Home Nursing August 2015 Briefing – Nursing

August 2015 Briefing – Nursing

Here are what the editors at HealthDay consider to be the most important developments in Nursing for August 2015. 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.

Consensus for Early Peanut Exposure in High-Risk Infants

MONDAY, Aug. 31, 2015 (HealthDay News) — Infants at high risk for peanut allergies should be given foods containing peanuts before they reach the age of 1 year, according to a new consensus statement from 10 medical groups. The statement was published online Aug. 31 in Pediatrics.

AAP: In Office Visits, Ask Every Adolescent About Alcohol Use

MONDAY, Aug. 31, 2015 (HealthDay News) — Alcohol poses a far greater threat to children than many parents may realize, according to a clinical report published online Aug. 31 in Pediatrics.

FDA Warns of Joint Pain Tied to DPP-4 Inhibitors

MONDAY, Aug. 31, 2015 (HealthDay News) — Use of dipeptidyl peptidase-4 (DPP-4) inhibitors in type 2 diabetes is tied to severe joint pain in some patients, the U.S. Food and Drug Administration warned on Friday.

Lack of Sufficient Iodine Nutrition Common During Pregnancy

MONDAY, Aug. 31, 2015 (HealthDay News) — Recent research indicates that many pregnant women have a median urinary iodine concentration below the recommended level, which may have a negative impact on the motor and cognitive functions of offspring. The findings were published online Aug. 20 in Acta Obstetricia et Gynecologica Scandinavica.

Nonalbuminuric CKD Ups Cardiovascular Morbidity in T1DM

MONDAY, Aug. 31, 2015 (HealthDay News) — Nonalbuminuric chronic kidney disease is associated with increased risk of cardiovascular disease and all-cause mortality, but not renal outcomes, in patients with type 1 diabetes, according to a study published online Aug. 26 in Diabetes Care.

Osteonecrosis of Jaw Risk Highest for IV Bisphosphonate Use

MONDAY, Aug. 31, 2015 (HealthDay News) — The risk of osteonecrosis of the jaw (ONJ) is highest in association with intravenous bisphosphonate use, according to a study published online Aug. 19 in the Journal of Bone and Mineral Research.

Multidisciplinary Rehab Tops CBT for Chronic Fatigue Syndrome

MONDAY, Aug. 31, 2015 (HealthDay News) — For patients with chronic fatigue syndrome (CFS), multidisciplinary rehabilitation treatment (MRT) is more effective for reducing fatigue than cognitive behavioral therapy (CBT), according to a study published online Aug. 26 in the Journal of Internal Medicine.

Periodontal Disease Predicts CAC Progression in Type 1 Diabetes

MONDAY, Aug. 31, 2015 (HealthDay News) — In patients with type 1 diabetes, but not those without diabetes, periodontal disease duration is an independent predictor of long-term progression of coronary artery calcium (CAC), according to a study published in the Sept. 15 issue of The American Journal of Cardiology.

Parents More Likely to Use Abx for ‘Pink Eye’ vs ‘Eye Infection’

FRIDAY, Aug. 28, 2015 (HealthDay News) — Use of the label “pink eye” versus “eye infection” is associated with increased parent intent to use antibiotics despite parents being informed about antibiotics’ ineffectiveness for treating symptoms, according to a study published online Aug. 20 in Clinical Pediatrics.

Many Elderly Oncology Patients Taking Alternative Medicines

FRIDAY, Aug. 28, 2015 (HealthDay News) — Many elderly oncology patients use complementary and alternative medications (CAMs), including some that could interfere with their treatment, according to a study published online Aug. 12 in the Journal of Geriatric Oncology.

FDA Approves Repatha for Certain Patients With High Cholesterol

FRIDAY, Aug. 28, 2015 (HealthDay News) — Repatha (evolocumab) has been approved by the U.S. Food and Drug Administration, the second non-statin drug in its class approved to treat high cholesterol.

Low Adherence to Guidelines for Prevention of Catheter Infections

FRIDAY, Aug. 28, 2015 (HealthDay News) — Many health care providers don’t follow guidelines meant to reduce the risk of infection from arterial catheter placement in intensive care unit patients, according to research published online Aug. 7 in Critical Care Medicine.

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Growth Hormone May Benefit Bone Health in Older Women

FRIDAY, Aug. 28, 2015 (HealthDay News) — Older women with osteoporosis may benefit from a few years on growth hormone, a new, small trial suggests. The results were reported online Aug. 27 in the Journal of Clinical Endocrinology & Metabolism.

Antibiotic Use Linked to Higher Type 2 Diabetes Risk

FRIDAY, Aug. 28, 2015 (HealthDay News) — Taking antibiotics might increase the risk of developing type 2 diabetes, new research suggests. The study was published online Aug. 27 in the Journal of Clinical Endocrinology & Metabolism.

Azithromycin Routine in Hospital Despite Risk for QTc Prolongation

FRIDAY, Aug. 28, 2015 (HealthDay News) — Azithromycin is routinely prescribed to hospitalized patients despite risk factors for corrected QT (QTc) prolongation and administration of interacting medications, according to a study published online Aug. 19 in the Journal of Hospital Medicine.

CDC: Most U.S. Children Getting Vaccinated

THURSDAY, Aug. 27, 2015 (HealthDay News) — More than nine out of 10 U.S. children entered kindergarten last school year protected with the proper immunizations, federal health officials reported Thursday. But, vaccination rates continue to lag in a number of states. The report was published in the Aug. 28 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Psoriasis Patients at Higher Risk for Arrhythmia

THURSDAY, Aug. 27, 2015 (HealthDay News) — Patients with psoriasis are at higher risk of developing arrhythmia, even after controlling for other risk factors, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

Patient Satisfaction Up for Dulaglutide Treatment in T2DM

THURSDAY, Aug. 27, 2015 (HealthDay News) — For patients with type 2 diabetes, treatment satisfaction is improved with once-weekly dulaglutide, according to a study published in the September issue of Diabetes, Obesity and Metabolism.

Periop Bridging Unnecessary for Most A-Fib Patients on Warfarin

THURSDAY, Aug. 27, 2015 (HealthDay News) — For most atrial fibrillation patients taking warfarin who require temporary interruption for a procedure, perioperative bridging with heparin is unnecessary, according to a study published in the Aug. 27 issue of the New England Journal of Medicine.

Sleep Deprived Surgeons Appear to Be Self-Regulating Well

THURSDAY, Aug. 27, 2015 (HealthDay News) — The risk of death, hospital readmission, or complications following surgery is no more likely if the surgeon worked a midnight shift before a daytime operation, according to a study published in the Aug. 27 issue of the New England Journal of Medicine.

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Low Rates of HIV Testing in Gay and Bisexual Youth

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — Gay and bisexual adolescent boys are much less likely to get tested for HIV than their older counterparts, researchers report. The study was published online Aug. 26 in the Journal of Adolescent Health.

Most Women Feel Distress With False-Positive Mammogram

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — A majority of women who receive false positives on mammography experience distress and anxiety, according to research published online Aug. 26 in Cancer Epidemiology, Biomarkers & Prevention.

Antiviral Rx May Help Prevent Ebola, Small Study Suggests

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — Antiviral drugs may help protect people from developing Ebola after exposure to the virus, a new case study suggests. The results were published online Aug. 25 in The Lancet Infectious Diseases.

CDC: Rates of Childhood Obesity Higher in U.S. Than Canada

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — About 17.5 percent of U.S. children aged 3 to 19 are obese, compared with 13 percent of Canadian children the same age, according to an August data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

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Smoking Cessation Boosts Mental Health, QOL After Heart Attack

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — Smoking cessation after acute myocardial infarction (AMI) reduces angina and boosts mental health and quality of life, according to research published online Aug. 25 in Circulation: Cardiovascular Quality and Outcomes.

Misdiagnosis of T2DM Reported in Patient With Hb Wayne

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — Type 2 diabetes can be misdiagnosed in patients with hemoglobin (Hb) Wayne, according to a case report published online Aug. 20 in Diabetes Care.

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Worse Outcomes for Children With Delay in Epinephrine

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — Delay in epinephrine administration is associated with worse outcomes for children with in-hospital cardiac arrest with an initial nonshockable rhythm, according to a study published in the Aug. 25 issue of the Journal of the American Medical Association.

Anorexia Resurgence Can Occur After Smoking Cessation

WEDNESDAY, Aug. 26, 2015 (HealthDay News) — Smoking cessation may be associated with resurgence of anorexic symptoms in patients with a history of anorexia nervosa, according to a clinical case report published in the September issue of the International Journal of Eating Disorders.

Evidence Supports Flu Vaccine for Nursing Home Residents

TUESDAY, Aug. 25, 2015 (HealthDay News) — New evidence supports yearly influenza vaccination for protection among nursing home residents, a population for whom vaccine efficacy has been questioned, according to a study published online Aug. 17 in the Journal of the American Geriatrics Society.

Exercise, Supplements Don’t Help Preserve Cognition in Elderly

TUESDAY, Aug. 25, 2015 (HealthDay News) — Neither exercise nor supplements such as omega-3 fatty acids seem to preserve cognitive function in the elderly, according to research published in the Aug. 25 issue of the Journal of the American Medical Association.

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Healthier Diet Linked to Reduced Congenital Heart Defects

TUESDAY, Aug. 25, 2015 (HealthDay News) — Women who follow a very healthy diet are much less likely than those who eat poorly to have a baby with tetralogy of Fallot or atrial septal defects, according to a study published online Aug. 24 in the Archives of Disease in Childhood-Fetal & Neonatal Edition.

Acupuncture Beats Pills for Hot Flashes in Breast CA Survivors

TUESDAY, Aug. 25, 2015 (HealthDay News) — Acupuncture appears to be more efficacious than oral medication for treating hot flashes in breast cancer survivors, according to a new trial that compared acupuncture, sham acupuncture, gabapentin, and a placebo pill. The study was published online Aug. 24 in the Journal of Clinical Oncology.

Low-Dose Aspirin, Other NSAIDs May Lower Colorectal Cancer Risk

TUESDAY, Aug. 25, 2015 (HealthDay News) — Regularly taking low-dose aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) may lower long-term risk of colorectal cancer (CRC), new research suggests. The study was published online Aug. 25 in the Annals of Internal Medicine.

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Corticosteroid Injections of Little Benefit for Low Back Pain

TUESDAY, Aug. 25, 2015 (HealthDay News) — Epidural corticosteroid injections for radicular low back pain or spinal stenosis may provide some relief for certain patients, but any benefits are temporary, according to a review published online Aug. 25 in the Annals of Internal Medicine.

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Exercise Can Help Control A-Fib in Overweight Patients

TUESDAY, Aug. 25, 2015 (HealthDay News) — Exercise appears to help control atrial fibrillation (AF) in overweight or obese patients, according to a study published in the Sept. 1 issue of the Journal of the American College of Cardiology.

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No Cognitive Benefits Seen for Elderly Who Stop HTN Rx

TUESDAY, Aug. 25, 2015 (HealthDay News) — Discontinuing antihypertensive treatment in seniors with mild cognitive deficits does not improve mental functioning, according to research published online Aug. 24 in JAMA Internal Medicine.

High Uric Acid Levels Linked to Greater Mortality

TUESDAY, Aug. 25, 2015 (HealthDay News) — High serum uric acid levels are associated with greater risk of all-cause and cardiovascular mortality, but not cancer mortality, in elderly adults, according to a study published online Aug. 16 in the Journal of the American Geriatrics Society.

Music Reduces Anxiety Score in Breast Cancer Surgery Patients

TUESDAY, Aug. 25, 2015 (HealthDay News) — Live and recorded perioperative music therapy reduces anxiety in patients undergoing surgery for potential or known breast cancer, according to a study published online Aug. 17 in the Journal of Clinical Oncology.

Pediatric CT Scan Use Has Declined Over Past Decade

MONDAY, Aug. 24, 2015 (HealthDay News) — Children are receiving fewer computed tomography (CT) scans now than a decade ago, dovetailing with a move to radiation-free magnetic resonance imaging (MRI) scans and ultrasounds, according to research findings published online Aug. 24 in Pediatrics.

Increasing Use of Statins for Primary Prevention in Elderly

MONDAY, Aug. 24, 2015 (HealthDay News) — There has been a sharp rise in the use of statins among elderly patients who do not have vascular disease, but there is little research to guide the use of these medicines in this group of patients, according to a research letter published online Aug. 24 in JAMA Internal Medicine.

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Transient Hypoglycemia at Birth Tied to Lower School Scores

MONDAY, Aug. 24, 2015 (HealthDay News) — Children who experience transient hypoglycemia right after birth may have a harder time with reading and math when they go to school, according to a new study published online Aug. 24 in JAMA Pediatrics.

Equally Safe Delivery for Low Risk by Family Doctors, Ob-Gyns

MONDAY, Aug. 24, 2015 (HealthDay News) — In low-risk pregnancies, delivery of the baby by a family doctor or an obstetrician is equally safe, according to a study published online Aug. 24 in CMAJ, the journal of the Canadian Medical Association.

Experts Warn Climate Change Will Bring More ER Visits, Mortality

MONDAY, Aug. 24, 2015 (HealthDay News) — High temperatures lead to increased emergency department visits and mortality, and the numbers will grow as climate change makes summers even hotter by the end of the century, according to research published online Aug. 7 in Environmental Health Perspectives.

Perfluorinated Alkylate Levels Up in Breastfed Infants

MONDAY, Aug. 24, 2015 (HealthDay News) — New mothers may inadvertently pass industrial chemicals along to their infants through breastfeeding, which might lower the effectiveness of some childhood vaccinations, researchers report. The study was published online Aug. 20 in Environmental Science & Technology.

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Supportive Doctors Boost Patients’ Weight-Loss Efforts

MONDAY, Aug. 24, 2015 (HealthDay News) — Weight loss is more successful for obese patients who feel they have the most helpful doctors compared to those who feel their doctors are less helpful, according to a study published in the September issue of Patient Education & Counseling.

Metformin Effects May Be Via Gut, Not Bloodstream

MONDAY, Aug. 24, 2015 (HealthDay News) — Metformin may act via a predominantly lower bowel-mediated mechanism, according to research published online Aug. 18 in Diabetes Care.

Nine Modifiable Factors May Be Key in Reducing Alzheimer’s Risk

FRIDAY, Aug. 21, 2015 (HealthDay News) — Up to two-thirds of Alzheimer’s cases worldwide may stem from any of nine conditions that often result from lifestyle choices, a broad research review suggests. The findings were published online Aug. 20 in the Journal of Neurology, Neurosurgery & Psychiatry.

Non-Invasive Laser Technique Accurately Detects Melanoma

FRIDAY, Aug. 21, 2015 (HealthDay News) — Researchers say they’ve developed a non-invasive test that can detect melanoma skin cancer without a biopsy. Their findings were published online Aug. 11 in Nature Scientific Reports.

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Spouses of Stroke Survivors Report Reduced Quality of Life

FRIDAY, Aug. 21, 2015 (HealthDay News) — Caring for a spouse who has had a stroke can harm both mental and physical health, according to research published online Aug. 20 in Stroke.

Vitamin D Tied to Fewer Falls in Homebound Seniors

FRIDAY, Aug. 21, 2015 (HealthDay News) — Delivering vitamin D supplements to homebound seniors might help lower their risk of falls, according to a study published online Aug. 16 in the Journal of the American Geriatrics Society.

Good Moods Infectious Among Teens, Depression Is Not

FRIDAY, Aug. 21, 2015 (HealthDay News) — A good mood is infectious among teens, but depression is not, a new study suggests. The findings were published online Aug. 19 in the Proceedings of the Royal Society B.

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CDC: Most Contact Lens Wearers Admit Risky Eye Care Behaviors

FRIDAY, Aug. 21, 2015 (HealthDay News) — The majority of Americans who use contact lenses admit they engage in at least one type of risky behavior that can lead to eye infections, according to survey results published in the Aug. 21 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Bulimia Nervosa Tied to Increased Risk of Type 2 Diabetes

FRIDAY, Aug. 21, 2015 (HealthDay News) — Binge eating disorder (BED) and bulimia nervosa (BN) are associated with increased incidence and prevalence of type 2 diabetes (T2D), according to a study published in the September issue of the International Journal of Eating Disorders.

Significant Rise in Organic Food Recalls in the United States

FRIDAY, Aug. 21, 2015 (HealthDay News) — There has been a sharp rise in recalls of organic food products in the United States this year, according to a new report.

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Patient, Family Advisors Can Play Key Role in Practices

FRIDAY, Aug. 21, 2015 (HealthDay News) — Practices can employ patient and family advisors in order to help them focus on patient-centered care needs, according to a report published by the American Medical Association (AMA).

Case Report: Hidradenoma Papilliferum in Pregnancy

FRIDAY, Aug. 21, 2015 (HealthDay News) — Hidradenoma papilliferum in association with pregnancy has been illustrated in a case report published online Aug. 12 in the Journal of Cutaneous Pathology.

Medication Review at ICU to Ward Transfer Cuts Drug Problems

FRIDAY, Aug. 21, 2015 (HealthDay News) — Medication review by a clinical pharmacist and immediate communication of drug therapy recommendations can reduce the number of drug-related problems (DRPs) at the transfer point from intensive care unit (ICU) to ward, according to a study published online Aug. 12 in the Journal of Clinical Pharmacy and Therapeutics.

Tamoxifen-Phospholipid Complex May Alleviate TMX Toxicity

FRIDAY, Aug. 21, 2015 (HealthDay News) — Administration of a tamoxifen-phospholipid complex (TMX-PLC) is associated with improvement in TMX-induced hepatotoxicity in rats, according to an experimental study published in the September issue of the Journal of Pharmacy and Pharmacology.

Transplant Recipients Have Increased Melanoma Risk

FRIDAY, Aug. 21, 2015 (HealthDay News) — Organ transplant recipients have an increased risk of invasive melanoma, especially for regional-stage tumors, according to a study published online Aug. 13 in the Journal of Investigative Dermatology.

Patient Navigators Tied to Shorter Hospital Stays

THURSDAY, Aug. 20, 2015 (HealthDay News) — Use of patient navigators (PNs) as inpatient care facilitators shortens hospital length of stay, according to a study published online Aug. 10 in the Journal of Hospital Medicine.

Detailed Medical History Best Screening for Preeclampsia

THURSDAY, Aug. 20, 2015 (HealthDay News) — Taking a detailed medical history remains the best and only recommended screening approach for preeclampsia, according to a practice bulletin published in the September issue of Obstetrics & Gynecology.

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APA: Video Games Linked to Aggression but Not Violence

THURSDAY, Aug. 20, 2015 (HealthDay News) — There is a link between violent video games and higher levels of aggression in players; however, there isn’t enough evidence to prove that playing violent video games raises the risk of criminal behavior or violence, according to a report from the American Psychological Association’s (APA) Task Force on Violent Media.

ACOG: Best Evidence for Rx of Nausea, Vomiting in Pregnancy

THURSDAY, Aug. 20, 2015 (HealthDay News) — In a practice bulletin published in the September issue of Obstetrics & Gynecology, recommendations are presented for the management of nausea and vomiting of pregnancy.

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Long Work Hours Linked to Increased Risk of Stroke

THURSDAY, Aug. 20, 2015 (HealthDay News) — Working long hours is associated with increased risk of stroke, and with a smaller increased risk of coronary heart disease, according to research published online Aug. 19 in the The Lancet.

Considerable Variation in Cost of Generic Topical Corticosteroids

THURSDAY, Aug. 20, 2015 (HealthDay News) — There is considerable variation in the unit cost of topical corticosteroids across potencies and by branded generic or generic product, according to a research letter published online Aug. 19 in JAMA Dermatology.

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Oral Contraceptive Use May Moderate Inflammatory Arthritis

THURSDAY, Aug. 20, 2015 (HealthDay News) — Oral contraceptive (OC) exposure is associated with better patient-reported outcomes in early inflammatory arthritis, according to a study published online Aug. 14 in Arthritis Care & Research.

Role of SNP Variant in FTO Explored in Obesity

WEDNESDAY, Aug. 19, 2015 (HealthDay News) — A single nucleotide variant in the FTO obesity locus disrupts a conserved motif, which has obesity effects, according to a study published online Aug. 19 in the New England Journal of Medicine.

Acetaminophen Falsely Elevates CGM Glucose Values

WEDNESDAY, Aug. 19, 2015 (HealthDay News) — Acetaminophen falsely increases continuous glucose monitor (CGM) glucose values, according to an observation letter published online Aug. 12 in Diabetes Care.

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Peripherally Inserted Central Catheters Up VTE Risk

WEDNESDAY, Aug. 19, 2015 (HealthDay News) — For hospitalized patients, peripherally inserted central catheter presence is associated with increased risk of upper- and lower-extremity deep vein thrombosis, according to a study published recently in The American Journal of Medicine.

Favorable Effect of Exercise on BMD Continues As Women Age

WEDNESDAY, Aug. 19, 2015 (HealthDay News) — For early-postmenopausal osteopenic women, exercise is consistently favorable for bone mineral density (BMD) over a prolonged period, according to a study published online Aug. 1 in the Journal of Bone and Mineral Research.

Even Light Drinking Increases Risk of Breast Cancer in Women

WEDNESDAY, Aug. 19, 2015 (HealthDay News) — The risk of alcohol-related cancer is increased even with light to moderate drinking in women, according to a study published online Aug. 18 in The BMJ.

Liraglutide Linked to Weight Loss Over 56 Weeks in T2DM

TUESDAY, Aug. 18, 2015 (HealthDay News) — For overweight or obese patients with type 2 diabetes, subcutaneous liraglutide (3.0 mg) results in more weight loss than placebo over 56 weeks, according to a study published in the Aug. 18 issue of the Journal of the American Medical Association.

Risk Factors Can ID Patients More Likely to Be Readmitted

TUESDAY, Aug. 18, 2015 (HealthDay News) — Patients at greatest risk for an unplanned hospital readmission include those with chronic cardiovascular and pulmonary diseases, those discharged on Fridays, and those with a high number of previous emergency department visits, according to a study published in the August issue of the Journal of Evaluation in Clinical Practice.

FDA Reveals More Violations by Medical Scope Maker

TUESDAY, Aug. 18, 2015 (HealthDay News) — New violations by the maker of medical scopes recently linked to deadly infections in patients have been discovered by the U.S. Food and Drug Administration.

Health Highlights: Aug 18, 2015

Lumbar Spine BMD Ups Fx Risk in Women With Discordant T-Scores

TUESDAY, Aug. 18, 2015 (HealthDay News) — Lumbar spine (LS) bone mineral density (BMD) increases fracture risk among women with lower LS T-score than femoral neck (FN) T-score, according to a study published online Aug. 4 in the Journal of Bone and Mineral Research.

USPSTF Draft Recommendation Urges Against COPD Screening

TUESDAY, Aug. 18, 2015 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has found no net benefit for chronic obstructive pulmonary disease (COPD) screening in asymptomatic adults and consequently recommends against screening. These findings form the basis of a draft recommendation statement published online Aug. 17 by the USPSTF.

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Federal Grants Target Heroin Epidemic in Eastern States

TUESDAY, Aug. 18, 2015 (HealthDay News) — The Obama administration will provide millions of dollars in federal grants to help counties hardest hit by a heroin epidemic in the eastern United States.

Health Highlights: Aug 17, 2015

New York Latest State to Ban Powdered Alcohol

MONDAY, Aug. 17, 2015 (HealthDay News) — New York is the latest state to ban powdered alcohol, even though it isn’t even available on the open market yet.

Drug Monitoring Program Tied to Drop in Opioid Rx in Florida

MONDAY, Aug. 17, 2015 (HealthDay News) — Implementation of Florida’s Prescription Drug Monitoring Program (PDMP) and pill mill laws correlated with a modest reduction in opioid prescription and use, according to research published online Aug. 17 in JAMA Internal Medicine.

Classification Details Pain Prevalence Among U.S. Adults

MONDAY, Aug. 17, 2015 (HealthDay News) — An approach for classifying pain severity developed by the Washington Group on Disability Statistics is effective for assessing self-reported pain among U.S. adults, according to a study published in the August issue of The Journal of Pain.

EMR Care Pathway Aids Treatment of Cellulitis

MONDAY, Aug. 17, 2015 (HealthDay News) — An electronic medical record (EMR)-based care pathway improves treatment of cellulitis, according to a study published online July 28 in the Journal of Hospital Medicine.

Metabolic Changes With Metformin May Lower LDL-C

MONDAY, Aug. 17, 2015 (HealthDay News) — The diabetes drug metformin changes metabolic profiles of three metabolites that may lower LDL cholesterol (LDL-C), according to a study published online Aug. 5 in Diabetes Care.

Physical Activity Reduces Risk of Mental Health Sick Leave

FRIDAY, Aug. 14, 2015 (HealthDay News) — High levels of job stress may increase the risk of sick leave due to mental health disorders, but risk is decreased with increasing physical activity, according to research published in the August issue of the Journal of Occupational and Environmental Medicine.

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FDA Approves OxyContin for Children As Young As 11

FRIDAY, Aug. 14, 2015 (HealthDay News) — Limited use of the widely abused painkiller OxyContin in children as young as 11 years old has been approved by the U.S. Food and Drug Administration.

U.S. Varicella Cases Drop Sharply Due to Vaccine

FRIDAY, Aug. 14, 2015 (HealthDay News) — Varicella cases in the United States have dropped sharply since a vaccine against the disease became available in 1995, according to a study published online Aug. 12 in the Journal of the Pediatric Infectious Diseases Society.

mHealth Technologies Show Potential for CVD Prevention

FRIDAY, Aug. 14, 2015 (HealthDay News) — Mobile health (mHealth) technologies have the potential to improve cardiovascular disease (CVD) prevention in terms of targeting lifestyle behaviors, despite limited evidence on their effectiveness, according to a scientific statement from the American Heart Association (AHA) published online Aug. 13 in Circulation.

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Long-Term Insulin Pump Use Reduces Mortality in T1DM

FRIDAY, Aug. 14, 2015 (HealthDay News) — For individuals with type 1 diabetes, long-term use of continuous subcutaneous insulin infusion (insulin pump therapy) is associated with reduced cardiovascular and all-cause mortality, according to a study published online June 22 in The BMJ.

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CDC Determines Prevalence of Osteoporosis in Older Adults

THURSDAY, Aug. 13, 2015 (HealthDay News) — The prevalence of osteoporosis and low bone density has been examined among adults aged 65 years and older. The findings were published online Aug. 13 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

Review: Music Beneficial During Postoperative Period

THURSDAY, Aug. 13, 2015 (HealthDay News) — For patients undergoing surgical procedures, music is associated with reductions in postoperative pain, anxiety, and analgesia use, according to a review published online Aug. 12 in The Lancet.

Hospital-Acquired Conditions Lengthen Stays, Add Costs in Kids

THURSDAY, Aug. 13, 2015 (HealthDay News) — Hospital-acquired venous thromboembolism (VTE) and catheter-associated urinary tract infection (CAUTI) are associated with increased length of stay (LOS) and costs in pediatric inpatient populations, according to a study published online Aug. 10 in Pediatrics.

Antibiotics Often Prescribed for Veterans With ARIs

THURSDAY, Aug. 13, 2015 (HealthDay News) — Though antibiotic prescribing for acute respiratory infections (ARIs) varies greatly among providers, veterans with ARIs commonly receive antibiotics, according to a study published in the July 21 issue of the Annals of Internal Medicine.

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Pattern of Cases, Surveillance Data Similar for Lyme Disease

THURSDAY, Aug. 13, 2015 (HealthDay News) — The estimated annual incidence of Lyme disease (LD) is 106.6 cases/100,000 persons in the United States, according to a report published online Aug. 12 in the U.S. Centers for Disease Control and Prevention’s Emerging Infectious Diseases.

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Studies Highlight Advances in Vaccines for Human RSV

THURSDAY, Aug. 13, 2015 (HealthDay News) — Chimpanzee adenovirus-vectored respiratory syncytial virus (PanAd3-RSV) vaccine candidate and a modified vaccinia Ankara (MBA-RSV) vaccine show potential for human RSV (HRSV), according to two studies published in the Aug. 12 issue of Science Translational Medicine.

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Exposure to Rude Behavior Harms NICU Team Performance

THURSDAY, Aug. 13, 2015 (HealthDay News) — Exposure to rudeness has adverse consequences on the diagnostic and procedural performance of neonatal intensive care unit (NICU) team members, according to a study published online Aug. 10 in Pediatrics.

More Physicians Reporting Dissatisfaction With EHR Systems

THURSDAY, Aug. 13, 2015 (HealthDay News) — More physicians report being dissatisfied or very dissatisfied with their electronic health record (EHR) system, compared with five years ago, according to a report published by the AmericanEHR Partners and the American Medical Association.

Subsequent Neoplasm Risk Up for Decades in Child CA Survivors

THURSDAY, Aug. 13, 2015 (HealthDay News) — Survivors of childhood cancer are at increased risk for treatment-related subsequent neoplasms (SNs), even after age 40 years, according to a study published online Aug. 10 in the Journal of Clinical Oncology.

Many Reproductive-Age Women Experience Pelvic Pain

WEDNESDAY, Aug. 12, 2015 (HealthDay News) — Untreated pelvic pain is common among U.S. women in their childbearing years, according to a study published online Aug. 11 in Human Reproduction.

Trans, but Not Saturated, Fats Up All-Cause Mortality

WEDNESDAY, Aug. 12, 2015 (HealthDay News) — Trans fats, but not saturated fats, are associated with all-cause mortality, coronary heart disease (CHD), and CHD-associated mortality, according to a systematic review published online Aug. 11 in The BMJ.

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Migration Contributes to Flat HBV Infection Prevalence Rate in U.S.

WEDNESDAY, Aug. 12, 2015 (HealthDay News) — The prevalence of chronic hepatitis B virus (HBV) infection has remained constant since 1999, according to a study published online Aug. 6 in Hepatology.

Increased Work Disability in Diabetes Due to Comorbidity

WEDNESDAY, Aug. 12, 2015 (HealthDay News) — Among individuals with diabetes, the increased risk of work disability is mainly due to comorbid mental, musculoskeletal, and circulatory disorders, according to a study published online Aug. 6 in Diabetes Care.

Sun Exposure in the Military Ups Skin Cancer Risk in U.S. Veterans

WEDNESDAY, Aug. 12, 2015 (HealthDay News) — Many U.S. soldiers deployed to Iraq and Afghanistan have experiences that increase their risk for skin cancer, according to a research letter published recently in the Journal of Investigative Dermatology.

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Testosterone Doesn’t Spur Atherosclerosis in Older Men

TUESDAY, Aug. 11, 2015 (HealthDay News) — For older men with low or low-normal testosterone levels, testosterone administration for three years is not associated with atherosclerosis progression, according to a study published in the Aug. 11 issue of the Journal of the American Medical Association.

Universal 3rd-Trimester Syphilis Rescreening Not Cost-Effective

TUESDAY, Aug. 11, 2015 (HealthDay News) — Universal third-trimester syphilis rescreening is not cost-effective given the national average seroconversion rate, according to a study published in the September issue of Obstetrics & Gynecology.

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Low-Fat, Higher-Complex Carb Diet Aids Gestational Diabetes

TUESDAY, Aug. 11, 2015 (HealthDay News) — A higher-complex carbohydrate/lower-fat (CHOICE) diet significantly improves gestational diabetes mellitus (GDM)-associated markers compared to the conventionally recommended low-carbohydrate/higher-fat (LC/CONV) diet, according to a small study published online July 29 in Diabetes Care.

Many Factors Impact RN Compassion Fatigue, Satisfaction

TUESDAY, Aug. 11, 2015 (HealthDay News) — Multiple factors can impact levels of compassion fatigue and compassion satisfaction among nurses, according to a study published in the August issue of Critical Care Nurse.

Systemic Corticosteroid Therapy Can Improve Outcomes in CAP

TUESDAY, Aug. 11, 2015 (HealthDay News) — For hospitalized adults with community-acquired pneumonia (CAP), systemic corticosteroid therapy is associated with improved outcomes, according to a review published online Aug. 11 in the Annals of Internal Medicine.

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Review Examines Strategies for Cleaning Hospital Room Surfaces

TUESDAY, Aug. 11, 2015 (HealthDay News) — Methods for cleaning, disinfecting, and monitoring the cleanliness of hospital room surfaces to prevent health care-associated infections (HAIs) have been reviewed. The findings were published online Aug. 11 in the Annals of Internal Medicine.

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Guideline-Based Protocol Ups Adherence to VTE Prophylaxis

TUESDAY, Aug. 11, 2015 (HealthDay News) — Introduction of a guideline-based protocol significantly increases compliance with guidelines for prevention of venous thromboembolism (VTE), according to a brief report published online Aug. 9 in the Canadian Journal of Cardiology.

HAC Reduction Program Penalty Kicks in for FY2015

TUESDAY, Aug. 11, 2015 (HealthDay News) — The latest Centers for Medicare & Medicaid Services (CMS) effort to reduce hospital-acquired conditions (HACs) is the HAC Reduction Program, according to an Aug. 6 health policy brief published in Health Affairs.

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Breakfast Intake Affects Glucose Regulation All Day in T2D

MONDAY, Aug. 10, 2015 (HealthDay News) — Breakfast consumption influences glucose regulation throughout the day in patients with diabetes, according to a small study published online July 28 in Diabetes Care.

CDC: Younger Adults With Diabetes Lag in Seeking Eye Care

MONDAY, Aug. 10, 2015 (HealthDay News) — Younger adults with diabetes are less likely to seek regular eye care, regardless of how long it has been since they were first diagnosed, according to a report published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

In-Person Staff Meetings Are Valuable for Health Care Teams

MONDAY, Aug. 10, 2015 (HealthDay News) — In-person staff meetings, which are not too short or too long and are held frequently, are valuable for health care team operation, according to an article published in Medical Economics.

Calculated LDL-C Varies at Lower Values of Measured LDL-C

MONDAY, Aug. 10, 2015 (HealthDay News) — At lower values of measured low-density lipoprotein cholesterol (LDL-C), the variation and bias of calculated LDL-C increases, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.

Allergists, ER Doctors Should Cooperate in Anaphylaxis Care

MONDAY, Aug. 10, 2015 (HealthDay News) — Allergists and emergency medicine physicians should continue to work together to improve anaphylaxis care, according to a review published online Aug. 6 in the Annals of Allergy, Asthma & Immunology.

AAFP Spells Out Conditions for Retail Clinics

MONDAY, Aug. 10, 2015 (HealthDay News) — Retail clinics have a place in the health care marketplace, but they must meet conditions relating to continuity of care, according to the American Academy of Family Physicians (AAFP).

E-Interventions Lack Sustained Efficacy in Alcohol Misuse

FRIDAY, Aug. 7, 2015 (HealthDay News) — Web-based or CD programs could reduce drinking slightly among adults and college students in the short term, but they appear to be ineffective for reducing binge drinking and the negative social aspects linked with alcohol misuse. The findings were published in the Aug. 4 issue of the Annals of Internal Medicine.

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Coffee Habits Linked to Odds of Mild Cognitive Impairment

FRIDAY, Aug. 7, 2015 (HealthDay News) — A study of more than 1,400 Italian seniors has found a link between patterns of coffee consumption and risk for mild cognitive impairment (MCI). The findings are reported in the September issue of the Journal of Alzheimer’s Disease.

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Gestational Age Calculation Alters Preterm Birth Rate

FRIDAY, Aug. 7, 2015 (HealthDay News) — Differing methods used to calculate gestational age affect the accuracy of the reported rate of preterm births in the United States, according to research published in the August issue of the American Journal of Obstetrics & Gynecology.

How Do We Optimize Time With Patients in Primary Care?

FRIDAY, Aug. 7, 2015 (HealthDay News) — Primary care providers (PCPs) can improve the productivity of face-to-face visits with patients by identifying activities that can be delegated to another team member or performed using a different modality, according to research published in the August issue of the Journal of Evaluation in Clinical Practice.

Exercise in Early Adolescence May Ward Off Diabetes Later On

FRIDAY, Aug. 7, 2015 (HealthDay News) — High levels of physical activity during the early teen years might reduce the risk of diabetes later in life, according to a new study published online Aug. 6 in Diabetologia.

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One-Third of People Believe Alcohol Is Heart-Healthy

FRIDAY, Aug. 7, 2015 (HealthDay News) — Approximately one-third of the public believes alcohol is heart-healthy, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.

Reduced Executive Function May Mean Higher CVD Risk

THURSDAY, Aug. 6, 2015 (HealthDay News) — Older adults with lower scores on executive function tests are significantly more likely to experience coronary heart disease or stroke, new research suggests. The study was published online Aug. 5 in Neurology.

HIV Cells Multiply Despite Effective Antiretroviral Therapy

THURSDAY, Aug. 6, 2015 (HealthDay News) — HIV can continue to multiply in patients who are responding well to antiretroviral therapy, U.K. researchers say. Findings from the study were published online Aug. 4 in EBioMedicine.

CDC: U.S. Infant Mortality Rate at Historic Low

THURSDAY, Aug. 6, 2015 (HealthDay News) — The number of U.S. infants who die before their first birthday continues to decline and is at a historic low, health officials reported Thursday. The findings were published in the U.S. Centers for Disease Control and Prevention’s Aug. 6 National Vital Statistics Report.

Rx Use in Pregnancy Common in Low-Income Women

THURSDAY, Aug. 6, 2015 (HealthDay News) — Prescription medications are commonly dispensed to pregnant women enrolled in the U.S. Medicaid program, according to research published in the September issue of Obstetrics & Gynecology.

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Chronic HCV Diagnosed in 4.2 Percent of Inpatient Cohort

THURSDAY, Aug. 6, 2015 (HealthDay News) — A hepatitis C virus (HCV) screening program diagnosed chronic HCV infection in 4.2 percent of baby boomers tested, according to a study published in the August issue of the Journal of Hospital Medicine.

Current Cleaning Protocols Not Enough for Endoscopes

THURSDAY, Aug. 6, 2015 (HealthDay News) — Despite adherence to current U.S. reprocessing guidelines, microbes and biologic debris persist on endoscopes, according to research published in the Aug. 1 issue of the American Journal of Infection Control.

Bariatric Surgery Benefits May Fade With Time

THURSDAY, Aug. 6, 2015 (HealthDay News) — Although weight-loss surgery may produce initial dramatic weight loss and improve type 2 diabetes, a new study suggests that in the long run, many people regain weight and see their diabetes return. The report was published online Aug. 5 in JAMA Surgery.

Cardiac Rehab Participation Too Low Among Acute MI Survivors

THURSDAY, Aug. 6, 2015 (HealthDay News) — Cardiac rehabilitation programs are considered a key part of recovering from acute myocardial infarction (AMI) — but only a small minority of patients ever attend one, according to a research letter published online Aug. 3 in JAMA Internal Medicine.

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Tenofovir Gel Could Help Prevent Genital Herpes Simplex

THURSDAY, Aug. 6, 2015 (HealthDay News) — Pericoital application of tenofovir gel may substantially cut women’s risk of contracting herpes simplex virus type 2 (HSV-2), according to a study published in the Aug. 6 issue of the New England Journal of Medicine.

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Guidelines Provided for Pediatric Atopic Dermatitis Management

THURSDAY, Aug. 6, 2015 (HealthDay News) — Guidelines have been developed for the management of pediatric patients with atopic dermatitis at the primary care level. The guidelines were published as a state-of-the-art review article online Aug. 3 in Pediatrics.

More Social Media Use Linked to Mental Health Concerns in Teens

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Teens who frequently use social media are more likely to say they struggle with mental health concerns that are not being addressed, according to research published in the July issue of Cyberpsychology, Behavior, and Social Networking.

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Bariatric Surgery May Lower Tolerance for Alcohol

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Patients who undergo Roux-en-Y gastric bypass surgery are far less able to process alcohol after their procedure, a small, new study suggests. The research was reported online Aug. 5 in JAMA Surgery.

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CDC: Action Needed to Better Control Drug-Resistant Infections

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Almost $8 billion in hospital bills could be avoided over five years by halting the spread of antibiotic-resistant bacteria, according to the Vital Signs report published Aug. 4 in the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Spicy Food Consumption Linked to Reduced Mortality Risk

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Adults who regularly eat spicy foods appear to have a reduced mortality risk, according to research published online Aug. 4 in The BMJ.

Oral Contraceptives Tied to Long-Term Endometrial CA Protection

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Use of oral contraceptives, even for just a few years, offers significant long-term protection against endometrial cancer, and longer use is associated with greater risk reduction, according to research published online Aug. 4 in The Lancet Oncology.

Increasing Trend Toward Use of ‘Laborists’ in Hospitals

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Hospitals are increasingly employing laborists who are always at the hospital to handle births and obstetrical and gynecological emergencies, with positive results, according to a report published by Kaiser Health News.

Higher Mortality Tied to Planned Vaginal Breech Delivery

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Perinatal mortality and morbidity is significantly higher with planned vaginal breech delivery compared with planned cesarean delivery, according to a review published online July 29 in BJOG: An International Journal of Obstetrics & Gynaecology.

One in Four With MI and A-Fib Discharged on Triple Therapy

WEDNESDAY, Aug. 5, 2015 (HealthDay News) — About one-quarter of older patients with acute myocardial infarction (MI) and atrial fibrillation (AF) undergoing percutaneous coronary intervention (PCI) are discharged on triple therapy (warfarin, aspirin, and clopidogrel), according to a study published in the Aug. 11 issue of the Journal of the American College of Cardiology.

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Focus on Consequences May Help Sway Anti-Vaccine Beliefs

TUESDAY, Aug. 4, 2015 (HealthDay News) — Highlighting what might happen if children aren’t vaccinated can change the thinking of some people who oppose vaccines, according to research published online Aug. 3 in the Proceedings of the National Academy of Sciences.

Women, Blacks Fare Worse After Acute Myocardial Infarction

TUESDAY, Aug. 4, 2015 (HealthDay News) — Acute myocardial infarction (AMI) takes more years from the expected life spans of women and blacks than from white males, according to a study published in the Aug. 11 issue of the Journal of the American College of Cardiology.

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Progress in Reducing U.S. Rates of Violence

TUESDAY, Aug. 4, 2015 (HealthDay News) — Violent crime rates have decreased dramatically over the past three decades, largely due to crime prevention efforts that focus on the root causes of violence, researchers say. Findings from the study are published in the Aug. 4 issue of the Journal of the American Medical Association, a theme issue on violence and human rights.

Liquid Nicotine From E-Cigs Poses Poison Danger to Children

TUESDAY, Aug. 4, 2015 (HealthDay News) — The increasing popularity of electronic cigarettes has led to a number of cases of nicotine poisoning in recent years, the U.S. Centers for Disease Control and Prevention warns.

Bone Health Benefits Lacking for Vitamin D Supplements

TUESDAY, Aug. 4, 2015 (HealthDay News) — High doses of vitamin D do not appear to protect postmenopausal women from osteoporosis, according to research published online Aug. 3 in JAMA Internal Medicine.

USPSTF Finds Evidence Lacking for Autism Screening in Children

TUESDAY, Aug. 4, 2015 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that there is currently insufficient evidence to assess the benefits and harms of screening for autism spectrum disorder (ASD) in asymptomatic children age 3 and younger. These findings form the basis of a draft recommendation statement published online Aug. 3 by the USPSTF.

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Sublingual Immunotherapy Linked to Clinical Benefits in HIV

TUESDAY, Aug. 4, 2015 (HealthDay News) — For grass pollen-allergic HIV-positive patients treated with highly-active antiretroviral therapy (HAART), sublingual immunotherapy (SLIT) is associated with significant clinical benefits, according to a study published online July 30 in Allergy.

Lifestyle Intervention Cuts GDM Among High-Risk Women

TUESDAY, Aug. 4, 2015 (HealthDay News) — A moderate lifestyle intervention can reduce the incidence of gestational diabetes mellitus (GDM) among high-risk pregnant women, according to a study published online July 29 in Diabetes Care.

WHO: ‘Ring’ Vaccination for Ebola Very Promising

MONDAY, Aug. 3, 2015 (HealthDay News) — An experimental Ebola vaccine appears highly effective, according to an interim analysis of findings from a clinical trial being conducted in the West African nation of Guinea. An independent body of international experts conducted the review and recommended that the trial of the VSV-EBOV vaccine continue. The findings were published online July 31 in The Lancet.

Hemophilia Drugs a Big Part of State Medicaid Spending

MONDAY, Aug. 3, 2015 (HealthDay News) — Treatment costs for one childhood illness, hemophilia, appear to use up a large portion of a state’s Medicaid budget, according to a study published in the July 28 issue of the Journal of the American Medical Association.

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Standing More Can Benefit Cardiometabolic Health

MONDAY, Aug. 3, 2015 (HealthDay News) — Sitting appears to be linked to increased blood glucose and cholesterol levels, but standing more helps improve all these measures, according to research published online July 31 in the European Heart Journal.

Review: mHealth Text Messages Promote Medication Adherence

MONDAY, Aug. 3, 2015 (HealthDay News) — Mobile health (mHealth) short message service text messages can improve medication adherence, according to a review published online July 27 in the Journal of Clinical Nursing.

Case Report: Pediatric Nickel Dermatitis Caused by Belt Buckles

MONDAY, Aug. 3, 2015 (HealthDay News) — Nickel dermatitis has been observed in a number of children whose symptoms resolved after avoiding contact with dimethylglyoxime (DMG)-positive belt buckles. These observations have been published as a case report online Aug. 3 in Pediatrics.

Older Smokers With Migraines May Face Added Stroke Risk

MONDAY, Aug. 3, 2015 (HealthDay News) — Older smokers who experience migraines appear to be at increased risk of stroke, a new study suggests. The findings were published online July 22 in Neurology.

For Obese Women, Exercise Plus Phototherapy Beneficial

MONDAY, Aug. 3, 2015 (HealthDay News) — Exercise training combined with phototherapy is associated with improvements in the metabolic profiles of obese women, according to a study published online July 29 in Lasers in Surgery and Medicine.

Concomitant Administration of 9vHPV With MCV4/Tdap Feasible

MONDAY, Aug. 3, 2015 (HealthDay News) — For 11- to 15-year olds, concomitant administration of Gardasil 9 (9-valent human papillomavirus [9vHPV] vaccine) and Menactra (MCV4; Neisseria meningitides serotypes A/C/Y/W-135) or Adacel (Tdap; diphtheria/tetanus/acellular pertussis) is noninferior to intermittent administration, according to a study published online Aug. 3 in Pediatrics.

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