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June 2020 Briefing - Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for June 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

ID, Isolation of SARS-CoV-2 Vital in Correctional Facilities

TUESDAY, June 30, 2020 (HealthDay News) -- Prompt identification and isolation of individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is important for reducing transmission in correctional and detention facilities, according to research published in the June 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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FBI Warns of Scammers Selling Fake COVID-19 Antibody Tests

TUESDAY, June 30, 2020 (HealthDay News) -- Fake or unapproved COVID-19 antibody tests are being sold by scammers, the Federal Bureau of Investigation warns.

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U.S. Could See 100,000 New Cases of COVID-19 Each Day, Fauci Says

TUESDAY, June 30, 2020 (HealthDay News) -- Top U.S. infectious disease expert Anthony Fauci, M.D., warned Congress on Tuesday that COVID-19 infections could climb to 100,000 new cases daily unless ongoing outbreaks are contained.

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Heart Rhythm Disorders Seen in Critically Ill COVID-19 Patients

TUESDAY, June 30, 2020 (HealthDay News) -- Critically ill patients with COVID-19 are more likely to develop heart rhythm disorders than other hospitalized patients, according to a study published online June 22 in Heart Rhythm.

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Global Burden of Thyroid Cancer Is Increasing

TUESDAY, June 30, 2020 (HealthDay News) -- There is an increasing global burden of thyroid cancer, according to a study published online June 26 in JAMA Network Open.

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Latinos Have High Rate of Positivity for SARS-CoV-2

TUESDAY, June 30, 2020 (HealthDay News) -- The rate of positivity for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is over 40 percent for Latinos in the Baltimore-Washington D.C. region, according to a research letter published online June 18 in the Journal of the American Medical Association.

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Preterm Delivery May Up Maternal Risk for Ischemic Heart Disease

TUESDAY, June 30, 2020 (HealthDay News) -- Preterm delivery is associated with increased maternal risk for ischemic heart disease (IHD), with increased risk seen through more than 40 years of follow-up, according to a study published in the July 7 issue of the Journal of the American College of Cardiology.

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Comparative Effectiveness of Treatments Explored in T2DM

TUESDAY, June 30, 2020 (HealthDay News) -- For patients with type 2 diabetes at low cardiovascular risk, there are no differences in vascular outcomes between treatments, according to research published online June 30 in the Annals of Internal Medicine.

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Intestinal Illness Spurs Recall of Bagged Salads Sold at Walmart, Aldi

MONDAY, June 29, 2020 (HealthDay News) -- Bagged salad mixes sold at Walmart and other stores are linked with an outbreak of Cyclospora infections in eight Midwestern states, the U.S. Centers for Disease Control and Prevention reports.

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COVID-19 Drug Remdesivir Could Cost Up to $3,120 Per Patient

MONDAY, June 29, 2020 (HealthDay News) -- Gilead Sciences, the maker of remdesivir, the first drug that showed promise in treating COVID-19 infections, will charge U.S. hospitals $3,120 for a patient with private insurance, the company announced Monday.

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Many Practice Unsafe Household Cleaning Against COVID-19

MONDAY, June 29, 2020 (HealthDay News) -- More than one-third of U.S. adults admit to unsafe cleaning practices in the hopes of disinfecting against COVID-19, according to research published in the June 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC: U.S. COVID-19 Rates Much Higher Than Reported

MONDAY, June 29, 2020 (HealthDay News) -- Actual COVID-19 infection rates in many areas of the United States are more than 10 times higher than reported rates, a U.S. Centers for Disease Control and Prevention study suggests.

The New York Times Article
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Large Losses Anticipated for Primary Care Practices in 2020

MONDAY, June 29, 2020 (HealthDay News) -- Primary care practices are estimated to lose more than $67,000 in gross revenue per full-time physician over the course of 2020 due to COVID-19, according to a report published online June 25 in Health Affairs.

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Antibody Tests ID COVID-19 Two to Three Weeks After Symptoms

MONDAY, June 29, 2020 (HealthDay News) -- Antibody testing may detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with sensitivity peaking at three weeks since symptom onset, according to a review published online June 25 in the Cochrane Library.

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NY Health Care Workers Report Distress Related to COVID-19 Care

MONDAY, June 29, 2020 (HealthDay News) -- Many New York City health care workers are experiencing COVID-19-related psychological distress, especially nurses and advanced practice providers, according to a study published in the upcoming September-October issue of General Hospital Psychiatry.

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Trump Administration Asks Supreme Court to Overturn Affordable Care Act

FRIDAY, June 26, 2020 (HealthDay News) -- The Trump administration has asked the Supreme Court to overturn the Affordable Care Act (ACA).

Washington Post Article

Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 22 to 26, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Black Americans More Likely to Know Someone Who Has Died of COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- Far more black Americans say they know someone personally who has died of COVID-19 than whites, a new poll finds.

Washington Post Article

Older Age, Obesity, Disability Tied to Severe COVID-19 in MS

FRIDAY, June 26, 2020 (HealthDay News) -- For patients with multiple sclerosis (MS), age, obesity, and high Expanded Disability Severity Scale score (EDSS) are significantly associated with increased risk for severe COVID-19, according to a study published online June 26 in JAMA Neurology.

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U.S. Has Second Day of Record Rise in COVID-19 Cases; Young People Fueling Trend

FRIDAY, June 26, 2020 (HealthDay News) -- As the United States reported yet another record-breaking number of COVID-19 cases on Thursday, public health officials warned that younger Americans now account for an ever-growing percentage of infections.

The New York Times Article

CDC Updates List of Who Is at Highest Risk for COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- The list of conditions that put people at risk for severe COVID-19 illness has been expanded by the U.S. Centers for Disease Control and Prevention.

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Colchicine May Improve Time to Clinical Deterioration in COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- Hospitalized patients with COVID-19 receiving colchicine have significantly improved time to clinical deterioration, according to a study published online June 24 in JAMA Network Open.

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Heart Failure Ups Risk of Death in Patients With New T2DM

FRIDAY, June 26, 2020 (HealthDay News) -- For patients with newly diagnosed type 2 diabetes (T2D), heart failure development is associated with increased five-year absolute and relative risks of death, according to a study published online June 23 in Circulation: Cardiovascular Quality and Outcomes.

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Genomewide Level Associations Identified for Severe COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- Patients with COVID-19 and severe disease have associations at locus 3p21.31 and 9q34.2, which are significant at the genomewide level, according to a study published online June 17 in the New England Journal of Medicine.

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Congo Marks End of World's Second Deadliest Ebola Outbreak

THURSDAY, June 25, 2020 (HealthDay News) -- The end of the second deadliest Ebola outbreak in history was officially marked Thursday by the Democratic Republic of Congo.

AP News Article

CDC: HIV Testing Occurs at <1 Percent of Physician Visits

THURSDAY, June 25, 2020 (HealthDay News) -- HIV testing occurs at less than 1 percent of physician office and emergency department visits and at less than 3 percent of community health center (CHC) visits, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Texas Pauses Reopening as COVID-19 Cases Rise

THURSDAY, June 25, 2020 (HealthDay News) -- As COVID-19 cases surge in Texas, the state is pausing its reopening process and freeing up hospital beds for COVID-19 patients.

The New York Times Article

CDC: U.S. Salmonella Cases Linked to Backyard Poultry Reach 465

THURSDAY, June 25, 2020 (HealthDay News) -- The number of Salmonella infections linked with backyard poultry has reached 465 in 42 states, an increase of 368 since the last update on May 20, the U.S. Centers for Disease Control and Prevention said Wednesday.

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Risk for Hospitalization Up for Pregnant Women With COVID-19

THURSDAY, June 25, 2020 (HealthDay News) -- Among women of reproductive age with COVID-19, pregnant women are more likely to be hospitalized and to be admitted to the intensive care unit, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Contraceptives Beneficial for Premature Ovarian Insufficiency

THURSDAY, June 25, 2020 (HealthDay News) -- For women with premature ovarian insufficiency (POI), continuous use of combined oral contraceptives (COC) is associated with increased bone mineral density (BMD), similar to that seen with high-dose hormone therapy (HT), according to a study published online June 22 in Menopause.

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Inhibition of Sclerostin May Increase Cardiovascular Risk

THURSDAY, June 25, 2020 (HealthDay News) -- Inhibition of sclerostin with romosozumab may increase cardiovascular risk, according to research published in the June 24 issue of Science Translational Medicine.

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Model May Help Predict Risk for Testing Positive for COVID-19

THURSDAY, June 25, 2020 (HealthDay News) -- It is possible to predict the likelihood of testing positive for COVID-19, according to a study published online June 10 in CHEST.

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Sex, Ethnic Differential Patterns of COVID-19 Unexplained

THURSDAY, June 25, 2020 (HealthDay News) -- Sex and ethnicity differential patterns of COVID-19 positivity are not explained by cardiometabolic, socioeconomic, or behavioral factors, according to a study published online June 19 in the Journal of Public Health.

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Administrative Data Predict Mortality With Diabetes

THURSDAY, June 25, 2020 (HealthDay News) -- Factors readily available in administrative data can predict five- and 10-year mortality in older adults with diabetes, according to a study published online June 19 in Diabetes Care.

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Metabolic Syndrome Up in Young Adults in the United States

THURSDAY, June 25, 2020 (HealthDay News) -- The prevalence of metabolic syndrome among young adults in the United States is rising, according to a research letter published in the June 23/30 issue of the Journal of the American Medical Association.

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Triple Inhaled Therapy Aids in Moderate-to-Very Severe COPD

THURSDAY, June 25, 2020 (HealthDay News) -- Triple therapy, including glucocorticoid at either of two dose levels, is beneficial for moderate-to-very severe chronic obstructive pulmonary disease (COPD), according to a study published online June 24 in the New England Journal of Medicine.

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U.S. Burden of Skin and Subcutaneous Diseases Increasing

THURSDAY, June 25, 2020 (HealthDay News) -- The U.S. burden of skin and subcutaneous diseases is large but varies geographically, according to a study published online June 10 in JAMA Dermatology.

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Experts Weigh in on Pace of Reopening, Preventive Measures

WEDNESDAY, June 24, 2020 (HealthDay News) -- As states across the country continue to move into different phases of reopening, many are questioning whether the rush to stabilize the economy will result in an influx of new COVID-19 infections. HD Live! sat down with Marjorie Jenkins, M.D., dean of the University of South Carolina School of Medicine Greenville, and Thomas Giordano, M.D., section chief of infectious diseases at the Baylor College of Medicine in Houston, to discuss the health care and economic uncertainty that faces the nation.

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J&J Ordered to Pay $2.1 Billion in Talcum Product Lawsuit

WEDNESDAY, June 24, 2020 (HealthDay News) -- Johnson & Johnson and a subsidiary must pay $2.1 billion in damages to women who said their ovarian cancers were caused by the company's baby powder and other talcum products, a Missouri appeals court ruled Tuesday.

The New York Times Article

Sanofi Speeds COVID-19 Vaccine Efforts

WEDNESDAY, June 24, 2020 (HealthDay News) -- French drugmaker Sanofi has shortened its timeline to get a COVID-19 vaccine on the market.

The New York Times Article

Cyclospora Outbreak Linked to Bagged Salad Mixes

WEDNESDAY, June 24, 2020 (HealthDay News) -- An outbreak of Cyclospora infections in the U.S. Midwest appears to be linked to bagged salad mixes, the U.S. Centers for Disease Control and Prevention said Tuesday.

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ED Use Down for MI, Stroke, Hyperglycemic Crisis in COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) -- Following declaration of the COVID-19 pandemic as a national emergency, there was a decrease in visits to the emergency department for myocardial infarction (MI), stroke, and hyperglycemic crisis, according to research published in the June 22 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Quality of Life Worse for Cancer Patients During COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) -- Patients with stage III and IV cancer have worse quality of life during the COVID-19 pandemic, according to a research letter published online June 17 in Psycho-Oncology.

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CDC: 10.7 Percent of U.S. Adults Used Rx Pain Meds in 2015 to 2018

WEDNESDAY, June 24, 2020 (HealthDay News) -- In 2015 to 2018, 10.7 percent of U.S. adults aged 20 years or older used one or more prescription pain medications in the previous 30 days, according to a June data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Inflammatory Bowel Disease Linked to Subsequent Dementia

WEDNESDAY, June 24, 2020 (HealthDay News) -- Inflammatory bowel disease (IBD) is associated with an increased risk for developing dementia, according to a study published online June 23 in Gut.

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Suicide Risk Increased After Hip Fracture in Elderly Patients

WEDNESDAY, June 24, 2020 (HealthDay News) -- Elderly patients with hip fracture have an increased risk for suicide, according to a South Korean study published in the June 17 issue of The Journal of Bone & Joint Surgery.

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Tocilizumab Shows Promise for Treatment of COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) -- Use of tocilizumab to target cytokine release syndrome (CRS) seems beneficial for patients with COVID-19, according to a study published online June 15 in CHEST.

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Patients With COVID-19 Mount Acute Cortisol Stress Response

WEDNESDAY, June 24, 2020 (HealthDay News) -- Patients with COVID-19 mount a marked and appropriate acute cortisol stress response, according to a research letter published online June 19 in The Lancet Diabetes & Endocrinology.

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Older Age, Black Race, Diabetes Up Hospitalization in COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) -- Characteristics that are independently associated with hospitalization for COVID-19 include older age, black race, and having diabetes mellitus, according to research published in the June 17 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Subtypes, Genetic Links Identified for Polycystic Ovary Syndrome

TUESDAY, June 23, 2020 (HealthDay News) -- Distinct subtypes of polycystic ovary syndrome (PCOS) with novel genetic associations have been identified, according to a study published online June 23 in PLOS Medicine.

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Huge Saharan Dust Plume Will Affect Americans' Health

TUESDAY, June 23, 2020 (HealthDay News) -- Meteorologists and health experts are warning that a huge blanket of Sahara Desert dust will engulf parts of the United States this week.

AP News Article

COVID-19 Vaccine May Be Available by Late 2020, Early 2021: Fauci

TUESDAY, June 23, 2020 (HealthDay News) -- There could be a COVID-19 vaccine by the end of this year or early next year, according to Anthony Fauci, M.D., infectious diseases chief at the U.S. National Institutes of Health.

AP News Article

Black, Hispanic Medicare Patients Much More Likely to Be Hospitalized With COVID-19

TUESDAY, June 23, 2020 (HealthDay News) -- Black Medicare recipients are nearly four times more likely and Hispanics are nearly two times more likely than whites to be hospitalized with COVID-19, according to the U.S. government.

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Physical Activity Helps Avert Premature Mortality Worldwide

TUESDAY, June 23, 2020 (HealthDay News) -- Physical activity prevalence has contributed to averting premature mortality on a global scale, with about 3.9 million premature deaths averted annually, according to a study published in the July issue of The Lancet Global Health.

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USPSTF Advises Hypertension Screening for All Adults

TUESDAY, June 23, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening all adults for hypertension with office-based blood pressure measurement (OBPM). This recommendation is included in a draft recommendation statement, published online June 23 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement

Nephrogenic Systemic Fibrosis Rare With Newer GBCA Exposure

TUESDAY, June 23, 2020 (HealthDay News) -- The occurrence of nephrogenic systemic fibrosis (NSF) appears to be rare after exposure to newer gadolinium-based contrast agents (GBCA), according to a review published online June 23 in the Annals of Internal Medicine.

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Small Increase Seen in Risk for Subdeltoid Bursitis With Flu Shot

TUESDAY, June 23, 2020 (HealthDay News) -- There is a small increased risk for subdeltoid bursitis after influenza vaccination, according to a study published online June 23 in the Annals of Internal Medicine.

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More Sedentary Time Tied to Higher Risk for Cancer Mortality

TUESDAY, June 23, 2020 (HealthDay News) -- Greater sedentary time is independently associated with a higher cancer mortality risk, according to a study published online June 18 in JAMA Oncology.

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Convalescent Plasma Safe for Diverse Patients With COVID-19

TUESDAY, June 23, 2020 (HealthDay News) -- Convalescent plasma seems safe for COVID-19 patients based on data from the first 20,000 transfused patients, according to a study published online June 9 in the Mayo Clinic Proceedings.

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Asthma Seems Not to Be Linked to COVID-19 Hospitalization

TUESDAY, June 22, 2020 (HealthDay News) -- Asthma seems not to be associated with COVID-19 hospitalization, according to a study published online June 9 in the Journal of Allergy and Clinical Immunology.

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COVID-19 Hospitalization Up With Prednisone in Rheumatic Disease

TUESDAY, June 23, 2020 (HealthDay News) -- For patients with rheumatic disease with COVID-19, glucocorticoids are associated with increased odds of hospitalization, according to a study published in the July issue of the Annals of Rheumatic Diseases.

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Costs for COVID-19 High With Consumer-Directed Health Plans

MONDAY, June 22, 2020 (HealthDay News) -- COVID-19 hospitalizations could result in high out-of-pocket spending for commercially insured consumer-directed health plan enrollees, according to a study published online June 15 in the American Journal of Preventive Medicine.

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Safety Climate Perceptions Linked to Health Provider Stress

MONDAY, June 22, 2020 (HealthDay News) -- Safety climate perceptions are associated with care practitioner-reported stress and job satisfaction, according to a study published in the May-June issue of the Journal of Healthcare Management.

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NIH Stops Hydroxychloroquine Trial

MONDAY, June 22, 2020 (HealthDay News) -- The National Institutes of Health announced Saturday that a clinical trial evaluating hydroxychloroquine for the treatment of COVID-19 has been stopped because the drug likely provides no benefit.

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Sugar-Sweetened Beverage Tax Will Generate Health Gains

MONDAY, June 22, 2020 (HealthDay News) -- Sugar-sweetened beverage tax designs are expected to generate substantial health gains and cost savings, according to a study published online June 22 in Circulation.

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Taste, Smell Dysfunction With COVID-19 Can Be Severe

MONDAY, June 22, 2020 (HealthDay News) -- COVID-19 should be suspected when patients present with a severe reduction of taste and smell in the absence of severe nasal obstruction, according to a study published online June 18 in JAMA Otolaryngology-Head & Neck Surgery.

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No Big Increase Seen in Loneliness During U.S. COVID-19 Outbreak

MONDAY, June 22, 2020 (HealthDay News) -- Social distancing during the COVID-19 pandemic has not led to an overall increase in loneliness among Americans, according to a study published online June 22 in American Psychologist.

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Adult T2DM Susceptibility May Be Identifiable in Children

MONDAY, June 22, 2020 (HealthDay News) -- Metabolic traits associated with adult diabetes risk may be detectable by age 8 years, according to a study published online June 19 in Diabetes Care.

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Tanezumab Improves Pain, Function in Chronic Low Back Pain

MONDAY, June 22, 2020 (HealthDay News) -- For patients with chronic low back pain, tanezumab 10 mg significantly improves pain and function, according to a study published online June 19 in PAIN.

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Transmissibility of SARS-CoV-2 High Within Households

MONDAY, June 22, 2020 (HealthDay News) -- Severe acute respiratory syndrome coronavirus 2 has high transmissibility within households, according to a study published online June 17 in The Lancet Infectious Diseases.

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Many U.S. Counties Lack Infectious Disease Specialists

MONDAY, June 22, 2020 (HealthDay News) -- The distribution of infectious disease (ID) physicians in the United States is geographically skewed, with 90 percent of U.S. counties having below-average ID physician density or no ID physicians at all, according to a research letter published online June 3 in the Annals of Internal Medicine.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 15 to 19, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Early Data Show No Protest-Related Increases in COVID-19 Infections

FRIDAY, June 19, 2020 (HealthDay News) -- Antiracism protests in the United States have not led to increases in new cases of the coronavirus that causes COVID-19, early data show.

The Wall Street Journal Article

Scientists Say Journal Should Retract Mask Study

FRIDAY, June 19, 2020 (HealthDay News) -- A study on the use of masks to protect against the new coronavirus should be retracted by the Proceedings of the National Academy of Sciences because it contains "egregious errors" and "verifiably false" statements, a group of scientists say in a letter to the journal's editors.

The New York Times Article

Stay-at-Home Orders Tied to Slowing of COVID-19 Hospitalizations

FRIDAY, June 19, 2020 (HealthDay News) -- Statewide stay-at-home orders are associated with decreases in COVID-19 hospitalizations, according to a research letter recently published in the Journal of the American Medical Association.

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2019 Screening Guidelines Would Label More as T2DM Cases

FRIDAY, June 19, 2020 (HealthDay News) -- Adopting the 2019 Endocrine Society guidelines for diabetes screening would substantially increase the number of older adults classified as having type 2 diabetes but would likely offer limited benefits, according to a study recently published in Diabetes Care.

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Heart Transplant Patients May Have Higher COVID-19 Mortality

FRIDAY, June 19, 2020 (HealthDay News) -- Heart transplant patients admitted to the hospital with COVID-19 symptoms may be sicker than nontransplant patients, but they present with the same symptoms as the general population, according to a study recently published in the Journal of Cardiac Failure.

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Life Expectancy Gap Closing for Patients With HIV

FRIDAY, June 19, 2020 (HealthDay News) -- Life expectancy of adults with HIV infection is nearing that of individuals without HIV infection, according to a study published online June 15 in JAMA Network Open.

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22 Percent Worldwide at Increased Risk for Severe COVID-19

FRIDAY, June 19, 2020 (HealthDay News) -- About 22 percent of the global population has at least one underlying condition that places them at increased risk for severe COVID-19, according to a modeling study published online June 15 in The Lancet Global Health.

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Reduced Circadian Rhythmicity Tied to Increase in Parkinson Disease

FRIDAY, June 19, 2020 (HealthDay News) -- Reduced circadian rhythmicity is associated with an increased risk for incident Parkinson disease (PD), according to a study published online June 15 in JAMA Neurology.

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Isolation, Contact Tracing Combo Can Cut COVID-19 Transmission

FRIDAY, June 19, 2020 (HealthDay News) -- Combined isolation and tracing strategies can reduce COVID-19 transmission more than mass testing or self-isolation alone, according to a study published online June 16 in The Lancet Infectious Diseases.

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Prone Position Ups Oxygenation in Patients With Severe COVID-19

FRIDAY, June 19, 2020 (HealthDay News) -- The use of the prone position for awake, spontaneously breathing patients with COVID-19-related severe hypoxemic respiratory failure is associated with improved oxygenation, according to a research letter published online June 17 in JAMA Internal Medicine.

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CDC: Deaths From Exposure to Heat-Related Conditions Identified

THURSDAY, June 18, 2020 (HealthDay News) -- A total of 10,527 deaths resulting from exposure to heat-related conditions were identified during 2004 to 2018, according to research published in the June 19 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Court Rules Against Drug Price Disclosures in TV Ads

THURSDAY, June 18, 2020 (HealthDay News) -- The U.S. government does not have the legal authority to force drug companies to disclose prices in their TV ads, a federal appeals court says.

AP News Article

Nine Texas Mayors Ask Governor for Power to Mandate Face Masks

THURSDAY, June 18, 2020 (HealthDay News) -- Mayors in Houston, Dallas, Austin, San Antonio, and five other Texas municipalities want Gov. Greg Abbott to give them the power to require people to wear masks in public "where physical distancing cannot be practiced."

CNN Article

Sociodemographic Gaps Found in COVID-19 Incidence, Knowledge

THURSDAY, June 18, 2020 (HealthDay News) -- There are sociodemographic gaps in the reported incidence of COVID-19 and knowledge regarding its spread and symptoms, according to a study published online June 18 in JAMA Network Open.

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Cardioprotective Therapy Use Lower With Cancer History

THURSDAY, June 18, 2020 (HealthDay News) -- Cardioprotective therapies, especially statins and antiplatelets, are underutilized in patients with a history of cancer (CaHx), according to a research letter published in the June 1 issue of JACC: CardioOncology.

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Clinical, Epidemiological Features of Pediatric SARS-CoV-2 ID'd

THURSDAY, June 18, 2020 (HealthDay News) -- Clinical and epidemiological characteristics of pediatric severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections are described in an article published online June 16 in PLOS Medicine.

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Telehealth Counseling Cuts Weight Regain in Rural Communities

THURSDAY, June 18, 2020 (HealthDay News) -- For individuals in rural communities, extended care for obesity management via individual telephone counseling reduces weight regain, according to a study published online June 15 in JAMA Network Open.

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Hyperglycemia Common in T1DM Patients With COVID-19

THURSDAY, June 18, 2020 (HealthDay News) -- Presentation patterns are similar in patients with type 1 diabetes admitted with confirmed or suspected COVID-19, according to a study published online June 5 in Diabetes Care.

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Face-Mask Use May Mitigate Spread of COVID-19

THURSDAY, June 18, 2020 (HealthDay News) -- Requiring face-mask use in public may help to mitigate the spread of COVID-19, according to a report published online June 16 in Health Affairs.

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Financial Hardship Linked to More ED Visits in Cancer Survivors

THURSDAY, June 18, 2020 (HealthDay News) -- Higher medical and nonmedical financial hardships are associated with a greater number of emergency department visits and lower receipt of some preventive services among cancer survivors, according to a study published in the July 1 issue of the American Journal of Preventive Medicine.

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Healthy Lifestyle May Lower Risk for Alzheimer Dementia

THURSDAY, June 18, 2020 (HealthDay News) -- A healthy lifestyle is associated with a reduced risk for Alzheimer dementia, according to a study published online June 17 in Neurology.

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Record-High Spikes in COVID-19 Cases Seen in Arizona, Florida, Texas

WEDNESDAY, June 17, 2020 (HealthDay News) -- After reopening, states such as Arizona, Florida, and Texas are all seeing record-high one-day increases in COVID-19 cases.

The New York Times Article

U.S. Insurers Should Not Charge Copays for COVID-19 Vaccine

WEDNESDAY, June 17, 2020 (HealthDay News) -- Health insurance companies are expected to cover vaccines for the new coronavirus without charging copays, U.S. officials say.

AP News Article

Strong Support Found for Protective Practices Related to COVID-19

WEDNESDAY, June 17, 2020 (HealthDay News) -- Most adults in New York City, Los Angeles, and the United States support stay-at-home orders and nonessential business closures during the COVID-19 pandemic and report always or often wearing face coverings in public areas, 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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Continuous Glucose Monitoring Aids Glycemic Control in Young

WEDNESDAY, June 17, 2020 (HealthDay News) -- Continuous glucose monitoring (CGM) improves glycemic control in adolescents and young adults with type 1 diabetes and is beneficial for hypoglycemia in older adults with type 1 diabetes, according to two studies published in the June 16 issue of the Journal of the American Medical Association.

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Prevalence of DFCIs Up for Young Competitive Alpine Skiers

WEDNESDAY, June 17, 2020 (HealthDay News) -- Young competitive alpine skiers have an increased prevalence of distal femoral cortical irregularities (DFCIs) on knee magnetic resonance imaging (MRI), according to a study published online June 16 in Radiology.

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Hormone Therapies Tied to Brain Changes in Menopausal Women

WEDNESDAY, June 17, 2020 (HealthDay News) -- In recently menopausal women using hormone treatment (HT), circulating levels of pituitary-ovarian hormones are associated with changes in white matter hyperintensities (WMH), according to a study published online June 8 in Menopause.

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Midlife Blood Pressure During Exercise Predicts Later Heart Disease

TUESDAY, June 16, 2020 (HealthDay News) -- Higher blood pressure (BP) during exercise and impaired BP recovery after exercise in midlife may be markers of subclinical and clinical cardiovascular disease and mortality in later life, according to a study published online May 20 in the Journal of the American Heart Association.

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Antibiotic Prescribing High in Low-, Middle-Income Countries

WEDNESDAY, June 17, 2020 (HealthDay News) -- Antibiotic prescription rates are high in low- and middle-income countries (LMIC), with a pooled prevalence proportion of antibiotic prescribing of 52 percent, according to a review published online June 16 in PLOS Medicine.

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Risk for COVID-19 Reinfection Remains Unknown

WEDNESDAY, June 17, 2020 (HealthDay News) -- The potential risk for reinfection with COVID-19 remains a concern, but evidence is scarce, according to Jeffrey Shaman, Ph.D., director of the climate and health program at Columbia University, who recently spoke with HD Live! about his research and the risk for reinfection with COVID-19.

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Proactive Monitoring Program Beneficial for COVID-19 Home Care

WEDNESDAY, June 17, 2020 (HealthDay News) -- A proactive monitoring program for COVID-19 can track illness, provide support, and identify cases that need hospitalization, according to a study published online June 16 in NEJM Catalyst.

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CVD, Non-CVD Mortality Increased With Azithromycin Use

WEDNESDAY, June 17, 2020 (HealthDay News) -- Outpatient azithromycin use is associated with an increased risk for cardiovascular and noncardiovascular mortality, according to a study published online June 17 in JAMA Network Open.

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CDC: Cumulative Incidence of COVID-19 403.6 Per 100,000 in U.S.

TUESDAY, June 16, 2020 (HealthDay News) -- The cumulative incidence of COVID-19 is 403.6 cases per 100,000 persons in the United States, and hospitalization and death rates are six and 12 times higher, respectively, for those with underlying conditions, according to research published in the June 15 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Self-Collected Nasal Swabs Acceptable for SARS-CoV-2 Testing

TUESDAY, June 16, 2020 (HealthDay News) -- Patient-collected lower nasal specimens may be acceptable for severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) testing, according to a research letter published online June 12 in JAMA Network Open.

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Four Months of Rifampin Costs Less Than Nine Months Isoniazid

TUESDAY, June 16, 2020 (HealthDay News) -- Greater health system use and higher costs are seen with nine months of isoniazid compared with four months of rifampin in both adults and children treated for latent tuberculosis infection, according to a study published online June 16 in the Annals of Internal Medicine.

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Face Masks Most Effective Means to Avert COVID-19 Transmission

TUESDAY, June 16, 2020 (HealthDay News) -- Mandated face coverings represent the most effective means to prevent interhuman transmission of COVID-19, according to a study published online June 11 in the Proceedings of the National Academy of Sciences.

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Steroid May Reduce COVID-19 Death Risk by Up to One-Third

TUESDAY, June 16, 2020 (HealthDay News) -- The cheap and widely available steroid dexamethasone reduced the risk for death among seriously ill COVID-19 patients by up to a third, according to researchers in England.

AP News Article

Correlates of COVID-19 ID'd on American Indian Reservations

TUESDAY, June 16, 2020 (HealthDay News) -- The rate of COVID-19 cases is increased on American Indian reservations with larger proportions of homes lacking complete indoor plumbing, according to a study published in the July/August issue of the Journal of Public Health Management & Practice.

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Drop in Firearm Deaths Linked to More Restrictive Gun Policies

TUESDAY, June 16, 2020 (HealthDay News) -- Implementation of more restrictive gun policies may result in a small decrease in firearm-related deaths, according to a study published online June 15 in the Proceedings of the National Academy of Sciences.

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Perianal Fistulizing Complications Preventable in Crohn Disease

TUESDAY, June 16, 2020 (HealthDay News) -- For young patients with Crohn disease (CD), use of steroid-sparing therapy (SST) is associated with a reduced risk for perianal fistulizing complications (PFCs), according to a study published online June 9 in JAMA Network Open.

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Stressful Life Events May Up CHD Risk in Type 2 Diabetes

TUESDAY, June 16, 2020 (HealthDay News) -- Higher levels of stressful life events are associated with a higher risk for coronary heart disease (CHD) among postmenopausal women with type 2 diabetes, according to a study published online June 4 in Diabetes Care.

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COVID-19 Cases Rising in Many States as Reopening Continues

MONDAY, June 15, 2020 (HealthDay News) -- With most state reopenings well underway, many are now seeing alarming surges in COVID-19 cases, and New York Governor Andrew Cuomo warned that a return to lockdown for his state was possible.

CNN News Article

FDA Pulls Emergency Approval of Hydroxychloroquine for COVID-19

MONDAY, June 15, 2020 (HealthDay News) -- The U.S. Food and Drug Administration has withdrawn its emergency authorization for the use of chloroquine phosphate and hydroxychloroquine sulfate in the fight against COVID-19.

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Blood Donors Will Get Results of Coronavirus Antibody Test, Red Cross Says

MONDAY, June 15, 2020 (HealthDay News) -- The American Red Cross will test all blood, platelet, and plasma donations for COVID-19 antibodies so donors can learn whether they have been exposed to the new coronavirus.

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Black Americans Much More Likely to Have Lost Loved Ones to COVID-19

MONDAY, June 15, 2020 (HealthDay News) -- Black Americans are much more likely than other Americans to say a relative or close friend has died of COVID-19, surveys reveal.

AP News Article

Nearly 43,000 Pounds of Ground Beef Products Recalled

MONDAY, June 15, 2020 (HealthDay News) -- Nearly 43,000 pounds of ground beef products have been recalled by New Jersey-based Lakeside Refrigerated Services due to possible contamination with potentially deadly Escherichia coli O157:H7, the U.S. Department of Agriculture Food Safety and Inspection Service (FSIS) says.

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Hip, Nonvertebral Fracture Risk Up in Those With Diabetes

MONDAY, June 15, 2020 (HealthDay News) -- Individuals with diabetes have an increased risk for hip and nonvertebral fractures, according to a study published in the August issue of Bone.

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Aspirin Tied to Lasting Reduction in CRC Risk in Lynch Syndrome

MONDAY, June 15, 2020 (HealthDay News) -- For patients with Lynch syndrome, aspirin is associated with a reduced risk for colorectal cancer during long-term follow-up, according to a study published in the June 13 issue of The Lancet.

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Editorial

Nonpharmaceutical Interventions Slow COVID-19 Growth

MONDAY, June 15, 2020 (HealthDay News) -- Nonpharmaceutical interventions have been beneficial for slowing COVID-19 growth on a global level and within Europe, according to two studies published online June 8 in Nature.

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Sexual Inactivity Has Increased Among U.S. Men, Women

MONDAY, June 15, 2020 (HealthDay News) -- Sexual inactivity has increased among U.S. men and women, according to a study published online June 12 in JAMA Network Open.

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Gastrointestinal Symptoms Not Uncommon With COVID-19

MONDAY, June 15, 2020 (HealthDay News) -- Approximately 12 percent of patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection report gastrointestinal symptoms, according to a review published online June 11 in JAMA Network Open.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 8 to 12, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Oral Polio Vaccines Might Protect Against New Coronavirus

FRIDAY, June 12, 2020 (HealthDay News) -- Oral polio vaccines might provide temporary protection against the new coronavirus while scientists try to develop a vaccine to fight COVID-19 infection, according to a perspective piece published in the June 12 issue of Science.

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Stay-at-Home Orders Challenging Obese Patients

FRIDAY, June 11, 2020 (HealthDay News) -- Obese patients are reporting physical and mental health challenges during the COVID-19 stay-at-home orders, according to a study published online June 9 in Clinical Obesity.

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Dysanapsis Measured on CT Associated With COPD in Seniors

FRIDAY, June 12, 2020 (HealthDay News) -- Among older adults, dysanapsis, a mismatch of airway tree caliber to lung size, measured by computed tomography (CT) is associated with chronic obstructive pulmonary disease (COPD), according to a study published in the June 9 issue of the Journal of the American Medical Association.

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Male Veterans Less Likely to Have Excellent, Good Hearing

FRIDAY, June 12, 2020 (HealthDay News) -- Male veterans are significantly less likely to have excellent or good hearing and are significantly more likely to have a little or moderate trouble hearing, have a lot of trouble hearing, or be deaf compared with nonveterans, according to research published online June 12 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Signs, Symptoms Vary Widely for Children Presenting With PIMS-TS

FRIDAY, June 12, 2020 (HealthDay News) -- Children presenting with pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; PIMS-TS) have a wide range of presenting symptoms, according to a study published online June 8 in the Journal of the American Medical Association.

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Many of the Initial COVID-19 Treatment Trials Poorly Designed

FRIDAY, June 12, 2020 (HealthDay News) -- Many clinical trials for COVID-19 treatments are limited by their design, with one-third excluding clinical end points, according to research published online June 9 in BMJ Open.

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Sleep Apnea in Patients With T2DM Ups Risk for Comorbidities

FRIDAY, June 12, 2020 (HealthDay News) -- Patients with type 2 diabetes who develop obstructive sleep apnea (OSA) are at higher risk for cardiovascular disease (CVD) and other diabetes-related complications, according to a study recently published in Diabetes Care.

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Face-Mask Use by Public Can Mitigate Spread of COVID-19

THURSDAY, June 11, 2020 (HealthDay News) -- Face-mask use by the public, in combination with physical distancing and periods of lockdown, can mitigate the spread of the new coronavirus, according to a study published online June 10 in the Proceedings of the Royal Society A.

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First Large Clinical Trial of COVID-19 Vaccine in U.S. Could Begin in July

THURSDAY, June 11, 2020 (HealthDay News) -- A large clinical trial of the first U.S. COVID-19 vaccine could begin next month, according to Moderna Inc., which developed the vaccine with the U.S. National Institutes of Health.

AP News Article

COVID-19 Behavior Seems Consistent With Seasonal Virus

THURSDAY, June 11, 2020 (HealthDay News) -- Eight cities with substantial community outbreaks of COVID-19 are distributed along restricted latitude, temperature, and humidity measurements, consistent with behavior of a seasonal respiratory virus, according to a study published online June 11 in JAMA Network Open.

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Depressive Symptoms Linked to CVD Risk, Mortality

THURSDAY, June 11, 2020 (HealthDay News) -- Depressive symptoms are associated with an increased risk for incident cardiovascular disease (CVD) and mortality in economically diverse settings, according to a study published online June 10 in JAMA Psychiatry.

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~18 Million at Increased COVID-19 Risk Underinsured in U.S.

THURSDAY, June 11, 2020 (HealthDay News) -- A total of 16.9 percent of those at increased risk for severe COVID-19 were inadequately insured at the start of the outbreak, according to a study published online June 10 in the Journal of General Internal Medicine.

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Personal Protective Equipment Prevents SARS-CoV-2 Infection

THURSDAY, June 11, 2020 (HealthDay News) -- Appropriate personal protective equipment can protect frontline health care professionals who care for patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, according to a study published online June 10 in The BMJ.

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Volunteering Linked to Reduced Risk for Mortality in Seniors

THURSDAY, June 11, 2020 (HealthDay News) -- For adults older than 50 years, volunteering is associated with a reduced risk for mortality and physical functioning limitations, according to a study published online June 11 in the American Journal of Preventive Medicine.

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Joint Framework Issued to Spur Diabetes Education, Support

THURSDAY, June 11, 2020 (HealthDay News) -- In a joint position statement from seven leading diabetes organizations, published online June 8 in Diabetes Care, a framework is presented to increase use of diabetes self-management education and support (DSMES) in patients with type 2 diabetes.

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Risk Factors for Suicide ID'd in Health Care Professionals

THURSDAY, June 11, 2020 (HealthDay News) -- Modifiable and nonmodifiable risk factors for suicide have been identified among health care professionals, according to a study published online June 10 in JAMA Surgery.

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Stroke Risk Increased in African Americans Who Smoke Cigarettes

THURSDAY, June 11, 2020 (HealthDay News) -- Current cigarette smoking is associated with stroke risk in blacks, with a dose-dependent pattern observed, according to a study published online June 10 in the Journal of the American Heart Association.

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Psychological Distress Up Among U.S. Adults During COVID-19 Pandemic

THURSDAY, June 11, 2020 (HealthDay News) -- The prevalence of reported symptoms of psychological distress among U.S. adults was higher in 2020 during the COVID-19 pandemic than in 2018, according to a research letter published online June 3 in the Journal of the American Medical Association.

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Obesity Linked to Greater Severity of Pediatric COVID-19

WEDNESDAY, June 10, 2020 (HealthDay News) -- Obesity is the most common comorbidity among children and adolescents with COVID-19 and is associated with disease severity, according to a study published online June 3 in JAMA Pediatrics.

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VA May Not Have Enough PPE for Second COVID-19 Wave

WEDNESDAY, June 10, 2020 (HealthDay News) -- The U.S. Department of Veterans Affairs says it may not have enough personal protective equipment for medical staff if there is a second wave of the COVID-19 pandemic.

AP News Article

Nine U.S. States Seeing Spikes in COVID-19 Hospitalizations

WEDNESDAY, June 10, 2020 (HealthDay News) -- In another troubling sign that the spread of COVID-19 might be accelerating, new U.S. data show hospitalizations in at least nine states have been on the rise since Memorial Day.

Washington Post Article

Troponin I Elevation Linked to Death in COVID-19 Patients

WEDNESDAY, June 10, 2020 (HealthDay News) -- Among patients hospitalized with COVID-19, troponin I elevation is associated with an increased risk for death, according to a study published online June 8 in the Journal of the American College of Cardiology.

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Low-Dose Aspirin Lowers CVD Risk but Raises Bleeding Risk

WEDNESDAY, June 10, 2020 (HealthDay News) -- Low-dose aspirin significantly lowers cardiovascular disease (CVD) risk but increases the risk for bleeding, according to a review published online June 2 in the British Journal of Clinical Pharmacology.

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Recent Cannabis Use Not Linked to Acute Ischemic Stroke

WEDNESDAY, June 10, 2020 (HealthDay News) -- Recent cannabis use is not associated with acute ischemic stroke, according to a study published online June 3 in Neurology: Clinical Practice.

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High-Risk Drinking Could Further Increase Liver Disease

WEDNESDAY, June 10, 2020 (HealthDay News) -- Without substantial changes in drinking, the disease burden and deaths due to alcohol-related liver disease will worsen in the United States through 2040, according to a study published in the June issue of The Lancet Public Health.

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Body Mass Index Lower in Patients With Familial Psoriasis

WEDNESDAY, June 10, 2020 (HealthDay News) -- Familial psoriasis is not necessarily induced by obesity, according to a study recently published in the Journal of Dermatology.

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USPSTF Urges Primary Care Docs to Ask Adults About Drug Use

WEDNESDAY, June 10, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians ask adults about drug use and connect them to services for treatment and appropriate care. These recommendations form the basis of a final recommendation statement published in the June 9 issue of the Journal of the American Medical Association.

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Final Recommendation Statement
Editorial

Risk for Maternal, Neonatal Complications Increased With NAFLD

TUESDAY, June 9, 2020 (HealthDay News) -- Women with non-alcoholic fatty liver disease (NAFLD) have increased risks for maternal and neonatal complications, according to a study published online June 9 in the Journal of Hepatology.

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WHO Backpedals on Claim That Asymptomatic Transmission of New Coronavirus Is Rare

TUESDAY, June 9, 2020 (HealthDay News) -- A claim that transmission of the COVID-19-causing coronavirus by people without symptoms is "very rare" was quickly reversed by the World Health Organization.

The New York Times Article

Record-High Numbers of New COVID-19 Cases Seen in 14 States, Puerto Rico

TUESDAY, June 9, 2020 (HealthDay News) -- A new analysis shows that parts of the country that had been spared the worst of the COVID-19 pandemic are now tallying record-high cases of new infections.

AP News Article
NBC News Article

COVID-19 Mortality Rate for Intubated Adults Lower Than Previously Reported

TUESDAY, June 9, 2020 (HealthDay News) -- Most patients with COVID-19 in the intensive care unit (ICU) recover, with a mortality rate of 35.7 percent for those on mechanical ventilation, according to a study published online May 26 in Critical Care Medicine.

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Thromboelastography Can Predict Blood Clots in COVID-19

TUESDAY, June 9, 2020 (HealthDay News) -- Hypercoagulable thromboelastography (TEG) can predict thrombotic events in patients with COVID-19 in the intensive care unit (ICU), according to a research letter published online June 5 in JAMA Network Open.

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Electronic Nicotine Delivery Systems Tied to Smoking Relapse

TUESDAY, June 9, 2020 (HealthDay News) -- Electronic nicotine delivery systems (ENDS) are associated with an increased risk for cigarette smoking relapse, while adults who vape nontobacco flavored electronic cigarettes are more likely to quit smoking, according to two studies published online June 5 in JAMA Network Open.

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Diet, Activity Guideline Updated by American Cancer Society

TUESDAY, June 9, 2020 (HealthDay News) -- The diet and physical activity guideline for the prevention of cancer has been updated by the American Cancer Society; the guideline was published online June 9 in CA: A Cancer Journal for Clinicians.

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WPSI Advises Screening for Anxiety in Women, Teen Girls

TUESDAY, June 9, 2020 (HealthDay News) -- Screening for anxiety is recommended for women and adolescent girls, according to a review and clinical guideline published online June 9 in the Annals of Internal Medicine.

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Clinical Guideline
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Filling Opioid Rx Postpartum Ups Serious Opioid-Related Events

TUESDAY, June 9, 2020 (HealthDay News) -- Filling an opioid prescription in the postpartum period is associated with an increased risk for serious opioid-related events (SOREs), with the risk increasing with the number of prescriptions filled, according to a research letter published online June 9 in the Annals of Internal Medicine.

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Jail Cycling Is Significant Predictor of SARS-CoV-2 Infection

MONDAY, June 8, 2020 (HealthDay News) -- Jail cycling is a significant predictor of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, according to a report published online June 4 in Health Affairs.

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Intracerebral Hemorrhage Incidence Rate Stabilizing

MONDAY, June 8, 2020 (HealthDay News) -- In the past 30 years, rates of intracerebral hemorrhage (ICH) incidence have stabilized, according to a study published online June 8 in JAMA Neurology.

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Partnership Would Bypass Drug Industry to Sell COVID-19 Vaccine

MONDAY, June 8, 2020 (HealthDay News) -- A partnership that would bypass the drug industry to sell a potential vaccine against the new coronavirus has been formed by a laboratory at Imperial College London.

The New York Times Article

WHO: People Should Wear Masks if Unable to Social Distance

MONDAY, June 8, 2020 (HealthDay News) -- People who live in areas where the new coronavirus is spreading should wear fabric masks when they are shopping or on public transit and cannot social distance, the World Health Organization says in updated recommendations.

AP News Article

Adverse Childhood Environment Tied to Later Health Problems

MONDAY, June 8, 2020 (HealthDay News) -- An adverse childhood family environment is associated with cardiovascular disease (CVD) incidence and all-cause mortality later in life, according to a study published in the May 5 issue of the Journal of the American Heart Association.

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CAC Score, Physical Activity May Help Predict Mortality in Seniors

MONDAY, June 8, 2020 (HealthDay News) -- Combining coronary artery calcium (CAC) score with self-reported physical activity may help predict mortality risk for older adults, according to a study published in the June issue of the Mayo Clinic Proceedings: Innovations, Quality & Outcomes.

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Encounters for Suicidal Ideation in ED Down During 'Stay at Home'

MONDAY, June 8, 2020 (HealthDay News) -- Suicide ideation (SI) complaints to the emergency department decreased during the "stay at home" order for COVID-19, while the percentage of alcohol use presentations increased, according to a research letter published online June 1 in the American Journal of Emergency Medicine.

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Skin Psoriasis, Somatic Comorbidity Up Psychiatric Illness

MONDAY, June 8, 2020 (HealthDay News) -- Skin psoriasis and somatic comorbidity are associated with onset of psychiatric illness (PI), according to a study published online June 3 in JAMA Dermatology.

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Blood Pressure Treatment Even Effective in Frail Older Adults

MONDAY, June 8, 2020 (HealthDay News) -- Even in very frail people, antihypertensive treatment reduces the risk for death, according to a study published online June 8 in Hypertension.

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Kawasaki-Like Disease More Common in Children of African Ancestry

MONDAY, June 8, 2020 (HealthDay News) -- A Kawasaki-like multisystem inflammatory syndrome, which is temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among children in Paris, seems more common among children of African ancestry, according to a study published online June 3 in The BMJ.

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Pneumonia Risk Down With Nitrogen-Containing Bisphosphonates

FRIDAY, June 5, 2020 (HealthDay News) -- For patients with hip fracture, receipt of nitrogen-containing bisphosphonates (N-BPs) is associated with a lower risk for pneumonia and pneumonia mortality, according to a study published online June 2 in the Journal of Bone and Mineral Research.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 1 to 5, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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NIH Head Fears Some Will Bypass a COVID-19 Vaccine

FRIDAY, June 5, 2020 (HealthDay News) -- Francis Collins, M.D., Ph.D., who heads the U.S. National Institutes of Health, is worried that antivaxxers will disrupt efforts to convince Americans to get vaccinated against the new coronavirus, CNN reported Thursday.

CNN Article

Antiepileptic Drugs May Up Death Risk in Patients With Alzheimer Disease

FRIDAY, June 5, 2020 (HealthDay News) -- Antiepileptic drugs (AEDs) are associated with a higher risk for mortality in patients with Alzheimer disease (AD), according to a study published online May 19 in Neurology.

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Decision Regret Increased for Those Who Choose Dialysis to Please Others

FRIDAY, June 5, 2020 (HealthDay News) -- Patients who report choosing dialysis to please doctors or family members more often report decisional regret, according to a study published online June 4 in the Clinical Journal of the American Society of Nephrology.

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COVID-19 Mortality Higher for Those Not Taking Meds for Their HTN

FRIDAY, June 5, 2020 (HealthDay News) -- COVID-19 patients with hypertension have increased mortality risk, with significantly higher risk among those without antihypertensive treatment, according to a study published online June 4 in the European Heart Journal.

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Some COVID-19 Outpatients Say Famotidine Eased Symptoms

FRIDAY, June 5, 2020 (HealthDay News) -- A small number of nonhospitalized patients with COVID-19 who self-medicated with high-dose famotidine reported some relief of their symptoms, according to a case series published online June 4 in Gut.

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Most Teens Recover Iron Stores One Year After Whole Blood Donation

FRIDAY, June 5, 2020 (HealthDay News) -- Most, but not all, teenagers have adequate iron stores within 12 months after whole blood (WB) or double red blood cell (2RBC) donation, according to a study published online June 5 in Pediatrics.

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Racial Differences Seen in Time to Treatment for Melanoma

FRIDAY, May 5, 2020 (HealthDay News) -- Black patients are more likely to experience a longer delay from diagnosis to surgery versus white patients with melanoma, according to a study recently published in the Journal of the American Academy of Dermatology.

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Excess Risk Found for Asthma-COPD Overlap Mortality in Specific Industries

THURSDAY, June 4, 2020 (HealthDay News) -- Excess risk for asthma-chronic obstructive pulmonary disease (COPD) overlap mortality occurs among adults in certain industries and occupations, according to research published in the June 5 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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COVID-19 Studies Retracted

THURSDAY, June 4, 2020 (HealthDay News) -- The Lancet and the New England Journal of Medicine each issued a retraction today on studies that evaluated COVID-19 data provided from the same private company.

The Lancet Retraction
New England Journal of Medicine Retraction

Hydroxychloroquine No Use for COVID Postexposure Prophylaxis

THURSDAY, June 4, 2020 (HealthDay News) -- For individuals with high- or moderate-risk exposure to COVID-19, postexposure prophylaxis with hydroxychloroquine does not prevent illness compatible with COVID-19, according to a study published online June 3 in the New England Journal of Medicine.

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Acute Kidney Injury Common in COVID-19 Patients at NYC Hospital

THURSDAY, June 4, 2020 (HealthDay News) -- Patients admitted to a New York City hospital with COVID-19 faced major morbidity and mortality, with 78.0 percent of those admitted to the intensive care unit (ICU) developing acute kidney injury, according to a study published online May 29 in The BMJ.

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Handgun Ownership Linked to Increased Risk for Suicide

THURSDAY, June 4, 2020 (HealthDay News) -- Handgun ownership is associated with an increased risk for suicide, which is driven by higher rates of suicide by firearms, according to a study published in the June 4 issue of the New England Journal of Medicine.

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Perfluoroalkyl Substances Linked to Earlier Natural Menopause

THURSDAY, June 4, 2020 (HealthDay News) -- Perfluoroalkyl substances (PFAS) are associated with earlier natural menopause, according to a study published online June 3 in the Journal of Clinical Endocrinology & Metabolism.

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Low-Dose Aspirin Does Not Prevent Depression in Older Adults

THURSDAY, June 4, 2020 (HealthDay News) -- For older adults, low-dose aspirin does not reduce the risk for depression, according to a study published online June 3 in JAMA Psychiatry.

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Fauci Says Any COVID-19 Vaccine Would Be in Plentiful Supply by 2021

WEDNESDAY, June 3, 2020 (HealthDay News) -- According to Anthony Fauci, M.D., director of the U.S. National Institute of Allergy and Infectious Diseases, 100 million doses of a coronavirus vaccine will be available by year's end.

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Test of 10 Million in Wuhan Finds Few Infections

WEDNESDAY, June 3, 2020 (HealthDay News) -- Few new COVID-19 infections were found in the 10 million residents of Wuhan, China, after testing, the Associated Press reports.

AP News Article

Delay in Treatment Seen for Acute Ischemic Stroke During COVID-19

WEDNESDAY, June 3, 2020 (HealthDay News) -- A significant delay in treatment has been observed for patients with acute ischemic stroke during the COVID-19 pandemic, according to a study published online May 28 in the Journal of NeuroInterventional Surgery.

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One-Third of Lupus Patients Have Trouble Refilling Hydroxychloroquine

WEDNESDAY, June 3, 2020 (HealthDay News) -- More than one-third of patients with lupus have experienced significant issues filling their hydroxychloroquine prescription during the COVID-19 pandemic, according to the results of a survey released May 28 by the Lupus Research Alliance.

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Workplace Wellness Programs Do Not Impact Clinical Outcomes

WEDNESDAY, June 3, 2020 (HealthDay News) -- A comprehensive workplace wellness program may change employee health beliefs and increase self-reporting of having a primary care physician but does not significantly affect clinical outcomes, according to a study published online May 26 in JAMA Internal Medicine.

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Chest CT Often Normal in Pediatric COVID-19 Patients

WEDNESDAY, June 3, 2020 (HealthDay News) -- Children with COVID-19 frequently have negative chest computed tomography (CT) findings, according to research published online May 22 in the American Journal of Roentgenology.

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Young With Intellectual Disability More Likely to Die of COVID-19

WEDNESDAY, June 3, 2020 (HealthDay News) -- Age-related differences in COVID-19 trends are seen among those with intellectual and developmental disabilities (IDD), with a higher concentration of cases and increased case fatality in younger individuals with IDD, according to a study published online May 24 in the Disability and Health Journal.

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COVID-19 Drug Studies Questioned

WEDNESDAY, June 3, 2020 (HealthDay News) -- Two premiere medical journals are questioning the validity of the data in two studies: one that showed the use of blood pressure drugs was safe in COVID-19 patients and another that showed the antimalarial drug hydroxychloroquine was dangerous, the Associated Press reported Wednesday.

AP News Article
Expression of Concern: The Lancet
Expression of Concern: NEJM

Review: Physical Distancing, Face Masks Avert Virus Transmission

WEDNESDAY, June 3, 2020 (HealthDay News) -- Physical distancing of 1 m or more, face mask use, and eye protection are all associated with reduced odds of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission, according to a review published online June 1 in The Lancet.

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Weight, Blood Pressure Higher in Younger Patients With T2DM

WEDNESDAY, June 3, 2020 (HealthDay News) -- Younger people who are diagnosed with type 2 diabetes have higher weight and blood pressure (BP) than similarly aged people without diabetes, according to a study published online May 21 in Diabetologia.

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Women's Acute Coronary Symptoms No Longer 'Atypical'

WEDNESDAY, June 3, 2020 (HealthDay News) -- Women with acute coronary syndromes (ACS) do have some different symptoms than men at presentation, but there is also considerable overlap, according to a review published online May 4 in the Journal of the American Heart Association.

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Reducing Number of BP Meds May Be Safe in Some Older Adults

WEDNESDAY, June 3, 2020 (HealthDay News) -- A medication reduction strategy is safe among some older adults treated with antihypertensives, according to a study published in the May 26 issue of the Journal of the American Medical Association.

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Congo Ebola Outbreak Claims Five Lives

TUESDAY, June 2, 2020 (HealthDay News) -- The United Nations Children's Fund said Monday that five people have died of Ebola in a new outbreak in the Democratic Republic of Congo (DRC), CNN reported Tuesday.

CNN Article

SARS-CoV-2 Transmission in U.S. Likely Due to Single Lineage

TUESDAY, June 2, 2020 (HealthDay News) -- Sustained, community transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) possibly resulted from importation of a single lineage of virus from China between Jan. 18 and Feb. 9, 2020, according to research published in the May 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Out-of-Pocket Spending Averages $2,414 Per Year for T1DM Costs

TUESDAY, June 2, 2020 (HealthDay News) -- For privately insured patients with type 1 diabetes, mean out-of-pocket spending is $2,414 per year, according to a research letter published online June 1 in JAMA Internal Medicine.

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USPSTF Advises Pharmacotherapy to Aid Smoking Cessation

TUESDAY, June 2, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends behavioral interventions and pharmacotherapy for smoking cessation in adults and behavioral interventions for pregnant women. These recommendations form the basis of a draft recommendation statement published online June 2 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement

High Rates of DVT Seen in Critically Ill COVID-19 Patients

TUESDAY, June 2, 2020 (HealthDay News) -- Despite anticoagulant prophylaxis, many intensive care unit (ICU) patients with severe COVID-19-related pneumonia develop deep vein thrombosis, according to a research letter published online May 29 in JAMA Network Open.

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COVID-19 Took Toll on Mental Health of Chinese Physicians

TUESDAY, June 2, 2020 (HealthDay News) -- Physicians in China experienced a significant increase in mental health symptoms and fear of violence and a decline in mood after the outbreak of COVID-19, according to a research letter published online June 1 in JAMA Network Open.

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Hydroxychloroquine Prescriptions Surge in U.S. During Pandemic

TUESDAY, June 2, 2020 (HealthDay News) -- A surge in prescriptions for hydroxychloroquine/chloroquine was seen during the COVID-19 pandemic, according to a study published online May 28 in the Journal of the American Medical Association.

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BMI, Tracheal Intubation/Death Linked in Diabetes With COVID-19

TUESDAY, June 2, 2020 (HealthDay News) -- Body mass index (BMI) is associated with tracheal intubation and/or death within seven days among individuals with diabetes hospitalized for COVID-19, according to a study published online May 29 in Diabetologia.

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Adherence to Diabetes Meds May Cut Mortality in Colorectal Cancer

TUESDAY, June 2, 2020 (HealthDay News) -- For patients with colorectal cancer and diabetes, adherence to diabetes medication is associated with better survival, according to a study published online June 1 in Cancer, Epidemiology, Biomarkers & Prevention.

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High-Potency Cannabis Tied to Increased Use, Anxiety Disorder

TUESDAY, June 2, 2020 (HealthDay News) -- High-potency cannabis is associated with increased cannabis use and problems and an increased likelihood of anxiety disorders, according to a study published online May 27 in JAMA Psychiatry.

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Rates of Hip Fracture High for Nursing Home Residents

TUESDAY, June 2, 2020 (HealthDay News) -- Nursing home residents have persistently high rates of hip fracture, and one-year mortality is high following fracture, according to a study recently published in the Journal of Bone and Mineral Research.

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Guideline Details Pharmacologic Management of COPD

TUESDAY, June 2, 2020 (HealthDay News) -- In an American Thoracic Society clinical practice guideline, published in the May 1 issue of the American Journal of Respiratory and Critical Care Medicine, recommendations are presented for the pharmacologic management of patients with chronic obstructive pulmonary disease (COPD) complaining of exercise intolerance or dyspnea.

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Long-Term Rituximab May Aid in Antibody-Associated Vasculitis

TUESDAY, June 2, 2020 (HealthDay News) -- For patients with granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA), extended therapy with rituximab is associated with a reduced incidence of antineutrophil cytoplasmic antibody-associated vasculitis (AAV) relapse, according to a study published online June 2 in the Annals of Internal Medicine.

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Number of COVID-19-Infected Cruise Ship Passengers Underestimated

MONDAY, June 1, 2020 (HealthDay News) -- The majority of COVID-19-positive passengers and crew on one cruise ship were asymptomatic, according to a study published online May 27 in Thorax.

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Human Trial of Antibody Therapy to Treat COVID-19 Underway

MONDAY, June 1, 2020 (HealthDay News) -- The first human trial of an antibody therapy to treat COVID-19 is underway, CNN reported Monday.

CNN Article

Insulin Resistance May Add to Racial Disparity in Breast Cancer Prognosis

MONDAY, June 1, 2020 (HealthDay News) -- Insulin resistance is one factor mediating part of the association between race and poor prognosis in breast cancer, according to a study published online May 12 in Breast Cancer Research.

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Dextrose Injections Aid Knee Osteoarthritis Pain

MONDAY, June 1, 2020 (HealthDay News) -- Intra-articular dextrose prolotherapy (DPT) injections are a safe and effective treatment for knee osteoarthritis, according to a study published in the May/June issue of the Annals of Family Medicine.

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Italian Health Care Workers' Mental Health Suffering During COVID-19

MONDAY, June 1, 2020 (HealthDay News) -- Health care workers (HCWs) in Italy who treated COVID-19 patients self-report substantial mental health symptoms, according to a research letter published online May 28 in JAMA Network Open.

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