June 2019 Briefing - Internal Medicine

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

Medicare Advantage Patients Have Higher Readmission Rates

FRIDAY, June 28, 2019 (HealthDay News) -- Medicare Advantage patients have higher risk-adjusted hospital readmission rates than traditional Medicare patients for acute myocardial infarction, congestive heart failure, and pneumonia, according to a new study published online June 24 in the Annals of Internal Medicine.

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Medtronic Recalls Some Insulin Pumps Over Cybersecurity Concerns

FRIDAY, June 28, 2019 (HealthDay News) -- The U.S. Food and Drug Administration announced Thursday that some high-tech insulin pumps made by Medtronic are being recalled for potential cybersecurity risks that could leave them vulnerable to hacking.

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Increase Seen in Cryptosporidiosis Outbreaks From 2007 to 2019

FRIDAY, June 28, 2019 (HealthDay News) -- From 2009 to 2017, there was an increase in the annual number of reported cryptosporidiosis outbreaks in the United States, according to a study published online June 27 in Morbidity and Mortality Weekly Report.

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Functional Decline Seen in Many Older Adults Initiating Dialysis

FRIDAY, June 28, 2019 (HealthDay News) -- For older adults initiating dialysis, many experience a decline in functional status after six months, and the prevalence of high caregiver burden increases, according to a study published online June 27 in the Clinical Journal of the American Society of Nephrology.

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Morning Preference Has Protective Effect on Breast Cancer Risk

FRIDAY, June 28, 2019 (HealthDay News) -- Morning preference seems to have a protective effect on breast cancer risk, according to a study published online June 26 in The BMJ.

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Infections Tied to Subsequent Risk for Acute Ischemic Stroke

FRIDAY, June 28, 2019 (HealthDay News) -- Different infection types, especially urinary tract infection (UTI), are associated with subsequent acute ischemic stroke, according to a study published online June 27 in Stroke.

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Review: HPV Vaccination Program Has Considerable Impact

FRIDAY, June 28, 2019 (HealthDay News) -- The human papillomavirus (HPV) vaccination program has had a considerable impact, according to a study published online June 26 in The Lancet.

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Use of 3-D Mammography Rapidly Expanded 2015 to 2017

FRIDAY, June 28, 2019 (HealthDay News) -- Adoption of 3-D mammography expanded rapidly in the United States in just a few years, particularly in areas with greater socioeconomic resources, according to a research letter published online June 24 in JAMA Internal Medicine.

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Family History of Dementia Tied to Early Memory Deficits

FRIDAY, June 28, 2019 (HealthDay News) -- A first-degree family history of dementia is associated with memory deficits decades before the typical onset of Alzheimer disease, according to a study published online June 18 in eLife.

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ACIP: Men as Old as 26 Should Get HPV Vaccine

THURSDAY, June 27, 2019 (HealthDay News) -- The recommended maximum age for male HPV vaccination should be raised from 21 to 26 years, a U.S. government advisory group said.

AP News Article - HPV
AP News Article - Prevnar 13

USPSTF Lung Cancer Screening Too Conservative for Blacks

THURSDAY, June 27, 2019 (HealthDay News) -- Current U.S. Preventive Services Task Force (USPSTF) guidelines for lung cancer screening eligibility may be too conservative for African American smokers, according to a study published online June 27 in JAMA Oncology.

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Less Than 40 Percent of All U.S. Adults Have Ever Had HIV Testing

THURSDAY, June 27, 2019 (HealthDay News) -- The percentage of U.S. adults undergoing HIV testing nationwide is less than 40 percent, according to a study published online June 27 in Morbidity and Mortality Weekly Report.

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More Than 1 in 5 Young Men Use Disordered Eating to Bulk Up

THURSDAY, June 27, 2019 (HealthDay News) -- Disordered eating to bulk up is common among young men and may be a warning sign of future health problems, according to a study published online June 20 in the International Journal of Eating Disorders.

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Three Interventions Could Cut Cardiovascular Deaths

THURSDAY, June 27, 2019 (HealthDay News) -- Lowering blood pressure, cutting sodium intake, and eliminating intake of trans fat could cut the incidence of premature death from cardiovascular disease by 94 million people worldwide during the next 25 years, according to a study published online June 10 in Circulation.

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First-Trimester BP Category Linked to Hypertensive Disorders

THURSDAY, June 27, 2019 (HealthDay News) -- First-trimester blood pressure (BP) category is associated with development of hypertensive disorders of pregnancy, according to a study published online June 27 in the American Journal of Obstetrics and Gynecology.

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Migraine Prevalence Up for Food-Insecure Young Adults

THURSDAY, June 27, 2019 (HealthDay News) -- The prevalence of migraine is elevated for young adults with food insecurity, according to a study published online June 24 in JAMA Neurology.

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Similar CV Event Rates Seen for Generic, Brand Levothyroxine

THURSDAY, June 27, 2019 (HealthDay News) -- Cardiovascular event rates are similar for patients with newly treated hypothyroidism receiving generic and brand levothyroxine (L-T4), according to a study published online April 26 in the Mayo Clinic Proceedings.

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High BMI, Weight Gain Linked to Lasting Decrease in ALS Risk

THURSDAY, June 27, 2019 (HealthDay News) -- High body mass index (BMI) and weight gain are associated with a reduced long-term risk for amyotrophic lateral sclerosis (ALS), according to a study published online June 26 in Neurology.

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Psoriasis Patients Often Use CAMs When Traditional Meds Fail

THURSDAY, June 27, 2019 (HealthDay News) -- Patients with psoriasis frequently use complementary and alternative medicines (CAMs) because traditional medications failed or caused side effects, according to a research letter published in the July issue of the Journal of the American Academy of Dermatology.

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Higher Protein Intake May Cut Risk for Frailty in Older Women

THURSDAY, June 27, 2019 (HealthDay News) -- Higher levels of protein intake may prevent the onset of frailty in older women, according to a study recently published in the European Journal of Nutrition.

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Educational Attainment Positively Linked to CVD Risk Factors

WEDNESDAY, June 26, 2019 (HealthDay News) -- Educational attainment is positively associated with reduced smoking rates, depression, triglycerides, and heart disease, according to a study published online June 25 in PLOS Medicine.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) -- After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) -- Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Physicians Unaware of Breast Density Laws, Cancer Risk

WEDNESDAY, June 26, 2019 (HealthDay News) -- Physicians need more education about breast density and breast cancer screening, according to a study recently published in the Journal of Women's Health.

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Short-Term Walking Intervention Offers Lasting Health Benefits

WEDNESDAY, June 26, 2019 (HealthDay News) -- Short-term primary care pedometer-based walking interventions can produce lasting health benefits, according to a study published online June 25 in PLOS Medicine.

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Higher Intake of Linoleic Acid May Reduce Type 2 Diabetes Risk

WEDNESDAY, June 26, 2019 (HealthDay News) -- Intake of linoleic acid (LA) is inversely associated with the risk for type 2 diabetes, according to a study published in the June issue of Diabetes Care.

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Older Kidney Donors With HTN at Higher Risk for ESKD Later

WEDNESDAY, June 26, 2019 (HealthDay News) -- Older kidney donors with hypertension have an increased risk for end-stage kidney disease (ESKD), but not mortality, through 15 years after donation, according to a study published online June 25 in the Clinical Journal of the American Society of Nephrology.

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Micronutrient Deficiencies Often Found With Celiac Disease Dx

WENDESDAY, June 26, 2019 (HealthDay News) -- Micronutrient deficiencies remain common in adults at the time of celiac disease (CD) diagnosis, according to a study published online June 24 in Mayo Clinic Proceedings.

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Downward Trend Seen in Pelvic Exams Among Younger Women

WEDNESDAY, June 26, 2019 (HealthDay News) -- From 1988 to 2017, the number of U.S. women aged 15 to 44 years who received a pelvic examination in the previous 12 months decreased, according to a data brief published online June 26 by the National Center for Health Statistics.

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FDA Warns Two Kratom Marketers About False Claims

TUESDAY, June 25, 2019 (HealthDay News) -- The U.S. Food and Drug Administration on Tuesday took two kratom marketers to task over false claims that their products can treat or cure opioid addiction.

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Set of Competencies for Obesity Developed for Medical Educators

TUESDAY, June 25, 2019 (HealthDay News) -- A set of competencies has been developed for medical education program directors on caring for patients with obesity, and a proposed standard of care has been developed for adults with obesity, according to two reports published online June 24 in Obesity.

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Smoking Confers Greatest Risk for Major Heart Attack for Women

TUESDAY, June 25, 2019 (HealthDay News) -- Smoking confers a greater increase in ST-segment elevation myocardial infarction (STEMI) risk to women than men, according to a study published in the July 2 issue of the Journal of the American College of Cardiology.

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Diabetes Outcomes Similar Regardless of Primary Provider

TUESDAY, June 25, 2019 (HealthDay News) -- Diabetes outcomes are similar for Veterans Affairs patients regardless of whether the primary provider is a physician, nurse practitioner (NP), or physician assistant (PA), according to a study published in the June issue of the Journal of the American Academy of Physician Assistants.

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Cancer Survivors Have High Prevalence of Chronic Pain

TUESDAY, June 25, 2019 (HealthDay News) -- Cancer survivors have a high prevalence of chronic pain, according to a research letter published online June 20 in JAMA Oncology.

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Death From Specific Causes Up for Veterans With PTSD

MONDAY, June 24, 2019 (HealthDay News) -- Among veterans with posttraumatic stress disorder (PTSD), all-cause mortality is elevated, especially death from suicide, accidental injury, and viral hepatitis, according to a study published online June 24 in the American Journal of Preventive Medicine.

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Many Trust Doctors, Nurses Over Other Sources of Health Advice

MONDAY, June 24, 2019 (HealthDay News) -- Globally, about three-quarters of people trust doctors or nurses more than other sources when it comes to health advice, according to a report published online June 19 by the Wellcome Global Monitor.

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Adrenal Incidentalomas Rarely Grow, Change Hormone Function

MONDAY, June 24, 2019 (HealthDay News) -- Nonfunctioning adrenal tumors (NFATs) or adenomas causing mild autonomous cortisol excess (MACE) rarely show clinically relevant changes in size or hormone function, according to research published online June 25 in the Annals of Internal Medicine.

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Oral Steroids Increase Infection Risk in Inflammatory Disease

MONDAY, June 24, 2019 (HealthDay News) -- The incidence of infection increases with glucocorticoid dose for patients with polymyalgia rheumatica or giant cell arteritis, according to a study published online June 24 in CMAJ, the journal of the Canadian Medical Association.

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Anxiety With Type 2 Diabetes Tied to High-Cost Health Care Use

MONDAY, June 24, 2019 (HealthDay News) -- Anxiety is independently associated with high-cost resource use among individuals with type 2 diabetes, according to a study published online June 18 in Diabetes Care.

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Greater Long-Term Decline in Stroke Seen Among Older Adults

MONDAY, June 24, 2019 (HealthDay News) -- The decline in midlife ischemic strokes over time is less pronounced than the decline among older adults, according to a study published in the June issue of Stroke.

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Suicide Risk Seen Among Older Adults Living in Long-Term Care

MONDAY, June 24, 2019 (HealthDay News) -- More than 2 percent of suicides among adults 55 years and older are associated with patients living in or transitioning to long-term care (LTC), according to a study published online June 14 in JAMA Network Open.

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2018 Busiest Year Ever for U.S. National Domestic Violence Hotline

FRIDAY, June 21, 2019 (HealthDay News) -- The U.S. National Domestic Violence Hotline had its busiest year ever in 2018, receiving 573,670 calls, texts, and online chats, a 36 percent increase from 2017.

NBC News Article

Geographic Patterns of COPD Similar for Smokers, Nonsmokers

FRIDAY, June 21, 2019 (HealthDay News) -- Geographic patterns of chronic obstructive pulmonary disease (COPD) prevalence are similar among current smokers, former smokers, and adults who have never smoked, according to research published in the June 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Maintaining Work During Dialysis Tied to Higher Survival

FRIDAY, June 21, 2019 (HealthDay News) -- Working in the six months before initiating hemodialysis (HD) is associated with better survival, according to a large study published online June 14 in the Clinical Kidney Journal.

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No Change Seen in Processed Meat Consumption by U.S. Adults

FRIDAY, June 21, 2019 (HealthDay News) -- During the last 18 years, there has been no change in consumption of processed meats among U.S. adults, according to a study published online June 21 in the Journal of the Academy of Nutrition and Dietetics.

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Incident A-Fib Linked to Increased Dementia Risk

FRIDAY, June 21, 2019 (HealthDay News) -- Incident atrial fibrillation (AF) is associated with increased dementia risk in elderly populations, according to a study published online June 18 in the European Heart Journal.

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First States to Expand Medicaid Had Largest Bump in Cancer Screening

FRIDAY, June 21, 2019 (HealthDay News) -- The first states to expand Medicaid under the Affordable Care Act saw the largest increases in colorectal cancer (CRC) screening from 2012 to 2016, according to a study published in the July issue of the American Journal of Preventive Medicine.

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Some Heart Failure Patients May Benefit From CRT Defibrillator

THURSDAY, June 20, 2019 (HealthDay News) -- Cardiac resynchronization therapy with defibrillator (CRT-D) implantation is associated with better outcomes than an implantable cardioverter-defibrillator (ICD) for patients with nonspecific intraventricular conduction delay (NICD) but not for those with right bundle branch block (RBBB), according to a study published in the June 25 issue of the Journal of the American College of Cardiology.

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2018 to 2019 Influenza Season in U.S. Was Longest in 10 Years

THURSDAY, June 20, 2019 (HealthDay News) -- In the United States, the 2018 to 2019 influenza season was of moderate severity and lasted 21 weeks, according to research published in the June 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Most Women Unaware Alcohol Poses Breast Cancer Risk

THURSDAY, June 20, 2019 (HealthDay News) -- Women have poor awareness of alcohol's role in breast cancer risk, according to a study published online June 17 in BMJ Open.

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Meta-Analysis Does Not Link Vitamin D Supplements, Drop in MACE

THURSDAY, June 20, 2019 (HealthDay News) -- Vitamin D supplementation is not associated with a reduced risk for major adverse cardiovascular events, according to a meta-analysis published online June 19 in JAMA Cardiology.

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New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) -- The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) -- Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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Suicide Rates Increased for Men, Women From 1999 to 2017

THURSDAY, June 20, 2019 (HealthDay News) -- From 1999 to 2017, there was an increase in suicide rates for women and men, according to a report published in the June Health E-Stats, a publication of the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Elderly Women May Still Benefit From Osteoporosis Treatment

THURSDAY, June 20, 2019 (HealthDay News) -- Late-life women with osteoporosis, including those with comorbidities, may still be drug treatment candidates to prevent future hip fracture, according to a study published online June 17 in JAMA Internal Medicine.

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Risk Factors ID'd for Atrial Fibrillation With Type 1 Diabetes

THURSDAY, June 20, 2019 (HealthDay News) -- Older age, cardiovascular comorbidities, and renal complications increase the risk for atrial fibrillation (AF) in patients with type 1 diabetes, according to a study published online June 6 in Diabetes Care.

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Sudden Death Can Occur in Full Spectrum of Epilepsies

WEDNESDAY, June 19, 2019 (HealthDay News) -- Sudden unexpected death in epilepsy (SUDEP) can occur across the full spectrum of epilepsies, according to a study published online June 19 in Neurology.

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CV MRI Noninferior to Invasive Angiography + FFR in Stable CAD

WEDNESDAY, June 19, 2019 (HealthDay News) -- Myocardial-perfusion cardiovascular magnetic resonance imaging (MRI) is noninferior to invasive angiography and fractional flow reserve (FFR) for guiding coronary revascularization in patients with stable angina and risk factors for coronary artery disease, according to a study published in the June 20 issue of the New England Journal of Medicine.

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Surgeons' Unprofessional Behavior Tied to Higher Complication Risk

WEDNESDAY, June 19, 2019 (HealthDay News) -- Patients whose surgeons have higher numbers of coworker reports about unprofessional behavior may be at increased risk for postsurgical complications, according to a study published online June 19 in JAMA Surgery.

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Outpatient Office Visits Increased With Access to Patient Portal

WEDNESDAY, June 19, 2019 (HealthDay News) -- For patients with diabetes, use of a patient portal can increase engagement in outpatient visits, according to a study published online June 19 in PLOS ONE.

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Yogurt Consumption Linked to Reduced CRC Adenoma Risk in Men

WEDNESDAY, June 19, 2019 (HealthDay News) -- Yogurt consumption is associated with a reduced risk for colorectal adenomas in men, according to a research letter published online June 18 in Gut.

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Prophylactic IVC Filters Worsen Outcomes for Bariatric Surgery

WEDNESDAY, June 19, 2019 (HealthDay News) -- For patients undergoing bariatric surgery, use of prophylactic inferior vena cava filters (IVCFs) is associated with worse clinical outcomes and increased use of health care resources, according to a study published in the June 24 issue of JACC: Cardiovascular Interventions.

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Excess Weight Tied to Increased Risk for High BP in Young Children

WEDNESDAY, June 19, 2019 (HealthDay News) -- Four-year-olds with excess weight have an increased risk for high blood pressure at age 6 years, according to a study published online June 12 in the European Journal of Preventive Cardiology.

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Late-Life Diabetes Status Tied to New Cognitive Impairment

WEDNESDAY, June 19, 2019 (HealthDay News) -- Having diabetes, poor glycemic control, and longer diabetes duration are associated with worse cognitive outcomes in older adults during a median follow-up of five years, according to a study recently published in Diabetes Care.

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High Temperature Records Will be 'Smashed' in Coming Century

TUESDAY, June 18, 2019 (HealthDay News) -- Climate change will cause some regions of the world to "smash" high temperature records every year in the coming century, researchers warn. That will push "ecosystems and communities beyond their ability to cope," according to the authors of the study published online June 17 in Nature Climate Change.

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USPSTF Addresses Screening for Abdominal Aortic Aneurysm

TUESDAY, June 18, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommendations on screening for abdominal aortic aneurysm (AAA) vary with sex, age, smoking status, and family history. These recommendations form the basis of a draft recommendation statement published online June 18 by the USPSTF.

Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendation

Patterns of Inpatient Opioid Use Linked to Long-Term Use

TUESDAY, June 18, 2019 (HealthDay News) -- Specific patterns of opioid administration to opioid-naive inpatients are associated with risk for long-term use after discharge, according to a study published online June 18 in the Annals of Internal Medicine.

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Abdominal Obesity May Raise Risk for Psoriasis

TUESDAY, June 18, 2019 (HealthDay News) -- Abdominal obesity may increase the risk for psoriasis, according to a study published online May 31 in the Journal of Dermatology.

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CDC: U.S. Measles Cases Reach 1,044

MONDAY, June 17, 2019 (HealthDay News) -- The number of measles cases in the United States so far this year has reached 1,044 in 28 states, the U.S. Centers for Disease Control and Prevention says.

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Drug Makers Challenge New Rule Requiring Drug Prices in TV Ads

MONDAY, June 17, 2019 (HealthDay News) -- Three large drug makers have launched a legal challenge against the Trump administration's rule requiring the prices of drugs to be included in television ads.

The New York Times Article

Cognitive Decline Faster After Incident Coronary Heart Disease Event

MONDAY, June 17, 2019 (HealthDay News) -- Incident coronary heart disease (CHD) is associated with accelerated cognitive decline after, but not before, the event, according to a study published in the June 25 issue of the Journal of the American College of Cardiology.

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WHO: Congo Ebola Outbreak Still Not Global Emergency

MONDAY, June 17, 2019 (HealthDay News) -- Even though the Ebola outbreak in Congo recently caused deaths in neighboring Uganda, it is still not a global emergency, the World Health Organization says.

AP News Article

High Soy Intake May Cut Fracture Risk in Younger Breast Cancer Survivors

MONDAY, June 17, 2019 (HealthDay News) -- Higher soy consumption is linked to fewer osteoporotic fractures in younger breast cancer survivors, according to a study published online May 21 in JNCI Cancer Spectrum.

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Review Suggests More Sleep May Lower Cardiometabolic Risk

MONDAY, June 17, 2019 (HealthDay News) -- Increasing the length of nightly sleep may help reduce the risk for cardiovascular disease and metabolic disorders, according to a review published online June 5 in the Journal of Sleep Research.

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PPI Use for Up to Three Years Safe During Anticoagulant Tx

MONDAY, June 17, 2019 (HealthDay News) -- Use of pantoprazole for up to three years to prevent upper gastrointestinal events in patients receiving anticoagulant therapy with aspirin and/or rivaroxaban has a similar safety profile to placebo except for an increased risk for enteric infections, according to a study published online May 29 in Gastroenterology.

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Two-Hour Weekly Dose of Nature May Aid Health, Well-Being

FRIDAY, June 14, 2019 (HealthDay News) -- Spending at least two hours a week in nature may promote health and well-being, according to a study published online June 13 in Scientific Reports.

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Maine Legalizes Assisted Suicide

FRIDAY, June 14, 2019 (HealthDay News) -- Maine has become the eighth state to legalize medically assisted suicide.

AP News Article

Infliximab Introduction Has Not Cut IBD-Related Hospitalizations

FRIDAY, June 14, 2019 (HealthDay News) -- Marketplace introduction of infliximab has not resulted in reductions in the population rates of inflammatory bowel disease (IBD)-related hospitalizations or intestinal resections or colectomies, according to a study published online June 13 in Gut.

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Undetected Dysglycemia Linked to MI, Periodontal Disease

FRIDAY, June 14, 2019 (HealthDay News) -- Undetected dysglycemia is associated with both myocardial infarction (MI) and periodontitis (PD), according to a study published online June 10 in Diabetes Care.

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Black Race Not Tied to Worse Prostate Cancer Mortality

FRIDAY, June 14, 2019 (HealthDay News) -- After adjustment for nonbiological differences, black race is not associated with worse prostate cancer-specific mortality among men with nonmetastatic prostate cancer, according to a study published online May 23 in JAMA Oncology.

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More Aggressive Statin Tx Needed After Heart Attack in Young Patients

FRIDAY, June 14, 2019 (HealthDay News) -- The majority of young heart attack patients with familial hypercholesterolemia (FH) still have elevated cholesterol levels a year later, according to a study published in the May 21 issue of the Journal of the American College of Cardiology.

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CDC Opens Emergency Operations Center for Congo Ebola Outbreak

THURSDAY, June 13, 2019 (HealthDay News) -- The United States is stepping up its response to a historic outbreak of Ebola in two African nations. The U.S. Centers for Disease Control and Prevention activated its Emergency Operations Center Thursday to assist in the government's response to the second-largest outbreak of Ebola on record.

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Drug, Alcohol, and Suicide Deaths Up Among Millennials

THURSDAY, June 13, 2019 (HealthDay News) -- Drug, alcohol, and suicide deaths have increased among millennials, according to a report issued by the Trust for America's Health and the Well Being Trust.

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CDC: Prevalence of Meeting Exercise Guidelines Recently Increased

THURSDAY, June 13, 2019 (HealthDay News) -- From 2008 to 2017, there was an increase in the prevalence of meeting physical activity guidelines among adults living in rural and urban areas, according to research published in the June 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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HIV Risk Does Not Differ With Three Contraceptive Methods

THURSDAY, June 13, 2019 (HealthDay News) -- For African women seeking effective contraception, there is no significant difference in HIV incidence with use of intramuscular depot medroxyprogesterone acetate (DMPA-IM), a copper intrauterine device (IUD), and a levonorgestrel (LNG) implant, according to a study published online June 13 in The Lancet.

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Long-Term Opioid Prescribing Up Among Older Cancer Survivors

THURSDAY, June 13, 2019 (HealthDay News) -- The rates of prolonged opioid prescribing remain high for older cancer survivors five or more years after cancer diagnosis, according to a study published in the May issue of the Journal of the American Geriatrics Society.

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Vitamin D, Estradiol Deficiency Have Synergistic Effect on MetS

THURSDAY, June 13, 2019 (HealthDay News) -- For Chinese postmenopausal women, vitamin D (VitD) and estradiol (E2) deficiency have a synergistic effect on metabolic syndrome (MetS), according to a study published online June 10 in Menopause.

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Increases in Red Meat Intake Linked to Increased Mortality

THURSDAY, June 13, 2019 (HealthDay News) -- Increases in red meat consumption over eight years are associated with an increased mortality risk during the subsequent eight years, according to a study published online June 12 in The BMJ.

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Young, Healthy Adults Expend More Energy While Standing

THURSDAY, June 13, 2019 (HealthDay News) -- Energy expenditure (EE) is higher for standing positions versus sitting or lying positions in young, healthy adults, according to a study published online June 12 in PLOS ONE.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) -- Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Next-Gen Sequencing of CSF Improves Diagnosis of CNS Infections

WEDNESDAY, June 12, 2019 (HealthDay News) -- Metagenomic next-generation sequencing (NGS) of cerebrospinal fluid (CSF) obtained from patients with meningitis or encephalitis can improve diagnosis of neurologic infections, according to a study published in the June 13 issue of the New England Journal of Medicine.

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CDC: Wildlife Rabies, Especially in Bats, Poses Risk in U.S.

WEDNESDAY, June 12, 2019 (HealthDay News) -- Wildlife rabies, especially in bats, poses a risk to humans in the United States, and postexposure prophylaxis (PEP) is important for preventing death, according to research published in the June 12 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Nitrate Pollution of Tap Water May Cause Thousands of Cancer Cases

WEDNESDAY, June 12, 2019 (HealthDay News) -- Nitrate pollution of drinking water has serious health and economic consequences, according to a study published online June 11 in Environmental Research.

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Health Care Aides Frequently Report Verbal Abuse

WEDNESDAY, June 12, 2019 (HealthDay News) -- More than one in five home care (HC) aides report verbal abuse from clients and their family members, according to a study published online June 11 in Occupational & Environmental Medicine.

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Hot Water Therapy Aids Patients With Peripheral Arterial Disease

WEDNESDAY, June 12, 2019 (HealthDay News) -- Heat therapy can improve functional ability and also has potential to be an effective cardiovascular conditioning tool for people with peripheral arterial disease (PAD), according to a small study published online June 5 in the American Journal of Physiology-Heart and Circulatory Physiology.

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Weight Loss Surgery May Not Relieve Acid Reflux

WEDNESDAY, June 12, 2019 (HealthDay News) -- Reflux symptoms return in about half of patients who undergo gastric bypass, according to a study published online June 4 in Alimentary Pharmacology & Therapeutics.

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In Most Older Adults, Prediabetes Stays Stable or Improves

WEDNESDAY, June 12, 2019 (HealthDay News) -- Most older adults with prediabetes remained stable or reverted back to normal blood sugar levels during a 12-year follow-up period, according to a study published online June 4 in the Journal of Internal Medicine.

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Prescription Opioid Use Up Among Binge Drinkers

TUESDAY, June 11, 2019 (HealthDay News) -- Prescription opioid misuse is more common among binge drinkers, with the prevalence of opioid misuse increasing with binge drinking frequency, according to a study published online June 11 in the American Journal of Preventive Medicine.

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USPSTF Issues Recommendations on HIV Screening, Prevention

TUESDAY, June 11, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force recommends preexposure prophylaxis (PrEP) and HIV screening for prevention of HIV infection. These recommendations form the basis of two final recommendation statements published online June 11 in the Journal of the American Medical Association.

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Number of Cancer Survivors Set to Top 22 Million by 2030

TUESDAY, June 11, 2019 (HealthDay News) -- The number of cancer survivors is projected to increase to more than 22.1 million by Jan. 1, 2030, based on growth and aging of the population alone, according to a study published online June 11 in CA: A Cancer Journal for Clinicians.

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Simple Tweaks Retrain Night Owls' Internal Clocks

TUESDAY, June 11, 2019 (HealthDay News) -- Simple tweaks to eating and sleeping patterns of "night owls" can lead to significant improvements in sleep/wake timing, according to a study recently published in Sleep Medicine.

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Diagnostic Yield of Lynch Syndrome Screening Drops With Age

TUESDAY, June 11, 2019 (HealthDay News) -- The incremental diagnostic yield of Lynch syndrome (LS) screening decreases substantially after age 70 to 75 years, according to a study published online June 11 in the Annals of Internal Medicine.

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Poor Physical Performance Tied to Depression, Anxiety in Midlife Women

TUESDAY, June 11, 2019 (HealthDay News) -- Weak physical performance on tests of the upper and lower body is associated with depressive and anxiety symptoms in midlife women, according to a study published online June 3 in Menopause.

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Polygenic Risk Score Reliably Predicts Coronary Artery Disease

TUESDAY, June 11 2019 (HealthDay News) -- Genome-wide polygenic risk scores (PRS) can predict coronary artery disease (CAD), according to a study published online June 11 in Circulation: Genomic and Precision Medicine.

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Targeting Barriers to Self-Care Benefits Seniors With Asthma

MONDAY, June 10, 2019 (HealthDay News) -- An intervention designed to address barriers to asthma self-management improves asthma outcomes among older adults, according to a study published online June 10 in JAMA Internal Medicine.

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Untreated White Coat HTN May Increase Cardiovascular Risk

MONDAY, June 10, 2019 (HealthDay News) -- The risk for cardiovascular events and all-cause mortality is increased for individuals with untreated white coat hypertension (WCH) but not for those with treated white coat effect (WCE), according to a review published online June 11 in the Annals of Internal Medicine.

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Irregular Sleep Patterns May Increase Risk for Metabolic Syndrome

MONDAY, June 10, 2019 (HealthDay News) -- Variability in sleep duration and timing is associated with higher odds of metabolic syndrome, according to a study published online June 5 in Diabetes Care.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) -- Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Antibiotic Prophylaxis Before Dental Work Often Unnecessary

FRIDAY, June 7, 2019 (HealthDay News) -- Antibiotic prophylaxis before dental procedures is unnecessary more than 80 percent of the time, according to a study published online May 31 in JAMA Network Open.

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Single-Component Treatments Effective for Insomnia

FRIDAY, June 7, 2019 (HealthDay News) -- Stimulus control therapy and sleep restriction therapy are viable single-component treatments for chronic insomnia, according to a study published in the June issue of Worldviews on Evidence-Based Nursing.

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Job Demands, Burnout Tied to Weight Gain

FRIDAY, June 7, 2019 (HealthDay News) -- Employees with heavier workloads or who are burned out are more likely to emotionally eat and exercise less, according to a study published online May 30 in the Journal of Health Psychology.

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Misuse of Alprazolam Common in the United Kingdom

FRIDAY, June 7, 2019 (HealthDay News) -- Nonmedical use of alprazolam is a significant issue in the United Kingdom, particularly among younger adults, according to a study published online June 4 in the British Journal of Clinical Pharmacology.

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Individualized Care Plans Advised for T2DM With Heart Failure

FRIDAY, June 7, 2019 (HealthDay News) -- Team-based care emphasizing development of individualized care plans is recommended for management of type 2 diabetes mellitus (T2DM) and heart failure, according to a scientific statement issued by the American Heart Association and Heart Failure Society of America and published online June 6 in Circulation.

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WHO: Estimated Incidence of Curable STIs 376.4 Million in 2016

THURSDAY, June 6, 2019 (HealthDay News) -- The estimated incidence of urogenital infections with chlamydia, gonorrhea, trichomoniasis, and syphilis was 376.4 million in 15- to 49-year-old men and women in 2016, according to research published online June 6 in the Bulletin of the World Health Organization.

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Rapid Cycling Work Roster Improves Resident Sleep Practices

THURSDAY, June 6, 2019 (HealthDay News) -- A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.

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Survey Indicates Physician Misconduct Is Underreported

THURSDAY, June 6, 2019 (HealthDay News) -- Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).

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Cardiovascular Health Poorer in Army Personnel Than Civilians

THURSDAY, June 6, 2019 (HealthDay News) -- Fewer U.S. Army personnel have ideal cardiovascular health (CVH) compared with their peers in the civilian population, according to a study published online June 5 in the Journal of the American Heart Association.

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Midlife Type 2 Diabetes May Up Later Risk for Cerebral Infarction

THURSDAY, June 6, 2019 (HealthDay News) -- Midlife type 2 diabetes is associated with an increased risk for cerebral infarction and cerebral artery occlusion in late life, according to a study published online June 6 in Diabetologia.

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Progressive Muscle Relaxation App Tied to Fewer Migraines

THURSDAY, June 6, 2019 (HealthDay News) -- Use of a progressive muscle relaxation (PMR) smartphone app is associated with a reduction in headache days among adults with migraines, according to a pilot study published online June 4 in Nature Digital Medicine.

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Parkinson Disease Incidence Lower in Hep C Patients Who Receive Antivirals

THURSDAY, June 6, 2019 (HealthDay News) -- The incidence of Parkinson disease (PD) is lower for patients with chronic hepatitis C virus (HCV) infection who receive interferon-based antiviral therapy, according to a study published online June 5 in JAMA Neurology.

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Increase in CV Mortality Smaller With Medicaid Expansion

WEDNESDAY, June 5, 2019 (HealthDay News) -- For middle-aged adults, counties in states that expanded Medicaid had a significantly smaller increase in cardiovascular mortality rates after expansion compared with states without expansion, according to a study published online June 5 in JAMA Cardiology.

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No Evidence of Legacy Effect Seen for Intensive Glucose Lowering

WEDNESDAY, June 5, 2019 (HealthDay News) -- There seems to be no evidence of a legacy effect or mortality benefit for intensive glucose control among military veterans with type 2 diabetes, according to a study published in the June 6 issue of the New England Journal of Medicine.

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Emgality Receives First FDA Approval for Treating Cluster Headache

WEDNESDAY, June 5, 2019 (HealthDay News) -- The U.S. Food and Drug Administration granted Emgality (galcanezumab-gnlm) solution the first approval for treating episodic cluster headache, the agency announced yesterday.

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Lowering Cholesterol Levels May Worsen Nerve Damage in T2DM

WEDNESDAY, June 5, 2019 (HealthDay News) -- Lowering serum cholesterol levels in patients with type 2 diabetes is associated with diabetic polyneuropathy (DPN), according to a study published online May 31 in JAMA Network Open.

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Burden of New-Onset A-Fib Considerable After TAVI, AVR

WEDNESDAY, June 5, 2019 (HealthDay News) -- The burden of new-onset atrial fibrillation is considerable following transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (AVR), and the odds of in-hospital mortality are increased with new-onset atrial fibrillation, according to a study published online June 3 in JAMA Internal Medicine.

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Carotid Atherosclerosis Predicts CV Events in Psoriatic Disease

WEDNESDAY, June 5, 2019 (HealthDay News) -- For patients with psoriatic disease (PsD), carotid atherosclerosis, as detected by ultrasound, predicts future incident cardiovascular events (CVEs), according to a study published online June 5 in Arthritis & Rheumatology.

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Workplace Exposures Contribute to Burden of Respiratory Disease

WEDNESDAY, June 5, 2019 (HealthDay News) -- Workplace exposures contribute to the burden of respiratory conditions, according to a statement issued by the American Thoracic Society and European Respiratory Society and published in the June 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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ACP Issues Position on Response to Physician Impairment

MONDAY, June 3, 2019 (HealthDay News) -- Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

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Most Older Adults Would Have to Liquidate Assets for Home Care

MONDAY, June 3, 2019 (HealthDay News) -- The oldest and sickest Americans are least likely to be able to afford home care, according to a study published online June 3 in Health Affairs.

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Pressure Injuries at Time of ICU Admission Tied to Longer Stays

MONDAY, June 3, 2019 (HealthDay News) -- Pressure injuries at the time of admission to an intensive care unit may predict patients at risk for longer hospital stays, according to a study published in the June issue of Critical Care Nurse.

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Current Strategies for Measles Vaccination Insufficient

MONDAY, June 3, 2019 (HealthDay News) -- Compulsory vaccination at school entry in addition to current immunization programs will be necessary in several high-income countries to prevent future measles resurgence, according to a study published online May 17 in BMC Medicine.

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Guidelines Issued for Addressing Heart Disease Risk in HIV

MONDAY, June 3, 2019 (HealthDay News) -- People living with HIV (PLWH) have an increased risk for cardiovascular disease (CVD), a risk that needs appropriate management and treatment, according to a scientific statement issued by the American Heart Association and published online June 3 in Circulation.

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Gout Linked to Increased Risk for Venous Thromboembolism

MONDAY, June 3, 2019 (HealthDay News) -- Gout is associated with an increased risk for venous thromboembolism, according to a study published in the June 3 issue of CMAJ, the journal of the Canadian Medical Association.

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FDA Takes Hard Look at CBD

MONDAY, June 3, 2019 (HealthDay News) -- The U.S. Food and Drug Administration took a good look at the safety and effectiveness of cannabidiol (CBD) products on Friday, as it weighs how to best regulate the hemp-derived compound going forward.

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