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May 2019 Briefing

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for May 2019. 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.

Providers, Peers Influence Aspirin Use Among African-Americans

FRIDAY, May 31, 2019 -- Positive cultural beliefs around taking aspirin for prevention of cardiovascular disease (CVD) are associated with greater adoption of the intervention among African-Americans, according to a study published in the June issue of the Journal of Community Health.

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Nonfasting Lipid Levels Adequate for Assessing Cardiovascular Risk

FRIDAY, May 31, 2019 -- Fasting before a cholesterol test is not necessary when evaluating risk for cardiovascular events, according to a study published online May 28 in JAMA Internal Medicine.

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FDA to Hold First Public Meeting on CBD

FRIDAY, May 31, 2019 -- A public meeting on cannabidiol (CBD) products will be held Friday by the U.S. Food and Drug Administration, with the goal of gathering information on products that contain CBD.

NBC News Article

CDC: Reported Measles Cases Reach 971

FRIDAY, May 31, 2019 -- Five months into 2019, the number of measles cases in the United States has now reached 971, the largest number since 1992 when 963 total cases were reported for the year, the U.S. Centers for Disease Control and Prevention announced.

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Excess Cause-Specific Mortality Tied to Chronic Proton Pump Inhibitor Use

FRIDAY, May 31, 2019 -- Taking proton pump inhibitors (PPIs) is associated with an excess of cause-specific mortality, according to a study published online May 30 in The BMJ.

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Lupus Manifestations Appear to Differ by Race, Ethnicity

FRIDAY, May 31, 2019 -- Clinical manifestations of systemic lupus erythematosus (SLE) vary by racial and ethnic groups, according to a study published online May 22 in Arthritis Care & Research.

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Exercise, Therapy May Improve Depression, Diabetes Outcomes

FRIDAY, May 31, 2019 -- Exercise and/or behavioral treatment interventions may provide clinically meaningful improvements in depression outcomes in adults with type 2 diabetes (T2DM) and major depressive disorder (MDD), according to a study published online May 21 in Diabetes Care.

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Noncompliance Common in Teens Prescribed STI Treatment in ED

FRIDAY, May 31, 2019 -- Less than 60 percent of prescriptions for the treatment of sexually transmitted infections (STIs) among teens seeking care in the emergency department are filled, according to a research letter published online May 28 in JAMA Pediatrics.

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FDA Approves First Test for Zika in Human Blood

THURSDAY, May 30, 2019 -- The first test to detect the Zika virus in human blood has been approved by the U.S. Food and Drug Administration.

CBS News Article

Pediatric Nurse Practitioner Shortage Looming

THURSDAY, May 30, 2019 -- There is a looming critical shortage of pediatric nurse practitioners (PNPs), according to a white paper published in the May-June issue of the Journal of Pediatric Health Care.

Abstract/Full Text

Syncope in Pregnancy May Up Risk for Adverse Outcomes

THURSDAY, May 30, 2019 -- Pregnant women with syncope may be at higher risk for adverse pregnancy outcomes, especially when the event occurs during the first trimester, according to a study published in the May 21 issue of the Journal of the American Heart Association.

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Stepped Tx for Alcohol Use Disorder Studied in HIV Patients

THURSDAY, May 30, 2019 -- Integrated stepped alcohol treatment (ISAT) reduces alcohol consumption in patients with HIV and a known drinking problem, according to a study published online May 17 in The Lancet HIV.

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High Costs Associated With Physician Burnout in U.S.

THURSDAY, May 30, 2019 -- High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.

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Weight-Based Teasing Linked to Gain in BMI, Fat Mass for Youth

THURSDAY, May 30, 2019 -- For youth with or at risk for overweight, weight-based teasing (WBT) is associated with a greater gain in body mass index (BMI) and fat mass, according to a study published online May 30 in Pediatric Obesity.

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Early-Onset CRC Rising Fastest for Whites in Western States

THURSDAY, May 30, 2019 -- Whites in western states are experiencing the most rapid increase in early-onset colorectal cancer (CRC), according to a study published online May 29 in the Journal of the National Cancer Institute.

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Ultra-Processed Food Intake Linked to Increased CVD Risk

THURSDAY, May 30, 2019 -- Ultra-processed food consumption is associated with an increased risk for cardiovascular disease and all-cause mortality, according to two studies published online May 29 in The BMJ.

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Editorial

Recent Plateauing Seen in Prevalence of Diagnosed Diabetes

WEDNESDAY, May 29, 2019 -- The prevalence of diagnosed diabetes has plateaued during the last eight years, while the incidence has declined, according to a study published online May 28 in BMJ Open Diabetes Research & Care.

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Teen Team Sports Participation Benefits Adult Mental Health

WEDNESDAY, May 29, 2019 -- Among individuals exposed to adverse childhood experiences (ACEs), team sports participation in adolescence is associated with better adult mental health, according to a study published online May 28 in JAMA Pediatrics.

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Energy Drinks Prolong QTc Interval, Elevate Blood Pressure

WEDNESDAY, May 29, 2019 -- Energy drinks prolong the QTc interval and are associated with an increase in blood pressure, according to a study published online May 29 in the Journal of the American Heart Association.

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Reading Visit Notes May Improve Medication Management

WEDNESDAY, May 29, 2019 -- Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.

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More Than 1 in 4 Middle-Aged Men, Women Have Low Bone Mineral Density

WEDNESDAY, May 29, 2019 -- More than 25 percent of men and women aged 35 to 50 years have low bone mineral density (BMD), according to a study published in the June issue of the Journal of the American Osteopathic Association.

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Eczema-Related School Absences Higher Among Blacks, Hispanics

WEDNESDAY, May 29, 2019 -- Hispanic and black children are more likely than white children to miss school due to atopic dermatitis (AD), according to a research letter published online May 22 in JAMA Dermatology.

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Inappropriate Prescribing Leads to Poor Outcomes in Older Adults

WEDNESDAY, May 29, 2019 -- Potentially inappropriate prescribing (PIP) is tied to increased health care utilization and poor outcomes among older individuals seen in primary care practices, according to a review published in the May/June issue of the Annals of Family Medicine.

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Rate of Opioid Prescribing High for Teens, Young Adults in ED

TUESDAY, May 28, 2019 -- For adolescents and young adults, the rate of opioid prescribing in emergency departments is high, according to a study published online May 28 in Pediatrics.

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Meds for Weight Management Underutilized Among Veterans

TUESDAY, May 28, 2019 -- Weight management medications (WMM) are underutilized among veterans, according to a study published online May 15 in Obesity.

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Decreased Air Pollutants Linked to Less Childhood Asthma

TUESDAY, May 28, 2019 -- Decreases in ambient nitrogen dioxide and fine particulate matter (PM2.5) are associated with lower asthma incidence in children, according to a study published in the May 21 issue of the Journal of the American Medical Association.

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Work Burnout, Gaming Addiction Classified as Diseases by WHO

TUESDAY, May 28, 2019 -- Work burnout is now a legitimate medical diagnosis, and gaming addiction is a mental health disorder, the World Health Organization says.

CNN Article

Higher BMI in Male Teens Tied to Cardiomyopathy in Adulthood

TUESDAY, May 28, 2019 -- Increased body mass index (BMI) in adolescence is associated with an increased risk for cardiomyopathy in adulthood among men, according to a study published online May 28 in Circulation.

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Suboptimal BP, Fasting Glucose Tied to Atrioventricular Block

TUESDAY, May 28, 2019 -- Suboptimal blood pressure and fasting glucose levels are associated with atrioventricular (AV) block, according to a study published online May 24 in JAMA Network Open.

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Risk for Suicide Attempts in Children Doubles With Parental Opioid Use

FRIDAY, May 24, 2019 -- Children of parents who use prescription opioids are at nearly double the risk for suicide attempts, according to a study published online May 22 in JAMA Psychiatry.

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U.S. Incidence of Pediatric Thyroid Cancer on the Rise

FRIDAY, May 24, 2019 -- From 1973 to 2013, there was an increase in the incidence rates of pediatric thyroid cancer, with marked increases from 2006 to 2013, according to a study published online May 23 in JAMA Otolaryngology-Head & Neck Surgery.

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Poor Glycemic Control Linked to Sarcopenia in T2DM

FRIDAY, May 24, 2019 -- For patients with type 2 diabetes, poor glycemic control is associated with sarcopenia, according to a study published online May 9 in the Journal of Diabetes Investigation.

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Statin Use With Colorectal Cancer Lowers Risk for Early Death

FRIDAY, May 24, 2019 -- Use of statins before or after colorectal cancer (CRC) diagnosis is linked to a lower risk for premature death, from either cancer or other causes, according to a review published online May 8 in Cancer Medicine.

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Migraines in Pregnancy Tied to Worse Outcomes for Mother, Baby

FRIDAY, May 24, 2019 -- Migraines in pregnant women are associated with an increased risk for pregnancy-associated hypertension disorders as well as an increased risk for a variety of adverse outcomes in the newborn, according to a study published online May 8 in Headache.

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California Bill to Tighten Vaccine Exemptions Moves Forward

THURSDAY, May 23, 2019 -- A bill that would tighten control over vaccination exemptions for children in California was sent by state senators to the Assembly on Wednesday.

U.S. Lawmakers Say WHO Opioid Guidelines Too Lax

THURSDAY, May 23, 2019 -- The World Health Organization's pain care guidelines contain false claims about the safety of prescription opioid painkillers and should be withdrawn, two U.S. lawmakers say.

Most Patients at High Risk of Opiate Overdose Do Not Receive Naloxone Rx

THURSDAY, May 23, 2019 -- Patients at high risk of opioid overdose rarely receive prescriptions for naloxone, despite many interactions with the health care system, according to a study published online May 3 in JAMA Network Open.

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Severe Maternal Complication Risk Four Times Higher With Twins

THURSDAY, May 23, 2019 -- Women with twin pregnancies have a four-fold increased risk for severe maternal complications both before and after delivery, compared to women with singleton pregnancies, according to a study published online May 9 in Obstetrics & Gynecology.

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Pediatricians Should Encourage Fish Consumption for Children

THURSDAY, May 23, 2019 -- Fish and shellfish consumption should be encouraged for children, according to a technical report published online May 20 in Pediatrics.

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Early cART Leads to Enhanced T Cell Function in HIV Infection

THURSDAY, May 23, 2019 -- Early combination antiretroviral therapy (cART) leads to persistent functional T cell responses in most individuals with hyperacute HIV-1 infection, according to a study published online May 22 in Science Translational Medicine.

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Medication Nonadherence Common in Patients With T2DM

THURSDAY, May 23, 2019 -- Routine urine samples can be used to test for medication adherence in patients with type 2 diabetes, according to a study published in the June issue of Diabetes Care.

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Blood Donor Screening Data IDs Familial Hypercholesterolemia

THURSDAY, May 23, 2019 -- Data from a blood donor screening program could represent a novel strategy for identifying familial hypercholesterolemia (FH), according to a study published online May 22 in JAMA Cardiology.

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CDC: Cancer Death Rates Decreased, Heart Disease Deaths Rose

WEDNESDAY, May 22, 2019 -- Cancer death rates declined for adults aged 45 to 64 years from 1999 to 2017, while heart disease death rates decreased to 2011 and then increased, according to the May 22 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Suboptimal Diet Accounted for >80,000 Cancer Cases in 2015

WEDNESDAY, May 22, 2019 -- In 2015, more than 80,000 cancer cases were associated with suboptimal diet in U.S. adults, according to a study published online May 22 in JNCI: Cancer Spectrum.

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Half-Price Version of Humalog Insulin Now Available

WEDNESDAY, May 22, 2019 -- A half-price version of Humalog insulin is now available in the United States, Eli Lilly said Wednesday.

AP News Article

Some Women With HIV Struggling to Achieve Viral Suppression

WEDNESDAY, May 22, 2019 -- A considerable proportion of women with HIV have a high probability of viremia above 200 copies/mL, according to a study published online May 17 in JAMA Network Open.

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Vitamin D Deficiency Tied to Gestational Diabetes Risk

WEDNESDAY, May 22, 2019 -- Maternal vitamin D deficiency, as early as the first trimester of pregnancy, is associated with an increased risk for gestational diabetes mellitus (GDM), according to a study recently published in Diabetes, Obesity and Metabolism.

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Treatment Rates Low for Parents With Opioid Use Disorder

WEDNESDAY, May 22, 2019 -- Rates of treatment are low for parents with opioid use disorder (OUD) or other substance use disorders (SUDs), according to a study published in the May/June issue of the Annals of Family Medicine.

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Homemade Sunscreen Recipes Commonly Shared, Offer Low Protection

TUESDAY, May 21, 2019 -- There is widespread public interest in and acceptance of homemade sunscreens, even though they often do not offer sufficient protection from ultraviolet radiation, according to a study published online May 20 in Health Communication.

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Poor Broadband Penetration in Rural Areas Limits Telemedicine

TUESDAY, May 21, 2019 -- Broadband penetration rates are considerably lower in the most rural counties, especially where access to primary care physicians and psychiatrists is inadequate, according to a study published online May 21 in the Annals of Internal Medicine.

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Bill Would Raise U.S. Legal Age to Buy Tobacco to 21

TUESDAY, May 21, 2019 -- A bill to raise the minimum age for buying any type of tobacco product, including electronic cigarettes, from 18 to 21 years was introduced Monday by Senate Majority Leader Mitch McConnell.

AP News Article
More Information: CDC

Favorable Trends Seen in Lipids, Apolipoprotein B in U.S. Youth

TUESDAY, May 21, 2019 -- Between 1999 and 2016, there were favorable trends in lipid and apolipoprotein B levels in U.S. youth, according to a study published in the May 21 issue of the Journal of the American Medical Association.

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Weight Gain, Loss in Seniors May Increase Risk for Dementia

TUESDAY, May 21, 2019 -- Weight gain and weight loss in older adults are both associated with an increased risk for dementia, according to a study published online May 20 in BMJ Open.

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Regular Puzzle Use May Improve Cognition in Older Adults

TUESDAY, May 21, 2019 -- Older adults who regularly perform word and number puzzles have higher cognitive functioning than those who do not engage in such activities, according to two studies recently published in the International Journal of Geriatric Psychiatry.

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Higher Consumption of Sugary Drinks May Up Mortality in Adults

TUESDAY, May 21, 2019 -- Consumption of sugary beverages, including 100 percent fruit juices, is associated with higher all-cause mortality in U.S. adults, according to a study published online May 17 in JAMA Network Open.

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Gender Gap in U.S. Youth Suicide Narrowed From 1975 to 2016

TUESDAY, May 21, 2019 -- There was a significant reduction in the gap between male and female rates of suicide among youth aged 10 to 19 years in the United States from 1975 through 2016, according to a study published online May 17 in JAMA Network Open.

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Rates of Depression Up in U.S. Women at Hospital to Give Birth

TUESDAY, May 21, 2019 -- From 2000 to 2015, the rates of depressive disorders recorded for women during delivery hospitalization increased nationally, according to a study published online May 9 in Obstetrics & Gynecology.

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Clinical Drug Diversion Costly to Health Care Organizations

TUESDAY, May 21, 2019 -- U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.

Report (subscription and payment may be required)

Non-Rx Fentanyl Up in Urine Tests Positive for Other Drugs

TUESDAY, May 21, 2019 -- An increasing number of urine drug test (UDT) results positive for cocaine or methamphetamine are also positive for nonprescribed fentanyl, according to a study recently published in JAMA Network Open.

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Readmission Rates Vary Little Among Primary Care Doctors

MONDAY, May 20, 2019 -- There is minimal variation in readmission rates among primary care providers (PCPs), according to a study published online May 21 in the Annals of Internal Medicine.

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Hormone Therapy in Transgender Women Ups Breast Cancer Risk

MONDAY, May 20, 2019 -- Transgender women receiving hormone treatments are at greater risk for developing breast cancer than cisgender men, according to a study published online May 15 in The BMJ.

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Millennial Parents Found More Likely to Drive Distracted

MONDAY, May 20, 2019 -- Millennial parents are more likely to text while driving than older parents, according to a research letter published online May 13 in JAMA Pediatrics.

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3 Percent of Infant Sleep-Related Deaths Occur in Sitting Devices

MONDAY, May 20, 2019 -- About 3 percent of sleep-related infant deaths occur in a sitting device, like a car safety seat (CSS) that is not being used for travel at the time of death, according to a study published online May 20 in Pediatrics.

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Medicaid Expansion Cuts Racial Disparities in Preterm Births

MONDAY, May 20, 2019 -- Overall, state Medicaid expansion did not significantly impact rates of low birth weight or preterm birth outcomes from 2011 to 2016, but there were significant improvements in disparities for black infants relative to white infants for states that expanded Medicaid versus those that did not, according to a study published in the April 23/30 issue of the Journal of the American Medical Association.

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Editor's Note

Prenatal Care App Can Reduce In-Person Obstetric Visits

FRIDAY, May 17, 2019 -- The use of a mobile prenatal care app can reduce in-person obstetric (OB) visits but does not impact patient or provider satisfaction, according to a study published in the May issue of JMIR mHealth and uHealth.

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Private Insurers Pay 241 Percent of What Medicare Would Pay

FRIDAY, May 17, 2019 -- Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.

Press Release
Report

Pool Chemical Injuries Led to ~13,500 ED Visits in 2015-2017

FRIDAY, May 17, 2019 -- Pool chemical injuries led to an estimated 13,508 U.S. emergency department visits during 2015 to 2017, and about one-third of these injuries occurred in children, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Many Lives Could Be Saved if All Hospitals Had Grade A Rating

FRIDAY, May 17, 2019 -- More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to "A" grade hospitals, according to an updated report prepared for The Leapfrog Institute.

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CDC: Salmonella Outbreaks Linked to Backyard Poultry

FRIDAY, May 17, 2019 -- Backyard flocks of live poultry have been linked with Salmonella outbreaks that have sickened 52 people in 21 states, the U.S. Centers for Disease Control and Prevention said Thursday.

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Colorectal Cancer Incidence Increasing in Younger Adults

FRIDAY, May 17, 2019 -- Colorectal cancer incidence is increasing among young adults in certain high-income countries, according to a study published online May 16 in The Lancet Gastroenterology & Hepatology.

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Sleep Duration Tied to Adverse Measures of Glycemia

FRIDAY, May 17, 2019 -- Self-reported short and long sleep are both associated with adverse measures of glycemia among adults with prediabetes, according to a study published online May 10 in Diabetes Care.

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More U.S. Adults Show Signs of Despair As They Enter Middle Age

THURSDAY, May 16, 2019 -- Indicators of despair are rising among U.S. adults entering midlife, according to a study published in the May issue of the American Journal of Public Health.

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Estimated Prevalence of Low Birth Weight Down Since 2000

THURSDAY, May 16, 2019 -- From 2000 to 2015, there was a reduction in the estimated worldwide prevalence of low birth weight (LBW), according to a study published online May 15 in The Lancet Global Health.

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North Carolina Sues Electronic Cigarette Maker JUUL

THURSDAY, May 16, 2019 -- North Carolina is suing electronic-cigarette manufacturer JUUL for allegedly marketing its products to children and misleading the public about the health risks of the products. This lawsuit is the first filed by a state over JUUL's alleged marketing toward teens, CNN reported.

CNN Article

Recs Updated for TB Screening, Treatment in Health Care Workers

THURSDAY, May 16, 2019 -- Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Americans Increasingly Open About Mental Health

THURSDAY, May 16, 2019 -- Americans are becoming more positive about mental health, although some stigma remains, according to the results of a new poll released by the American Psychological Association (APA).

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Poll: Many Adults Worried About Developing Dementia

THURSDAY, May 16, 2019 -- Many adults are worried about developing dementia and about half report taking steps to maintain or improve memory, according to a report published by the National Poll on Healthy Aging.

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Smartphone App Could Help Diagnose Ear Infections

THURSDAY, May 16, 2019 -- A smartphone could be used as a screening tool for detecting the presence of middle ear fluid, according to a proof-of-concept study published in the May 15 issue of Science Translational Medicine.

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Cannabis Legalization Not Tied to Higher Health Care Utilization

THURSDAY, May 16, 2019 -- Legalization of recreational cannabis is not associated with changes in health care utilization, as measured by length of stay or health care costs, according to a study published in the May issue of BMJ Open.

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Risk for Miscarriage Up With Benzodiazepine Use in Early Pregnancy

WEDNESDAY, May 15, 2019 -- The risk for spontaneous abortion (SA) is increased among early pregnancies with incident exposure to benzodiazepines, according to a study published online May 15 in JAMA Psychiatry.

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Habitual Glucosamine Use Linked to Reduced Risk for CVD Events

WEDNESDAY, May 15, 2019 -- Habitual use of glucosamine supplements is associated with a reduced risk for cardiovascular disease (CVD) events, according to a study published online May 14 in The BMJ.

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Two-Thirds of Sunscreens Fail Safety Tests

WEDNESDAY, May 15, 2019 -- Nearly two-thirds of sunscreens that were analyzed failed safety tests proposed by the U.S. Food and Drug Administration, the Environmental Working Group said Wednesday.

CNN Article

FDA: Tattoo Inks Recalled Due to Bacterial Contamination

WEDNESDAY, May 15, 2019 -- Six tattoo inks have been recalled because they are contaminated with bacteria and could lead to infection that poses a serious health risk, the U.S. Food and Drug Administration says.

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Healthy Lifestyle Recommended for Reducing Dementia Risk

WEDNESDAY, May 15, 2019 -- Guidelines emphasizing adoption of a healthy lifestyle for reducing the risk for cognitive decline and dementia have been developed by the World Health Organization.

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Risk Reduction of Cognitive Decline and Dementia: WHO Guidelines

Thyroid Hormones Not Endorsed for Subclinical Hypothyroidism

WEDNESDAY, May 15, 2019 -- Thyroid hormones are not recommended for adults with subclinical hypothyroidism (SCH), according to an article published online May 14 in The BMJ.

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CDC: Number of Births in U.S. Reached New Low in 2018

WEDNESDAY, May 15, 2019 -- The number of births reached a new low in 2018, as did the general fertility rate in the United States, according to a Vital Statistics Rapid Release report, a publication from the U.S. Centers for Disease Control and Prevention.

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Risk for Repeat Concussion Quantified for Pediatric Patients

WEDNESDAY, May 15, 2019 -- A total of 16.2 percent of children with an index concussion experience at least one repeat concussion within two years, according to a study published online May 14 in The Journal of Pediatrics.

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CDC: Racial Disparity Seen With Lupus-Related Deaths

WEDNESDAY, May 15, 2019 -- Mortality from systemic lupus erythematosus (SLE) is significantly higher among blacks, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Worldwide Prevalence of Eating Disorders Increased Since 2000

WEDNESDAY, May 15, 2019 -- Eating disorders are highly prevalent worldwide, especially among women, according to research published in the May issue of the American Journal of Clinical Nutrition.

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Tool Predicts Seizure Risk During, After Pregnancy

TUESDAY, May 14, 2019 -- A prognostic model can predict the risk for seizures in pregnant women with epilepsy on medication, according to a study published online May 13 in PLOS Medicine.

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Taxing Sweetened Beverages Reduces Volume Sold

TUESDAY, May 14, 2019 -- Implementation of a beverage excise tax on sugar-sweetened and artificially sweetened beverages in Philadelphia in January 2017 was associated with a reduction in the volume of beverages sold, according to a study published in the May 14 issue of the Journal of the American Medical Association.

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Quitting Smoking While Pregnant Tied to Reduced Risk for Preterm Birth

TUESDAY, May 14, 2019 -- Quitting smoking, especially early in pregnancy, is associated with a reduced risk for preterm birth, even for high-frequency cigarette smokers, according to a study published online April 19 in JAMA Network Open.

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Gestational Weight Gain Weak Predictor of Adverse Pregnancy Outcomes

WEDNESDAY, May 8, 2019 -- Optimal gestational weight gain has limited predictive value for adverse pregnancy outcomes, according to research published in the May 7 issue of the Journal of the American Medical Association.

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Editor's Note

Late-Onset Type 1 Diabetes Often Misdiagnosed as Type 2

TUESDAY, May 14, 2019 -- Type 1 diabetes diagnosed in those older than age 30 years is clinically and biologically similar to disease occurring at younger ages but is often misidentified, according to a study recently published in Diabetologia.

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Home-Based Cardiac Rehab May Be Option for Some Heart Patients

TUESDAY, May 14, 2019 -- For low- to moderate-risk patients, home-based cardiac rehabilitation (HBCR) may be a reasonable alternative to center-based cardiac rehabilitation (CBCR), according to a joint scientific statement issued by the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. The statement was published online May 13 in Circulation, the Journal of the American College of Cardiology, and the Journal of Cardiopulmonary Rehabilitation and Prevention.

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Light, Incremental Physical Activity Can Help Reduce Brain Aging

TUESDAY, May 14, 2019 -- Incremental physical activity (PA), even of light intensity, is associated with larger brain volume and healthy brain aging, according to a study published online April 19 in JAMA Network Open.

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U.S. Parents Worried About Child's Communication Skills

TUESDAY, May 14, 2019 -- One-quarter of parents with children younger than age 8 years are concerned about their child's ability to communicate, according to poll results released by the American Speech-Language-Hearing Association (ASHA).

Press Release

Some Cervical Cancer Screening Strategies More Cost-Effective

TUESDAY, May 14, 2019 -- A cervical cancer screening strategy that involves cytologic testing every three years from ages 21 to 29 years and then continuing cytologic testing or switching to low-cost high-risk human papillomavirus (hrHPV) testing every five years is reasonable, according to a study published online May 13 in JAMA Internal Medicine.

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Prophylactic Antibiotic Cuts Infection Risk After Operative Vaginal Birth

TUESDAY, May 14, 2019 -- A single dose of a prophylactic antibiotic is beneficial after operative vaginal birth and reduces the risk for confirmed or suspected maternal infection, according to a study published online May 13 in The Lancet.

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CDC: U.S. Measles Cases in 2019 Reach 839

MONDAY, May 13, 2019 -- The number of reported measles cases in the United States climbed to 839 as of last week, the highest yearly total in 25 years, the U.S. Centers for Disease Control and Prevention said Monday.

CNN Article
More Information: CDC

Patients Find Note Reading Important for Health Management

MONDAY, May 13, 2019 -- Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.

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Prevalence of Low Back Pain About 26.4 Percent in U.S. Workers

MONDAY, May 13, 2019 -- The overall prevalence of low back pain (LBP) among U.S. workers is about 26.4 percent, according to a research letter published online May 14 in the Annals of Internal Medicine.

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Low-Calorie Sweetened Drinks Do Not Cut Calories in Children

MONDAY, May 13, 2019 -- Children and teens who drink low-calorie sweetened beverages (LCSB) do not save calories versus those who drink sugary drinks, according to a study published online May 2 in Pediatric Obesity.

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Fournier Gangrene Is Safety Concern With SGLT2 Inhibitors

MONDAY, May 13, 2019 -- Fournier gangrene (FG) is a safety concern for adults with diabetes receiving treatment with sodium-glucose cotransporter-2 (SGLT2) inhibitors, according to a study published online May 7 in the Annals of Internal Medicine.

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Heart Patients at Risk When Pharmacies Close

MONDAY, May 13, 2019 -- When pharmacies close, people with heart disease stop taking widely used heart medications, such as statins, beta-blockers, and oral anticoagulants, according to a study published online April 19 in JAMA Network Open.

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Adverse Childhood Experiences Linked to Worse Lupus Outcomes

MONDAY, May 13, 2019 -- Adverse childhood experiences (ACEs) are associated with worse patient-reported systemic lupus erythematosus (SLE) outcomes, according to a study published online May 9 in Arthritis Care & Research.

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Prior Training Increases Internists' Knowledge of PrEP for HIV

MONDAY, May 13, 2019 -- For internal medicine (IM) residents, prior training is associated with higher levels of knowledge, comfort, and prescribing behaviors for preexposure prophylaxis (PrEP) for HIV, according to a study published online April 24 in the Journal of General Internal Medicine.

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CDC: Hepatitis A Virus Reports Increased in 2016 to 2018

FRIDAY, May 10, 2019 -- From 2016 to 2018, there was an increase in reports of hepatitis A cases, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Health Professionals Supportive of Medicinal Cannabis

FRIDAY, May 10, 2019 -- Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.

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Rate of Ordering Cancer Screening Tests Decreases During Clinic Day

FRIDAY, May 10, 2019 -- As the clinic day progresses, the rate of clinician ordering of breast and colorectal cancer screening tests decreases, according to a study published online May 10 in JAMA Network Open.

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Doctors Aware of Patient Difficulties Affording Medical Care

FRIDAY, May 10, 2019 -- Physicians are aware of patients' difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.

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Suicide Attempts by Self-Poisoning Have Increased in Teens

FRIDAY, May 10, 2019 -- In children aged younger than 19 years, the incidence and rate of suicide attempts using self-poisoning have increased since 2011, according to research published online May 1 in The Journal of Pediatrics.

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New Recommendations Developed for Breast Cancer Screening

FRIDAY, May 10, 2019 -- New recommendations have been developed for breast cancer screening based on a life-years-gained model; the American Society of Breast Surgeons (ASBrS) official statement was published online May 3.

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Model Predicts Counties at Risk for Measles Outbreak

FRIDAY, May 10, 2019 -- In a commentary published online May 9 in The Lancet Infectious Diseases, an analysis is proposed that can predict counties at risk for a measles outbreak.

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CDC: HIV Racial Disparity Measure Decreased From 2010 to 2016

THURSDAY, May 9, 2019 -- If the incidence rates were the same for black women as for white women, an estimated 93 percent of incident HIV infections among black women would not have occurred in 2016, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Generic Version of Truvada Available in U.S. by Sept. 2020

THURSDAY, May 9, 2019 -- A generic version of the HIV preexposure prophylaxis (PrEP) drug Truvada will be available in the United States by September 2020, a year earlier than expected, according to Gilead Sciences.

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Nut Intake in First Trimester May Benefit Child Neurodevelopment

THURSDAY, May 9, 2019 -- Nut intake during the first trimester of pregnancy is associated with long-term child neuropsychological development, according to a study published online May 7 in the European Journal of Epidemiology.

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2018 Saw More Employed Physicians Than Self-Employed

THURSDAY, May 9, 2019 -- In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).

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Fifteen Million Patients Will Need First-Course Chemo in 2040

THURSDAY, May 9, 2019 -- An estimated 15.0 million patients will require first-course chemotherapy in 2040, with delivery requiring 100,000 cancer physicians, according to a study published online May 8 in The Lancet Oncology.

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CDC: Uninsurance Levels Did Not Change Significantly in 2018

THURSDAY, May 9, 2019 -- In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Higher Risk for Mental Disorders Seen in Patients With Psoriasis

THURSDAY, May 9, 2019 -- Patients with psoriasis have an increased risk for mental disorders, with time to onset starting within two to three months after diagnosis, according to two research letters published online May 8 in JAMA Dermatology.

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Progesterone Offers No Benefit for Bleeding in Early Pregnancy

THURSDAY, May 9, 2019 -- For women with bleeding in early pregnancy, progesterone therapy administered during the first trimester does not result in significantly more live births, according to a study published in the May 9 issue of the New England Journal of Medicine.

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Risk for Cancer Increased in Men, Women With T2DM

THURSDAY, May 9, 2019 -- Men and women with type 2 diabetes (T2D) have an increased risk for overall cancer and some site-specific cancers, according to a study published online May 9 in the Journal of Diabetes.

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Scientology Cruise Ship Passengers, Crew Still Under Quarantine

WEDNESDAY, May 8, 2019 -- Hundreds of passengers and crew members of a Church of Scientology cruise ship remain under quarantine in its home port of Curacao while awaiting measles test results.

ABC News Article
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Prices Will Soon Be Included in TV Drug Ads

WEDNESDAY, May 8, 2019 -- In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.

AP News Article

In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs

WEDNESDAY, May 8, 2019 -- In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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Alcohol Consumption Per Capita Increasing Among Adults

WEDNESDAY, May 8, 2019 -- Global goals for reducing alcohol use are unlikely to be achieved, with the global adult per-capita consumption projected to continue increasing to 2030, according to a study published online May 7 in The Lancet.

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CDC: Prevalence of Arthritis 22.8 Percent in U.S. Adults in 2017

WEDNESDAY, May 8, 2019 -- The prevalence of arthritis was 22.8 percent in U.S. adults in 2017, with statewide variation in prevalence and in the prevalence of severe joint pain and physical inactivity among those with arthritis, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Low Glucose Levels at Hospital Discharge Tied to Poor Outcomes

WEDNESDAY, May 8, 2019 -- Patients with diabetes who have hypoglycemia or near-normal glucose values during the last day of hospitalization have higher rates of 30-day readmission and postdischarge mortality, according to a study published online May 1 in the Journal of Clinical Endocrinology & Metabolism.

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Oral Aspirin Does Not Up FIT Test Sensitivity for ID'ing CRC

WEDNESDAY, May 8, 2019 -- Administration of a single dose of oral aspirin prior to fecal immunochemical testing does not increase test sensitivity for detecting advanced colorectal neoplasms, according to a study published in the May 7 issue of the Journal of the American Medical Association.

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CDC: Pregnancy-Related Deaths Occur Before, During, Postpartum

TUESDAY, May 7, 2019 -- Pregnancy-related deaths occur during pregnancy, on the day of delivery, and in the year postpartum, and more than half are determined to be preventable, according to research published in the May 7 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Radiology Residents Often Miss Child Abuse

TUESDAY, May 7, 2019 -- Many radiology residents do not accurately recognize child abuse, according to a study presented at the annual meeting of the American Roentgen Ray Society, held from May 5 to 10 in Honolulu.

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Plant-Based Diets Tied to Lower Risk for Heart Failure

TUESDAY, May 7, 2019 -- Plant-based diets are associated with a lower risk for heart failure (HF) in adults without known heart disease, according to a study published in the April 30 issue of the Journal of the American College of Cardiology.

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External Reference Pricing Could Cut Drug Costs in U.S.

TUESDAY, May 7, 2019 -- The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.

Efforts Needed to Ensure Publication of All Trials

TUESDAY, May 7, 2019 -- Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.

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Gentamicin Appropriate Second-Line Therapy to Ceftriaxone for Gonorrhea

TUESDAY, May 7, 2019 -- A single dose of gentamicin is an appropriate second-line therapy for gonorrhea resistant to a single dose of ceftriaxone, according to a study published online May 2 in The Lancet.

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Recommendations Issued for Treating Tourette Syndrome

TUESDAY, May 7, 2019 -- In a new American Academy of Neurology guideline published in the May 7 issue of Neurology, recommendations are presented for treating Tourette syndrome and other chronic tic disorders.

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FDA: French Soft Ripened Cheese Possibly Contaminated

MONDAY, May 6, 2019 -- Consumers should not eat and retailers should not sell or serve l'Explorateur soft ripened cheese due to possible Listeria monocytogenes contamination, the U.S. Food and Drug Administration says.

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CDC: Number of Measles Cases in the United States Reaches 764

MONDAY, May 6, 2019 -- At least 60 more measles cases have been reported in the United States, bringing the total so far this year to 764, health officials said Monday.

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Congo Ebola Outbreak Death Toll Surpasses 1,000

MONDAY, May 6, 2019 -- The death toll in the Ebola outbreak in eastern Congo now stands at 1,008, the country's health minister reported.

AP News Article

Guidance Issued for Managing Heart Disease in Pregnancy

MONDAY, May 6, 2019 -- Recommendations have been developed for managing heart disease during pregnancy; the "Pregnancy and Heart Disease" practice bulletin was published in the May issue of Obstetrics & Gynecology.

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Cardiorespiratory Fitness Tied to Lower Risk for Lung Cancer, CRC

MONDAY, May 6, 2019 -- Higher cardiorespiratory fitness (CRF) is associated with a lower risk for incident lung and colorectal cancer and with a lower risk for all-cause mortality among those diagnosed with lung and colorectal cancer, according to a study published online May 6 in Cancer.

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Diagnosis of Autism Spectrum Disorders Reliable in Toddler Years

MONDAY, May 6, 2019 -- Autism spectrum disorder (ASD) has high diagnostic stability, with stable diagnosis starting at 14 months of age, according to a study published online April 29 in JAMA Pediatrics.

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U.S. Energy Drink Consumption Rose From 2003 to 2016

MONDAY, May 6, 2019 -- Consumption of caffeinated energy drinks is on the rise in the United States among adolescents, young adults, and middle-aged adults, according to a study published April 18 in the American Journal of Preventive Medicine.

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Children With Chronic Illness Can Have Normal Life Satisfaction

MONDAY, May 6, 2019 -- Children with chronic illness have lower general health, but their life satisfaction is comparable to that of their peers without chronic illness, according to a study published online May 6 in Pediatrics.

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Primary Care Constitutes Minority of Research Funded by PCORI

FRIDAY, May 3, 2019 -- An evaluation of funding cycles (7 through 14) from the Patient-Centered Outcomes Research Institute (PCORI) shows that relatively low levels of primary care research studies are funded, according to a study published April 15 in the Journal of General Internal Medicine.

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Microbial Toxins Found in Electronic Cigarette Products

FRIDAY, May 3, 2019 -- Electronic cigarette (EC) products may be contaminated with microbial toxins, according to a study published online April 24 in Environmental Health Perspectives.

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CDC: Foodborne Infections Increased From 2015 to 2018

FRIDAY, May 3, 2019 -- From 2015 to 2018, the incidence of most foodborne infections increased, according to research published in the April 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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More Than Half of U.S. Adults Have Medical Financial Hardship

FRIDAY, May 3, 2019 -- Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.

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ART Stops HIV Transmission in Serodifferent Gay Couples

FRIDAY, May 3, 2019 -- In HIV serodifferent gay couples, the within-couple rate of HIV transmission through condomless anal sex is zero when the HIV-positive partner is taking suppressive antiretroviral therapy (ART), according to a study published online May 2 in The Lancet.

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Prolonged Exposure to Low-Dose Radiation May Increase HTN Risk

FRIDAY, May 3, 2019 -- For Russian Mayak nuclear enterprise workers occupationally exposed to ionizing radiation, hypertension incidence is associated with cumulative liver-absorbed dose from external γ-rays, according to a study published online May 3 in Hypertension.

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Serum Free Fatty Acid Level Verifies Fasting State in Children

FRIDAY, May 3, 2019 -- Serum free fatty acid (FFA) concentrations can distinguish children's fed and fasting states, according to a study published online May 3 in Pediatrics.

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Measles Case Leads to Quarantine of Cruise Ship in St. Lucia

THURSDAY, May 2, 2019 -- A case of measles has led to the quarantine of a cruise ship with nearly 300 passengers and crew on the Caribbean island of St. Lucia, health officials reported Wednesday. They said that one female crew member has a confirmed case of measles and that the ship has been under quarantine since Monday morning. The ship is scheduled to leave late Thursday, NBC News reported.

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FDA Approves Dengue Vaccine for Endemic Regions

THURSDAY, May 2, 2019 -- The dengue vaccine Dengvaxia has been approved by the U.S. Food and Drug Administration for use in the U.S. territories of American Samoa, Guam, Puerto Rico, and the U.S. Virgin Islands, but its use is limited to people aged 9 to 16 years. The vaccine has already been approved in 19 countries and the European Union.

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Prepregnancy Folate Intake Linked to Reduced Risk for GDM

THURSDAY, May 2, 2019 -- Higher prepregnancy habitual folate intake from supplements is associated with a lower risk for gestational diabetes mellitus (GDM), according to a study published online April 22 in Diabetes Care.

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Preterm Birth Tied to Elevated Risk for Chronic Kidney Disease

THURSDAY, May 2, 2019 -- Preterm and early preterm birth are associated with an increased risk for development of chronic kidney disease (CKD), according to a study published online May 1 in The BMJ.

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Childhood Oral Infection Linked to Atherosclerosis in Adulthood

THURSDAY, May 2, 2019 -- Oral infections in childhood are associated with subclinical carotid atherosclerosis in adulthood, according to a study published online April 26 in JAMA Network Open.

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Cervical Adenocarcinoma Rates Increased in Some Populations

THURSDAY, May 2, 2019 -- Many populations have increasing or stabilized incidence trends in cervical adenocarcinoma (AC), according to a study published in the June issue of Preventive Medicine.

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Few U.S. Adults Use USB-Shaped Electronic Vapor Products

THURSDAY, May 2, 2019 -- About 7.9 percent of U.S. adults reported ever use of electronic vapor products (EVPs) shaped like universal serial bus (USB) flash drives in 2018, according to a study published online April 25 in Tobacco Control.

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'Vampire Facials' at New Mexico Spa Linked to HIV Infections

WEDNESDAY, May 1, 2019 -- Two people may have contracted HIV after undergoing so-called "vampire facials" at a New Mexico spa, state health officials say.

CNN Article

EPA Says Weed Killer in Roundup Is Safe

WEDNESDAY, May 1, 2018 -- Despite thousands of lawsuits from people claiming that the weed killer glyphosate caused their cancer, the U.S. Environmental Protection Agency said Tuesday that the active ingredient in Roundup is safe.

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FDA Puts Tough Warning Label on Ambien, Lunesta, Other Sleep Aids

WEDNESDAY, May 1, 2019 -- The U.S. Food and Drug Administration is requiring a new boxed warning on sleep medications such as Ambien, Lunesta, and Sonata due to dangers from daytime drowsiness the day after their use.

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Thiazide Use May Lower Fracture Risk in Patients With Alzheimer Disease

WEDNESDAY, May 1, 2019 -- Community-dwelling patients with Alzheimer disease (AD) experience a lower risk for fractures, including hip fractures, with thiazide use, according to a study published online April 16 in Osteoporosis International.

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Mental Health Treatment, Diagnoses Up in Military Children

WEDNESDAY, May 1, 2019 -- Diagnosed mental health conditions, pharmaceutical treatment, and outpatient visits for mental health all increased among U.S. pediatric military dependents from 2003 to 2015, according to a study published online April 10 in Psychiatric Services.

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E-Cigarette Use Similar for Pregnant, Nonpregnant Women

WEDNESDAY, May 1, 2019 -- The prevalence of current cigarette smoking is lower among pregnant women, while prevalence of current electronic cigarette smoking is equivalent for pregnant and nonpregnant women of reproductive age, according to a research letter published online April 29 in JAMA Pediatrics.

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Posted: June 2019

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