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December 2017 Briefing - Family Practice

Tue, Jan 2, 2018

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for December 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.

Atopic Dermatitis Associated With Higher Risk of Skin Cancer

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Atopic dermatitis (AD) is associated with an increased risk of developing squamous cell carcinoma (SCC), according to a study published online Dec. 15 in the International Journal of Dermatology.

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More Daily Steps Associated With Thicker Brain Sub-Regions

THURSDAY, Dec. 28, 2017 (HealthDay News) -- In older adults with memory complaints but no dementia, higher physical activity (PA) levels are associated with thicker medial temporal lobe (MTL) sub-regions and better cognitive skills, according to a study published online Dec. 12 in the Journal of Alzheimer's Disease.

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Tips Offered for Patient-Provider Opioid Tapering Talks

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Helping patients understand individualized reasons for opioid tapering and encouraging them to provide input into the process are key for patient-provider communications, according to a study published in the November issue of the Journal of Pain.

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Urogenital Health Issues Seen in Girls Years After Sexual Abuse

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Girls sexually abused in childhood have more urinary and genital health problems, even years after the abuse, than those in the general population, according to a study published online Dec. 15 in The Journal of Pediatrics.

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Guidelines Developed for Optimizing Treatment of HFrEF

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Guidelines have been developed to help optimize treatment of heart failure with reduced ejection fraction (HFrEF), according to an Expert Consensus Decision Pathway published online Dec. 22 in the Journal of the American College of Cardiology.

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Sleep May Mediate Fish-Cognition Relationship in Children

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Greater fish consumption is associated with fewer sleep problems and higher IQ scores in children, with sleep quality partially mediating the relationship between fish consumption and verbal IQ, according to a study published online Dec. 21 in Scientific Reports.

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Criteria Developed for Idiopathic Inflammatory Myopathies

THURSDAY, Dec. 28, 2017 (HealthDay News) -- New classification criteria have been developed for idiopathic inflammatory myopathies (IIM), according to an article published in the December issue of Arthritis & Rheumatology.

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Out-of-Pocket Costs Correlate With Receipt of Cancer Care

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Across cancers, higher out-of-pocket (OOP) costs are associated with higher rates of oral prescription abandonment and delayed initiation, according to a study published online Dec. 20 in the Journal of Clinical Oncology.

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Variation Seen in Hospice Use for Malignant Glioma

THURSDAY, Dec. 28, 2017 (HealthDay News) -- There are noticeable differences in hospice utilization among patients with malignant glioma (MG), with older age, female sex, and urban residence predicting longer length of stay, according to a study published recently in Neuro-Oncology.

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Effective Treatments Exist for Nausea, Vomiting of Pregnancy

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Early treatment of nausea and vomiting of pregnancy can prevent complications, according to a Practice Bulletin published online Dec. 21 in Obstetrics & Gynecology.

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Psychosocial Risk in Teens Tied to Lasting HIV Vulnerability

THURSDAY, Dec. 28, 2017 (HealthDay News) -- High-frequency psychosocial risk factors during adolescence have a lasting effect on the likelihood of engaging in HIV risk behaviors in adulthood, according to a study published online Dec. 12 in AIDS.

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Three-Quarters Receiving 'End of Life Option Act' Drugs Take Them

THURSDAY, Dec. 28, 2017 (HealthDay News) -- About three-quarters of patients in California who receive End of Life Option Act (EOLOA) drugs ingest them and die, according to a research letter published online Dec. 26 in JAMA Internal Medicine.

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Ob-Gyns Encouraged to Consider Social Determinants of Health

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Recognizing the importance of social determinants of health can help obstetrician-gynecologists and other health care providers to offer better care and improve health outcomes, according to a Committee Opinion published online Dec. 21 in Obstetrics & Gynecology.

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Smoking Cessation Drug Tied to Increased Cardiovascular Risk

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Individuals taking varenicline for smoking cessation appear to be at increased risk of cardiovascular but not neuropsychiatric events, according to a study published online Dec. 20 in the American Journal of Respiratory and Critical Care Medicine.

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Dermatologists Often Undervalue Depression, Anxiety in Patients

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Dermatologists across Europe tend to underestimate mood disorders in their patients, according to a study published online Dec. 16 in the British Journal of Dermatology.

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Calcium, Vitamin D Don't Seem to Reduce Fracture Risk in Seniors

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- For community-dwelling older adults, supplementation with calcium, vitamin D, or both does not reduce the incidence of fractures, according to a review published in the Dec. 26 issue of the Journal of the American Medical Association.

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Exposure to PM2.5, Ozone at Low Levels Linked to Mortality

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Short-term exposure to ambient fine particulate matter (PM2.5) and warm-season ozone at levels below current national air quality standards is associated with increased risk of mortality in the U.S. Medicare population, according to a study published in the Dec. 26 issue of the Journal of the American Medical Association.

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2009 to 2016 Saw Increase in Prenatal Marijuana Use

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Prenatal marijuana use increased from 2009 to 2016 for pregnant women of all ages, according to a research letter published in the Dec. 26 issue of the Journal of the American Medical Association.

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Weak Association for Blood Lead Levels, Criminal Behavior

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Childhood blood lead level (BLL) is a poor discriminator between criminal conviction and no conviction, according to a study published online Dec. 26 in JAMA Pediatrics.

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Risk of ESRD in T1DM Patients Has Fallen Markedly in Finland

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- The cumulative risk of end-stage renal disease (ESRD) among patients with type 1 diabetes has declined over time in Finland, according to a study published online Dec. 20 in Diabetes Care.

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L. reuteri DSM17938 Effective for Colic in Breastfed Infants

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Lactobacillus reuteri DSM17938 is effective for breastfed infants with colic, according to a meta-analysis published online Dec. 26 in Pediatrics.

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Intensive Lifestyle Intervention Linked to Cerebral Blood Flow

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- A long-term intensive lifestyle intervention (ILI) in overweight and obese adults with type 2 diabetes mellitus is associated with greater cerebral blood flow (CBF), according to a study published recently in the Journal of the American Geriatrics Society.

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Both Narrowband UVB, Psoralen UVA Helpful for Hand Eczema

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Both psoralen ultraviolet A (PUVA) and narrowband ultraviolet B (NBUVB) improve the severity of chronic palmar hand eczema, according to a pilot study published online Dec. 13 in the British Journal of Dermatology.

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Multicomponent Strategies Most Effective for BP Control

TUESDAY, Dec. 26, 2017 (HealthDay News) -- For patients with hypertension, multilevel, multicomponent strategies, followed by patient-level strategies, are the most effective for blood pressure (BP) control, according to a review published online Dec. 26 in the Annals of Internal Medicine.

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Early Menarche May Affect Mental Health in Adulthood

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Girls with menarche at earlier ages may be at elevated risk for mental health issues in adolescence that carry into adult years, according to a study published online Dec. 26 in Pediatrics.

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Hepatitis B Vaccination Often Missed Among HIV Patients

TUESDAY, Dec. 26, 2017 (HealthDay News) -- More than one-third of adult U.S. HIV patients miss opportunities to initiate hepatitis B vaccination, according to a study published online Dec. 26 in the Annals of Internal Medicine.

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FDA Removes Boxed Warning From Certain Asthma Medications

TUESDAY, Dec. 26, 2017 (HealthDay News) -- New evidence regarding safety is spurring the U.S. Food and Drug Administration to remove a Boxed Warning from certain inhaled medications used to treat asthma and chronic obstructive pulmonary disease.

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Text Message Interventions May Help With Weight Management

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Extended-contact, text-message-delivered interventions appear to be effective for weight management, according to a review published online Dec. 15 in Obesity Reviews.

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Good Long-Term Survival After Childhood Liver Transplant

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Liver transplantation in childhood is associated with good long-term survival, according to a study published online Dec. 15 in the American Journal of Transplantation.

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Gene Polymorphisms Linked to Risk of Chronic Post-Op Pain

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Genetics may be a factor in the experience of chronic pain post surgery, according to a study published online Dec. 14 in Anesthesiology.

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Higher ω-3 Fatty Acid Intake Tied to Lower Glaucoma Risk

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Increased daily intake of ω-3 fatty acids is associated with lower odds of glaucoma, but higher levels of total polyunsaturated fatty acid (PUFA) intake are associated with higher odds of developing glaucoma, according to a study published online Dec. 21 in JAMA Ophthalmology.

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Exercise Reduces Sleep Problems in Breast Cancer Survivors

TUESDAY, Dec. 26, 2017 (HealthDay News) -- A physical activity intervention reduces perceived sleep dysfunction at three and six months for post-primary treatment breast cancer survivors, according to a study published recently in Medicine & Science in Sports & Exercise.

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GERD Linked to Upper Aerodigestive Tract Cancers

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Gastroesophageal reflux disease (GERD) is associated with a higher risk of cancer in the upper aerodigestive tract (UADT) among the elderly population in the United States, according to a study published online Dec. 21 in JAMA Otolaryngology-Head & Neck Surgery.

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Normalized Post-Op CEA May Help Predict Colon Cancer Prognosis

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Colon cancer patients with elevated preoperative carcinoembryonic antigen (CEA) levels that normalize after resection are not at increased risk for poor prognosis, according to a study published online Dec. 21 in JAMA Oncology.

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Plasma Volume Changes May Mediate Effects of Empagliflozin

TUESDAY, Dec. 26, 2017 (HealthDay News) -- The reduction in risk of cardiovascular (CV) death with empagliflozin is most mediated by changes in hematocrit and hemoglobin, according to research published online Dec. 4 in Diabetes Care.

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Gender Differences Seen in Mental Stress-Induced Ischemia

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Men and women have different cardiovascular reactivity mechanisms for mental stress-induced myocardial ischemia (MSIMI), according to a study published online Dec. 21 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Dietary Factors May Play Role in Preserving Lung Function

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Intake of fruits and tomatoes may delay decline in lung function, especially in former smokers, according to a study published in the Dec. 1 issue of the European Respiratory Journal.

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Early-Stage Cancer Diagnoses Up With ACA's Medicaid Expansions

THURSDAY, Dec. 21, 2017 (HealthDay News) -- In their first year, the 2014 Medicaid expansions, facilitated by the Affordable Care Act, were associated with an increase in cancer diagnoses, particularly at the early stage, according to a study published online Dec. 21 in the American Journal of Public Health.

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Swelling, Infection Most Common Side Effects of Injectable Fillers

THURSDAY, Dec. 21, 2017 (HealthDay News) -- The most common adverse events associated with injectable fillers are swelling and infection, according to a study published online Dec. 21 in JAMA Facial Plastic Surgery.

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Obesity Tied to Greater Asthma Impairment in Preschoolers

THURSDAY, Dec. 21, 2017 (HealthDay News) -- For preschool children, overweight/obesity is associated with more asthma symptom days and exacerbations among those not treated with a daily controller, and inhaled corticosteroids (ICS) are associated with significant improvements among overweight/obese preschoolers, according to research published online Dec. 19 in the Journal of Allergy and Clinical Immunology.

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CDC: 2015 to 2016 Saw Drop in Life Expectancy in United States

THURSDAY, Dec. 21, 2017 (HealthDay News) -- From 2015 to 2016, life expectancy decreased by one-tenth of a year, and there was an increase in the rate of age-adjusted drug overdose deaths, according to two December data briefs published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

Abstract/Full Text - Kochanek
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Varenicline Linked to Reduction in Heavy Drinking in Men

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Varenicline is associated with reduced heavy drinking among men and with increased smoking abstinence, according to a study published online Dec. 20 in JAMA Psychiatry.

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Wearing Amber Lenses Before Bed May Help With Insomnia

THURSDAY, Dec. 21, 2017 (HealthDay News) -- For individuals with insomnia symptoms, wearing amber versus clear lenses for two hours before bedtime is associated with improved sleep, according to a study published in the January issue of the Journal of Psychiatric Research.

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Findings Support Comprehensive Approach for Seniors With Cancer

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Addressing persistent symptoms, managing comorbidities, promoting leisure-time physical activity, and addressing financial challenges are key in optimizing health-related quality of life (HRQOL) in older adults with cancer, according to a study published online Dec. 18 in Cancer.

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Interruption of Apixaban Doesn't Impact Bleeding in A-Fib

THURSDAY, Dec. 21, 2017 (HealthDay News) -- For patients undergoing catheter ablation for nonvalvular atrial fibrillation (AF), both uninterrupted and minimally interrupted apixaban are associated with a very low rate of thromboembolic events, according to a study published online Dec. 20 in JACC: Clinical Electrophysiology.

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Pioglitazone Associated With Lower Blood Leptin in Diabetes

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Compared to placebo, pioglitazone is associated with significantly lower blood leptin levels in patients with type 2 diabetes, according to a meta-analysis published online Dec. 1 in the Journal of Diabetes Investigation.

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Methotrexate, Azathioprine Seem Safe Long-Term for Dermatitis

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Methotrexate and azathioprine appear to be effective and safe as maintenance treatments in moderate-to-severe atopic dermatitis for up to five years, according to research published online Dec. 13 in the British Journal of Dermatology.

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Financial Strain, Stress High Among Colorectal CA Survivors

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Four in 10 colorectal cancer survivors report cancer-related financial stress or strain, which is significantly associated with low health-related quality of life, according to a study published in the January issue of Diseases of the Colon & Rectum.

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Higher TSH Levels Seen in Women With Unexplained Infertility

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Women with unexplained infertility (UI) have higher thyroid-stimulating hormone (TSH) levels than women with a normal fertility evaluation, according to a study published online Dec. 19 in the Journal of Clinical Endocrinology & Metabolism.

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Herpes Zoster Risk Not Up in Systemically Treated Psoriasis

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- For patients with psoriasis, the risk of herpes zoster (HZ) is not significantly increased for systemically treated patients or for those receiving biologics versus nonbiologics, according to a research letter published online Dec. 20 in JAMA Dermatology.

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Medicare Costs Associated With Mortality Rates in AMI Patients

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- For patients hospitalized with acute myocardial infarction, Medicare expenditure growth is associated with reduced 180-day case fatality, according to a study published online Dec. 20 in JAMA Cardiology.

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Cognitive Benefits Seen With Leafy Green Vegetable Intake

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Intake of primary nutrients and bioactives in green leafy vegetables is associated with slower cognitive decline, according to a study published online Dec. 20 in Neurology.

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Rheumatic Diseases Associated With Increased Dementia Risk

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Patients with various rheumatic diseases have an increased risk of dementia, according to a study published online Dec. 15 in the International Journal of Rheumatic Diseases.

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Self-Reported Symptoms in Elderly Predict Readmission

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Post-discharge symptoms self-reported by frail, elderly adults may predict 30-day hospital readmission and emergency department visits, according to a study published online Dec. 12 in the Journal of the American Geriatrics Society.

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Microneedling Plus TCA Peel Performs Well in Acne Scarring

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Microneedling combined with trichloroacetic acid (TCA) peeling is more effective than microneedling by dermaroller plus platelet-rich plasma (PRP) or microneedling alone for treatment of acne scarring, according to a study published online Dec. 10 in the Journal of Cosmetic Dermatology.

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Levonorgestrel IUD Feasible for Low-Risk, Early Uterine Cancer

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- A levonorgestrel-releasing intrauterine device (LNG-IUD) is effective in the majority of patients undergoing conservative treatment for low-risk endometrial cancer and complex atypical hyperplasia, according to a case-series study published online Dec. 4 in Obstetrics & Gynecology.

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Drug Combo Proves Effective for Pattern Hair Loss in Women

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Once-daily capsules containing a combination of minoxidil and spironolactone appear to be safe and effective for the treatment of female pattern hair loss (PHL), according to a case-series study published online Dec. 12 in the International Journal of Dermatology.

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DPP-4 Inhibitor Has Dissociated Effects on β-Cell Function

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- For healthy adults and individuals with well-controlled type 2 diabetes (T2D), a single dose of the dipeptidyl peptidase-4 inhibitor sitagliptin is associated with increased standardized insulin secretion, with no impact on β-cell glucose sensitivity, according to a study published online Dec. 11 in Diabetes, Obesity and Metabolism.

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Oral Care Guidelines Can Improve Quality of Oral Health Care

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Development and implementation of standardized oral care treatment and referral guidelines can improve the overall quality of oral health practice for older sub-acute patients, according to a study published online Dec. 13 in the Journal of Pharmacy Practice and Research.

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Switching Dual Antiplatelet Therapy Beneficial After ACS

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Switching dual antiplatelet therapy (DAPT) from aspirin plus ticagrelor or prasugrel to aspirin plus clopidogrel after acute coronary syndrome (ACS) provides benefits regardless of initial platelet reactivity, according to a study published in the Dec. 26 issue of JACC: Cardiovascular Interventions.

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Narrow-Spectrum Antibiotics Best for Children With Acute RTIs

TUESDAY, Dec. 19, 2017 (HealthDay News) -- For children with acute respiratory tract infections, broad-spectrum antibiotics are not associated with better clinical or patient-centered outcomes compared with narrow-spectrum antibiotics, according to a study published in the Dec. 19 issue of the Journal of the American Medical Association.

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Two Cases of Progressive Cutaneous Anthrax Described

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Two cases of cutaneous anthrax which started on the right forearm and progressed are described in a case report published online Dec. 12 in the International Journal of Dermatology.

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Cervical Pessary Cuts Preterm Birth in Women With Short Cervix

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Cervical pessary is associated with a lower rate of spontaneous preterm birth at less than 34 weeks of gestation among women without prior spontaneous preterm birth who had asymptomatic singleton pregnancies and short transvaginal cervical length, according to a study published in the Dec. 19 issue of the Journal of the American Medical Association.

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Special Precautions Not Advised for Flu Vaccine in Egg Allergic

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Inactivated influenza vaccine (IIV) and live attenuated influenza vaccine (LAIV) are safe for individuals with egg allergy of any severity, according to a practice parameter update published online Dec. 19 in the Annals of Asthma, Allergy & and Immunology.

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USPSTF Reviews Use of ECG for Preventing A-Fib, CVD Events

TUESDAY, Dec. 19, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that the current evidence is inadequate to assess the benefits and harms of screening with electrocardiogram (ECG) for atrial fibrillation (AF) in older adults; and for low-risk adults, screening with resting or exercise ECG is not recommended for preventing cardiovascular disease (CVD) events. These findings form the basis of two draft recommendation statements published online Dec. 19 by the USPSTF.

Evidence Review - A-FIB
Draft Recommendation Statement - A-FIB
Comment on Recommendation Statement - A-FIB
Evidence Review - CVD
Draft Recommendation Statement - CVD
Comment on Recommendation Statement - CVD

Intensive BP Goals Reduce Risk of Cardiovascular Events

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Intensive blood pressure lowering may similarly decrease cardiovascular events in both patients with and patients without type 2 diabetes mellitus, according to a study published online Dec. 6 in Diabetes Care.

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Primary Care Crucial for Preventing New HIV Infections

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Primary care providers will play an important role in preventing the next wave of HIV infections, according to a report published in Medical Economics.

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DBS Safe But Not Beneficial in Parkinson's Dementia

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Low-frequency deep brain stimulation of the nucleus basalis of Meynert (NBM DBS) can be safely conducted in patients with Parkinson's disease dementia, but it does not result in significant improvements in primary cognitive outcomes, according to a study published online Dec. 18 in JAMA Neurology.

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RA Exposure In Utero Tied to Increased Disease Risk

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Children born to mothers with rheumatoid arthritis may have an increased risk of rheumatoid arthritis, thyroid disease, and epilepsy, according to a study published online Dec. 11 in Arthritis Care & Research.

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STEMI Patient Perceptions Impact Emergency Medical Services Use

TUESDAY, Dec. 19, 2017 (HealthDay News) -- ST-elevation myocardial infarction (STEMI) patient perceptions, including those involving the speed of transport and concerns about resource misuse, are an important factor in determining emergency medical services (EMS) use, according to a study published online Dec. 13 in the Journal of Evaluation in Clinical Practice.

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Rx Discrepancies Common in Hospital Discharge Summaries

TUESDAY, Dec. 19, 2017 (HealthDay News) -- For older patients discharged from a regional hospital, there are frequently discrepancies between the electronic discharge summaries and the National Inpatient Medication Chart (NIMC) or discharge prescription, according to a study published online Dec. 13 in the Journal of Pharmacy Practice and Research.

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Subcutaneous Galcanezumab May Help Prevent Episodic Migraines

MONDAY, Dec. 18, 2017 (HealthDay News) -- Monthly subcutaneous injections of galcanezumab are efficacious in prevention of episodic migraine headaches, according to a study published online Dec. 18 in JAMA Neurology.

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Equation Predicts Risk of End-Stage Renal Disease in Children

MONDAY, Dec. 18, 2017 (HealthDay News) -- The kidney failure risk equation (KFRE) is a simple tool that provides excellent discrimination of the risk of end-stage renal disease (ESRD) in children with chronic kidney disease (CKD), according to a study published online Dec. 18 in JAMA Pediatrics.

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No Magic Bullet for Preventing Late-Life Dementia

MONDAY, Dec. 18, 2017 (HealthDay News) -- The evidence of benefit for different types of interventions to prevent late-life dementia is limited, according to four reviews published online Dec. 18 in the Annals of Internal Medicine.

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Emergency-Only Hemodialysis Linked to Worse Outcomes

MONDAY, Dec. 18, 2017 (HealthDay News) -- Emergency-only hemodialysis treatment is associated with increased mortality compared with standard hemodialysis for undocumented immigrants with end-stage renal disease, according to a study published online Dec. 18 in JAMA Internal Medicine.

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Male U.S. Doctors Receive Higher Values of Industry Payments

MONDAY, Dec. 18, 2017 (HealthDay News) -- Male physicians in the United States received higher values of general payments from industry than females in 2015, according to a research letter published online Dec. 18 in JAMA Internal Medicine.

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Probiotics, Chewing Gum Found Ineffective for Pharyngitis

MONDAY, Dec. 18, 2017 (HealthDay News) -- Neither probiotics nor xylitol-based chewing gum cuts the severity of symptoms associated with pharyngitis, according to a study published in the Dec. 18 issue of CMAJ, the journal of the Canadian Medical Association.

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Counseling Linked to Reduction in Vaccine Exemption Rates

MONDAY, Dec. 18, 2017 (HealthDay News) -- Implementation of Washington state's Senate Bill 5005 (SB5005), which requires counseling and a signed form from a licensed health care provider to obtain a vaccine exemption, was associated with a decrease in exemption rates and an increase in vaccine coverage for vaccines required for school entrance, according to a study published online Dec. 18 in Pediatrics.

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Payment for Laboratory Tests Set to Reduce Starting Jan. 1, 2018

MONDAY, Dec. 18, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) has released the Clinical Laboratory Fee Schedule, which is set to reduce payments for testing services conducted in physician office-based laboratories, according to a report published by the American Medical Association (AMA).

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Microbiome Intervention With Niacin Aids Insulin Sensitivity

MONDAY, Dec. 18, 2017 (HealthDay News) -- A targeted microbiome intervention, accomplished through microencapsulated delayed-release niacin, beneficially affects insulin sensitivity in humans, according to a study published online Dec. 6 in Diabetes Care.

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PCPs Perform Ultrasound for DVT Similarly to Vascular Experts

MONDAY, Dec. 18, 2017 (HealthDay News) -- Compared to vascular experts, general practitioners perform compression ultrasonography for diagnosis of deep vein thrombosis (DVT) of the leg similarly well, according to a study published in the November/December issue of the Annals of Family Medicine.

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Yogurt, But Not Milk, May Lower Hip Fracture Risk

MONDAY, Dec. 18, 2017 (HealthDay News) -- High intake of fermented milk products, like yogurt, in combination with a high intake of fruits and vegetables, is associated with lower hip fracture rates in women, according to a study published online Nov. 27 in the Journal of Bone and Mineral Research.

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Long-Term Macrolide Use Linked to Resistant P. Acnes

MONDAY, Dec. 18, 2017 (HealthDay News) -- Long-term oral macrolide administration may increase macrolide-resistant Propionibacterium acnes, according to a study published online Dec. 13 in the Journal of Dermatology.

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Anaphylaxis Is Rare Complication of Pregnancy

MONDAY, Dec. 18, 2017 (HealthDay News) -- Anaphylaxis is a rare complication of pregnancy, with an estimated incidence of 1.6 per 100,000 maternities, according to a study published online Nov. 29 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Year One Results Out for Value-Based Payment Modifier Program

MONDAY, Dec. 18, 2017 (HealthDay News) -- Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program, according to a report published in the December issue of Health Affairs.

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Doctors Must Report on at Least 1 Patient, 1 Measure for MACRA

FRIDAY, Dec. 15, 2017 (HealthDay News) -- In order to meet the 2017 Medicare and CHIP Reauthorization Act (MACRA) participation reporting deadline and avoid a Medicare payment penalty in 2019, physicians must report on at least one patient and one measure by Dec. 31, and submit to Medicare no later than Feb. 28, 2018, according to a report from the American Medical Association (AMA).

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H. Pylori Infection Found to Be Related to Gallbladder Diseases

FRIDAY, Dec. 15, 2017 (HealthDay News) -- Gallstones are less common with Helicobacter pylori infection among a Chinese population, according to a study published Nov. 27 in the Journal of Gastroenterology & Hepatology.

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Expanded TIMI Risk Score Deemed Practical in Diabetes

FRIDAY, Dec. 15, 2017 (HealthDay News) -- The TIMI (Thrombolysis in Myocardial Infarction) Risk Score for Secondary Prevention (TRS 2°P) is an accurate predictor of atherothrombotic disease among patients with type 2 diabetes, according to a study published online Dec. 1 in Diabetes Care.

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Majority of Women Prefer Non-Invasive Testing for Trisomy 21

FRIDAY, Dec. 15, 2017 (HealthDay News) -- The majority of both high-risk and intermediate-risk women prefer a non-invasive cell-free prenatal DNA screening (NIPT) as a secondary screening test for trisomy 21, according to a study published online Nov. 10 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Recent Decrease in Excess Risk of All-Cause Mortality in ESRD

FRIDAY, Dec. 15, 2017 (HealthDay News) -- Among individuals with end-stage renal disease (ESRD), there was a decrease in the excess risk of all-cause mortality from 1995 to 2013, according to a study published online Dec. 14 in the Clinical Journal of the American Society of Nephrology.

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Pharmacist Participation in Medical Homes Aids Outcomes

FRIDAY, Dec. 15, 2017 (HealthDay News) -- A program that integrates clinical pharmacists into established primary care medical home practices helps patients achieve better disease management for high blood pressure (HBP) and diabetes mellitus (DM), compared to usual care, according to a study published recently in the Journal of International Medical Research.

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Functional Limitations Ongoing With Congenital Zika

FRIDAY, Dec. 15, 2017 (HealthDay News) -- Severe functional limitations are reported among children with microcephaly and laboratory evidence of Zika virus infection in infancy, according to research published in the Dec. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Flu Vaccine Expected to Protect Against Most U.S. H3N2 Viruses

FRIDAY, Dec. 15, 2017 (HealthDay News) -- A novel bioinformatics approach can predict vaccine effectiveness for the influenza season, and indicates that the current vaccines are likely to be effective against H3N2 flu viruses in the U.S. 2017/2018 flu season, according to research published online Nov. 29 in F1000 Research.

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Prevalence of Diabetes Tops 20 Percent Among U.S. Veterans

THURSDAY, Dec. 14, 2017 (HealthDay News) -- The overall prevalence of diabetes among U.S. veterans was 20.5 percent in 2013 to 2014, according to a study published online Dec. 14 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Making Insurers Participate in Marketplace Could Cut Volatility

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Requiring insurers that participate in Medicare or Medicaid to also participate in Marketplaces in the same geographic area could improve access to insurance, according to a study published in the December issue of Health Affairs.

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Breathing Retraining Beneficial in Patients With Asthma

THURSDAY, Dec. 14, 2017 (HealthDay News) -- A breathing retraining intervention, delivered digitally or via face-to-face sessions, can improve quality of life in patients with asthma, according to a study published online Dec. 13 in The Lancet Respiratory Medicine.

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Recent Change in Spectrum of HIV-Linked Kidney Disease

THURSDAY, Dec. 14, 2017 (HealthDay News) -- The spectrum of HIV-associated kidney disease has changed with the improvement of therapy for HIV infection, according to a review article published in the Dec. 14 issue of the New England Journal of Medicine.

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Bivalent Meningococcal B Vaccine Safe, Immunogenic

THURSDAY, Dec. 14, 2017 (HealthDay News) -- A bivalent meningococcal B vaccine targeting factor H-binding protein (MenB-FHbp) elicits bactericidal responses against diverse meningococcal B strains after two and three doses in adolescents and young adults, according to a study published in the Dec. 14 issue of the New England Journal of Medicine.

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Stricter Short-Term Glycemic Control May Increase Remission

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Stricter glycemic control during short-term intensive insulin therapy for newly diagnosed type 2 diabetes patients is associated with a higher likelihood of remission at one year, according to a study published online Nov. 30 in the Journal of Diabetes Investigation.

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Serum Homocysteine Higher in Acne Patients

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Acne patients have higher levels of serum homocysteine (HCY), according to a study published online Nov. 21 in the Journal of Cosmetic Dermatology.

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Telemedicine Facilitates Diabetes Foot Ulcer Care

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Telemedicine follow-up enables more comprehensive diabetes foot ulcer care, according to a study published online Nov. 29 in the Journal of Clinical Nursing.

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Day-Care Centers Have More Allergens Than Homes

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Mite, mouse, cat, and dog allergens are higher in day-care centers (DCCs) than in homes, according to a study published online Nov. 29 in Allergy.

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Foley Catheter Plus Oxytocin Does Not Speed Delivery

THURSDAY, Dec. 14, 2017 (HealthDay News) -- The use of a transcervical Foley catheter plus oxytocin does not shorten the time to delivery in women with prelabor rupture of membranes compared with oxytocin alone, according to a study published online Dec. 7 in Obstetrics & Gynecology.

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In Utero Methylphenidate Exposure Tied to Heart Defects

WEDNESDAY, Dec. 13, 2017 (HealthDay News) -- Intrauterine exposure to methylphenidate is associated with a small increase in the risk of cardiac malformations, according to a study published online Dec. 13 in JAMA Psychiatry.

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Serial hsTnT Level IDs Risk of 30-Day Adverse Cardiac Event

WEDNESDAY, Dec. 13, 2017 (HealthDay News) -- High-sensitivity troponin (hsTnT) assay can identify patients presenting with suspected acute coronary syndrome at very low risk for 30-day adverse cardiac events (ACE), according to a study published online D