Here are what the editors at HealthDay consider to be the most important developments in Nursing for February 2017. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Strategies Suggested to Protect Practices From Hackers
TUESDAY, Feb. 28, 2017 (HealthDay News) — Steps should be taken to protect medical practices, including small practices, from hackers, according to a report published in Medical Economics.
Both Detection, False-Positives Up With Digital Mammograms
TUESDAY, Feb. 28, 2017 (HealthDay News) — Digital imaging has improved diagnostic capability of mammograms but the percentage of false-positives is up, too, according to a study published online Feb. 28 in Radiology.
CRC Incidence on the Rise Among Younger Americans
TUESDAY, Feb. 28, 2017 (HealthDay News) — Americans in their early 50s and younger are experiencing significant increases in colorectal cancer incidence, according to research published online Feb. 28 in the Journal of the National Cancer Institute.
Task Force Recommends Vision Screening in Children 3 to 5
TUESDAY, Feb. 28, 2017 (HealthDay News) — Young children should be screened at least once for amblyopia before they turn 5 years old, according to a draft recommendation statement issued by the U.S. Preventive Services Task Force (USPSTF).
Evidence Review
Draft Recommendation Statement
Comment on Recommendation
Diazepam Not Beneficial for Acute Low Back Pain in ER
TUESDAY, Feb. 28, 2017 (HealthDay News) — There is doubt as to whether diazepam provides benefit in the treatment of low back pain in the emergency department environment, according to a study published online Feb. 7 in the Annals of Emergency Medicine.
Doctors Need to Discuss Herbal Medication Use With CVD Patients
TUESDAY, Feb. 28, 2017 (HealthDay News) — While there’s little evidence that herbal medications are safe or effective to treat cardiovascular conditions, they remain popular among patients with cardiovascular disease, according to a review published in the March 7 issue of the Journal of the American College of Cardiology.
Access to Primary Care Not Affected by Medicaid Expansion
TUESDAY, Feb. 28, 2017 (HealthDay News) — Doctors’ offices capably shouldered the burden of millions of new Medicaid patients gaining access to health insurance through the Affordable Care Act, according to a research letter published online Feb. 27 in JAMA Internal Medicine.
Comorbid Neuropathies Common With MCI Diagnosis
TUESDAY, Feb. 28, 2017 (HealthDay News) — A diagnosis of mild cognitive impairment (MCI) is frequently associated with comorbid neuropathologies, according to a study published online Feb. 22 in the Annals of Neurology.
Care Update for Newborns With Meconium-Stained Amniotic Fluid
TUESDAY, Feb. 28, 2017 (HealthDay News) — In a Committee Opinion published in the March issue of Obstetrics & Gynecology, guidelines are updated for the management of delivery of newborns with meconium-stained amniotic fluid.
Higher Dietary Potassium to Sodium Ratio Can Lower CVD Risk
TUESDAY, Feb. 28, 2017 (HealthDay News) — Higher dietary potassium seems to be associated with reduced blood pressure, regardless of sodium intake, with the postulated mechanism involving the distal tubule sodium chloride cotransporter (NCC), according to research published online Feb. 7 in the American Journal of Physiology – Endocrinology and Metabolism.
Antidepressant Efficacy Varies for Depressive Symptom Clusters
TUESDAY, Feb. 28, 2017 (HealthDay News) — Antidepressant treatment efficacy varies for empirically-defined clusters of symptoms, according to a study published online Feb. 22 in JAMA Psychiatry.
Supreme Court Rules Patient Safety Data Subject to Litigation
MONDAY, Feb. 27, 2017 (HealthDay News) — The Supreme Court of Florida has reversed a District Court of Appeal decision deeming information related to patient safety unprotected from litigation discovery, according to a report published from the American Medical Association.
AAP Offers Guidance for Treating Victims of Sexual Assault
MONDAY, Feb. 27, 2017 (HealthDay News) — Pediatricians should be comfortable with treating and screening for sexual assault, and they should know where to send their teenage patients for any additional help, according to a clinical report from the American Academy of Pediatrics (AAP) published online Feb. 27 in Pediatrics.
Sugar-Sweetened Drink Tax Tied to Sustained Drop in Purchase
MONDAY, Feb. 27, 2017 (HealthDay News) — Implementation of a tax on sugar-sweetened beverages is associated with a sustained reduction in purchases of taxed beverages, according to a study published online Feb. 22 in Health Affairs.
AAP Addresses Rising Risks to Youth From New Marijuana Laws
MONDAY, Feb. 27, 2017 (HealthDay News) — In a clinical report published online Feb. 27 in Pediatrics, the American Academy of Pediatrics (AAP) offers guidance to pediatricians regarding the increased dangers faced by children and teens since the legalization of marijuana in many states.
Multidrug-Resistant Bacteria Found in Hospital Sinks
MONDAY, Feb. 27, 2017 (HealthDay News) — Spread of antibiotic-resistant bacteria can occur through sinks and other areas where water can pool inside hospitals, according to a study published online Feb. 24 in Applied and Environmental Microbiology.
Deep Brain Stimulation Beneficial in Anorexia Nervosa
MONDAY, Feb. 27, 2017 (HealthDay News) — Deep brain stimulation (DBS) is associated with significant improvements in affective symptoms and body mass index (BMI) in treatment-refractory anorexia nervosa, according to a study published online Feb. 23 in The Lancet.
Depressed Psoriasis Patients at Higher Risk of Psoriatic Arthritis
MONDAY, Feb. 27, 2017 (HealthDay News) — Patients with psoriasis who also have major depressive disorder may face a much higher risk for psoriatic arthritis, according to a study published online Feb. 22 in the Journal of Investigative Dermatology.
Many Patients Get Opioid Rx While Receiving Buprenorphine
MONDAY, Feb. 27, 2017 (HealthDay News) — A substantial proportion of patients with opioid use disorder fill prescriptions for non-buprenorphine opioids during and following treatment with buprenorphine, according to a study published online Feb. 23 in Addiction.
Adherence to Clinical Decision Support Ups Odds of Acute PE ID
MONDAY, Feb. 27, 2017 (HealthDay News) — For patients with suspected pulmonary embolism (PE) in the emergency department, adherence to evidence-based clinical decision support (CDS) for ordering computed tomographic (CT) pulmonary angiography is associated with increased odds of an acute PE finding, according to research published in the March issue of Radiology.
Inhaled Corticosteroids Not Linked to Pneumonia in Children
MONDAY, Feb. 27, 2017 (HealthDay News) — Inhaled corticosteroids (ICS) do not appear to be associated with the risk of pneumonia in children with asthma, according to a review published online Feb. 24 in Pediatrics.
USPSTF Recommendation for Overweight, Obese Cost-Effective
MONDAY, Feb. 27, 2017 (HealthDay News) — Implementing the 2014 U.S. Preventive Services Task Force (USPSTF) recommendations for behavioral counseling is likely to be cost-effective for overweight and obese adults, according to research published online Feb. 17 in Diabetes Care.
Periodontitis May Be Early Sign of Undiagnosed Diabetes
FRIDAY, Feb. 24, 2017 (HealthDay News) — Periodontal disease may be a sign of undiagnosed type 2 diabetes, according to a study published in the January issue of BMJ Open Diabetes Research & Care.
Rates of Resistant Infections Up in U.S. Children
FRIDAY, Feb. 24, 2017 (HealthDay News) — Antibiotic-resistant Enterobacteriaceae bacterial infections have increased 700 percent in American children since 2007, according to a study published online Feb. 22 in the Journal of the Pediatric Infectious Diseases Society.
CDC: Fatal Drug Overdoses More Than Doubled Since 1999
FRIDAY, Feb. 24, 2017 (HealthDay News) — Drug overdose deaths have nearly tripled in the United States since 1999, with the largest increases seen for whites and middle-aged Americans, according to a February data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
Fruit, Vegetable Consumption Linked to Lower Risk of COPD
FRIDAY, Feb. 24, 2017 (HealthDay News) — Eating lots of fruits and vegetables may help current and former smokers avoid chronic obstructive pulmonary disease (COPD), according to a study published online Feb. 22 in Thorax.
Internet-Based CBT Effective for Depressive Symptoms
FRIDAY, Feb. 24, 2017 (HealthDay News) — Self-guided internet-based cognitive behavioral therapy (iCBT) is effective for treating adults with depressive symptoms, according to a review published online Feb. 22 in JAMA Psychiatry.
Central Adiposity More Harmful Than Obesity in Older Women
FRIDAY, Feb. 24, 2017 (HealthDay News) — Among women 70 to 79, being overweight or obese doesn’t appear to shorten life span — unless the weight is centered around the waist; however, being underweight does appear to shorten life span, according to a study published online Feb. 23 in the Journal of the American Geriatrics Society.
Similar Outcomes for Disc Surgery in Older, Younger Patients
FRIDAY, Feb. 24, 2017 (HealthDay News) — Older patients, over the age of 65, seem to experience the same lower back pain relief as their younger peers from surgery for a herniated lumbar disc, according to a research letter published online Feb. 22 in JAMA Surgery.
10 Portions of Produce a Day Can Confer Great Health Benefit
FRIDAY, Feb. 24, 2017 (HealthDay News) — Ten daily servings of fruits and vegetables may be a key to reducing the risk of myocardial infarction, stroke, cancer, and premature death, according to a review published online Feb. 22 in the International Journal of Epidemiology.
Transradial Intervention, Same-Day Discharge Cost Saving in PCI
FRIDAY, Feb. 24, 2017 (HealthDay News) — For Medicare beneficiaries undergoing percutaneous coronary intervention (PCI), transradial intervention (TRI) with same-day discharge (SDD) is associated with lower costs, according to a study published in the Feb. 27 issue of JACC: Cardiovascular Interventions.
DPP-4i Treatment Doesn’t Up MI, Stroke Risk in Seniors
FRIDAY, Feb. 24, 2017 (HealthDay News) — For older U.S. Medicare beneficiaries, dipeptidyl peptidase-4 inhibitors (DPP-4i) treatment is not associated with increased cardiovascular (CV) risk relative to sulfonylureas (SU) and thiazolidinediones (TZD), according to a study published online Feb. 14 in Diabetes, Obesity and Metabolism.
Stratification Tool IDs Who Will Benefit From Adding Ezetimibe
THURSDAY, Feb. 23, 2017 (HealthDay News) — For patients stabilized after acute coronary syndrome (ACS), a nine-point risk stratification tool can identify patients who will derive benefit from the addition of ezetimibe to statin therapy, according to a study published in the Feb. 28 issue of the Journal of the American College of Cardiology.
MRI Can Be Safe for Patients With Older Pacemakers, ICDs
THURSDAY, Feb. 23, 2017 (HealthDay News) — Patients with cardiovascular implantable electronic devices not designed to be magnetic resonance imaging (MRI)-compatible can safely receive MRI, when a specific protocol is followed, according to a study published in the Feb. 23 issue of the New England Journal of Medicine.
Gestational Weight Gain Linked to Psychosis Risk in Children
THURSDAY, Feb. 23, 2017 (HealthDay News) — Gaining too little weight during pregnancy may increase the odds that offspring will develop schizophrenia later in life, according to a study published online Feb. 22 in JAMA Psychiatry.
Pediatric ACL Injuries Continue to Rise, Especially Among Girls
WEDNESDAY, Feb. 22, 2017 (HealthDay News) — The incidence of anterior cruciate ligament (ACL) tears has steadily increased among 6- to 18-year-olds in the United States, rising more than 2 percent a year over the last two decades, according to a report published online Feb. 22 in Pediatrics.
Off-Label Antidepressant Use Common, but Evidence Lacking
WEDNESDAY, Feb. 22, 2017 (HealthDay News) — Up to one-third of antidepressants are prescribed for pain, insomnia, migraine, or other unapproved uses, but just 16 percent of those off-label prescriptions are supported by strong research, according to a study published online Feb. 21 in The BMJ.
Health Information Theft a Pressing Concern for U.S. Patients
WEDNESDAY, Feb. 22, 2017 (HealthDay News) — Forty-four percent of U.S. adults are worried about having their personal health care information stolen, according to findings from the Xerox eHealth Survey published Feb. 9 in HIT Consultant.
Nursing Homes Rarely Use Isolation for Drug-Resistant Bugs
WEDNESDAY, Feb. 22, 2017 (HealthDay News) — Isolation precautions are infrequently used for nursing home (NH) residents with multidrug-resistant organism (MDRO) infection, according to a study published online Feb. 17 in the Journal of the American Geriatrics Society.
Cancer Survivors Likely to Change Rx Drug Use for Financial Reasons
WEDNESDAY, Feb. 22, 2017 (HealthDay News) — Nonelderly cancer survivors are more likely to report changes in prescription drug use for financial reasons than individuals without a cancer history, according to a study published online Feb. 20 in Cancer.
Weight Loss of 10% Beneficial in Overweight, Not Obese, With DM
WEDNESDAY, Feb. 22, 2017 (HealthDay News) — For overweight, but not obese, individuals with type 2 diabetes (T2D), sustained weight loss (WL) of 10 percent body weight is associated with clinically meaningful cardiometabolic changes, according to research published online Feb. 19 in Diabetes Care.
Collaborative Care Cuts Depressive Symptoms in Seniors
WEDNESDAY, Feb. 22, 2017 (HealthDay News) — For older adults with subthreshold depression, collaborative care is associated with a reduction in depressive symptoms compared with usual care, according to a study published online Feb. 21 in the Journal of the American Medical Association.
CMS Rule Set to Stabilize Small Health Insurance Markets
TUESDAY, Feb. 21, 2017 (HealthDay News) — The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.
Exercise Most Important Lifestyle Change for Breast CA Survivors
TUESDAY, Feb. 21, 2017 (HealthDay News) — For breast cancer survivors, exercise may help lower their mortality risk more than other healthy habits, according to a review published in the Feb. 21 issue of CMAJ, the journal of the Canadian Medical Association.
One in Four Ocular ER Visits for Nonurgent Conditions
TUESDAY, Feb. 21, 2017 (HealthDay News) — Nearly one-quarter of enrollees in a U.S. managed care network who visit the emergency department for an ocular condition have a nonurgent condition, according to a study published online Feb. 1 in Ophthalmology.
Postpartum Depressive Symptoms Fell in 2004 to 2012
TUESDAY, Feb. 21, 2017 (HealthDay News) — From 2004 to 2012 there was a decrease in postpartum depressive symptoms (PDS), according to research published in the Feb. 17 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Internet-Delivered Exercise, Pain-Coping Skills Alleviate Knee Pain
TUESDAY, Feb. 21, 2017 (HealthDay News) — An internet-delivered physical therapist-prescribed home exercise and pain-coping skills training (PCST) intervention is beneficial for individuals with chronic knee pain, according to a study published online Feb. 21 in the Annals of Internal Medicine.
AAP Policy Statement Focuses on Child Witness Well-Being
TUESDAY, Feb. 21, 2017 (HealthDay News) — In two policy statements published online Feb. 20 in Pediatrics, guidance is provided for safeguarding the well-being of child witnesses, and recommendations are given for pediatricians relating to expert testimony.
Policy Statement 1
Policy Statement 2
Readmission Common After Hospitalization for Heart Failure
TUESDAY, Feb. 21, 2017 (HealthDay News) — For patients with hospitalization for heart failure, readmission within 30 days is common, according to a study published in the March 1 issue of The American Journal of Cardiology.
Patients With Opioid Addiction Benefit From Tx Initiated in ER
TUESDAY, Feb. 21, 2017 (HealthDay News) — Patients addicted to opioids treated in a hospital emergency department do better when they receive medication to reduce opioid cravings, according to a study published online Feb. 13 in the Journal of General Internal Medicine.
Maintenance Intervention Improves Long-Term Weight Loss
TUESDAY, Feb. 21, 2017 (HealthDay News) — Successful weight maintenance may be more likely with a series of post-diet coaching sessions conducted mostly by phone, according to a study published online Feb. 21 in the Annals of Internal Medicine.
OD Risk Up in Children Whose Mothers Are Prescribed Opioids
MONDAY, Feb. 20, 2017 (HealthDay News) — A child’s risk of a potentially fatal drug overdose more than doubles if a parent is prescribed an opioid, and appropriate storage guidelines are often not followed, according to research published online Feb. 20 in Pediatrics.
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AAP Urges Doctors Not to Punish Pregnant Women for Opioid Use
MONDAY, Feb. 20, 2017 (HealthDay News) — Prevention and treatment, not legal action, should be the focus when dealing with pregnant women who use opioids, according to a policy statement from the American Academy of Pediatrics (AAP) published online Feb. 20 in Pediatrics.
Post-Deployment Screening Has Limited Benefit in U.K. Military
MONDAY, Feb. 20, 2017 (HealthDay News) — Post-deployment screening for mental disorders is not effective for reducing the prevalence of posttraumatic stress disorder (PTSD), depression, anxiety, or alcohol misuse among U.K. military personnel, according to a study published online Feb. 16 The Lancet.
Depression, Anxiety Prevalent in Hospice Caregivers
MONDAY, Feb. 20, 2017 (HealthDay News) — A considerable proportion of hospice caregivers are moderately to severely depressed or have moderate to severe symptoms of anxiety, according to a study published online recently in the Journal of Palliative Medicine.
Increase in Foodborne Disease Outbreaks Tied to Imported Food
MONDAY, Feb. 20, 2017 (HealthDay News) — There has been an increase in the number and proportion of foodborne disease outbreaks associated with imported food, according to research published in the March issue of the U.S. Centers for Disease Control and Prevention’s Emerging Infectious Diseases.
ICU Appears Overused for Some Patients With Heart, Lung Disease
MONDAY, Feb. 20, 2017 (HealthDay News) — Admission to the intensive care unit (ICU) is not associated with a survival benefit for patients with uncertain ICU needs hospitalized with exacerbation of chronic obstructive pulmonary disease (COPD), exacerbation of heart failure, or acute myocardial infarction (AMI), according to a study published online Feb. 17 in the Annals of the American Thoracic Society.
Early PT Not Tied to Lower Health Care Use Later On
MONDAY, Feb. 20, 2017 (HealthDay News) — Early use of physical therapy (PT) for new low back pain in older adults is not associated with less subsequent back pain-specific health care utilization, compared with patients not receiving early PT, according to a study published in the March issue of The Spine Journal.
CDC: Influenza Vaccine 48 Percent Effective Overall
FRIDAY, Feb. 17, 2017 (HealthDay News) — This year’s influenza vaccine is a fairly good match for the circulating viruses, according to research published in the Feb. 17 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Doctors Often Write Rx for Antibiotics If Patients Expect It
FRIDAY, Feb. 17, 2017 (HealthDay News) — Doctors are more likely to prescribe antibiotics if they think patients expect the medications, according to a study published online Feb. 16 in Health Psychology.
Postpartum Depression Also Affects New Fathers
FRIDAY, Feb. 17, 2017 (HealthDay News) — Expectant and new fathers who are in poor health or have high levels of stress are at increased risk for depression, according to a study published online Feb. 15 in JAMA Psychiatry.
Gluten-Free Diet Linked to Increased Levels of Toxic Metals
FRIDAY, Feb. 17, 2017 (HealthDay News) — Higher levels of arsenic and mercury have been identified in individuals consuming gluten-free diets, according to a study published online Feb. 3 in Epidemiology.
Metformin Use Linked to Less Vitamin B12 Measurement
FRIDAY, Feb. 17, 2017 (HealthDay News) — Long-term metformin use is associated with lower serum vitamin B12 concentration, although metformin users are less likely to receive vitamin B12 testing, according to a study published online Feb. 9 in the Journal of the American Geriatrics Society.
Dietetic Counseling Proves Worthwhile in Kidney Disease
FRIDAY, Feb. 17, 2017 (HealthDay News) — It is clinically worthwhile for patients with chronic kidney disease (CKD) to be counseled on reducing salt intake, according to research published online Feb. 16 in the Clinical Journal of the American Society of Nephrology.
Health Care Spending Expected to Grow 5.6% Annually to 2025
THURSDAY, Feb. 16, 2017 (HealthDay News) — Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025, according to a report published online Feb. 15 in Health Affairs.
Vitamin D May Help Reduce Risk of Acute Respiratory Infection
THURSDAY, Feb. 16, 2017 (HealthDay News) — There’s preliminary evidence that adequate amounts of vitamin D might help lower rates of acute respiratory infections, according to a review published online Feb. 15 in The BMJ.
Doctors’ Opioid Rx Patterns Tied to Patient Risk for Long-Term Use
THURSDAY, Feb. 16, 2017 (HealthDay News) — Emergency department patients are at greater risk for long-term opioid use even after a single prescription from an emergency medicine physician who regularly prescribes them, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.
Review: Cannabidiol May Be Beneficial for Oral Mucositis
THURSDAY, Feb. 16, 2017 (HealthDay News) — Cannabidiol could be beneficial for the treatment of oral mucositis, although data on its use in dentistry are scarce, according to a review published online Feb. 12 in the Journal of Clinical Pharmacy and Therapeutics.
Bariatric Surgery Tied to T2DM Resolution in Obese Patients
THURSDAY, Feb. 16, 2017 (HealthDay News) — Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.
Bacteria, Fungi Found in Some Medicinal Marijuana Samples
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — Medical marijuana may carry infectious bacteria and fungi that can pose a life-threatening risk to cancer patients who use it to ease the side effects of chemotherapy, according to a study published online recently in Clinical Microbiology and Infection.
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Health Care Use Up for Relapse-Free Hodgkin’s Survivors
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — Relapse-free Hodgkin’s lymphoma (HL) survivors have increased health care use up to 10 years after diagnosis, according to a study published online Feb. 4 in the American Journal of Hematology.
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Shorter Runway Time Linked to Better Colon Cleansing
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — For patients undergoing combined esophagogastroduodenoscopy (EGD) and colonoscopy with propofol sedation, shorter runway time is associated with better quality colon cleansing, according to a study published online Feb. 11 in the Journal of Digestive Diseases.
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Health Care Utilization Common After ICD Shock Events
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — Health care utilization (HCU) is common after appropriate and inappropriate implantable cardioverter-defibrillator shock events, according to a study published online Feb. 14 in Circulation: Cardiovascular Quality and Outcomes.
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Dermoscopy + Triple Light Source Reliable in ID of Pityriasis Rosea
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — Dermoscopy with three light sources is ideal for diagnosing pityriasis rosea (PR), according to a research letter published online Feb. 10 in the International Journal of Dermatology.
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Lixisenatide Beneficial in Seniors With Uncontrolled Diabetes
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — Lixisenatide is more effective than placebo for older patients with uncontrolled diabetes on their current medication, with no unexpected safety findings, according to a study published online Feb. 10 in Diabetes Care.
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Similar Adverse Event Risk for Typical, Atypical Antipsychotics
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — The risks of adverse events are similar with short-term use of typical and atypical antipsychotic medications (APMs) after cardiac surgery in seniors, according to a study published online Feb. 10 in the Journal of the American Geriatrics Society.
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Dulaglutide Linked to Higher Adherence in T2DM
WEDNESDAY, Feb. 15, 2017 (HealthDay News) — For patients with type 2 diabetes mellitus (T2DM), dulaglutide is associated with higher adherence and lower discontinuation than exenatide once weekly (QW) or liraglutide, according to a study published online Feb. 9 in Diabetes, Obesity and Metabolism.
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AHA: CVD Expected to Cost U.S. $1.1 Trillion Per Year by 2035
TUESDAY, Feb. 14, 2017 (HealthDay News) — Cardiovascular disease (CVD) is increasing in the United States, with costs expected to double from $555 billion in 2016 to $1.1 trillion in 2035, a new American Heart Association report estimates.
ACP Issues Guideline for Treating Acute, Subacute, Chronic LBP
TUESDAY, Feb. 14, 2017 (HealthDay News) — First-line therapy for patients with low back pain should be simple non-pharmacological remedies — from heat wraps to physical therapy, according to a new clinical practice guideline from the American College of Physicians (ACP) published online Feb. 14 in the Annals of Internal Medicine.
Review 1
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Clinical Practice Guideline
Medicare Shared Savings Linked to Lower Post-Acute Spending
TUESDAY, Feb. 14, 2017 (HealthDay News) — Participation in the Medicare Shared Savings Program (MSSP) is associated with an overall reduction in post-acute spending, and the performance of Oregon’s Medicaid Accountable Care Organization (ACO) model is similar to that of Colorado, according to two studies published online Feb. 13 in JAMA Internal Medicine.
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Orbital Cellulitis Reported After Use of Facial Soft-Tissue Filler
TUESDAY, Feb. 14, 2017 (HealthDay News) — Delayed and recurrent orbital cellulitis following use of facial soft-tissue filler is described in a case report published online Feb. 10 in Clinical & Experimental Ophthalmology.
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Interventions Up Discussion of Advanced Care Planning
TUESDAY, Feb. 14, 2017 (HealthDay News) — Quality improvement interventions can increase discussions relating to advanced care planning and the mention of advance directives (ADs) in the electronic medical record (EMR), according to a study published online Feb. 9 in the Journal of the American Geriatrics Society.
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Fatigue Occurs in ~50 Percent With Chronic Plaque Psoriasis
TUESDAY, Feb. 14, 2017 (HealthDay News) — About half of patients with chronic plaque psoriasis have fatigue, according to a study published online Feb. 9 in the British Journal of Dermatology.
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NOACs Have Been Widely Adopted Into Practice
TUESDAY, Feb. 14, 2017 (HealthDay News) — Non-vitamin K antagonist oral anticoagulants (NOACs) have been adopted into practice and are more frequently prescribed than vitamin K antagonists (VKAs) in the Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation trial, according to research published in the Feb. 21 issue of the Journal of the American College of Cardiology.
AAP Provides Guidance on Anaphylaxis Emergency Plans
MONDAY, Feb. 13, 2017 (HealthDay News) — All caregivers for children at risk of anaphylaxis should have a written action plan and epinephrine auto-injectors readily available, according to two clinical reports from the American Academy of Pediatrics (AAP) published online Feb. 13 in the Pediatrics.
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Use of Multiple CNS-Affecting Drugs Increasing Among Seniors
MONDAY, Feb. 13, 2017 (HealthDay News) — There has been a sharp rise in the number of American seniors who take three or more medications that affect their central nervous system, according to a research letter published online Feb. 13 in JAMA Internal Medicine.
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Rise in Unsafe Practices Among Men Who Have Sex With Men
MONDAY, Feb. 13, 2017 (HealthDay News) — Men who have sex with men are much less likely to use condoms now than they were two decades ago, according to research published online Feb. 6 in the Archives of Sexual Behavior.
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FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons
MONDAY, Feb. 13, 2017 (HealthDay News) — Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events, according to the U.S. Food and Drug Administration.
Access to Naloxone Eased in Louisiana, Utah
MONDAY, Feb. 13, 2017 (HealthDay News) — Health officials in Utah and Louisiana have issued orders to make naloxone more widely available in an effort to prevent overdose deaths, according to a report from the American Medical Association.
Concussion May Affect Driving Even After Symptoms Are Gone
FRIDAY, Feb. 10, 2017 (HealthDay News) — Even after their symptoms disappear, concussion patients may still have difficulty driving, according to research published online Jan. 24 in the Journal of Neurotrauma.
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NICU Auditory Environment Shows Room for Improvement
FRIDAY, Feb. 10, 2017 (HealthDay News) — Premature infants in neonatal intensive care units (NICUs) are exposed to potentially harmful noise levels, according to a study published online Feb. 8 in the Journal of Pediatrics.
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Yoga Linked to Low Back Pain Relief, Improvement in Function
FRIDAY, Feb. 10, 2017 (HealthDay News) — For patients experiencing low back pain, yoga may be an effective pain reliever, according to a review published online Jan. 12 in The Cochrane Library.
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Variation in Complication Rates for Term Newborns in Florida
FRIDAY, Feb. 10, 2017 (HealthDay News) — There is considerable variation in hospital total unexpected complication rates among newborns in Florida, according to a study published online Feb. 10 in Pediatrics.
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About One in Three Ob-Gyns Relocated in Past 10 Years
FRIDAY, Feb. 10, 2017 (HealthDay News) — About one-third of obstetrician-gynecologists (ob-gyns) moved at least once in the past 10 years, according to a study published in the March issue of Obstetrics & Gynecology.
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Twelve Percent of Women Fill Opioid Rx After Vaginal Delivery
FRIDAY, Feb. 9, 2017 (HealthDay News) — Twelve percent of women fill an outpatient opioid prescription within five days of vaginal delivery, according to a study published in the March issue of Obstetrics & Gynecology.
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Miscarriage Risk in Women With High hsCRP Down With Aspirin
FRIDAY, Feb. 10, 2017 (HealthDay News) — Daily low-dose aspirin (LDA) may increase the live birth rate for women with high levels of inflammation who previously lost a pregnancy, according to a study published online Feb. 3 in the Journal of Clinical Endocrinology and Metabolism.
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Peroxide Ingestion As ‘Cleansing Agent’ Can Be Fatal
FRIDAY, Feb. 10, 2017 (HealthDay News) — Ingesting high-concentration hydrogen peroxide as a “natural cure” or cleansing agent is a dangerous practice that is associated with a high incidence of embolic events, according to a study published recently in Annals of Emergency Medicine.
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Rx Adherence Reminders No More Effective at ‘Fresh Start’ Dates
FRIDAY, Feb. 10, 2017 (HealthDay News) — Sending medication adherence reminders following fresh-start dates (life and calendar events indicating the start of new cycles) is not effective for increasing medication adherence, according to a research letter published online Feb. 8 in JAMA Cardiology.
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Any Coronary Artery Calcium in Early Adulthood Ups CV Risk
THURSDAY, Feb. 9, 2017 (HealthDay News) — Coronary artery calcium (CAC) is associated with coronary heart disease (CHD) and cardiovascular disease (CVD) among younger adults, according to a study published online Feb. 8 in JAMA Cardiology.
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Post-Cesarean Maternal Infection in 8.8 Percent of C-Sections
THURSDAY, Feb. 9, 2017 (HealthDay News) — For women undergoing cesarean section, 8.8 percent have post-cesarean infection, with pre-incision azithromycin prophylaxis associated with reduced odds of infection, according to research published in the March issue of Obstetrics & Gynecology.
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Shift in Bisphosphonate Tx After 2008 Recommendations
THURSDAY, Feb. 9, 2017 (HealthDay News) — In response to revised osteoporosis recommendations in 2008, there was a shift in age-related trends in oral bisphosphonate (BP) therapy initiation, according to a study published online Feb. 2 in the Journal of the American Geriatrics Society.
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Intravenous Lidocaine Offers Alternative for ICU Patients’ Pain
THURSDAY, Feb. 9, 2017 (HealthDay News) — Intravenous lidocaine (IVLI) seems safe for reducing pain among patients in the intensive care unit (ICU) with varying degrees of organ dysfunction, according to research published online Feb. 7 in the Journal of Clinical Pharmacology.
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Adherence to Bronchiolitis Guidelines Cuts LOS, Costs
THURSDAY, Feb. 9, 2017 (HealthDay News) — Adherence to bronchiolitis clinical pathway recommendations is associated with reduced length of stay (LOS) and costs, according to a study published online Feb. 9 in Pediatrics.
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Acupressure Ups Sleep Quality in Nursing Home Residents
THURSDAY, Feb. 9, 2017 (HealthDay News) — For nursing home (NH) residents, acupressure on specific acupoints is associated with improved sleep quality and well-being, according to a study published online Feb. 2 in the Journal of the American Geriatrics Society.
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Evaluation of Sepsis Varies Across Newborn Nurseries
THURSDAY, Feb. 9, 2017 (HealthDay News) — Considerable variation is seen in risk assessment for newborn early onset sepsis (EOS), according to a study published online Feb. 8 in Pediatrics.
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Novel Oral Glucose Lowering Drugs Cut Risks in T2DM
WEDNESDAY, Feb. 8, 2017 (HealthDay News) — For patients with type 2 diabetes, novel oral glucose lowering drugs (GLDs) are associated with reduced risks of all-cause mortality, cardiovascular disease (CVD), and hypoglycemia, compared with insulin use, according to a study published online Jan. 24 in Diabetes, Obesity and Metabolism.
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Patient Satisfaction High With Nurse-Led Chronic Kidney Dz Care
WEDNESDAY, Feb. 8, 2017 (HealthDay News) — For patients with chronic kidney disease (CKD), patient satisfaction is high with care at nurse-led clinics, according to a study published online Feb. 3 in the Journal of Renal Care.
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Nighttime Intensivist Staffing Not Linked to ICU Mortality
WEDNESDAY, Feb. 8, 2017 (HealthDay News) — Nighttime intensivist staffing is not associated with reduced intensive care unit (ICU) patient mortality, according to a review and meta-analysis published in the Feb. 1 issue of the American Journal of Respiratory and Critical Care Medicine.
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Primary Care Exercise Counseling Cost-Effective for Older Men
WEDNESDAY, Feb. 8, 2017 (HealthDay News) — For older male veterans, improvements in physical activity and rapid gait speed can be obtained at a relatively low cost relative to patient annual health care costs, according to a study published online Feb. 2 in the Journal of the American Geriatrics Society.
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Not Enough High-Risk Women Being Screened for BRCA1/2
WEDNESDAY, Feb. 8, 2017 (HealthDay News) — Many high-risk women don’t get genetic testing for BRCA1 and BRCA2, often because they aren’t advised to by their doctors, according to a research letter published in the Feb. 7 issue of the Journal of the American Medical Association.
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CDC: Noise-Related Hearing Loss Often Unrecognized in U.S. Adults
TUESDAY, Feb. 7, 2017 (HealthDay News) — The noise of modern life causes permanent hearing damage to many U.S. adults who don’t even suspect they’ve experienced a loss, according to research published in the Feb. 7 early-release issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
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CDC Issues Updated Immunization Schedule
TUESDAY, Feb. 7, 2017 (HealthDay News) — A new adult vaccine schedule from the U.S. Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices has been published online Feb. 7 in the Annals of Internal Medicine.
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AAP: Improvement Needed in Adolescent Vaccination Rates
TUESDAY, Feb. 7, 2017 (HealthDay News) — Adolescent rates of vaccination against human papillomavirus (HPV) and influenza are well below the target of 80 percent or higher, according to two American Academy of Pediatrics (AAP) reports published online Feb. 6 in Pediatrics.
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Bundle of Items Can Reduce SSI Rate in Colon Surgery
TUESDAY, Feb. 7, 2017 (HealthDay News) — Implementation of a bundle of five items can reduce the surgical site infection (SSI) rate in colon surgery, according to a study published online Feb. 1 in the Journal of Evaluation in Clinical Practice.
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Risk of Certain Adverse Outcomes Up With Endoscopy in Pregnancy
TUESDAY, Feb. 7, 2017 (HealthDay News) — Endoscopy during pregnancy is associated with increased risk of preterm birth or small for gestational age, according to a study published in the February issue of Gastroenterology.
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Nurse Practitioners Could Help Meet Need for Elderly Home Care
TUESDAY, Feb. 7, 2017 (HealthDay News) — Nurse practitioners could meet the growing need for house calls to frail, elderly Americans, but restrictions in some states may get in the way, according to research published recently in the Journal of the American Geriatrics Society.
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Fewer Toxic Chemicals Seen for E-Cigarette Use Versus Tobacco
TUESDAY, Feb. 7, 2017 (HealthDay News) — Smokers who switch to electronic cigarettes can substantially reduce their intake of toxic chemicals and carcinogens — but only if they completely quit smoking tobacco, according to a study published online Feb. 7 in the Annals of Internal Medicine.
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Many Obese Patients Not Getting Optimal Hospice Care
TUESDAY, Feb. 7, 2017 (HealthDay News) — Obese patients are less likely to spend their last days in hospice care and less likely to die at home, according to a study published online Feb. 7 in the Annals of Internal Medicine.
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Urologic CA Predictors ID’d in Women With Microhematuria
TUESDAY, Feb. 7, 2017 (HealthDay News) — Older age, history of smoking, and gross hematuria predict urologic cancer in women with microscopic hematuria, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.
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Lower Rate of Adverse Events With Outpatient Treatment of PE
MONDAY, Feb. 6, 2017 (HealthDay News) — For patients with hemodynamically stable pulmonary embolism (PE), outpatient management is associated with a lower rate of adverse events, according to research published online Jan. 20 in the Journal of Thrombosis and Haemostasis.
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Health Care Access Not Easy for Undocumented Immigrants
MONDAY, Feb. 6, 2017 (HealthDay News) — New research, published online Feb. 6 in JAMA Internal Medicine, offers insights into the medical plights facing undocumented immigrants in the United States.
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FDA Approves Newborn Screening Tests for Metabolic Disorders
MONDAY, Feb. 6, 2017 (HealthDay News) — A set of screening tests designed to detect four rare metabolic disorders in newborns has been approved by the U.S. Food and Drug Administration.
Hospitalizations for Atrial Fibrillation on the Rise
MONDAY, Feb. 6, 2017 (HealthDay News) — U.S. patients with atrial fibrillation (AF) are being hospitalized more often than before, according to a study published online Feb. 1 in Circulation.
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‘Dripping’ Becoming Popular With Teen E-Cigarette Users
MONDAY, Feb. 6, 2017 (HealthDay News) — One-quarter of U.S. teen electronic cigarette users have experimented with “dripping” — a new vaping method that produces thicker clouds of vapor, according to a study published online Feb. 6 in Pediatrics.
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Veterinary Pharmaceuticals Pose a Poisoning Risk to Children
MONDAY, Feb. 6, 2017 (HealthDay News) — The flea medications and heartworm pills that millions of Americans give to their pets pose poisoning risks to any children in the home, according to research published online Feb. 6 in Pediatrics.
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Variation in Prescribing Practices for Pediatric Atopic Dermatitis
MONDAY, Feb. 6, 2017 (HealthDay News) — Prescribing practices vary among U.S. and Canadian physicians treating severe childhood atopic dermatitis (AD), according to a study published in the February issue of the Journal of the American Academy of Dermatology.
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Microvascular Complications Linked to Severity of Periodontitis
MONDAY, Feb. 6, 2017 (HealthDay News) — Microvascular complications and poor glycemic control are associated with the severity of periodontitis, according to a study published online Jan. 27 in the Journal of Diabetes Investigation.
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Herb and Supplement Use Increasing in Pregnant Women
MONDAY, Feb. 6, 2017 (HealthDay News) — From 2002 to 2012 there was an increase in herb and supplement use among pregnant women, according to a research letter published in the February issue of the American Journal of Obstetrics and Gynecology.
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Clinical Practice Guidelines Developed for Pediatric Obesity
MONDAY, Feb. 6, 2017 (HealthDay News) — In a clinical practice guideline published online Jan. 31 in the Journal of Clinical Endocrinology and Metabolism, recommendations are presented for the assessment, treatment, and prevention of pediatric obesity.
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CDC: 2.5 Million U.S. Women Have Had Pelvic Inflammatory Disease
FRIDAY, Feb. 3, 2017 (HealthDay News) — About 2.5 million American women have had pelvic inflammatory disease (PID), according to research published in the Jan. 27 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
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CDC: HIV Still Undertreated in U.S. Black Population
FRIDAY, Feb. 3, 2017 (HealthDay News) — Although progress has been made, blacks in America are still disproportionately affected by HIV/AIDS, according to research published in the Feb. 3 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
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10,000 Medicare Patients/Year Die in 7 Days After ER Discharge
FRIDAY, Feb. 3, 2017 (HealthDay News) — Each year, about 10,000 generally healthy U.S. Medicare patients die within seven days of discharge from a hospital emergency department, according to research published online Feb. 1 in The BMJ.
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2000 to 2014 Saw Increase in Vitamin D Deficiency in Children
FRIDAY, Feb. 3, 2017 (HealthDay News) — From 2000 to 2014 there was an increase in the rate of vitamin D deficiency diagnosis among children, according to a study published online Feb. 3 in Pediatrics.
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Coffee Speeds Time to Bowel Movement After Gynecologic Sx
FRIDAY, Feb. 3, 2017 (HealthDay News) — Coffee consumption speeds the time to bowel movement after complete staging surgery of gynecologic cancers, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.
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More Children Suffering Ocular Burns From Detergent Pods
FRIDAY, Feb. 3, 2017 (HealthDay News) — Young children are suffering vision-threatening burns from the chemicals inside liquid laundry detergent pods in increasing numbers, according to a research letter published online Feb. 2 in JAMA Ophthalmology.
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Lung Cancer Screening Rates Low Among Current, Former Smokers
FRIDAY, Feb. 3, 2017 (HealthDay News) — Most current and former smokers in the United States don’t get screened for lung cancer even though they’re at increased risk for the disease, according to a research letter published online Feb. 2 in JAMA Oncology.
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One in Five Undergoing Telemetry for Noncardiac Indications
FRIDAY, Feb. 3, 2017 (HealthDay News) — More than 20 percent of patients undergoing telemetry have noncardiac indications, according to a study published online Jan. 27 in the Journal of Evaluation in Clinical Practice.
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Zoster Ups Stroke Risk in Patients With Autoimmune Disease
FRIDAY, Feb. 3, 2017 (HealthDay News) — For patients with autoimmune diseases, the risk of stroke is increased in the few months subsequent to incident herpes zoster (HZ), according to a study published online Jan. 28 in Arthritis & Rheumatology.
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Comorbidities Up Resource Use in Pediatric Spinal Fusion
FRIDAY, Feb. 3, 2017 (HealthDay News) — For children with medical complexity undergoing spinal fusion, chronic respiratory insufficiency, bladder dysfunction, and epilepsy are significantly associated with hospital resource use, according to a study published online Feb. 2 in Pediatrics.
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Clinical Massage, Guided Imagery Reduce Pain, Anxiety
FRIDAY, Feb. 3, 2017 (HealthDay News) — For patients in a progressive care unit, clinical massage and guided imagery can reduce pain and anxiety, according to a study published online Feb. 1 in Critical Care Nurse.
NSAIDs Found to Be of Little Benefit to Patients With Back Pain
THURSDAY, Feb. 2, 2017 (HealthDay News) — Nonsteroidal anti-inflammatory drugs (NSAIDs) don’t help most patients with back pain, according to a review published online Feb. 2 in the Annals of the Rheumatic Diseases.
Insomnia Associated With Higher Risk of Developing Asthma
THURSDAY, Feb. 2, 2017 (HealthDay News) — Insomnia may increase the risk of asthma in adults, according to research published online Feb. 1 in the European Respiratory Journal.
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Transverse Myelitis ID’d As Manifestation of Celiac Dx in Child
THURSDAY, Feb. 2, 2017 (HealthDay News) — Transverse myelitis (TM) can be a manifestation of celiac disease (CD) in young children, according to a case report published online Feb. 2 in Pediatrics.
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Lifetime Genistein Intake May Improve Response to Tamoxifen
THURSDAY, Feb. 2, 2017 (HealthDay News) — Lifetime intake of soy isoflavone genistein (GEN) improves the response of mammary tumors to tamoxifen (TAM) therapy in a rat model, according to an experimental study published online Feb. 1 in Clinical Cancer Research.
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Surgery Can Benefit T2DM Control for Patients With Lumbar Stenosis
THURSDAY, Feb. 2, 2017 (HealthDay News) — Successful lumbar surgery is associated with improved glycemic control for patients with lumbar spinal stenosis (LSS) and type 2 diabetes mellitus (DM-2), according to a study published in the February issue of The Spine Journal.
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Recommendations Updated for Diagnosis, Management of COPD
THURSDAY, Feb. 2, 2017 (HealthDay News) — Recommendations have been updated for diagnosis, management, and prevention of chronic obstructive pulmonary disease (COPD), according to the Global Initiative for the Diagnosis, Management and Prevention of Chronic Obstructive Lung Disease (GOLD) report published online Jan. 27 in the American Journal of Respiratory and Critical Care Medicine.
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Gout Linked to Increased Hip Fracture Risk in Women
THURSDAY, Feb. 2, 2017 (HealthDay News) — For women, a history of gout is associated with increased risk of hip fracture, according to a study published online Jan. 28 in Arthritis & Rheumatology.
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Patient Infected With HIV Despite Long-Term Adherence to PrEP
THURSDAY, Feb. 2, 2017 (HealthDay News) — In a letter to the editor published in the Feb. 2 issue of the New England Journal of Medicine, authors present the case of a Canadian man infected with HIV despite long-term adherence to pre-exposure prophylaxis (PrEP).
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PTSD Risk Up in Parents of Kids With Critical Heart Defects
THURSDAY, Feb. 2, 2017 (HealthDay News) — Parents of children born with critical congenital heart defects may be at high risk for posttraumatic stress disorder (PTSD) and other mental health problems, according to research published online Feb. 1 in the Journal of the American Heart Association.
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Metabolic Sx May Up CRC Risk Even in Healthy-Weight Women
WEDNESDAY, Feb. 1, 2017 (HealthDay News) — Even normal-weight women may be at greater risk for colorectal cancer if they have certain traits, such as elevated triglycerides, low high-density lipoprotein cholesterol, elevated blood pressure, and elevated fasting glucose, according to a study published online Feb. 1 in Cancer Epidemiology, Biomarkers & Prevention.
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E-Cigarettes Found to Have Adverse Effect on Heart Health
WEDNESDAY, Feb. 1, 2017 (HealthDay News) — People who use electronic cigarettes regularly may face an increased risk for cardiovascular disease, according to a study published online Feb. 1 in JAMA Cardiology.
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Psychostimulants May Be Helpful in Treatment of Bulimia Nervosa
WEDNESDAY, Feb. 1, 2017 (HealthDay News) — For select patients, psychostimulants may be beneficial for treating bulimia nervosa, according to a study of six cases published online Jan. 23 in the Journal of Clinical Pharmacology.
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Benefits for Intensive BP Lowering in Older HTN Patients
WEDNESDAY, Feb. 1, 2017 (HealthDay News) — For older patients with hypertension, intensive blood pressure (BP) lowering strategies are associated with reduced risk of certain cardiovascular events, according to research published in the Feb. 7 issue of the Journal of the American College of Cardiology.
BMI Linked to Risk for Orthostatic Intolerance Post Bariatric Sx
WEDNESDAY, Feb. 1, 2017 (HealthDay News) — Lower body mass index (BMI) and body fat is associated with increased risk of orthostatic intolerance (OI) and predisposition to noncardiac syncope (NCS) following bariatric surgery, according to research published online Jan. 23 in Obesity Reviews.
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Obese Who Self-Stigmatize May Have Higher Cardiometabolic Risk
WEDNESDAY, Feb. 1, 2017 (HealthDay News) — Attempts to shame an overweight or obese person into losing weight won’t motivate them to do so, and may even raise their risk for cardiovascular disease and other health problems, according to research published online Jan. 30 in Obesity.
HbA1c, Waist-to-Height Ratio Predict Dyslipidemia in T1DM
WEDNESDAY, Feb. 1, 2017 (HealthDay News) — For youth with type 1 diabetes, hemoglobin A1c (A1C) and waist-to-height ratio (WHtR) are modifiable risk factors that predict change in dyslipidemia, according to a study published online Jan. 26 in Diabetes Care.
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