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June 2018 Briefing - Internal Medicine

Mon, Jul 2, 2018

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

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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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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.

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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.

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New Technique Allows Rapid Bedside Measurement of GFR

FRIDAY, June 29, 2018 (HealthDay News) -- A visible fluorescent injectate (VFI)-based approach for direct measurement of glomerular filtration rate (mGFR) is accurate with high reproducibility, according to a study published in the June issue of the Journal of the American Society of Nephrology.

Abstract
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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.

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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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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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Penicillin Allergy Linked to MRSA, C. Difficile Risk

THURSDAY, June 28, 2018 (HealthDay News) -- There is a correlation for documented penicillin allergy with increased risk of methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile, which is mediated by increased use of β-lactam alternative antibiotics, according to a study published online June 27 in the BMJ.

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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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FDA Approves Epidiolex for Severe Forms of Epilepsy

THURSDAY, June 28, 2018 (HealthDay News) -- The U.S. Food and Drug Administration has approved Epidiolex (cannabidiol) oral solution for treatment of seizures associated with Lennox-Gastaut syndrome and Dravet syndrome for patients age 2 years and older.

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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.

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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

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

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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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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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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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

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.

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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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Higher Rates of Cancers Observed Among Flight Attendants

WEDNESDAY, June 27, 2018 (HealthDay News) -- Flight attendants have higher rates of specific cancers compared with the general population, according to a study published online June 25 in Environmental Health.

Abstract/Full Text

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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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.

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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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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

Study Compares Treatment Options for T1a Renal Cancer

TUESDAY, June 26, 2018 (HealthDay News) -- Percutaneous ablation (PA) is associated with oncologic outcomes that are similar to those of radical nephrectomy (RN) and may be associated with fewer complications than nephron-sparing partial nephrectomy (PN) for patients with stage T1a renal cell carcinoma (RCC), according to a study published online June 25 in the Annals of Internal Medicine.

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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.

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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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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.

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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.

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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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Coverage Policies Compared for Back Pain Medications

MONDAY, June 25, 2018 (HealthDay News) -- There are opportunities for recalibrating the role of opioids in pain care, including expanding access to opioid alternatives through coverage and reimbursement policies, according to a study published online June 22 in JAMA Network Open.

Abstract/Full Text
Editorial

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.

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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.

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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.

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Editorial (subscription or payment may be required)

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.

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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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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.

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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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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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Vertigo May Worsen Odds of Recovery in Sudden Hearing Loss

FRIDAY, June 22, 2018 (HealthDay News) -- For patients with sudden sensorineural hearing loss (SSHL), vertigo may be negatively associated with recovery of hearing, according to a review published online June 21 in JAMA Otolaryngology-Head & Neck Surgery.

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

Post-Endoscopic Infection More Common Than Previously Thought

FRIDAY, June 22, 2018 (HealthDay News) -- The rates of post-endoscopic infection within seven days vary from 1.1 per 1,000 procedures for screening colonoscopy to 3 per 1,000 procedures for osophagogastroduodenoscopies (OGDs), according to a study published online May 31 in Gut.

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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.

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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.

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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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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).

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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.

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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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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

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.

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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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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.

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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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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.

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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.

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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.

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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.

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Tattoo-Linked Complications ID'd in Immunosuppressed Female

TUESDAY, June 19, 2018 (HealthDay News) -- In a case report published online June 18 in BMJ Case Reports, a tattoo-related complication causing an inflammatory myopathy is described in an immunosuppressed patient.

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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)

Increased Risk of MI, Ischemic Stroke After COPD Exacerbation

TUESDAY, June 19, 2018 (HealthDay News) -- For adults with chronic obstructive pulmonary disease (COPD), acute exacerbations are associated with increased risk of myocardial infarction and ischemic stroke, according to a study published online May 3 in the Annals of the American Thoracic Society.

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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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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
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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)

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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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

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.

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Editorial (subscription or payment may be required)

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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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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Increase in VA Legionnaires' Disease Rates From 2014 to 2016

MONDAY, June 18, 2018 (HealthDay News) -- There was an increase in Legionnaires' Disease (LD) from 2014 to 2016, according to a study published online June 15 in JAMA Network Open.

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Editorial

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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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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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.

FDA Recall Notice
CDC Press Release

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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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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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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Screen Does Not Cut Abdominal Aortic Aneurysm Mortality in Men

FRIDAY, June 15, 2018 (HealthDay News) -- Screening men for abdominal aortic aneurysm (AAA) does not reduce AAA-related mortality, according to a study published in the June 16 issue of The Lancet.

Abstract
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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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Elevated NT-proBNP Found to Up Cardiovascular Risk in T2DM

FRIDAY, June 15, 2018 (HealthDay News) -- Elevated baseline N-terminal B-type natriuretic peptide (NT-proBNP) is independently associated with development of major cardiovascular (CV) events, in particular hospitalization for heart failure, according to a study published online May 30 in Diabetes Care.

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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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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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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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Peri-Op RBC Transfusions Linked to Postoperative VTE

THURSDAY, June 14, 2018 (HealthDay News) -- Perioperative red blood cell (RBC) transfusions are associated with the development of new or progressive postoperative venous thromboembolism (VTE), according to a study published online June 13 in JAMA Surgery.

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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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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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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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Editorial

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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Personalized Goals, Cash Motivate Heart Patients to Exercise

THURSDAY, June 14, 2018 (HealthDay News) -- Personalized goals, combined with financial incentives, motivate heart patients to increase their exercise, according to a study published online June 13 in the Journal of the American Heart Association.

Abstract/Full Text
Editorial

60 Sickened So Far in Salmonella-Tainted Melon Outbreak

WEDNESDAY, June 13, 2018 (HealthDay News) -- Federal, state, and local health officials are investigating a Salmonella outbreak linked to fruit salad mixes that has sickened 60 people in five U.S. states. The fruit salad mixes included precut watermelon, honeydew melon, cantaloupe, and cut fruit medley products from the Caito Foods facility in Indianapolis. The company has recalled the products.

FDA Recall Notice
CDC Press Release

APA: Suicide Prevention Should Be a Public Health Priority

WEDNESDAY, June 13, 2018 (HealthDay News) -- Suicide prevention needs to be a public health priority, according to the American Psychological Association (APA).

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Diabetes Meds Reconciliation May Reduce Risk of ER Visits

WEDNESDAY, June 13, 2018 (HealthDay News) -- Ambulatory medication reconciliation is associated with lower risk of a composite primary outcome of combined frequency of emergency department visits and hospitalizations over six months, according to a study published online June 11 in Diabetes Care.

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Strong Link Identified Between T2DM and Parkinson's Disease

WEDNESDAY, June 13, 2018 (HealthDay News) -- There is an increased rate of subsequent Parkinson's disease among individuals diagnosed with type 2 diabetes mellitus (T2DM), according to a study published online June 13 in Neurology.

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Work Stress May Increase Risk of Developing Atrial Fibrillation

WEDNESDAY, June 13, 2018 (HealthDay News) -- Job strain is associated with an increased risk of incident atrial fibrillation, according to a study published online May 30 in the European Journal of Preventive Cardiology.

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Addition of Bezafibrate Beneficial in Primary Biliary Cholangitis

WEDNESDAY, June 13, 2018 (HealthDay News) -- Nearly one-third of patients with primary biliary cholangitis who had had an inadequate response to ursodeoxycholic acid alone achieved a complete biochemical response with the addition of bezafibrate to treatment, according to a study published online June 7 in the New England Journal of Medicine.

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Higher Blood Pressure at Mid-Life Increases Dementia Risk

WEDNESDAY, June 13, 2018 (HealthDay News) -- The risk of dementia is increased in 50-year-olds with blood pressure ≥130 mm Hg, which is below the current threshold for hypertension, according to a study published online June 13 in the European Heart Journal.

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How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) -- Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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Exercise May Lower Mortality in Adult Survivors of Childhood CA

TUESDAY, June 12, 2018 (HealthDay News) -- For adult survivors of childhood cancer, vigorous exercise in early adulthood is associated with reduced risk of mortality, according to a study published online June 3 in JAMA Oncology.

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Meds With Depression As Adverse Side Effect Commonly Used

TUESDAY, June 12, 2018 (HealthDay News) -- The estimated prevalence of using medications with depression as an adverse effect is 37.2 percent, according to a study published in the June 12 issue of the Journal of the American Medical Association.

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USPSTF: No to ECG Screening to Prevent CVD in Low-Risk Adults

TUESDAY, June 12, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in low-risk asymptomatic adults. This final recommendation statement has been published in the June 12 issue of the Journal of the American Medical Association.

Evidence Review
Final Recommendation Statement
Editorial

Older Age, ICU, Poor Renal Fcn Up Risk of Opioid OD in Hospital

TUESDAY, June 12, 2018 (HealthDay News) -- Risk factors for opioid overdose among hospitalized patients include being age 65 years or older, being in an intensive care unit (ICU), and having renal impairment, according to a study published online May 23 in the Journal of Clinical Pharmacy and Therapeutics.

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Female Teens, Young Adults Not Getting Enough Exercise

TUESDAY, June 12, 2018 (HealthDay News) -- Female adolescents and young adults are not meeting the recommended guidelines for physical activity, according to a study published online June