January 2020 Briefing - Psychiatry

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

Road Proximity Linked to Incidence of Neurologic Diseases

FRIDAY, Jan. 31, 2020 (HealthDay News) -- Road proximity is associated with an increased incidence of specific neurologic disorders, according to a study published online Jan. 21 in Environmental Health.

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Caring for Patients With Multiple Morbidities Strains Providers

FRIDAY, Jan. 31, 2020 (HealthDay News) -- Having many patients with multiple chronic diseases may raise the mental strain of general practitioners (GPs), according to a study published online Jan. 14 in the British Journal of General Practice.

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Work-Related Trauma Common Among Ob-Gyns

FRIDAY, Jan. 31, 2020 (HealthDay News) -- Exposure to work-related trauma is common among obstetricians and gynecologists, according to a study published online Jan. 28 in the BJOG: An International Journal of Obstetrics & Gynaecology.

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Mood Disorders Common With Rheumatoid Arthritis

FRIDAY, Jan. 31, 2020 (HealthDay News) -- Depression and anxiety are common in patients with rheumatoid arthritis (RA), according to a study published online Jan. 6 in the International Journal of Rheumatic Diseases.

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Maternal Depression Tied to Atopic Dermatitis in Offspring

FRIDAY, Jan. 31, 2020 (HealthDay News) -- Maternal depression in the postpartum period and beyond is associated with higher odds of atopic dermatitis (AD) for the child throughout childhood and adolescence, according to a study published in the January/February issue of Dermatitis.

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Girls May Receive First Autism Diagnosis Later Than Boys

FRIDAY, Jan. 31, 2020 (HealthDay News) -- Among people with autism spectrum disorder (ASD), girls often receive a first diagnosis of autism later than boys, according to a study published online Jan. 20 in Autism Research.

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2017 to 2018 Saw Increase in Life Expectancy in the United States

THURSDAY, Jan. 30, 2020 (HealthDay News) -- From 2017 to 2018, there was an increase in life expectancy in the United States and a decrease in age-adjusted death rates, according to a January data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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ED Visits Tied to Suicidal Ideation, Self-Directed Violence on Rise

THURSDAY, Jan. 30, 2020 (HealthDay News) -- From January 2017 to December 2018, there was an increase in the number of emergency department visits related to suicidal ideation, self-directed violence, or both in persons aged ≥10 years, according to research published in the Jan. 31 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Comorbidities Tied to Higher Rates of All-Cause Admissions in MS Patients

THURSDAY, Jan. 30, 2020 (HealthDay News) -- Comorbidities increase the rate of all-cause, but not multiple sclerosis (MS)-specific, hospital admissions among patients with MS, according to a study published online Jan. 21 in Multiple Sclerosis and Related Disorders.

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U.S. Spends More on Health Care, but Has Worse Life Expectancy

THURSDAY, Jan. 30, 2020 (HealthDay News) -- The United States spends substantially more than any other wealthy nation on health care, yet it has a lower life expectancy and a higher suicide rate than other wealthy nations, according to a January data brief released by the Commonwealth Fund.

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Just a Few Providers Account for Large Number of Opioid Scripts

THURSDAY, Jan. 30, 2020 (HealthDay News) -- A small proportion of providers account for almost half of all opioid doses and about one-quarter of opioid prescriptions, according to a study published online Jan. 29 in The BMJ.

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Social Support Linked to Mortality in Older Women With CRC

THURSDAY, Jan. 30, 2020 (HealthDay News) -- For postmenopausal women with colorectal cancer (CRC), low social support is associated with elevated overall and CRC-specific mortality, according to a study published online Jan. 23 in Cancer.

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Speech Analysis May Help Track Changes in Mental Health State

WEDNESDAY, Jan. 29, 2020 (HealthDay News) -- A system for collecting speech samples from people with serious mental illness can be used to track changes in their clinical states over time, according to a study published online Jan. 15 in PLOS ONE.

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Suvorexant May Improve Insomnia With Alzheimer Disease

WEDNESDAY, Jan. 29, 2020 (HealthDay News) -- Suvorexant improves total sleep time (TST) in patients with probable Alzheimer disease (AD) dementia and insomnia, according to a study published online Jan. 15 in Alzheimer's & Dementia.

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Depression Screening Lacking for Perimenopausal Women

WEDNESDAY, Jan. 29, 2020 (HealthDay News) -- Practicing gynecologists largely fail to screen women for symptoms of depression during perimenopause, according to a study published online Jan. 13 in Menopause.

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Benefits of Psilocybin-Assisted Psychotherapy May Be Lasting

WEDNESDAY, Jan. 29, 2020 (HealthDay News) -- Psilocybin-assisted psychotherapy may promote long-term benefits in terms of reductions in anxiety, depression, and hopelessness among patients with cancer-related psychiatric distress, according to a study published online Jan. 9 in the Journal of Psychopharmacology.

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Disability, Quality of Life, Mood May Affect Sleep in IBD Patients

WEDNESDAY, Jan. 29, 2020 (HealthDay News) -- Sleep quality is associated with mood state, disability, and quality of life among patients with inflammatory bowel disease (IBD), according to a study published online Jan. 16 in Scientific Reports.

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Gender Gap Persists in Starting Salary for Physicians

TUESDAY, Jan. 28, 2020 (HealthDay News) -- The gender gap in starting salary for physicians persists, although it is unclear which factors account for this gap, according to a report published online Jan. 22 in Health Affairs.

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Survey: Most Americans Think of Themselves as Healthy

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Seven out of 10 Americans rate their health-related behaviors and attitudes as good or excellent, according to a survey released Jan. 27 by the American Osteopathic Association.

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Health-Related Quality of Life Lower for Women With PCOS

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Women with polycystic ovary syndrome (PCOS) report low health-related quality of life (HRQoL) beyond the reproductive years, according to a study published online Jan. 23 in the Journal of Clinical Endocrinology & Metabolism.

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Racial Disparities Noted in Quality of Care for Dementia

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Black and Asian patients with dementia seem not to be receiving the same quality of care as white patients, according to a study published online Jan. 20 in Clinical Epidemiology.

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Family Therapy Aids Youth at High Risk for Bipolar Disorder

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Among symptomatic youths at high risk for bipolar disorder, times between mood episodes are longer for those receiving family-focused therapy (FFT) compared with enhanced usual care, according to a study published online Jan. 15 in JAMA Psychiatry.

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Naloxone Prescribing Increasing but Still Very Low

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Naloxone prescribing has increased but is still very low among patients at risk for opioid overdose, according to a study recently published in the Journal of General Internal Medicine.

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Wealthy Pay Most to Finance U.S. Health Care

MONDAY, Jan. 27, 2020 (HealthDay News) -- Health care payments in the United States are more regressive than previously thought, according to a study published online Jan. 27 in Health Services Research.

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Major Insurers Offer $55 Million to Lower Generic Drug Costs

THURSDAY, Jan. 23, 2020 (HealthDay News) -- A nonprofit that develops and sells cheaper drugs will receive a $55 million investment from the Blue Cross Blue Shield Association and associated organizations to create cheaper versions of expensive generic drugs.

The New York Times Article

Fewer Than Half of Clinical Trials Comply With Reporting Laws

THURSDAY, Jan. 23, 2020 (HealthDay News) -- Compliance with the U.S. Food and Drug Administration Amendments Act of 2007 is low, with only 40.9 percent of trials reporting results within one year, according to a study published online Jan. 17 in The Lancet.

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Teen Transgender Access to Pubertal Suppression Lowers Suicidality

THURSDAY, Jan. 23, 2020 (HealthDay News) -- Access to pubertal suppression during adolescence is associated with lower odds of lifetime suicidal ideation among transgender young adults, according to a study published online Jan. 23 in Pediatrics.

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Long-Term Outcomes Worse for Firearm Versus Car Crash Survivors

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- Survivors of firearm-related injury have worse long-term outcomes compared with survivors of motor vehicle crashes (MVCs), according to a study published online Jan. 16 in the Annals of Surgery.

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Fast-Track Review of ACA Lawsuit Rejected by U.S. Supreme Court

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- A fast-track review of a lawsuit that threatens the Affordable Care Act was rejected Tuesday by the U.S. Supreme Court.

AP News Article

Utah Bans So-Called Gay 'Conversion' Therapy

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- Utah has banned the discredited practice of conversion therapy for LGBTQ children.

AP News Article

Mental Health Outcomes No Better for Teens Undergoing RYGB

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- Mental health outcomes do not appear to improve for obese adolescents undergoing Roux-en-Y gastric bypass, according to a study published online Jan. 21 in The Lancet Child & Adolescent Health.

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ACP: Medicare for All Needed to Fix 'Ill' U.S. Health Care System

TUESDAY, Jan. 21, 2020 (HealthDay News) -- The American College of Physicians (ACP) says the U.S. health care system "is ill and needs a bold new prescription" that includes coverage for all Americans and lower costs.

AP News Article
American College of Physicians

Primary Care Screening for Dementia Not Harmful

TUESDAY, Jan. 21, 2020 (HealthDay News) -- No harms come from screening for Alzheimer disease and related dementias (ADRDs) in primary care, according to a study recently published in the Journal of the American Geriatrics Society.

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New Guidance Issued for Care of Children With Williams Syndrome

TUESDAY, Jan. 21, 2020 (HealthDay News) -- In an American Academy of Pediatrics clinical report, published online Jan. 21 in Pediatrics, recommendations are presented for the management of patients with Williams syndrome (WS).

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Cognitive Behavioral Program Benefits Patients With Diabetes

TUESDAY, Jan. 21, 2020 (HealthDay News) -- A peer-delivered cognitive behavioral therapy (CBT)-based intervention may improve quality of life (QOL) among patients with diabetes and chronic pain, according to a study published in the January/February issue of the Annals of Family Medicine.

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2011 to 2017 Saw Increase in Binge Drinks Per Binge Drinker

FRIDAY, Jan. 17, 2020 (HealthDay News) -- From 2011 to 2017, there was an increase in the total annual number of binge drinks per adult who reported binge drinking, according to research published in the Jan. 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Cancer Survivors Have Substantial Medical Financial Hardship

FRIDAY, Jan. 17, 2020 (HealthDay News) -- Many cancer survivors have substantial medical financial hardship and make financial sacrifices, according to a study published online Jan. 15 in Cancer Epidemiology, Biomarkers & Prevention.

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CDC: Benzodiazepines Prescribed at 27 Office Visits Per 100 Adults

FRIDAY, Jan. 17, 2020 (HealthDay News) -- Benzodiazepines were prescribed at 27 annual physician office visits per 100 adults during 2014 to 2016, according to a study published online Jan. 17 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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CDC: Many Americans Are Inactive, With Southerners Faring Worse

THURSDAY, Jan. 16, 2020 (HealthDay News) -- More than 15 percent of American adults are physically inactive, according to a new U.S. Centers for Disease Control and Prevention study.

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Single-Payer System Would Likely Save Money

THURSDAY, Jan. 16, 2020 (HealthDay News) -- There is near consensus across 30 years of economic analysis of single-payer plans that a single-payer system would reduce health expenditures in the United States, according to a review published online Jan. 15 in PLOS Medicine.

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ACA Tied to Narrowing of Disparities in Access to Care

THURSDAY, Jan. 16, 2020 (HealthDay News) -- The Affordable Care Act has reduced disparities in access to health care among black, Hispanic, and white adults, according to a January data brief released by the Commonwealth Fund.

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Ageism Predicts Significantly Worse Health Outcomes

THURSDAY, Jan. 16, 2020 (HealthDay News) -- Ageism predicts significantly worse health outcomes, according to a review published online Jan. 15 in PLOS ONE.

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Risk for Suicide Increased in Children, Teens Who Self-Harm

THURSDAY, Jan. 9, 2020 (HealthDay News) -- Children and adolescents who self-harm have an increased risk for suicide, according to a study published online Jan. 8 in The Lancet Child & Adolescent Health.

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Many Women Have Posttraumatic Stress After Early Pregnancy Loss

WEDNESDAY, Jan. 15, 2020 (HealthDay News) -- Many women meet the criteria for posttraumatic stress and have moderate/severe anxiety and moderate/severe depression one month after early pregnancy loss, according to a study recently published in the American Journal of Obstetrics & Gynecology.

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Injury Deaths Predicted to Increase With Anomalously Warm Temperatures

WEDNESDAY, Jan. 15, 2020 (HealthDay News) -- Anomalously warm temperatures may be associated with an increase in injury deaths, according to a research letter published online Jan. 13 in Nature Medicine.

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Maternal Distress May Affect Brain Development in Fetuses With CHD

WEDNESDAY, Jan. 15, 2020 (HealthDay News) -- Psychological distress, including stress, anxiety, and depression, is prevalent among women carrying fetuses with congenital heart disease (CHD), and this distress can affect fetal neurological development, according to a study published online Jan. 13 in JAMA Pediatrics.

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Evolution of Approval, Regulation Processes for Drugs Explored

WEDNESDAY, Jan. 15, 2020 (HealthDay News) -- The U.S. approval and regulation processes for pharmaceutical agents have evolved during the last four decades, according to a study published in the Jan. 14 issue of the Journal of the American Medical Association.

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One in Four Children With Autism Not Formally Diagnosed

TUESDAY, Jan. 14, 2020 (HealthDay News) -- Autism spectrum disorder (ASD) remains underdiagnosed in black and Hispanic children, according to a study published online Dec. 23 in Autism Research.

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Alcohol Consumption Levels High in Cancer Patients, Survivors

TUESDAY, Jan. 14, 2020 (HealthDay News) -- More than one-third of cancer patients report exceeding moderate drinking levels, according to a study published in the January issue of the Journal of the National Comprehensive Cancer Network.

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Doctor Replacement Ratios Higher in Largest, Hospital-Owned Practices

TUESDAY, Jan. 14, 2020 (HealthDay News) -- From 2009 to 2016, more physicians entering the Medicare program worked at large group or hospital-owned practices than small group or independent practices, according to a research letter published online Jan. 14 in the Annals of Internal Medicine.

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Vital Exhaustion Linked to Increased Risk for Incident A-Fib

TUESDAY, Jan. 14, 2020 (HealthDay News) -- Vital exhaustion is associated with an increased risk for incident atrial fibrillation, according to a study published online Jan. 13 in the European Journal of Preventive Cardiology.

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Physicians Spend >16 Minutes Per Encounter on EHR Use

MONDAY, Jan. 13, 2020 (HealthDay News) -- Physicians spend a considerable amount of time using electronic health records (EHRs) to support care delivery, with wide variation seen in the distribution of time within specialty, according to a study published online Jan. 14 in the Annals of Internal Medicine.

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Antipsychotic Use Safer Than No Use in Schizophrenia

MONDAY, Jan. 13, 2020 (HealthDay News) -- Among patients with schizophrenia, long-term antipsychotic use does not appear to increase severe physical morbidity or somatic hospitalization, and mortality is lower for antipsychotic use compared with no use, according to a study published online Jan. 10 in World Psychiatry.

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Burnout in Med Students Tied to Perceived Stress, Phone Behavior

MONDAY, Jan. 13, 2020 (HealthDay News) -- Higher levels of perceived stress, poorer sleep quality, and smartphone addiction contribute to burnout in osteopathic medical students, according to a study published in the January issue of the Journal of the American Osteopathic Association.

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Total Opioid Overdose Deaths Down With Medicaid Expansion

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Medicaid expansion is associated with a reduction in total opioid overdose deaths and with increases in methadone-related mortality, according to a study published online Jan. 10 in JAMA Network Open.

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California May Start Producing Its Own Medicines

FRIDAY, Jan. 10, 2020 (HealthDay News) -- A proposal for California to contract generic drug companies to make medications would make the state the first in the country to produce its own medications.

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Neighborhood Disadvantage Impacts Hospital Quality Ratings

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Hospitals caring for neighborhoods with high levels of disadvantage may have lower hospital ratings due to social risk factors (SRFs) in the community, according to a study published online Dec. 30 in Medical Care.

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Many With History of Anxiety Report Complete Mental Health

FRIDAY, Jan. 10, 2020 (HealthDay News) -- For persons with a previous diagnosis of generalized anxiety disorder (GAD), factors associated with being in complete mental health (CMH) include female gender, older age, being married, and reporting good to excellent physical health, according to a study published online Jan. 9 in the Journal of Affective Disorders.

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Recruitment Satisfactory for Foreign-Educated Health Providers

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Foreign-educated health professionals (FEHPs) in the United States are overall satisfied with their recruitment experience, according to a study published in the January issue of the American Journal of Nursing.

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Alcohol-Fueled Deaths Doubled in U.S. Over Past 20 Years

THURSDAY, Jan. 9, 2020 (HealthDay News) -- Death certificate data suggest that alcohol-related mortality increased in the United States between 1999 and 2017, according to a study published online Jan. 7 in Alcoholism: Clinical & Experimental Research.

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Cooking Programs May Influence Children's Food Selection

THURSDAY, Jan. 9, 2020 (HealthDay News) -- Cooking programs can positively affect healthy food consumption among child viewers, according to a study published in the January issue of the Journal of Nutrition Education and Behavior.

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Antipsychotic Initiation Ups Risk for Head Injury, TBI in Alzheimer Disease

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- Individuals with Alzheimer disease (AD) initiating antipsychotics have an increased risk for head injuries and traumatic brain injury (TBI), according to a study published online Jan. 7 in the Journal of the American Geriatrics Society.

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Large Gap Found in Health Administrative Spending for U.S., Canada

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- There is a large and widening gap in health administrative spending between the United States and Canada, according to a study published online Jan. 7 in the Annals of Internal Medicine.

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Increase in Minimum Wage May Lower Suicide Rate

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- Among U.S. adults with a high school education or less, an increase in the state-level minimum wage may reduce the suicide rate, according to a study published online Jan. 7 in the Journal of Epidemiology & Community Health.

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Active Lifestyle May Slow Familial Frontotemporal Dementia

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- A physically and mentally active lifestyle may protect against frontotemporal dementia even in people at established genetic risk, according to a study published in the January issue of Alzheimer's & Dementia.

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CDC Data May Be Underreporting Scope of Overdose Deaths

TUESDAY, Jan. 7, 2020 (HealthDay News) -- Data from the U.S. Centers for Disease Control and Prevention may be underreporting overdose deaths caused by opioids and other drugs, according to a report published online Jan. 7 in Drug and Alcohol Dependence.

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Few Youths Receive Addiction Treatment After Opioid Overdose

TUESDAY, Jan. 7, 2020 (HealthDay News) -- Less than one-third of youths surviving an opioid overdose receive timely addiction treatment, according to a study published online Jan. 6 in JAMA Pediatrics.

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Prevalence of Buprenorphine-Waivered Prescribers Increasing

TUESDAY, Jan. 7, 2020 (HealthDay News) -- From 2007 to 2017, there was an increase in the prevalence of buprenorphine-waivered prescribers in the United States, according to a research letter published online Jan. 7 in the Annals of Internal Medicine.

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Price Hikes for Hundreds of Medications

MONDAY, Jan. 6, 2020 (HealthDay News) -- U.S. drug companies have started the new year by raising the prices of hundreds of medications.

CBS News Article

Poll: Older Adults Frequently Use Online Physician Ratings

MONDAY, Jan. 6, 2020 (HealthDay News) -- Older adults commonly use online ratings to choose a doctor, according to a report published online Jan. 6 based on the results of the University of Michigan National Poll on Healthy Aging.

National Poll on Healthy Aging

Twelfth-Grade Binge Drinking Linked to Risky Driving Practices

MONDAY, Jan. 6, 2020 (HealthDay News) -- Twelfth-grade binge drinking predicts early adulthood risky driving practices and high-risk drinking in early adulthood, according to a study published online Jan. 6 in Pediatrics.

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Teens Who Misuse Opioids Likely to Engage in Other Risky Behaviors

MONDAY, Jan. 6, 2020 (HealthDay News) -- Adolescents who report misusing prescription opioids are more likely to have engaged in a range of other risky behaviors, according to a study published online Jan. 6 in Pediatrics.

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Severe Hypoglycemia in Seniors With T1DM May Worsen Cognition

FRIDAY, Jan. 3, 2020 (HealthDay News) -- Both recent severe hypoglycemia (SH) and lifetime SH are associated with worse cognition among older adults with type 1 diabetes, according to a study published online Dec. 27 in Diabetes Care.

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Mental Distress, Depression Prevalent in Adults With Arthritis

THURSDAY, Jan. 2, 2020 (HealthDay News) -- The prevalence of mental distress is 16.8 percent and the prevalence of depression is 32.1 percent among adults with arthritis, according to research published in the Jan. 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Health Top Concern for Veterans After Separating From Military

THURSDAY, Jan. 2, 2020 (HealthDay News) -- Most newly separated veterans experience high occupational and social well-being, but many report chronic physical and/or mental health conditions, according to a study published online Jan. 2 in the American Journal of Preventive Medicine.

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Patient Experiences Modestly Worse After Hospital Acquisition

THURSDAY, Jan. 2, 2020 (HealthDay News) -- Modestly worse patient experiences are seen following hospital acquisition by another hospital, according to a study published in the Jan. 2 issue of the New England Journal of Medicine.

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