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June 2013 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry 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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Lithium Cuts Suicide Risk for Patients With Mood Disorders

FRIDAY, June 28 (HealthDay News) -- For people with mood disorders, lithium reduces the risk of suicide, according to a review and meta-analysis published online June 27 in BMJ.

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Most Cancer Survivors Have Good Psychological Outcomes

FRIDAY, June 28 (HealthDay News) -- Certain factors predict anxiety, depression, and comorbid anxiety-depression at one year in adult cancer survivors, according to research published online June 17 in the Journal of Clinical Oncology.

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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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Escitalopram Plus Behavior Tx Benefits Elderly With Anxiety

THURSDAY, June 27 (HealthDay News) -- For older adults with generalized anxiety disorder, escitalopram combined with cognitive behavioral therapy (CBT) is associated with a reduction in worry and can prevent relapse, according to a study published online May 17 in the The American Journal of Psychiatry.

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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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Acute Hypoglycemia Impairs Executive Cognitive Function

WEDNESDAY, June 26 (HealthDay News) -- In adults with and without type 1 diabetes, executive cognitive function is impaired during hypoglycemia, according to research published online June 18 in Diabetes 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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ADHD Ups Disability Risk From Mild Traumatic Brain Injury

WEDNESDAY, June 26 (HealthDay News) -- Children with attention-deficit/hyperactivity disorder (ADHD) who experience mild traumatic brain injury (TBI) are more likely to be moderately disabled from the injury, compared to similar patients without ADHD, according to a study published online June 25 in the Journal of Neurosurgery: Pediatrics.

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Anti-Gluten Antibodies Linked to Autism

TUESDAY, June 25 (HealthDay News) -- Children with autism have increased levels of anti-gluten antibodies, particularly if they have gastrointestinal symptoms, according to a study published online June 18 in PLOS ONE.

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Data Examined for Traumatic Brain Injuries in Adolescents

TUESDAY, June 25 (HealthDay News) -- In a school survey of students in grades 7 to 12, 20 percent of students reported a traumatic brain injury (TBI) at some time in their life, and 5.6 percent had an injury within the past 12 months, according to a research letter published in the June 26 issue of the Journal of the American Medical Association.

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Prenatal Smoke Exposure Impacts Reward Processing

TUESDAY, June 25 (HealthDay News) -- Adolescents prenatally exposed to maternal cigarette smoking exhibit weaker brain response to anticipatory rewards than their nonexposed peers, according to a study published online June 19 in JAMA Psychiatry.

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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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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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Racial Disparity Seen in ADHD Diagnosis, Tx for Children

MONDAY, June 24 (HealthDay News) -- Racial/ethnic minority children are less likely than white children to receive a diagnosis of attention-deficit/hyperactivity disorder (ADHD), and are less likely to take prescription medications for ADHD, according to a study published online June 24 in Pediatrics.

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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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Young Children With Depressed Moms Benefit From Group Care

FRIDAY, June 21 (HealthDay News) -- Regulated early child care services reduce the risk for internalizing problems among children of mothers with elevated maternal depressive symptoms (MDSs), according to research published online June 19 in JAMA Psychiatry.

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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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ACOG Recommends Screening Women for Elder Abuse

THURSDAY, June 20 (HealthDay News) -- Elder abuse is a prevalent issue and needs to be screened for in women aged 60 years and older during preventive health care visits, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

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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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Emotional Challenges of Type 1 Diabetes in Adults Discussed

THURSDAY, June 20 (HealthDay News) -- Issues related to the impact of type 1 diabetes affect adults and can cause interpersonal challenges in partner relationships, according to a qualitative study published online March 8 in Diabetes Care.

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About One in Four Develop PTSD in Year After Stroke, TIA

THURSDAY, June 20 (HealthDay News) -- Within one year following a stroke or transient ischemic attack (TIA), nearly one in four survivors develop significant posttraumatic stress disorder (PTSD) due to the stroke or TIA, according to a review published online June 19 in PLOS ONE.

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White Matter Anomalies Similar in Mild TBI, Alzheimer's Disease

WEDNESDAY, June 19 (HealthDay News) -- Patients with mild traumatic brain injury (TBI) have white matter abnormalities that are similar to those in early Alzheimer's dementia, with abnormalities correlating with post-concussion symptoms, according to a study published online June 18 in Radiology.

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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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FDA Investigates Deaths of Patients on Antipsychotic Drug

WEDNESDAY, June 19 (HealthDay News) -- Following the deaths of two patients three to four days after receiving a dose of Zyprexa Relprevv (olanzapine pamoate) via intramuscular injection, the U.S. Food and Drug Administration is conducting an investigation into the possible cause.

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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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Cognitive Impairment, APOE Linked to Aβ Lipidation State

TUESDAY, June 18 (HealthDay News) -- For older adults, the lipidation state of β-amyloid (Aβ) peptides is associated with cognitive impairment and APOE genotype, and can be modulated by diet, according to a study published online June 17 in JAMA Neurology.

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Study Links Autism to Perinatal Exposure to Air Pollutants

TUESDAY, June 18 (HealthDay News) -- Perinatal exposure to air pollutants is associated with increased odds of autism spectrum disorder (ASD), with stronger correlations seen for boys than girls, according to a study published online June 18 in Environmental Health Perspectives.

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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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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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Racial Differences Seen in Use of Pediatric Specialty Care in Autism

MONDAY, June 17 (HealthDay News) -- There are considerable racial and ethnic differences in the use of specialty care and procedures among children diagnosed with autism, according to a study published online June 17 in Pediatrics.

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Sibling Aggression Linked to Mental Health Distress

MONDAY, June 17 (HealthDay News) -- Sibling aggression has a detrimental effect on children's and adolescents' mental health, according to a study published online June 17 in Pediatrics.

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Father-Child Relationship Linked to Marital Quality

FRIDAY, June 14 (HealthDay News) -- Father-child relationship quality has a strong effect on both spouses' marital quality, according to a study published online March 8 in the Journal of Family Issues.

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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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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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Autoimmune Disease, Infection Risk Factors for Mood Disorders

WEDNESDAY, June 12 (HealthDay News) -- Autoimmune diseases and infections are independent and synergistic risk factors for mood disorders, according to a study published online June 12 in JAMA Psychiatry.

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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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Two-Way Tie for Hypoglycemia, Dementia in Diabetes

TUESDAY, June 11 (HealthDay News) -- For older adults with diabetes mellitus there appears to be a bidirectional correlation between hypoglycemia and dementia, according to research published online June 10 in JAMA Internal Medicine.

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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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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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Marriages That Start Online May Be More Successful

FRIDAY, June 7 (HealthDay News) -- Those who meet their spouse online may have slightly better outcomes in marriage than those who meet through traditional means, according to a study published online June 3 in the Proceedings of the National Academy of Sciences.

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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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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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Mindfulness Exercises May Reduce PTSD Symptoms

WEDNESDAY, June 5 (HealthDay News) -- Mindfulness-based stretching and deep-breathing exercises may reduce the prevalence of posttraumatic stress disorder (PTSD)-like symptoms in individuals with subclinical features of PTSD, according to research published online May 29 in the Journal of Clinical Endocrinology & Metabolism.

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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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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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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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Media Use Is Not Source of Conflict in Most Families

TUESDAY, June 4 (HealthDay News) -- Negotiating media use is rarely a source of conflict within families of young children, and most parents are not concerned about their children's media use, according to a survey published by Northwestern University in Chicago.

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Pre-Op Depression Skews Satisfaction After Lumbar Sx

TUESDAY, June 4 (HealthDay News) -- Preoperative depression influences self-reported patient satisfaction after revision lumbar surgery, independent of the surgery's effectiveness, according to a study published in the May issue of The Spine Journal.

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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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