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March 2013 Briefing - Geriatrics

Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for March 2013. 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.

Reassortment of Flu Viruses Most Likely in China, Nile Delta

FRIDAY, March 29 (HealthDay News) -- The potential for reassortment between human and avian influenza viruses underscores that emerging diseases arise at the convergence of the human and animal domains, according to a study published in the April issue of Emerging Infectious Diseases.

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Many Uninsured Vets Will Be Eligible for Medicaid Under ACA

FRIDAY, March 29 (HealthDay News) -- A large proportion of uninsured veterans and their spouses will be eligible for Medicaid or new subsidies for coverage under the Affordable Care Act (ACA), according to a report published by the Robert Wood Johnson Foundation.

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Higher Fiber Intake Tied to Lower Risk of First Stroke

THURSDAY, March 28 (HealthDay News) -- Higher fiber intake is associated with a lower risk of first stroke, according to a meta-analysis published online March 28 in Stroke.

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Study: Primary Care Extension Program Should Be Funded

THURSDAY, March 28 (HealthDay News) -- The Primary Care Extension Program (PCEP) has the potential to transform primary care and needs to be funded, according to a study published in the March/April issue of the Annals of Family Medicine.

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H. pylori Status May Affect Recurrent Ulcer Bleeding

THURSDAY, March 28 (HealthDay News) -- Risk of recurrent ulcer bleeding is low in long-term low-dose aspirin (ASA) users with a history of ulcer bleeding and eradication of Helicobacter pylori (H. pylori), but high in ASA users with a history of ulcer bleeding and negative for H. pylori, according to research published in the March issue of Gastroenterology.

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Regional Variation Noted in Prevalence of Delayed Care

THURSDAY, March 28 (HealthDay News) -- There is considerable county-wide variation in the prevalence of delayed care, with high prevalence linked to a weaker health care infrastructure, according to a letter published in the March 28 issue of the New England Journal of Medicine.

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Using Internet Search Logs Can Help Identify Drug Interactions

THURSDAY, March 28 (HealthDay News) -- Search logs can be used to inexpensively mine for anonymized signals that may alert authorities to potential drug interactions and add new Web-scale pharmacovigilance capabilities, according to research published online March 6 in the Journal of the American Medical Informatics Association.

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Inpatient Deaths Fell by 8 Percent in Last Decade

WEDNESDAY, March 27 (HealthDay News) -- The number of inpatient hospital deaths declined by 8 percent over the last decade, although the total number of hospitalizations increased by 11 percent during the same period, according to a March data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Weight Loss, Muscle Depletion May Predict Cancer Survival

WEDNESDAY, March 27 (HealthDay News) -- Cancer patients with high weight loss, low muscle index, and low muscle attenuation have a poor prognosis regardless of body mass index (BMI), according to a study published online March 25 in the Journal of Clinical Oncology.

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Mild Impairment at Diagnosis of Parkinson's Ups Dementia Risk

WEDNESDAY, March 27 (HealthDay News) -- Mild cognitive impairment (MCI) at the time of a diagnosis of Parkinson's disease (PD) predicts a highly increased risk for early dementia, according to a study published online March 25 in JAMA Neurology.

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Submitting Peer-Review Reports Could Expedite Process

WEDNESDAY, March 27 (HealthDay News) -- Attaching previous peer-review reports during the next submission of the same paper to a different journal could optimize the peer-review process, according to research published in the March/April issue of the Annals of Family Medicine.

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Chelation Therapy Effectiveness Is Limited After Heart Attack

TUESDAY, March 26 (HealthDay News) -- Chelation therapy only results in a small reduction of the risk of a cardiovascular event following a myocardial infarction (MI) and should not be used in routine clinical care, according to a study published in the March 27 issue of the Journal of the American Medical Association.

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Macrolide Antibiotics Are Effective for Bronchiectasis

TUESDAY, March 26 (HealthDay News) -- Macrolide antibiotics are effective in reducing exacerbations in patients with non-cystic fibrosis bronchiectasis, although the resistance rate increases, according to two studies published in the March 27 issue of the Journal of the American Medical Association.

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Residency Reforms Reduced Duty Hours, Increased Sleep

TUESDAY, March 26 (HealthDay News) -- Additional residency reforms implemented in 2011 have reduced duty hours and increased sleep duration, but with perceived reductions in quality of patient care, according to research published online March 25 in JAMA Internal Medicine.

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Social Isolation, Apart From Loneliness, Can Harm Health

TUESDAY, March 26 (HealthDay News) -- Both loneliness and social isolation are associated with mortality, with the link for social isolation independent of demographics, baseline health, and loneliness, according to a study published online March 25 in the Proceedings of the National Academy of Sciences.

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Exposure to Common Germs Linked to Worse Cognition

MONDAY, March 25 (HealthDay News) -- Infectious burden, a composite serologic measure of exposure to common pathogens, is associated with worse cognition, according to a study published in the March 26 issue of Neurology.

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Mobility Impaired May Have Difficulty Accessing Docs

FRIDAY, March 22 (HealthDay News) -- Many U.S. subspecialty practices cannot accommodate patients with mobility impairment, according to a study published in the March 19 issue of the Annals of Internal Medicine.

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Impact of Budget Sequestration on Health Care Discussed

THURSDAY, March 21 (HealthDay News) -- The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece published online March 20 in the New England Journal of Medicine.

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Hypertension, APOE Genotype Add to Amyloid Deposits

THURSDAY, March 21 (HealthDay News) -- Hypertension in combination with the apolipoprotein E (APOE) genotype increases amyloid deposits in cognitively healthy middle-aged and older adults, according to a study published online March 18 in JAMA Neurology.

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Heart-Healthy Lifestyle Can Also Reduce Cancer Risk

THURSDAY, March 21 (HealthDay News) -- Subjects who are enrolled in the Atherosclerosis Risk in Communities (ARIC) study and are meeting goals for six to seven ideal health metrics have a 51 percent lower risk of incident cancer than those not meeting any goals for ideal health metrics, according to research published online March 18 in Circulation.

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Effect of Immigration Status on Medicaid Eligibility Discussed

WEDNESDAY, March 20 (HealthDay News) -- Under the Affordable Care Act, a considerable proportion of low-income uninsured adults will be ineligible for Medicaid coverage due to their immigration status, and their main providers are likely to be safety-net health care providers, according to a March report published by the State Health Access Data Assistance Center.

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Docs Decide on Duration of Antibiotics in Long-Term Care

WEDNESDAY, March 20 (HealthDay News) -- Prescriber preference rather than patient characteristics influences the duration of antibiotic courses in long-term care residents, according to research published online March 18 in JAMA Internal Medicine.

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Chlorthalidone No Better Than Hydrochlorothiazide for HTN

WEDNESDAY, March 20 (HealthDay News) -- For older adults with hypertension, chlorthalidone is not associated with fewer adverse cardiovascular events or death, but correlates with increased hypokalemia compared with hydrochlorothiazide, according to a study published in the March 19 issue of the Annals of Internal Medicine.

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Total Knee Replacement Poses Large Public Health Burden

WEDNESDAY, March 20 (HealthDay News) --The prevalence of total knee replacement is estimated at 4.2 percent for U.S. adults aged 50 years and older, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.

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ER Discharge Dx/Disposition Discordant With Chief Complaint

TUESDAY, March 19 (HealthDay News) -- A considerable proportion of patients with emergency department visits with the same presenting complaint as those ultimately given a primary care-treatable diagnosis require immediate emergency care or hospital admission, according to a study published in the March 20 issue of the Journal of the American Medical Association.

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One in Three U.S. Seniors Dies With Alzheimer's or Dementia

TUESDAY, March 19 (HealthDay News) -- Alzheimer's deaths are increasing, with one in three seniors currently expected to die with Alzheimer's or another form of dementia, according to a report published by the Alzheimer's Association.

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Variation Seen in Vena Cava Filter Use Among Hospitals

TUESDAY, March 19 (HealthDay News) -- The frequency of vena cava filter (VCF) use in patients with acute venous thromboembolism (VTE) varies widely and depends primarily on hospital practice, even after adjustment for clinical and socioeconomic factors, according to research published online March 18 in JAMA Internal Medicine.

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Conflict-of-Interest Disclosures Common at 2011 AAOS Meeting

TUESDAY, March 19 (HealthDay News) -- At the 2011 American Academy of Orthopaedic Surgeons (AAOS) annual meeting, voluntarily disclosed conflicts of interest were common, especially for featured symposia, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.

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Barrier Assessment Improves Care for Elderly With Diabetes

TUESDAY, March 19 (HealthDay News) -- For older adults with diabetes, an active intervention involving assessment of barriers to self-care and development of strategies to cope with these barriers is superior to usual care, according to research published in the March issue of Diabetes Care.

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USPSTF: Insufficient Evidence for ABI Screening for PAD, CVD

MONDAY, March 18 (HealthDay News) -- The U.S. Preventive Services Task Force has found that there is currently insufficient evidence to determine whether the ankle brachial index (ABI) is beneficial for screening for peripheral artery disease (PAD) and predicting the risk of cardiovascular disease.

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Telemedicine Is Useful for Parkinson's Disease Patients

MONDAY, March 18 (HealthDay News) -- Providing specialty care for patients with Parkinson's disease (PD) using Web-based video conferencing is feasible, provides value to patients, and offers clinical benefits similar to those of in-person visits, while saving patients time and travel, according to research published online March 11 in JAMA Neurology.

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Final Rule in Notice of Benefit, Payment Parameters Issued

FRIDAY, March 15 (HealthDay News) -- The final rule of the Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2014, which expands on existing standards, has been released.

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Oral Melatonin Has No Effect on Appetite in Advanced Cancer

FRIDAY, March 15 (HealthDay News) -- Oral melatonin does not improve appetite, weight, or quality of life for patients with cachexia due to advanced cancer, according to research published online Feb. 25 in the Journal of Clinical Oncology.

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Health Insurance Exchanges Will Mainly Be Run by Feds

FRIDAY, March 15 (HealthDay News) -- More than half of the states within the United States will allow the federal government to establish health insurance exchanges, according to a report issued by the Henry J. Kaiser Family Foundation.

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Cardio Risks Need Evaluation Before Prescribing Statins

FRIDAY, March 15 (HealthDay News) -- Physicians may not adequately consider a patient's cardiovascular risk when prescribing statins as preventive therapy, according to a research letter published online March 11 in JAMA Internal Medicine.

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Pharmaceutical Companies Are Reducing Promotional Spending

FRIDAY, March 15 (HealthDay News) -- Pharmaceutical companies have been reducing the amount of money they spend on promotion to consumers and providers over the past decade and spend much less to promote biologics compared with small molecule drugs, according to a study published online March 4 in PLOS ONE.

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Stimulated Reporting Accounts for High Dabigatran Bleeding

THURSDAY, March 14 (HealthDay News) -- The increased number of post-marketing reports of bleeding associated with use of dabigatran seems to be an example of stimulated reporting and may not represent an increased bleeding risk, according to a perspective piece published online March 13 in the New England Journal of Medicine.

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Rules Must Evolve to Allow New Drugs for Early Alzheimer's

THURSDAY, March 14 (HealthDay News) -- Given the shift in the focus of drug development for Alzheimer's disease toward earlier disease stages, before the onset of dementia, regulatory guidelines need to evolve, according to a perspective piece published online March 13 in the New England Journal of Medicine.

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Vitamin D3 Supplementation Lowers Systolic BP in Blacks

THURSDAY, March 14 (HealthDay News) -- Vitamin D3 (cholecalciferol) supplementation lowers systolic blood pressure in blacks, according to a study published in the April issue of Hypertension.

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Amyloid Deposition Linked to Worse Sleep Quality

THURSDAY, March 14 (HealthDay News) -- Sleep quality is associated with β-amyloid (Aβ) deposition among older adults; and Aβ oligomers are associated with tau prior to onset of overt symptoms of Alzheimer's disease, according to two studies published online March 11 in JAMA Neurology.

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Self-Reported Vision Loss Is Associated With Depression

THURSDAY, March 14 (HealthDay News) -- Self-reported vision loss is significantly associated with depression, according to a study published online March 7 in JAMA Ophthalmology.

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Geriatric Factors Can Foretell Tolerances to Chemotherapy

THURSDAY, March 14 (HealthDay News) -- For elderly patients with metastatic colorectal cancer (mCRC), scores on the Mini-Mental State Examination (MMSE) and Instrumental Activities of Daily Living (IADL) were predictive of severe toxicity or unexpected hospitalization after fluorouracil-based chemotherapy with or without irinotecan (IRI), according to research published online March 4 in the Journal of Clinical Oncology.

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Medicare Cancer Spending Has Little Effect on Survival

THURSDAY, March 14 (HealthDay News) -- Medicare spending for advanced cancer care has substantial regional variation, according to a study published online March 12 in the Journal of the National Cancer Institute.

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Medicare Patients Enrolled in Hospice Receive Better Care

THURSDAY, March 14 (HealthDay News) -- Medicare patients who enroll in hospice care receive better care at a lower cost, with the greatest savings if they enroll 15 to 30 days before death, according to a study published in the March issue of Health Affairs.

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MRI Assessment Doesn't ID Recurrent Sciatica at One Year

WEDNESDAY, March 13 (HealthDay News) -- For patients treated for sciatica and lumbar-disc herniation, magnetic resonance imaging (MRI) performed at one year does not distinguish between those with and without favorable outcome, according to a study published in the March 14 issue of the New England Journal of Medicine.

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Family Presence During CPR Has Positive Effect for Family

WEDNESDAY, March 13 (HealthDay News) -- Family presence during cardiopulmonary resuscitation (CPR) at home correlates with positive psychological variables for the family; and survival and readmission among older patients who survive an in-hospital cardiac arrest is related to demographic variables and neurologic status at discharge, according to two studies published in the March 14 issue of the New England Journal of Medicine.

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FDA Reaffirms Azithromycin Tie to Heart Rhythm Abnormalities

WEDNESDAY, March 13 (HealthDay News) -- The drug labels on azithromycin (Zithromax, Zmax) have been updated to strengthen the Warnings and Precautions section with information relating to abnormal changes in the electrical activity of the heart, which may lead to a potentially fatal irregular heart rhythm, according to a March 12 safety announcement issued by the U.S. Food and Drug Administration.

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Post-PCI Bleeding Linked to Increased In-Hospital Mortality

WEDNESDAY, March 13 (HealthDay News) -- Post-percutaneous coronary intervention (PCI) bleeding events are associated with an increased risk of in-hospital mortality, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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Primary Care Noninferior for Management of Sleep Apnea

WEDNESDAY, March 13 (HealthDay News) -- Management of obstructive sleep apnea in a primary care setting is noninferior to care at specialist sleep centers, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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Small Benefit of Adjunctive Antipsychotics for Depression

WEDNESDAY, March 13 (HealthDay News) -- Atypical antipsychotic drugs for the adjunctive treatment of depression are associated with relatively small benefits, no improvement in function or quality of life, and adverse events, according to research published online March 12 in PLOS Medicine.

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Post-Stroke Walking Improves Survivors' Quality of Life

WEDNESDAY, March 13 (HealthDay News) -- Walking improves the physical health component of quality of life measures in stroke survivors, according to a study published online March 7 in Stroke.

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AMA Files Brief Contesting Insurer's Payment Practices

WEDNESDAY, March 13 (HealthDay News) -- A landmark case examining the question of whether physicians can bring a class arbitration against a health insurer who has underpaid them is currently before the U.S. Supreme Court, in a brief filed by the Litigation Center of the American Medical Association and State Medical Societies and the Medical Society of New Jersey.

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Many Elderly Consider Cancer Screening Obligatory

TUESDAY, March 12 (HealthDay News) -- Many older adults consider cancer screening to be morally obligatory, but screening colonoscopy is often given inappropriately in the elderly, according to two studies published online March 11 in JAMA Internal Medicine.

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$120 Million to Be Sequestered From Health Centers in 2013

TUESDAY, March 12 (HealthDay News) -- Budget sequestration, which is expected to reduce federal spending, is likely to result in a $120 million loss in grant funding for the nation's 1,200 community health centers in 2013, according to a report published by the Geiger Gibson/ RCHN Community Health Foundation Research Collaborative.

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FDA Encourages Opioid Prescribers to Pursue Training

MONDAY, March 11 (HealthDay News) -- Prescribers of extended-release/long-acting (ER/LA) opioid analgesics are encouraged to participate in continuing medical education (CME) provided by manufacturers of these analgesics, according to an open letter published March 1 by the U.S. Food and Drug Administration.

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Processed Meat Consumption Linked to Higher Mortality Risk

MONDAY, March 11 (HealthDay News) -- Processed meat consumption is linked to an increased risk of mortality, according to a study published in the March issue of BMC Medicine.

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Shelf Life of Blood Appears Shorter Than Thought

FRIDAY, March 8 (HealthDay News) -- Red blood cells stored longer than three weeks begin to lose their flexibility, according to a small study published online Feb. 28 in Anesthesia & Analgesia.

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Estimated Cost of Diabetes $245 Billion in U.S. in 2012

FRIDAY, March 8 (HealthDay News) -- The economic burden of diabetes was estimated at $245 billion in the United States in 2012, according to a scientific statement published online March 6 in Diabetes Care.

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Doctors Decide to Use CT Scans, But With Little Talk of Risks

FRIDAY, March 8 (HealthDay News) -- Most decisions to undergo outpatient computed tomography (CT) scans are made by physicians and risk communication is infrequent, according to a research letter published online March 4 in JAMA Internal Medicine.

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Sleep Meds Up Hip Fracture Risk Among Nursing Home Residents

THURSDAY, March 7 (HealthDay News) -- There is an increased risk for hip fracture among nursing home residents using a nonbenzodiazepine hypnotic drug, according to a study published online March 4 in JAMA Internal Medicine.

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Self-Monitoring of Blood Glucose Protocol Cuts hs-CRP

THURSDAY, March 7 (HealthDay News) -- Among patients with poorly controlled type 2 diabetes, a structured self-monitoring of blood glucose (SMBG) protocol correlates with reductions in the level of high-sensitivity C-reactive protein (hs-CRP), according to a study published online Feb. 22 in Diabetes Care.

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Cochrane Group Skeptical About Latest Roche Pledges

THURSDAY, March 7 (HealthDay News) -- Following requests from Cochrane researchers, Roche has pledged to release full clinical study reports for Tamiflu, although there appear to be conditions attached, according to correspondence published in BMJ.

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Coordinated Care Model Suggested for Palliative Care

THURSDAY, March 7 (HealthDay News) -- To deal with the increasing demand for palliative care services, a coordinated palliative care model is proposed, according to a perspective piece published online March 6 in the New England Journal of Medicine.

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Insomnia Linked to Greater Risk of Heart Failure

THURSDAY, March 7 (HealthDay News) -- Insomnia is associated with an increased risk of heart failure, with the risk increasing as the number of insomnia symptoms increases, according to a study published online March 5 in the European Heart Journal.

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Changes Suggested for Hospital Readmission Reduction Program

WEDNESDAY, March 6 (HealthDay News) -- To avoid penalizing hospitals that care for the most vulnerable Americans, modifications are suggested for the Centers for Medicare and Medicaid Services (CMS) Hospital Readmissions Reduction Program (HRRP), according to a perspective piece published online March 6 in the New England Journal of Medicine.

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Improving Eating Habits Cuts Depression in Dementia

WEDNESDAY, March 6 (HealthDay News) -- For elderly adults with dementia, symptoms of depression can be improved through nutritional improvement interventions, according to a study published online Feb. 28 in the Journal of Advanced Nursing.

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Most Docs Report Information Overload in EHR-Setting

WEDNESDAY, March 6 (HealthDay News) -- Primary care practitioners (PCPs) using electronic health records (EHRs) are susceptible to information overload and feel that the EHR notification system makes it possible to miss test results, according to a research letter published online March 4 in JAMA Internal Medicine.

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Portable Device May Help Diagnose Vertebrobasilar Stroke

WEDNESDAY, March 6 (HealthDay News) -- A portable device that measures eye movements may help non-specialist physicians diagnose stroke in high-risk patients with acute vertigo or dizziness, according to a study published online March 5 in Stroke.

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Two Drug Classes Found Effective for Restless Legs Syndrome

WEDNESDAY, March 6 (HealthDay News) -- In patients with restless legs syndrome, dopamine agonists and calcium channel alpha-2-delta ligands are effective in reducing symptoms and improving sleep and quality of life, although adverse events are common and often lead to treatment withdrawals, according to a review published online March 4 in JAMA Internal Medicine.

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Clinical Trials Published Almost Two Years After Completion

WEDNESDAY, March 6 (HealthDay News) -- Clinical trials are published, on average, almost two years after completion, with time to publication affected by the funding source, number of trial participants, and journal impact factor, according to a research letter published online March 4 in JAMA Internal Medicine.

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Mortality Index Can Accurately Identify 10-Year Mortality Risk

TUESDAY, March 5 (HealthDay News) -- For U.S. adults older than 50 years, a 12-item mortality index can accurately detect 10-year mortality risk, according to a research letter published in the March 6 issue of the Journal of the American Medical Association.

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Simple Measures Feasible for Promoting Sleep in the ICU

TUESDAY, March 5 (HealthDay News) -- Simple interventions to promote sleep are feasible for patients in medical intensive care units (ICUs) and result in improvements in nighttime noise and reduced incidence of delirium/coma, according to a study published in the March issue of Critical Care Medicine.

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Blacks Have More Preventable Hypertension Hospitalizations

TUESDAY, March 5 (HealthDay News) -- Blacks have higher rates of preventable hypertension hospitalizations than whites, according to a study published online Feb. 28 in Preventing Chronic Disease.

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Diagnostic Testing Does Little to Reassure Patients

TUESDAY, March 5 (HealthDay News) -- Although further primary care visits may be reduced, diagnostic tests for symptoms with a low risk of serious illness actually do little to reassure patients, decrease their anxiety, or resolve their symptoms over the short or long term, according to research published online Feb. 25 in JAMA Internal Medicine.

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Atrial Fibrillation Associated With Cognitive Impairment

TUESDAY, March 5 (HealthDay News) -- Atrial fibrillation is strongly associated with a higher risk of cognitive impairment and dementia regardless of stroke history, according to a pooled risk analysis published in the March 5 issue of Annals of Internal Medicine.

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U.K. Health Performance Worse Than Comparable Countries

TUESDAY, March 5 (HealthDay News) -- The United Kingdom has worse health performance than other comparable countries, according to a study published online March 5 in The Lancet.

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Proportion of Black Males in U.S. Medical Schools Dropping

MONDAY, March 4 (HealthDay News) -- The proportion of black males in medical school is decreasing, according to a report published by the Association of American Medical Colleges (AAMC).

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Panel Recommends 10 Patient Safety Strategies

MONDAY, March 4 (HealthDay News) -- An expert panel is strongly encouraging the immediate adoption of 10 patient safety strategies and encouraging the adoption of a further 12, according to a supplement published in the March 5 issue of the Annals of Internal Medicine.

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CMS Reports on Progress Toward Improved Health Care

MONDAY, March 4 (HealthDay News) -- Considerable progress has already been made toward improving the quality and delivery of health care, according to a Centers for Medicare and Medicaid Services (CMS) bulletin published online Feb. 28.

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Death of Sibling Boosts Heart Attack Risks for Adults

MONDAY, March 4 (HealthDay News) -- There is an increased risk of death from a myocardial infarction among adults who experience the death of a sibling, according to a study published online Feb. 27 in the Journal of the American Heart Association.

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Irradiation Shows Lasting Results for Prostate Cancer Control

MONDAY, March 4 (HealthDay News) -- For men with prostate cancer, treatment with irradiation is associated with lasting prostate cancer control, defined as a prostate-specific antigen cutoff of less than 0.2 ng/ml, with no recurrence seen from 15.5 to 25 years, according to a study published in the March issue of The Journal of Urology.

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Computerized Provider Order Entry System Cuts Rx Errors

MONDAY, March 4 (HealthDay News) -- Electronic prescribing through computerized provider order entry (CPOE) systems can substantially reduce medication errors in inpatient acute-care settings, according to a study published online Feb. 20 in the Journal of the American Medical Informatics Association.

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Personalized Patient-Risk Info Enhances Informed Choice

FRIDAY, March 1 (HealthDay News) -- When patients are given personalized versus generic risk information, they are better able to make genuinely informed choices about undergoing screening tests, according to research published online Feb. 28 in The Cochrane Library.

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Sequestration to Impact Health Care-Related Programs

FRIDAY, March 1 (HealthDay News) -- The $85 billion of mandatory cuts in federal spending that take effect March 1 as part of sequestration will be felt across health care and related programs, with cuts to Medicare providers and to the budgets of federal agencies.

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