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MONTHLY BRIEFINGS - Sep 2017

September 2017 Briefing - Internal Medicine

Mon, Oct 2, 2017

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

Nursing Home Use Up With Cognitive Impairment Category

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Nursing home (NH) use increases with increasing cognitive impairment category, according to a study published online Sept. 11 in the Journal of the American Geriatrics Society.

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Embezzlement Widespread in Medical Practices

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Embezzlement is widespread among medical practices, and knowing the warning signs is helpful for preventing it, according to an article published in Medical Economics.

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Pioglitazone Improves Left Ventricular Diastolic Function

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Pioglitazone improves whole-body and myocardial insulin sensitivity, left ventricular (LV) diastolic function, and systolic function in patients with type 2 diabetes, according to a small study published online Sept. 22 in Diabetes Care.

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Meditation May Help With Cardiovascular Risk Reduction

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Meditation may be considered as an adjunct to guideline-directed cardiovascular risk reduction, although the benefits need to be more fully established, according to a scientific statement published online Sept. 28 in the Journal of the American Heart Association.

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Vi-Tetanus Toxoid Conjugate Vaccine Can Prevent Typhoid

FRIDAY, Sept. 29, 2017 (HealthDay News) -- A Vi-tetanus toxoid conjugate vaccine is efficacious for prevention of typhoid fever, according to a study published online Sept. 28 in The Lancet.

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End-Stage Renal Disease Patients' Readmission Rate High

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Nearly a quarter of hospital admissions among patients with end-stage renal disease (ESRD) on hemodialysis (HD) have a subsequent 30-day unplanned readmission, according to a study published online Sept. 28 in the Clinical Journal of the American Society of Nephrology.

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Accurate Lung Cancer Staging Depends on Quality Nodal Exam

FRIDAY, Sept. 29, 2017 (HealthDay News) -- The prognostic value of pathologic nodal (pN) stratification depends on the thoroughness of nodal examination in the staging of non-small-cell lung cancer, according to a study published online Sept. 28 in JAMA Oncology.

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Checkpoint Inhibitors No Less Safe With Radiation

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Immune-related adverse events (IRAEs), including pneumonitis, are not more common in patients with metastatic lung cancer who receive both immune checkpoint inhibitors (CPIs) and thoracic radiotherapy (TRT), according to a research letter published online Sept. 28 in JAMA Oncology.

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Single Mutation Made Zika Virus More Virulent

FRIDAY, Sept. 29, 2017 (HealthDay News) -- A single mutation in the Zika virus made it more virulent, contributing to the increased incidence of microcephaly, according to a study published online Sept. 28 in Science.

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Propranolol Use Inversely Linked to Melanoma Recurrence

THURSDAY, Sept. 28, 2017 (HealthDay News) -- For patients with melanoma, use of propranolol is associated with reduced risk of recurrence, according to a study published online Sept. 28 in JAMA Oncology.

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More Than 78 Percent of Health Care Personnel Receive Flu Shot

THURSDAY, Sept. 28, 2017 (HealthDay News) -- More than 78 percent of health care personnel (HCP) and 53.6 percent of pregnant women received influenza vaccination during the 2016-2017 influenza season, according to two studies published in the Sept. 29 issue of Morbidity and Mortality Weekly Report.

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Optimal Length of Post-Op Opioid Pain Medication Rx Identified

THURSDAY, Sept. 28, 2017 (HealthDay News) -- The optimal length of opioid pain medication prescription after common surgical procedures lies between the observed median prescription length and the early nadir, according to a study published online Sept. 27 in JAMA Surgery.

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Psychosocial Intervention Ups Adherence to Antidepressants

THURSDAY, Sept. 28, 2017 (HealthDay News) -- A psychosocial intervention can improve early adherence to antidepressants among middle-aged and older adults, according to a study published online Sept. 27 in JAMA Psychiatry.

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FDA: New Glucose Monitoring System Eliminates Finger Pricks

THURSDAY, Sept. 28, 2017 (HealthDay News) -- The FreeStyle Libre Flash Glucose Monitoring System has been approved by the U.S. Food and Drug Administration, making it the first sanctioned device to monitor blood glucose in adult patients with diabetes without the need for a finger prick.

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About Half of Patients Receive Approval for PCSK9i Prescription

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Fewer than half of patients prescribed PCSK9 inhibitors (PCSK9i) receive approval, and only about 30 percent ever receive therapy, according to a study published online Sept. 27 in JAMA Cardiology.

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Pneumococcal Vaccine for Only Half With Work-Related Asthma

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Adults with work-related asthma are more likely that those with non-work-related asthma to have received pneumococcal vaccination, although only 53.7 percent with work-related asthma have been vaccinated, according to a study published online Sept. 27 in the American Journal of Preventive Medicine.

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CDC: STDs Peak in 2016, Exceeding 2 Million Cases

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- In 2016, the number of cases of chlamydia, gonorrhea, and syphilis reported in the United States peaked, exceeding 2 million, according to a report published by the U.S. Centers for Disease Control and Prevention.

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Notification Rates of New HIV Diagnoses Up in Older Adults

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Notification rates of new HIV diagnoses in older adults increased in 16 European countries from 2004 to 2015, according to a study published online Sept. 26 in The Lancet HIV.

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Individualized SBP Tx Cuts Risk for Post-Op Organ Dysfunction

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Management targeting an individualized systolic blood pressure (SBP) is associated with reduced risk of organ dysfunction among patients undergoing major surgery who are at increased risk of postoperative complications, according to a study published in the Sept. 26 issue of the Journal of the American Medical Association.

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Hereditary Hemochromatosis Patients Can Safely Donate Blood

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- There is no evidence to support excluding patients with hereditary hemochromatosis (HH) from serving as blood donors, according to a review published online Sept. 13 in Hepatology.

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Working With a Scribe Improves Physician Satisfaction

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Working with a scribe significantly improves physicians' overall satisfaction, satisfaction with chart quality and accuracy, and charting efficiency, according to a study published online Sept. 11 in the Annals of Family Medicine.

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VA Models Provide Guidance for Care of Hepatitis C Infection

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- The U.S. Department of Veterans Affairs (VA) has developed models of care that can be used to reduce the overall burden of hepatitis C virus (HCV) infection, according to a study published online Sept. 25 in the Annals of Internal Medicine.

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Cancer Risk Up for RA Patients With Venous Thromboembolism

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Patients with rheumatoid arthritis (RA) and venous thromboembolism (VTE) have increased risk of cancer in the first year after VTE and during a longer follow-up period, according to a study published online Sept. 15 in the Journal of Thrombosis and Haemostasis.

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Fragmented QRS Predicts Cardiac Death During Exercise

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Fragmented QRS complex may predict risk of exercise-related sudden cardiac death, according to a study published online Sept. 20 in the Journal of Cardiovascular Electrophysiology.

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USPSTF Recommends Exercise for Preventing Falls in Seniors

TUESDAY, Sept. 26, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends exercise to prevent falls in at-risk community-dwelling adults aged 65 years and older. These findings form the basis of a draft recommendation statement published online Sept. 26 by the USPSTF.

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Bayesian Method Useful for Noncompleters of 400-m Walk

TUESDAY, Sept. 26, 2017 (HealthDay News) -- A Bayesian multiple imputation (MI) method is useful for calculating the speeds of those who are unable to complete the 400-m walk test within the time constraint (noncompleters), according to a study published online Sept. 8 in the Journal of the American Geriatrics Society.

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Chronic Respiratory Disease Mortality Up From 1980 to 2014

TUESDAY, Sept. 26, 2017 (HealthDay News) -- From 1980 to 2014 there was a considerable increase in mortality from chronic respiratory diseases in the United States, according to a study published in the Sept. 26 issue of the Journal of the American Medical Association.

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Low-Dose Oxygen No Benefit in Adults With Acute Stroke

TUESDAY, Sept. 26, 2017 (HealthDay News) -- The prophylactic use of low-dose oxygen does not reduce death or disability at three months among patients with acute stroke, according to a study published in the Sept. 26 issue of the Journal of the American Medical Association.

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Blame Common in Patient Safety Incident Reports

TUESDAY, Sept. 26, 2017 (HealthDay News) -- Blame is a common element in family practice patient safety incident reports, according to a study published in the September/October issue of the Annals of Family Medicine.

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Back Pain in Older Men Tied to Incident Vertebral Fractures

TUESDAY, Sept. 26, 2017 (HealthDay News) -- Incident, clinically undiagnosed radiographic vertebral fractures (VFs) are associated with increased likelihood of back pain symptoms, according to a study published online Sept. 7 in the Journal of Bone and Mineral Research.

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Systemic Corticosteroids Discouraged for Atopic Dermatitis

TUESDAY, Sept. 26, 2017 (HealthDay News) -- Routine use of systemic corticosteroids is generally discouraged for atopic dermatitis, according to research published online Sept. 2 in the British Journal of Dermatology.

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Liraglutide Linked to Reduction in VAT, Improvement in β-Index

TUESDAY, Sept. 26, 2017 (HealthDay News) -- For obese individuals with prediabetes or early type 2 diabetes, liraglutide is associated with a greater reduction in visceral adipose tissue (VAT) and greater improvement in β-index, according to a study published online Sept. 14 in Diabetes Care.

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CDC Launches Campaign to Fight Prescription Opioid Epidemic

TUESDAY, Sept. 26, 2017 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention is launching a communication campaign featuring accounts of people recovering from opioid use disorder, and those who have lost someone to opioid overdose, in an effort to fight the prescription overdose epidemic.

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Nut Consumption Linked to Nutritionally Rich Food Intake

TUESDAY, Sept. 26, 2017 (HealthDay News) -- Among overweight and obese women, nut consumption is associated with increased consumption of nutritionally rich foods and with reduced body mass index (BMI), according to a study published online Sept. 21 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Predictors of Death in Cirrhosis Include Age, BSA, MELD

TUESDAY, Sept. 26, 2017 (HealthDay News) -- For patients with cirrhosis, predictors of death include age, body surface area (BSA), and Model for End-Stage Liver Disease (MELD), according to a study published online Sept. 13 in Hepatology.

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Uninsured Visits for Community Health Center Patients Down

TUESDAY, Sept. 26, 2017 (HealthDay News) -- After implementation of the Affordable Care Act (ACA), the rates of uninsured visits decreased for all racial and ethnic groups, according to a study published in the September/October issue of the Annals of Family Medicine.

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Discontinuing Low-Dose Aspirin Ups Cardiovascular Risk

MONDAY, Sept. 25, 2017 (HealthDay News) -- There is more than a 30 percent increased risk of cardiovascular events following discontinuation of low-dose aspirin in long-term users, according to a study published in the Sept 26 issue of Circulation.

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Participation in SNAP Can Cut Health Care Expenditures

MONDAY, Sept. 25, 2017 (HealthDay News) -- For low-income adults, participation in the Supplemental Nutrition Assistance Program (SNAP) is associated with a reduction in health care expenditures, according to a study published online Sept. 25 in JAMA Internal Medicine.

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Low Health Beliefs for Salt Intake in Hemodialysis Patients

MONDAY, Sept. 25, 2017 (HealthDay News) -- Health beliefs regarding salt intake are low among patients undergoing hemodialysis, according to a study published online Sept. 5 in the Journal of Renal Care.

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Physical Activity Tied to Lower Mortality, CVD on Global Level

MONDAY, Sept. 25, 2017 (HealthDay News) -- On a global level, higher recreational and non-recreational physical activity is associated with a lower risk of mortality and cardiovascular disease (CVD) events, according to a large study published Sept. 21 in The Lancet.

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Worker Contribution to Health Benefits Up in 2017

MONDAY, Sept. 25, 2017 (HealthDay News) -- In 2017, health benefits coverage remained stable, while workers faced considerable variation in costs, according to a report published online Sept. 19 in Health Affairs.

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Tibetan Yoga Improves Sleep Quality During Chemo

MONDAY, Sept. 25, 2017 (HealthDay News) -- Participation in a Tibetan yoga program (TYP) during chemotherapy results in modest, short-term benefits in sleep quality, with long-term benefits seen over time for those who practice at least two times a week, according to a study published online Sept. 20 in Cancer.

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Self-Reported Function IDs Post-Op Course in Elderly

MONDAY, Sept. 25, 2017 (HealthDay News) -- Self-reported function is more informative than frailty phenotype in predicting a negative postoperative course in older adults, according to a study published online Sept. 19 in the Journal of the American Geriatrics Society.

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Insulin Dose Not Tied to Cardiovascular Outcomes

MONDAY, Sept. 25, 2017 (HealthDay News) -- Cardiovascular outcomes in patients with diabetes are not explained by insulin resistance, according to research published online Sept. 12 in Diabetes, Obesity and Metabolism.

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Diabetes Treatment Failure May Actually Be Nonadherence

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Apparent diabetes treatment failures may in fact be attributable to nonadherence, according to a study published online Sept. 15 in Diabetes Care.

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APOE Allele Type Tied to Mortality Risk

FRIDAY, Sept. 22, 2017 (HealthDay News) -- The apolipoprotein E (APOE) ε4 allele increases the risk of overall and cardiovascular mortality, while the APOE ε2 allele decreases the risk, according to a study published online Sept. 12 in the Journal of the American Geriatrics Society.

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Effect of Osteoporotic Fractures Similar to Diabetes Burden

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Osteoporotic fractures and complications of diabetes similarly impact quality of life (QoL), according to a study published online Sept. 12 in the Journal of Evaluation in Clinical Practice.

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Air Pollution May Damage Kidneys

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Air pollution may lead to kidney damage, according to a study published online Sept. 21 in the Journal of the American Society of Nephrology.

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Opioid Rx, Dosing Often Excessive in Dialysis Patients

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Hemodialysis patients in the United States have high rates of prescriptions for opioids and many also receive high doses of the potentially addictive drugs, according to a study published online Sept. 21 in the Journal of the American Society of Nephrology.

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Diabetes Insipidus Can Occur After Stopping Vasopressin

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Although rare, diabetes insipidus (DI) can occur following discontinuation of vasopressin infusion for septic shock, according to a case study published online Sept. 11 in the Journal of Clinical Pharmacy & Therapeutics.

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Few Older Patients Aware of Deprescribing

FRIDAY, Sept. 22, 2017 (HealthDay News) -- The majority of older patients are aware of medication harms, but far fewer understand deprescribing, according to a brief report published online Sept. 15 in the Journal of the American Geriatrics Society.

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Serum Cystatin C Predicts Mortality With Cirrhotic Ascites

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Serum cystatin C level is an excellent predictor of mortality in patients with cirrhotic ascites, according to a study published online Sept. 14 in the Journal of Gastroenterology and Hepatology.

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Nonadherence to Statins + ACEIs/ARBs Risky Post MI

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Nonadherence to angiotensin-converting enzyme (ACE) inhibitors/angiotensin II receptor blockers (ARBs) and/or statins following acute myocardial infarction (AMI) is associated with higher mortality, according to study published in the Sept. 26 issue of the Journal of the American College of Cardiology.

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Fasting Blood Glucose Trajectory May Predict Future MI

FRIDAY, Sept. 22, 2017 (HealthDay News) -- For individuals without diabetes, certain fasting blood glucose (FBG) trajectories are associated with the risk of future myocardial infarction (MI), according to a study published online Sept. 8 in Diabetes Care.

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Concussion May Increase Multiple Sclerosis Risk

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Concussion during adolescence increases the risk of subsequent multiple sclerosis (MS) diagnosis, according to a study published online Sept. 4 in the Annals of Neurology.

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Thyroid Surgery for Benign Goiters Ups Quality of Life

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Thyroid surgery restores quality of life (QOL) for patients with benign goiters, according to a study published online Sept. 4 in Head & Neck.

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High Rate of Anemia Seen After Weight-Loss Surgery

THURSDAY, Sept. 21, 2017 (HealthDay News) -- For many obese Americans, weight-loss surgery may lead to anemia, according to a research letter published online Sept. 20 in JAMA Surgery.

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Highest Adverse Effect Rates for Three Drugs in Parkinson's

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Ropinirole, bromocriptine, and piribedil are associated with the highest incidence rates of adverse effects in Parkinson's disease, according to a review published online Sept. 4 in CNS Neuroscience & Therapeutics.

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Long-Acting Erythropoiesis Agents Can Help Save Resources

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Switching from short- to long-acting erythropoiesis-stimulating agents (ESAs) in patients undergoing hemodialysis (HD) leads to a large reduction in time and subsequent costs, according to a study published online Sept. 12 in the Journal of Renal Care.

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More Than 1 in 10 Patients May Be Overtreated for Diabetes

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Medicare recipients are more frequently overtreated than undertreated for diabetes, and those who are overtreated rarely have their regimens deintensified, according to a study published online Sept. 13 in the Journal of General Internal Medicine.

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Childhood-Onset IBD May Raise Risk of Cancer

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Children with inflammatory bowel disease (IBD) face an increased risk of cancer that persists into adulthood, and is especially elevated for gastrointestinal cancers, according to a study published online Sept. 20 in The BMJ.

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Magnesium Levels Tied to Dementia Risk

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Magnesium levels, either too high or too low, are associated with an increased risk of dementia, according to a study published online Sept. 20 in Neurology.

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Long-Term Weight Loss, T2DM Remission for Roux-en-Y Surgery

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- For patients with severe obesity, Roux-en-Y gastric bypass is associated with lasting benefits, according to a study published in the Sept. 21 issue of the New England Journal of Medicine.

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Insurer Market Power Lowers Providers' Prices

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Insurers have the bargaining power to reduce provider prices in highly concentrated provider markets, according to a report published in the September issue of Health Affairs.

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Attempts to Prevent Tongue Swallowing Hinder Resuscitation

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- For athletes with cardiac arrest, attempts to prevent tongue swallowing are an obstacle to resuscitation, according to a study published online Sept. 19 in HeartRhythm.

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Type 2 Myocardial Infarction Definition Impacts Prognosis

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Definition of type 2 myocardial infarction (T2MI) using a method that does not require the presence of coronary artery disease is associated with a lower event-related mortality rate, according to a study published in the Sept. 26 issue of the Journal of the American College of Cardiology.

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General, Central Obesity Linked to Specific Breast Cancer Risk

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- General and central obesity are associated with breast cancer risk, with different effects on specific subtypes, according to a study published online Sept. 14 in The Oncologist.

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Naloxegol Has No Effect on Opioid Dose in Opioid-Tied Constipation

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- For patients with noncancer pain and opioid-induced constipation (OIC), naloxegol has no clinically relevant effect on patient-reported pain levels or mean daily opioid dose, according to research published online Sept. 12 in PAIN Practice.

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Proton Pump Inhibitors Overused Worldwide

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Proton pump inhibitors (PPIs) are overused worldwide, with wide variation seen in the extent of inappropriate use, according to research published online Sept. 11 in the Journal of Clinical Pharmacy and Therapeutics.

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Multicomponent Intervention Linked to Greater Drop in BP

TUESDAY, Sept. 19, 2017 (HealthDay News) -- A multicomponent intervention is associated with greater reduction in systolic and diastolic blood pressure (BP) than usual care over 18 months, according to a study published in the Sept. 19 issue of the Journal of the American Medical Association.

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Total of 0.21 Years Lost Due to Opioid-Related Poisoning Deaths

TUESDAY, Sept. 19, 2017 (HealthDay News) -- From 2000 to 2015, drug-poisoning deaths contributed a loss of 0.28 years in life expectancy, according to a research letter published in the Sept. 19 issue of the Journal of the American Medical Association.

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Deaths, Cardiac Arrest Not Rare in Triathlon Participants

TUESDAY, Sept. 19, 2017 (HealthDay News) -- The incidence of deaths or cardiac arrest is 1.74 per 100,000 USA Triathlon participants, according to a study published online Sept. 19 in the Annals of Internal Medicine.

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ACP Does Not Support Legalization of Assisted Suicide

TUESDAY, Sept. 19, 2017 (HealthDay News) -- The American College of Physicians (ACP) does not support the legalization of physician-assisted suicide, a practice that raises ethical, clinical, and other concerns, according to a position paper published online Sept. 19 in the Annals of Internal Medicine.

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CPAP Telemonitoring Improves 90-Day Adherence

TUESDAY, Sept. 19, 2017 (HealthDay News) -- The use of continuous positive airway pressure therapy (CPAP) telemonitoring with automated feedback messaging improves 90-day adherence in patients with obstructive sleep apnea (OSA), according to a study published online Aug. 31 in the American Journal of Respiratory and Critical Care Medicine.

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Monthly Feedback Linked to Improved Colonoscopy Quality

TUESDAY, Sept. 19, 2017 (HealthDay News) -- Monthly feedback significantly improves colonoscopy quality measures, but quarterly feedback does not, according to a study published online Sept. 11 in Gastroenterology and Hepatology.

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Half of Repeat Antibiotics in Australia Extend Initial Rx

TUESDAY, Sept. 19, 2017 (HealthDay News) -- Half of repeat antibiotic dispensings in Australia are used to extend the initial course, according to a study published online Sept. 11 in the Journal of Pharmacy Practice and Research.

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Extended Thromboprophylaxis Safe, Effective After Liver Surgery

TUESDAY, Sept. 19, 2017 (HealthDay News) -- For patients undergoing liver surgery, extended pharmacologic thromboprophylaxis appears effective and safe, according to a study published online Aug. 28 in the Journal of Thrombosis and Haemostasis.

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Anagliptin Effect on LDL in T2DM Via ApoB-100 Synthesis

TUESDAY, Sept. 19, 2017 (HealthDay News) -- In patients with type 2 diabetes being treated with a dipeptidyl peptidase-4 inhibitor (DPP4-I), use of anagliptin (ANA) may improve low-density lipoprotein cholesterol (LDL-C) levels, with the effect mediated, at least partly, via suppression of apoB-100 synthesis, according to a study published online Aug. 29 in the Journal of Diabetes Investigation.

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Expected Burden of Lung Cancer High for People Living With HIV

MONDAY, Sept. 18, 2017 (HealthDay News) -- For people living with HIV (PLWH), the expected burden of lung cancer is high, if smoking habits do not change, according to a study published online Sept. 18 in JAMA Internal Medicine.

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Greater Benefit for Pioglitazone in High-Risk Patients Post Stroke

MONDAY, Sept. 18, 2017 (HealthDay News) -- For patients after an ischemic stroke or transient ischemic attack, pioglitazone is associated with greater benefit for those at higher risk for stroke or myocardial infarction (MI), according to a study published online Sept. 18 in JAMA Neurology.

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Narrow Networks in ACA Marketplace for Mental Health

MONDAY, Sept. 18, 2017 (HealthDay News) -- Networks in mental health are generally narrower than in primary care, with plan networks including 11.3 percent of mental health providers practicing in a given state-level market, according to a study published online in the September issue of Health Affairs.

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Physicians Tweeting About Drugs May Have Conflict of Interest

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Most physicians on Twitter with a financial conflict of interest (FCOI) and frequent tweets mention specific drugs for which they have a conflict, according to a study published in the September issue of The Lancet Haematology.

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Mental Health, Dental Issues Top Avoidable ER Visits

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Mental health and dental conditions account for a significant number of "avoidable" emergency department visits, according to a study published online Aug. 31 in the International Journal for Quality in Health Care.

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Lower Mortality Risk Seen With Statin Use in Older Men

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Statin use is associated with a significantly lower risk of mortality in older male physicians, and a non-significant lower risk of cardiovascular disease (CVD) events, according to a study published online Sept. 11 in the Journal of the American Geriatrics Society.

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Skin Cancer Prevention Strategies Needed in Work Settings

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Solar occupational ultraviolet (UV) exposure is a major determinant of incident squamous cell carcinoma (SCC), according to a study published online Aug. 27 in the British Journal of Dermatology.

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EHR Data May Beat Claims Data in Assessing Sepsis Incidence

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Sepsis is present in 6 percent of adult hospitalizations, with no change in incidence from 2009 to 2014 based on electronic health record (EHR) data in contrast to claims-based analyses, according to a study published online Sept. 13 in the Journal of the American Medical Association.

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Doctors Spend Almost Six Hours Per Day on EHR Tasks

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Physicians spend almost six hours per day in the electronic health record (EHR), with 4.5 hours spent during clinic hours and 1.4 hours spent after clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

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Hospital Quality Independently Impacts Readmission Rates

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Hospital quality contributes to readmission rates independent of factors involving patients, according to a study published in the Sept. 14 issue of the New England Journal of Medicine.

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Conjunctivitis Prevalence Higher for Adult Women Than Men

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Adult women have a higher prevalence of conjunctivitis than men, and cases peak in the spring, according to a research letter published online Sept. 14 in JAMA Ophthalmology.

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Sleep Quality, Duration Linked to CKD Progression

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Shorter sleep duration and poor sleep quality are associated with progression of chronic kidney disease (CKD), according to a study published online Sept. 14 in the Journal of the American Society of Nephrology.

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'Science Spin' Found Prevalent in Biomedical Literature

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Spin in biomedical literature (also referred to as "science hype") is prevalent, with trials having the highest and greatest variability in the prevalence of spin, according to a review published online Sept. 11 in PLOS Biology.

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FDA Approves First Biosimilar Drug for Cancer

THURSDAY, Sept. 14, 2017 (HealthDay News) -- The first biosimilar drug to treat cancer has been approved by the U.S. Food and Drug Administration.

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Assay Can ID M. tuberculosis Resistance Mutations

THURSDAY, Sept. 14, 2017 (HealthDay News) -- An automated molecular assay can detect Mycobacterium tuberculosis with resistance to drugs directly from sputum specimens, according to a study published in the Sept. 14 issue of the New England Journal of Medicine.

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Greater Awareness Needed for Potential of T2DM Remission

THURSDAY, Sept. 14, 2017 (HealthDay News) -- For many patients with type 2 diabetes, remission can be achieved with sustained weight loss of ~15 kg, yet this often flies under the radar for patients and clinicians alike, according to an analysis published online Sept. 13 in The BMJ.

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Fibrous Dysplasia Associated With Increased Breast Cancer Risk

THURSDAY, Sept. 14, 2017 (HealthDay News) -- Patients with fibrous dysplasia (FD) are at increased risk for breast cancer, according to a study published online Aug. 30 in the Journal of Bone and Mineral Research.

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New Test Developed to Assess Geriatrics Fellowship Programs

THURSDAY, Sept. 14, 2017 (HealthDay News) -- A geriatrics knowledge test demonstrates sound reliability for use in evaluating geriatrics fellowship programs, according to a study published online Aug. 28 in the Journal of the American Geriatrics Society.

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Suicide Attempts in U.S. Up From 2004-2005 to 2012-2013

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- From 2004-2005 to 2012-2013 there was an overall increase in suicide attempts among U.S. adults, according to a study published online Sept. 13 in JAMA Psychiatry.

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Some Aspects of Empathy Improve During Medical Training

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Certain aspects of empathy improve during medical student training, according to a study published online Sept. 7 in Medical Education.

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AACR Releases 2017 Cancer Progress Report

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- The age-adjusted U.S. cancer death rate decreased 25 percent from 1991 to 2014, which translates into 2.1 million fewer cancer deaths, according to an annual progress report published by the American Association for Cancer Research.

AACR Cancer Progress Report 2017

Multivitamin Use May Cut Risk of Chemo-Induced Neuropathy

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Multivitamin use before diagnosis of breast cancer is associated with reduced risk of symptoms of chemotherapy-induced peripheral neuropathy, according to a study published online Sept. 1 in the Journal of the National Cancer Institute.

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Short Duration of Hospice Seen for Seniors at End of Life

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- The presence and number of restricting symptoms and the number of disabilities are associated with increased likelihood of hospice admission for older adults during their last year of life, according to a study published online Sept. 12 in the Journal of the American Geriatrics Society.

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Vitamin D Deficiency Tied to Neuropathic Pain

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Vitamin D deficiency may be associated with increased neuropathic pain (NP) in patients with rheumatoid arthritis (RA), according to a study published online Aug. 31 in the International Journal of Rheumatic Diseases.

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Antireflux Surgery Has High Rate of Recurrent Disease

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Laparoscopic antireflux surgery is associated with a relatively high rate of recurrent gastroesophageal reflux disease, according to a study published in the Sept. 12 issue of the Journal of the American Medical Association.

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Distal Bicep Tendon Rip Tied to Transthyretin Amyloidosis

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Rupture of the distal biceps tendon (RBT) in a patient with heart failure with preserved ejection fraction should raise suspicion for wild-type transthyretin amyloidosis (ATTRwt), according to a research letter published in the Sept. 12 issue of the Journal of the American Medical Association.

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Hormone Therapy in Menopause Not Tied to Increased Mortality

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Menopausal hormone therapy is not tied to any increase in long-term all-cause or cause-specific mortality, according to a study published in the Sept. 12 issue of the Journal of the American Medical Association.

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Are Physicians Obligated to Help on Planes?

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Does being a physician carry a moral obligation to respond to calls for medical assistance on airplanes? That is the topic of an article published in the Sept. 12 issue of the Journal of the American Medical Association.