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October 2017 Briefing

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

Football Career Length, Position Affect White Matter Structure

TUESDAY, Oct. 31, 2017 -- For former collegiate and professional football players, career duration and primary playing position appear to modify the effects of concussion history on white matter structure and neural recruitment, according to a study published online Oct. 31 in Radiology.

Systemic Lupus Erythematosus Mortality Down Since 1968

TUESDAY, Oct. 31, 2017 -- Rates of systemic lupus erythematosus (SLE) mortality have decreased since 1968 but are still higher than non-SLE mortality, according to a study published online Oct. 30 in the Annals of Internal Medicine.

Fentanyl or Analogs Tied to More Than Half of All Opioid Deaths

TUESDAY, Oct. 31, 2017 -- Fentanyl was involved in more than half of opioid overdose deaths reported in the second half of 2016, according to a study published online Oct. 27 in Morbidity and Mortality Weekly Report.

Culprit-Lesion-Only PCI Tied to Improved 30-Day Outcomes

TUESDAY, Oct. 31, 2017 -- Percutaneous coronary intervention (PCI) of the culprit lesion is associated with better 30-day outcomes than immediate multivessel PCI among patients with multivessel coronary artery disease and acute myocardial infarction with cardiogenic shock, according to a study published online Oct. 30 in the New England Journal of Medicine to coincide with the Cardiovascular Research Foundation Transcatheter Cardiovascular Therapeutics meeting, being held Oct. 29 to Nov. 2 in Denver.

Delayed Cord Clamping Not Beneficial for Preterm Infants

TUESDAY, Oct. 31, 2017 -- Delayed cord clamping does not result in lower incidence of death or major morbidity in preterm infants, according to a study published online Oct. 29 in the New England Journal of Medicine to coincide with the Vermont Oxford Network 2017 Annual Quality Congress, held Oct. 26 to 30 in Chicago.

Ultrasonography Not Necessary for Evaluation of Hypothyroidism

TUESDAY, Oct. 31, 2017 -- Imaging studies, including thyroid ultrasonography, are not required for the evaluation of hypothyroidism, and their risks include treatment of incidentally discovered nodules, patient and physician anxiety, and significant cost, according to a clinical review article published online Oct. 30 in JAMA Internal Medicine.

Internists Key to Identifying Need for Genetic Counseling for Cancer

TUESDAY, Oct. 31, 2017 -- Internists play an important role in identifying which patients may be predisposed to cancer and could benefit from genetic counseling, according to an opinion piece published online Oct. 30 in the Annals of Internal Medicine.

PFA-100-Measured Aspirin Resistance Linked to CV Events

TUESDAY, Oct. 31, 2017 -- Aspirin resistance, measured using the Platelet Function Analyzer (PFA)-100 system, is associated with cardiovascular events in aspirin-treated patients, according to a study published online Oct. 21 in the Journal of Clinical Pharmacy and Therapeutics.

Depressive Symptoms Increase During Internship Year

TUESDAY, Oct. 31, 2017 -- Depressive symptoms increase during the internship year for training physicians, with a greater increase among women, according to a study published online Oct. 30 in JAMA Internal Medicine.

Children of Immigrants Less Likely to be Up-to-Date on Shots

TUEDAY, Oct. 31, 2017 -- Children up to age 36 months with at least one foreign-born parent are less likely to be up-to-date on recommended vaccinations, according to a study published online Oct. 26 in Morbidity and Mortality Weekly Report.

Ohio Upholds Law Requiring HIV-Infected to Tell Sex Partners

TUESDAY, Oct. 31, 2017 -- The Ohio Supreme Court has unanimously upheld the constitutionality of a law requiring HIV-infected individuals to tell their sexual partners of their status before having sex, according to a report published by the Associated Press.

Diabetes of Exocrine Pancreas Often Classified as T2DM

MONDAY, Oct. 30, 2017 -- Diabetes that follows pancreatic disease is frequently classified as type 2 diabetes but is associated with worse glycemic control and higher use of insulin within five years than type 2 diabetes, according to a study published in the August issue of Diabetes Care.

Fish Can Trigger Food Protein-Induced Enterocolitis Syndrome

MONDAY, Oct. 30, 2017 -- Fish is an important trigger of food protein-induced enterocolitis syndrome (FPIES), according to a study published online Oct. 20 in Allergy.

Multimodal Surveillance Regimen May Not Benefit BRCA Carriers

MONDAY, Oct. 30, 2017 -- Automated breast ultrasonography may not be of added value to yearly full-field digital (FFD) mammography and dynamic contrast agent-enhanced (DCE) magnetic resonance (MR) imaging surveillance of carriers of the BRCA mutation, according to a study published in the November issue of Radiology.

More Than One in Five U.S. Working Adults Uses Tobacco

MONDAY, Oct. 30, 2017 -- Overall, 22.1 percent of working U.S. adults currently use any form of tobacco, according to a study published online Oct. 26 in Morbidity and Mortality Weekly Report.

Kidney Damage Seen in Most Patients With Long-Lasting T1D

MONDAY, Oct. 30, 2017 -- Most patients with type 1 diabetes (T1D) of long duration have some degree of kidney disease, according to a study published online Oct. 4 in Diabetes Care.

3D Ultrasound Not Accurate for ID of Sex in First Trimester

MONDAY, Oct. 30, 2017 -- Three-dimensional (3D) virtual reality ultrasound is not accurate in first-trimester fetal sex determination, according to a study published online Oct. 19 in the Journal of Clinical Ultrasound.

Rate of Approval for PCSK9i Therapy 47 Percent

MONDAY, Oct. 30, 2017 -- A combination of clinical factors and payer type increase the likelihood of approval for proprotein convertase subtilisin/kexin type 9 inhibitor (PCSK9i) treatment, and rates of approval are low overall, according to a study published online Oct. 30 in Circulation.

E-Cigarettes Alter Defense Proteins in Airway Secretions

MONDAY, Oct. 30, 2017 -- E-cigarette use changes the profile of innate defense proteins in airway secretions, according to a study published online Oct. 20 in the American Journal of Respiratory and Critical Care Medicine.

Maternal Use of Acetaminophen Linked to ADHD in Offspring

MONDAY, Oct. 30, 2017 -- Maternal use of acetaminophen in pregnancy is associated with attention-deficit/hyperactivity disorder (ADHD) in offspring, according to a study published online Oct. 30 in Pediatrics.

PCP Has Vital Role in Managing Pediatric Heart Disease

MONDAY, Oct. 30, 2017 -- Primary care providers (PCPs) and medical homes (MHs) have a role to play in the management of pediatric patients with congenital heart disease (CHD) and their families, according to a policy statement published online Oct. 30 in Pediatrics.

AAP Releases Policy Statement on Cord Blood Banking

MONDAY, Oct. 30, 2017 -- The American Academy of Pediatrics (AAP) has released new information to guide pediatricians, obstetricians, and other health care providers in responding to parents' questions about cord blood donation and banking, according to a policy statement published online Oct. 30 in Pediatrics.

Elastography and Color Doppler Improve Breast Ultrasound

MONDAY, Oct. 30, 2017 -- The combination of elastography and color Doppler ultrasonography (US) with B-mode US in women with dense breasts can increase the positive predictive value of screening and reduce the number of false-positives, according to a study published in the November issue of Radiology.

Treatment for Stage I NSCLC Patients Up From 2000 to 2010

FRIDAY, Oct. 27, 2017 -- For patients with stage I non-small-cell lung cancer (NSCLC), the odds of receiving radiation therapy (RT) or surgery increased from 2000 to 2010, with improved survival during the same period, according to a study published online Oct. 26 in the Annals of Thoracic Surgery.

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Posted: November 2017

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