Home Nursing November 2017 Briefing – Nursing

November 2017 Briefing – Nursing

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

Severe Hypoglycemia a Potent Marker of Cardiovascular Risk

THURSDAY, Nov. 30, 2017 (HealthDay News) — Among patients with diabetes, severe hypoglycemia is associated with high absolute risk of cardiovascular events and mortality, according to a study published online Nov. 10 in Diabetes Care.

Most Older Adults Willing to Play Game to Monitor Vision

THURSDAY, Nov. 30, 2017 (HealthDay News) — Many older patients with age-related macular degeneration (AMD) use personal electronic devices, and most are willing to play a game to monitor vision, according to a study published online Nov. 13 in Clinical & Experimental Ophthalmology.

Physicians Report High Rate of Uncontrolled Atopic Dermatitis

THURSDAY, Nov. 30, 2017 (HealthDay News) — Physicians rate a high proportion of patients with atopic dermatitis (AD) as having inadequate disease control, according to a study published online Nov. 13 in the Journal of Dermatology.

Incidence of HIV Dropped From 1999 to 2016 in Uganda

THURSDAY, Nov. 30, 2017 (HealthDay News) — The incidence of HIV infection declined significantly in Uganda between 1999 and 2016, according to a study published in the Nov. 30 issue of the New England Journal of Medicine.

Fremanezumab, Erenumab Effective in Treatment of Migraine

THURSDAY, Nov. 30, 2017 (HealthDay News) — Fremanezumab is effective for the prevention of chronic migraine, and erenumab is beneficial for treatment of episodic migraine, according to two studies published in the Nov. 30 issue of the New England Journal of Medicine.

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Evidence Lacking for Prenatal Vitamin D Supplementation

THURSDAY, Nov. 30, 2017 (HealthDay News) — Prenatal vitamin D supplementation during pregnancy may have some benefits, although the evidence is low quality, according to research published online Nov. 29 in The BMJ.

More Than Half Today’s Children Expected to Be Obese at 35

THURSDAY, Nov. 30, 2017 (HealthDay News) — More than half of today’s children are expected to be obese at the age of 35 years, with about half of the prevalence occurring during childhood, according to a study published in the Nov. 30 issue of the New England Journal of Medicine.

FODMAP Diet Beats General Dietary Advice for IBS

THURSDAY, Nov. 30, 2017 (HealthDay News) — While both improve gastrointestinal symptoms, the low Fermentable Oligo-Di-Mono-saccharides and polyols (FODMAP) diet shows greater benefit for patients with irritable bowel syndrome (IBS) than general dietary advice (GDA), according to a study published online Nov. 20 in the Journal of Gastroenterology and Hepatology.

Leaving the House Tied to Lower Mortality Risk in Seniors

THURSDAY, Nov. 30, 2017 (HealthDay News) — Elderly individuals who frequently leave the house have a lower risk of mortality, according to a study published online Nov. 22 in the Journal of the American Geriatrics Society.

Mortality Up for Some Cancers in Urban-Dwelling Native Americans

THURSDAY, Nov. 30, 2017 (HealthDay News) — Urban American Indians and Alaskan Natives (AIAN) with cancer have a significantly higher comorbidity burden, and have higher mortality for some cancers, according to a study published online Nov. 29 in Cancer Research.

Unapproved Drugs Identified in Androgen Receptor Modulators

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Products marketed as selective androgen receptor modulators and sold via the internet frequently contain unapproved drugs and substances, and the amount of active compound often does not match that listed on the label, according to a study published in the Nov. 28 issue of the Journal of the American Medical Association.

Many Seniors Have Not Discussed Avoiding Drug Interactions

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Older adults report feeling confident that they know how to avoid drug interactions despite only 35 percent having spoken to someone about it in the past year, according to findings from the National Poll on Healthy Aging, published online Nov. 29.

Doctors Increasingly Becoming ‘Nursing Home Specialists’

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — From 2012 to 2015 there was a relative increase in the number of nursing home specialists, including an increasing number of generalist physicians billing for nursing home care, according to a research letter published in the Nov. 28 issue of the Journal of the American Medical Association.

Wait Time Linked to Worse Outcomes in Hip Fracture Surgery

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Increased wait time is associated with an increased risk of complications and 30-day mortality among adults undergoing hip fracture surgery, according to a study published in the Nov. 28 issue of the Journal of the American Medical Association.

AAFP Issues Summary of 2018 Final Medicare Fee Schedule

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — A four-page executive summary of the 2018 final Medicare physician fee schedule that was released by the Centers for Medicare & Medicaid Services (CMS) has been published by the American Academy of Family Physicians.

Over 5 Percent of Incident Cancer Due to Diabetes, High BMI

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — More than 5 percent of all incident cancers in 2012 were attributable to diabetes and high body mass index (BMI), according to a study published online Nov. 28 in The Lancet Diabetes & Endocrinology.

Patients Often Uncomfortable With Overlapping Surgeries

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — On average, patients are neutral toward or uncomfortable with concurrent or overlapping surgical procedures, according to a study published in the Nov. 15 issue of The Journal of Bone & Joint Surgery.

Endocrine-Disrupting Chemicals Linked to Diabetes Disparities

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Disparities in exposure to diabetes-associated environmental endocrine-disrupting chemicals (EDCs) may contribute to disparities in diabetes, according to a review published online Nov. 15 in Diabetes Care.

Education Program Builds GP’s Knowledge of Radiation Therapy

WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Australia’s national education program improves general practitioner (GP) knowledge about radiation therapy (RT) and may influence patient referrals for RT, according to a study published online Oct. 28 in the Journal of Medical Imaging and Radiation Oncology.

CDC: HIV Being Diagnosed Sooner After Infection

TUESDAY, Nov. 28, 2017 (HealthDay News) — HIV is being diagnosed sooner after infection than previously reported, according to a Nov. 28 press release issued by the U.S. Centers for Disease Control and Prevention.

Prevalence of Arthritis Underestimated in United States

TUESDAY, Nov. 28, 2017 (HealthDay News) — The prevalence of arthritis in the United States seems to have been underestimated, with 91.2 million adults affected in 2015, according to a study published online Nov. 27 in Arthritis & Rheumatology.

Guidance Issued for Seasonal Allergic Rhinitis Pharmacologic Tx

TUESDAY, Nov. 28, 2017 (HealthDay News) — A workgroup from the Joint Task Force on Practice Parameters has reviewed evidence and provided guidance for health care providers regarding treatment of seasonal allergic rhinitis in patients aged 12 years or older. The clinical guideline was published online Nov. 28 in the Annals of Internal Medicine.

Ablation Cuts Risk of Recurrent Stroke in Patients With A-Fib

TUESDAY, Nov. 28, 2017 (HealthDay News) — For patients with atrial fibrillation (AF) and prior cerebrovascular accident (CVA), ablation is associated with reduced risk of recurrent stroke, according to a study published online Nov. 13 in the Journal of Cardiovascular Electrophysiology.

1998 to 2014 Saw Drop in CVD Hospitalization Rates in Diabetes

TUESDAY, Nov. 28, 2017 (HealthDay News) — Cardiovascular disease (CVD) hospitalization rates have declined in recent years among individuals with and those without diabetes, according to a study published online Nov. 17 in Diabetes Care.

Simple ECG May Help Distinguish MDD From Bipolar Depression

TUESDAY, Nov. 28, 2017 (HealthDay News) — Heart rate variability (HRV) and specific inflammatory biomarkers can differentiate major depressive disorder (MDD) from depression in bipolar disorder (BD), according to a study published online Oct. 5 in The World Journal of Biological Psychiatry.

Risk of ≥CIN3 Drops With Negative HPV, Cytology Co-Tests

TUESDAY, Nov. 28, 2017 (HealthDay News) — The five-year risks of cervical intraepithelial neoplasia grade 3 (CIN3), adenocarcinoma in situ, and cervical cancer (≥CIN3) decrease after each successive negative human papillomavirus (HPV) and cytology co-testing, according to a study published online Nov. 27 in the Annals of Internal Medicine.

Similar Efficacy for Intranasal, Intramuscular Naloxone

TUESDAY, Nov. 28, 2017 (HealthDay News) — For reversal of opioid overdose, higher-concentration intranasal naloxone has similar efficacy to that of intramuscular naloxone administered at the same dose, according to a review published online Nov. 27 in the Annals of Internal Medicine.

Practice Variation in Treatment for Bronchiolitis in Infants

TUESDAY, Nov. 28, 2017 (HealthDay News) — For infants with bronchiolitis, the use of evidence-based supportive therapies (EBSTs) varies by hospital site, according to a study published online Nov. 28 in Pediatrics.

Abdominal Obesity Linked to All-Cause Mortality in HFpEF

MONDAY, Nov. 27, 2017 (HealthDay News) — For patients with heart failure with preserved ejection fraction (HFpEF), abdominal obesity is associated with increased risk of all-cause mortality, according to a study published in the Dec. 5 issue of the Journal of the American College of Cardiology.

Considerable Costs Incurred in Response to Single Measles Cases

MONDAY, Nov. 27, 2017 (HealthDay News) — Single measles cases trigger coordinated public health action that is associated with considerable costs, according to research published in the Nov. 24 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Essay Adds to Discourse on Impact of Suggestive Jokes

MONDAY, Nov. 27, 2017 (HealthDay News) — Seemingly benign, recurring patterns of joking around a single theme (joke cycles) can contribute to humorizing and legitimizing sexual misconduct, according to an essay published online Nov. 12 in Communication and Critical/Cultural Studies.

New Workflows Have Potential to Address Provider Burnout

MONDAY, Nov. 27, 2017 (HealthDay News) — New solutions are needed to address burnout among health care team members, yet, in a catch-22 situation for health industry leaders, change fatigue contributes to burnout, according to a Vocera Communications report entitled In Pursuit of Resilience, Well-Being, and Joy in Healthcare.

Recommendations Developed for Addressing Child Trafficking

MONDAY, Nov. 27, 2017 (HealthDay News) — In a policy statement published online Nov. 27 in Pediatrics, recommendations are presented for health care professionals to help prevent child trafficking, recognize victims, and intervene appropriately.

Coffee Consumption Appears to Provide More Benefit Than Harm

MONDAY, Nov. 27, 2017 (HealthDay News) — Coffee consumption seems safe and is associated with reduced risk for various health outcomes, according to a review published online Nov. 22 in The BMJ.

Longer Follow-Up Bodes Well for Filler in Periorbital Hollows

MONDAY, Nov. 27, 2017 (HealthDay News) — Hyaluronic acid gel fillers of the periorbital region are well tolerated over five years of follow-up, according to a study published online Nov. 11 in the Journal of Cosmetic Dermatology.

Vitamin E in Early Childhood Tied to Lower ALT Levels Later

MONDAY, Nov. 27, 2017 (HealthDay News) — Higher early childhood intake of alpha-tocopherol is associated with lower odds of elevated mid-childhood alanine aminotransferase (ALT) levels, according to a study published online Nov. 9 in Hepatology.

Clinician Suspicion Minimally Accurate for Lyme Disease

MONDAY, Nov. 27, 2017 (HealthDay News) — Clinician suspicion has minimal accuracy for the diagnosis of Lyme disease, according to a study published online Nov. 24 in Pediatrics.

History of Prior Cancer Common in Newly Diagnosed Patients

MONDAY, Nov. 27, 2017 (HealthDay News) — A substantial number of patients diagnosed with incident cancer in the United States have a prior history of cancer, according to a brief report published online Nov. 22 in JAMA Oncology.

Gaps Seen Between Hearing Loss, Receipt of Medical Evaluation, Tx

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Many patients with self-reported hearing loss do not receive medical evaluation and recommended treatments, according to a study published online Nov. 22 in JAMA Otolaryngology-Head and Neck Surgery.

Raw Flour Can Be Source of Shiga Toxin-Producing E. coli

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Raw flour can be a source of outbreak of Shiga toxin-producing Escherichia coli (STEC) infections, according to a study published in the Nov. 23 issue of the New England Journal of Medicine.

NTproBNP Levels Are Significantly Lower in Blacks

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Plasma N-terminal pro-B-type natriuretic peptide (NTproBNP) levels are significantly lower for black than white individuals, according to a study published online Nov. 22 in JAMA Cardiology.

Data May Weigh on Pros/Cons of Expanded Care Optometry

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — More than three-quarters of residents living in states where optometrists have been granted expanded scope of practice live within an estimated travel time (ETT) of 30 minutes to the nearest ophthalmologist office, according to a study published online Nov. 22 in JAMA Ophthalmology.

CDC Issues Warning on Contaminated Raw Milk

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Individuals who may have consumed contaminated raw milk and milk products from the Udder Milk company are urged to seek medical care, according to a report published by the U.S. Centers for Disease Control and Prevention.

Guidelines Can Cut Nonindicated Acid-Suppressing Rx in Infants

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Implementation of a guideline can reduce nonindicated use of proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) among newborns, according to a study published online Nov. 21 in Pediatrics.

Immediate Access to Opioid Agonists Found Cost-Effective

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Immediate access to opioid agonist treatment (OAT) for patients presenting with opioid use disorder may provide greater health benefits at less cost than observed standard of care, according to a study published online Nov. 21 in the Annals of Internal Medicine.

Baby Boomers Have Increased Risk of Rx Opioid Overdose Death

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Individuals born between 1947 and 1964 have a significantly increased risk of prescription opioid overdose death and heroin overdose death, and those born from 1979 to 1992 also have an increased risk of heroin overdose death, according to a study published online Nov. 21 in the American Journal of Public Health.

Cerebral Morphometric Changes Discriminate ADHD, Controls

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Cerebral morphometric alterations can discriminate between children with attention-deficit/hyperactivity disorder (ADHD) and controls, according to a study published online Nov. 22 in Radiology.

Maternal GDM Tied to Child’s Cardiometabolic Profile

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Teenage offspring of mothers with gestational diabetes mellitus (GDM) have increased adiposity and an adverse cardiometabolic profile, according to a study published online Oct. 16 in Diabetes Care.

Child Behavior Associated With Clinician Sevoflurane Exposure

WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Negative behavior among children undergoing elective ear, nose, and throat surgery is associated with higher mean and maximum sevoflurane concentrations in the anesthesiologist’s breathing zone, according to a study published online Oct. 25 in Pediatric Anesthesia.

Doubts Raised About Use of Products Containing Oxybenzone

TUESDAY, Nov. 21, 2017 (HealthDay News) — Use of oxybenzone (Benzophenone-3) in sunscreen and personal care products should be minimized due to its dermatological and environmental toxicity, according to a review published online Oct. 31 in the Journal of Cosmetic Dermatology.

Insulin Doesn’t Prevent Diabetes in Relatives of T1DM Patients

TUESDAY, Nov. 21, 2017 (HealthDay News) — Oral insulin does not delay onset of type 1 diabetes in autoantibody-positive relatives of patients with type 1 diabetes, according to a study published in the Nov. 21 issue of the Journal of the American Medical Association.

NOACs Show Lower Risk of Adverse Renal Outcomes in A-Fib

TUESDAY, Nov. 21, 2017 (HealthDay News) — For patients with atrial fibrillation (AF), non-vitamin K antagonist oral anticoagulants (NOACs) are associated with lower risks of adverse renal outcomes than warfarin, according to a study published in the Nov. 28 issue of the Journal of the American College of Cardiology.

Few U.S. Adults Meet Fruit, Veg Intake Recommendations

TUESDAY, Nov. 21, 2017 (HealthDay News) — Across all 50 states and the District of Columbia (D.C.), few adults consume the recommended amount of fruits and vegetables, according to research published in the Nov. 17 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Increased Repolarization Dispersion Seen in SCD Survivors

TUESDAY, Nov. 21, 2017 (HealthDay News) — Survivors of sudden cardiac death (SCD) with structurally normal hearts have increased dispersion of repolarization after exertion, and this is detectable on non-invasive electrocardiographic imaging (ECGi), according to a study published online Nov. 1 in the Journal of Cardiovascular Electrophysiology.

5-Fluorouracil Promising for Vaginal Intraepithelial Neoplasia

TUESDAY, Nov. 21, 2017 (HealthDay News) — 5-fluorouracil is associated with a 74 percent success rate as the initial treatment modality for high-grade intraepithelial vaginal dysplasia, according to a study published online Nov. 7 in Obstetrics & Gynecology.

Higher β-Blocker Dose Linked to Lower Mortality Risk

TUESDAY, Nov. 21, 2017 (HealthDay News) — An increased β-blocker dose is associated with a greater prognostic advantage in patients with chronic heart failure (CHF) and diabetes than in those with CHF but no diabetes, according to a study published online Oct. 25 in Diabetes Care.

Stool-Based Protein Combos Can Improve CRC Screening

TUESDAY, Nov. 21, 2017 (HealthDay News) — Combinations of four proteins from stool samples can detect colorectal cancer (CRC) and advanced adenomas with higher sensitivity than hemoglobin alone, according to a study published online Nov. 21 in the Annals of Internal Medicine.

Best Practice Advice Issued for Hep B Vaccination, Screening

TUESDAY, Nov. 21, 2017 (HealthDay News) — Best practice advice statements from the American College of Physicians and the U.S. Centers for Disease Control and Prevention, published online Nov. 21 in the Annals of Internal Medicine, encourage hepatitis B virus (HBV) screening in high-risk populations, vaccination of all unvaccinated at-risk adults, and linkage to care for HBV-positive patients.

High Salt Intake Impacts Gut Microbiome

MONDAY, Nov. 20, 2017 (HealthDay News) — High salt intake affects the gut microbiome; however, certain intestinal bacteria may help prevent high-salt diets contributing to hypertension, according to research published online Nov. 15 in Nature.

Certain Traits Tied to More HIV Tests in Transgender Individuals

MONDAY, Nov. 20, 2017 (HealthDay News) — Transgender individuals with certain characteristics, including a history of incarceration and self-referral, have more HIV tests, according to a short report published in Transgender Health.

Salivary miRNAs Can ID Duration of Concussion Symptoms

MONDAY, Nov. 20, 2017 (HealthDay News) — For children with concussion, salivary microRNAs (miRNAs) can accurately identify the duration of symptoms, according to a study published online Nov. 20 in JAMA Pediatrics.

Treatment Trajectories Vary for Children With Depression

MONDAY, Nov. 20, 2017 (HealthDay News) — For youths with depression, there are distinct treatment trajectories, which have varying health outcomes, according to a study published online Nov. 20 in JAMA Pediatrics.

Spinal Cord Stimulation May Reduce Neuropathic Pain

MONDAY, Nov. 20, 2017 (HealthDay News) — Spinal cord stimulation (SCS) effectively reduces chronic pain symptoms in individuals with painful diabetic polyneuropathy (PDPN), according to a study published online Nov. 6 in Diabetes Care.

Fat Distribution May Influence Bone Strength in Adolescence

MONDAY, Nov. 20, 2017 (HealthDay News) — Visceral adipose tissue (VAT) in girls and central adiposity in boys play a role in the acquisition of bone strength during adolescence, according to a study published online Oct. 30 in the Journal of Bone and Mineral Research.

Chronic Conditions Increasing Among Childbearing Women

MONDAY, Nov. 20, 2017 (HealthDay News) — Between 2005 and 2014, the prevalence of chronic conditions increased across all segments of the childbearing population, according to a study published online Nov. 7 in Obstetrics & Gynecology.

NAFLD Linked to Increased Cancer Incidence Rate

MONDAY, Nov. 20, 2017 (HealthDay News) — Non-alcoholic fatty liver disease (NAFLD) is associated with development of cancer, specifically hepatocellular carcinoma (HCC), colorectal cancer in males, and breast cancer in females, according to a study published online Nov. 14 in the Journal of Hepatology.

Attributes of High-Value Primary Care Identified

MONDAY, Nov. 20, 2017 (HealthDay News) — Six statistically significant attributes of high-value primary care have been identified, and they include decision support for evidence-based medicine, risk-stratified care management, and coordination of care, according to a study published in the November/December issue of the Annals of Family Medicine.

SMS Reminders Moderately Effective for Flu Vaccination

MONDAY, Nov. 20, 2017 (HealthDay News) — Short message service (SMS) reminders are a moderately effective way to increase the rate of influenza vaccination among high-risk patients, according to a study published in the November/December issue of the Annals of Family Medicine.

Dating Violence Victimization, Nonmedical Rx Med Use Linked

MONDAY, Nov. 20, 2017 (HealthDay News) — For male and female high school students, nonmedical use of prescription drugs (NMUPD) is associated with experiences of dating violence victimization (DVV), according to a study published online Nov. 20 in Pediatrics.

Many Health Care Providers Work While Sick

FRIDAY, Nov. 17, 2017 (HealthDay News) — More than 40 percent of health care personnel (HCP) with influenza-like illness (ILI) work while ill, according to a study published in the November issue of the American Journal of Infection Control.

Intensive BP Control Lacks Benefit in Chronic Kidney Disease

FRIDAY, Nov. 17, 2017 (HealthDay News) — Intensive blood pressure (BP) control may provide no benefit and may even be harmful for patients with moderate-to-advanced chronic kidney disease, according to a study published online Oct. 16 in the Journal of Internal Medicine.

Simple Checklist Can Identify Useful Clinical Practice Guidelines

FRIDAY, Nov. 17, 2017 (HealthDay News) — A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in the September/October issue of the Annals of Family Medicine.

Psychosocial Benefit Seen With Probiotic, Peanut Oral Immunotx

FRIDAY, Nov. 17, 2017 (HealthDay News) — Probiotic and peanut oral immunotherapy (PPOIT) has a sustained beneficial effect on psychosocial impact of food allergy after end-of-treatment, according to a study published online Oct. 20 in Allergy.

First-Line Metformin Use for DM Up; Sulfonylurea Use Down

FRIDAY, Nov. 17, 2017 (HealthDay News) — Among patients with type 2 diabetes initiating antidiabetes drugs (ADDs), first-line use of metformin has increased since 2005, while sulfonylureas have remained the most popular second-line agent, according to a study published online Nov. 6 in Diabetes Care.

Risk of Falls Up With Mild, Moderate Diabetic Retinopathy

FRIDAY, Nov. 17, 2017 (HealthDay News) — Among Asians, individuals with mild and moderate diabetic retinopathy (DR) are more likely to have fallen, and greater perceived barriers to diabetes self-management (DSM) are associated with the severity of DR, according to two studies published online Nov. 16 in JAMA Ophthalmology.

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Attributes of High-Value Oncology Practices Identified

FRIDAY, Nov. 17, 2017 (HealthDay News) — Attributes that distinguish high-value oncology practices have been identified, according to a study published online Nov. 16 in JAMA Oncology.

Docs’ Preparedness Influences Exercise Recommendations

FRIDAY, Nov. 17, 2017 (HealthDay News) — Primary care providers who feel prepared are more likely to recommend physical activity to patients with disabilities, according to a study published online Nov. 16 in Preventing Chronic Disease.

FDA OKs Drug for Hemophilia A With Factor VIII Inhibitors

FRIDAY, Nov. 17, 2017 (HealthDay News) — Hemlibra (emicizumab-kxwh) has been approved by the U.S. Food and Drug Administration to prevent or reduce the frequency of bleeding episodes among hemophilia A patients with Factor VIII inhibitors.

Virtual Reality Effective for Post-Stroke Upper Extremity Rehab

THURSDAY, Nov. 16, 2017 (HealthDay News) — Virtual reality (VR) training is as effective as conventional training for upper extremity rehabilitation after stroke, according to a study published online Nov. 15 in Neurology.

FDA Investigation Linked to Drop in Codeine Rx for Children

THURSDAY, Nov. 16, 2017 (HealthDay News) — The U.S. Food and Drug Administration (FDA) investigation into the safety of codeine use by children, which culminated in a black box warning in February 2013, led to substantially decreased codeine prescribing to children after tonsillectomy and/or adenoidectomy, according to a study published online Nov. 16 in Pediatrics.

Vitamin D Tied to Better Assisted Reproductive Therapy Outcomes

THURSDAY, Nov. 16, 2017 (HealthDay News) — For women undergoing assisted reproductive treatment (ART), those who are replete in vitamin D have better outcomes, including live birth, a positive pregnancy test, and clinical pregnancy, according to a review published online Nov. 14 in Human Reproduction.

High Levels of Burnout, Stress for U.S. Surgical Residents

THURSDAY, Nov. 16, 2017 (HealthDay News) — Surgical residents have high levels of burnout, which is associated with high stress, depression, and suicidal ideation, according to a study published online in the Journal of the American College of Surgeons.

Heart Murmur Disappearance on Standing Can Rule Out Pathology

THURSDAY, Nov. 16, 2017 (HealthDay News) — For children aged 2 and older, disappearance of a heart murmur on standing is a reliable tool for excluding pathologic murmur, according to a study published in the November/December issue of the Annals of Family Medicine.

Model Predicts Development of Chronic Kidney Disease

THURSDAY, Nov. 16, 2017 (HealthDay News) — A multivariable model that uses routine laboratory data is able to predict advanced chronic kidney disease after hospitalization with acute kidney injury, according to a study published online Nov. 14 in the Journal of the American Medical Association.

Accurate Diagnosis Seen With Photographs of Skin Conditions

THURSDAY, Nov. 16, 2017 (HealthDay News) — Smartphone photographs of pediatric skin conditions taken by parents are of sufficient quality to allow accurate diagnosis, according to a study published online Nov. 15 in JAMA Dermatology.

Peer Review Policy Cuts Atypical Antipsychotic Use in Children

THURSDAY, Nov. 16, 2017 (HealthDay News) — For young children, implementation of a peer review prior authorization (PA) policy can reduce the use of atypical antipsychotic (AAP) medications, according to a research letter published online Nov. 15 in JAMA Psychiatry.

Simpler Tool Promising for Atherosclerosis Prediction

THURSDAY, Nov. 16, 2017 (HealthDay News) — The ideal cardiovascular health score (ICHS) and the Fuster-BEWAT (blood pressure, exercise, weight, alimentation, and tobacco) score (FBS) are similar in their ability to predict subclinical atherosclerosis, according to a study published online Nov. 13 in the Journal of the American College of Cardiology.

HPV Vaccine Tied to Reduced Respiratory Papillomatosis Rate

THURSDAY, Nov. 16, 2017 (HealthDay News) — The incidence of juvenile-onset recurrent respiratory papillomatosis (JORRP) in Australia decreased from 2012 to 2016 after implementation of a quadrivalent human papillomavirus (HPV) vaccination program for females aged 12 to 26 years in 2007-2009, according to a study published online Nov. 9 in The Journal of Infectious Diseases.

FDA Approves Drug With Digital Ingestion Tracking System

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — The first drug in the United States with a digital ingestion tracking system has been approved by the U.S. Food and Drug Administration.

ER- Breast CA Risk Up for African-Americans With T2DM

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — African-American (AA) women with type 2 diabetes (T2D) appear to be at increased risk of developing estrogen receptor-negative (ER-) breast cancer, with the highest risk among nonobese individuals, according to a study published online Nov. 15 in Cancer Research.

In 2007-2014, Glycemic Control Plateaued in Diabetes Patients

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Despite increases in HbA1c testing and awareness, glycemic control seems to have plateaued among patients with diabetes between 2007 and 2014, according to a research letter published online Nov. 14 in the Journal of the American Medical Association.

Health Care Experts in Favor of Patient Contribution to Notes

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Health care experts are supportive of OurNotes, an intervention in which patients and families co-produce medical notes with clinicians, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.

PCP Care in Hospital Linked to Resource Use, Outcome

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Patients cared for in the hospital by their own primary care physician (PCP) have longer length of stay and are more likely to be discharged home than those cared for by hospitalists or other generalists, according to a study published online Nov. 13 in JAMA Internal Medicine.

Poorer Neuropsychological Test Scores for HIV-Positive

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — HIV-positive individuals treated with combination antiretroviral therapy (cART) have poorer neuropsychological test scores than controls but no significant neuropsychological decline over time, according to a study published online Nov. 13 in JAMA Neurology.

Peanut Patch Found Safe, Effective for Treating Allergies

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — A 250-μg peanut patch produces a significant treatment response in peanut-allergic patients treated for a year, according to a study published online Nov. 14 in the Journal of the American Medical Association.

XR Naltrexone, Sublingual BUP-NX Deemed Equally Effective

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Although initiation of extended-release naltrexone (XR-NTX) may be more difficult, XR-NTX and sublingual buprenorphine-naloxone (BUP-NX) are equally safe and effective once initiated for opioid relapse prevention, according to a study published online Nov. 14 in The Lancet.

AHA: Noninvasive Testing Ups LOS in Patients With Chest Pain

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Noninvasive cardiac testing leads to longer length of stay (LOS) for patients presenting to the emergency department with chest pain, according to a study published online Nov. 14 in JAMA Internal Medicine to coincide with the American Heart Association’s Scientific Sessions, being held Nov. 11 to 15 in Anaheim, California.

Psychostimulant Use Tied to Placental Complications

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Psychostimulant use during pregnancy is associated with a small increased relative risk of preeclampsia and preterm birth, according to a study published online Nov. 7 in Obstetrics & Gynecology.

Sport Sampling in Children Tied to More Exercise in Adolescence

WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Sport sampling in childhood may be associated with higher physical activity (PA) levels during adolescence, according to a study published online Nov. 13 in Pediatrics.

Extended Breastfeeding May Cut Later Flexural Dermatitis Risk

TUESDAY, Nov. 14, 2017 (HealthDay News) — Promotion of prolonged and exclusive breastfeeding may reduce the risk of flexural dermatitis in adolescence but does not affect lung function or questionnaire-derived measures of asthma or atopic eczema, according to a study published online Nov. 13 in JAMA Pediatrics.

Eating More Nuts Associated With Lower Heart Disease Risk

TUESDAY, Nov. 14, 2017 (HealthDay News) — Nut consumption is tied to a decreased risk of cardiovascular disease and coronary heart disease (CHD), according to a study published online Nov. 13 in the Journal of the American College of Cardiology.

Perioperative Aspirin May Benefit Patients With Prior PCI

TUESDAY, Nov. 14, 2017 (HealthDay News) — For patients with prior percutaneous coronary intervention (PCI), perioperative aspirin seems to be beneficial, according to a study published online Nov. 13 in the Annals of Internal Medicine.

Outcomes for Atrial Fibrillation Similar With Dabigatran, Warfarin

TUESDAY, Nov. 14, 2017 (HealthDay News) — In clinical practice, patients starting dabigatran therapy do not have significantly different rates of ischemic stroke or extracranial hemorrhage than those starting warfarin therapy, though they have lower rates of intracranial bleeding, according to a study published online Nov. 13 in the Annals of Internal Medicine.

More Laboratory Tests Performed at Major Teaching Hospitals

TUESDAY, Nov. 14, 2017 (HealthDay News) — For inpatients with a primary diagnosis of bacterial pneumonia or cellulitis, significantly more laboratory tests are performed per day at major teaching hospitals versus nonteaching hospitals, according to a study published online Nov. 13 in JAMA Internal Medicine.

Inhaled Corticosteroids Not Linked to Fracture in Children

TUESDAY, Nov. 14, 2017 (HealthDay News) — Inhaled corticosteroids are not associated with increased odds of fracture in the pediatric asthma population, according to a study published online Nov. 13 in JAMA Pediatrics.

Drug Combination Cost-Effective for Cesarean Prophylaxis

TUESDAY, Nov. 14, 2017 (HealthDay News) — The addition of azithromycin to cephalosporin for cesarean delivery infection prophylaxis is cost-effective and leads to better maternal outcomes, according to a study published online Nov. 7 in Obstetrics & Gynecology.

Leisure Time Exercise Linked to Reduced Mortality in T1DM

TUESDAY, Nov. 14, 2017 (HealthDay News) — For patients with type 1 diabetes, including those with chronic kidney disease (CKD), leisure-time physical activity (LTPA) is associated with reduced risk of all-cause mortality, according to a study published online Oct. 16 in Diabetes Care.

Oral Chemotherapy Parity Laws Offer Some Financial Protection

MONDAY, Nov. 13, 2017 (HealthDay News) — The adoption of state oral chemotherapy parity laws has improved financial protection for many patients, according to a study published online Nov. 9 in JAMA Oncology.

Surgeons Often Prescribing Too Many Opioids After Rhinoplasty

MONDAY, Nov. 13, 2017 (HealthDay News) — Patients use a mean of 8.7 of the initially prescribed 20 to 30 hydrocodone-acetaminophen combination tablets after rhinoplasty, according to a study published online Nov. 9 in JAMA Facial Plastic Surgery.

About 20 Percent of U.S. Adults Currently Use Tobacco Products

MONDAY, Nov. 13, 2017 (HealthDay News) — About one in five U.S. adults currently uses any tobacco product, according to a study published online Nov. 9 in Morbidity and Mortality Weekly Report.

Prenatal Exposure to ADHD Meds Tied to Neonatal Morbidity

MONDAY, Nov. 13, 2017 (HealthDay News) — Exposure to attention-deficit/hyperactivity disorder (ADHD) medication during pregnancy is associated with increased risk of neonatal morbidity, according to a study published online Nov. 10 in Pediatrics.

Short PCP Consultation Length Seen Worldwide

THURSDAY, Nov. 9, 2017 (HealthDay News) — There is considerable global variation in the average primary care physician consultation length, from 48 seconds to 22.5 minutes, according to a review published online Nov. 8 in BMJ Open.

Breast Cancer Recurrences Steady After Therapy Cessation

THURSDAY, Nov. 9, 2017 (HealthDay News) — When adjuvant endocrine therapy for estrogen receptor-positive breast cancer is stopped after five years, recurrences occur at a steady rate into the future, according to a meta-analysis published online Nov. 8 in the New England Journal of Medicine.

Patients Use ~Half of Opioids Prescribed After Hysterectomy

THURSDAY, Nov. 9, 2017 (HealthDay News) — Gynecologists prescribe about twice the amount of opioids than patients use after hysterectomy for benign, nonobstetric indications, according to a study published online Nov. 7 in Obstetrics & Gynecology.

Eclampsia Tied to Increased Relative Risk of Seizure Disorder

THURSDAY, Nov. 9, 2017 (HealthDay News) — The relative risk of a seizure disorder after eclampsia is higher than that of women unaffected by eclampsia but remains extremely low, according to a study published online Nov. 7 in Obstetrics & Gynecology.

Vaccination Coverage High for Children Aged 19 to 35 Months

THURSDAY, Nov. 9, 2017 (HealthDay News) — Vaccination coverage has remained above 90 percent for many vaccinations among young children, and progress is being made toward immunization information systems (IISs) program goals, according to two studies published online Nov. 2 in Morbidity and Mortality Weekly Report.

Abstract/Full Text — Hill
Abstract/Full Text — Murthy

Online CBT Program Beneficial for Depression, Anxiety

THURSDAY, Nov. 9, 2017 (HealthDay News) — For patients with depression and anxiety, online computerized cognitive behavioral therapy (CCBT) provided via a collaborative care program is beneficial, but combining an internet support group (ISG) with CCBT offers no additional benefit, according to a study published online Nov. 8 in JAMA Psychiatry.

Delayed Cord Clamping Linked to Reduced Hospital Mortality

THURSDAY, Nov. 9, 2017 (HealthDay News) — Delayed cord clamping is associated with reduced hospital mortality in preterm infants, according to a review published online Oct. 30 in the American Journal of Obstetrics & Gynecology.

Risk of End-Stage Renal Disease Low With Type 1 Diabetes

THURSDAY, Nov. 9, 2017 (HealthDay News) — Among patients with childhood-onset type 1 diabetes, there is a very low incidence of end-stage renal disease (ESRD), according to a Norwegian study published online October 12 in Diabetes Care.

Hearing Loss Among U.S. Adolescents Is Not Increasing

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Hearing loss among U.S. adolescents seems not to be increasing, according to a study published online Nov. 8 in Pediatrics.

Average Cost of Care in Year After Ovarian Cancer Surgery ~$100K

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — For women with ovarian cancer who underwent both surgery and adjuvant chemotherapy, the average medical expenditures are about $100,000 in the first year after surgery, according to a study published online Nov. 7 in Obstetrics & Gynecology.

Doctors Have Extra Two Weeks to Preview Performance Data

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Physicians have two extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare & Medicaid Services’ Physician Compare online resource, according to a report published by the American Academy of Family Physicians.

ASCO Issues Statement Regarding Alcohol and Cancer

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Alcohol use is associated with certain types of cancer, and the risk of cancer can be reduced by strategies to prevent excessive use of alcohol, according to a statement published online Nov. 7 in the Journal of Clinical Oncology.

Delay in Tranexamic Acid Administration Reduces Benefit

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — For patients with acute severe bleeding, any delay in treatment with tranexamic acid is associated with a reduction in the survival benefit, according to a meta-analysis published online Nov. 7 in The Lancet.

Drop in Incidence of End-Stage Renal Disease Due to Diabetes

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — The incidence of end-stage renal disease (ESRD) with diabetes listed as the primary cause (ESRD-D) decreased across the United States from 2000 to 2014, according to a study published online Nov. 2 in Morbidity and Mortality Weekly Report.

Lymphoma Risk Up With Thiopurine, Anti-TNF Tx in IBD

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — For patients with inflammatory bowel disease (IBD), the risk of lymphoma is increased with use of thiopurine monotherapy, anti-tumor necrosis factor (TNF) monotherapy, and combination therapy, according to a study published online Nov. 7 in the Journal of the American Medical Association.

In ER, Combination of Ibuprofen, Acetaminophen Relieves Pain

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — For patients presenting to the emergency department with acute extremity pain, the combination of ibuprofen and acetaminophen does not differ in terms of pain reduction from three different opioid and acetaminophen combination analgesics, according to a study published online Nov. 7 in the Journal of the American Medical Association.

Evidence Scant for Treatment of Cough With the Common Cold

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — There has been little change in the treatment recommendations for cough due to the common cold since publication of guidelines in 2006, according to a review published online Nov. 7 in Chest.

Increases in U.S. Health Spending Tied to Health Service Price

WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Factors including increases in health care service price and intensity are associated with increases in U.S. health care spending from 1996 to 2013, according to a study published online Nov. 7 in the Journal of the American Medical Association.

USPSTF Posts Osteoporosis Screening Recommendations

TUESDAY, Nov. 7, 2017 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) draft recommendation statement and draft evidence review on Screening for Osteoporosis to Prevent Osteoporotic Fractures have been posted for public comment through Dec. 4, 2017.

Draft Recommendation Statement
Draft Evidence Review

Exercise, Intervention Combos Associated With Lower Fall Risk

TUESDAY, Nov. 7, 2017 (HealthDay News) — For older adults, exercise alone and combinations of interventions are associated with reduced risk of injurious falls, according to a review published online Nov. 6 in the Journal of the American Medical Association.

Cannabidiol Concentration Varies Widely in Online Products

TUESDAY, Nov. 7, 2017 (HealthDay News) — Among cannabidiol (CBD) products sold online, there is a wide range of CBD concentrations, and many products are under- or overlabeled, according to a research letter published online Nov. 7 in the Journal of the American Medical Association.

Warfarin Use Linked to Reduced Incidence of Cancer

TUESDAY, Nov. 7, 2017 (HealthDay News) — For adults older than 50 years, warfarin use is associated with reduced incidence of cancer, according to a study published online Nov. 6 in JAMA Internal Medicine.

Intensity of Exercise Affects Impact on Mortality Risk

TUESDAY, Nov. 7, 2017 (HealthDay News) — Total physical activity (PA) and moderate- to vigorous-intensity PA (MVPA) are inversely associated with mortality, though light-intensity PA and sedentary behavior are not associated with mortality, according to a research letter published online Nov. 6 in Circulation.

Influenza Vaccines in Pediatric ERs Likely Cost-Effective

TUESDAY, Nov. 7, 2017 (HealthDay News) — Influenza vaccination in the pediatric emergency department (PED) setting appears to be a cost-effective strategy, according to a study published online Nov. 6 in JAMA Pediatrics.

Info Via Social Media Apps May Increase Vaccine Acceptance

TUESDAY, Nov. 7, 2017 (HealthDay News) — Providing women with web-based vaccine information with social media applications during pregnancy is associated with a greater proportion of infants up-to-date on their vaccines, according to a study published online Nov. 6 in Pediatrics.

Legal Aspects to Consider in Voluntary Refusal to Eat, Drink

TUESDAY, Nov. 7, 2017 (HealthDay News) — Voluntarily stopping eating and drinking (VSED) is a course that patients may choose to hasten their death, although there are clinical, ethical, and legal aspects to consider, according to a special communication published online Nov. 6 in JAMA Internal Medicine.

Lifestyle Changes Successfully Reduce Incidence of Diabetes

TUESDAY, Nov. 7, 2017 (HealthDay News) — Lifestyle modification (LSM) and medications can reduce the incidence of diabetes in adults at risk, although the effects of medications are short-lived, according to a review published online Nov. 6 in JAMA Internal Medicine.

Preventive Care for Adolescents Up Since ACA Implementation

TUESDAY, Nov. 7, 2017 (HealthDay News) — Preventive care rates have increased moderately to modestly for adolescents since the passage of the Affordable Care Act (ACA) but are still low overall, according to a study published online Nov. 6 in JAMA Pediatrics.

PCI Does Not Improve Exercise Time in Angina Patients

MONDAY, Nov. 6, 2017 (HealthDay News) — Percutaneous coronary intervention (PCI) does not increase exercise time more than a placebo procedure in patients with medically treated angina and severe coronary stenosis, according to a study published online Nov. 2 in The Lancet.

Fiber Tied to Lower Mortality in Those With Colorectal Cancer

MONDAY, Nov. 6, 2017 (HealthDay News) — Higher fiber intake after a diagnosis of nonmetastatic colorectal cancer (CRC) is associated with lower CRC-specific and overall mortality, according to a study published online Nov. 2 in JAMA Oncology.

Novel Method Developed for Estimating Prevalence of Diabetes

MONDAY, Nov. 6, 2017 (HealthDay News) — A novel method has been developed to enhance the prevalence estimates of diabetes and prediabetes, according to a study published online Nov. 2 in Preventing Chronic Diseases.

Facility Volume Found to Impact Nasopharyngeal CA Survival

MONDAY, Nov. 6, 2017 (HealthDay News) — Treatment at a high-volume facility (HVF) is a significant predictor of improved overall survival in nasopharyngeal cancer (NPC), according to a research letter published online Nov. 2 in JAMA Otolaryngology — Head & Neck Surgery.

Scribes Improve Dermatologist Satisfaction, Cut Chart Burden

FRIDAY, Nov. 3, 2017 (HealthDay News) — Scribes can reduce time spent on documentation and improve dermatologist satisfaction, according to a research letter published online Nov. 1 in JAMA Dermatology.

Drop in Proportion of Neonates With Long IV Therapy for UTI

FRIDAY, Nov. 3, 2017 (HealthDay News) — From 2005 to 2015 there was a decrease in the proportion of infants aged ≤60 days with a urinary tract infection (UTI) who received four or more days of intravenous (IV) antibiotics, according to a study published online Nov. 2 in Pediatrics.

Pricing Interventions Increase Sales, Intake of Healthy Foods

FRIDAY, Nov. 3, 2017 (HealthDay News) — Pricing interventions seem to improve access to healthy food and beverage options with increases in stocking and sales of these items, according to a review published online Nov. 2 in Preventing Chronic Disease.

School-Based Food Co-op Tied to Improved Diets in Children

FRIDAY, Nov. 3, 2017 (HealthDay News) — Brighter Bites, a school-based food cooperative program, is effective in improving children’s diets, according to a study published online Nov. 2 in Preventing Chronic Disease.

Current Practice Not Cost-Effective for Air Medical Triage

FRIDAY, Nov. 3, 2017 (HealthDay News) — Current practice is not cost-effective compared with the Air Medical Prehospital Triage (AMPT) score for trauma patients, and the field triage system undertriage rate for patients with severe injuries exceeds 20 percent, according to two studies published online Nov. 1 in JAMA Surgery.

Abstract/Full Text — Brown
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Abstract/Full Text (subscription or payment may be required) — Voskens
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Cases of Low Vision, Blindness Estimated to Double in 30 Years

FRIDAY, Nov. 3, 2017 (HealthDay News) — Prevalence and incidence rates of low vision and blindness demonstrate a growing need for low vision rehabilitation services in the United States, according to a study published online Nov. 2 in JAMA Ophthalmology.

Lead Shield Reduces Radiation Exposure During Catheterization

THURSDAY, Nov. 2, 2017 (HealthDay News) — Use of an accessory lead shield placed between the staff member and the patient during cardiac catheterization can reduce radiation exposure among technologists and nurses, according to a study published online Nov. 1 in JACC: Cardiovascular Interventions.

Favorable Prognosis for Syncope Patients Discharged From ER

THURSDAY, Nov. 2, 2017 (HealthDay News) — Most patients presenting to the emergency department (ED) with a primary diagnosis of syncope are discharged and have a favorable prognosis, and though total costs to care for discharged syncope patients are high, cost per patient is lower compared with hospitalized patients, according to a study published online Nov. 1 in JACC: Clinical Electrophysiology.

Prescription-Strength Steroids Sold Without Prescription

THURSDAY, Nov. 2, 2017 (HealthDay News) — The ability to purchase a product containing a class 3 topical steroid online, without physician authorization, highlights the dangers of prescription-strength medications being acquired as over-the-counter products, according to a research letter published online Nov. 1 in JAMA Dermatology.

Driving Impairment Warnings Often Not Given With Rx Meds

THURSDAY, Nov. 2, 2017 (HealthDay News) — Not all prescription drug users report receiving warnings about driving impairment, according to a study published online Nov. 1 in the Journal of Studies on Alcohol and Drugs.

Enjoyment of Spicy Food May Lower Salt Preference, Intake

WEDNESDAY, Oct. 31, 2017 (HealthDay News) — Enjoyment of spicy food seems to reduce individual salt preference, salt intake, and blood pressure, according to research published online Oct. 31 in Hypertension.

Two Simple Tests Can ID Fibromyalgia in Pain Patients

WEDNESDAY, Nov. 1, 2017 (HealthDay News) — Two simple tests can indicate a probable diagnosis of fibromyalgia (FM) in patients with chronic pain, according to a study published online Oct. 23 in the Journal of Evaluation in Clinical Practice.

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