Here are what the editors at HealthDay consider to be the most important developments in Family Practice for September 2010. 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.
DNA Findings in Children With ADHD Suggest Genetic Cause
THURSDAY, Sept. 30 (HealthDay News) -- Children with attention-deficit/hyperactivity disorder (ADHD) appear to have an increased rate of large, rare chromosomal deletions and duplications, known as copy number variants (CNVs), that have been implicated previously in autism and schizophrenia, according to a study published online Sept. 30 in The Lancet.
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Blacks With Prostate Cancer Have Better Well-Being
THURSDAY, Sept. 30 (HealthDay News) -- African-American men recently diagnosed with prostate cancer may have better emotional well-being than white men with prostate cancer, despite similar physical functioning, according to research published in the September issue of Urology.
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Smoking With Preeclampsia Ups Risk of Adverse Outcomes
THURSDAY, Sept. 30 (HealthDay News) -- Though smoking decreases the risk of preeclampsia, women with preeclampsia who smoke may be at much higher risk for adverse outcomes in pregnancy, according to research published in the October issue of the American Journal of Obstetrics & Gynecology.
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Stress, Other Life Factors May Lead to Missed Birth Control Pills
THURSDAY, Sept. 30 (HealthDay News) -- Women who lead stressful and busy lives are more likely to have poor oral contraceptive adherence; clinicians may want to consider a patients' daily contextual factors when discussing contraceptive options, according to research published in the October issue of the American Journal of Obstetrics & Gynecology.
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Watchful Waiting Shows Cost Advantage in Prostate Cancer
THURSDAY, Sept. 30 (HealthDay News) -- Watchful waiting with active surveillance (WWAS) may steeply reduce costs compared to radical prostatectomy in men with low-risk prostate cancer, according to research published in the September issue of Urology.
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Provider Perceptions Influence IUD Recommendations
THURSDAY, Sept. 30 (HealthDay News) -- A provider's decision on whether to recommend intrauterine contraception (IUC) may be influenced by a patient's race/ethnicity and socioeconomic status (SES), according to research published in the October issue of the American Journal of Obstetrics & Gynecology.
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Comorbidities at Prostatectomy Tied to Other Causes of Death
THURSDAY, Sept. 30 (HealthDay News) -- Men undergoing radical prostatectomy who have greater comorbidity after surgery also have a higher risk of death from other causes than prostate cancer, so assessing patients' other conditions may be advisable when considering treatment, according to research published in the September issue of Urology.
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In Breast Cancer, Early Fertility Preservation Referral Better
THURSDAY, Sept. 30 (HealthDay News) -- Referring young, newly diagnosed breast cancer patients to a reproductive specialist before surgery may speed up fertility preservation (FP) procedures and allow time for two cycles of ovarian stimulation (OS) between surgery and initiation of chemotherapy, according to research published online Sept. 27 in the Journal of Clinical Oncology.
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Tanezumab Is Effective Osteoarthritis Treatment
WEDNESDAY, Sept. 29 (HealthDay News) -- Tanezumab, a monoclonal antibody that binds and inhibits nerve growth factor, appears to relieve joint pain enough to improve function in people with osteoarthritis of the knee, according to research published online Sept. 29 in the New England Journal of Medicine.
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Dexamethasone Therapy Improves Meningitis Outcomes
WEDNESDAY, Sept. 29 (HealthDay News) -- Therapy with dexamethasone has been widely implemented in the Netherlands as an adjunctive treatment of pneumococcal meningitis, and there subsequently has been substantial improvement in the prognosis of the disease on a national level, according to research published online Sept. 29 in Neurology.
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FDA, CSPS Issue Warning on Infant Sleep Positioners
WEDNESDAY, Sept. 29 (HealthDay News) -- Use of infant sleep positioners could result in death, state the U.S. Consumer Product Safety Commission (CSPS) and the U.S. Food and Drug Administration in a warning released Sept. 29.
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In Endometrial Cancer, Uterus-Sparing Approach Effective
WEDNESDAY, Sept. 29 (HealthDay News) -- The combined use of a levonorgestrel-release intrauterine device (LNG-IUD) and gonadotropin-releasing hormone (GnRH) appears to be effective for treating women under 40 years of age with atypical endometrial hyperplasia (AEH) or well-differentiated (G1), endometrioid endometrial cancer (EC) limited to the endometrium, who want to preserve their fertility, according to a study published online Sept. 28 in the Annals of Oncology.
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Oseltamivir May Prevent Pneumonia in H1N1 Patients
WEDNESDAY, Sept. 29 (HealthDay News) -- Oseltamivir (Tamiflu) treatment appears to be effective in preventing the development of radiographically confirmed pneumonia as well as reducing duration of fever and viral RNA shedding among patients with 2009 H1N1 infection, according to a study published online Sept. 28 in BMJ.
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Behavioral Intervention Cuts ER Use for Chronic Pain
WEDNESDAY, Sept. 29 (HealthDay News) -- The inappropriate use of hospital emergency departments by patients seeking relief from chronic pain can be reduced by a behavioral intervention in the emergency department, especially among high-utilization patients, according to a study in the September issue of the Journal of Emergency Nursing.
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Vaccines Provide Hep B Immunity in Children for at Least 5 Years
WEDNESDAY, Sept. 29 (HealthDay News) -- Infants vaccinated with
hexavalent vaccines, including hexavac, appear to maintain immunity to hepatitis B for at least five years after primary vaccination, suggesting that booster doses are not necessary to maintain immunity, according to a study published online Sept. 29 in The Lancet Infectious Diseases.
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Breast-Feeding Linked to Protection Against Infections
WEDNESDAY, Sept. 29 (HealthDay News) -- Exclusive breast-feeding for six months may reduce the frequency and severity of infections in infants in a setting with a well-vaccinated infant population and adequate health standards, according to research published online Sept. 27 in the Archives of Disease in Childhood.
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Assaults Linked to Pain in Nursing Home Workers
WEDNESDAY, Sept. 29 (HealthDay News) -- Many care providers in nursing homes report recent physical assaults in the workplace, and these are associated in a dose-response manner with musculoskeletal pain, according to research published online Sept. 27 in Occupational and Environmental Medicine.
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C-Reactive Protein Levels Vary by Ethnicity
TUESDAY, Sept. 28 (HealthDay News) -- Mean C-reactive protein (CRP) concentrations vary for different ethnic populations, which may affect assessment of cardiovascular risk and eligibility for statin treatment, according to a meta-analysis published online Sept. 28 in Circulation: Cardiovascular Genetics.
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Anger, Sadness Increase Pain in Women With Fibromyalgia
TUESDAY, Sept. 28 (HealthDay News) -- Negative emotions increase pain responses in women with and without fibromyalgia (FM), while combined treatment with cognitive behavioral therapy and a tailored exercise program can improve outcome in FM, according to two studies published in the October issue of Arthritis Care & Research.
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Lifestyle Behaviors Associated With Function at Work
TUESDAY, Sept. 28 (HealthDay News) -- Lifestyle factors -- particularly smoking and obesity -- are associated with sick leave and decreased productivity among workers, according to research published online Sept. 27 in Occupational and Environmental Medicine.
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Look AHEAD Results Favor Intensive Lifestyle Intervention
TUESDAY, Sept. 28 (HealthDay News) -- Intensive lifestyle intervention (ILI) for patients with type 2 diabetes can result in sustained improvements in cardiovascular risk factors and in fitness, according to a report published in the Sept. 27 issue of the Archives of Internal Medicine.
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Pine Bark Extract Doesn't Improve Cardio Risk Profile
TUESDAY, Sept. 28 (HealthDay News) -- Among subjects with elevated cardiovascular disease (CVD) risk, pine bark extract, a dietary supplement rich in antioxidants, does not significantly improve CVD risk profiles, according to a study in the Sept. 27 issue of the Archives of Internal Medicine.
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Function Scores Linked to Patient Distress in Prostate Cancer
TUESDAY, Sept. 28 (HealthDay News) -- Assessing bother -- or patient distress due to functional losses -- provides insight into patients' health-related quality of life (HRQOL) following prostate cancer treatment, according to research published in the October issue of The Journal of Urology.
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Catheter-Related Bloodstream Infection Surveillance Varies
TUESDAY, Sept. 28 (HealthDay News) -- Catheter-related bloodstream infection (CA-BSI) surveillance practices differ substantially among pediatric intensive care units (PICUs), with more aggressive surveillance practices associated with higher CA-BSI rates, according to research published in the October issue of the American Journal of Infection Control.
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BNP Level Up in Many Pregnant Women With Heart Disease
TUESDAY, Sept. 28 (HealthDay News) -- Measuring B-type natriuretic peptide (BNP) levels of women during pregnancy may be useful in identifying those at risk for adverse cardiac events, according to research published in the Oct. 5 issue of the Journal of the American College of Cardiology.
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Several Factors Affect Imaging Research Incidental Findings
TUESDAY, Sept. 28 (HealthDay News) -- The frequency of incidental findings (IFs) in imaging research exams varies by age, imaging modality, and body region, with routine evaluation of research images allowing for identification of IFs in a large number of cases, resulting in significant medical benefit in a small number of patients, according to research published in the Sept. 27 issue of the Archives of Internal Medicine.
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Hospice Disenrollment Tied to Higher Health Care Use
TUESDAY, Sept. 28 (HealthDay News) -- Patients with cancer who disenroll from hospice are likely to experience increased hospitalization rates and higher Medicare expenditures than those who remain enrolled in hospice until death, according to a study published online Aug. 30 in the Journal of Clinical Oncology.
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Exercise Preserves Functioning in Women With Osteopenia
TUESDAY, Sept. 28 (HealthDay News) -- An exercise program in elderly women with osteopenia appears to preserve physical functioning and decrease the risk of fractures and mortality, according to a study in the Sept. 27 issue of the Archives of Internal Medicine.
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Mindfulness-Based Approach May Help MS Patients
MONDAY, Sept. 27 (HealthDay News) -- Compared to usual care, a mindfulness-based intervention (MBI) appears to improve health-related quality of life (HRQOL), depression, and fatigue among individuals with multiple sclerosis (MS), according to a study in the Sept. 28 issue of Neurology.
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Partner With Breast Cancer Ups Risk for Severe Mood Disorder
MONDAY, Sept. 27 (HealthDay News) -- Male partners of women with breast cancer have a significantly increased risk of an affective disorder severe enough to require hospitalization, and this risk increases with increasing severity of the cancer, according to research published online Sept. 27 in Cancer.
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FDA: Octagam Voluntarily Withdrawn From U.S. Market
MONDAY, Sept. 27 (HealthDay News) -- Octapharma and the U.S. Food and Drug Administration have announced a voluntary market withdrawal of all lots of Immune Globulin Intravenous (human) 5 percent Liquid Preparation (Octagam) currently in the U.S. market, as the drug is potentially associated with an increased number of thromboembolic events.
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Contraceptive Containing a Folate Approved
MONDAY, Sept. 27 (HealthDay News) -- Beyaz, a combination estrogen/progestin contraceptive that also contains a folate, has been approved by the U.S. Food and Drug Administration.
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Pediatric Intern Education Improves Discharge Summaries
MONDAY, Sept. 27 (HealthDay News) -- An educational intervention to train pediatric resident interns in the preparation of inpatient discharge summaries can significantly improve the quality of this documentation, according to a study published online Sept. 27 in Pediatrics.
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Day Care May Up Problems in Lung Disease Patients
MONDAY, Sept. 27 (HealthDay News) -- Children with chronic lung disease of prematurity (CLDP) may be at increased risk for morbidities of that condition if they attend day care, according to research published online Sept. 27 in Pediatrics.
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First-Trimester Heavy Drinking Linked to Birth Defect Risk
MONDAY, Sept. 27 (HealthDay News) -- Researchers in Australia have found that heavy drinking in the first trimester appears to increase the risk of birth defects four-fold, though they found a low prevalence of alcohol-related birth defects (ARBDs) as classified by the Institute of Medicine (IOM), according to research published online Sept. 27 in Pediatrics.
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Team Sports Linked to Life Satisfaction in Youths
MONDAY, Sept. 27 (HealthDay News) -- Participating in team sports may help improve life satisfaction and self-reported health in middle-school students, according to research published online Sept. 3 in Applied Research in Quality of Life.
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RA May Raise Complication Risk After Ankle Arthroplasty
MONDAY, Sept. 27 (HealthDay News) -- Underlying inflammatory connective-tissue disease, primarily rheumatoid arthritis, is associated with an increased risk for major incision complications and additional surgery for patients who have undergone total ankle arthroplasty, according to research published in the Sept. 15 issue of the Journal of Bone & Joint Surgery.
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Texting While Driving Tied to Surge in Fatal Accidents
MONDAY, Sept. 27 (HealthDay News) -- Texting on cell phones while driving appears to have contributed to a large increase in distracted driving fatalities since 2005, according to research published online Sept. 23 in the American Journal of Public Health.
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Flavored, Sports Beverages Tied to Some Healthy Behaviors
MONDAY, Sept. 27 (HealthDay News) -- Like consumption of soda, consumption of flavored and sports beverages (FSBs) is associated with unhealthy dietary practices and sedentary behaviors, but unlike soda intake, FSB intake also appears to be associated with a number of healthy lifestyle choices, according to research published online Sept. 27 in Pediatrics.
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Carotid Endarterectomy Tied to Long-Term Stroke Reduction
FRIDAY, Sept. 24 (HealthDay News) -- Carotid endarterectomy (CEA) performed in asymptomatic patients under 75 years of age appears to reduce 10-year stroke risks, with half this reduction in disabling or fatal strokes, according to a study published in the Sept. 25 issue of The Lancet.
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CDC Analyzes Neonatal Heart Defect Deaths by Race
FRIDAY, Sept. 24 (HealthDay News) -- The racial and gestational age differences in neonatal congenital heart defect deaths are significant, but the causes of these differences are not clear, according to a report published in the Sept. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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HIV Prevalence 19% Among Men Who Have Sex With Men
FRIDAY, Sept. 24 (HealthDay News) -- The prevalence of HIV among men who have sex with men (MSM) remains high in the United States, and 44 percent of infected MSM do not know they are infected, according to research published in the Sept. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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Low-Volume Hysterectomy Surgeons Tied to Higher Risk
FRIDAY, Sept. 24 (HealthDay News) -- Morbidity and mortality are higher after hysterectomies performed by surgeons who perform fewer than 10 of these procedures per year, and those who perform at least 10 per year are more likely to perform minimally invasive procedures, according to research published in the October issue of Obstetrics & Gynecology.
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Children With H1N1 Have More Neurologic Complications
FRIDAY, Sept. 24 (HealthDay News) -- Children with H1N1 influenza, especially if they have an underlying medical or neurologic condition, appear to be at higher risk for neurologic complications such as seizures and encephalopathy than children with seasonal flu, according to research published online Sept. 23 in the Annals of Neurology.
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Adverse Pathology Not Seen in Deferred Prostatectomy
FRIDAY, Sept. 24 (HealthDay News) -- Men with low- to intermediate-risk prostate cancer undergoing prostate-specific antigen surveillance who later have deferred radical prostatectomy do not have significantly worsened pathologic features after surgery than men undergoing primary radical prostatectomy, according to research published in the October issue of The Journal of Urology.
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Optical Coherence Tomography Detects Tooth Decay
FRIDAY, Sept. 24 (HealthDay News) -- Optical coherence tomography (OCT) appears to detect tooth decay beneath commonly used dental sealants more effectively than visual or radiographic examination, according to a study published online Sept. 16 in Lasers in Surgery and Medicine.
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Workday Exercise Tied to Invasive Breast Cancer Risk
FRIDAY, Sept. 24 (HealthDay News) -- Postmenopausal women who get regular exercise during their workday or at home appear to have a reduced risk for developing invasive breast cancer, according to a study published online Sept. 23 in the American Journal of Public Health.
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FDA: Infant Formulas of Similac Powder Recalled
THURSDAY, Sept. 23 (HealthDay News) -- Abbott has announced a voluntary recall of certain, Similac-brand, powder infant formulas in the United States, Puerto Rico, Guam, and some countries in the Caribbean, as the product has a remote chance of containing a small common beetle or their larvae.
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FDA to Greatly Restrict Use of Rosiglitazone
THURSDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has announced plans to substantially restrict the use of rosiglitazone (Avandia) in type 2 diabetes patients unable to control their disease with other medications.
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Daily 100 mg Milnacipran Found Effective in Fibromyalgia
THURSDAY, Sept. 23 (HealthDay News) -- Milnacipran at a dosage of 100 mg daily decreases pain and several other symptoms of fibromyalgia, according to research published in the September issue of Arthritis & Rheumatism.
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Intake of Water Among U.S. Children Varies by Age
THURSDAY, Sept. 23 (HealthDay News) -- Intake of water in U.S. children varies by age, more than two-thirds of daily beverages consumed by children and adolescents are with meals, and the mean intake is generally below what is recommended as adequate, according to a study in the Oct. 1 issue of the American Journal of Clinical Nutrition.
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Obstetric/Gynecologic Inpatient Procedures Declining
THURSDAY, Sept. 23 (HealthDay News) -- The number of inpatient obstetric and gynecologic surgical procedures has been trending downward, though they still make up a sizable proportion of inpatient procedures for U.S. women, according to research published in the October issue of Obstetrics & Gynecology.
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Nuchal Translucency May Often Be Underestimated
THURSDAY, Sept. 23 (HealthDay News) -- Nuchal translucency measurements may be systematically underestimated in many centers, according to research published in the October issue of Obstetrics & Gynecology.
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Venous Thromboembolism Seen After 1% of Hip Replacements
THURSDAY, Sept. 23 (HealthDay News) -- Venous thromboembolism following total hip replacement occurs in roughly 1 percent of patients who receive pharmacological thromboprophylaxis, and factors associated with increased risk of venous thromboembolism include osteoarthritis, a history of cardiovascular disease, and previous thromboembolism, according to research published in the Sept. 15 issue of the Journal of Bone & Joint Surgery.
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Home-Based Intervention Beneficial for Anemic Infants
WEDNESDAY, Sept. 22 (HealthDay News) -- Infants with iron-deficiency anemia (IDA) who receive a home-based intervention -- consisting of weekly visits to foster child development -- show improvements in cognitive and social-emotional scores, but don't quite catch up with nonanemic peers in the latter category, according to research published online Sept. 20 in Pediatrics.
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Gilenya Approved for Relapsing MS
WEDNESDAY, Sept. 22 (HealthDay News) -- Gilenya (fingolimod) has been approved by the U.S. Food and Drug Administration to reduce relapses and delay disability progression in people with relapsing forms of multiple sclerosis.
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ACOG: Ob-Gyns Should Make Obesity Prevention a Priority
WEDNESDAY, Sept. 22 (HealthDay News) -- A committee of the American College of Obstetricians and Gynecologists is recommending that practitioners take 12 specific actions to help women, especially those in urban areas, achieve and maintain a normal body weight and physical fitness. The committee opinion is published in the October issue of Obstetrics & Gynecology.
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Botulism Toxin Benefit Seen for Drooling in Children
WEDNESDAY, Sept. 22 (HealthDay News) -- Botulinum toxin can help reduce drooling in some children with neurological disorders, according to research published in the September issue of the Archives of Otolaryngology -- Head & Neck Surgery.
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Ablation Therapy Effective for Atrial Fibrillation in Young
WEDNESDAY, Sept. 22 (HealthDay News) -- Atrial fibrillation (AF) patients under the age of 45 who undergo ablative therapy experience fewer major complications and similar efficacy as older patients, and have a higher chance of remaining AF free without the use of antiarrhythmic drugs (AADs), according to research published online Sept. 21 in Circulation: Arrhythmia and Electrophysiology.
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Antipsychotics Linked to Risk of Venous Thromboembolism
WEDNESDAY, Sept. 22 (HealthDay News) -- People taking antipsychotic medication may be at risk for venous thromboembolism, and the risk varies by drug type and potency, according to research published Sept. 21 in BMJ.
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ACOG: Pregnant Women Should Get Flu Vaccine Early
WEDNESDAY, Sept. 22 (HealthDay News) -- Replacing a committee opinion published in 2004, the American College of Obstetricians and Gynecologists has released a new report from the Committee on Obstetric Practice supporting influenza vaccination during pregnancy. The new opinion has been published in the October issue of Obstetrics & Gynecology.
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Link to Depression Differs for Cyber, Traditional Bullying
WEDNESDAY, Sept. 22 (HealthDay News) -- The adolescent victims of cyber bullying report higher levels of depression than do the bullies themselves or bully-victims, but this is not the case with traditional forms of bullying, according to a study published online Sept. 22 in the Journal of Adolescent Health.
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Father Absence, Early Puberty Association Complex in Girls
WEDNESDAY, Sept. 22 (HealthDay News) -- Absence of a biological father in the home predicts earlier onset of breast development in higher-income families and early development of pubic hair in African-American girls from high-income families, according to research published online Sept. 20 in the Journal of Adolescent Health.
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Disc Batteries Can Cause Severe Esophageal Damage
TUESDAY, Sept. 21 (HealthDay News) -- Ingestion of disc batteries can cause severe injury among pediatric patients and require emergency endoscopic retrieval, according to research published in the September issue of the Archives of Otolaryngology -- Head & Neck Surgery.
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Self-Management Counseling May Not Aid in Heart Failure
TUESDAY, Sept. 21 (HealthDay News) -- Self-management counseling in addition to an enhanced educational intervention for patients with mild to moderate heart failure does not appear to have any benefit over the educational intervention alone, according to research published in the Sept. 22/29 issue of the Journal of the American Medical Association.
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Metabolic Syndrome Tied to Doubled Risk of CV Outcomes
TUESDAY, Sept. 21 (HealthDay News) -- Individuals with metabolic syndrome have a doubled risk of cardiovascular outcomes and a 58 percent higher risk of all-cause mortality, according to a meta-analysis published in the Sept. 28 issue of the Journal of the American College of Cardiology.
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Hospitalized Children Have Increasingly Complex Illnesses
TUESDAY, Sept. 21 (HealthDay News) -- Medically complex children with one or more chronic diseases make up an increasing proportion of pediatric hospital admissions and account for increased use of hospital resources, according to research published online Sept. 20 in Pediatrics.
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Stool DNA Tests Not Cost-Effective for Cancer Screening
TUESDAY, Sept. 21 (HealthDay News) -- Screening Medicare beneficiaries for colorectal cancer (CRC) using stool DNA testing is not currently cost-effective, but could be if the cost per test dropped dramatically or if adherence to the testing were substantially better than for other screening tests, according to an analysis published in the Sept. 21 issue of the Annals of Internal Medicine.
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Thigh-Length Stockings Help Avert Thromboses After Stroke
TUESDAY, Sept. 21 (HealthDay News) -- In hospitalized stroke patients, proximal deep venous thrombosis (DVT) is less common in those who wear prophylactic thigh-length stockings than in those who wear below-knee stockings, according to a study published online Sept. 20 in the Annals of Internal Medicine.
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Occupational, Leisure Activity Tied to Heart Failure Risk
TUESDAY, Sept. 21 (HealthDay News) -- Engaging in moderate or high levels of occupational or leisure-time physical activity may reduce the risk of heart failure among both men and women, according to a study in the Sept. 28 issue of the Journal of the American College of Cardiology.
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Testicular Cancer Screening in Asymptomatic Men Not Needed
TUESDAY, Sept. 21 (HealthDay News) -- No new evidence has emerged warranting a change in the U.S. Preventive Services Task Force's (USPSTF's) 2004 conclusion that screening asymptomatic men for testicular cancer is unlikely to offer benefits over clinical detection, according to a literature review in the Sept. 21 issue of the Annals of Internal Medicine.
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Influenza Vaccine Tied to Reduced Heart Attack Rate
TUESDAY, Sept. 21 (HealthDay News) -- Influenza -- but not pneumococcal -- vaccination may reduce the rate of first acute myocardial infarction, according to a study published online Sept. 20 in CMAJ, the journal of the Canadian Medical Association.
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Sunless Tanning Promotion Tied to Reduced Sunbathing
TUESDAY, Sept. 21 (HealthDay News) -- An intervention aimed at promoting the use of sunless tanning products appears to reduce sunbathing and increase sunless tanning, according to a study published in the September issue of the Archives of Dermatology. According to another study in the same issue, approximately 11 percent of U.S. adolescents use sunless tanning products, a practice linked to risky behaviors associated with ultraviolet radiation exposure.
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Childhood Tobacco Smoke Exposure Ups Risk of ADHD
MONDAY, Sept. 20 (HealthDay News) -- Exposure to environmental tobacco smoke in childhood increases the odds of attention-deficit/hyperactivity disorder (ADHD), but the magnitude of risk seen with elevated serum cotinine levels varies by race, according to research published online Sept. 20 in Pediatrics.
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Trends Noted in Adolescent Bariatric Surgery in California
MONDAY, Sept. 20 (HealthDay News) -- In California adolescents, whites and females are having bariatric surgery at rates disproportionate to the rates seen for boys and nonwhites, and laparoscopic adjustable gastric banding (LAGB) has increased dramatically among adolescents, according to research published online Sept. 20 in Pediatrics.
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Youths With Type 2 Diabetes Show Autoimmunity Evidence
MONDAY, Sept. 20 (HealthDay News) -- There may be evidence of islet autoimmunity contributing to insulin deficiency in obese youths with type 2 diabetes, and clinical characteristics may be significantly different between those with and without diabetes autoantibody (DAA) positivity, according to a study published in the September issue of Diabetes Care.
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Adenovirus Infection Linked to Childhood Obesity
MONDAY, Sept. 20 (HealthDay News) -- Obese children are significantly more likely to test positive for antibodies to adenovirus 36 (AD36) than are non-obese children, according to research published online Sept. 20 in Pediatrics.
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Head Circumference Growth Curves May Be Inaccurate
MONDAY, Sept. 20 (HealthDay News) -- Head circumference growth curves in a large primary care population appear to differ substantially -- particularly at upper percentiles -- from the two most recently published head circumference growth curves, according to research published online Sept. 20 in Pediatrics.
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Tiotropium Plus Glucocorticoid Effective in Asthma Patients
MONDAY, Sept. 20 (HealthDay News) -- The addition of the long-acting anticholinergic agent tiotropium bromide to an inhaled glucocorticoid is superior to a doubling of the dose of the glucocorticoid in improving lung function and symptoms in patients with uncontrolled asthma, and it is non-inferior to the addition of salmeterol, according to a study published online Sept. 19 in the New England Journal of Medicine to coincide with a presentation at the European Respiratory Society Annual Congress, held from Sept. 18 to 22 in Barcelona, Spain.
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Metabolic Imbalance Linked With Asthma in Children
MONDAY, Sept. 20 (HealthDay News) -- Children with an imbalanced metabolism, which could be due to diet and/or exercise deficiencies, may be at an increased risk for developing asthma regardless of their body mass index (BMI), according to research published online Sept. 17 in the American Journal of Respiratory and Critical Care Medicine.
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Type 1 Diabetes Incidence Up in Children in Italy
MONDAY, Sept. 20 (HealthDay News) -- The incidence of type 1 diabetes rose in Italian children from 1990 to 2003, with large geographical variation observed, according to an age-period-cohort analysis published in the September issue of Diabetes.
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Smoking Cues Increase Craving As Abstinence Lengthens
FRIDAY, Sept. 17 (HealthDay News) -- People who give up smoking experience greater craving in response to smoking cues as the duration of abstinence increases, according to a study published online Sept. 6 in Biological Psychiatry.
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Depression, CHD Add Up to Higher Risk of Mortality
FRIDAY, Sept. 17 (HealthDay News) -- Individuals with depressive symptoms and coronary heart disease (CHD) have a particularly high risk of all-cause and cardiovascular death compared to individuals with one of these problems or neither, according to research published online Sept. 15 in Heart.
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U.S. Vaccine Coverage Remains High in Young Children
FRIDAY, Sept. 17 (HealthDay News) -- Routine vaccination of children between 19 and 35 months of age remains high in the United States, with coverage for most routine vaccines at or near the national objective of 90 percent, according to a report published in the Sept. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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Urinary Factors Could Be Link Between DASH Diet, Stone Risk
FRIDAY, Sept. 17 (HealthDay News) -- Following a Dietary Approaches to Stop Hypertension (DASH)-type diet may reduce the risk of kidney stones by increasing urinary citrate and volume, according to research published online Sept. 16 in the Clinical Journal of the American Society of Nephrology.
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Risk Factors for ER Visits in Chronic Opioid Users Identified
FRIDAY, Sept. 17 (HealthDay News) -- Use of Schedule II opioids, back pain, headache, and pre-existing substance use disorders are all associated with alcohol- or drug-related encounters (ADEs) and emergency department visits (EDVs) in adults who have taken prescribed opioids for at least 90 days, according to a study published in the Sept. 13 issue of the Archives of Internal Medicine.
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Educational Attainment on Rise Worldwide in Men, Women
FRIDAY, Sept. 17 (HealthDay News) -- Since 1970, the global mean number of years of education has increased substantially among both men and women, and increased educational attainment in women of reproductive age may be associated with a drop in deaths among children younger than 5, according to research published in the Sept. 18 issue of The Lancet.
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Glucosamine, Chondroitin Not Effective for Osteoarthritis
FRIDAY, Sept. 17 (HealthDay News) -- Glucosamine, chondroitin, or a combination of the two does not appear to reduce joint pain associated with osteoarthritis or have an impact on narrowing of the joint space, according to research published online Sept. 16 in BMJ.
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Placebo Effect Tied to Sexual Behavior During Trial
FRIDAY, Sept. 17 (HealthDay News) -- A substantial proportion of women treated with placebo for female sexual arousal disorder (FSAD) experience clinically significant sexual function improvements, and changes in sexual behavior appear to be predictive of outcomes in sexual function, according to research published online Sept. 16 in the Journal of Sexual Medicine.
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About 5 Percent of American Adults Report Vigorous Activity
FRIDAY, Sept. 17 (HealthDay News) -- On any given day in the United States, most adults perform mostly sedentary and light activities -- with only 5 percent reporting any vigorous activity, according to research published in the October issue of the American Journal of Preventive Medicine.
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Lung Function Tied to Diabetes and Heart Disease Risk
THURSDAY, Sept. 16 (HealthDay News) -- Restrictive impaired lung function among men without a history of cardiovascular disease or diabetes appears to be associated with fatal coronary heart disease (CHD) and incident type 2 diabetes, according to a study published in the September issue of Diabetes Care.
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Most in Asian Malay Group With Diabetes Have Poor BP Control
THURSDAY, Sept. 16 (HealthDay News) -- More than 75 percent of an Asian Malay population with diabetes has poor glycemic and blood pressure (BP) control, according to a study published in the September issue of the Archives of Ophthalmology.
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High Cortisol Levels Associated With Cardiovascular Death
THURSDAY, Sept. 16 (HealthDay News) -- High levels of cortisol strongly predict cardiovascular death, even in people without pre-existing cardiovascular disease (CVD), according to research published online Aug. 25 in the Journal of Clinical Endocrinology & Metabolism.
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Noninvasive Test Predicts Morbidity in Preterm Infants
THURSDAY, Sept. 16 (HealthDay News) -- Researchers have developed a noninvasive tool based on gestational age, birth weight, and real-time data routinely collected in neonatal intensive care units to predict morbidity risk in premature infants; their findings have been published in the Sept. 8 issue of Science Translational Medicine.
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Playing Hoops Is a Common Cause of Pediatric Injuries
THURSDAY, Sept. 16 (HealthDay News) -- Though basketball-related injuries requiring emergency treatment appear to be declining, their frequency is a reason for concern, according to research published online Sept. 13 in Pediatrics.
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FDA Issues Label Change for Valganciclovir Hydrochloride
THURSDAY, Sept. 16 (HealthDay News) -- The U.S. Food and Drug Administration has alerted health care professionals of new pediatric dosing recommendations for valganciclovir hydrochloride (Valcyte) in an effort to prevent overdosing in children with low body weight, low body surface area, and below normal serum creatinine.
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Depression Management Program Effective in Long Term
THURSDAY, Sept. 16 (HealthDay News) -- Chronically depressed patients with persistent symptoms can benefit significantly over the long term from a program of low-intensity depression disease management, according to a study in the September/October issue of the Annals of Family Medicine.
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Activity Levels Decline Over 12 Months in Schoolchildren
THURSDAY, Sept. 16 (HealthDay News) -- Researchers studying physical activity in children found that levels of activity decreased in 10-year-olds over only one year's time; their findings have been published online Sept. 13 in Pediatrics.
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Lowest Dose of Aspirin Reduces Colorectal Cancer Risk
THURSDAY, Sept. 16 (HealthDay News) -- Regular use of low-dose aspirin appears to reduce the risk of colorectal cancer (CRC) in the general population, which is evident after just five years of use, according to a study published online Sept. 15 in Gut.
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No-Smoking Law Linked to Lower Asthma Rates
WEDNESDAY, Sept. 15 (HealthDay News) -- Since comprehensive smoke-free legislation was introduced in Scotland, incidence of asthma has fallen among people without occupational exposure to environmental tobacco smoke -- namely, children, according to research published in the Sept. 16 issue of the New England Journal of Medicine.
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Research IDs Frequent-Exacerbation COPD Phenotype
WEDNESDAY, Sept. 15 (HealthDay News) -- Some patients with chronic obstructive pulmonary disease (COPD), irrespective of disease severity, appear to fall within a susceptibility phenotype, according to research published in the Sept. 16 issue of the New England Journal of Medicine.
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Krystexxa Approved for Gout
WEDNESDAY, Sept. 15 (HealthDay News) -- Krystexxa (pegloticase) has been approved by the U.S. Food and Drug Administration for adults with gout who do not respond to, or who cannot tolerate, standard treatments.
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Neural Clues Identified for Postpartum Depression
WEDNESDAY, Sept. 15 (HealthDay News) -- Researchers have identified neural mechanisms -- diminished dorsomedial prefrontal cortex activity and amygdala connectivity -- that may play a role in postpartum depression and impaired maternal attachment processes; their findings have been published online Sept. 15 in The American Journal of Psychiatry.
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Physician Characteristics Poor Predictors of Quality of Care
WEDNESDAY, Sept. 15 (HealthDay News) -- Few characteristics of individual physicians are related to higher performance on quality measures, according to a study in the Sept. 13 issue of the Archives of Internal Medicine. According to another study in the same issue, many patients perceive diagnostic and treatment mistakes by their physicians, and these perceptions often lead patients to seek another physician.
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Distressed Personality Tied to Cardiovascular Outcomes
WEDNESDAY, Sept. 15 (HealthDay News) -- Type D (distressed) personality, a general propensity to distress defined by high "negative affectivity" and "social inhibition" scores, has adverse effects on cardiovascular outcomes, according to research published in the September issue of Circulation: Cardiovascular Quality and Outcomes.
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Sampling Restrictions Alter Prescribing Behavior Modestly
WEDNESDAY, Sept. 15 (HealthDay News) -- Implementation of a policy restricting drug sampling and pharmaceutical industry detailing in a small rural clinic resulted in modest reductions in the prescription of branded and promoted drugs, according to research published in the September/October issue of the Annals of Family Medicine.
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Adherence Low for Colorectal Cancer Screening Program
WEDNESDAY, Sept. 15 (HealthDay News) -- Adherence to biennial fecal occult blood testing (FOBT) to detect signs of colorectal cancer (CRC) was low among members of a Washington State health plan, which potentially compromised its effectiveness in reducing CRC mortality, according to a study in the September/October issue of the Annals of Family Medicine.
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Routine PSA Screening Does Not Cut Prostate Cancer Deaths
WEDNESDAY, Sept. 15 (HealthDay News) -- Routine prostate-specific antigen (PSA) screening does not ultimately reduce prostate cancer deaths, but a single PSA test at age 60 may identify men at higher risk of developing and dying from the disease, according to a pair of studies published online Sept. 14 in BMJ.
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Participatory Decision Making May Help Diabetes Patients
WEDNESDAY, Sept. 15 (HealthDay News) -- Participatory decision making (PDM), in which patients actively participate in their medical encounter, appears to increase medication adherence and improve hemoglobin A1c and low-density lipoprotein (LDL) cholesterol levels in patients with type 2 diabetes, according to research published in the September/October issue of the Annals of Family Medicine.
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Depression, Burnout Have Dire Impact on Medical Training
TUESDAY, Sept. 14 (HealthDay News) -- Depressed medical students are more likely to endorse depression stigma attitudes than nondepressed students, and those with burnout are more likely to engage in unprofessional conduct and less likely to hold altruistic views of physicians' social responsibilities than those without burnout, according to two articles published in the Sept. 15 issue of the Journal of the American Medical Association.
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Sacrifice Makes Industry Gifts Seem More Acceptable
TUESDAY, Sept. 14 (HealthDay News) -- Residents who are reminded of the sacrifices they made to attain their medical education tend to rate the acceptability of industry-sponsored gifts higher than those who are not reminded, according to research published in the Sept. 15 issue of the Journal of the American Medical Association.
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Researchers Identify Variables Tied to Med Student Outcomes
TUESDAY, Sept. 14 (HealthDay News) -- Race/ethnicity, debt load, and admissions test score all appear to have an impact on a medical student's likelihood of graduating from medical school and passing the licensing exams, according to research published in the Sept. 15 issue of the Journal of the American Medical Association.
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Long-Term NSAID Use Ups Risk of Atrial Fibrillation
TUESDAY, Sept. 14 (HealthDay News) -- Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with an increased risk of chronic atrial fibrillation (AF), according to research published in the Sept. 13 issue of the Archives of Internal Medicine. According to a second study published in the same issue, using combinations of anticoagulants -- as opposed to warfarin alone -- significantly raises the risk of bleeding events in patients with AF.
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African-Americans May Be Reluctant Blood Donors
TUESDAY, Sept. 14 (HealthDay News) -- African-Americans are less likely to donate blood because of a general distrust of the health care system, according to research conducted at African-American churches in Atlanta and published online Sept. 14 in Transfusion.
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Osteoporosis Drugs Linked to Rare but Serious Thigh Breaks
TUESDAY, Sept. 14 (HealthDay News) -- Long-term use of bisphosphonates, a medication class widely prescribed for osteoporosis, may be associated with atypical and serious thigh bone fractures, according to the report of a professional task force published in the September issue of the Journal of Bone and Mineral Research.
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3-D Scans Show Helmets Are Best for Infant Plagiocephaly
TUESDAY, Sept. 14 (HealthDay News) -- For infants with deformational plagiocephaly (DP) -- defined as unilateral occipital flattening, often with ipsilateral frontal bulging resulting from sleep position, myoneural dysfunction, or intrauterine positioning -- orthotic helmets are superior to active repositioning in reducing the degree of head asymmetry, according to research published online Sept. 13 in Pediatrics.
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Cryotherapy Most Effective Treatment for Common Warts
TUESDAY, Sept. 14 (HealthDay News) -- To cure common warts, cryotherapy is more effective than topical salicylic acid, but for plantar warts, neither treatment is significantly more effective than simply taking a wait-and-see approach, according to a study published online Sept. 13 in CMAJ, the journal of the Canadian Medical Association.
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Metabolomic Biomarkers May Predict Preeclampsia
TUESDAY, Sept. 14 (HealthDay News) -- A specific plasma "metabolite signature" in early pregnancy plasma may predict the onset of preeclampsia later in pregnancy and offers the possibility of a good presymptomatic screening test, according to research published online Sept. 13 in Hypertension.
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ADHD Drug Helps Childhood Cancer Survivors in Long Term
TUESDAY, Sept. 14 (HealthDay News) -- Methylphenidate (MPH), the stimulant drug most commonly prescribed to treat attention-deficit/hyperactivity disorder, appears to ameliorate behavior and attention problems in childhood cancer survivors over the course of a year, according to research published online Sept. 13 in the Journal of Clinical Oncology.
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Primary Care-Based Lifestyle Intervention Can Be Successful
MONDAY, Sept. 13 (HealthDay News) -- A sustained three-year program involving supervised exercise, dietary counseling, and regular group meetings can cost-effectively increase quality of life (QOL) for those at increased risk of cardiovascular disease, according to research published in the Sept. 13 issue of the Archives of Internal Medicine.
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Individually Optimized Therapy Reduces ADHD Problems
MONDAY, Sept. 13 (HealthDay News) -- Children with attention-deficit/hyperactivity disorder (ADHD), disruptive levels of aggression, and a history of insufficient response to stimulant medication may benefit from a protocol of individually optimized stimulant monotherapy and behavioral intervention, according to research published online Sept. 13 in Pediatrics.
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Immigrants Have Poorer Health Care Access in U.S. and Canada
MONDAY, Sept. 13 (HealthDay News) -- Foreign-born immigrants in both the United States and Canada have poorer access to health care than do native-born citizens of both countries, according to research published online Sept. 1 in Health Services Research.
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Nucleotide Supplementation Beneficial for Infant Growth
MONDAY, Sept. 13 (HealthDay News) -- Supplementation with dietary nucleotides, compounds found in breast milk, appears to result in increased weight gain and head growth in infants who are formula-fed, according to research published online Sept. 13 in Pediatrics.
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Re-Consent Important Before Secondary Use of Genetic Data
MONDAY, Sept. 13 (HealthDay News) -- Most research participants want to be asked for secondary consent -- referred to as re-consent -- before their existing personal genetic data are added to the federal database of Genotypes and Phenotypes (dbGaP), according to research published in the September issue of the Journal of Empirical Research on Human Research Ethics.
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Thimerosal Not Linked to Autism Spectrum Disorder
MONDAY, Sept. 13 (HealthDay News) -- Prenatal and early-life exposure to thimerosal-containing vaccines and immunoglobulin preparations does not increase the risk of either autism spectrum disorder (ASD) or two subcategories of the disorder, according to research published online Sept. 13 in Pediatrics.
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If Baseline PSA <2, Further Screening May Not Be Beneficial
MONDAY, Sept. 13 (HealthDay News) -- Men with low baseline levels of prostate-specific antigen (PSA) at ages 55 to 74 are unlikely to have a survival benefit from additional screening or treatment of prostate cancers, according to research published online Sept. 13 in Cancer.
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Secondary Overtriage More Common in Pediatric Patients
MONDAY, Sept. 13 (HealthDay News) -- Secondary overtriage -- involving rapid discharge after transferring a patient between hospitals -- appears more common in pediatric patients, and may come at a considerable cost to the health care system, according to research published in the September issue of the Journal of Trauma.
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Chemical Poisoning Treatment Approved for Children
FRIDAY, Sept. 10 (HealthDay News) -- A treatment for poisoning from pesticides and similar chemicals has been approved by the U.S. Food and Drug Administration for use in children, nearly 50 years after it was first approved for adults.
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Hospitalized Children Require Good Coordination by Doctors
FRIDAY, Sept. 10 (HealthDay News) -- Comprehensive care of children requiring hospitalization requires a family-centered approach and thorough coordination among all physicians involved, according to a clinical report published online Sept. 6 in Pediatrics.
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Unfit Men With Long Hours Have Higher Cardiac Death Risk
FRIDAY, Sept. 10 (HealthDay News) -- Compared with men who work less than 40 hours per week, men with low physical fitness working more than 45 hours per week are at increased risk of ischemic heart disease (IHD) mortality, but this is not the case for men with intermediate or high fitness levels who work long hours, according to a study published online Sept. 6 in Heart.
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Betamethasone Levels Same With Singletons, Twins
FRIDAY, Sept. 10 (HealthDay News) -- Number of fetuses and maternal body mass index do not appear to have an effect on betamethasone concentrations in women taking antenatal corticosteroids to decrease respiratory distress syndrome in babies at risk of premature delivery, according to research published in the September issue of the American Journal of Obstetrics & Gynecology.
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Exposure to Lead May Delay Onset of Puberty in Girls
FRIDAY, Sept. 10 (HealthDay News) -- Exposure to lead (Pb) in childhood is associated with an increased risk of delayed puberty in girls, particularly in girls who also have high levels of cadmium (Cd), according to a study published online July 30 in Environmental Health Perspectives.
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Physical Ability Measures Predict Death Risk in Elderly
FRIDAY, Sept. 10 (HealthDay News) -- Community-dwelling elderly people with poor performance on objective measures of physical capability are at higher risk of death than those who perform better, according to a meta-analysis published online Sept. 9 in BMJ.
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Stenting for Carotid Stenosis Unsafe for Older Adults
FRIDAY, Sept. 10 (HealthDay News) -- Stenting for treatment of carotid stenosis should be avoided in patients 70 years of age or older, but the approach appears to be as safe as endarterectomy in patients younger than 70, according to a meta-analysis published online Sept. 10 in The Lancet.
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Pituitary Sensitivity May Lead to Infertility in Obese Women
FRIDAY, Sept. 10 (HealthDay News) -- Infertility in obese women may be due to the ovarian-disrupting response of the pituitary gland to high insulin levels, according to a mouse study published in the Sept. 8 issue of Cell Metabolism.
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High-Quality Primary Care Tied to Improved Health Outcomes
FRIDAY, Sept. 10 (HealthDay News) -- Higher-quality coronary heart disease (CHD) care among general practices in the United Kingdom is associated with lower CHD admissions and mortality rates, with the association strongest among practices serving populations with high levels of deprivation, according to a study in the October issue of the Journal of Epidemiology and Community Health.
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Risk Factors in Older Adults for Indoor and Outdoor Falls Differ
FRIDAY, Sept. 10 (HealthDay News) -- Among community-dwelling older adults, the risk factors for indoor falls differ from those for outdoor falls, according to a study published online Sept. 9 in the Journal of the American Geriatrics Society.
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Fruit and Vegetable Intake Far Below National Targets
FRIDAY, Sept. 10 (HealthDay News) -- In 2009, fruit and vegetable consumption among U.S. adults was far below Healthy People 2010 targets, according to a report published in the Sept. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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Many Pediatric Primary Care Doctors Don't Use Spirometry
FRIDAY, Sept. 10 (HealthDay News) -- Spirometry use is limited among pediatric primary care physicians, particularly pediatricians, suggesting a need for additional physician training, according to research published online Sept. 6 in Pediatrics.
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Stroke Recurrence and Severity Higher in Mexican Americans
THURSDAY, Sept. 9 (HealthDay News) -- Mexican Americans (MAs) with atrial fibrillation who experience ischemic stroke or transient ischemic attack (TIA) are at a higher risk of stroke recurrence and more severe recurrences than non-Hispanic whites (NHWs), but all-cause mortality appears to be similar between the two groups, according to a study published online Sept. 9 in Stroke.
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Crohn's-Related Surgery Risk in Children Rarer Than Thought
THURSDAY, Sept. 9 (HealthDay News) -- The risk of bowel surgery in pediatric Crohn's disease (CD) patients appears to be lower than previously reported, and early initiation of immunomodulators does not appear to influence the risk of bowel surgery, according to research published in the September issue of Clinical Gastroenterology and Hepatology.
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Perioperative Stroke Rare but Deadly in Joint Replacement
THURSDAY, Sept. 9 (HealthDay News) -- Though rare, perioperative stroke following joint replacement has a high rate of both mortality and morbidity, according to a study in the Sept. 1 issue of the Journal of Bone & Joint Surgery.
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Minorities, Uninsured Struck by Cars Have Higher Death Risk
THURSDAY, Sept. 9 (HealthDay News) -- African-American, Hispanic, and uninsured pedestrians struck by vehicles have a greater mortality risk than white or privately insured pedestrians who are struck, according to research published in the August issue of Surgery.
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Many Offices Delay Scheduling of First Prenatal Visit
THURSDAY, Sept. 9 (HealthDay News) -- A substantial proportion of clinics recommend that the first prenatal visit occur at eight weeks of gestation or later, even for women who are fully insured, according to a study in the September issue of the American Journal of Obstetrics & Gynecology.
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Marginally Low Birth Weight Ups Iron Deficiency Risk
THURSDAY, Sept. 9 (HealthDay News) -- Iron supplementation at 2 mg/kg per day from 6 weeks to 6 months of age reduces the elevated risk of iron deficiency (ID) and iron deficiency anemia (IDA) in marginally low birth weight (MLBW) infants, without short-term adverse effects on growth or morbidity, according to a study published online Sept. 6 in Pediatrics.
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Back Injury Patients Adjust Seated-Task Torso Movement
THURSDAY, Sept. 9 (HealthDay News) -- People with spinal cord injury (SCI) and low back pain (LBP) may adjust the movement of their torsos while executing seated tasks to compensate for lack of balance in the former group and to minimize pain in the latter group, according to research published in the Sept. 1 issue of Spine.
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Annual Medical Liability Costs Surpass $50 Billion
THURSDAY, Sept. 9 (HealthDay News) -- The annual costs of the medical liability system in the United States total more than $50 billion, which accounts for a relatively small but non-trivial portion of total health care spending, according to an article in the September issue of Health Affairs.
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Guidelines Developed for Congenital Adrenal Hyperplasia
THURSDAY, Sept. 9 (HealthDay News) -- Clinical practice guidelines for congenital adrenal hyperplasia (CAH) have been developed by a task force of The Endocrine Society and published in the September issue of the Journal of Clinical Endocrinology & Metabolism.
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More Stomach, Fewer Chest Complaints Seen in ERs
WEDNESDAY, Sept. 8 (HealthDay News) -- The percentage of non-injury visits to the emergency department for stomach pain has increased, while the percentage of chest pain-related visits has decreased, and use of advanced imaging for both has increased substantially, according to a September data brief released by the National Center for Health Statistics (NCHS).
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Radiologists Can ID, Treat Self-Embedding Behavior
WEDNESDAY, Sept. 8 (HealthDay News) -- Radiologists can play an important role in identifying self-embedding behavior, and percutaneous radiologic treatment of foreign bodies embedded into soft tissue is safe and precise, according to research published online Sept. 7 in Radiology.
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Adolescents With Chronic Fatigue May Suffer Long-Term Effects
WEDNESDAY, Sept. 8 (HealthDay News) -- Adolescents who do not recover from chronic fatigue syndrome (CFS) continue to experience extreme fatigue, to use medical services at a high rate, and to miss school and work; and, those who attempt to keep up with their healthy peers experience greater fatigue and need for sleep, according to two articles published in the September issue of the Archives of Pediatrics & Adolescent Medicine.
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U.S. Adult Smoking Rate Stabilizes After Decline
WEDNESDAY, Sept. 8 (HealthDay News) -- The proportion of U.S. adult smokers has remained stable since a decline between 2000 and 2005, with rates of secondhand smoke exposure among nonsmokers remaining high despite recent decreases, according to two early-release reports published Sept. 7 in the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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Limitation of End-of-Life Support Varies Among PICUs
WEDNESDAY, Sept. 8 (HealthDay News) -- In the United States, there is significant variability among institutions regarding limitation of end-of-life support for children in pediatric intensive care units (PICUs), with black race and a lack of trainees associated with a lower frequency of limitation decisions, according to research published online Sept. 6 in Pediatrics.
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Insufficient Nighttime Sleep in Early Life Tied to Obesity Risk
WEDNESDAY, Sept. 8 (HealthDay News) -- Infants and preschool-aged children who do not get sufficient nighttime sleep may be at higher risk of subsequently being overweight or obese, according to a study in the September issue of the Archives of Pediatrics & Adolescent Medicine.
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Education Level Not Predictive of CV Risk in All Countries
WEDNESDAY, Sept. 8 (HealthDay News) -- The protective effect of higher attained educational level (AEL) on cardiovascular outcomes reported for high-income countries (HICs) may not hold true for low- and middle-income countries (LMICs), especially for women, according to a study published online Sept. 7 in Circulation.
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Parental Depression Risk Highest in First Year After Birth
WEDNESDAY, Sept. 8 (HealthDay News) -- The risk of depression among parents is highest in the first year after a child is born, with history of depression, younger parental age, and increased social deprivation linked to a higher risk of depression, according to a study published online Sept. 6 in the Archives of Pediatrics & Adolescent Medicine.
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Vitamin D Levels in Newborns Tied to Schizophrenia Risk
WEDNESDAY, Sept. 8 (HealthDay News) -- Both low and high serum concentrations of vitamin D in neonates are associated with an elevated risk of eventual development of schizophrenia, according to a study in the September issue of the Archives of General Psychiatry.
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Nevirapine Reuse in Children With HIV May Be Safe
WEDNESDAY, Sept. 8 (HealthDay News) -- After achieving viral suppression with protease inhibitor-based therapy, most children infected with HIV at birth despite being given nevirapine may safely be switched back to nevirapine-based therapy without fear of drug resistance, according to a study published in the Sept. 8 issue of the Journal of the American Medical Association.
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Graded Symptom Checklist IDs Pediatric Concussion
WEDNESDAY, Sept. 8 (HealthDay News) -- A graded symptom checklist reliably identifies concussions (mild traumatic brain injuries [mTBIs]) in school-age children, and posttraumatic amnesia predicts greater symptom severity, according to a study published online Sept. 6 in Pediatrics.
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Pandemic H1N1 Affected Younger Patients Than H3N2
TUESDAY, Sept. 7 (HealthDay News) -- The median age of individuals affected by 2009 H1N1 influenza was substantially lower than that of individuals affected by 2007/2008 H3N2 influenza; however, the risk of most serious complications was not higher in those with 2009 H1N1 than in those with recent seasonal influenza strains, according to research published in the Sept. 8 issue of the Journal of the American Medical Association.
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Serotype 19A Acquisition Tied to Vaccine Schedule
TUESDAY, Sept. 7 (HealthDay News) -- Heptavalent pneumococcal conjugate vaccination (PCV-7) using a 2+1 dosing schedule may result in an increase in serotype 19A nasopharyngeal acquisition, according to a study in the Sept. 8 issue of the Journal of the American Medical Association.
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Physician Performance Rankings Tied to Patient Traits
TUESDAY, Sept. 7 (HealthDay News) -- Primary care physicians with greater proportions of patients who are underinsured, a minority, and non-English-speaking are more likely to have lower quality clinical performance rankings, according to research published in the Sept. 8 issue of the Journal of the American Medical Association.
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Psychological Violence Predicts Postnatal Depression
TUESDAY, Sept. 7 (HealthDay News) -- Intimate-partner psychological violence during pregnancy is strongly associated with the development of postnatal depression, and this relationship is independent of physical or sexual violence, according to a study published online Sept. 6 in The Lancet.
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Discrepancies Seen Between Docs, Patients on PCI Beliefs
TUESDAY, Sept. 7 (HealthDay News) -- Patients undergoing elective coronary catheterization and possible percutaneous coronary intervention (PCI) are generally much more likely than their physicians to believe the procedure will prevent a heart attack, according to research published in the Sept. 7 issue of the Annals of Internal Medicine.
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Bisphenol A Benefits in Dentistry May Outweigh Risks
TUESDAY, Sept. 7 (HealthDay News) -- Bisphenol A (BPA) and BPA derivatives have endocrine-disrupting and estrogenic properties and may pose a health risk, but their benefits may outweigh potential risks when they are used with care in childhood dentistry, according to research published online Sept. 6 in Pediatrics.
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Meta-Analysis Supports MRA in Peripheral Arterial Disease
TUESDAY, Sept. 7 (HealthDay News) -- Contrast-enhanced magnetic resonance angiography (MRA) appears highly accurate in assessing steno-occlusions in adults with symptoms of peripheral arterial disease (PAD), according to research published in the Sept. 7 issue of the Annals of Internal Medicine.
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Mild Cognitive Impairment Risk Higher for Men Than Women
TUESDAY, Sept. 7 (HealthDay News) -- About 16 percent of dementia-free elderly individuals have mild cognitive impairment (MCI), and the risk for MCI is higher in men than in women, according to a study in the Sept. 7 issue of Neurology.
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Urban Clinic Increases HIV Testing Uptake in Adolescents
TUESDAY, Sept. 7 (HealthDay News) -- After the publication of national recommendations for routine HIV testing and the implementation of rapid testing, the rate of HIV testing among adolescents at an urban adolescent primary care clinic substantially increased, according to research published in the September issue of the Archives of Pediatrics & Adolescent Medicine.
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Toddlers' Fixation on Moving Patterns May Predict Autism
TUESDAY, Sept. 7 (HealthDay News) -- A preference for moving geometric patterns as opposed to social images appears to be an easy-to-detect signature of toddlers who are at risk for autism spectrum disorder (ASD), according to a study published online Sept. 6 in the Archives of General Psychiatry.
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Low-Carb Diet's Effects Could Hinge on Ingredients
TUESDAY, Sept. 7 (HealthDay News) -- A low-carbohydrate diet is associated with different effects on mortality depending on whether the diet is animal- or vegetable-based, according to research published in the Sept. 7 issue of the Annals of Internal Medicine.
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PFOA, PFOS Appear to Raise Lipid Levels in Children
TUESDAY, Sept. 7 (HealthDay News) -- Increased perfluorooctanoic acid (PFOA) and perfluorooctanesulfonate (PFOS) levels are associated with elevated serum lipid levels in children and adolescents, though the links warrant further evaluation, according to a study in the September issue of the Archives of Pediatrics & Adolescent Medicine.
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Dense Social Networks May Promote New Health Practices
MONDAY, Sept. 6 (HealthDay News) -- Individuals living in networks with dense clusters of connections are more likely to adopt new health practices than are those in networks with many distant connections, according to a study in the Sept. 3 issue of Science.
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Bowel Disease Is Risk Factor for Recurrent VTE
FRIDAY, Sept. 3 (HealthDay News) -- Individuals with inflammatory bowel disease (IBD) who have had a venous thromboembolism (VTE) have a higher risk of having a recurrence than those with a prior VTE but no IBD, according to a study in the September issue of Gastroenterology.
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A1C Usefulness in Detecting New Diabetes Limited
FRIDAY, Sept. 3 (HealthDay News) -- Testing serum A1C levels is less sensitive for detecting individuals at risk for diabetes than other tests, but can be used for ongoing screening and diagnosis in those whose baseline A1C is already elevated, according to research published in the September issue of Diabetes Care.
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Bisphosphonates May Raise Esophageal Cancer Risk
FRIDAY, Sept. 3 (HealthDay News) -- Oral bisphosphonate use over five years may double one's risk of developing esophageal cancer, according to a study published online Sept. 2 in BMJ.
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Early Severe Hypoglycemia Tied to Poorer Cognition
FRIDAY, Sept. 3 (HealthDay News) -- Exposure to severe hypoglycemia (SH) at an early age may negatively impact long-term cognitive function in individuals with type 1 diabetes, according to a study published in the September issue of Diabetes Care.
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No Increased Mortality With Undiagnosed Celiac Disease
FRIDAY, Sept. 3 (HealthDay News) -- Older individuals with undiagnosed celiac disease (CD) are at increased risk for osteoporosis and hypothyroidism compared to those without CD, but they do not have an increased mortality risk, according to a study in the September issue of Gastroenterology.
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Ezetimibe/Simvastatin Combo Lowers LDL in Type 2 Diabetes
FRIDAY, Sept. 3 (HealthDay News) -- For patients with type 2 diabetes who are not meeting recommended low-density lipoprotein (LDL) cholesterol goals, adding ezetimibe to simvastatin treatment significantly increases the likelihood of reaching an LDL cholesterol level below 70 mg/dL, according to a study published in the September issue of Diabetes Care.
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Low Vitamin D Level May Raise Risk of Type 2 Diabetes
FRIDAY, Sept. 3 (HealthDay News) -- Having a higher plasma 25-hydroxyvitamin D (25-OHD) concentration appears to decrease the risk of type 2 diabetes in women, independent of other risk factors, according to a study published in the September issue of Diabetes Care.
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Dementia Risk Higher for Vets With Post-Traumatic Stress
FRIDAY, Sept. 3 (HealthDay News) -- Older veterans who have post-traumatic stress disorder (PTSD) are at higher risk for dementia than those who don't have PTSD, even higher than those who suffered traumatic injury in action, according to a study in the September issue of the Journal of the American Geriatrics Society.
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CDC: Prescription Drug Use in U.S. Has Increased
THURSDAY, Sept. 2 (HealthDay News) -- In the last decade, prescription drug use in the United States has increased, according to a new report from the U.S. Centers for Disease Control and Prevention.
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Sucrose May Not Be Effective Analgesic in Newborns
THURSDAY, Sept. 2 (HealthDay News) -- The common practice of using a sucrose solution to provide analgesia for newborns undergoing painful procedures may alter newborns' facial expressions but does not appear to reduce pain activity in the spinal cord or brain, according to research published online Sept. 1 in The Lancet.
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Few Connecticut Doctors Treat Chronic Lyme Disease
THURSDAY, Sept. 2 (HealthDay News) -- Relatively few Connecticut primary care physicians are diagnosing and treating chronic Lyme disease, compared to a much larger number who are undecided on the existence of the condition or don't believe it exists, according to research published online Sept. 2 in the Journal of Pediatrics.
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Acetaminophen May Increase Pediatric Asthma Risk
THURSDAY, Sept. 2 (HealthDay News) -- Use of acetaminophen in children may increase the risk of asthma, eczema, and rhinoconjunctivitis, according to research published online Aug. 13 in the American Journal of Respiratory and Critical Care Medicine.
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Sibutramine May Raise Risks in Those With CVD, Diabetes
WEDNESDAY, Sept. 1 (HealthDay News) -- In overweight or obese subjects with cardiovascular disease (CVD) and diabetes, long-term use of sibutramine is associated with an increased risk of nonfatal myocardial infarction (MI) and nonfatal stroke but not cardiovascular death or any-cause death, according to a study in the Sept. 2 issue of the New England Journal of Medicine.
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Intensive BP Therapy May Not Slow CKD Progression
WEDNESDAY, Sept. 1 (HealthDay News) -- Intensive blood pressure (BP) therapy does not affect hypertensive chronic kidney disease (CKD) progression in most black patients compared to standard BP control, but a potential benefit has been seen for some patients with proteinuria, according to a study in the Sept. 2 issue of the New England Journal of Medicine.
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Metformin Shows Promise As Cancer Chemopreventive Drug
WEDNESDAY, Sept. 1 (HealthDay News) -- A trio of studies published online Sept. 1 in Cancer Prevention Research highlight the possibility that metformin and possibly other biguanide drugs may eventually prove useful in chemoprevention of various cancers, including lung and colon cancer.
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Fatty Liver Linked to Insulin Resistance in Obese Teens
WEDNESDAY, Sept. 1 (HealthDay News) -- In obese adolescents, fatty liver -- independent of visceral fat and intramyocellular lipid content (IMCL) -- is associated with impaired insulin activity in the muscles and liver; along with other findings, this suggests the liver plays a key role in insulin resistance in these individuals, according to research published in the August issue of Diabetes Care.
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Insomnia, Short Sleep Duration Linked to Mortality in Men
WEDNESDAY, Sept. 1 (HealthDay News) -- Insomnia with objective short sleep duration is related to an increased risk of mortality among men, according to research published in the Sept. 1 issue of SLEEP.
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Higher Selenium Level Linked to Lower Bladder Cancer Risk
WEDNESDAY, Sept. 1 (HealthDay News) -- Increased selenium intake may decrease bladder cancer risk by 39 percent, according to a meta-analysis published online Aug. 31 in Cancer Epidemiology, Biomarkers & Prevention.
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