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August 2017 Briefing - Internal Medicine

Fri, Sep 1, 2017

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for August 2017. 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.

No Link for Cardiovascular Meds Use, Cognitive Impairment

THURSDAY, Aug. 31, 2017 (HealthDay News) -- For older adults, there is no association between cardiovascular medication use and cognitive impairment, according to a study published online Aug. 24 in Cardiovascular Therapeutics.

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CDC: 60 Percent of America's Single Men Report Using Condoms

THURSDAY, Aug. 31, 2017 (HealthDay News) -- About six in 10 sexually active single men in the United States are taking responsibility for birth control, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Minimal Evidence for Electronic Communication Guidelines

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Minimal evidence is available for guidelines for electronic communication between patients and providers, according to research published online Aug. 28 in the Journal of the American Medical Informatics Association.

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Stem Cell Factor Tied to Reduced Risk of Cardiac Events, Death

THURSDAY, Aug. 31, 2017 (HealthDay News) -- High levels of stem cell factor (SCF) are associated with reduced risk of mortality and cardiovascular events, according to a study published online Aug. 26 in the Journal of Internal Medicine.

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Transvenous Pacemaker Complications Common, Costly

THURSDAY, Aug. 31, 2017 (HealthDay News) -- The incidence of complications for single- and dual-chamber transvenous pacemakers (TVPs) is considerable, reaching about 15 and 16 percent, respectively, by three years, with high associated costs, according to research published online Aug. 30 in JACC: Clinical Electrophysiology.

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Spousal Caregiver Well-Being Tied to Recipient Health Expenses

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Poor spousal caregiver well-being is associated with increased care recipient expenditures and emergency department use, according to a study published online Aug. 24 in the Journal of the American Geriatrics Society.

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Prophylaxis Linked to Improved Function, HRQoL in Hemophilia

THURSDAY, Aug. 31, 2017 (HealthDay News) -- For adults with severe hemophilia and pre-existing joint disease, prophylaxis is associated with improved function, quality of life, activity, and pain, according to a study published online Aug. 24 in the Journal of Thrombosis and Haemostasis.

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CPR Less Likely for Cardiac Arrests in Black Neighborhoods

THURSDAY, Aug. 31, 2017 (HealthDay News) -- In cases of cardiac arrest, the racial make-up of the neighborhood may determine the likelihood of receiving cardiopulmonary resuscitation (CPR) from a passer-by or having access to a public defibrillator, according to a study published online Aug. 30 in JAMA Cardiology.

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More Evidence Links Epstein-Barr Virus to MS Risk

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Infection with Epstein-Barr virus (EBV) or cytomegalovirus may up the risk for multiple sclerosis (MS), and the link isn't limited to whites, according to a study published online Aug. 30 in Neurology.

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Local Allergic Rhinitis Often Progresses Over Time

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Patients with local allergic rhinitis (LAR) show worsening of rhinitis, greater tendency toward development of asthma, and impairment of quality of life after 10 years, but have a similar rate of development of allergic rhinitis with systemic atopy as controls, according to research published online Aug. 22 in Allergy.

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Retinal Emboli Linked to Cardiac Risk Factors, Kidney Disease

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Retinal emboli are associated with conventional cardiovascular risk factors, stroke, and chronic kidney disease, according to a study published online Aug. 24 in JAMA Ophthalmology.

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FDA Approves Vabomere for Complicated UTIs

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The intravenous antibiotic Vabomere (meropenem and vaborbactam) has been approved by the U.S. Food and Drug Administration to treat certain complicated urinary tract infections, including pyelonephritis.

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Sedentary Time a 'Potent Risk Factor' for Mobility Loss

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Excessive sitting, especially while watching television, poses a significant health hazard to older Americans, according to a study published online Aug. 30 in the Journal of Gerontology: Medical Sciences.

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Proactive Approach Encouraged for Online Patient Reviews

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Most patients are using online reviews as a first step to finding a new doctor, with 65 percent forming an opinion from reading one to six reviews, according to a report published in Medical Economics.

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Insurer Aetna's Envelopes Revealed Customers' HIV Status

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Customers of health insurance giant Aetna in many states were sent mail with envelopes that clearly revealed their HIV status, say the Legal Action Center and AIDS Law Project of Pennsylvania.

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Most Melanomas Don't Start As Existing Moles

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The majority of melanomas arise from new lesions rather than existing moles, according to a review published online Aug. 29 in the Journal of the American Academy of Dermatology.

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Review Links Sleep-Disordered Breathing, Cognitive Impairment

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Sleep-disordered breathing (SDB) is associated with increased likelihood of cognitive impairment, according to a review published online Aug. 28 in JAMA Neurology.

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Risk of Needing Nursing Home Care Is Rising

TUESDAY, Aug. 29, 2017 (HealthDay News) -- More than half of Americans will require nursing home care at some point in their lives, according to a report published online Aug. 28 in the Proceedings of the National Academy of Sciences.

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Younger Adults, Especially Men, Lag in HTN Treatment, Control

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Despite recent improvements in hypertension awareness, treatment, and control overall, all three remain worse in adults aged 18 to 39, according to research published online Aug. 28 in Hypertension.

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Options Available for Estrogen Depletion After Breast Cancer

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Many non-hormone options and therapies are available for the treatment of estrogen-depletion symptoms in breast cancer survivors, and individualized treatment is important, according to a review published online Aug. 2 in the Journal of Clinical Endocrinology & Metabolism.

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Platelet-Rich Plasma Effective for Chronic Venous Leg Ulcers

TUESDAY, Aug. 29, 2017 (HealthDay News) -- For patients with chronic venous leg ulcers, autologous platelet-rich plasma (PRP) is safe and effective, with highly significant improvement in ulcer size compared to conventional treatment, according to a study published online Aug. 19 in the Journal of Cosmetic Dermatology.

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FDA Cites 'Significant Deviations' at Florida Stem Cell Clinic

TUESDAY, Aug. 29, 2017 (HealthDay News) -- A Florida stem cell clinic has received a warning letter from the U.S. Food and Drug Administration about what the agency describes as serious problems that could pose health risks to patients.

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Gender-Specific High-Risk 'Window' Seen in Alzheimer's

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Women with a genetic predisposition for Alzheimer's disease face a 10-year window -- between ages 65 and 75 -- when they have far greater chances of developing the disease than men with similar genetic risks, according to a study published online Aug. 28 in JAMA Neurology.

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Clinicians Urged to Heighten Alert for Perinatal Suicide Risk

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Suicide is a leading cause of death among pregnant and recently pregnant women, according to a study published online Aug. 28 in CMAJ, the journal of the Canadian Medical Association.

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Androgen-Deprivation Therapy May Carry Cardiovascular Risks

MONDAY, Aug. 28, 2017 (HealthDay News) -- Use of androgen-deprivation therapy (ADT) may increase the risk of certain cardiovascular conditions in men with prostate cancer, according to a study published online Aug. 24 in the British Journal of Cancer.

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Increases in IgE, Eosinophils, Mast Cells Can ID IgG4-RD

MONDAY, Aug. 28, 2017 (HealthDay News) -- Most patients with immunoglobulin G subclass 4-related disease (IgG4-RD) have increased levels of IgE, eosinophils, and mast cells, according to research published in the September issue of Clinical Gastroenterology and Hepatology.

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Less Than Half of Seniors With A-Fib Receive Anticoagulants

MONDAY, Aug. 28, 2017 (HealthDay News) -- Less than 45 percent of older adults with atrial fibrillation (AF) admitted to the hospital are prescribed an anticoagulant, according to a study published online Aug. 21 in the Journal of the American Geriatrics Society.

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Tidal CO2 Prognostic for Chronic Thromboembolic Pulmonary HTN

MONDAY, Aug. 28, 2017 (HealthDay News) -- End-tidal carbon dioxide (ETCO2) levels are prognostic for patients with chronic thromboembolic pulmonary hypertension (CTEPH), according to a letter to the editor published online Aug. 14 in the Annals of the American Thoracic Society.

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Community Consumption Comprises Most Antibacterial Use

MONDAY, Aug. 28, 2017 (HealthDay News) -- Community antibacterial consumption comprises about 85 to 95 percent of total antibacterial consumption, according to a study published online Aug. 18 in the Journal of Clinical Pharmacy and Therapeutics.

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Cycling Crash Deaths Rising in the United States

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Bicyclist deaths on U.S. roadways are up significantly, and men -- not children -- are commonly the victims, a new report finds.

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Opioids Often Prescribed Unnecessarily for Migraine

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Too many patients with migraines are prescribed opioids, while too few may be getting recommended medications, according to research published recently in Cephalalgia.

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ART Era Has Changed Secondary Cancers After Kaposi Sarcoma

FRIDAY, Aug. 25, 2017 (HealthDay News) -- There has been a significant decline in the risk of secondary cancers after Kaposi sarcoma (KS) in the era of highly-active antiretroviral therapy (HAART), according to a study published online Aug. 24 in JAMA Oncology.

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Lithium in Drinking Water Linked to Dementia Incidence

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Lithium in drinking water is associated with the incidence of dementia in a nonlinear pattern, according to a study published online Aug. 23 in JAMA Psychiatry.

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Insufficient Sleep May Lead to Increased Risk-Taking Behavior

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Chronic sleep restriction may lead to risk-seeking behavior, according to a study published online Aug. 21 in the Annals of Neurology.

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Only One-Third of Heart Attack Patients Enter Cardiac Rehab

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Only one in three heart attack survivors in the United States attends outpatient cardiac rehabilitation, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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More Evidence Evolocumab Exceeds Cost-Effectiveness

FRIDAY, Aug. 25, 2017 (HealthDay News) -- At its current price, the addition of evolocumab to standard therapy in patients with atherosclerotic cardiovascular disease generally exceeds accepted cost-effectiveness thresholds, according to a study published online Aug. 23 in JAMA Cardiology.

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Asthma Tied to Later Inflammatory Bowel Disease

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Asthma is associated with subsequent development of inflammatory bowel disease (IBD), according to a study published in the September issue of Clinical Gastroenterology and Hepatology.

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Meth Use Tied to Higher Risk of Stroke in Younger People

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Younger adults who use methamphetamine appear to be at greater risk for stroke, particularly hemorrhagic stroke, according to research published online Aug. 23 in the Journal of Neurology Neurosurgery & Psychiatry.

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Hearing Loss Contributing to Patient-Doctor Miscommunication

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Many seniors may not hear everything their doctors tell them, and that could raise the risk of medical errors, according to a research letter published online Aug. 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Cardiopulmonary Exercise Testing Prognostic in Aortic Stenosis

THURSDAY, Aug. 24, 2017 (HealthDay News) -- For patients judged as symptomatic or questionably symptomatic for aortic stenosis, an initially conservative management strategy results in good prognosis if cardiopulmonary exercise testing (CPET) does not indicate significant hemodynamic compromise, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

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Increased Risk of MI, Stroke for Patients With Hip Fracture

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Patients with hip fracture have an increased risk of myocardial infarction (MI) and stroke, according to a study published online Aug. 21 in the Journal of Bone and Mineral Research.

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Google Search for 'Depression' Now to Provide Screening Test

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Web search giant Google is partnering with the National Alliance on Mental Illness (NAMI) to make depression screening a part of a search for 'depression' on the site.

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Intensive BP Treatment Appears Safe, Well Tolerated

THURSDAY, Aug. 24, 2017 (HealthDay News) -- For patients at increased risk of cardiovascular disease, intensive blood pressure control may be just as safe as standard treatment, and is likely cost-effective, according to research published in the Aug. 24 issue of the New England Journal of Medicine.

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Less REM May Indicate Higher Dementia Risk in Seniors

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Seniors who spend less time each night in rapid eye movement (REM) sleep may be more likely to develop dementia as they age, according to a study published online Aug. 23 in Neurology.

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No Increase in Acute Kidney Injury Risk for SGLT2 Users

THURSDAY, Aug. 24, 2017 (HealthDay News) -- The risk of acute kidney injury (AKI) is not increased for new sodium-glucose cotransporter-2 (SGLT2) inhibitor users, according to a study published online Aug. 21 in Diabetes Care.

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Patient Beliefs May Explain High Rate of Medicine Intake

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Subjective norms and attitudes toward medicine consumption predict the intention and expectation to consume medicines, according to a study published online Aug. 19 in the Journal of Clinical Pharmacy and Therapeutics.

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Day-Supply of Opioid Rx Factor in Likelihood of Long-Term Use

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The days supplied is far more important than the dosage level or even the type of pain being treated in risk of opioid use disorder following opioid prescription, according to a study published recently in The Journal of Pain.

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Collaborative Communication Could Improve HTN Rx Adherence

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Health care providers can help boost patient adherence to antihypertensive medications by communicating more collaboratively with patients, and including discussion of socioeconomic challenges, according to a study published online Aug. 22 in Circulation: Cardiovascular Quality and Outcomes.

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Vitamin B6, B12 Supplements May Up Risk of Lung Cancer in Men

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Men, and especially male smokers, appear to be more likely to develop lung cancer if they take high doses of vitamins B6 and B12, according to a study published online Aug. 22 in the Journal of Clinical Oncology.

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Cost-Effectiveness of PCSK9 Inhibitors Called Into Question

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The costs of PCSK9 inhibitors would have to be 71 percent lower to be deemed cost-effective, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Demand for Liver Transplant for NASH Set to Continue Rising

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Given population obesity trends, the increase in the demand for liver transplantation (LT) for nonalcoholic steatohepatitis (NASH) noted since 2000 is expected to continue, according to a study published online Aug. 17 in Hepatology.

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Once-Yearly Counseling Tied to More Physical Activity in T2DM

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Theoretical and practical once-yearly counseling for three years is associated with increased physical activity (PA) and reduced sedentary (SED) time in patients with type 2 diabetes, according to a study published online Aug. 18 in Diabetes Care.

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Tablet Use Encourages Patients to Explore Diabetes Risk

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The multispecialty San Bernardino Medical Group has replaced magazines with digital devices in waiting rooms, which can help patients learn about their risk of diabetes and take preventive action, according to a report published by the American Medical Association (AMA).

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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.

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Oral Corticosteroids No Benefit for LRI in Non-Asthmatic Adults

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For adults without asthma, with acute cough and at least one lower respiratory tract symptom, prednisolone does not reduce cough duration or severity, according to a study published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Even Overdose Doesn't Stop Opioid Prescribing

TUESDAY, Aug. 22, 2017 (HealthDay News) -- After treatment for an opioid overdose, many Medicaid patients continue to receive prescriptions for them and few are prescribed anti-addiction medications after hospital discharge, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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NT-ProBNP-Guided Treatment No Benefit in High-Risk HFrEF

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For high-risk patients with heart failure and reduced ejection fraction (HFrEF), an amino-terminal pro-B-type natriuretic peptide (NT-proBNP)-guided treatment strategy does not improve clinical outcomes versus usual care, according to a study published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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In T2D, Glycemic Control Up With Continuous Glucose Monitoring

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Adults with type 2 diabetes receiving multiple daily insulin injections randomized to continuous glucose monitoring (CGM) have improved glycemic control versus usual care, according to a study published online Aug. 22 in the Annals of Internal Medicine.

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Occult Cancer Found in ~5 Percent With Unprovoked VTE

TUESDAY, Aug. 22, 2017 (HealthDay News) -- About one in 20 patients with unprovoked venous thromboembolism (VTE) have occult cancer detected within one year, according to a review published online Aug. 22 in the Annals of Internal Medicine.

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Maraviroc-Containing HIV PrEP Regimens Safe, Well Tolerated

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Maraviroc (MVC)-containing HIV pre-exposure prophylaxis (PrEP) regimens are well tolerated for preventing HIV infection in uninfected women, according to a study published online Aug. 22 in the Annals of Internal Medicine.

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Few Smokers Hospitalized With CHD Get Smoking Cessation Meds

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Few smokers hospitalized for coronary heart disease (CHD) receive smoking cessation pharmacotherapy (SCP), according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Lower SBP Target for Blacks May Benefit Cognitive Function

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For seniors and particularly blacks with hypertension, lowering systolic blood pressure to 120 mm Hg or lower may help prevent cognitive decline, according to a report published online Aug. 21 in JAMA Neurology.

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Flexible Sigmoidoscopy Screening Reduces Mortality

MONDAY, Aug. 21, 2017 (HealthDay News) -- Screening with flexible sigmoidoscopy reduces all-cause mortality, according to a research letter published online Aug. 22 in the Annals of Internal Medicine.

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Hours Worked Impacted by Kids for Female, Not Male Doctors

MONDAY, Aug. 21, 2017 (HealthDay News) -- For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Once-Daily Triple-Tx Improves Lung Function, HRQoL in COPD

MONDAY, Aug. 21, 2017 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD), once-daily single-inhaler triple therapy is better for lung function and health-related quality of life than inhaled corticosteroid (ICS)/long-acting β2-agonist (LABA) therapy, according to a study published in the Aug. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Clinical Feature Model Predicts Colitis Outcomes

MONDAY, Aug. 21, 2017 (HealthDay News) -- Clinical features, including response at day seven of hospitalization for the index episode of acute severe colitis (ASC), can predict both colectomy and steroid dependence with reasonable accuracy, according to a study published online Aug. 12 in the Journal of Gastroenterology and Hepatology.

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Secure Messaging Linked to Better Diabetes Management

MONDAY, Aug. 21, 2017 (HealthDay News) -- For patients with diabetes, use of secure messaging for medical advice is associated with better diabetes management, according to a study published online Aug. 14 in Diabetes Care.

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Link for Sedentary Time, Mortality Varies With Frailty Level

MONDAY, Aug. 21, 2017 (HealthDay News) -- The association between sedentary time and mortality varies with level of frailty among adults aged 50 years and older, according to a study published online Aug. 21 in CMAJ, the journal of the Canadian Medical Association.

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Higher Odds of Infection With Reduced Kidney Function

FRIDAY, Aug. 18, 2017 (HealthDay News) -- As kidney function declines, infection risk rises, according to a study published online Aug. 17 in the Clinical Journal of the American Society of Nephrology.

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Radioiodine Therapy for Thyroid Cancer Doesn't Up Stroke Risk

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Radioiodine (I-131) therapy for thyroid cancer is not associated with increased risk of stroke, according to a study published online Aug. 16 in Head & Neck.

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Procalcitonin Testing Not Impacting Antibiotic Rx for COPD

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Hospital adoption of procalcitonin (PCT) testing has had little impact on antibiotic prescribing for chronic obstructive pulmonary disease (COPD) exacerbations, according to a study published online Aug. 10 in the Annals of the American Thoracic Society.

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Physical Activity Predicts Disability in Older Adults

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Accelerometer-measured physical activity (PA) levels are strongly associated with major mobility disability (MMD) and persistent MMD (PMMD) events in older adults with limited mobility, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.

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Candida Antigen Safe, Effective for Treating Common Warts

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Candida antigen is a promising, effective, and safe immunotherapeutic treatment for common warts, according to a study published online Aug. 8 in the International Journal of Dermatology.

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Studies Often Fail to Include Info on T2DM Medication Adherence

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Studies often fail to include information on outcomes by medication adherence in type 2 diabetes, according to research published online Aug. 11 in Diabetes Care.

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Oral Contraceptive Use Linked to Lower Rheumatoid Arthritis Risk

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Oral contraceptive (OC) use is associated with reduced risk of rheumatoid arthritis (RA), according to research published online Aug. 17 in the Annals of Rheumatic Diseases.

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Visual Dysfunction Tied to Poor Cognitive Function in Seniors

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Visual dysfunction at baseline is associated with poor cognitive function among older U.S. adults, according to a study published online Aug. 17 in JAMA Ophthalmology.

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Most Ulcerative Colitis Patients Do Not Achieve Target Remission

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Most patients with ulcerative colitis (UC) do not achieve the 'Treat to Target' (T2T) end point of composite clinical and endoscopic remission, according to research published online Aug. 14 in the Journal of Gastroenterology and Hepatology.

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Psychosocial Intervention App Feasible in Serious Mental Illness

FRIDAY, Aug. 18, 2017 (HealthDay News) -- A psychosocial self-management intervention can be adapted for smartphone application and used by adults with serious mental illness, according to a study published in the August issue of the American Journal of Geriatric Psychiatry.

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Moderate, Severe OSA Linked to Elevated Blood Coagulability

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Moderate and severe obstructive sleep apnea (OSA) are associated with elevated blood coagulability markers, according to a study published online Aug. 17 in JAMA Otolaryngology-Head & Neck Surgery.

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Telehealth Feasible for Parkinson's Care

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Virtual house calls by neurologists may be of great interest to and provide substantial convenience for patients with Parkinson's disease, according to a study published online Aug. 16 in Neurology.

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Worse Survival Seen for Alternative Vs Usual Cancer Rx

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Patients who choose alternative medicine over traditional cancer treatments for curable cancers have a higher risk of dying early, according to research published online Aug. 10 in the Journal of the National Cancer Institute.

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Online Nursing Education Can Up Patient Use of VTE Prophylaxis

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Online training for nurses has been found to increase hospital patients' use of venous thromboembolism (VTE) prophylaxis, according to a study published online Aug. 16 in PLOS ONE.

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Increasing Physical Activity, Function Can Decrease Fall Fears

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Enhancing physical activity level and function can decrease the fear of falling among elderly patients, according to a study published online Aug. 9 in the Journal of Clinical Nursing.

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Intensive Blood Pressure Tx Aids Those With Prediabetes

THURSDAY, Aug. 17, 2017 (HealthDay News) -- The beneficial effects of intensive systolic blood pressure (SBP) treatment are similar among those with prediabetes and fasting normoglycemia, according to a study published online Aug. 9 in Diabetes Care.

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Study Highlights Readmit Factors Post Atrial Flutter Ablation

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Recognition of factors associated with early readmission for patients after atrial flutter (AFL) ablation is necessary for reducing costs and improving quality of life, according to a study published online Aug. 11 in the Journal of Cardiovascular Electrophysiology.

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Evolocumab Doesn't Affect Cognition When Added to Statins

THURSDAY, Aug. 17, 2017 (HealthDay News) -- There is no significant difference in cognitive function for patients treated with evolocumab or placebo added to statin therapy, according to a study published in the Aug. 17 issue of the New England Journal of Medicine.

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Global Disease Burden of COPD, Asthma Quantified

THURSDAY, Aug. 17, 2017 (HealthDay News) -- In 2015, there were more deaths worldwide due to chronic obstructive pulmonary disease (COPD) than asthma, according to a study published online Aug. 16 in The Lancet Respiratory Medicine.

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Families Shoulder Majority of Costs Related to Dementia Care

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Lifetime costs of care are substantially increased for individuals with dementia, according to a study published online Aug. 17 in the Journal of the American Geriatrics Society.

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Dietary Energy Density May Up Risk of Obesity-Linked Cancers

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Higher dietary energy density (DED; the ratio of energy intake to food weight) is associated with increased risk of obesity-related cancers among normal-weight women, according to a study published online Aug. 17 in the Journal of the Academy of Nutrition and Dietetics.

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Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Within a cohort of patients insured through TRICARE, the most common diagnosis associated with initial opioid prescription is other ill-defined conditions, according to a research letter published online Aug. 16 in JAMA Surgery.

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Risk Assessment Differs for Doctors, Heart Failure Patients

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Physicians consider the majority of ambulatory patients with advanced heart failure on medical therapy to be at high risk for transplant, left ventricular assist device (LVAD) placement, and death, although patients rarely consider themselves at high risk, according to a study published online Aug. 16 in JACC: Heart Failure.

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Frequency, Degree of Pubic Hair Grooming Linked to Injury Risk

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The frequency and degree of pubic hair grooming is associated with the risk of grooming-related injury and high-frequency injury, according to a study published online Aug. 16 in JAMA Dermatology.

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FDA: Potential Contamination in Some Liquid Pharma Products

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The U.S. Food and Drug Administration has announced a recall of numerous liquid pharmaceutical products because of possible bacterial contamination that could cause severe infections in vulnerable patients.

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Geriatric Trauma Outcome Score Estimates Unfavorable Discharge

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The geriatric trauma outcome score II (GTOS II) prognostic calculator can estimate the probability of unfavorable discharge in injured elders, according to a study published online Aug. 14 in the Journal of the American Geriatrics Society.

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Antidepressants Used by 12.7 Percent of Those Age ≥12 in U.S.

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Antidepressant use is common among U.S. individuals aged 12 years and older, with non-Hispanic whites more likely to take antidepressants than other racial/ethnic groups, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Single-Color PCR Detects Cancer Mutations From Circulating DNA

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- A single-color digital polymerase chain reaction (PCR) assay can detect cancer mutations directly from circulating DNA from patients, according to research published online Aug. 14 in the Journal of Molecular Diagnostics.

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'07 to '14 Saw Drop in Proportion Needing Dialysis After TAVI

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- From 2007 to 2014 there was a decrease in the proportion of patients needing dialysis after transcatheter aortic valve implantation (TAVI), according to a study published online Aug. 2 in JACC: Cardiovascular Interventions.

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Perceived Social Support Lower for Cancer Caregivers Vs Patients

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- A sense of coherence (SOC) is associated with cancer patients' acceptance of their illness, according to a study published Aug. 9 in the Journal of Clinical Nursing.

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Plasma Amino Acids Up in Non-Alcoholic Fatty Liver Disease

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- In non-alcoholic fatty liver disease (NAFLD), increased plasma amino acid (AA) concentrations are observed, according to a study published online Aug. 12 in Hepatology.

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Lifestyle Intervention Only Offers Modest Benefit in Type 2 Diabetes

TUESDAY, Aug. 15, 2017 (HealthDay News) -- For adults with type 2 diabetes diagnosed for less than 10 years, a lifestyle intervention resulted in a beneficial change in glycemic control that did not reach the criterion for equivalence, according to a study published in the Aug. 15 issue of the Journal of the American Medical Association.

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Studies Used for FDA Approval of Device Changes Often Low Quality

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.

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Specialist Access No Better With Adoption of Access Standards

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Adoption of specialty access standards does not improve access to specialists, according to a study published online Aug. 14 in JAMA Internal Medicine.

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High Platelet Reactivity Tied to Ischemic, Bleeding Outcomes

TUESDAY, Aug. 15, 2017 (HealthDay News) -- There is a strong relationship between high on-clopidogrel platelet reactivity and two-year ischemic and bleeding outcomes after drug-eluting stent implantation, according to a study published online Aug. 2 in JACC: Cardiovascular Interventions.

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Most Patients With Care Plan Die in Chosen Location

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Most individuals with a Coordinate My Care (CMC) plan die in their chosen location, according to a research letter published online Aug. 15 in the Annals of Internal Medicine.

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Diverse Spectrum of Neurologic Syndromes Seen With Zika

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Zika virus (ZIKV) infection is associated with increased incidence of neurological syndromes, according to a study published online Aug. 14 in JAMA Neurology.

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Exposure to Particulate Matter Linked to Metabolic Alterations

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Exposure to particulate matter (PM) with aerodynamic diameters ≤2.5 µm is associated with metabolic alterations, according to a study published online Aug. 14 in Circulation.

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'On the Move' Group Exercise Program Aids Walking in Elderly

TUESDAY, Aug. 15, 2017 (HealthDay News) -- The "On the Move" group exercise program is more effective at improving mobility in the elderly, compared to seated, usual-care exercise programs, according to a study published online Aug. 14 in JAMA Internal Medicine.

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Intraindividual Variability in Reaction Time Tied to Mortality

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Intraindividual variability of reaction time (IIVRT) is independently associated with mortality, according to a study published online Aug. 9 in PLOS ONE.

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Caregivers Have a Worse View of Cancer Patients' Functional Status

TUESDAY, Aug. 15, 2017 (