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July 2017 Briefing - Internal Medicine

Tue, Aug 1, 2017

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

Opioid-Related Fatal Car Crashes Up 7-Fold in Last Two Decades

MONDAY, July 31, 2017 (HealthDay News) -- There has been a seven-fold increase in the number of drivers killed in car crashes while under the influence of prescription opioids, according to a report published online July 20 in the American Journal of Public Health.

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Sodium Intake >3.7 g/Day Linked to Adverse Cardiac Strain

MONDAY, July 31, 2017 (HealthDay News) -- Estimated sodium intake (ESI) above 3.7 g/day is associated with left ventricular longitudinal strain (LS), circumferential strain, and e' velocity, according to a study published in the Aug. 8 issue of the Journal of the American College of Cardiology.

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Cost-Effectiveness of Allergen Immunotherapy Evaluated

MONDAY, July 31, 2017 (HealthDay News) -- Allergen immunotherapy (AIT) may be cost-effective for allergic rhinitis, and for venom allergy in high-risk subgroups, according to research published online July 18 in Allergy.

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Review: Positive Link for Alcohol, Nonmelanoma Skin Cancer

MONDAY, July 31, 2017 (HealthDay News) -- Alcohol intake seems to be positively associated with basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC), according to a review and meta-analysis published online July 28 in the British Journal of Dermatology.

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Single BMD, Fracture History Predict Long-Term Fracture Risk

MONDAY, July 31, 2017 (HealthDay News) -- For older women, a single bone mineral density (BMD) measure and fracture history can predict long-term fracture risk, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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Chemo Plus Hyperthermia Active in Advanced Pancreatic Cancer

MONDAY, July 31, 2017 (HealthDay News) -- For patients with locally advanced or metastatic pancreatic carcinoma with malignant ascites, a combined systemic and intraperitoneal chemotherapy approach plus hyperthermia is well tolerated and active, according to a study published online July 25 in the Journal of Global Oncology.

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Benefit for Generalist + Specialist Care in Complex Conditions

MONDAY, July 31, 2017 (HealthDay News) -- For patients with diabetes and compensated cirrhosis, those who visit both primary care providers (PCPs) and specialists have lower odds of experiencing decompensation and/or hospitalization compared with those visiting a PCP only, according to research published online July 26 in Diabetes Care.

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FDA Proposes Lowering Nicotine Levels in Cigarettes

MONDAY, July 31, 2017 (HealthDay News) -- The U.S. Food and Drug Administration plans to begin a public dialogue about reducing nicotine levels in combustible cigarettes to non-addictive levels through achievable product standards, agency officials said Friday.

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Outbreak of Septic Arthritis Described in New Jersey

MONDAY, July 31, 2017 (HealthDay News) -- In a report published in the July 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report, details are presented of an outbreak of septic arthritis associated with intra-articular injections at a New Jersey outpatient practice.

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More Progress Needed for Hep C Elimination in Country of Georgia

MONDAY, July 31, 2017 (HealthDay News) -- More interventions are needed to meet the target of hepatitis C virus (HCV) elimination, defined as a 90 percent reduction in prevalence by 2020, in the country of Georgia, according to research published in the July 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Interval Training Cuts CVD Risk in Testicular Cancer Survivors

FRIDAY, July 28, 2017 (HealthDay News) -- For testicular cancer survivors (TCS), a high-intensity aerobic interval training (HIIT) intervention improves cardiorespiratory fitness and reduces cardiovascular disease (CVD) risk, according to a study published online July 14 in Cancer.

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Thyroid Cancer Tied to Regular Thyroxine Use in Hypothyroidism

FRIDAY, July 28, 2017 (HealthDay News) -- Patients with primary hypothyroidism who are regular thyroxine users have increased risk of thyroid cancer, according to a study published online July 19 in the Journal of Clinical Pharmacology.

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Switching to Generic Eye Meds Could Save Medicare Millions

FRIDAY, July 28, 2017 (HealthDay News) -- Prescribing generic drugs for seniors' eye problems could save the U.S. government hundreds of millions of dollars a year, according to a study published recently in Ophthalmology.

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Moderate Drinking May Be Protective Against Diabetes

FRIDAY, July 28, 2017 (HealthDay News) -- Pattern of alcohol consumption may play a role in risk of type 2 diabetes, according to a study published online July 27 in Diabetologia.

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Increased Dementia Risk With Hearing Loss in Older Adults

FRIDAY, July 28, 2017 (HealthDay News) -- The risk of dementia is increased for older adults with hearing loss, according to a study published online July 22 in the Journal of the American Geriatrics Society.

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Walnuts Up Insula Activation to Highly Desirable Food Cues

FRIDAY, July 28, 2017 (HealthDay News) -- Short-term walnut consumption is associated with reduced feelings of hunger and appetite and increased activation of the right insula, according to a study published online July 17 in Diabetes, Obesity and Metabolism.

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ACOG: Opioid Agonist Rx First Choice in Affected Pregnancies

FRIDAY, July 28, 2017 (HealthDay News) -- While opioid agonist pharmacotherapy continues to be the recommended therapy for pregnant women with an opioid use disorder, medically supervised withdrawal can be considered under the care of a physician experienced in perinatal addiction treatment and with informed consent, according to a committee opinion published in the August issue of Obstetrics & Gynecology.

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Intel Gained on Melanoma Risk for Renal Transplant Patients

FRIDAY, July 28, 2017 (HealthDay News) -- Renal transplant recipients have increased risk of developing melanoma, with specific risk factors that should be monitored, according to a study published online July 26 in JAMA Dermatology.

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Gene Expression May Predict Response to Methotrexate in RA

FRIDAY, July 28, 2017 (HealthDay News) -- For patients with rheumatoid arthritis (RA), increased baseline gene expression of p21, caspase 3, and runt-related transcription factor (RUNX)2 in the peripheral blood may be associated with improved clinical response to methotrexate (MTX), according to a study published online July 25 in the International Journal of Rheumatic Diseases.

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Total, Saturated Fat Linked to Increased Risk of Lung Cancer

FRIDAY, July 28, 2017 (HealthDay News) -- High intake of total and saturated fat is associated with increased risk of lung cancer, according to research published online July 25 in the Journal of Clinical Oncology.

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CRC Screen Up for Older Patients, Those Not in Labor Force

FRIDAY, July 28, 2017 (HealthDay News) -- Factors associated with colorectal cancer (CRC) screening rates at U.S. community health centers include age and insurance status, but not patient-provider communication, according to a study published online July 14 in Cancer.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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CVD Risk Factors May Be Altered in Transgender Adults

THURSDAY, July 27, 2017 (HealthDay News) -- Cardiovascular disease (CVD) risk factors may be altered among transgender adults receiving cross-sex hormone therapy (CSHT), according to a review published online July 25 in the Annals of Internal Medicine.

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Mental Stress Tied to Abnormal Left Atrial Electrophysiology

THURSDAY, July 27, 2017 (HealthDay News) -- Acute mental stress is associated with abnormal left atrial electrophysiology, according to a study published online July 20 in the Journal of Cardiovascular Electrophysiology.

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Tocilizumab Effective for Treatment of Giant-Cell Arteritis

THURSDAY, July 27, 2017 (HealthDay News) -- Tocilizumab (Actemra) combined with a 26-week prednisone taper is superior to either 26-week or 52-week prednisone tapering plus placebo with regard to sustained glucocorticoid-free remission in patients with giant-cell arteritis, according to a study published in the July 26 issue of the New England Journal of Medicine.

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New, Noninvasive Method May Help Determine Dementia Type

THURSDAY, July 27, 2017 (HealthDay News) -- Distinguishing Alzheimer's disease (AD) from frontotemporal dementia (FTD) may get easier using a transcranial magnetic stimulation (TMS) approach, according to a study published online July 26 in Neurology.

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ENRGISE Pilot Study Will Inform Larger Trial of IL-6 in Seniors

THURSDAY, July 27, 2017 (HealthDay News) -- Data obtained from a pilot study, published online July 22 in the Journal of the American Geriatrics Society, will be used to plan a full-scale trial targeting interleukin (IL)-6 levels among older adults with low-to-moderate physical function.

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Morphine Effects Similar to Placebo in Rheumatoid Arthritis

THURSDAY, July 27, 2017 (HealthDay News) -- For patients with chronic fatigue syndrome (CFS)/fibromyalgia (FM) or rheumatoid arthritis (RA), morphine has anti-hyperalgesic effects comparable to placebo, according to a study published online July 19 in PAIN Practice.

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Lack of Training Linked to Cancer Patient Caregiver Burden

THURSDAY, July 27, 2017 (HealthDay News) -- For caregivers providing care to cancer patients, lack of training is associated with increasing burden, according to a study published online July 20 in Cancer.

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Bariatric Surgery Delay Can Result in Worse Outcomes

WEDNESDAY, July 26, 2017 (HealthDay News) -- Bariatric surgery at body mass index (BMI) less than 40 kg/m² tends to achieve better results, according to research published online July 26 in JAMA Surgery.

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New Alcohol Screening, Brief Intervention Manual Developed

WEDNESDAY, July 26, 2017 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has announced the development of a new alcohol screening and brief intervention manual for use in family medicine practices.

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SAMHSA: Opioid Abuse Up Among Older Adults

WEDNESDAY, July 26, 2017 (HealthDay News) -- While opioid abuse has decreased among younger Americans, the same cannot be said for older adults, according to the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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AHA Hands-Only CPR Training Kiosks Available at More Airports

WEDNESDAY, July 26, 2017 (HealthDay News) -- Hands-only cardiopulmonary resuscitation (CPR) training is now available at kiosks in three more major U.S. airports, bringing the total number to seven, according to a news release from the American Heart Association (AHA).

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Financial Incentives Found to Up Colonoscopy Participation

WEDNESDAY, July 26, 2017 (HealthDay News) -- In a study published recently in Gastroenterology, a cash incentive of $100 was tied to increased colorectal screening rates in eligible adults.

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Penile Microbiome May Be Risk Factor for HIV in Men

WEDNESDAY, July 26, 2017 (HealthDay News) -- The microbiome of the area on the penis located under the foreskin in uncircumcised straight men has been linked to increased risk for contracting HIV, according to a study published in the July 25 issue of mBio.

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Many With Cancer Hospitalized, Undergo Imaging at End of Life

WEDNESDAY, July 26, 2017 (HealthDay News) -- About half of cancer patients are hospitalized and undergo at least one imaging scan at the end of life, according to a study published online July 24 in the Journal of Oncology Practice.

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Case Highlights Polygenic Risk in Severe Hypertriglyceridemia

WEDNESDAY, July 26, 2017 (HealthDay News) -- Polygenic risk can mimic major monogenic mutation in severe hypertriglyceridemia, according to a case report published online July 25 in the Annals of Internal Medicine.

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Left Ventricular Mass Index Predicts All-Cause Mortality

WEDNESDAY, July 26, 2017 (HealthDay News) -- Left ventricular (LV) mass index independently predicts all-cause mortality and the need for revascularization in patients undergoing invasive coronary angiography, according to a study published online July 19 in JACC: Cardiovascular Imaging.

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Memantine Linked to Lower Neuron-Specific Enolase in TBI

WEDNESDAY, July 26, 2017 (HealthDay News) -- For patients with moderate traumatic brain injury (TBI), memantine is associated with reduced neuronal damage, as assessed by serum levels of neuron-specific enolase (NSE), according to a study published online July 19 in the Journal of Clinical Pharmacology.

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Infection Is Most Common Complication of Prostate Biopsy

WEDNESDAY, July 26, 2017 (HealthDay News) -- The most common complication of prostate biopsy is infection, with mild bleeding also reported, according to an update of the American Urological Association White Paper published in the August issue of The Journal of Urology.

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Health Benefits of Healthy Lifestyle Quantified in U.S.

WEDNESDAY, July 26, 2017 (HealthDay News) -- For people age 50 years and older, having a favorable behavioral profile is associated with increased life expectancy and delayed onset of disability compared with the whole U.S. population, according to a study published online July 19 in Health Affairs.

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Nearly All Donated Brains From NFL Players Show CTE

TUESDAY, July 25, 2017 (HealthDay News) -- Ninety-nine percent of former National Football League (NFL) players who donated their brain to science were found to have chronic traumatic encephalopathy (CTE), according to a case series published in the July 25 issue of the Journal of the American Medical Association.

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Survey Reveals Prediabetes Knowledge Gaps in Primary Care

TUESDAY, July 25, 2017 (HealthDay News) -- Most primary care physicians (PCPs) can't identify all 11 risk factors for prediabetes, according to a study published online July 20 in the Journal of General Internal Medicine.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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Stress Echo Value Questioned for Asymptomatic Aortic Stenosis

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with asymptomatic aortic stenosis (AS), neither increase in mean pressure gradient (MPG) nor systolic pulmonary artery pressure (SPAP) predicts outcome, according to a study published online July 19 in JACC: Cardiovascular Imaging.

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Obesity in Teens Ups Colon, Rectal Cancer Risk in Adulthood

TUESDAY, July 25, 2017 (HealthDay News) -- Obesity even in adolescence may raise the odds for colon and rectal cancers in adulthood, according to research published online July 24 in Cancer.

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No Need for Obese Patients to Lose Weight Before THR, TKR

TUESDAY, July 25, 2017 (HealthDay News) -- Obese patients don't need to lose weight before undergoing knee or hip replacement surgery, according to a study published online July 19 in the The Journal of Bone & Joint Surgery.

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ADHD Rx Associated With a Lower Risk for Alcohol, Drug Abuse

TUESDAY, July 25, 2017 (HealthDay News) -- Teens and adults with attention-deficit/hyperactivity disorder (ADHD) may have a lower risk of developing an alcohol or drug problem if they take medications to treat their ADHD, according to a study published online recently in the American Journal of Psychiatry.

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Noninvasive Oral Fluid-Based Immunoassay IDs Hepatitis E

TUESDAY, July 25, 2017 (HealthDay News) -- A noninvasive oral fluid-based immunoassay has high sensitivity and specificity for identifying recent and past hepatitis E virus (HEV) infection, according to a study published in the Journal of Immunological Methods.

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Continuing Statin After Adverse Rx Tied to Lower Cardiac Risk

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with an adverse reaction to a statin, continued statin prescriptions are associated with lower incidence of cardiovascular events and death, according to a study published online July 25 in the Annals of Internal Medicine.

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Fasting Plasma Glucose, HbA1c Linked to Alzheimer's in T2DM

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), fasting plasma glucose (FPG) visit-to-visit variation, represented by the coefficient of variation (CV), and hemoglobin A1c (HbA1c) CV are independently associated with Alzheimer's disease (AD), according to a study published online July 13 in Diabetes Care.

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Many Americans Qualify As 'Overfat'

MONDAY, July 24, 2017 (HealthDay News) -- Traditional measurements do not fully capture the high rates of "overfat" individuals in developed countries, according to a study published online July 24 in Frontiers in Public Health.

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Mortality, Second Stroke Risk Up for Initially Stable Survivors

MONDAY, July 24, 2017 (HealthDay News) -- Risk of a second stroke or transient ischemic attack (TIA) remains considerable for at least five years after the first event, according to a study published online July 24 in CMAJ, the journal of the Canadian Medical Association.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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Provider-, Site-Level Factors Linked to Testosterone Receipt

MONDAY, July 24, 2017 (HealthDay News) -- Provider- and site-level factors, including experience, specialty, and site location, are associated with testosterone prescribing, according to a study published online July 18 in the Journal of Clinical Endocrinology and Metabolism.

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More Than Half of Murdered U.S. Women Killed by Partners, Exes

MONDAY, July 24, 2017 (HealthDay News) -- Most women murdered in the United States die at the hands of a current or former intimate partner, according to research published in the July 21 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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High-Dose Flu Vaccine Cuts Admissions From Nursing Homes

MONDAY, July 24, 2017 (HealthDay News) -- High-dose influenza vaccination can reduce risk of respiratory-related hospitalization among nursing home residents aged 65 years and older, according to a study published online July 21 in The Lancet Respiratory Medicine.

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Prevalence of Vertebral Fracture Varies With Assessment Method

MONDAY, July 24, 2017 (HealthDay News) -- The prevalence of vertebral fracture varies for different methods of radiological assessment, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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AMA Module Offers Help for Adding Pharmacist to Practice

FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.

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Perceived Physical Activity Level Predicts Mortality

FRIDAY, July 21, 2017 (HealthDay News) -- Perceived physical activity is associated with mortality, even after adjustment for actual physical activity, according to a study published online July 20 in Health Psychology.

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YAG Laser Vitreolysis Can Help Reduce Eye Floaters

FRIDAY, July 21, 2017 (HealthDay News) -- Laser treatment can effectively reduce symptomatic vitreous floaters, according to research published online July 20 in JAMA Ophthalmology.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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'Expansion Pathology' Method Could Mean Earlier Intervention

FRIDAY, July 21, 2017 (HealthDay News) -- A new method, called expansion pathology (ExPath), which is a clinically optimized form of expansion microscopy (ExM), can be used for pathology and clinical research, according to a report published online July 17 in Nature Biotechnology.

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Few Patients Receive Rx for Smoking Cessation Meds After MI

FRIDAY, July 21, 2017 (HealthDay News) -- Among older patients in community practice, the use of smoking cessation medications (SCMs) is low after myocardial infarction (MI), according to a study published online July 19 in JAMA Cardiology.

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Visceral/Subcutaneous Fat Ratio Predicts CVD in T2DM

FRIDAY, July 21, 2017 (HealthDay News) -- For patients with type 2 diabetes, the ratio of visceral fat area (VFA) to subcutaneous fat area (SFA) (V/S ratio) is predictive of cardiovascular disease (CVD), according to a study published online July 7 in the Journal of Diabetes Investigation.

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Worse Outcome for Discharge From ER With Acute Kidney Injury

FRIDAY, July 21, 2017 (HealthDay News) -- Patients with an emergency department discharge with acute kidney injury have increased mortality compared to those with no acute kidney injury, according to a study published online July 20 in the Clinical Journal of the American Society of Nephrology.

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NCI-Designated Care Often Excluded in Narrow Health Plans

THURSDAY, July 20, 2017 (HealthDay News) -- Narrow network health plans are less likely to cover treatment by doctors at centers affiliated with the U.S. National Cancer Institute, according to a study published online July 5 in the Journal of Clinical Oncology.

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More Patients Enrolled in Cancer Trials Under ACA

THURSDAY, July 20, 2017 (HealthDay News) -- The Affordable Care Act may have enabled more privately insured patients to enroll in clinical trials for cancer treatments, according to a study published online July 20 in Clinical Cancer Research.

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Heart Failure Risk Rises As Weight Increases

THURSDAY, July 20, 2017 (HealthDay News) -- Even a little weight gain can increase risk of developing heart failure, according to a report published online July 19 in the Journal of the American Heart Association.

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Improved Survival With Enhanced Prophylaxis Plus ART in HIV

THURSDAY, July 20, 2017 (HealthDay News) -- For patients with advanced HIV who are initiating antiretroviral therapy (ART), enhanced antimicrobial prophylaxis is associated with reduced rates of death at 24 and 48 weeks, according to a study published in the July 20 issue of the New England Journal of Medicine.

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68Ga-Somatostatin Analog PET-CT Linked to Reduced Costs

THURSDAY, July 20, 2017 (HealthDay News) -- For imaging neuroendocrine tumors, 68Ga-somatostatin analog positron emission tomography-computed tomography (PET-CT) is associated with reduced costs compared with 111In-octreotide scintigraphy, according to a study published online July 17 in the Journal of Medical Imaging and Radiation Oncology.

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Earlier Menopause Independently Tied to Higher Risk of T2DM

THURSDAY, July 20, 2017 (HealthDay News) -- The earlier a woman begins menopause, the greater her risk of developing type 2 diabetes, according to a study published online July 18 in Diabetologia.

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'Life's Simple 7' Adherence in 20s Tied to Better Brain Health Later

THURSDAY, July 20, 2017 (HealthDay News) -- People with heart-healthy habits in their 20s tend to have larger, healthier brains in their 40s, according to a study published online July 19 in Neurology.

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ASCO Addresses Cancer Drug Pricing

THURSDAY, July 20, 2017 (HealthDay News) -- Noting that new cancer drugs routinely cost more than $100,000 per year, and prices on many existing treatments continue to rise, the American Society of Clinical Oncology (ASCO) has issued a position statement to address these financial concerns.

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Position Statement

EHR-Based Prompt Ups Hepatitis C Screening for Baby Boomers

THURSDAY, July 20, 2017 (HealthDay News) -- Implementation of an electronic health record (EHR)-based prompt can improve hepatitis C virus (HCV) screening rates among baby boomers, according to a study published online July 17 in Hepatology.

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Capsaicin Nasal Spray Effective for Mixed Rhinitis Patients

THURSDAY, July 20, 2017 (HealthDay News) -- Capsaicin nasal spray is effective for mixed rhinitis (MR) patients, who have more than one major etiologic factor involved in the mucosal pathology, according to a study published online July 16 in Allergy.

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Aspirin Responsiveness Can Change After Bariatric Surgery

THURSDAY, July 20, 2017 (HealthDay News) -- The effects of aspirin on platelet inhibition may be more potent after bariatric surgery, according to a study published online July 14 in Cardiovascular Therapeutics.

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Low Rate of Cancer Recurrence for Nipple-Sparing Mastectomy

WEDNESDAY, July 19, 2017 (HealthDay News) -- Nipple-sparing mastectomy doesn't raise a woman's risk for breast cancer recurrence, according to a study published online July 17 in the Journal of the American College of Surgeons.

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Chronic Disease Risk Rises With Even Slow, Steady Weight Gain

WEDNESDAY, July 19, 2017 (HealthDay News) -- Even a few extra pounds gained in early or middle adulthood can increase risk of chronic diseases such as type 2 diabetes and hypertension, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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CDC: >100 Million Americans Have Diabetes or Prediabetes

WEDNESDAY, July 19, 2017 (HealthDay News) -- As of 2015, 9.4 percent of the population -- 30.3 million -- had diabetes, and another 84.1 million had prediabetes, the U.S. Centers for Disease Control and Prevention reported Tuesday.

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Reduction of Opioid Dose May Improve Pain, Quality of Life

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reductions in opioid dosing might improve pain and function, as well as boost quality of life, according to a report published online July 18 in the Annals of Internal Medicine.

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USPSTF: Ovarian Cancer Screen to Be Avoided for Most Women

WEDNESDAY, July 19, 2017 (HealthDay News) -- The potential harms of ovarian cancer screening outweigh the benefits, so only very specific groups of women should be screened for the disease, the U.S. Preventive Services Task Force (USPSTF) says in a draft recommendation.

Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement

Post-Op Pain May Often Be Underrated by Inpatient Staff

WEDNESDAY, July 19, 2017 (HealthDay News) -- Postoperative pain is frequently underrated when assessed by nursing staff on wards, according to a study published online July 14 in PAIN Practice.

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Survival Feasible Post Acute Liver Failure Secondary to Amiodarone

WEDNESDAY, July 19, 2017 (HealthDay News) -- In a report published online July 16 in the Journal of Clinical Pharmacy and Therapeutics, a case of survival after acute liver failure secondary to amiodarone administration is described.

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Reducing Hospital Readmissions Doesn't Up Mortality Rates

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reducing hospital readmission rates for acute myocardial infarction, heart failure, and pneumonia didn't increase mortality rates, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Rare Skin Manifestations Can Indicate Secondary Syphilis

WEDNESDAY, July 19, 2017 (HealthDay News) -- A rare case of secondary syphilis which primarily presented with multiple nodules on the scalp has been detailed in a case report published online July 17 in the Journal of Dermatology.

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Distress Screening Tied to Fewer ER Visits for Cancer Patients

WEDNESDAY, July 19, 2017 (HealthDay News) -- Adherence to distress screening protocols by cancer programs is associated with lower rates of medical service utilization, according to a study published in the July issue of the Journal of the National Comprehensive Cancer Network.

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Electronic Messaging Intervention Cuts Cardiovascular Risk in T2DM

WEDNESDAY, July 19, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus, a electronic messaging intervention is effective for reducing cardiovascular risk, according to a study published online July 12 in the Journal of Clinical Nursing.

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Guidelines Updated for Diagnosis, Management of NAFLD

TUESDAY, July 18, 2017 (HealthDay News) -- A practice guidance statement, published online July 17 in Hepatology, has been developed to augment the clinical practice guidelines for the diagnosis and management of non-alcoholic fatty liver disease (NAFLD).

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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NT-proBNP Improves Heart Failure Prediction in T2DM

TUESDAY, July 18, 2017 (HealthDay News) -- For patients with type 2 diabetes, N-terminal pro-B-type natriuretic peptide (NT-proBNP) improves prediction of heart failure, according to a study published online July 6 in Diabetes Care.

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Measles Outbreak Identified in Minnesota Is Ongoing

TUESDAY, July 18, 2017 (HealthDay News) -- An outbreak of measles has been identified in Minnesota, according to a report published in the July 14 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Sunscreen Application Doesn't Provide Complete Body Cover

TUESDAY, July 18, 2017 (HealthDay News) -- Routine sunscreen application does not provide complete body coverage, according to a study published online July 12 in the International Journal of Cosmetic Science.

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Hospitalists Have Role to Play in Mitigating Opioid Use Disorder

TUESDAY, July 18, 2017 (HealthDay News) -- Hospitalists have an important role to play in mitigating opioid use disorder (OUD), according to an article published online July 18 in the Annals of Internal Medicine.

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Type of Plant-Based Diet Affects Risk of Coronary Heart Disease

TUESDAY, July 18, 2017 (HealthDay News) -- While a plant-based diet can reduce risk of coronary heart disease (CHD), not all plant-based foods are equally healthy, and this distinction deserves more emphasis in dietary recommendations, according to a study published in the July 25 issue of the Journal of the American College of Cardiology.

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Risk of Heart, Respiratory Disease Up in 9/11 Survivors

MONDAY, July 17, 2017 (HealthDay News) -- Rescue workers and survivors of the 9/11 terrorist attacks on the World Trade Center seem to have an increased risk for heart and lung diseases years later, according to findings published online July 17 in Injury Epidemiology.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Few Americans Aware of Possible Increased Risk This Tick Season

MONDAY, July 17, 2017 (HealthDay News) -- Scientists have predicted an upswing in the tick population this summer, which could potentially mean more tick-borne infections, but few Americans are aware of this, a new HealthDay/Harris Poll shows.

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Stem Cell Educator Therapy May Help Fight Diabetes

MONDAY, July 17, 2017 (HealthDay News) -- Stem cell educator therapy may provide long term benefits in type 1 and type 2 diabetes, according to a study published online July 7 in Stem Cells Translational Medicine.

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Opioids Often Overprescribed in Patients Undergoing Surgery

MONDAY, July 17, 2017 (HealthDay News) -- For patients undergoing common elective procedures, opioids are often overprescribed, according to a study published online July 10 in the Annals of Surgery.

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~10 Percent Present to ER After Hysterectomy for Benign Disease

MONDAY, July 17, 2017 (HealthDay News) -- Overall, 9.1 percent of women who undergo hysterectomy for benign disease present to the emergency department and are not readmitted to the hospital, according to research published in the August issue of Obstetrics & Gynecology.

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Female Physicians Found More Likely to Leave Rural Practice

MONDAY, July 17, 2017 (HealthDay News) -- Factors associated with physician mobility include smaller population size and lower primary care physician supply, according to a study published online in the July/August issue of the Annals of Family Medicine.

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Organizational Changes Encouraged for Safer Prescribing

MONDAY, July 17, 2017 (HealthDay News) -- Organizational changes are recommended by primary care physicians to support safer prescribing, according to a study published in the July/August issue of the Annals of Family Medicine.

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Worse Outcomes for HIV Kidney Recipients on PI-Based ART

FRIDAY, July 14, 2017 (HealthDay News) -- For HIV-positive kidney transplantation (KT) recipients, outcomes are worse for those on a protease inhibitor (PI)-based versus non-PI-based antiretroviral therapy (ART) regimen, according to a study published online July 11 in the American Journal of Transplantation.

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Higher Inpatient Spending Tied to Better Outcomes

FRIDAY, July 14, 2017 (HealthDay News) -- Investing more in inpatient care relative to longer-term nursing facilities may help reduce mortality rates, according to a study published in the July issue of the Journal of Health Economics.

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Long Working Hours May Increase Risk of Developing A-Fib

FRIDAY, July 14, 2017 (HealthDay News) -- Working long hours could increase risk of atrial fibrillation, according to a study published online July 13 in the European Heart Journal.

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Lifestyle Factors Predict Independent Aging in Older Men

FRIDAY, July 14, 2017 (HealthDay News) -- Lifestyle factors are associated with independent aging for men aged 85 years and older, according to a study published online July 7 in the Journal of the American Geriatrics Society.

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ALS, Parkinson's Mortality Up for White-Collar Workers

FRIDAY, July 14, 2017 (HealthDay News) -- White collar workers have a higher risk of death from Parkinson's disease or amyotrophic lateral sclerosis (ALS), according to research published in the July 14 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Sinus Symptoms Improve 10 Years After Quitting Smoking

FRIDAY, July 14, 2017 (HealthDay News) -- Symptoms of chronic rhinosinusitis (CRS) can be reversed within 10 years after quitting smoking, according to a study published online July 12 in Otolaryngology-Head and Neck Surgery.

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Bismuth-Based Quad Tx Doesn't Top Levofloxacin Triple Tx

FRIDAY, July 14, 2017 (HealthDay News) -- For patients with Helicobacter pylori infection, the addition of bismuth subcitrate to levofloxacin-based triple therapy is not associated with increased effectiveness, although there are no more side effects, according to a study published online June 23 in the Journal of Digestive Diseases.

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Thyroid Status Linked to Impaired HRQoL in Dialysis Patients

FRIDAY, July 14, 2017 (HealthDay News) -- For hemodialysis patients, thyroid status is asso