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June 2018 Briefing - Family Practice

Mon, Jul 2, 2018

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for June 2018. 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.

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) -- Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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Course

Prehabilitation May Improve Post Cardiac Surgery Outcomes

FRIDAY, June 29, 2018 (HealthDay News) -- A three-pronged approach to prehabilitation, which includes improving nutritional status, exercise capacity, and worry reduction, may improve outcomes after cardiac surgery, according to a study published online June 27 in the Canadian Journal of Cardiology.

Abstract/Full Text (subscription or payment may be required)

Most Pediatricians in the United States Do Not Support Spanking

FRIDAY, June 29, 2018 (HealthDay News) -- Most pediatricians in the United States do not support spanking children and are aware of evidence that spanking increases the risk of poor health outcomes in children, according to a study published in the Journal of Developmental & Behavioral Pediatrics.

Abstract/Full Text (subscription or payment may be required)

Direct Primary Care Can Be Beneficial to Patients

FRIDAY, June 29, 2018 (HealthDay News) -- Conversion to direct primary care (DPC)/retainer-based/concierge care models does not necessarily result in patient abandonment, but rather in improved patient care, according to a blog post published June 18 in Medical Economics.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) -- The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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Decision Tree Model Can ID Behaviors Linked to Sunburn Risk

FRIDAY, June 29, 2018 (HealthDay News) -- A decision tree analytic technique shows the interactive effects of sun protective behaviors on the likelihood of sunburn, according to a study published online June 27 in JAMA Dermatology.

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Weight Loss Linked to Reversal of Atrial Fibrillation Progression

FRIDAY, June 29, 2018 (HealthDay News) -- For obese patients offered weight and risk factor management (RFM), weight loss is associated with reversal of the type and progression of atrial fibrillation (AF), according to a study published online June 14 in Europace.

Abstract/Full Text (subscription or payment may be required)

Twitter Posts Reveal Use of JUUL Vaporizer by Minors at School

FRIDAY, June 29, 2018 (HealthDay News) -- Data from social media capture early public experiences with the JUUL vaporizer, a nicotine delivery device that is the size and shape of a thumb drive, according to a study published in the June 26 issue of Drug and Alcohol Dependence.

Abstract/Full Text (subscription or payment may be required)

Data Needed on New Type 2 Diabetes Therapies in Pregnancy

FRIDAY, June 29, 2018 (HealthDay News) -- Evidence is lacking on pregnancy outcomes with new glucose-lowering agents used for treating type 2 diabetes (T2DM), according to a study published online May 28 in Diabetes, Obesity and Metabolism.

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Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk

FRIDAY, June 29, 2018 (HealthDay News) -- Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology.

Abstract/Full Text (subscription or payment may be required)

FDA Approves Continuous Glucose Monitoring System

THURSDAY, June 28, 2018 (HealthDay News) -- The Eversense Continuous Glucose Monitoring (CGM) system, which has a fully implantable sensor to detect glucose, has been approved by the U.S. Food and Drug Administration for use in people age 18 years and older with diabetes.

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New Rules May Constrain Docs' Ability to Treat Chronic Pain

THURSDAY, June 28, 2018 (HealthDay News) -- New laws and regulations designed to limit the use of prescription narcotics may further constrain doctors' ability to treat patients, according to an article published online May 30 in Medical Economics.

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Variation in Quality of Trials for Atrial Fibrillation, Flutter

THURSDAY, June 28, 2018 (HealthDay News) -- The quality of atrial fibrillation/atrial flutter (AF/AFL) trials is variable, and trials often rely on recurrence as the primary endpoint, according to a review published online June 27 in JACC: Clinical Electrophysiology.

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Genetic Risk, Lifestyle Predict CVD, Diabetes Independently

THURSDAY, June 28, 2018 (HealthDay News) -- Genetic risk and lifestyle are independent predictors of incident cardiovascular disease and diabetes, according to a study published online June 27 in JAMA Cardiology.

Abstract/Full Text (subscription or payment may be required)

Midlife Fitness Linked to Lower Risk of Depression, CVD Death

THURSDAY, June 28, 2018 (HealthDay News) -- Midlife fitness is associated with reduced risk of depression in later life and with reductions in the risk of cardiovascular disease (CVD) mortality and CVD mortality after later-life depression, according to a study published online June 27 in JAMA Psychiatry.

Abstract/Full Text

Prenatal Pediatric Visit Recommended for Expectant Families

THURSDAY, June 28, 2018 (HealthDay News) -- All expectant families should have a pediatric prenatal visit, according to a clinical report published online June 25 in Pediatrics.

Abstract/Full Text

Combination of LABA + Inhaled Glucocorticoid Safe in Asthma

THURSDAY, June 28, 2018 (HealthDay News) -- Compared to treatment with an inhaled glucocorticoid alone, combination therapy with a long-acting β2-agonist (LABA) and an inhaled glucocorticoid is not associated with a significantly higher risk of serious asthma-related events, according to a study published online June 27 in the New England Journal of Medicine.

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USPSTF Favors Osteoporosis Screening to Prevent Fracture

THURSDAY, June 28, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis to prevent fractures for women aged ≥65 years and for postmenopausal women aged <65 years at increased risk of osteoporosis. These findings form the basis of a final recommendation statement published online June 26 in the Journal of the American Medical Association.

Final Recommendation
Evidence Review
Editorial

Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) -- Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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Few Hemodialysis Patients on Medicare Enroll in Hospice

WEDNESDAY, June 27, 2018 (HealthDay News) -- Among Medicare beneficiaries on hemodialysis, few patients are enrolled in hospice at the end of life, regardless of the spending trajectory during the last year of life, according to a study published in the June issue of Health Affairs.

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Binge Drinking Linked to Increased Systolic BP in Men

WEDNESDAY, June 27, 2018 (HealthDay News) -- For men, binge drinking is associated with increased systolic blood pressure and any drinking is associated with an increased relative risk of hypertension, according to two studies published online June 27 in the Journal of the American Heart Association.

Abstract/Full Text -- Piano
Abstract/Full Text -- Roerecke

Most Bleeding Events in Non-CVD Patients Are GI-Related

WEDNESDAY, June 27, 2018 (HealthDay News) -- Among a cohort of individuals without cardiovascular disease (CVD) not receiving antiplatelet therapy, most major bleeding events involved gastrointestinal bleeding and 7 percent of bleeding events were fatal, according to a study published online June 26 in the Journal of the American Medical Association.

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Half of CV Events Occur from Two to Five Years Post-TIA, -Stroke

WEDNESDAY, June 27, 2018 (HealthDay News) -- For patients who experienced a transient ischemic attack (TIA) or minor stroke, the rate of a composite of stroke, acute coronary syndrome, or death from cardiovascular causes is 12.9 percent at five years, with half of these events occurring in the second through fifth years, according to a study published June 7 in the New England Journal of Medicine.

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Missed Opportunities for HIV Diagnosis Among Those at Risk

WEDNESDAY, June 27, 2018 (HealthDay News) -- Considerable numbers of men who have sex with men (MSM) and persons who inject drugs (PWID) who are unaware of their HIV infection report missed opportunities for diagnosis, according to a research letter published online June 26 in the Journal of the American Medical Association.

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National HIV Testing Day Is on June 27

WEDNESDAY, June 27, 2018 (HealthDay News) -- In honor of National HIV Testing Day, health care providers should encourage people to get an HIV test.

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Decline in Medicare Patients Who Die in Acute Care Hospitals

WEDNESDAY, June 27, 2018 (HealthDay News) -- Medicare fee-for-service beneficiaries were less likely to die in acute care hospitals in 2015 than in 2000, according to a study published online June 25 in the Journal of the American Medical Association.

Abstract/Full Text

Intervention Programs Prevent Diabetes Distress in Teens

WEDNESDAY, June 27, 2018 (HealthDay News) Intervention programs that start before psychological symptoms develop can prevent diabetes distress (DD) in teens with type 1 diabetes, according to a study published in the June issue of Diabetes Care.

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Sleep Disruption Increases Risk of Atrial Fibrillation

WEDNESDAY, June 27, 2018 (HealthDay News) -- Sleep disruption consistently predicts risk of atrial fibrillation (AF) before and after adjusting for obstructive sleep apnea, according to a study published online June 25 in Heart Rhythm.

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CDC, APhA Create Guide for Community-Clinical Linkages

TUESDAY, June 26, 2018 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention and the American Pharmacists Association have created a guide that describes community-clinical linkages, which are connections among the community, clinics, and other settings where primary care is provided, according to an article published in Drug Topics.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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Authors Explore Overdiagnosis in Cancer Screening

TUESDAY, June 26, 2018 (HealthDay News) -- Recommendations for defining, estimating, and communicating overdiagnosis in cancer screening are discussed in a special article published online June 25 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)

More Than 2,000 U.S. Campuses Smoke-Free as of Nov. 2017

TUESDAY, June 26, 2018 (HealthDay News) -- As of November 2017, at least 2,082 U.S. college and university campuses had smoke-free policies, with most of these campuses tobacco-free, prohibiting both smoking and smokeless tobacco products, according to a study published online June 21 in Morbidity and Mortality Weekly Report.

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New Hospital-at-Home Care Model Tied to Better Outcomes

TUESDAY, June 26, 2018 (HealthDay News) -- Hospital-at-home (HaH) care, along with 30-day post-acute transitional care, is associated with better patient outcomes and satisfaction with care than inpatient hospitalization, according to a study published online June 25 in JAMA Internal Medicine.

Abstract/Full Text
Editorial

Insulin Glargine 300 Safe, Effective in Seniors With T2DM

TUESDAY, June 26, 2018 (HealthDay News) -- For older adults, insulin glargine 300 units/mL (Gla-300) is safe and as effective as Gla-100, with a similarly low or lower risk of symptomatic hypoglycemia, according to a study published online June 12 in Diabetes Care.

Abstract/Full Text (subscription or payment may be required)

Early Preterm Birth Linked to Increased ADHD Symptoms

TUESDAY, June 26, 2018 (HealthDay News) -- Early preterm birth is associated with a higher level of attention deficit/hyperactivity disorder (ADHD) symptoms in preschool children after accounting for unmeasured genetic and environmental factors, according to a study published online June 25 in JAMA Pediatrics.

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Cannabis Use Prevalence Up Across Adult Age Groups

TUESDAY, June 26, 2018 (HealthDay News) -- Across adult age categories, there was an increase in the prevalence of daily cannabis use after 2007, according to a study published online June 13 in the Journal of Studies on Alcohol and Drugs.

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Percentage of Teens Trying to Lose Weight Decreasing

MONDAY, June 25, 2018 (HealthDay News) -- From 1988-1994 to 2009-2014 there was an increase in the prevalence of overweight and obesity among U.S. adolescents and a decrease in the percentage who tried to lose weight, according to a research letter published online June 25 in JAMA Pediatrics.

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Direct-Acting Antivirals Effective for Hepatitis C in Seniors

MONDAY, June 25, 2018 (HealthDay News) -- For older patients with hepatitis C virus (HCV), direct-acting antiviral (DAA) therapy is effective, according to a study published online May 25 in the Journal of the American Geriatrics Society.

Abstract/Full Text (subscription or payment may be required)

Parents Urged to Ask Playdates If There Is a Gun in the Home

MONDAY, June 25, 2018 (HealthDay News) -- The American Academy of Pediatrics (AAP) is urging parents to ask a simple question before sending their children over to play at someone's house: "Is there an unlocked gun in your house?"

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Efavirenz Doesn't Up Depression, Suicidal Ideation in HIV-Infected

MONDAY, June 25, 2018 (HealthDay News) -- For persons living with HIV (PLHIV) in Uganda, use of efavirenz is not associated with increased risk of depression or suicidal ideation, according to a study published online June 26 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)

AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) -- At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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Aspirin Use Doesn't Cut Cancer Incidence in Older T2DM Patients

MONDAY, June 25, 2018 (HealthDay News) -- For Japanese patients with type 2 diabetes, low-dose aspirin is not associated with reduced cancer incidence, except in those younger than 65 years, according to a study published online June 16 in Diabetes Care.

Abstract/Full Text (subscription or payment may be required)

Vertical Mergers Could Be Challenging for Primary Care

MONDAY, June 25, 2018 (HealthDay News) -- Vertical level mergers, which incorporate not just health care providers, but also insurers, retailers, and pharmacy benefit managers (PBMs), could pose challenges in primary care, according to an article published in Medical Economics.

Abstract/Full Text

Increased Adiposity Tied to Lower Premenopausal Breast CA Risk

MONDAY, June 25, 2018 (HealthDay News) -- Across body mass index (BMI) distribution, increased BMI is associated with reduced risk of premenopausal breast cancer, according to a study published online June 21 in JAMA Oncology.

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Many Childhood CA Survivors Not Concerned About Future Health

MONDAY, June 25, 2018 (HealthDay News) -- A substantial number of adult childhood cancer survivors are unconcerned about their future health and subsequent cancer risks, according to a study published online June 25 in Cancer.

Abstract/Full Text (subscription or payment may be required)

Corneal Abnormalities Seen With Down Syndrome

MONDAY, June 25, 2018 (HealthDay News) -- Patients with Down syndrome (DS) have steeper and thinner corneas and more corneal aberrations than patients without DS, according to a study published online June 21 in JAMA Ophthalmology.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

U.S. High School Students Report Sport-Linked Concussion

MONDAY, June 25, 2018 (HealthDay News) -- The prevalence of concussion among U.S. high school students related to playing a sport or being physically active is 15.1 percent per year, according to research published in the June 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Risk of OD Highest for First Days of Opioid + Benzodiazepine Use

FRIDAY, June 22, 2018 (HealthDay News) -- Concurrent benzodiazepine use is associated with increased risk of opioid-related overdose, with the risk highest on the first days of concurrent use, according to a study published online June 22 in JAMA Network Open.

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Some California Mosquitoes Can Carry Zika Virus

FRIDAY, June 22, 2018 (HealthDay News) -- Aedes mosquitoes in California can spread the Zika virus, according to a study published online June 21 in PLOS Neglected Tropical Diseases.

Abstract/Full Text

E-Cigarettes May Help Some Quit Tobacco Smoking

FRIDAY, June 22, 2018 (HealthDay News) -- Some individuals self-report that electronic cigarettes (e-cigarettes) help them quit smoking conventional cigarettes, according to a small study published online June 20 in the Harm Reduction Journal.

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Presence of Nurse Practitioners Growing in Primary Care

FRIDAY, June 22, 2018 (HealthDay News) -- Nurse practitioners (NPs) are a growing segment of the primary care workforce, according to a study published in the June issue of Health Affairs.

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Police Killings of Unarmed Blacks Impact Community Mental Health

FRIDAY, June 22, 2018 (HealthDay News) -- For black U.S. adults, police killings of unarmed black Americans have adverse effects on mental health, according to a study published online June 21 in The Lancet.

Abstract
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Editorial (subscription or payment may be required)

Allergic Rhinitis Has Negative Impact on QOL in Teens

FRIDAY, June 22, 2018 (HealthDay News) -- For adolescents, allergic rhinitis (AR) has a negative impact, affecting quality of life, daily functioning, and sleep, according to a review published online recently in the Annals of Allergy, Asthma & Immunology.

Abstract/Full Text

Most Teens, Young Adults With Type 1 Diabetes Report Stigma

FRIDAY, June 22, 2018 (HealthDay News) -- Stigma is common in teens with type 1 diabetes and is associated with poor glycemic control, according to a study published recently in the Journal of Medical Internet Research.

Abstract/Full Text

Outpatient Care Less Efficient for Neonatal Abstinence Syndrome

FRIDAY, June 22, 2018 (HealthDay News) -- In infants with neonatal abstinence syndrome (NAS) outpatient pharmacotherapy is associated with longer length of therapy and higher rates of emergency department utilization than exclusive inpatient treatment, according to a study published online May 10 in The Journal of Pediatrics.

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Many Physicians Not Prepared for End-of-Life Talks With Patients

THURSDAY, June 21, 2018 (HealthDay News) -- While nearly all physicians say end-of-life conversations are important, many report lacking the training to have such conversations, according to a brief report published online May 23 in the Journal of the American Geriatrics Society.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) -- More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

Abstract/Full Text

Few Receive All High-Priority Clinical Preventive Services

THURSDAY, June 21, 2018 (HealthDay News) -- Only 8 percent of U.S. adults aged 35 years and older receive all high-priority clinical preventive services, according to a report published in the June issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Valuing Gluten-Free Food Tied to Better Dietary Intake

THURSDAY, June 21, 2018 (HealthDay News) -- Young adults who value gluten-free food usually do so as part of a healthier dietary pattern, though they are also more likely to engage in unhealthy weight control activities, according to a study published online June 18 in the Journal of the Academy of Nutrition and Dietetics.

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No Causal Effect of 25(OH)D on Gestational HTN, Preeclampsia

THURSDAY, June 21, 2018 (HealthDay News) -- Vitamin D status does not have a causal effect on gestational hypertension or preeclampsia, according to research published online June 20 in The BMJ.

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New Recommendations Guide Arthritis Pain Management

THURSDAY, June 21, 2018 (HealthDay News) -- The European League Against Rheumatism has released recommendations -- published in the June issue of the Annals of the Rheumatic Diseases -- for health professionals to use in approaching pain management in inflammatory arthritis (IA) and osteoarthritis (OA).

Abstract/Full Text

Rate of Death Up in Year After Non-Fatal Opioid Overdose

THURSDAY, June 21, 2018 (HealthDay News) -- There is a marked excess of deaths among U.S. adults who experience a non-fatal opioid overdose, according to a study published online June 20 in JAMA Psychiatry.

Abstract/Full Text

User Ratings Didn't Catch Blood Pressure App Inaccuracies

THURSDAY, June 21, 2018 (HealthDay News) -- User reviews and ratings of a popular, yet inaccurate, blood pressure-measuring mobile app were largely positive, according to a study published online June 7 in the Journal of the American Medical Informatics Association.

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Parents Say Cancer Prevention Best Reason for HPV Vaccination

THURSDAY, June 21, 2018 (HealthDay News) -- Parents view cancer prevention as the best reason for guideline-consistent human papillomavirus (HPV) vaccination, according to a study published online June 14 in Cancer Epidemiology, Biomarkers & Prevention.

Abstract/Full Text (subscription or payment may be required)

70 Sickened So Far in Salmonella-Tainted Melon Outbreak

WEDNESDAY, June 20, 2018 (HealthDay News) -- A salmonella outbreak linked to melons and fruit salad mixes continues to expand, say officials at the U.S. Centers for Disease Control and Prevention.

FDA Recall Notice
CDC Press Release

Florida Teen First Human Case of Another Mosquito-Borne Virus

WEDNESDAY, June 20, 2018 (HealthDay News) -- The first confirmed human case of Keystone virus -- named after the location in the Tampa Bay area where it was first identified in 1964 -- has been diagnosed in a Florida teen, but it's likely that infection with the mosquito-borne disease is common among state residents, researchers report.

Abstract/Full Text (subscription or payment may be required)
Press Release

NIH Initiative Aims to Address Opioid Misuse Over Long Term

WEDNESDAY, June 20, 2018 (HealthDay News) -- A novel, innovative initiative is being developed to help end addiction over the long term, according to a viewpoint article published online June 12 in the Journal of the American Medical Association.

Abstract/Full Text

AAFP Still Recommends CRC Screening From Age 50 to 75

WEDNESDAY, June 20, 2018 (HealthDay News) -- In accordance with the U.S. Preventive Services Task Force (USPSTF), the American Academy of Family Physicians (AAFP) does not intend to change its recommendations for colorectal cancer screening based on the recent change in the American Cancer Society (ACS) guideline.

AAFP Recommendation
ACS Policy Update

AMA Seeks to Make Long-Term Care Services More Affordable

WEDNESDAY, June 20, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a policy to make long-term care insurance simpler, more affordable, more innovative, and part of automatic enrollment for current employees and retirees.

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Adult Obesity Prevalence Varies With Level of Urbanization

WEDNESDAY, June 20, 2018 (HealthDay News) -- For U.S. adult males and females, the prevalence of obesity is 38.9 percent and varies with level of urbanization, according to a study published in the June 19 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)

HbA1c Targets Should Be Personalized in Type 2 Diabetes

WEDNESDAY, June 20, 2018 (HealthDay News) -- For non-pregnant adults with type 2 diabetes, hemoglobin A1c (HbA1c) targets should be personalized, according to a Clinical Guidelines Synopsis published in the June 19 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)

Attitudes Among Obese Are Not Aligned With Healthy Living

WEDNESDAY, June 20, 2018 (HealthDay News) -- Food-related policies differently impact consumers with obesity and healthy weight, according to a report published by the Hudson Institute.

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Cardiovascular Comorbidity Tied to Hearing Loss in Older Old

WEDNESDAY, June 20, 2018 (HealthDay News) -- Cardiovascular disease (CVD) and related risk factors are associated with hearing loss among the older old, according to a study published online June 14 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract/Full Text

Some Neonatal Risks for Lithium Exposure in Pregnancy

WEDNESDAY, June 20, 2018 (HealthDay News) -- In utero lithium exposure is associated with an increased risk for neonatal readmission and major malformations, according to a meta-analysis published online June 18 in The Lancet Psychiatry.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

FIRS: Guidance Offered for Protecting Youth From E-Cigarettes

WEDNESDAY, June 20, 2018 (HealthDay News) -- Youth should be protected from electronic cigarettes and other nicotine delivery devices, according to a position statement from the Forum of International Respiratory Societies published online May 31 in the European Respiratory Journal.

Abstract/Full Text

Sociodemographic Factors Impact Heart-Healthy Behaviors

WEDNESDAY, June 20, 2018 (HealthDay News) -- Socioeconomic factors, largely outside an individual's control, account for racial differences in cardiovascular health behaviors, according to a study published in the July issue the American Journal of Preventive Medicine.

Abstract/Full Text (subscription or payment may be required)

Various Factors Affect Progress in Back-Related Leg Pain, Sciatica

WEDNESDAY, June 20, 2018 (HealthDay News) -- In back-related leg pain and sciatica patients, belief in a long recovery and the number of other symptoms attributed to the pain are independently negatively associated with improvement, according to a study published in the June issue of The Spine Journal.

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Prevalence of Obesity 17.8 Percent for Youth in 2013 to 2016

TUESDAY, June 19, 2018 (HealthDay News) -- The prevalence of obesity and severe obesity among U.S. youth was 17.8 and 5.8 percent, respectively, in 2013 to 2016, according to a study published in the June 19 issue of the Journal of the American Medical Association.

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Increased Levels of Distress for Firearm Victimization

TUESDAY, June 19, 2018 (HealthDay News) -- Firearm victimization is associated with increased levels of distress, according to a research letter published online June 19 in the Annals of Internal Medicine.

Abstract/Full Text

J-Shaped Association for Alcohol, Mortality in Older Adults

TUESDAY, June 19, 2018 (HealthDay News) -- In older adults there is a J-shaped association between alcohol and mortality, according to a study published online June 19 in PLOS Medicine.

Abstract/Full Text

Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) -- Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

Abstract/Full Text

Many Women Report Vasomotor Symptoms in Their 60s

TUESDAY, June 19, 2018 (HealthDay News) -- A substantial proportion of women older than 60 years may experience moderate-to-severe vasomotor symptoms (msVMS), according to a study published online May 7 in Menopause.

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Recent-Onset Diabetes Tied to Increased Pancreatic Cancer Risk

TUESDAY, June 19, 2018 (HealthDay News) -- Recent-onset diabetes is associated with more than a two-fold greater increase in risk of pancreatic cancer (PC) than long-standing diabetes in African-Americans and Latinos, according to a study published online June 18 in the Journal of the National Cancer Institute.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Less Improvement in AHA Diet Score for SNAP Participants

TUESDAY, June 19, 2018 (HealthDay News) -- Participants in the Supplemental Nutrition Assistance Program (SNAP) have less improvement in American Heart Association (AHA) diet scores than other U.S. adults, according to a study published online June 15 in JAMA Network Open.

Abstract/Full Text
Editorial

Pharmacologic Tx Should Be Used Sparingly for Reflux in Preemies

TUESDAY, June 19, 2018 (HealthDay News) -- Conservative measures to control reflux have limited effect on signs of gastroesophageal reflux (GER) in preterm infants, and pharmacologic treatments should be used sparingly, according to a clinical report published online June 18 in Pediatrics.

Abstract/Full Text

Mental Health Declining for Disadvantaged U.S. Adults

TUESDAY, June 19, 2018 (HealthDay News) -- Mental health seems to be declining among Americans of low relative socioeconomic position, according to a study published online June 18 in the Proceedings of the National Academy of Sciences.

Abstract
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Meds for Opioid Use Disorder May Reduce Mortality in OD Survivors

MONDAY, June 18, 2018 (HealthDay News) -- Use of medications for opioid use disorder (MOUD) is associated with a reduction in all-cause and opioid-related mortality after opioid overdose, according to a study published online June 19 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Single Blood Sample Test May Help ID Undiagnosed Diabetes

MONDAY, June 18, 2018 (HealthDay News) -- Single-sample confirmatory testing for diabetes has a high positive predictive value for subsequent diagnosis, according to a study published online June 19 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Pharmacists Are Well Placed to Improve Adult Vaccination Rates

MONDAY, June 18, 2018 (HealthDay News) -- Pharmacists can help increase adult vaccination rates by offering vaccination at lower cost and greater convenience, according to a study published by the Pacific Research Institute.

Press Release
Report

One-Third of U.S. Children, Teens Use Dietary Supplements

MONDAY, June 18, 2018 (HealthDay News) -- Approximately one-third of U.S. children and adolescents use dietary supplements, according to a research letter published online June 18 in JAMA Pediatrics.

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AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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CDC: Many High School Students Engage in Health-Risk Behaviors

MONDAY, June 18, 2018 (HealthDay News) -- Many high school students are engaged in health-risk behaviors, according to research published June 15 in the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Abstract/Full Text

Cleared Blood Glucose Monitor Systems Not Always Accurate

MONDAY, June 18, 2018 (HealthDay News) -- One in three commercially available blood glucose monitor systems (BGMs) meet a predefined accuracy standard, according to research published online June 13 in Diabetes Care.

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Risk of CV Events Down With Med Diet Plus Olive Oil, Nuts

MONDAY, June 18, 2018 (HealthDay News) -- Individuals at high cardiovascular risk who are assigned to a Mediterranean diet supplemented with extra-virgin olive oil or nuts have reduced incidence of major cardiovascular events compared with those assigned to a reduced-fat diet, according to a study published online June 13 in the New England Journal of Medicine.

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CDC: Obesity Prevalence Higher in Non-Metropolitan Counties

MONDAY, June 18, 2018 (HealthDay News) -- The prevalence of obesity is higher among those living in non-metropolitan counties versus metropolitan counties, according to research published in the June 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Greater Weight Loss Linked to Superior Outcomes in Knee OA

MONDAY, June 18, 2018 (HealthDay News) -- For overweight and obese older adults with knee osteoarthritis (OA), greater weight loss is associated with superior clinical and mechanistic outcomes, according to a study published online June 18 in Arthritis Care & Research.

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Preterm Birth Tied to Lower Job Rate, Education in Adulthood

MONDAY, June 18, 2018 (HealthDay News) -- Preterm birth and/or low-birth weight (PT/LBW) infants have decreased educational qualifications and rates of employment in adulthood, according to a review published online June 6 in Pediatrics.

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Cannabis Use Linked to Psychosis Symptoms in Adolescents

MONDAY, June 18, 2018 (HealthDay News) -- Cannabis use is associated with psychosis symptoms (PS) during adolescence, according to a research letter published online June 6 in JAMA Psychiatry.

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Resistant A. Baumannii Rose in Children From 1999 to 2012

FRIDAY, June 15, 2018 (HealthDay News) -- Between 1999 and 2012, Acinetobacter baumannii (A. baumannii) antibiotic resistance increased in children, though there was a decreasing trend after 2008, according to a study published in the Journal of the Pediatric Infectious Diseases Society.

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Doctors Want Substantial Improvements in EHRs

FRIDAY, June 15, 2018 (HealthDay News) -- Although primary care physicians (PCPs) see value in electronic health records (EHRs), they want substantial improvements, and generally agree on what these improvements should be, according to research from Stanford Medicine, conducted with The Harris Poll.

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Portable Music Player Use Linked to Hearing Loss in Children

FRIDAY, June 15, 2018 (HealthDay News) -- Portable music player (PMP) use may be associated with high-frequency hearing loss in children, according to a study published online June 14 in JAMA Otolaryngology-Head & Neck Surgery.

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Kellogg's Honey Smacks Cereal Recalled Due to Salmonella Risk

FRIDAY, June 15, 2018 (HealthDay News) -- The Kellogg Company has announced it is recalling certain boxes of Honey Smacks cereal due to the possibility of contamination with Salmonella.

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VTE Linked to Acute Decline in Physical Function in Women

FRIDAY, June 15, 2018 (HealthDay News) -- For women, venous thromboembolism (VTE) is associated with acute decline in physical function, according to a study published online June 8 in the Journal of Thrombosis and Haemostasis.

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Amblyopia, Strabismus May Slow Test Performance in Children

THURSDAY, June 14, 2018 (HealthDay News) -- Children with certain eye conditions -- amblyopia or strabismus -- require more time to fill out multiple-choice answer forms, according to a study published online June 14 in JAMA Ophthalmology.

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Binge Drinking Tied to Poorer Bone Health in Young Females

FRIDAY, June 15, 2018 (HealthDay News) -- Binge drinking in adolescence may prevent girls from reaching their peak bone mass (PBM), according to a study published online June 13 in the Journal of Studies on Alcohol and Drugs.

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Higher Vitamin D Levels Tied to Lower Risk of Colorectal Cancer

FRIDAY, June 15, 2018 (HealthDay News) -- Higher circulating levels of vitamin D are tied to significantly lower colorectal cancer risk, particularly in women, according to a study published online June 14 in the Journal of the National Cancer Institute.

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Good Sleep Tied to Better Cardiometabolic Health in Youths

FRIDAY, June 15, 2018 (HealthDay News) -- Longer sleep duration and higher sleep efficiency are associated with a more favorable cardiometabolic profile in early adolescence, according to a study published online June 15 in Pediatrics.

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High-Quality Diet May Decrease Mortality Risk in Cancer Survivors

FRIDAY, June 15, 2018 (HealthDay News) -- High-quality diets are associated with decreased risks of overall and cancer-specific mortality among cancer survivors, according to a study published online June 5 in JNCI Cancer Spectrum.

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AMA: Federal Government Must Tackle Rising Insulin Prices

THURSDAY, June 14, 2018 (HealthDay News) -- U.S. officials need to take action to control spiking insulin prices, the American Medical Association (AMA) says.

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Foods With Fat and Carbohydrate Are More Highly Valued

THURSDAY, June 14, 2018 (HealthDay News) -- Foods containing fat and carbohydrate are more highly valued than those with only fat or carbohydrate, and this potentiated reward is associated with response in brain areas critical for reward valuation, according to a study published online June 14 in Cell Metabolism.

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AMA President Calls Physicians to Lead in Addressing Gun Violence

THURSDAY, June 14, 2018 (HealthDay News) -- The issue of gun violence must be addressed by the physician leadership scientifically, in an evidence-based manner, according to remarks issued by the president of the American Medical Association (AMA) at the organization's annual meeting.

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E-Cigarette Flavorings May Impair Vascular Function

THURSDAY, June 14, 2018 (HealthDay News) -- Flavoring additives used in electronic cigarettes (e-cigarettes) may have adverse effects on blood vessels, according to a study published online June 14 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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African-Americans Less Likely to Get Recommended Statin Therapy

THURSDAY, June 14, 2018 (HealthDay News) -- African-Americans are less likely than whites to be treated with statins or to receive a statin at guideline-recommended intensity, according to a study published online June 13 in JAMA Cardiology.

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Antipsychotic Tx Linked to Adiposity Changes in Youths

THURSDAY, June 14, 2018 (HealthDay News) -- Youth receiving antipsychotic treatment have adverse changes in adiposity and insulin sensitivity, with the greatest fat increases seen with olanzapine, according to a study published online June 13 in JAMA Psychiatry.

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Little Evidence Nicotine Preloading Helps Smokers Quit

THURSDAY, June 14, 2018 (HealthDay News) -- Nicotine preloading does not significantly increase subsequent smoking abstinence in adult daily smokers with tobacco dependence, according to a study published online June 13 in The BMJ.

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CDC: U.S. Suicide Rate Rose 30 Percent From 2000 to 2016

THURSDAY, June 14, 2018 (HealthDay News) -- From 2000 to 2016 there was a 30 percent increase in the age-adjusted suicide rate in the United States, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Illicit Opioid Trade Up With Restrictions on Hydrocodone

THURSDAY, June 14, 2018 (HealthDay News) -- The U.S. Drug Enforcement Administration's 2014 ruling to reschedule hydrocodone combination products coincided with an increase in illicit trading of opioids through online illicit markets (cryptomarkets), according to a study published online June 13 in The BMJ.

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T2DM Risk in Offspring Greater With T2DM Versus GDM Exposure

THURSDAY, June 14, 2018 (HealthDay News) -- In utero exposure to type 2 diabetes is associated with increased risk of type 2 diabetes in offspring versus exposure to gestational diabetes, according to a study published online June 11 in JAMA Pediatrics.

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Fluconazole Use Doesn't Up Risk of Stillbirth, Neonatal Death

THURSDAY, June 14, 2018 (HealthDay News) -- Fluconazole use in pregnancy seems not to be associated with significantly increased risks of stillbirth or neonatal death, according to a research letter published in the June 12 issue of the Journal of the American Medical Association.