January 2019 Briefing - Internal Medicine

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

FDA Approves First Generic Version of Advair for Asthma, COPD

THURSDAY, Jan. 31, 2019 (HealthDay News) -- The first generic form of the Advair Diskus (fluticasone propionate and salmeterol inhalation powder) inhaler has been approved by the U.S. Food and Drug Administration.

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AHA: Nearly Half of U.S. Adults Have Cardiovascular Disease

THURSDAY, Jan. 31, 2019 (HealthDay News) -- The prevalence of cardiovascular disease (CVD) is 48.0 percent in adults in the United States based on 2013 to 2016 data, according to a report published online Jan. 31 in Circulation.

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Editorial

E-Cigarettes More Effective for Smoking Cessation

THURSDAY, Jan. 31, 2019 (HealthDay News) -- Electronic cigarettes are more effective for smoking cessation than nicotine replacement therapy, according to a study published online Jan. 30 in the New England Journal of Medicine.

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Methotrexate Well Tolerated, Effective for Psoriasis in Chinese

THURSDAY, Jan. 31, 2019 (HealthDay News) -- Methotrexate is well tolerated and effective for psoriasis in a Chinese population and is more effective for those without psoriatic arthritis, according to a study published online Jan. 30 in JAMA Dermatology.

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Small Increase in HbA1c Seen With Switch to Human Insulin in T2DM

THURSDAY, Jan. 31, 2019 (HealthDay News) -- Switching from analogue to human insulin is associated with a small increase in hemoglobin A1c (HbA1c) levels, according to a study published in the Jan. 29 issue of the Journal of the American Medical Association.

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More High-Value Care Associated With Receipt of Primary Care

THURSDAY, Jan. 31, 2019 (HealthDay News) -- Receipt of primary care is associated with significantly more high-value care, slightly more low-value care, and a better health care experience, according to a study published online Jan. 28 in JAMA Internal Medicine.

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Symptom Combos Suggesting Laryngeal Cancer Identified

THURSDAY, Jan. 31, 2019 (HealthDay News) -- New symptom combinations that may indicate early symptoms of laryngeal cancer have been identified, according to a study published online Jan. 28 in the British Journal of General Practice.

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Meta-Analysis: Small Weight Increase Seen for Breakfast Eaters

THURSDAY, Jan. 31, 2019 (HealthDay News) -- Eating breakfast may not be a good strategy for weight loss, according to research published online Jan. 30 in The BMJ.

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Aerobic Exercise Tied to Better Cognition at All Ages

WEDNESDAY, Jan. 30, 2019 (HealthDay News) -- Aerobic exercise contributes to brain health in individuals as young as 20 years, according to a study published online Jan. 30 in Neurology.

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FDA Receives an 'F' in Tobacco Prevention Report Card

WEDNESDAY, Jan. 30, 2019 (HealthDay News) -- The U.S. Food and Drug Administration was given an "F" in a new American Lung Association report card evaluating tobacco prevention programs.

CNN Article
State of Tobacco Control

No Asthma Benefit Seen With n3PUFA in Overweight Teens

WEDNESDAY, Jan. 30, 2019 (HealthDay News) -- Omega-3 fatty acid (n3PUFA) supplements do not appear to improve asthma control in teens and young adults who are overweight or obese, according to a study published online Jan. 25 in the Annals of the American Thoracic Society.

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Avoiding Full-Blown Diabetes Cuts Cardiovascular Risk

WEDNESDAY, Jan. 30, 2019 (HealthDay News) -- Midlife increases in fasting glucose (FG) with conversion to diabetes are associated with higher cardiovascular disease (CVD) risk, according to research published online Jan. 7 in Diabetes Care.

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Large Insulin Price Hike to Be Investigated by U.S. Congress

TUESDAY, Jan. 29, 2019 (HealthDay News) -- The soaring cost of insulin will be investigated as the U.S. Congress holds hearings into the high cost of prescription drugs, a lawmaker says.

AP News Article

Few Patients With Type 1 Diabetes Meeting HbA1c Goals

TUESDAY, Jan. 29, 2019 (HealthDay News) -- Only one in five children and adults with type 1 diabetes (T1D) in the United States achieve American Diabetes Association (ADA) goals for glycated hemoglobin (HbA1c), according to a study published online Jan. 18 in Diabetes Technology & Therapeutics.

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Older Adults With Comorbidities Identified as Frequent ED Users

TUESDAY, Jan. 29, 2019 (HealthDay News) -- More than 5 percent of seniors visit emergency departments more than six times in one year, according to a study published online Jan. 28 in the Annals of Emergency Medicine.

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Depressive Symptoms Higher During Internal Medicine Internship

TUESDAY, Jan. 29, 2019 (HealthDay News) -- For internal medicine interns, depressive symptoms increase during internship, with poor faculty feedback and inpatient learning experience associated with increased depressive symptoms, according to a study recently published in Academic Medicine.

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NOACs Recommended as First-Line Prevention of Stroke in A-Fib

TUESDAY, Jan. 29, 2019 (HealthDay News) -- For patients with atrial fibrillation, novel oral anticoagulants (NOACs) are recommended over warfarin to prevent stroke and weight loss is recommended for overweight and obese individuals, according to updated guidelines published online Jan. 28 in Circulation.

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Intensive BP Treatment Does Not Reduce Dementia Risk

TUESDAY, Jan. 29, 2019 (HealthDay News) -- Treating systolic blood pressure (BP) to a goal of less than 120 mm Hg rather than 140 mm Hg does not result in a significant reduction in the risk for probable dementia, according to a study published online Jan. 28 in the Journal of the American Medical Association.

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Public Health Interventions Could Cut Global Burden of Hepatitis C

TUESDAY, Jan. 29, 2019 (HealthDay News) -- Public health interventions can go a long way toward meeting World Health Organization hepatitis C virus (HCV) targets, according to a study published online Jan. 28 in The Lancet.

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MEESSI-Acute Heart Failure Risk Score Validated

TUESDAY, Jan. 29, 2019 (HealthDay News) -- The Multiple Estimation of risk based on the Emergency department Spanish Score In patients with Acute Heart Failure (MEESSI-AHF) can accurately predict 30-day mortality in patients with AHF, according to a study published online Jan. 29 in the Annals of Internal Medicine.

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Washington State Declares Health Emergency as Measles Spreads

MONDAY, Jan. 28, 2019 (HealthDay News) -- A statewide public health emergency was declared in Washington after a measles outbreak near Portland, Oregon, reached 31 cases on Friday. The outbreak in the Pacific Northwest is in what has been called an antivaccination "hot spot" in the United States, the Associated Press reported.

AP News Article

Financial Stress, Coronary Heart Disease Linked in African-Americans

MONDAY, Jan. 28, 2019 (HealthDay News) -- Financial stress may be associated with coronary heart disease among African-Americans, according to a study published in the February issue of the American Journal of Preventive Medicine.

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Evidence Lacking for Benefit of Surgery for Vertebral Fractures

MONDAY, Jan. 28, 2019 (HealthDay News) -- Surgical procedures do not appear to provide significant benefit for patients with vertebral fractures (VF), according to a second American Society for Bone and Mineral Research Task Force report published in the January issue of the Journal of Bone and Mineral Research.

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Gender Gap Seen in Accessing Alcohol Treatment With Cirrhosis

MONDAY, Jan. 28, 2019 (HealthDay News) -- Women with alcohol-associated cirrhosis (AC) are less likely to receive alcohol use disorder (AUD) treatment than men with the disease even though such treatment is associated with improved outcomes at one year, according to a study published online Jan. 22 in Alcoholism: Clinical & Experimental Research.

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Bone Health in Older Adults Not Improved by High-Dose Vitamin D

MONDAY, Jan. 28, 2019 (HealthDay News) -- There is little benefit for older adults taking high-dose vitamin D supplements to improve their bone strength and reduce the risk for falls, according to a study published online Jan. 8 in The American Journal of Clinical Nutrition.

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Machine Learning Methods Can Detect UTI in Dementia Patients

MONDAY, Jan. 28, 2019 (HealthDay News) -- Algorithms that combine Internet of Things (IoT) technologies and in-home sensory devices with machine learning techniques can be used to monitor the health and well-being of people with dementia, according to a study published online Jan. 15 in PLOS ONE.

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Virtual Video Visits Liked by Patients, Providers

FRIDAY, Jan. 25, 2019 (HealthDay News) -- Virtual video visits can effectively replace office visits for selected patients across medical specialties without sacrificing quality of care or patient-physician communication, according to a study published in the January issue of the American Journal of Managed Care.

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Assessment Tools Aid Risk Planning at Nursing Homes

FRIDAY, Jan. 25, 2019 (HealthDay News) -- Better use of risk assessment tools, like the Changes in Health and End-stage disease Signs and Symptoms (CHESS) score, can help nursing homes identify which new residents are at risk for hospitalization or death within the first 90 days after admission, according to a study recently published in the Journal of the American Medical Directors Association.

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Report IDs Areas Lacking Good Practice in Health Tech Assessment

FRIDAY, Jan. 25, 2019 (HealthDay News) -- In a report published in the January issue of Value in Health, an ISPOR--The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).

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Home-Based Program Achieves Hypertension Control

FRIDAY, Jan. 25, 2019 (HealthDay News) -- A new home-based care delivery program can provide efficient and effective blood pressure (BP) control in individuals with hypertension, according to a study recently published in Clinical Cardiology.

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2003 to 2015 Saw Increase in Outpatient Benzodiazepine Use

FRIDAY, Jan. 25, 2019 (HealthDay News) -- Outpatient benzodiazepine use increased from 2003 to 2015, according to a study published online Jan. 25 in JAMA Network Open.

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Measles Outbreak Prompts Public Emergency in Washington State

THURSDAY, Jan. 24, 2019 (HealthDay News) -- An ongoing measles outbreak has led to a public health emergency being declared in Clark County, Washington.

CBS News Article

Fried Chicken, Fish Linked to All-Cause, Cardiovascular Death

THURSDAY, Jan. 24, 2019 (HealthDay News) -- Among postmenopausal women, fried food consumption, especially fried chicken and fish/shellfish, is associated with an increased risk for all-cause and cardiovascular mortality, according to a study published online Jan. 23 in The BMJ.

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Flu-Like Illness Tied to Increased Relative Mortality in ESRD

THURSDAY, Jan. 24, 2019 (HealthDay News) -- Community activity for influenza-like illness (ILI) is associated with seasonal variation in all-cause mortality among patients with end-stage renal disease (ESRD), according to a study published online Jan. 24 in the Journal of the American Society of Nephrology.

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Gun Injury Hospitalization Cost Over $911 Million 2010 to 2015

THURSDAY, Jan. 24, 2019 (HealthDay News) -- The average annual cost of inpatient hospitalizations for firearm injury exceeded $911 million from 2010 to 2015, with 9.5 percent of that amount due to readmissions, according to a study published online Jan. 24 in PLOS ONE.

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Short Duration Between Dinner, Bed Has No Effect on HbA1c

THURSDAY, Jan. 24, 2019 (HealthDay News) -- Ensuring a short duration between dinner and bedtime has no effect on hemoglobin A1c (HbA1c) levels in middle-aged and older Japanese adults, according to a study published online Jan. 22 in BMJ Nutrition, Prevention & Health.

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Smoking Tied to Peripheral Artery Disease in African-Americans

THURSDAY, Jan. 24, 2019 (HealthDay News) -- Cigarette smoking is associated with measures of subclinical peripheral artery disease (PAD) in African-Americans, according to a study published online Jan. 23 in the Journal of the American Heart Association.

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BP >120/80 mm Hg Linked to Lower Gray Matter Volume

THURSDAY, Jan. 24, 2019 (HealthDay News) -- In young adults, lower gray matter volume (GMV) is seen in individuals with blood pressure (BP) >120/80 mm Hg, according to a study published online Jan. 23 in Neurology.

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Body Size, Physical Activity Could Impact Odds of Reaching 90

THURSDAY, Jan. 24, 2019 (HealthDay News) -- Height, body mass index (BMI), and physical activity are associated with longevity, with correlations differing by sex, according to research published online Jan. 21 in the Journal of Epidemiology & Community Health.

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Insulin Price More Than Doubled in the United States

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- Some Americans with type 1 diabetes have cut back on their insulin usage as the cost of the drug nearly doubled over a five-year period.

CBS News Article

Doctors Should Encourage Exercise in Patients With Diabetes, CV Disease

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- Physicians need to take an active role in prescribing specific exercise training in patients with both type 2 diabetes mellitus and cardiovascular disease, according to a position paper published online Jan. 14 in the European Journal of Preventive Cardiology.

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Marketing of Opioids Linked to Increased OD Mortality

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- Marketing of opioids to physicians is associated with increased mortality from opioid overdoses, according to a study published online Jan. 18 in JAMA Network Open.

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Meta-Analysis: Aspirin Linked to Lower Risk for CV Events in Primary Prevention

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- For individuals without cardiovascular disease, use of aspirin is associated with a reduced risk for cardiovascular events and an increased risk for major bleeding, according to a meta-analysis published in the Jan. 22 issue of the Journal of the American Medical Association.

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Benzodiazepine, Opioid Co-Usage Up in the United States

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- Concurrent use of benzodiazepine receptor modulators and opioids and of nonselective and selective benzodiazepine receptor modulators increased from 1999-2000 to 2013-2014, according to a study published online Jan. 17 in SLEEP.

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Herd Protection Seen With 4-Valent HPV Vaccination

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- From 2006 to 2017, there was a decrease in 4-valent vaccine-type human papillomavirus (HPV) detection among vaccinated and unvaccinated women, according to a study published online Jan. 22 in Pediatrics.

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Most Stroke Survivors ≥50 Years Report Complete Mental Health

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- More than two-thirds of stroke survivors aged 50 years or older report being in complete mental health (CMH), according to a study published online Jan. 9 in the Journal of Aging and Health.

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Canadian Syncope Risk Score IDs ED Monitoring Time Postsyncope

TUESDAY, Jan. 22, 2019 (HealthDay News) -- The risk for arrhythmic conditions can be identified quickly among patients with syncope presenting to the emergency department, according to a study published online Jan. 21 in Circulation.

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Medical Cannabis Decisions Being Made by Users, Not Doctors

TUESDAY, Jan. 22, 2019 (HealthDay News) -- Many patients use medical cannabis without their mainstream health care provider's knowledge, and further, they self-adjust their pharmaceutical use in response to cannabis use, according to a study published online Jan. 8 in the Journal of Psychoactive Drugs.

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Poor Glycemic Control in Type 1 Diabetes Tied to Fracture Risk

TUESDAY, Jan. 22, 2019 (HealthDay News) -- Poor glycemic control is associated with an increased risk for fracture in patients with type 1 diabetes mellitus (T1DM) but not in patients with type 2 diabetes mellitus (T2DM), according to a study published online Jan. 16 in the Journal of Clinical Endocrinology & Metabolism.

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CDC: Opioid Prescribing Higher in Rural Versus Urban Areas

TUESDAY, Jan. 22, 2019 (HealthDay News) -- The percentage of individuals prescribed an opioid is higher in rural than urban areas, according to research published in the Jan. 18 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Guidelines Developed for Managing Severe Atopic Dermatitis

TUESDAY, Jan. 22, 2019 (HealthDay News) -- Guidelines have been developed for the management of severe atopic dermatitis (AD); the recommendations have been published as a clinical management review in the January issue of The Journal of Allergy and Clinical Immunology: In Practice.

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Wait Times Have Improved in VA Health Care System

FRIDAY, Jan. 18, 2019 (HealthDay News) -- From 2014 to 2017, there were improvements in wait times in the Department of Veterans Affairs (VA) health care system, resulting in reduced wait times versus the private sector (PS) in 2017, according to a study published online Jan. 18 in JAMA Network Open.

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Medication Treatment for Substance Abuse Up in Facilities

FRIDAY, Jan. 18, 2019 (HealthDay News) -- From 2007 to 2016, there was an increase in the proportion of substance use treatment facilities offering medication treatment (MT), according to a study published in the January issue of Health Affairs.

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Trained Alert Dogs Can Detect Impending T1DM-Related Events

FRIDAY, Jan. 18, 2019 (HealthDay News) -- Trained alert dogs can help patients with type 1 diabetes regulate their blood glucose levels, according to a study published online Jan. 15 in PLOS ONE.

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Inappropriate Antibiotic Rx Common in Privately Insured

FRIDAY, Jan. 18, 2019 (HealthDay News) -- Less than half of all outpatient antibiotic prescription fills by privately insured nonelderly adults and children in the United States are appropriate or potentially appropriate, according to a study published online Jan. 16 in The BMJ.

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Radiographic Knee Osteoarthritis Tied to Increased Risk for Death

FRIDAY, Jan. 18, 2019 (HealthDay News) -- Radiographic knee osteoarthritis (RKOA) is associated with an increased risk for mortality from cardiovascular disease (CVD), diabetes, and renal diseases, but self-reported OA is not, according to a study published in the December issue of the International Journal of Epidemiology.

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FDA Down to 5 Weeks of Funding to Review New Drug Applications

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Due to the federal government shutdown, the U.S. Food and Drug Administration has only about five weeks of funding left to review new drug applications, according to Commissioner Scott Gottlieb, M.D.

CNN News Article

Asthma Undiagnosed in One in Five Urban Adolescents

THURSDAY, Jan. 17, 2019 (HealthDay News) -- The prevalence of undiagnosed asthma is 20.2 percent among urban adolescents, according to a study published online Jan. 15 in the Journal of Urban Health.

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Risk for Uninsurance in AMI Patients Reduced With Medicaid Expansion

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Medicaid expansion was associated with a reduced risk for uninsurance among acute myocardial infarction (AMI) patients, according to a study published online Jan. 16 in JAMA Cardiology.

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Hemochromatosis Mutation Linked to Other Morbidity

THURSDAY, Jan. 17, 2019 (HealthDay News) -- HFE p.C282Y homozygosity, the most common gene mutation causing hereditary hemochromatosis (type 1), is associated with other morbidity in men and women, according to a study published online Jan. 16 in The BMJ.

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Achieving Healthy Diet From Sustainable Food Feasible

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Achieving a healthy diet from sustainable food systems is feasible but will require considerable shifts toward healthy dietary patterns, according to a report from the EAT-Lancet Commission published online Jan. 16 by The Lancet.

EAT-Lancet Commission (subscription or payment may be required)
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High Symptom Burden in Elderly Linked to Adverse Outcomes

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Community-dwelling older adults frequently have co-occurring symptoms, according to a study published online recently in the Journal of the American Geriatrics Society.

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Prevalence of Knee OA Lower With Menopausal Hormone Therapy

THURSDAY, Jan. 17, 2019 (HealthDay News) -- For postmenopausal women, the prevalence of knee osteoarthritis is lower with menopausal hormone therapy (MHT) use, according to a study published online Dec. 21 in Menopause.

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High Levels of Activity, Motor Ability Linked to Better Cognition

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- In older adults, higher levels of total daily activity and better motor abilities are associated with better cognition, according to a study published online Jan. 16 in Neurology.

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Coronary Artery Calcium May Help Predict CVD in South Asians

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- The incidence and progression of coronary artery calcium (CAC) in South Asians may be an important prognostic marker of cardiovascular disease, according to a study published online Jan. 11 in the Journal of the American Heart Association.

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Adoption of Advanced Health IT Capabilities Inconsistent

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Adoption of advanced health information technology (HIT) capabilities is inconsistent across health care systems, with electronic health record (EHR) standardization being the strongest predictor of advanced capabilities, according to a study published in the January issue of the American Journal of Managed Care.

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Complications Higher Than Expected for Invasive Lung Tests

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- The rates of complications after invasive diagnostic procedures for lung abnormalities are higher in the community setting than in clinical trials, according to a study published online Jan. 14 in JAMA Internal Medicine.

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Replacing Sitting Time With Activity Lowers Mortality Risk

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Replacing prolonged sedentary bouts with physical activity reduces mortality risk, but no benefit is seen for replacement with short sedentary bouts, according to a study recently published in the American Journal of Epidemiology.

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Intermittent Fasts Plus Energy Restriction Best for Weight Loss

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Intermittent fasting with restricted energy intake may provide better outcomes than daily continuous diet restriction for health and weight loss in obese women, according to a study published in the January issue of Obesity.

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Review Shares Best Practices for Evaluating Penicillin Allergy

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- A new review, published in the Jan. 15 issue of the Journal of the American Medical Association, addresses best practices for the evaluation and management of reported penicillin allergies.

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Accidental IV Dislodgement Reported to Be Very Common

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Clinicians perceive accidental dislodgement of intravenous (IV) devices to be a common occurrence, according to a study published in the December issue of the Journal of the Association for Vascular Access.

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Components of Ideal Cardio Health Cut Diabetes Risk

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- For individuals with normal fasting glucose but not those with impaired fasting glucose (IFG), a higher number of ideal cardiovascular health (CVH) components correlates with a lower risk for diabetes, according to a study published online Jan. 15 in Diabetologia.

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FDA to Resume Inspections of Riskier Foods

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Routine inspections of riskier foods will resume as early as today, the U.S. Food and Drug Administration says.

AP News Article

Congo Ebola Outbreak Now Second Worst in History

TUESDAY, Jan. 15, 2019 (HealthDay News) -- There have been 600 confirmed cases of Ebola and 347 confirmed deaths since early August in the Democratic Republic of the Congo, making this outbreak of the disease the second largest and second deadliest in history.

ABC News Article
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USPSTF Recommends Risk-Reducing Meds for Breast Cancer

TUESDAY, Jan. 15, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends risk-reducing medications for women at high risk for breast cancer who are at low risk for adverse events, but medications are not recommended for routine use. These recommendations form the basis of a draft recommendation statement published online Jan. 15 by the task force.

Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendation

American College of Physicians Releases 7th Edition of Ethics Manual

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Ethical principles are discussed in an updated Ethics Manual, issued by the American College of Physicians (ACP) and published as a supplement to the Jan. 15 issue of the Annals of Internal Medicine.

American College of Physicians Ethics Manual
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Young-Onset Type 2 Diabetes Tied to Increased Hospitalization Risk

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Adults with young-onset type 2 diabetes (T2D; onset before age 40 years) have an increased hospitalization risk across their life span compared with those with usual-onset T2D, according to a study published online Jan. 15 in the Annals of Internal Medicine.

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Study Explores Influence of Genetics, Environment in Disease

TUESDAY, Jan. 15, 2019 (HealthDay News) -- The influence of heritability and environmental factors has been identified for a large number of phenotypes, according to a study published online Jan. 14 in Nature Genetics.

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Opioids Now More Deadly for Americans Than Traffic Accidents

TUESDAY, Jan. 15, 2019 (HealthDay News) -- For the first time in history, Americans' risk for dying from an opioid overdose is higher than their risk for dying in a car accident, the National Safety Council reported Monday.

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Guideline Issued for Treatment of Mild/Moderate Ulcerative Colitis

TUESDAY, Jan. 15, 2019 (HealthDay News) -- A new clinical guideline from the American Gastroenterological Association (AGA) published Dec. 18 in Gastroenterology focuses on the medical management of patients with mild-to-moderate ulcerative colitis (UC).

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U.S. Doctor Released From Omaha Hospital After Ebola Monitoring

MONDAY, Jan. 14, 2019 (HealthDay News) -- An American doctor who was monitored for 21 days after possible Ebola exposure did not develop the deadly disease and has been released from the Nebraska Medicine-Nebraska Medical Center in Omaha, officials say.

Press Release

Red Cross Issues Emergency Call for Blood Donations

MONDAY, Jan 14, 2019 (HealthDay News) -- The holidays, winter weather, and the flu season have all prompted a blood shortage, the American Red Cross warns.

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800-662-HELP Underappreciated in Media, General Population

MONDAY, Jan. 14, 2019 (HealthDay News) -- The Substance Abuse and Mental Health Services Administration national helpline (800-662-HELP) seems to be underappreciated in the media and by the general population, according to a research letter published online Jan. 14 in JAMA Internal Medicine.

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Short Sleep Duration Linked to Higher Atherosclerotic Burden

MONDAY, Jan. 14, 2019 (HealthDay News) -- Sleep duration less than six hours and fragmented sleep are associated with atherosclerosis, according to a study published online Jan. 14 in the Journal of the American College of Cardiology.

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Breast Cancer Incidence Up With Persistent Vasomotor Symptoms

MONDAY, Jan. 14, 2019 (HealthDay News) -- Postmenopausal women with persistent vasomotor symptoms (VMS) have an increased incidence of breast cancer, according to a study published online Dec. 28 in Menopause.

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Menopausal Hormone Tx Use Down Post-WHI Recommendations

MONDAY, Jan. 14, 2019 (HealthDay News) -- The Women's Health Initiative (WHI) recommendations for menopausal hormone therapy (MHT) use issued in 2002 have been widely adopted, according to a study published online Dec. 21 in Menopause.

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Moderate Drinking Linked to Electroanatomic Changes in A-Fib

MONDAY, Jan. 14, 2019 (HealthDay News) -- Moderate alcohol consumption is associated with lower atrial voltage and conduction slowing in patients with atrial fibrillation (AF), according to a study published online Jan. 9 in Heart Rhythm.

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One in Five Back Pain Patients Experience Persistent Pain

MONDAY, Jan. 14, 2019 (HealthDay News) -- Eighteen percent of patients with back pain experience a persistent trajectory, according to a study published online Jan. 14 in Arthritis Care & Research.

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Expanding Pharmacist Practice Scope Could Reduce ED Overcrowding

MONDAY, Jan. 14, 2019 (HealthDay News) -- The introduction of emergency department- or community-based pharmacists with an expanded scope of practice may cut emergency department overcrowding, according to a study recently published in Research in Social and Administrative Pharmacy.

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Drug Overdose Death Rate Increasing Among Middle-Aged Women

FRIDAY, Jan. 11, 2019 (HealthDay News) -- From 1999 to 2017, the drug overdose death rate increased 260 percent among women aged 30 to 64 years, according to research published in the Jan. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC: Flu Cases Hit 7 Million in the United States

FRIDAY, Jan. 11, 2019 (HealthDay News) -- The flu season is picking up steam, with about 7 million Americans having been struck by a strain of the flu virus, health officials said Friday.

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Number of Colorectal CA Deaths Projected to Rise Worldwide

FRIDAY, Jan. 11, 2019 (HealthDay News) -- An overall rise in the number of colorectal cancer deaths worldwide is expected through 2035, according to a study recently published in the International Journal of Cancer.

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Chronic Fatigue Patients May Not Receive Proper ED Care

FRIDAY, Jan. 11, 2019 (HealthDay News) -- Many patients with chronic fatigue syndrome (CFS) do not receive proper care in the emergency department, according to a study published online Jan. 11 in Open Access Emergency Medicine.

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Prices Still Explain High U.S. Health Care Spending

FRIDAY, Jan. 11, 2019 (HealthDay News) -- The difference in health spending between the United States and other countries is still explained by health care prices, according to a study published in the January issue of Health Affairs.

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Use of Diabetes Monitoring Tests in Primary Care Suboptimal

FRIDAY, Jan. 11, 2019 (HealthDay News) -- Many primary care patients are not given tests recommended for monitoring diabetes, according to a study published in the December issue of Family Medicine and Community Health.

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Statin Therapy Reduces Risk for Diabetic Retinopathy in T2DM

FRIDAY, Jan. 11, 2019 (HealthDay News) -- For Taiwanese patients with type 2 diabetes and dyslipidemia, statin therapy is associated with a reduced risk for diabetic retinopathy, according to a study published online Jan. 10 in JAMA Ophthalmology.

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High Fiber Intake Tied to Lower Risk for Noncommunicable Disease

FRIDAY, Jan. 11, 2019 (HealthDay News) -- High intake of fiber is associated with a reduced risk for several noncommunicable diseases (NCDs), according to research published online Jan. 10 in the The Lancet.

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U.S. Food Supply May Be at Risk Due to Government Shutdown

THURSDAY, Jan. 10, 2019 (HealthDay News) -- Food inspections have declined due to the partial shutdown of the U.S. government, potentially putting the nation's food supply at risk.

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FDA: Chocolates, Candies May Be Contaminated With Hepatitis A

THURSDAY, Jan. 10, 2019 (HealthDay News) -- A public health alert about possible hepatitis A contamination in Modjeskas from Bauer's Candies was announced Thursday by the U.S. Food and Drug Administration.

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CDC: E. Coli Outbreak Linked to Romaine Lettuce Is Over

THURSDAY, Jan. 10, 2019 (HealthDay News) -- The Escherichia coli outbreak linked to California-grown romaine lettuce appears to be over, the U.S. Centers for Disease Control and Prevention said Wednesday.

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E-Cigarette Aerosol Exposure Tied to Asthma Symptoms

THURSDAY, Jan. 10, 2019 (HealthDay News) -- Secondhand exposure to electronic nicotine delivery systems (ENDS) aerosols may be related to asthma symptoms in youth, according to a study published in the January issue of CHEST.

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Seniors Still Report Barriers to Hearing Care Services

THURSDAY, Jan. 10, 2019 (HealthDay News) -- Beneficiaries who are dually eligible for Medicaid are less likely to use hearing care services and more likely to report having trouble with their aids, according to a study published in the January issue of Health Affairs.

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Flu Vaccination Safe for Hospitalized Patients

THURSDAY, Jan. 10, 2019 (HealthDay News) -- Influenza vaccination during hospitalization is associated with reduced risk for readmission, outpatient visits, fever, and clinical evaluations for infection postdischarge, according to a study published online Jan. 8 in the Mayo Clinic Proceedings.

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Transdermal HRT Not Linked to Increased Risk for VTE

THURSDAY, Jan. 10, 2019 (HealthDay News) -- Oral hormone replacement therapy (HRT) is associated with an increased risk for venous thromboembolism (VTE), while transdermal preparations are not linked to increased risk, according to a study published online Jan. 9 in the BMJ.

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Private Equity Acquisition of Physician Practices Discussed

THURSDAY, Jan. 10, 2019 (HealthDay News) -- The phenomenon of private equity acquisition of physician practices is discussed in an Ideas and Opinions piece published online Jan. 8 in the Annals of Internal Medicine.

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Obesity Linked to Lower Gray Matter Brain Volume

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Obesity is associated with lower gray matter brain volumes, according to a study published online Jan. 9 in Neurology.

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Smartphone App Can Detect Early Signs of Opioid Overdose

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Specialized smartphone software can be used to detect early signs of opioid overdose, according to research published in the Jan. 9 issue of Science Translational Medicine.

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Measles Outbreak in New York State Largest in Recent History

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- There have been at least 112 confirmed cases of measles in Rockland and Orange counties and at least 55 in New York City in what officials say is the largest measles outbreak in New York state in recent history.

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Nine Cases of Wound Botulism ID'd in Injection Drug Users

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Among persons who inject drugs, nine cases of wound botulism were identified in Southern California from September 2017 to April 2018, according to research published in the Jan. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Nursing Intervention Promotes Better Sleep for Inpatients

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- A Sleep for Inpatients: Empowering Staff to Act (SIESTA) intervention can improve patient sleep with fewer nighttime room entries, according to a study published in the January issue of the Journal of Hospital Medicine.

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Long Work Hours Tied to Poor Glycemic Control in T2DM

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Long work hours (≥60 hours/week) are associated with poor glycemic control in young Japanese men with type 2 diabetes, according to a study published in the January issue of the Journal of Diabetes Investigation.

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No Increased Fall Risk With HTN Treatment in Older Women

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Treating high blood pressure (BP) is not associated with an increased fall risk among older women, according to a study published online Jan. 7 in the Journal of the American Geriatrics Society.

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Many Female Health Care Workers Live in Poverty

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Many U.S. female health care workers, particularly women of color, live in poverty and lack health insurance, according to a study published online Dec. 20 in the American Journal of Public Health.

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Increase in Brand-Name Drug Cost Mainly Due to Existing Drugs

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- The costs of oral and injectable brand-name drugs increased from 2008 to 2016, with most of the increase due to existing drugs, while new drugs accounted for cost increases in specialty and generic drugs, according to a study published in the January issue of Health Affairs.

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Medical Marketing Has Increased in Past 20 Years

TUESDAY, Jan. 8, 2019 (HealthDay News) -- From 1997 through 2016, there was an increase in medical marketing, especially direct-to-consumer (DTC) advertising, according to research published in the Jan. 1/8 issue of the Journal of the American Medical Association.

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AI Technology IDs Genetic Diseases by Analyzing Facial Photos

TUESDAY, Jan. 8, 2019 (HealthDay News) -- Certain genetic diseases can be detected by new artificial intelligence technology that analyzes a photo of a person's face, according to a study published online Jan. 7 in Nature Medicine.

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Costs Higher for Those With Comorbid Noncommunicable Diseases

TUESDAY, Jan. 8, 2019 (HealthDay News) -- The costs of having two noncommunicable diseases (NCDs) is generally superadditive, according to a study published online Jan. 8 in PLOS Medicine.

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Feeling Life Is Worthwhile Linked to Healthier Aging

TUESDAY, Jan. 8, 2019 (HealthDay News) -- The feeling that life is filled with worthwhile activities may promote healthier aging and help sustain meaningful relationships, according to a study published online Jan. 7 in the Proceedings of the National Academy of Sciences.

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Cancer Death Rate in U.S. Decreased Continuously From 1991 to 2016

TUESDAY, Jan. 8, 2019 (HealthDay News) -- The overall cancer death rate decreased continuously by 27 percent from 1991 to 2016, according to a report published online Jan. 8 in CA: A Cancer Journal for Clinicians.

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ACA Coverage Gains Could Erode Without Individual Mandate

TUESDAY, Jan. 8, 2019 (HealthDay News) -- Eliminating the Affordable Care Act's individual mandate penalty is unlikely to destabilize the individual market in California but could roll back coverage gains, according to a study published in the January issue of Health Affairs.

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Women With CVD Have Worse Self-Reported Outcomes

TUESDAY, Jan. 8, 2019 (HealthDay News) -- Compared with men, women with atherosclerotic cardiovascular disease (ASCVD) are more likely to report poorer patient experience, lower health-related quality of life, and poorer perception of their health, according to a study recently published online in the Journal of the American Heart Association.

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Rx Opioids Up Pneumonia Risk in Patients With, Without HIV

MONDAY, Jan. 7, 2019 (HealthDay News) -- Prescribed opioids are associated with an increased risk for community-acquired pneumonia (CAP) requiring hospitalization among persons with and without HIV, according to a study published online Jan. 7 in JAMA Internal Medicine.

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Flu Vaccine Cuts Flu-Related Hospitalization in COPD Patients

MONDAY, Jan. 7, 2019 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD) hospitalization, influenza vaccination is associated with a significant reduction in influenza-related hospitalization, according to a study published online Jan. 4 in CHEST.

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Employment, Earning Losses Noted After Cardiovascular Events

MONDAY, Jan. 7, 2019 (HealthDay News) -- Myocardial infarction (MI), cardiac arrest, and stroke are associated with substantial loss in employment and earnings at three years postevent, according to a study published online Jan. 7 in CMAJ, the journal of the Canadian Medical Association.

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Gabapentin Improves Sexual Function in Provoked Vulvodynia

MONDAY, Jan. 7, 2019 (HealthDay News) -- For women with provoked vulvodynia, gabapentin improves sexual function compared with placebo, although overall sexual function is still lower than for pain-free controls, according to a study published in the January issue of the American Journal of Obstetrics and Gynecology.

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Exercise Can Consistently Lower Blood Pressure

MONDAY, Jan. 7, 2019 (HealthDay News) -- Exercise can consistently yield reductions in blood pressure, according to a meta-analysis published online Dec. 18 in the British Journal of Sports Medicine.

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Childhood Hodgkin Lymphoma Survivors at Risk for Later Cancers

MONDAY, Jan. 7, 2019 (HealthDay News) -- Survivors of childhood Hodgkin lymphoma (HL) remain at increased risk for developing subsequent malignant neoplasms (SMNs), according to research published online Dec. 17 in Cancer.

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About 11 Percent of U.S. Adults Have Food Allergy

MONDAY, Jan. 7, 2019 (HealthDay News) -- Nearly 11 percent of U.S. adults are estimated to be food-allergic, but 19 percent believe they have a food allergy, according to a study published online Jan. 4 in JAMA Network Open.

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Income Volatility Linked to CVD, All-Cause Mortality

MONDAY, Jan. 7, 2019 (HealthDay News) -- Income volatility and drops in income during formative earning years are associated with an increased risk for cardiovascular disease (CVD) and all-cause mortality, according to a study published online Jan. 7 in Circulation.

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Risk for MCI Up With Progressive Cerebral Small Vessel Disease

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Patients with hypertension with progression of periventricular white matter hyperintensities have an increased risk for incident mild cognitive impairment, according to a study published online Jan. 4 in Hypertension.

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More Comorbidities, Lower Mortality for Holocaust Survivors

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Holocaust survivors in Israel have higher rates of comorbidities but lower mortality compared with a control population, according to a study published online Jan. 4 in JAMA Network Open.

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Health Benefits of Nonsugar Sweeteners Uncertain

FRIDAY, Jan. 4, 2019 (HealthDay News) -- There is no compelling evidence to indicate health benefits of nonsugar sweetener (NSS) use on a range of health outcomes, according to a review published online Jan. 2 in The BMJ.

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In-Hospital Morbidity, Mortality Up With Flu in Heart Failure

FRIDAY, Jan. 4, 2019 (HealthDay News) -- For patients with heart failure, influenza infection is associated with increased in-hospital morbidity and mortality, according to a study published online Jan. 3 in JACC: Heart Failure.

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Applying Population Health Data IDs Patients at Risk for CVD

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Population-level data can help medical practitioners use electronic health records to identify patients at risk for cardiovascular disease, according to a study recently published in the Journal of the American Medical Informatics Association.

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Hypertension With Psoriasis Tied to More Cardiac Interventions

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Psoriasis is associated with an increased risk for cardiovascular interventions in patients with hypertension, according to a study published in the December issue of The Journal of Dermatology.

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Classification of Psoriasis Severity Depends on Definition

THURSDAY, Jan. 3, 2019 (HealthDay News) -- Depending on the definition used, there are large variations in the proportion of patients identified as having moderate-to-severe psoriasis, according to a study published in the December issue of the British Journal of Dermatology.

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Clinical Tool Rapidly Assesses Post-Intensive Care Syndrome

THURSDAY, Jan. 3, 2019 (HealthDay News) -- The self-report version of the Healthy Aging Brain Care Monitor is valid for assessing post-intensive care syndrome (PICS), according to a study published in the January issue of the American Journal of Critical Care.

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Many Adults in 50s, Early 60s Worried About Health Insurance

THURSDAY, Jan. 3, 2019 (HealthDay News) -- Many adults aged 50 to 64 years are concerned about being unable to afford the cost of health insurance, according to the results of the National Poll on Healthy Aging published on Jan. 3.

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Moderate Drinking Not Harmful for Seniors With Heart Failure

THURSDAY, Jan. 3, 2019 (HealthDay News) -- For older adults with heart failure, limited alcohol consumption after diagnosis is associated with survival benefit versus long-term abstinence, according to a study published online Dec. 28 in JAMA Network Open.

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Study Reveals High Rate of Phlebitis Caused by IV Cannulas

THURSDAY, Jan. 3, 2019 (HealthDay News) -- The incidence of phlebitis caused by peripheral intravenous cannula insertions may be higher among patients with certain risk factors, according to a study published online Dec. 27 in the Journal of Clinical Nursing.

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Patients With Sleep Apnea Have Increased Gout Risk

THURSDAY, Jan. 3, 2019 (HealthDay News) -- Patients with obstructive sleep apnea (OSA) are at higher risk for developing gout than patients without OSA for more than a year after diagnosis, according to a study published in the January issue of Arthritis & Rheumatology.

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Antidepressant Use in Seniors Linked to Risk for Hip Fracture

THURSDAY, Jan. 3, 2019 (HealthDay News) -- Among older adults, antidepressant users sustain more hip fractures than nonusers both before and after therapy initiation, according to a study published online Jan. 2 in JAMA Psychiatry.

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U.S. Doctor Monitored for Ebola Exposure in Nebraska Hospital

WEDNESDAY, Jan. 2, 2019 (HealthDay News) -- An American doctor is being treated at a Nebraska medical center for possible exposure to the Ebola virus while providing medical care in the Democratic Republic of Congo, which is in the middle of an Ebola outbreak that has left more than 300 dead.

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Partner-Delivered HIV Self-Testing Can Up Linkage to Care

WEDNESDAY, Jan, 2, 2019 (HealthDay News) -- Partner-delivered HIV self-testing (HIVST) with financial incentives or reminders can increase the odds of male partners being linked to care or prevention, according to a study published online Jan. 2 in PLOS Medicine.

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Proportion of Cancers Due to Excess Body Weight Varies by State

WEDNESDAY, Jan. 2, 2019 (HealthDay News) -- A considerable proportion of cancer cases in men and women are attributable to excess body weight (EBW), with variation in the proportion among states, according to a study published online Dec. 27 in JAMA Oncology.

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Price of Alirocumab Would Have to Be Cut to Be Cost-Effective

WEDNESDAY, Jan. 2, 2019 (HealthDay News) -- For patients with a recent acute coronary syndrome receiving a statin, the price of alirocumab would have to be reduced to be cost-effective, according to a study published online Jan. 1 in the Annals of Internal Medicine.

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Limited Examination Detects Scabies With High Sensitivity

WEDNESDAY, Jan 2, 2019 (HealthDay News) -- Examination limited to hands, feet, and lower legs has a sensitivity of about 90 percent for detecting scabies, according to a study published online Dec. 27 in PLOS Neglected Tropical Diseases.

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Impaired Cognitive Status Impacts Rehab Potential in SNFs

WEDNESDAY, Jan. 2, 2019 (HealthDay News) -- Older adults admitted to a skilled nursing facility (SNF) with cognitive impairment show less improvement in functional status than older adults admitted with no cognitive impairment, according to a study published online Dec. 13 in the Journal of the American Geriatrics Society.

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