May 2007 Briefing - Family Practice

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for May 2007. 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.

Basic Medical Knowledge of General Public is Low

THURSDAY, May 31 (HealthDay News) -- The general public lacks basic medical knowledge about the typical signs and risk factors for medical conditions such as a myocardial infarction and HIV/AIDS, according to a Swiss study published May 31 in BMC Medicine.

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Tea Tree Oil Reduces Ocular Demodex Infestations

THURSDAY, May 31 (HealthDay News) -- Patients with corneal manifestations of ocular Demodex infestation who don't respond to conventional antibiotic treatment may respond to tea tree oil, according to the results of a small study published in the May issue of the American Journal of Ophthalmology.

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Probiotics May Help Prevent IgE-Associated Eczema

THURSDAY, May 31 (HealthDay News) -- Children from families with a history of allergic disease may have a lower risk of developing IgE-associated eczema if their mothers take probiotic supplements during late pregnancy and they are given supplements during the first year of life, according to study findings published in the May issue of the Journal of Allergy and Clinical Immunology.

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Elevated Cytokine Production Linked to Alzheimer Disease

THURSDAY, May 31 (HealthDay News) -- High spontaneous production of interleukin 1 (IL-1) or tumor necrosis factor alpha (TNF-α) by peripheral blood mononuclear cells may signal a risk for Alzheimer disease in the elderly, according to a report in the May 29 issue of Neurology. The results lend further support to a link between Alzheimer disease and inflammation.

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Cat Allergen Increases Infants' Sensitization Risk

THURSDAY, May 31 (HealthDay News) -- Infants who are exposed to cat allergen have an increased risk of sensitization up to age 2, and those who live in households with cats or have frequent contact with cats have an increased risk of sensitization up to age 6, according to the results of a study published in the May issue of the Journal of Allergy and Clinical Immunology.

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Sciatica Clinical Outcomes Same With or Without Surgery

WEDNESDAY, May 30 (HealthDay News) -- Two treatment methods for severe sciatica -- early surgery or conservative treatment with the option of surgery if necessary -- have similar outcomes, according to a report published in the May 31 issue of the New England Journal of Medicine.

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Kidney Function Worse for Blacks Starting Dialysis

WEDNESDAY, May 30 (HealthDay News) -- A review of records from over 500,000 patients in the United States Renal Data System suggests that blacks have worse kidney function at the start of end-stage renal disease treatment than whites, according to a report in the May 28 issue of the Archives of Internal Medicine.

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Polycystic Ovary Syndrome Linked to Ocular Condition

WEDNESDAY, May 30 (HealthDay News) -- Patients with polycystic ovary syndrome (PCOS) should be evaluated for the possible presence of a newly identified ocular condition called itchy-dry eye associated syndrome, according to study findings published in the May issue of the American Journal of Ophthalmology.

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Decision Aid Helps Diabetics Adhere to Statin Therapy

WEDNESDAY, May 30 (HealthDay News) -- A one-page decision aid designed to help patients with diabetes make better decisions about statin treatment also helped them adhere to their treatment regimens, researchers report in the May 28 issue of the Archives of Internal Medicine.

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CDC Issues Alert on U.S. Traveler with Tuberculosis

WEDNESDAY, May 30 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention issued a health advisory on Tuesday concerning a U.S. citizen with extensively drug-resistant tuberculosis who was potentially infectious when traveling on flights in the United States, Canada and Europe.

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FDA Halts Timed-Release Guaifenesin Drug Sales

WEDNESDAY, May 30 (HealthDay News) -- The U.S. Food and Drug Administration plans to stop the marketing and sale of unapproved drugs containing timed-release guaifenesin, which is often found in cough and cold suppressants. The move affects products from about 20 companies but does not include immediate-release guafenesin-containing drugs.

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Soy Reduces Blood Pressure in Postmenopausal Women

TUESDAY, May 29 (HealthDay News) -- In hypertensive and normotensive postmenopausal women, substituting soy nuts for other protein sources can reduce blood pressure. In hypertensive women, soy nut supplementation may also reduce levels of low-density lipoprotein cholesterol and apolipoprotein B, according to the results of a randomized trial published in the May 28 issue of the Archives of Internal Medicine.

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Methicilin-Resistant S. aureus Jumps in Chicago's Poor

TUESDAY, May 29 (HealthDay News) -- Chicago's urban poor have had a nearly sevenfold increase in community-associated methicilin-resistant Staphylococcus aureus skin and soft tissue infections since 2000, suggesting that control measures should focus on this high-risk group, according to a report in the May 28 issue of the Archives of Internal Medicine.

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Regular Exercise Modestly Boosts HDL Cholesterol

TUESDAY, May 29 (HealthDay News) -- Regular aerobic exercise may lead to a modest but significant increase in levels of high-density lipoprotein cholesterol (HDL-C), but only in people who exercise at least two hours per week, according to a meta-analysis published in the May 28 issue of the Archives of Internal Medicine.

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Rheumatic Disease Linked to Aortic Inflammation

TUESDAY, May 29 (HealthDay News) -- Patients with chronic inflammatory rheumatic disease show increased monocyte infiltration in their aorta, potentially contributing to the development of atherosclerotic lesions, according to a report in the June issue of Arthritis & Rheumatism.

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Calcium, Vitamin D Linked to Lower Breast Cancer Risk

TUESDAY, May 29 (HealthDay News) -- Premenopausal women who consume high amounts of calcium and vitamin D may be less likely to develop breast cancer and aggressive breast tumors than women who do not, according to a study in the May 28 issue of the Archives of Internal Medicine.

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Aggressive Whiplash Treatment Slows Recovery

TUESDAY, May 29 (HealthDay News) -- In whiplash injury patients, too much health care too early -- including combined chiropractic and general practitioner care -- may lead to a slower recovery, according to the results of a study published in the June issue of Arthritis Care & Research.

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Pan-Caspase Inhibitor Enhances Islet Graft Survival

MONDAY, May 28 (HealthDay News) -- In patients with type 1 diabetes who undergo islet transplantation, pan-caspase inhibitor therapy may enhance both graft survival and long-term graft function, according to the results of an animal study published in the May issue of Diabetes.

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Scarring Occurs at a Critical Skin Injury Depth

MONDAY, May 28 (HealthDay News) -- In patients with skin wounds, scarring occurs only if the injury exceeds a critical depth, according to the results of a study published in the May issue of Plastic and Reconstructive Surgery.

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Coffee Associated with a Lower Risk of Gout in Men

MONDAY, May 28 (HealthDay News) -- A long-term follow-up of over 45,000 men suggests that those who drink coffee have a 59 percent lower risk of gout than men who do not, according to a report in the June issue of Arthritis & Rheumatism.

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Oncologists Prefer Longer Follow-Up Times

FRIDAY, May 25 (HealthDay News) -- Most breast cancer specialists in the United Kingdom are not adhering to the current three-year guideline regarding when to discharge breast cancer patients into follow-up care by primary care doctors, according to a study published online May 24 in the Annals of Oncology.

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Prenatal, Postnatal Pathways to Obesity Are Different

FRIDAY, May 25 (HealthDay News) -- The mechanisms of obesity induced by intrauterine growth restriction are fundamentally different from those induced by postnatal high-fat nutrition, according to the results of a study in rats published in the May issue of Endocrinology.

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Workplace Drinking Attitudes Influence Worker Drinking

FRIDAY, May 25 (HealthDay News) -- People working in organizations where drinking alcohol is discouraged are less likely to drink heavily or frequently outside work or drink at work, according to the results of a study published online May 24 in Occupational and Environmental Medicine.

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Hypnotherapy May Benefit Patients with Severe IBS

FRIDAY, May 25 (HealthDay News) -- Patients with severe irritable bowel syndrome, or IBS, may respond to psychological interventions such as antidepressants, cognitive behavior therapy and gut-directed hypnotherapy, according to a clinical review published in the May 26 issue of BMJ.

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Atrial Fibrillation and Stroke Risk Strongly Connected

FRIDAY, May 25 (HealthDay News) -- Atrial fibrillation is strongly linked to stroke risk in people aged 85 or older, researchers report in the May issue of Stroke.

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Half of Young Teens Exposed to Secondhand Smoke

FRIDAY, May 25 (HealthDay News) -- Almost half of young people around the world who are aged 13 to 15 and have never smoked are exposed to secondhand smoke in the home and elsewhere, making them up to twice as likely to start smoking than their counterparts who are not exposed, according to research published in the May 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Researchers Question Genital Cosmetic Surgery Trend

FRIDAY, May 25 (HealthDay News) -- Since 2002, the number of labial reductions performed in the United Kingdom has doubled, a sign of growing demand for unnecessary cosmetic genital surgery, according to an article published in the May 26 issue of BMJ.

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Buprenorphine Effective for Heroin Dependence

FRIDAY, May 25 (HealthDay News) -- A stepped treatment program using buprenorphine is effective in treating heroin addiction, and should be considered as a first-line treatment, according to study findings published in the May issue of the American Journal of Psychiatry.

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Rehabilitation Services for Stroke Survivors Suboptimal

FRIDAY, May 25 (HealthDay News) -- Only 30.7 percent of stroke survivors receive outpatient rehabilitation, below the number indicated by clinical practice guidelines, according to a study published in the May 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Rise in Type 2 Diabetes Puts Children at Risk

FRIDAY, May 25 (HealthDay News) -- As type 2 diabetes rates rise in children and adolescents, so do the risks of complications such as hypertension and dyslipidemia, suggesting the need for better approaches to manage the disease and its associated illnesses, according to a review in the May 26 issue of The Lancet.

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Medicare Part D Curbs Some Access to Medication

THURSDAY, May 24 (HealthDay News) -- During the first four months of Medicare Part D, psychiatric patients confronted significant medication access hurdles, according to a report in the May issue of the American Journal of Psychiatry.

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Studies Shed Light on BRCA1 and DNA Damage Response

THURSDAY, May 24 (HealthDay News) -- BRCA1 is a known tumor suppressor and three new studies suggest that it forms complexes with specific proteins and is recruited to sites of DNA damage, according to reports published in the May 25 issue of Science. A fourth study in the same issue of the journal suggests that such DNA response networks are larger and more complicated than previously thought.

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Gene Linked to Recurrent Cardiovascular Events

THURSDAY, May 24 (HealthDay News) -- Post-infarction patients with type 2 diabetes have an increased risk of recurrent coronary events if they have hypertriglyceridemia, elevated lipoprotein-associated phospholipase A2 and a polymorphism in the von Willebrand factor binding region of the platelet glycoprotein Ib-α (GPIbα) subunit, researchers report in the May issue of Diabetes.

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Avandia Safety Issues Debate Requires Calm Approach

THURSDAY, May 24 (HealthDay News) -- The debate surrounding the safety of Avandia (rosiglitazone) should be conducted in a calm and considered manner in order to avoid unnecessarily panicking patients, according to an editorial published online May 23 in The Lancet.

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Higher-Dose Adefovir Effective in Treatment of Hepatitis B

THURSDAY, May 24 (HealthDay News) -- In patients with lamivudine-resistant chronic hepatitis B, adefovir dipivoxil is a safe and effective treatment at a dosage of 20 mg a day, according to a study published in the May issue of the Journal of Hepatology.

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Rodent Study Suggests Viagra May Ease Jet Lag

THURSDAY, May 24 (HealthDay News) -- Sildenafil (Viagra) appears to help hamsters adjust more quickly to a six-hour shift in their daily circadian cycle, suggesting that the drug might also help frequent flyers and shift workers, according to a report in the May 22 Proceedings of the National Academy of Sciences Early Edition.

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Bath Plus Ultraviolet Light Improves Psoriasis

THURSDAY, May 24 (HealthDay News) -- The affected area and severity of psoriasis are reduced in about three-quarters of patients after a bath containing either salt water or a photosensitizing agent plus ultraviolet (UV) radiation, researchers report in the May issue of the Archives of Dermatology.

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New Guidelines Issued for Lyme Disease Treatment

THURSDAY, May 24 (HealthDay News) -- The American Academy of Neurology issued new guidelines this week for the treatment of Lyme disease with nervous system manifestations that include the treatment of both adults and children with conventionally recommended antibiotics. However, continued treatment with antibiotics for post-Lyme syndrome does not seem to be effective, according to the guidelines published online May 23 in Neurology.

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Satisfaction Varies with Breast Reconstruction Techniques

THURSDAY, May 24 (HealthDay News) -- Among women who undergo breast reconstruction surgery, satisfaction may be higher with transverse rectus abdominis myocutaneous (TRAM) flap than with latissimus dorsi plus implant reconstruction or tissue expander/implant, according to a report published in the May issue of Plastic and Reconstructive Surgery.

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For Infants in Neonatal ICUs, Mortality Varies with Care

WEDNESDAY, May 23 (HealthDay News) -- Very low birth weight infants born in hospitals with neonatal intensive care units (NICUs) with a high level of care and high volume of such infants have a lower risk of death than infants born in lower quality and lower volume hospitals, according to a report in the May 24 issue of the New England Journal of Medicine.

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FDA Approves Lybrel for Continuous Contraception

WEDNESDAY, May 23 (HealthDay News) -- The U.S. Food and Drug Administration has approved Lybrel, the first continuous contraception for pregnancy prevention. The product is a 28-day pack containing pills with a combination of progestin (90 μg), levonorgestrel and ethinyl estradiol (20 μg), and no placebo or "off" days.

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Antifolate, Combo Therapy Effective in Fighting Malaria

TUESDAY, May 22 (HealthDay News) -- Antifolates proved effective against P. vivax malaria in South Asia, while an artemether-lumefantrine combination was helpful in treating uncomplicated malaria in Uganda, according to two studies in the May 23/30 issue of the Journal of the American Medical Association.

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Imported Malaria Requires Vigilance By U.S. Docs

TUESDAY, May 22 (HealthDay News) -- As more Americans travel to areas where malaria is endemic, U.S. doctors should be familiar with the symptoms and treatment of the disease, which infects an average 1,200 people in the United States yearly, according to a report in the May 23/30 issue of the Journal of the American Medical Association.

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Prostate Cancer Patients Report 'Information Gap'

TUESDAY, May 22 (HealthDay News) -- Men with early-stage prostate cancer often receive incomplete and inconsistent information about their treatment options, according to the results of a study published in the May issue of Urology.

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Moderate Drinking May Slow Progression to Dementia

MONDAY, May 21 (HealthDay News) -- A relatively small amount of alcohol, less than one drink per day, may slow the rate of progression to dementia in patients with mild cognitive impairment compared with those who drink more or no alcohol, according to a report in the May 22 issue of Neurology.

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Chronic Periodontitis Associated with Tongue Cancer Risk

MONDAY, May 21 (HealthDay News) -- Men with chronic periodontitis are at increased risk of developing cancer of the tongue, regardless of smoking status, researchers report in the May issue of the Archives of Otolaryngology - Head & Neck Surgery.

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Rosiglitazone May Increase Risk of Myocardial Infarction

MONDAY, May 21 (HealthDay News) -- Patients with type 2 diabetes who are treated with rosiglitazone (Avandia) may have an increased risk of myocardial infarction and possibly cardiovascular-related death compared to those not treated with the drug, according to a meta-analysis of 42 trials published early online May 21 in the New England Journal of Medicine. The U.S. Food and Drug Administration issued a safety alert on Avandia on Monday.

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Atherosclerosis Linked to Risk of Dementia

MONDAY, May 21 (HealthDay News) -- People with atherosclerosis, namely carotid atherosclerosis, are at an increased risk of developing dementia, compared with their counterparts who do not have atherosclerosis, according to the results of a prospective cohort study published in the May issue of the Annals of Neurology.

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About 40 Percent of Young Infants Watch TV in U.S.

FRIDAY, May 18 (HealthDay News) -- About 40 percent of 3-month-old children and 90 percent of 2-year-old children in the United States regularly watch television, DVDs or videos, with parents watching with their children more than half the time, according to study findings published in the May issue of the Archives of Pediatrics & Adolescent Medicine.

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Information Technology Improves Diabetes Care

FRIDAY, May 18 (HealthDay News) -- Using information technology in diabetes management improves patient care, delays diabetes-associated complications and saves money, according to study findings published in the May issue of Diabetes Care.

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Fatalistic Beliefs About Cancer May Increase Cancer Risk

FRIDAY, May 18 (HealthDay News) -- Having fatalistic beliefs about cancer prevention may increase one's risk for cancer because those who feel this way are less likely to engage in cancer prevention behaviors, according to a report in the May issue of Cancer Epidemiology Biomarkers & Prevention.

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Child's Loss of Medicaid Raises Community's Health Costs

THURSDAY, May 17 (HealthDay News) -- A 10 percent reduction in the number of children who receive Medicaid, and thus become uninsured, would increase annual community health costs by about $2,100 per child, largely due to more emergency department visits and longer hospital stays, according to a study in the May issue of Pediatrics.

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Mortality Risk Not Elevated in Patients with General Pain

THURSDAY, May 17 (HealthDay News) -- In contrast to the results of an earlier study, patients with widespread pain do not have an increased risk of death and in fact may have a lower risk of death from certain diseases and cancer, researchers report in the May issue of Rheumatology.

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Alcohol Drinkers May Have Reduced Kidney Cancer Risk

THURSDAY, May 17 (HealthDay News) -- A moderate alcohol intake may significantly decrease the risk of kidney cancer compared to no alcohol intake, according to the results of a study published in the May 16 issue of the Journal of the National Cancer Institute.

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Tobacco, Alcohol Each Boost Risk of Head and Neck Cancer

THURSDAY, May 17 (HealthDay News) -- Although tobacco and alcohol use independently increase the risk of head and neck cancer, the association is strongest for tobacco, according to study findings published in the May 16 issue of the Journal of the National Cancer Institute.

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Very Low Birth Weight Linked to Poor Glucose Regulation

WEDNESDAY, May 16 (HealthDay News) -- Infants born with a very low birth weight, less than 1,500 grams, have a higher risk of insulin resistance and glucose intolerance as young adults than those born with normal weight, according to a report in the May 17 issue of the New England Journal of Medicine.

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Corticosteroids for Mild Asthma Can Be Stepped-Down

WEDNESDAY, May 16 (HealthDay News) -- Patients with mild, persistent asthma that is well controlled can step down their inhaled corticosteroids and use a beclomethasone/albuterol inhaler as needed without risking treatment failure, according to two reports in the May 17 issue of the New England Journal of Medicine.

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Personalized Pharmacy Care Benefits Heart Failure Patients

WEDNESDAY, May 16 (HealthDay News) -- Heart failure patients who receive one-on-one personalized care from their pharmacists are more likely to take their medications as prescribed and tend to make fewer trips to the hospital than their counterparts who receive usual care from pharmacists, according to a new study in the May 14 issue of the Annals of Internal Medicine.

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Elderly Who Stop Certain Drugs May Cut Risk of Falls

WEDNESDAY, May 16 (HealthDay News) -- Withdrawal of fall-inducing psychotropic and cardiovascular drugs can help improve tilt-table test results in older patients, researchers report in the May issue of the Journal of the American Geriatrics Society.

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Multivitamin Overuse Linked to Aggressive Prostate Cancer

WEDNESDAY, May 16 (HealthDay News) -- Men who take excessive amounts of multivitamins may have an increased risk of advanced and fatal prostate cancer, according to the results of a study published in the May 16 issue of the Journal of the National Cancer Institute.

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Even Minimal Exercise Helps Overweight Women

TUESDAY, May 15 (HealthDay News) -- As little as 72 minutes of physical activity per week can help improve the fitness of sedentary postmenopausal women who are overweight or obese, researchers report in the May 16 issue of the Journal of the American Medical Association.

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Low-Glycemic Diet Improves Weight Loss for Some Dieters

TUESDAY, May 15 (HealthDay News) -- Overweight individuals with high insulin secretion may achieve greater weight loss by selecting diets with a low-glycemic load rather than diets that are low in fat, according to the results of a randomized trial published in the May 16 issue of the Journal of the American Medical Association.

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Home Intravenous Infusion Viable for Older Patients

TUESDAY, May 15 (HealthDay News) -- Older adults with osteoarticular or other infections can receive home-based intravenous antimicrobial infusion therapy if they are given support from a hospital-based team, according to a report in the May issue of the Journal of the American Geriatrics Society.

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Better Depression Care Cuts Mortality Risk in Elderly

TUESDAY, May 15 (HealthDay News) -- Older patients with depression who are enrolled in a primary care program to improve depression management may live longer than their counterparts who do not take part in such a program, according to a report in the May 15 issue of the Annals of Internal Medicine.

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Early Risk Factors Predict Coronary Artery Calcium

TUESDAY, May 15 (HealthDay News) -- Although young adults have relatively low levels of modifiable risk factors for cardiovascular disease, these risk factors are better predictors of coronary artery calcium in middle age than subsequent risks, according to a report in the May 22 issue of the Journal of the American College of Cardiology.

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Cereal Fiber, Magnesium May Stave Off Type 2 Diabetes

TUESDAY, May 15 (HealthDay News) -- A diet rich in fiber from grains as well as magnesium may help lower the risk of type 2 diabetes, according to new research published in the May 14 issue of the Archives of Internal Medicine.

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Health Plan Study Shows Cholesterol Test Gender Gap

TUESDAY, May 15 (HealthDay News) -- Women in the United States are less likely than men to be tested for cholesterol or have other preventive measures for cardiovascular disease, even if they are diabetic or have had a recent cardiovascular procedure, according to an analysis of nearly 200 Medicare and commercial managed care plans published in the May/June issue of Women's Health Issues.

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Calcium and Vitamin D Cut Postmenopausal Weight Gain

MONDAY, May 14 (HealthDay News) -- Women who take calcium and vitamin D supplements after menopause are less likely to gain weight than women who take a placebo, particularly women who have an inadequate intake of calcium in their diet, according to the results of a randomized trial published in the May 14 issue of the Archives of Internal Medicine.

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Traumatic Events Common in Childhood

MONDAY, May 14 (HealthDay News) -- Although traumatic events are common during childhood, they usually do not result in post-traumatic stress symptoms, and the prognosis for healthy adult development after a single traumatic event is favorable, according to a report published in the May issue of the Archives of General Psychiatry.

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Portioning Fast Food Does Not Reduce Energy Intake

MONDAY, May 14 (HealthDay News) -- Portioning an extra-large fast food meal and slowing the eating rate does not cut the energy intake from that meal, researchers report in the May issue of Pediatrics. The results suggest that excess energy intake from fast food meals is not due to distorted visual cues or inadequate time for satiety.

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Cigarette Marketing Influences Teen Smoking Uptake

MONDAY, May 14 (HealthDay News) -- Cigarette retail marketing practices, including advertising and promotions as well as prices, influence whether teenagers start smoking and become regular smokers, according to study findings published in the May issue of the Archives of Pediatrics & Adolescent Medicine.

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Bipolar Disorder Often Inadequately Treated

FRIDAY, May 11 (HealthDay News) -- Bipolar disorders and subthreshold bipolar conditions afflict up to 6 percent of the U.S. population and are often underdetected and inadequately treated, according to the results of a study published in the May issue of the Archives of General Psychiatry.

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Good News, Bad News for Oral Smokeless Tobacco

FRIDAY, May 11 (HealthDay News) -- Snus, a smokeless, moist oral tobacco sold in Scandinavia, can double the risk of pancreatic cancer in men who use the product compared to those who have never used tobacco, according to a report published online May 10 in The Lancet. However, a second report suggests that smokers may gain some benefits by switching from cigarettes to snus in an effort to quit tobacco altogether.

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Rosuvastatin Cuts LDL-C in Managed Care Patients

THURSDAY, May 10 (HealthDay News) -- Rosuvastatin may help more managed care patients lower their low-density lipoprotein cholesterol (LDL-C) than either atorvastatin or simvastatin, and may reduce the need for follow-up titration visits, researchers report in the May issue of the Mayo Clinic Proceedings.

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FDA OKs Dopamine Agonist Patch for Parkinson Disease

THURSDAY, May 10 (HealthDay News) -- The U.S. Food and Drug Administration has approved the first transdermal patch to treat the symptoms of Parkinson disease. The Neupro Patch, manufactured by Schwarz Bioscience of Research Triangle Park, N.C., contains the dopamine agonist rotigotine, previously not approved in the United States.

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Euthanasia Rates Fell in Netherlands After Legalization

WEDNESDAY, May 9 (HealthDay News) -- The rates of euthanasia and physician-assisted suicide have fallen in the Netherlands since euthanasia was legalized in 2002, possibly due to wider use of interventions such as palliative sedation, according to study findings published in the May 10 issue of the New England Journal of Medicine.

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HPV Vaccine Protects Against Anogenital, Cervical Lesions

WEDNESDAY, May 9 (HealthDay News) -- The vaccine against four subtypes of human papillomavirus (HPV) is highly effective in preventing anogenital diseases and high-grade cervical lesions in teenage girls and young women, according to two studies published in the May 10 issue of the New England Journal of Medicine.

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Doxycycline Effective in Treating Rosacea

WEDNESDAY, May 9 (HealthDay News) -- Daily doxycycline reduces the number of facial inflammatory lesions in patients with moderate-to-severe rosacea, according to the results of a study published in the May issue of the Journal of the American Academy of Dermatology.

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Lowered Lipid Targets Difficult to Achieve

WEDNESDAY, May 9 (HealthDay News) -- In patients with acute coronary syndrome, reducing the target goal for low-density lipoprotein cholesterol from 100 mg/dL to 70 mg/dL is difficult to achieve using current lipid-lowering monotherapy, according to study findings published in the May issue of the Mayo Clinic Proceedings.

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Age and Location Can Help Distinguish Skin Tumors

WEDNESDAY, May 9 (HealthDay News) -- Spitz nevi and malignant melanoma may be differentiated in part based on patient age and their location on the thighs or trunk, researchers report in the May issue of the Journal of the American Academy of Dermatology.

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FDA Approves Respirators for Use in Pandemic

WEDNESDAY, May 9 (HealthDay News) -- The U.S. Food and Drug Administration has granted approval to the 3M Company of St. Paul, Minn., to market two air-filtering facepiece respirators for use in a public health emergency, such as pandemic influenza.

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Fetoscopic Laser Surgery Improves Outcomes in Twins

WEDNESDAY, May 9 (HealthDay News) -- Fetoscopic laser surgery helps reduce morbidity associated with twin-to-twin transfusion syndrome (TTTS) in monochorionic twins, according to a report in the May issue of the American Journal of Obstetrics & Gynecology.

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Lower Aspirin Doses Curb Heart Disease

TUESDAY, May 8 (HealthDay News) -- Although higher aspirin doses are commonly prescribed, 30 milligrams a day work to prevent cardiovascular disease, researchers report in the May 9 issue of the Journal of the American Medical Association.

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Hepatitis C Raises Non-Hodgkin Lymphoma Risk

TUESDAY, May 8 (HealthDay News) -- Infection with hepatitis C raises the risk of developing non-Hodgkin lymphoma by 20 to 30 percent, and also triples the risk of Waldenstrom macroglobulinemia, researchers report in the May 9 issue of the Journal of the American Medical Association.

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Teenage Television Viewing Linked to Learning Difficulties

TUESDAY, May 8 (HealthDay News) -- Adolescents who watch as little as an hour of television per day are at increased risk of attention and learning difficulties and are less likely to graduate from college than those who watch less television, according to study findings published in the May issue of the Archives of Pediatrics & Adolescent Medicine.

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One in Ten Americans Abuse Drugs During Lifetime

TUESDAY, May 8 (HealthDay News) -- About 8 percent of the U.S. population have abused drugs at some point in their lives, and another 2.6 percent have been drug dependent, but most drug use disorders are never treated, according to the results of a study published in the May issue of the Archives of General Psychiatry.

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Two Patterns Account for Drop in U.S. Breast Cancer Rates

FRIDAY, May 4 (HealthDay News) -- Mammography saturation and a decrease in the use of hormone replacement therapy may be two factors that account for the decline in U.S. breast cancer rates observed since 1999, according to study findings published online May 3 in Breast Cancer Research.

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Vulvar Vaccinia Case Due to Smallpox Vaccine

FRIDAY, May 4 (HealthDay News) -- An Alaskan woman developed vulvar vaccinia in 2006 after having sexual contact with a U.S. military service member who had recently received smallpox vaccine, according to a report published May 4 in the Morbidity and Mortality Weekly Report. Four non-genital cases of vaccinia related to smallpox vaccine have been reported since March 2007.

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Less Sun Exposure Is Key to Skin Cancer Prevention

FRIDAY, May 4 (HealthDay News) -- Avoiding direct sunlight and wearing clothes that prevent harmful ultraviolet rays from reaching the skin are more effective strategies than sunscreen application to reduce the risk of photoaging and skin cancer, according to a review article published online May 3 in The Lancet.

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Company Recalls Injectable Colchicine After Deaths

THURSDAY, May 3 (HealthDay News) -- The U.S. Food and Drug Administration and ApotheCure Inc. of Dallas, Texas, have issued a recall of compounded injectable Colchicine after several deaths were traced to one lot of the drug sold as 4 mL vials containing 0.5 mg/mL.

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Cheering on Diabetic Women Helps Them Lose Weight

THURSDAY, May 3 (HealthDay News) -- Women with type 2 diabetes who join a weight-control program and also participate in one-to-one motivational interviewing lose more weight than their counterparts who take part in a weight-control program alone, according to the results of a study published in the May issue of Diabetes Care.

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FDA Wants Stronger Warnings on Antidepressant Labels

THURSDAY, May 3 (HealthDay News) -- The U.S. Food and Drug Administration has proposed that antidepressant medications carry stronger black box warnings about the risk of suicidal thoughts and behavior when used to treat depression in young adults. The new warnings, which are aimed at 18- to 24-year-olds, would add to warnings already in place since 2005 that apply to children and adolescents.

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Type 1 Diabetes Not Associated with Cognitive Decline

WEDNESDAY, May 2 (HealthDay News) -- Type 1 diabetes is not associated with long-term cognitive decline, according to an 18-year follow-up study of patients enrolled in the Diabetes Control and Complications Trial. The findings are published in the May 3 issue of the New England Journal of Medicine.

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Once-A-Year Infusion Cuts Fracture Risk in Osteoporosis

WEDNESDAY, May 2 (HealthDay News) -- In postmenopausal women with osteoporosis, a yearly dose of zoledronic acid considerably reduces fracture risk in the vertebrae and hip compared with placebo, according to study findings published in the May 3 issue of the New England Journal of Medicine.

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Medicare Spending Rises Despite Relative-Value Program

WEDNESDAY, May 2 (HealthDay News) -- Medicare spending continues to rise despite implementation of a resource-based relative-value scale in 1992, which was intended to redistribute Medicare payments to physicians based on relative costs rather than prevailing charges, researchers report in the May 3 issue of the New England Journal of Medicine.

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FDA Warns of Fake Xenical Sold on Internet

WEDNESDAY, May 2 (HealthDay News) -- The U.S. Food and Drug Administration issued a warning Tuesday that counterfeit versions of the weight loss and weight maintenance drug Xenical are being sold by a number of Web sites. Some of the fake capsules contain only fillers, such as talc or starch, while others have been found to contain sibutramine.

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Old and Poor Lupus Patients Face Barriers to Care

WEDNESDAY, May 2 (HealthDay News) -- Among patients with systemic lupus erythematosus, those who are older or have lower incomes are least likely to see a specialist for their condition, according to the results of a study published online April 30 in Arthritis Care & Research.

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Bone Loss Occurs Early in Cystic Fibrosis Patients

WEDNESDAY, May 2 (HealthDay News) -- Bone loss occurs early in patients with cystic fibrosis and may be independent of disease severity or nutritional status, according to a report in the May issue of the American Journal of Respiratory and Critical Care Medicine.

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Newer Heart Failure Drug No Better Than Other in Study

TUESDAY, May 1 (HealthDay News) -- In patients with decompensated heart failure, treatment with levosimendan has no benefit in terms of increased survival compared with dobutamine treatment, according to the results of a study published in the May 2 issue of the Journal of the American Medical Association.

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MicroRNA Expression May Identify Pancreatic Cancer

TUESDAY, May 1 (HealthDay News) -- Distinct microRNA expression patterns in tissue samples may help distinguish pancreatic cancer from chronic pancreatitis and predict which cancer patients are likely to be long- or short-term survivors, researchers report in the May 2 issue of the Journal of the American Medical Association.

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Less Mortality Due to Acute Coronary Syndrome

TUESDAY, May 1 (HealthDay News) -- Better management of patients with acute coronary syndrome has led to significant reductions in the rates of new heart failure and death, as well as in rates of stroke and myocardial infarction at six months, according to a report in the May 2 issue of the Journal of the American Medical Association.

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Females Workers in Battery Factory Have High Lead

TUESDAY, May 1 (HealthDay News) -- Women of childbearing age who work in battery manufacturing are at risk for having dangerously high blood-lead levels, which could have a negative impact on their future offspring, according to a report in the April 27 issue of the Morbidity and Mortality Weekly Report.

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White Blood Cell Count Linked to Cardiovascular Mortality

TUESDAY, May 1 (HealthDay News) -- White blood cells counts have fallen since the late 1950s in parallel with a decrease in overall mortality, according to a report published in the May 8 issue of the Journal of the American College of Cardiology. The researchers found an almost linear association between white blood cell count and cardiovascular mortality, but no association with cancer mortality.

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Tooth Decay in U.S. Children on the Rise

TUESDAY, May 1 (HealthDay News) -- Although the oral health of Americans in general is improving, preschoolers are developing more tooth decay than in the past, and racial and social disparities still exist, according to a report published April 30 by the U.S. Centers for Disease Control and Prevention.

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