (ASD) risk, according to a study published online Oct. 31 in JAMA Psychiatry.

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Models Project 79 Percent Drop in Lung CA Mortality by 2065

MONDAY, Nov. 5, 2018 (HealthDay News) -- Existing tobacco control efforts will continue to reduce lung cancer mortality through 2065, according to a study published online Oct. 9 in the Annals of Internal Medicine.

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Older Paternal Age Linked to Adverse Perinatal Outcomes

MONDAY, Nov. 5, 2018 (HealthDay News) -- Advanced paternal age is associated with adverse infant and maternal outcomes, according to a study published online Oct. 31 in The BMJ.

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U.S. Opioid Overdose Deaths Reach Record Number

FRIDAY, Nov. 2, 2018 (HealthDay News) -- The number of opioid overdose deaths in the United States reached a new record last year with 72,000 deaths, which works out to about 200 a day, according to a Drug Enforcement Administration report released today. The report comes just over a week after U.S. health secretary Alex Azar said overdose deaths have started to level off.

AP News Article
2018 National Drug Threat Assessment

Age to Stop Cervical Cancer Screening Depends on Test Used

FRIDAY, Nov. 2, 2018 (HealthDay News) -- Continuing regular cytology screening up to age 75 years or performing an exit human papillomavirus (HPV) test to confirm the absence of oncogenic HPV strains past the age of 55 years offers preventive benefit for older women with a cervix, according to a study published online Nov. 1 in The Lancet Oncology.

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Sign-Up Season Begins on HealthCare.gov

FRIDAY, Nov. 2, 2018 (HealthDay News) -- The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running, officials said yesterday.

AP News Article
HealthCare.gov

CDC: Prevalence of Gestational Diabetes 6.0 Percent in 2016

FRIDAY, Nov. 2, 2018 (HealthDay News) -- The prevalence of gestational diabetes was 6.0 percent in 2016, with a slight increase seen from 2012 to 2016, according to research published in the Nov. 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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HPV Vaccination Uptake Increasing, but Still Too Low

FRIDAY, Nov. 2, 2018 (HealthDay News) -- Although progress has been made in increasing human papillomavirus (HPV) vaccination, coverage is still too low to achieve full cancer prevention potential, according to a report from the President's Cancer Panel published Nov. 1.

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National Youth Obesity Rate at 15.8 Percent for 2016 to 2017

FRIDAY, Nov. 2, 2018 (HealthDay News) -- In 2016 to 2017, the national obesity rate for youth ages 10 to 17 years was 15.8 percent, which was not statistically different from the 16.1 percent rate in 2016 alone, according to a report published by the Robert Wood Johnson Foundation.

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Plant-Based Diets Beneficial for Adults With Type 2 Diabetes

THURSDAY, Nov. 1, 2018 (HealthDay News) -- For adults with type 2 diabetes, plant-based diets can improve psychological health, quality of life, hemoglobin A1c levels, and weight, according to a review published online Oct. 30 in BMJ Open Diabetes Research & Care.

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Second Hypertension Drug Recalled Due to Contamination

THURSDAY, Nov. 1, 2018 (HealthDay News) -- Another hypertension drug is being recalled due to contamination that could pose a cancer risk, the U.S. Food and Drug Administration says.

CNN Article
FDA Recall Alert

Financial Conflicts of Interest Prevalent Among CPG Authors

THURSDAY, Nov. 1, 2018 (HealthDay News) -- There is a high prevalence of financial conflicts of interest among authors of clinical practice guidelines (CPGs) related to high-revenue medications and in gastroenterology, according to two research letters published online Oct. 29 in JAMA Internal Medicine.

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Home BP of 130/80 mm Hg ID'd as Threshold for Stage 1 HTN

THURSDAY, Nov. 1, 2018 (HealthDay News) -- A home blood pressure (BP) reading of 130/80 mm Hg should be considered the threshold for stage 1 hypertension, according to a study published online Oct. 29 in Hypertension.

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Infant Ab Levels Highest With Tdap Vax in Early 3rd Trimester

THURSDAY, Nov. 1, 2018 (HealthDay News) -- Tetanus, diphtheria, and acellular pertussis (Tdap) vaccines given to pregnant women early in the third trimester may offer the most protection against infant pertussis, according to a study published in the Oct. 9 issue of the Journal of the American Medical Association.

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Fewer Parents Have Sexuality, Gender Concerns About HPV Shot

THURSDAY, Nov. 1, 2018 (HealthDay News) -- Parents' concerns about sexuality and gender as reasons for lack of HPV vaccine initiation in their children decreased substantially from 2010 to 2016, according to a study published in the November issue of the Journal of Adolescent Health.

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