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June 2013 Briefing - Cardiology

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

Volunteer Work Cuts Risk of Hypertension in Older Adults

FRIDAY, June 28 (HealthDay News) -- Older adults who volunteer at least 200 hours over a one-year period and have normal blood pressure are less likely than non-volunteers to develop hypertension four years later, according to research published in the June issue of Psychology & Aging.

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Perception of Stress-Health Linkage Tied to Heart Disease

FRIDAY, June 28 (HealthDay News) -- The perception that stress affects health (not perceived stress levels) is associated with an increased risk of coronary heart disease, according to a study published online June 26 in the European Heart Journal.

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Prevalence of Sleep-Disordered Breathing Increasing in U.S.

FRIDAY, June 28 (HealthDay News) -- The prevalence of sleep-disordered breathing seems to be increasing in the United States, according to a study published in the American Journal of Epidemiology.

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Avoidable Health Care Costs Exceed $200 Billion in 2012

FRIDAY, June 28 (HealthDay News) -- In 2012, avoidable health care costs in the United States exceeded $200 billion, according to a report published by the IMS Institute for Healthcare Informatics.

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Bipartisan Recommendations Can Strengthen Health System

THURSDAY, June 27 (HealthDay News) -- Leaders of the Bipartisan Policy Center Health Care Cost Containment Initiative have developed a series of recommendations to strengthen the U.S. health care system, according to a sounding board piece published online June 26 in the New England Journal of Medicine.

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Simvastatin Blunts Benefits of Exercise in Overweight, Obese

THURSDAY, June 27 (HealthDay News) -- Cholesterol-lowering therapy with simvastatin reduces the physiological responses to aerobic exercise training in overweight or obese adults who are at increased risk for metabolic syndrome, according to research published in the Journal of the American College of Cardiology.

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Adults With Chronic Conditions Earn C+ for Meds Adherence

WEDNESDAY, June 26 (HealthDay News) -- On average, adults with chronic conditions earn a C+ for medication adherence, according to a report published June 25 by the National Community Pharmacists Association (NCPA).

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Hospital Teaching Intensity Affects Readmission Rates

WEDNESDAY, June 26 (HealthDay News) -- Hospital teaching intensity significantly affects readmission rates for the most common inpatient diagnoses, particularly for safety-net hospitals, according to a study published in the July issue of Medical Care.

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HHS Launches Insurance Marketplace Website, Call Center

WEDNESDAY, June 26 (HealthDay News) -- The U.S. Department of Health and Human Services (HHS) has launched the Health Insurance Marketplace education effort, with a consumer-focused website and a consumer call center, to help Americans prepare for enrollment in the new Health Insurance Marketplace.

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8.5 Million Enrollees to Receive Health Insurance Rebates

WEDNESDAY, June 26 (HealthDay News) -- About 8.5 million enrollees will receive a rebate of about $100 per family as part of the Affordable Care Act "80/20" rule, according to a report published by the U.S. Department of Health and Human Services.

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Socioecological Factors Contribute to Diabetes Epidemic

WEDNESDAY, June 26 (HealthDay News) -- A broader public health approach may be needed to address the socioecological factors contributing to the rising rates of prediabetes and type 2 diabetes, according to a scientific statement published online June 20 in Diabetes Care.

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AHA: CPR Quality Variation Needs to Be Addressed

TUESDAY, June 25 (HealthDay News) -- To address variation in cardiopulmonary resuscitation (CPR) quality that can affect survival, the American Heart Association is calling for a renewed focus on improving resuscitation techniques and tracking, according to a consensus statement published online June 25 in Circulation.

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Growing Mismatch in Med School Graduates, GME Places

TUESDAY, June 25 (HealthDay News) -- Although the number of medical school enrollees and graduates is increasing, the number of U.S. graduate medical education (GME) programs has not increased at the same rate, and consequently physician shortages are likely to become more apparent, according to a perspective piece published online June 19 in the New England Journal of Medicine.

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Publicly Reported Mortality Predicts Hospital Performance

TUESDAY, June 25 (HealthDay News) -- Hospital performance on publicly reported medical conditions is indicative of overall hospital mortality rates, according to a study published online June 24 in JAMA Internal Medicine.

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AH: Most Acute Care Costs Not Avoidable for High-Cost Patients

MONDAY, June 24 (HealthDay News) -- For high-cost Medicare beneficiaries, only a small percentage of costs are related to preventable emergency department visits and hospitalizations, according to a study published online June 24 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 23 to 25 in Baltimore.

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Sexual Dysfunction Linked to CVD in Extreme-Duration T1DM

MONDAY, June 24 (HealthDay News) -- For males who have had type 1 diabetes for at least 50 years, sexual dysfunction is associated with large vessel cardiovascular disease, according to a study published online June 18 in Diabetes Care.

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Survival of England's National Health Service Questioned

MONDAY, June 24 (HealthDay News) -- Recent criticism of England's National Health Service (NHS) has called its survival into question, according to a perspective piece published online June 19 in the New England Journal of Medicine.

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Guide Issued for Tying Primary Care to Regional Organizations

MONDAY, June 24 (HealthDay News) -- The Agency for Healthcare Research and Quality has developed a new guide to help primary care practices to assess readiness for connecting electronic health records (EHRs) to regional health information organizations (RHIOs).

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AMA Awards Grants for Medical Education Innovation

FRIDAY, June 21 (HealthDay News) -- The American Medical Association (AMA) has awarded funding to 11 U.S. medical schools in response to their proposals regarding educational innovations aimed at transforming how future physicians are trained.

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AHRQ Offers Strategies to Prevent Adverse Drug Events

FRIDAY, June 21 (HealthDay News) -- Strategies to prevent adverse drug events (ADEs) have been recommended and published in a report by the Agency for Healthcare Research and Quality (AHRQ).

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Obesity Is a Disease, Says American Medical Association

THURSDAY, June 20 (HealthDay News) -- The American Medical Association has adopted policy that recognizes obesity as a disease, a step that the association hopes will help focus more attention on treatment and prevention efforts, and that some suggest may lead to greater acceptance by insurance providers to cover treatment.

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CMS Implementing Physician Quality Reporting System

THURSDAY, June 20 (HealthDay News) -- To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & Medicaid Services (CMS).

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Practices Are Not Prepared for Implementation of ICD-10

THURSDAY, June 20 (HealthDay News) -- Physician practices have made little progress in preparing for implementation of the 10th revision of the International Classification of Diseases (ICD-10), according to a report published by the Medical Group Management Association (MGMA).

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Stress Tests for Ischemia Compared in Diabetes Patients

THURSDAY, June 20 (HealthDay News) -- Silent ischemia is more often detected by exercise myocardial perfusion imaging (MPI) than by electrocardiogram (ECG) in patients with diabetes mellitus, according to research published in the July 1 issue of The American Journal of Cardiology.

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Sleep Apnea Predicts Sudden Cardiac Death

THURSDAY, June 20 (HealthDay News) -- Obstructive sleep apnea (OSA) predicts incident sudden cardiac death (SCD), with risk magnitude predicted by OSA severity, according to a large study published online June 19 in the Journal of the American College of Cardiology.

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Flu Shot Averted About 13 Million Illnesses Over Six Years

THURSDAY, June 20 (HealthDay News) -- Influenza vaccination likely prevented over 13 million illnesses and more than 100,000 hospitalizations from 2005 to 2011, according to a study published online June 19 in PLOS ONE.

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Clopidogrel Does Not Reduce Mortality in Shunted Infants

WEDNESDAY, June 19 (HealthDay News) -- In infants less than 3 months old with congenital heart disease and a systemic-to-pulmonary-artery shunt, clopidogrel does not reduce mortality compared with placebo, according to a study published in the June 20 issue of the New England Journal of Medicine.

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Potential of Mobile Remote-Presence Devices Discussed

WEDNESDAY, June 19 (HealthDay News) -- Mobile remote-presence devices have the potential to increase access to and improve delivery of health care in the developed and developing world, according to an innovations report published online June 17 in CMAJ, the Journal of the Canadian Medical Association.

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Implanted Cardiac Devices Effective in Healthy Elderly, Too

WEDNESDAY, June 19 (HealthDay News) -- Although total mortality is higher among elderly patients, rates of appropriate shocks from implantable cardioverter-defibrillators (ICDs) are similar across age groups, according to research published in the June 18 issue of Circulation.

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Depression in Women Tied to Diabetes, Cardiac Risk Factors

WEDNESDAY, June 19 (HealthDay News) -- Depressive symptoms and antidepressant use correlate with body mass index (BMI), waist circumference, and biomarkers of glucose dysregulation and inflammation, according to a study published online June 13 in the American Journal of Public Health.

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New Rule Proposes Insurance Program Integrity Guidelines

WEDNESDAY, June 19 (HealthDay News) -- A new proposed rule, which provides program integrity guidelines for Affordable Insurance Exchanges, or Health Insurance Marketplaces (Marketplaces), has been released by the U.S. Department of Health and Human Services (HHS).

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EHR Implementation First Step Toward Quality Improvement

WEDNESDAY, June 19 (HealthDay News) -- Implementation of electronic health records (EHRs) is a first step toward quality improvement and should be accompanied by use of new payment models to allow physicians to see a return on their investments, according to Farzad Mostashari, M.D., of the Office of the National Coordinator for Health Information Technology, who was recently interviewed by the American Academy of Family Physicians.

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State-Based Health Care Price Websites Lacking

TUESDAY, June 18 (HealthDay News) -- State-based, patient-oriented websites reporting health care prices need to be improved, according to a research letter published in the June 19 issue of the Journal of the American Medical Association.

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Preschoolers' Eating Habits Tied to CVD Risk Factors

TUESDAY, June 18 (HealthDay News) -- The eating behaviors of preschool-aged children may be tied to measures of future cardiovascular risk, according to a study published online June 17 in CMAJ, the journal of the Canadian Medical Association.

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Unauthorized Immigrants Make Up 1.4% U.S. Medical Spending

TUESDAY, June 18 (HealthDay News) -- Unauthorized immigrants have substantially lower health care expenditures than legal residents, naturalized citizens, and U.S. natives, according to a study published online June 12 in Health Affairs.

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About 15 Percent of People Currently Uninsured in U.S.

TUESDAY, June 18 (HealthDay News) -- In 2012, nearly 15 percent of U.S. people of all ages were currently uninsured, according to a data brief published online June 18 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Increasing Red Meat Intake Ups Future Risk of T2DM

MONDAY, June 17 (HealthDay News) -- For U.S. adults, increasing red meat consumption is associated with a subsequent increase in the risk of type 2 diabetes mellitus (T2DM), according to a study published online June 17 in JAMA Internal Medicine.

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Some Antibiotics Up Risk of Statin Toxicity in Older Adults

MONDAY, June 17 (HealthDay News) -- In older adults, concomitant administration of clarithromycin, or erythromycin, with a statin that is metabolized by cytochrome P450 isoenzyme 3A4 (CYP3A4) increases the risk for statin toxicity, according to research published in the June 18 issue of the Annals of Internal Medicine.

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FDA Discusses Cybersecurity for Medical Devices, Hospitals

MONDAY, June 17 (HealthDay News) -- Medical device manufacturers and health care facilities should ensure appropriate safeguards are in place to reduce the potential harms that may result from cyberattacks, according to a safety communication issued by the U.S. Food and Drug Administration.

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Initiating Statins Linked to Increased Risk of T2DM

MONDAY, June 17 (HealthDay News) -- Initiating statin therapy is associated with an increased risk of type 2 diabetes, which is not explained by differential survival, according to a study published in the May issue of Diabetes Care.

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New Treatments Outperforming Placebo Becoming Less Common

FRIDAY, June 14 (HealthDay News) -- The efficacy of new medical treatments compared with placebo has sharply declined over the last few decades, suggesting that comparative effectiveness studies are needed, according to a study published in the June issue of Health Affairs.

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Diet Rich in Unsaturated Fat May Up Insulin Sensitivity

FRIDAY, June 14 (HealthDay News) -- A diet rich in unsaturated fat may increase insulin sensitivity in individuals who are at higher risk for cardiovascular disease, according to research published in the May issue of Diabetes Care.

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Many Smoke Exposed in Home/Car Despite Smoke-Free Rules

FRIDAY, June 14 (HealthDay News) -- Many U.S. adults report voluntary smoke-free rules for private settings, such as homes and vehicles, but millions of people are still exposed to secondhand smoke in these environments, according to research published online May 16 in Preventing Chronic Disease.

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FDA: One Lot of Warfarin Being Recalled

THURSDAY, June 13 (HealthDay News) -- Zydus Pharmaceuticals USA Inc., is voluntarily recalling one lot of Warfarin tablets after receiving a consumer complaint of oversized tablets, according to a June 12 safety alert issued by the U.S. Food and Drug Administration.

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Daytime Noise Exposure Linked to Heart Rate Variability

THURSDAY, June 13 (HealthDay News) -- For adults, individual daytime noise exposure correlates with changes in heart rate variability, with effects less pronounced for noises of 65 dB(A) or more, according to a study published online March 19 in Environmental Health Perspectives.

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Survey Examines Physician Satisfaction With EHRs

THURSDAY, June 13 (HealthDay News) -- About three-quarters of physicians report that their practice either has a fully implemented electronic health record (EHR), uses a hospital or corporate EHR, or is in the process of implementing an EHR, according to a technology survey published by Physicians Practice.

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Exercise Improves Metabolic Syndrome Post-Menopause

THURSDAY, June 13 (HealthDay News) -- Exercise training is associated with improvements in components of metabolic syndrome (MetS) among postmenopausal women, according to a study published in the June 15 issue of The American Journal of Cardiology.

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Low Blood Pressure Linked to Brain Atrophy

WEDNESDAY, June 12 (HealthDay News) -- In patients with arterial disease, having a low baseline diastolic blood pressure is associated with greater brain atrophy, while declining blood pressure is associated with less brain atrophy, according to a study published online June 10 in JAMA Neurology.

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Use of EHRs Can Enhance Doc-Patient Communication

WEDNESDAY, June 12 (HealthDay News) -- Electronic health records (EHRs) can be used during clinical encounters to enhance the physician-patient relationship, encouraging communication during the clinical encounter, according to a viewpoint published in the June 12 issue of the Journal of the American Medical Association.

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Trans Fats Down in Two-Thirds of Food Products, 2007 to 2011

TUESDAY, June 11 (HealthDay News) -- Manufacturers have slowed in their reformulations of food products to reduce trans fatty acids (TFA), according to a study published online May 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Doctors Do Not Spend Enough Time Planning Their Finances

TUESDAY, June 11 (HealthDay News) -- Physicians do not spend enough time reviewing their finances, and half are behind in their retirement planning, according to a report published by the American Medical Association (AMA) Insurance Agency.

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Most Doctors Feel They Are Under-Using Mobile Apps

TUESDAY, June 11 (HealthDay News) -- Most physicians feel they are not maximizing use of mobile applications, and would utilize additional electronic health record (EHR) functionalities if they were available, according to poll conducted by Black Book Market Research.

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Bariatric Bypass Achieves Greater Cholesterol Lowering

TUESDAY, June 11 (HealthDay News) -- Compared to gastric banding, bariatric bypass surgery achieves greater cholesterol lowering, according to a study published in the June issue of Diabetes Care.

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Adoption of Radial Access for PCI Up From 2007 to 2012

MONDAY, June 10 (HealthDay News) -- Adoption of radial access for percutaneous coronary intervention (r-PCI) has increased since 2007, and is associated with significantly lower vascular and bleeding complication rates, according to a study published in the June 11 issue of Circulation.

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Depression, Antidepressant Use Linked to Future CVD Risk

MONDAY, June 10 (HealthDay News) -- For patients with type 2 diabetes, higher self-reported depression symptoms and antidepressant medicine (ADM) use in the previous year are independently associated with developing certain cardiovascular disease (CVD) risk factor-positive status over the next four years, according to a study published in the May issue of Diabetes Care.

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Even Mild Hypothyroidism Tied to Worse Mortality With CHF

MONDAY, June 10 (HealthDay News) -- Both subclinical hypothyroidism and hypothyroidism overall are associated with greater mortality risk in patients with congestive heart failure (CHF), according to a study published online May 29 in the Journal of Clinical Endocrinology & Metabolism.

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Heat Response Plans Need to Be in Place Before Extreme Event

FRIDAY, June 7 (HealthDay News) -- Heat-related deaths are preventable and heat response plans focusing on identifying and limiting heat exposure among vulnerable populations should be in place before an extreme heat event, according to research published in the June 7 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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FDA Panel Votes to Loosen Restrictions on Avandia

FRIDAY, June 7 (HealthDay News) -- A U.S. Food and Drug Administration advisory panel met Wednesday and Thursday to discuss the fate of the diabetes drug Avandia (rosiglitazone), concluding in a vote in favor of easing restrictions on access to the drug. The exact nature of these restriction changes are yet to be determined.

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Heart Disease Overreporting May Skew Hospital Death Statistics

FRIDAY, June 7 (HealthDay News) -- The overreporting of heart disease as the cause of death on patient records is often significant and may mask the true levels of cause-specific mortality needed to shape public health priorities, according to a report published online May 16 in Preventing Chronic Disease.

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MRI Predicts Cerebrovascular Dx Better Than CV Risk Factors

THURSDAY, June 6 (HealthDay News) -- Aortic arch pulse wave velocity (PWV), a measure of arterial stiffness, is a strong, independent predictor of future cerebrovascular disease, according to a study published in the June issue of Radiology.

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Statins May Lower Esophageal Cancer Risk

THURSDAY, June 6 (HealthDay News) -- Statins may lower the risk of esophageal cancer, particularly in patients with Barrett's esophagus, according to a review published in the June issue of Clinical Gastroenterology and Hepatology.

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HHS: Marketplaces Open New Insurance Options for Consumers

THURSDAY, June 6 (HealthDay News) -- Health Insurance Marketplaces, due to be introduced in October 2013, will increase the coverage options for many consumers, according to a memo released by the U.S. Department of Human & Health Services.

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Low-Mortality Hospitals Better With Heart Surgery Complications

WEDNESDAY, June 5 (HealthDay News) -- Hospitals with low mortality rates for adults undergoing cardiac surgery are superior in rescuing patients from postoperative complications, according to research published in the June issue of the Annals of Thoracic Surgery.

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Irregular Heartbeat May Speed Cognitive Decline

WEDNESDAY, June 5 (HealthDay News) -- In the absence of stroke, older adults who develop atrial fibrillation are at increased likelihood of experiencing a more rapid cognitive decline compared to similarly aged people without atrial fibrillation, according to a study published online June 5 in Neurology.

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Aspirin Post Hip Replacement OK for Extended Prophylaxis

WEDNESDAY, June 5 (HealthDay News) -- Twenty-eight days of aspirin is non-inferior to, and as safe as, dalteparin, a low-molecular-weight heparin, for the prevention of venous thromboembolism (VTE) after total hip arthroplasty (THA), according to research published in the June 4 issue of the Annals of Internal Medicine.

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Few Physicians Meeting Meaningful Use in Early 2012

WEDNESDAY, June 5 (HealthDay News) -- In early 2012, few physicians met meaningful use criteria, and using electronic health records (EHRs) for patient panel management was difficult, according to research published in the June 5 issue of the Annals of Internal Medicine.

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Profitability Index Checks Financial Health of Practices

WEDNESDAY, June 5 (HealthDay News) -- An overall downward trend in profitability has been identified based on a practice profitability index, developed to assess the financial health of U.S. physician practices, according to a report published by CareCloud.

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Roux-en-Y Bypass Ups Glycemic Control, Weight Loss in Diabetes

TUESDAY, June 4 (HealthDay News) -- For obese patients with diabetes, gastric bypass is associated with improved control of comorbid risk factors and weight loss in the short term, according to research published in the June 5 issue of the Journal of the American Medical Association.

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CDC: Small Drop in Those With Difficulty Paying Medical Bills

TUESDAY, June 4 (HealthDay News) -- There has been a slight decrease in the percentage of individuals aged younger than 65 years who are in a family with difficulty paying their medical bills, according to a June data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Blood Transfusions in Cardiac Surgery May Up Infections

TUESDAY, June 4 (HealthDay News) -- Transfusion of red blood cells (RBCs) during or after surgery may increase the risk of major infections, such as pneumonia and bloodstream infections, according to research published in the June issue of the Annals of Thoracic Surgery.

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Final Rules on Employment Wellness Programs Released

TUESDAY, June 4 (HealthDay News) -- The final rules on employment-based wellness programs, which support workplace health promotion and prevention as a way of limiting health care costs and reducing the burden of chronic disease, have been released by the U.S. Department of Health & Human Services (HHS).

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Flaxseed Ineffective for Hypercholesterolemia in Youth

TUESDAY, June 4 (HealthDay News) -- Dietary flaxseed supplementation in children with hypercholesterolemia is safe but associated with adverse changes in lipid profile with no clear benefit, according to a study published online June 3 in JAMA Pediatrics.

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Vegetarian Dietary Patterns Tied to Lower All-Cause Death

MONDAY, June 3 (HealthDay News) -- Compared with non-vegetarians, vegetarians have reduced all-cause mortality, according to a study published online June 3 in JAMA Internal Medicine.

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Independent Payment Advisory Board's Future Questioned

MONDAY, June 3 (HealthDay News) -- Established as a part of the efforts of Affordable Care Act (ACA) to contain health care costs, the Independent Payment Advisory Board (IPAB) has been surrounded by controversy, and still has no members, according to a perspective piece published online May 29 in the New England Journal of Medicine.

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Health of Nation Reviewed With Focus on Emergency Care

MONDAY, June 3 (HealthDay News) -- Recent trends in the health of the nation are described, with particular focus on emergency care, in the 36th annual report published by the National Center for Health Statistics (NCHS) and the U.S. Centers for Disease Control and Prevention.

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