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June 2013 Briefing - Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine 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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Glucosamine Negatively Affects Lumbar Discs

FRIDAY, June 28 (HealthDay News) -- Glucosamine supplementation, which is often used for low back pain, has a detrimental effect on lumbar disc matrix homeostasis in an animal model of disc degeneration, according to a study published in the May 20 issue of Spine.

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Interventions Improve Cleaning of C. difficile Isolation Rooms

FRIDAY, June 28 (HealthDay News) -- An enhanced protocol for the standard disinfection of hospital rooms after discharge of patients with Clostridium difficile infection (CDI), which includes a dedicated team for daily disinfection and a standardized process for clearing cleaned rooms, results in consistent disinfection, according to research published in the May issue of Infection Control and Hospital Epidemiology.

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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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Brain Stimulation Improves Language Recovery Post-Stroke

FRIDAY, June 28 (HealthDay News) -- Along with speech therapy, use of repetitive transcranial magnetic stimulation (rTMS) may improve language recovery following subacute ischemic stroke, according to a small study published online June 27 in Stroke.

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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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Marine n-3 PUFA Inversely Linked to Breast Cancer Risk

FRIDAY, June 28 (HealthDay News) -- Marine n-3 polyunsaturated fatty acid (n-3-PUFA) intake is inversely associated with the risk of breast cancer, according to a review published online June 27 in BMJ.

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Lasting Symptom Relief With Class IV Laser in Epicondylitis

FRIDAY, June 28 (HealthDay News) -- Treatment with a dual wavelength 10 W class IV laser correlates with long-term relief of the symptoms associated with chronic epicondylitis, according to a study published in the July issue of Lasers in Surgery and Medicine.

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Melanoma Mortality Higher for Males Than Females

FRIDAY, June 28 (HealthDay News) -- White males with melanoma are more likely to die from the disease compared with white females with melanoma, according to a study published online June 26 in JAMA Dermatology.

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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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FDA Approves Rixubis for Prophylactic Tx in Hemophilia B

THURSDAY, June 27 (HealthDay News) -- Rixubis (coagulation factor IX recombinant) has been approved by the U.S. Food and Drug Administration to prevent routine bleeding episodes in people aged 16 and older with hemophilia B, the agency said in a news release.

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Long-Term Satisfaction for Open Carpal Tunnel Release

THURSDAY, June 27 (HealthDay News) -- Most patients who undergo open carpal tunnel release are pleased with the results and free of symptoms more than a decade later, according to a study published in the June 19 issue of The Journal of Bone & Joint Surgery.

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Radiologists' Performance Consistent on CT Colonography

THURSDAY, June 27 (HealthDay News) -- Performance on adenoma and advanced neoplasia detection is consistent among radiologists at computed tomographic (CT) colonography screening, according to a study published in the July issue of Radiology.

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Increased Risk of Cervical Hip Fracture for Patients With SLE

THURSDAY, June 27 (HealthDay News) -- Patients with systemic lupus erythematosus (SLE) have an increased risk of cervical, but not trochanteric, hip fractures, according to a study published online April 16 in Arthritis Care & Research.

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Hundreds of Docs Have Dubious Prescribing Patterns in Part D

THURSDAY, June 27 (HealthDay News) -- Many hundreds of general-care physicians who order drugs paid for by Medicare Part D have questionable prescribing patterns, according to a report published by the U.S. Department of Health and Human Services (HHS).

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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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Traumatic Brain Injury Ups Risk of Subsequent Stroke

WEDNESDAY, June 26 (HealthDay News) -- Traumatic brain injury (TBI) is independently associated with an increased risk of subsequent ischemic stroke, according to a study published online June 26 in Neurology.

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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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ER Imaging Variability Not Due to Physicians

WEDNESDAY, June 26 (HealthDay News) -- Very little variability in the use of imaging in the emergency department is actually attributable to physicians, according to a study published online June 25 in Radiology.

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MRI Findings Linked to Effect of Lumbar Spine Surgery

WEDNESDAY, June 26 (HealthDay News) -- Certain findings on magnetic resonance imaging (MRI) are linked with surgical outcome in patients with lumbar intervertebral disc herniation, according to research published in the June 15 issue of Spine.

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ACOG Updates Uterine Bleeding Recommendations

WEDNESDAY, June 26 (HealthDay News) -- Updated patient management guidelines for the treatment of patients with abnormal uterine bleeding associated with ovulatory dysfunction (AUB-O) have been released in a practice bulletin published in the July issue of Obstetrics & Gynecology.

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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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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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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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High-Tech Therapies Up in Men With Low-Risk Prostate Cancer

TUESDAY, June 25 (HealthDay News) -- The use of advanced treatment technologies increased in men diagnosed with prostate cancer between 2004 and 2009 who were at low risk of dying from the disease, according to research published in the June 26 issue of the Journal of the American Medical Association.

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Gene Mutation Influences Aspirin's Colon Cancer Benefit

TUESDAY, June 25 (HealthDay News) -- Regular aspirin use is associated with a lower risk of developing colorectal cancer, but only cancers without mutations in the BRAF oncogene, according to a study published in the June 26 issue of the Journal of the American Medical Association.

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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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Mobile Phone Use-Related Injuries Up for Pedestrians

TUESDAY, June 25 (HealthDay News) -- The number of injuries related to mobile phone use among pedestrians increased from 2004 to 2010, with the number of injuries exceeding those of drivers in 2010, according to a study published in the August issue of Accident Analysis & Prevention.

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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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Drop in HPV Prevalence in 14- to 19-Year Olds in Vaccine Era

TUESDAY, June 25 (HealthDay News) -- The prevalence of vaccine-type human papillomavirus (HPV) among 14- to 19-year old females decreased within four years of introduction of vaccination into routine immunization schedules in late 2006, according to research published online June 19 in the Journal of Infectious Diseases.

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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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USPSTF Endorses HCV Screen for High-Risk, Baby Boomers

MONDAY, June 24 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening high-risk individuals for hepatitis C virus (HCV) infection, and recommends a one-time screening for all adults born from 1945 to 1965, according to a recommendation statement published in the June 24 issue of the Annals of 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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FDA Approves Vibativ for Certain Bacterial Pneumonias

MONDAY, June 24 (HealthDay News) -- The antibiotic Vibativ (telavancin) has been approved by the U.S. Food and Drug Administration to treat hospital-acquired and ventilator-associated bacterial pneumonia caused by Staphylococcus aureus bacteria when other treatments aren't suitable.

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No Long-Term Cognitive Consequences Noted for HRT

MONDAY, June 24 (HealthDay News) -- For postmenopausal women aged 50 to 55 years, conjugated equine estrogen (CEE)-based hormone therapy has no long-term impact on cognition, according to research published online June 24 in JAMA Internal Medicine.

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Fatality 36 Percent for Human Infection With Avian H7N9

MONDAY, June 24 (HealthDay News) -- The fatality risk of human infection with avian influenza H7N9 is 36 percent among people of all ages, and there are epidemiological differences in cases with H7N9 and H5N1, according to two studies published online June 24 in The Lancet.

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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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AAP Calls for Formal Planning in HIV Care Transitions

MONDAY, June 24 (HealthDay News) -- Successful transitioning from pediatric to adult HIV care requires formal planning, according to a policy statement published online June 24 in Pediatrics.

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Mortality Similar for Single and Multiple Primary Melanomas

MONDAY, June 24 (HealthDay News) -- Mortality is similar for patients with single primary melanomas (SPMs) and multiple primary melanomas (MPMs), but relative mortality is considerably higher for patients with thicker SPMs versus thicker MPMs, according to a study published online June 19 in JAMA Dermatology.

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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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FDA Approves Plan B for All Females of Childbearing Age

FRIDAY, June 21 (HealthDay News) -- The Plan B "emergency" contraceptive (levonorgestrel) has been approved by the U.S. Food and Drug Administration for any female of childbearing potential.

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CDC: Flu Vaccine Option Available for People With Egg Allergy

FRIDAY, June 21 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has unanimously voted to recommend FluBlok for people 18 through 49 years of age requiring the 2013-2014 influenza vaccine but who have an egg allergy or sensitivity.

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Screening Colonoscopy-ID'd CA Tied to Improved Outcomes

FRIDAY, June 21 (HealthDay News) -- Patients identified with colon cancer through screening colonoscopies have both lower-stage disease on presentation and also better outcomes independent of their staging, according to research published online June 19 in JAMA Surgery.

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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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Images Increase Accuracy of Skin Cancer Self-Detection

FRIDAY, June 21 (HealthDay News) -- Visual images such as those of benign and cancerous skin lesions increase awareness and accuracy of skin self-examination, according to a review published in the July issue of the Journal of the American Academy of Dermatology.

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Gene Patenting Ruling Unlikely to Really Impact Oncology Care

FRIDAY, June 21 (HealthDay News) -- The Supreme Court decision in Association for Molecular Pathology v. Myriad is not likely to have much immediate impact the practice of oncology, according to a special communication published online June 13 in the Journal of Clinical Oncology.

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Single Moderate Exercise Session Ups Insulin Sensitivity in Obese

FRIDAY, June 21 (HealthDay News) -- A single, afternoon session of moderate exercise improves insulin sensitivity the next day in obese adults, according to a study published online June 11 in Diabetes Care.

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Bolus Iron Dosing Ups Infection Risk in Hemodialysis Patients

THURSDAY, June 20 (HealthDay News) -- For hemodialysis patients, bolus dosing of iron is associated with an increased risk of infection-related hospitalization, compared with receiving maintenance iron dosing, especially for patients with a catheter or with recent infection, according to a study published online June 20 in the Journal of the American Society of Nephrology.

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HPV Antibodies Signal Higher Risk for Oropharyngeal Cancer

THURSDAY, June 20 (HealthDay News) -- In plasma samples obtained prior to diagnosis, the presence of human papillomavirus (HPV) type 16 E6 antibodies was more likely to be detected in patients with oropharyngeal cancer than in controls, according to research published online June 17 in the Journal of Clinical Oncology.

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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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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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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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CDC Releases Modified Contraception Recommendations

THURSDAY, June 20 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has issued modified recommendations for health care providers regarding the safe and effective use of contraceptive methods; the report, "U.S. Selected Practice Recommendations for Contraceptive Use 2013," has been published in the June 14 early-release issue of the CDC's Morbidity & Mortality Weekly Report.

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Serum miR-21 Putative Biomarker for Colorectal Cancer

THURSDAY, June 20 (HealthDay News) -- The oncogenic microRNA (miRNA) miR-21 is a potential biomarker for detection and prognosis of colorectal cancer (CRC), according to a study published in the June 19 issue of the Journal of the National Cancer Institute.

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More Research on Exercise for Adolescent Scoliosis Is Needed

THURSDAY, June 20 (HealthDay News) -- A recent Cochrane review concluded that there is a lack of high-quality evidence on the efficacy of scoliosis-specific exercise (SSE) in adolescents with adolescent idiopathic scoliosis (AIS), according to research published in the June 15 issue of Spine.

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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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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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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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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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Person-to-Person Transmission of MERS-CoV Identified

WEDNESDAY, June 19 (HealthDay News) -- Person-to-person transmission of the novel Middle East respiratory syndrome coronavirus (MERS-CoV) has been described in a cluster of health care-associated infections in Saudi Arabia, according to research published online June 19 in the New England Journal of Medicine.

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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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Penicillin Skin Testing Can ID Tolerance to β-Lactam Agents

WEDNESDAY, June 19 (HealthDay News) -- Penicillin skin testing (PST) can be used to identify whether patients will tolerate β-lactam, with a negative predictive value of 100 percent, according to a study published in the June issue of the Journal of Hospital Medicine.

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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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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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Secondhand Smoke Exposure Tied to Increased Diabetes Risk

WEDNESDAY, June 19 (HealthDay News) -- Secondhand smoke exposure, in childhood or adulthood, is associated with an increased rate of type 2 diabetes in women, according to a study published online June 11 in Diabetes Care.

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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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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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MRI Screening Identifies Undiagnosed Spinal Infections

TUESDAY, June 18 (HealthDay News) -- About a fifth of patients who have received a spinal injection of fungus-contaminated methylprednisolone but have not sought medical care are likely to be infected, according to a study published in the June 19 issue of the Journal of the American Medical Association.

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Internet Grocery Service Seems Feasible in Urban Food Deserts

TUESDAY, June 18 (HealthDay News) -- An Internet grocery service (IGS) seems to be a feasible approach for increasing food access in an urban food desert, according to a pilot study published online May 8 in Preventing Chronic Disease.

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Rates of Gestational Diabetes Mellitus Vary by State

TUESDAY, June 18 (HealthDay News) -- Obesity, age, race/ethnicity, hospital characteristics, and insurance type may contribute to the variability in rates of gestational diabetes mellitus (GDM) between states, according to research published in the May issue of Diabetes Care.

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Physical Function Limitations Prevalent in Prediabetes

TUESDAY, June 18 (HealthDay News) -- Middle-aged and older adults with prediabetes have an increased likelihood of physical function limitations, according to a study published online June 11 in Diabetes Care.

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Racial Discrepancy in Oncologic Outcomes for Low-Risk PCa

TUESDAY, June 18 (HealthDay News) -- Among men with very-low-risk prostate cancer (PCa) who meet criteria for active surveillance but undergo radical prostatectomy, African-American race is associated with poorer outcomes, with higher rates of disease upgrading and adverse pathology, according to a study published online June 17 in the Journal of Clinical Oncology.

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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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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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Meningococcal Disease ID'd in Men Who Have Sex With Men

TUESDAY, June 18 (HealthDay News) -- Following reports of invasive meningococcal disease (IMD) among men who have sex with men (MSM), the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has recommended that MSM who have engaged in intimate contact with another man should undergo vaccination, according to a report published online June 17 in the Annals of Internal Medicine.

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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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Local Health Departments Beginning to Use Twitter

MONDAY, June 17 (HealthDay News) -- Fifty-eight percent of local health departments (LHDs) using Twitter for communications tweet about diabetes, according to a study published online May 2 in Preventing Chronic Disease.

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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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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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Only a Quarter of New Doctors Choose Primary Care

FRIDAY, June 14 (HealthDay News) -- Only about a quarter of newly graduated physicians work in primary care and only about 5 percent practice in rural areas, despite public funding of graduate medical education (GME), according to research published online June 7 in Academic Medicine.

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Weight Loss Improves Sexual Function in Diabetes

FRIDAY, June 14 (HealthDay News) -- Among obese women with type 2 diabetes and sexual dysfunction, weight loss significantly improves sexual function, according to a study published online June 11 in Diabetes Care.

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Oncological Outcomes Similar Despite Timing of Prostatectomy

FRIDAY, June 14 (HealthDay News) -- Outcomes are similar between men with histologically comparable prostate cancer who receive a radical prostatectomy after a period of active surveillance and those with low-risk disease who undergo immediate prostatectomy, according to a study published in the July issue of The Journal of Urology.

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Obesity Linked to Higher Risk of Colorectal Cancer in Men

FRIDAY, June 14 (HealthDay News) -- Obesity is associated with significantly increased risks for incidence of colorectal adenoma and colorectal cancer in middle-aged and older men who are screened with sigmoidoscopy, according to research published online May 28 in the Journal of Clinical Oncology.

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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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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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Duloxetine Moderately Cost-Effective for Treating Back Pain

FRIDAY, June 14 (HealthDay News) -- Duloxetine is a moderately cost-effective treatment for chronic low back pain (CLBP) compared with other post-first-line oral medications, according to research published in the May 15 issue of Spine.

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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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EHR Improves Coordination of Care in Hematuria Work-Up

FRIDAY, June 14 (HealthDay News) -- Care coordination, enhanced using an electronic health record system, can reduce the number of health care visits needed for the work-up of hematuria, according to a study published in the July issue of The Journal of Urology.

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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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Marked Variability Seen in Total Knee Arthroplasty Indications

FRIDAY, June 14 (HealthDay News) -- There is considerable variability associated with total knee arthroplasty (TKA) recommendations, according to a report published in the May issue of Pain Medicine News.

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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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Educational Intervention Aids Food-Insecure Diabetes Patients

THURSDAY, June 13 (HealthDay News) -- Low-income patients who have food insecurity may be particularly receptive to diabetes self-management support, according to a study published in the June issue of Diabetes Care.

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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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Many People Don't Wash Hands Well After Using Bathroom

THURSDAY, June 13 (HealthDay News) -- Many people do not engage in proper hand washing behaviors after using the restroom, according to a study published in the April issue of the Journal of Environmental Health.

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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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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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Restless Leg Syndrome Linked to Higher Mortality in Men

WEDNESDAY, June 12 (HealthDay News) -- Men with restless legs syndrome (RLS) have a significantly increased risk of mortality, independent of other known risk factors, according to a study published online June 12 in Neurology.

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PCA3 Assay Ups Predictive Accuracy for Repeat Biopsy

WEDNESDAY, June 12 (HealthDay News) -- For men with at least one prior negative biopsy, urinary PCA3 scores, together with serum prostate-specific antigen and other clinical information, improve the prediction accuracy for repeat biopsy outcome, according to a study published in the July issue of The Journal of Urology.

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Hands-Free, Speech-to-Text Action Ups Distraction in Driving

WEDNESDAY, June 12 (HealthDay News) -- In-vehicle activities such as listening to the radio are associated with a small level of distraction, whereas speech-to-text action correlates with relatively high levels of cognitive distraction while driving, according to a report published June 12 by the AAA Foundation for Traffic Safety.

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Church-Based Diet, Physical Activity Program Effective

WEDNESDAY, June 12 (HealthDay News) -- For rural African-Americans, church-based diet and physical interventions may be effective for improving healthy lifestyle choices, according to a study published June 6 in Preventing Chronic Disease.

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Screening Has Not Affected Breast CA Mortality in England

WEDNESDAY, June 12 (HealthDay News) -- Mammographic screening, introduced in England in 1988, has not had a significant impact on breast cancer mortality, according to a study published in the June issue of the Journal of the Royal Society of Medicine.

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Short Post-Meal Walks Control Postprandial Hyperglycemia

WEDNESDAY, June 12 (HealthDay News) -- For older people, short bouts of post-meal walking seem effective for controlling postprandial hyperglycemia, according to a study published online June 11 in Diabetes Care.

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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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Inflammatory Biomarkers Up Risk of Exacerbations in COPD

TUESDAY, June 11 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD), including those with milder COPD, elevated levels of inflammatory biomarkers correlate with an increased risk of exacerbations, according to a study published in the June 12 issue of the Journal of the American Medical Association.

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Switch to Vegetable Fat May Cut Death Risk in Prostate Cancer

TUESDAY, June 11 (HealthDay News) -- For men with non-metastatic prostate cancer, the risks of lethal prostate cancer and all-cause mortality are significantly reduced with replacement of carbohydrates by vegetable fats, according to a study published online June 10 in JAMA Internal Medicine.

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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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Medicare Beneficiaries Use More Brand-Name Drugs Than VA

TUESDAY, June 11 (HealthDay News) -- Compared to seniors with diabetes treated through Veterans Affairs (VA), Medicare beneficiaries with diabetes use two to three times more brand-name drugs, driving up costs substantially, according to research published online June 11 in the Annals of Internal Medicine.

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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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Lumbar Epidural Steroid Injections Up Risk of Spinal Fx

MONDAY, June 10 (HealthDay News) -- In patients with radiculopathy or neurogenic claudication due to compression of spinal nerves, lumbar epidural steroid injections (LESIs) increase the risk of vertebral fractures, according to a study published in the June 5 issue of The Journal of Bone & Joint Surgery.

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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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Estrone Levels Predict Incident Type 2 Diabetes in Men

MONDAY, June 10 (HealthDay News) -- Levels of estrone are associated with increased risk of incident type 2 diabetes in a cohort of community-dwelling men, according to a study published online May 20 in 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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Patients Trust Primary Care Docs, Regardless of PCP BMI

MONDAY, June 10 (HealthDay News) -- Patients report high levels of trust in their primary care providers (PCPs), but they are more likely to trust dietary advice from overweight than normal-weight PCPs, according to a study published online June 4 in Preventive Medicine.

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Oncologists, PCPs Differ in Cancer Follow-Up Concerns

MONDAY, June 10 (HealthDay News) -- Medical oncologists (MOs) and primary care physicians (PCPs) report different barriers/concerns in cancer follow-up care to be problematic, according to research published online May 20 in the Journal of Clinical Oncology.

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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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Higher Vitamin D Linked to Reduced Diabetes Risk

FRIDAY, June 7 (HealthDay News) -- Higher blood levels of vitamin D are associated with a lower risk of type 2 diabetes, according to a meta-analysis published in the May issue of Diabetes Care.

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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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Women Being Recruited to Join Specific Cancer Registry

FRIDAY, June 7 (HealthDay News) -- Women, with and without cancer, are being recruited to join a cancer registry in an effort to better understand and more effectively treat cancers that primarily affect women, according to a Cedars-Sinai initiative.

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Large Randomized Trial Will Compare Diabetes Medications

FRIDAY, June 7 (HealthDay News) -- The Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE) is a pragmatic clinical trial that will compare the long-term effects of diabetes medications (when combined with metformin) on glucose-lowering efficacy and patient-centered outcomes, according to a report published online May 20 in Diabetes Care.

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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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Symptomatic At-Risk Celiac Screening Remains Best

FRIDAY, June 7 (HealthDay News) -- Symptomatic at-risk screening (SAS) for celiac disease remains more cost-effective than universal serologic screening (USS), according to a review published in the June issue of Clinical Gastroenterology and Hepatology.

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CDC: Multistate Hepatitis A Virus Outbreak Reported

THURSDAY, June 6 (HealthDay News) -- A multistate outbreak of hepatitis A illnesses, possibly linked to a frozen berry and pomegranate mix, has been identified, according to a report published by the U.S. Centers for Disease Control and Prevention.

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Esophageal CA Not Often Cause of Death in Barrett's Esophagus

THURSDAY, June 6 (HealthDay News) -- Among patients with Barrett's esophagus who die within 10 years of diagnosis, approximately 2 percent of deaths are caused by esophageal cancer, and other causes such as ischemic heart disease are much more frequent, according to research published in the June issue of Gastroenterology.

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Lixisenatide Non-Inferior to Exenatide for Diabetes

THURSDAY, June 6 (HealthDay News) -- In adults with type 2 diabetes not adequately controlled with metformin, lixisenatide once daily offers diabetes control similar to that of exenatide twice daily, with some added benefits, according to a study published online May 22 in Diabetes Care.

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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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Frailty, Not Age, Predicts Mortality With Hemodialysis

THURSDAY, June 6 (HealthDay News) -- Among patients undergoing hemodialysis, frailty is an independent predictor of mortality and hospitalization, regardless of age, according to a study published online May 27 in the Journal of the American Geriatrics Society.

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Fish Oil Supplementation May Lower Risk of Diabetes

THURSDAY, June 6 (HealthDay News) -- Fish oil supplementation moderately increases circulating adiponectin, according to a review published in the June 1 issue of the Journal of Clinical Endocrinology & Metabolism.

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Outcomes-Based Data Drive Practice Transformation

THURSDAY, June 6 (HealthDay News) -- Researchers in North Carolina have developed an enhanced model for the natural history of practice transformation that emphasizes using outcomes-based data to sustain robust long-term improvements and success in primary care settings; the research has been published in the May/June issue of the Annals of Family Medicine.

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One-Third of Women Willing to Delay Rx for Suspected UTI

WEDNESDAY, June 5 (HealthDay News) -- When asked to by their doctor, more than a third of women with urinary tract infection symptoms are willing to delay antibiotic treatment, according to a study published online May 31 in BMC Family Practice.

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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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CDC: Listeria Mainly Affects Old, Pregnant, Immunocompromised

WEDNESDAY, June 5 (HealthDay News) -- Populations at risk, including older adults, pregnant women, and those with weakened immune systems, account for at least 90 percent of reported Listeria infections, according to research published in the June 4 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Twitter Analysis Can Inform Vaccination Campaigns

WEDNESDAY, June 5 (HealthDay News) -- Analysis of Twitter posts can help explain patient knowledge and inform directions for educational vaccination campaigns, according to a brief report published in the June issue of the American Journal of Infection Control.

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Weight Loss Diets Improve Renal Function in Obese

WEDNESDAY, June 5 (HealthDay News) -- Low-fat, Mediterranean, and low-carbohydrate diets are similarly effective in improving renal function in moderately obese people with or without type 2 diabetes, according to a study published online May 20 in Diabetes Care.

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Office-Based Physicians Making More Patient Referrals to ER

WEDNESDAY, June 5 (HealthDay News) -- Emergency departments (EDs) have become an important source of admissions to U.S. hospitals and are increasingly being used to conduct complex work-ups, according to a report published by the RAND Corporation.

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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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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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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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Shared-Care Model Improves Professional Satisfaction

WEDNESDAY, June 5 (HealthDay News) -- Shifting primary care practice toward a shared-care model for work distribution and responsibility can improve professional satisfaction, according to research published in the May/June issue of the Annals of Family Medicine.

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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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Family Cluster of Middle East Coronavirus Infections ID'd

TUESDAY, June 4 (HealthDay News) -- A family cluster of infections with Middle East respiratory syndrome coronavirus (MERS CoV) has been described in a brief report published online May 29 in the New England Journal of 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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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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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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Blood Tests As Good As Biopsy for HCV-Related Disease

TUESDAY, June 4 (HealthDay News) -- Compared to a liver biopsy, available blood tests are accurate for diagnosing fibrosis and cirrhosis in patients with hepatitis C virus (HCV), according to a review published in the June 4 issue of the Annals of Internal Medicine.

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Good Outcomes for Resident-Performed Cataract Surgery

TUESDAY, June 4 (HealthDay News) -- In an underserved patient population, supervised resident-performed cataract surgery is successful and cost-effective, according to a study published online May 30 in JAMA Ophthalmology.

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Dextrose Prolotherapy Can Improve Knee Osteoarthritis

TUESDAY, June 4 (HealthDay News) -- For adults with knee osteoarthritis, dextrose prolotherapy is associated with greater improvements in pain, function, and stiffness compared with saline injections or at-home exercise, according to a study published in the May/June issue of the Annals of Family Medicine.

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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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Biomarker Not Linked to Multiple Sclerosis Response

TUESDAY, June 4 (HealthDay News) -- Serum levels of interleukin 17F (IL-17F) during early treatment of multiple sclerosis with interferon beta are not associated with responsiveness to treatment, although levels greater than 200 pg/mL may predict lack of response, according to a study published online June 3 in JAMA Neurology.

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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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Daily Sunscreen Use During Middle-Age Slows Skin Aging

MONDAY, June 3 (HealthDay News) -- Daily sunscreen use can slow skin aging in middle-aged adults, according to a study published in the June 4 issue of the Annals of 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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Bone Mineral Density Tx Can Be Effective for Young CF Patients

MONDAY, June 3 (HealthDay News) -- For children and young adults with cystic fibrosis, adequate calcium intake plus calcifediol can improve bone mineral density, while alendronate can increase bone mineral density for some non-responders, according to a study published online June 2 in The Lancet Respiratory 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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