Avg. ER Wait Time

Wait times are an average and provided for informational purposes only. What does this mean?

September 2013 Briefing - Family Practice

September 2013 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for September 2013. 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.

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721.full.pdf+html )

Poll: Americans Anxious About Long-Term Care

MONDAY, Sept. 30 (HealthDay News) -- More than two-thirds of Americans are worried about how they will pay for long-term care, and more than two-thirds of them are likely to need it someday, according to the results of a Harris Interactive/HealthDay poll.

More Information (http://consumer.healthday.com/senior-citizen-information-31/misc-aging-news-10/americans-anxious-about-costs-of-long-term-care-poll-680470.html )

Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

More Information (http://themorningconsult.com/topline-results-september-2013-tracking-poll/ )

Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

More Information (http://www.hhs.gov/ )

No Change in Admissions for Pediatric Sports-Related TBI

MONDAY, Sept. 30 (HealthDay News) -- Over the last 10 years there has been an increase in the number of emergency department visits for sports-related traumatic brain injury (TBI) in children, but no increase in the percentage of children admitted, according to a study published online Sept. 30 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1704.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1704.full.pdf+html )

Non-Medical Exemptions One Factor in Pertussis Resurgence

MONDAY, Sept. 30 (HealthDay News) -- Non-medical exemptions (NMEs) are likely to have been one of the factors that contributed to the resurgence of pertussis in California in 2010, according to a study published online Sept. 30 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-0878.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-0878.full.pdf+html )

Trends in Psychotropic Med Use in Young Children Explored

MONDAY, Sept. 30 (HealthDay News) -- For children aged 2 to 5 years, the likelihood of psychotropic medication use peaked in 2002 to 2005, according to a study published online Sept. 30 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1546.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1546.full.pdf+html )

DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

More Information (http://www.dol.gov/ebsa/faqs/faq-noticeofcoverageoptions.html )

Mobile Devices Can Facilitate Universal Vital Sign Monitoring

MONDAY, Sept. 30 (HealthDay News) -- Mobile devices are well suited to provide universal access to the monitoring of vital signs, according to a review published in the October issue of Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/117/4/883.abstract )Full Text (subscription or payment may be required) (http://www.anesthesia-analgesia.org/content/117/4/883.long )

Vitamin D Alone Doesn't Better Postmenopausal Bone Health

MONDAY, Sept. 30 (HealthDay News) -- Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover, according to a study published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.abstract?rss=1 )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.full.pdf+html )

HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

More Information (https://www.healthcare.gov/ )

Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

Abstract (http://amj.aom.org/content/56/4/1050.abstract )Full Text (subscription or payment may be required) (http://amj.aom.org/content/56/4/1050.full )

Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

Full Text (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-physicians-can-increase-employee-satisfaction-their-medical-practice?page=0,0 )

Mobile Apps May Expand Dermatology Practice

FRIDAY, Sept. 27 (HealthDay News) -- Mobile apps may offer an opportunity to expand delivery of dermatological care, according to research published online Sept. 25 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1741083#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1741083 )

Social Media May Make Quitting Smoking Easier

FRIDAY, Sept. 27 (HealthDay News) -- People who participate in health issue-specific social networking sites find it easier to quit smoking, according to research published online Sept. 16 in the Journal of Communication.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jcom.12054/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jcom.12054/full )

No Association Seen Between Celiac Disease, Autism Disorders

FRIDAY, Sept. 27 (HealthDay News) -- There is no association between celiac disease and autism spectrum disorders (ASDs), although there may be an increased risk of ASDs in patients with normal lining of the gastrointestinal tract but a positive antibody test, according to a study published online Sept. 25 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1743008#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1743008 )

Rates of Severe and Fatal Maternal Sepsis Up in the U.S.

FRIDAY, Sept. 27 (HealthDay News) -- Rates of severe sepsis and sepsis-related deaths during hospitalization for labor and delivery in the United States are increasing, according to research published in the October issue of Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/117/4/944.abstract )Full Text (subscription or payment may be required) (http://www.anesthesia-analgesia.org/content/117/4/944.full )

Effect of Testosterone on CV Disease in Men Uncertain

FRIDAY, Sept. 27 (HealthDay News) -- Further research is required to determine the relationship between testosterone levels and cardiovascular disease in men and to explore the risk-benefit of testosterone therapy, according to a review published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-1970.abstract )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-1970.full.pdf+html )

Obesity Gene Testing Offers Psychological Benefit

FRIDAY, Sept. 27 (HealthDay News) -- Results from genetic testing for weight gain-related genes may offer psychological benefits beyond their limited clinical utility, according to a study published in the July issue of the Journal of Genetic Counseling.

Abstract (http://link.springer.com/article/10.1007/s10897-013-9628-9 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007/s10897-013-9628-9 )

Disparity Seen in Pain Tx for Kids in ER for Abdominal Pain

FRIDAY, Sept. 27 (HealthDay News) -- Racial disparities exist in the use of analgesics in pediatric patients in the emergency department presenting with abdominal pain, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2012-3127.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2012-3127.full.pdf+html )

CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6238a2.htm?s_cid=mm6238a2_w )

HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

More Information (https://www.healthcare.gov/ )

Combo Approach Ups Flu Vaccine Receipt Among Pregnant Women

THURSDAY, Sept. 26 (HealthDay News) -- The combination of a health care provider recommending an influenza vaccination and offering the vaccine increases uptake among pregnant women, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6238a3.htm?s_cid=mm6238a3_w )

Cardiovascular Data Registry Provides Useful Information

THURSDAY, Sept. 26 (HealthDay News) -- Programs within the National Cardiovascular Data Registry (NCDR) provide valuable information about cardiovascular trends, according to a report published online Sept. 18 in the Journal of the American College of Cardiology.

Full Text (http://content.onlinejacc.org/article.aspx?articleid=1738846 )

ACP Launches Clinical Support Tool for Internal Medicine Docs

THURSDAY, Sept. 26 (HealthDay News) -- A web-based clinical decision support tool has been developed specifically for internal medicine physicians, according to a report published by the American College of Physicians (ACP).

More Information (http://www.acponline.org/pressroom/smart_medicine.htm?hp )

High Sensitivity for Ottawa Subarachnoid Hemorrhage Rule

THURSDAY, Sept. 26 (HealthDay News) -- For patients presenting to the emergency department with headache peaking within one hour and no neurologic deficits, the Ottawa Subarachnoid Hemorrhage Rule is highly sensitive for identifying subarachnoid hemorrhage, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741823#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741823 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741799 )

Dementia Needs to Become a Government Priority

THURSDAY, Sept. 26 (HealthDay News) -- Governments must make dementia a priority, according to a report published by Alzheimer's Disease International.

More Information (http://www.alz.co.uk/research/WorldAlzheimerReport2013.pdf )

Improved Vision From Cataract Surgery Appears to Aid Survival

THURSDAY, Sept. 26 (HealthDay News) -- Surgical correction of visual impairment (VI) due to cataract is associated with significantly better long-term survival in older persons after adjusting for known cataract and mortality risk factors and indicators of general health, according to a study published in the September issue of Ophthalmology.

Abstract (http://www.aaojournal.org/article/S0161-6420(13)00143-7/abstract )Full Text (subscription or payment may be required) (http://www.aaojournal.org/article/S0161-6420(13)00143-7/fulltext )

Juvenile Idiopathic Arthritis Tx Recommendations Updated

THURSDAY, Sept. 26 (HealthDay News) -- Recommendations for treatment of systemic juvenile idiopathic arthritis (JIA), including those cases with or without active systemic features, have been updated to reflect an extensive literature review and evaluation of more than 1,000 scenarios, according to a special article published in the October issue of Arthritis & Rheumatism.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/art.38092/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/art.38092/full )

Antibiotic Protocol Selects Against Drug Resistance

THURSDAY, Sept. 26 (HealthDay News) -- Cycling between antibiotics can select against the development of drug resistance, according to a study published in the Sept. 25 issue of Science Translational Medicine.

Abstract (http://stm.sciencemag.org/content/5/204/204ra132 )Full Text (http://stm.sciencemag.org/content/5/204/204ra132.full )

No Cognitive Protective Role Seen for Omega-3 Fatty Acids

THURSDAY, Sept. 26 (HealthDay News) -- There is no evidence of a protective effect for omega-3 fatty acids on age-associated cognition or the rate of cognitive decline in older dementia-free women, according to research published online Sept. 25 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/09/25/WNL.0b013e3182a9584c.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/09/25/WNL.0b013e3182a9584c.full.pdf+html )

More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/09/20130925a.html )

HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

More Information (https://www.healthcare.gov/ )

Chronic Kidney Disease Up in the Oldest Old in the U.S.

WEDNESDAY, Sept. 25 (HealthDay News) -- The prevalence of chronic kidney disease (CKD) has increased among U.S. adults aged 80 years or older, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741807 )

Long-Term Metabolic Effects Seen With Bariatric Surgery

WEDNESDAY, Sept. 25 (HealthDay News) -- In obese patients, bariatric surgery can aid in achieving sustainable remission and improvement of type 2 diabetes mellitus (T2DM), according to a study published in the October issue of the Annals of Surgery.

Abstract (http://journals.lww.com/annalsofsurgery/Abstract/2013/10000/Can_Diabetes_Be_Surgically_Cured__Long_Term.14.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/annalsofsurgery/Abstract/2013/10000/Can_Diabetes_Be_Surgically_Cured__Long_Term.14.aspx )

Prenatal Antiepileptic Drugs Affect Fine Motor Skills in Infants

WEDNESDAY, Sept. 25 (HealthDay News) -- Prenatal exposure to antiepileptic drugs is associated with impaired fine motor skills at 6 months of age, according to a study published online Sept. 23 in JAMA Neurology.

Full Text (http://archneur.jamanetwork.com/article.aspx?articleid=1741977 )Editorial (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1741976 )

New Survey Tool Predicts Immunization Status

WEDNESDAY, Sept. 25 (HealthDay News) -- The Parent Attitudes About Childhood Vaccines survey (PACV) predicts the immunization status of children with high reliability, according to a study published online Sept. 23 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1740762#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1740762 )

ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1741855 )

Mother-Infant Bedsharing Promotes Breastfeeding

WEDNESDAY, Sept. 25 (HealthDay News) -- Duration of breastfeeding is longer for mothers who frequently lie down and sleep with their infants for major sleep periods, according to research published online Sept. 23 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1740763#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1740763 )

Arsenic Exposure Ups Risk for Cardiovascular Disease

TUESDAY, Sept. 24 (HealthDay News) -- Chronic exposure to low-to-moderate levels of inorganic arsenic is associated with increased risk of cardiovascular morbidity and mortality, according to research published online Sept. 24 in the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1740759 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1740760 )

Second Bone Mineral Density Test Doesn't Up Fx Prediction

TUESDAY, Sept. 24 (HealthDay News) -- For older adults, a second bone mineral density (BMD) measure after four years does not improve prediction of hip or major osteoporotic fractures, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741821#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741821 )

Diet, Diet + Exercise Better Than Exercise Alone in Knee OA

TUESDAY, Sept. 24 (HealthDay News) -- For overweight and obese adults with knee osteoarthritis (OA), 18 months of diet and diet + exercise interventions is better than an exercise only intervention, with lower knee compressive force in the diet group and lower plasma interleukin-6 (IL-6) levels in both groups, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741824#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741824 )

HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

More Information (https://www.healthcare.gov/ )

FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369431.htm )

Early Screening Tool IDs PTSD in Preschool-Aged Children

TUESDAY, Sept. 24 (HealthDay News) -- An early screening tool can be used to identify posttraumatic stress disorder (PTSD) in infants and young children shortly after unintentional injury, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0713.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0713.full.pdf+html )

Breastfeeding Concerns Prevalent Among New Mothers

TUESDAY, Sept. 24 (HealthDay News) -- Almost all new mothers experience breastfeeding concerns in the early postpartum period, and these are associated with stopping breastfeeding, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0724.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0724.full.pdf+html )

Model Can Predict Preemie Neonatal Outcome Severity

TUESDAY, Sept. 24 (HealthDay News) -- A statistical prediction model comprising eight characteristics can be used to determine the severity of neonatal outcomes for infants born at 23 to 30 weeks of gestation, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0702.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0702.full.pdf+html )

ACP Releases Guideline for Obstructive Sleep Apnea

TUESDAY, Sept. 24 (HealthDay News) -- The American College of Physicians (ACP) has developed a clinical practice guideline for the management of obstructive sleep apnea (OSA) in adults; the guideline has been published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1740756 )

Medicare Expenditure Per Patient Up for Acute MI

TUESDAY, Sept. 24 (HealthDay News) -- For patients with acute myocardial infarction (AMI), Medicare expenditures per patient increased significantly from 1998-1999 to 2008, according to research published online Sept. 23 in JAMA Internal Medicine.

Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1740698 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1740695 )

Medicare Managed Care More Apt for Nursing Home Residents

TUESDAY, Sept. 24 (HealthDay News) -- For nursing home residents with advanced dementia, Medicare managed care is associated with more appropriate, less burdensome care, according to a study published online Sept. 23 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1740697#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1740697 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1740696 )

Marriage Shown to Provide Cancer Survival Benefit

TUESDAY, Sept. 24 (HealthDay News) -- Unmarried patients are at significantly higher risk of presentation with metastatic cancer, undertreatment, and cancer-related death, according to a study published online Sept. 23 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.49.6489.abstract )Full Text (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.49.6489.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.51.5080.full.pdf+html )

Infectious Endocarditis Risk ID'd in Congenital Heart Disease

MONDAY, Sept. 23 (HealthDay News) -- For children with congenital heart disease (CHD), the risk of infectious endocarditis (IE) is 6.1 per 1,000 children, and predictors include cyanotic CHD, endocardial cushion defects, and left-sided lesions, according to a study published in the Sept. 24 issue of Circulation.

Abstract (http://circ.ahajournals.org/content/128/13/1412.abstract )Full Text (http://circ.ahajournals.org/content/128/13/1412.full )Editorial (http://circ.ahajournals.org/content/128/13/1396.full )

FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369276.htm )

USPSTF: Offer Breast CA Risk-Reducing Rx to High-Risk Patients

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that women at increased risk of breast cancer be prescribed tamoxifen or raloxifene for risk reduction, according to a final Recommendation Statement published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1740758 )

Unlike Adults, No Decline Seen in MRSA Infections in Children

MONDAY, Sept. 23 (HealthDay News) -- In contrast to decreasing incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in adults, no significant reductions in health care-associated MRSA infections, and increasing incidence of community-acquired MRSA infections, have been reported in children, according to research published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-1112.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-1112.full.pdf+html )

HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

More Information (https://www.healthcare.gov/ )

Bioethicist Discusses Targeting Parents of Obese Children

MONDAY, Sept. 23 (HealthDay News) -- Parents of obese children should be targeted in an effort to deal with a serious national problem, according to a viewpoint piece published in the September issue of JAMA Pediatrics.

Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleID=1704828 )

Use of Digoxin Ups Risk of Death in Systolic Heart Failure

MONDAY, Sept. 23 (HealthDay News) -- Digoxin therapy was independently associated with increased mortality in patients with systolic heart failure, according to research published in the September issue of Circulation: Cardiovascular Quality and Outcomes.

Abstract (http://circoutcomes.ahajournals.org/content/6/5/525.abstract )Full Text (http://circoutcomes.ahajournals.org/content/6/5/525.full )

Pap, HPV Testing Unnecessarily High in Under-21-Year-Olds

MONDAY, Sept. 23 (HealthDay News) -- For women younger than 21 years, Papanicolaou (Pap) and human papillomavirus (HPV) testing are unnecessarily high, according to a study published in the September issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378(13)00547-4/abstract )Full Text (subscription or payment may be required) (http://www.ajog.org/article/S0002-9378(13)00547-4/fulltext )

Majority of U.S. Consumers Want Full Access to EMR

MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.

More Information (http://newsroom.accenture.com/news/more-than-40-percent-of-us-consumers-willing-to-switch-physicians-to-gain-online-access-to-electronic-medical-records-according-to-accenture-survey.htm?c=hls_fy13prtwt_10000108&n=smc_0713#sf17115649g )

Racial Disparities in Functional Disability of Breast Cancer

MONDAY, Sept. 23 (HealthDay News) -- Older women with newly diagnosed non-metastatic breast cancer frequently have functional disability, with African-American (AA) women disproportionately affected, according to a study published online Sept. 23 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28232/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28232/full )

HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

More Information (https://www.healthcare.gov/ )

Statin Use Tied to Increased Risk of Cataracts

FRIDAY, Sept. 20 (HealthDay News) -- Statin users are at increased risk for cataracts, according to a study published online Sept. 19 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1739520#Abstract )Full Text (subscription or payment may be required) (http://archopht.jamanetwork.com/article.aspx?articleid=1739520 )

Monitoring Ups Adherence to Antiretroviral Prophylaxis

FRIDAY, Sept. 20 (HealthDay News) -- High adherence to oral antiretroviral pre-exposure prophylaxis is achieved when HIV serodiscordant couples receive active monitoring and counseling, according to research published online Sept. 10 in PLOS Medicine.

Full Text (http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001511 )

Metformin May Increase Risk of Cognitive Impairment

FRIDAY, Sept. 20 (HealthDay News) -- Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-0229.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-0229.full.pdf+html )

Physical Exams Commonly Lacking in Low Back Pain Care

FRIDAY, Sept. 20 (HealthDay News) -- Among adults with low back pain (LBP) visiting a physician, 43 percent report no inspection and 20 percent report no palpation at physician encounters, according to a study published in the Sept. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09150/Survey_of_Inspection_and_Palpation_Rates_Among.16.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09150/Survey_of_Inspection_and_Palpation_Rates_Among.16.aspx )

Mild Adverse Events Common With Chiropractic Care

FRIDAY, Sept. 20 (HealthDay News) -- Adverse events are common after chiropractic care, but seem to be due to non-specific effects and are mostly benign, according to a study published in the Sept. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09150/Outcomes_of_Usual_Chiropractic__The_OUCH.3.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09150/Outcomes_of_Usual_Chiropractic__The_OUCH.3.aspx )

Little Correlation Between Care Quality, Patient Experience

FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/467.abstract?sid=de84fee1-68b9-4629-9da0-445437383dab )Full Text (http://www.annfammed.org/content/11/5/467.full )

High Maternal BMI Tied to Worse Outcomes, Higher Costs

FRIDAY, Sept. 20 (HealthDay News) -- Maternal obesity is associated with considerable negative maternal and neonatal outcomes as well as substantially increased medical costs, according to research published online Sept. 18 in BJOG: An International Journal of Obstetrics and Gynaecology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12443/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12443/full )

Countries Urged to Step Up Efforts to Reduce Child Deaths

FRIDAY, Sept. 20 (HealthDay News) -- Historical trends in coverage of interventions to improve maternal, newborn, and child health indicate that targets for child and neonatal mortality will not be met by 2035, according to research published in the Sept. 21 issue of The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61748-1/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61748-1/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61942-X/fulltext )

Cost and Perceived Need Barriers to Diabetes Eye Care

FRIDAY, Sept. 20 (HealthDay News) -- Cost, lack of insurance, and no need are the most commonly cited reasons why adults with diabetes do not seek annual eye care, according to a study published online Sept. 5 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-1507.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-1507.full.pdf+html )

PSA Testing Tied to Higher Socioeconomic Status

FRIDAY, Sept. 20 (HealthDay News) -- Prostate-specific antigen testing is more likely among affluent men, according to a study published in the October issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(13)04094-9/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)04094-9/fulltext )

Lawyers File Most Isotretinoin Adverse Drug Reports

FRIDAY, Sept. 20 (HealthDay News) -- Attorneys have submitted a disproportionate number of isotretinoin-associated inflammatory bowel disease (IBD) cases to the U.S. Food and Drug Administration, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(13)00423-4/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(13)00423-4/fulltext )

Rosacea Risk Higher in Female Migraine Sufferers

FRIDAY, Sept. 20 (HealthDay News) -- There is a slight increased risk of rosacea among females with migraines, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(13)00308-3/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(13)00308-3/fulltext )

CDC: Evocative Campaign Motivates Smokers to Quit

THURSDAY, Sept. 19 (HealthDay News) -- The Tips from Former Smokers (Tips) television campaign, which features true stories of former smokers living with the unfortunate consequences of their past habit, appears to motivate smokers to seek information through quitlines and the Internet, according to a report published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6237a3.htm?s_cid=mm6237a3_w )

New Medicaid Enrollees Under ACA May Be Healthier

THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/406.full )Full Text (http://www.annfammed.org/content/11/5/406.full )Editorial 1 (http://www.annfammed.org/content/11/5/402.full )Editorial 2 (http://www.annfammed.org/content/11/5/400.full )

Fidelity to Prenatal Care Model Proves Beneficial

THURSDAY, Sept. 19 (HealthDay News) -- Maintaining fidelity to both facilitative group processes and content during administration of the CenteringPregnancy group prenatal model significantly reduces intensive utilization of care, according to a study published in the August Issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378(13)00300-1/abstract )Full Text (http://www.ajog.org/article/S0002-9378(13)00300-1/fulltext )

Increased QRS Duration on ECG Tied to Cardiovascular Mortality

THURSDAY, Sept. 19 (HealthDay News) -- Increased QRS duration on electrocardiogram (ECG) is an independent predictor of cardiovascular mortality, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(13)01057-6/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(13)01057-6/fulltext )

Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

Abstract (http://qualitysafety.bmj.com/content/22/10/809.abstract )Full Text (http://qualitysafety.bmj.com/content/22/10/809.full )Editorial (http://qualitysafety.bmj.com/content/22/10/798.full )

Phototherapy Affects Serum 25(OH)D Levels

THURSDAY, Sept. 19 (HealthDay News) -- For patients with inflammatory skin conditions, phototherapy with ultraviolet (UV) A1 radiation induces a reduction in serum 25-hydroxyvitamin D3 (25[OH]D) levels, whereas narrowband UVB (UVBnb) and UVA/UVBnb induces significant increases in serum 25(OH)D, according to a study published in the October issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(13)00539-2/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(13)00539-2/fulltext )

'Bath Salts' Involved in Nearly 23,000 ER Visits in 2011

THURSDAY, Sept. 19 (HealthDay News) -- Bath salts, a group of drugs that contain one or more chemicals related to the amphetamine-like stimulant cathinone, were involved in nearly 23,000 drug-related emergency department visits in 2011, according to a report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

More Information (http://www.samhsa.gov/data/spotlight/spot117-bath-salts-2013.pdf )

Rarely 'Too Early' for Appearance-Enhancing Procedures

THURSDAY, Sept. 19 (HealthDay News) -- The effects of appearance-enhancing procedures such as neuromodulators, fillers, and light or laser treatments have lasting effects and can rarely be used "too early," according to a viewpoint piece published online Sept. 18 in JAMA Dermatology.

Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1737181 )

Pros and Cons of Shortening Medical School Discussed

THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text - Abramson (http://www.nejm.org/doi/full/10.1056/NEJMp1304681 )Full Text - Goldfarb and Morrison (http://www.nejm.org/doi/full/10.1056/NEJMp1306457 )

Colorectal Cancer Screening Offers Lasting Benefits

WEDNESDAY, Sept. 18 (HealthDay News) -- Lower endoscopy and fecal occult-blood testing screening correlate with lasting reductions in colorectal cancer mortality, according to two studies published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text - Nishihara (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1301969?query=featured_home )Full Text - Shaukat (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1300720?query=featured_home )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1308253?query=featured_home )

Vitamin B Supplements May Reduce the Risk of Stroke

WEDNESDAY, Sept. 18 (HealthDay News) -- Vitamin B supplements may help reduce the risk of stroke, according to a meta-analysis published online Sept. 18 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/09/18/WNL.0b013e3182a823cc.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/09/18/WNL.0b013e3182a823cc.full.pdf+html )

Expansion of VA Mammography Services Impacts Care

WEDNESDAY, Sept. 18 (HealthDay News) -- Rapid expansion of mammography screening at a Veterans Affairs (VA) facility has translated to increased clinical volumes and increased time to definitive treatment, according to research published online Sept. 18 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1740708#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1740708 )

Gender Differences in Coronary Syndrome Presentation Studied

WEDNESDAY, Sept. 18 (HealthDay News) -- Chest pain is the most predominant symptom of acute coronary syndrome (ACS) in both middle-aged men and women, although women have a higher likelihood of presenting without chest pain, according to a study published online Sept. 16 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1738716#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738716 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738712 )

Binge Drinking 5+ Drinks Common in High School Seniors

WEDNESDAY, Sept. 18 (HealthDay News) -- One in five U.S. high school seniors report binge drinking at the traditionally defined 5+ drinking level in the past two weeks, according to a study published online Sept. 16 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1738765#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1738765 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1738763 )

~11 Percent of Combat Wounded Have Spinal Injuries

WEDNESDAY, Sept. 18 (HealthDay News) -- Spine injuries account for more than 11 percent of all casualties among U.S. combat-wounded military in Iraq and Afghanistan, according to a study published in the Sept. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09150/Spinal_Injuries_in_United_States_Military.15.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09150/Spinal_Injuries_in_United_States_Military.15.aspx )

Suicide Rates Increased After 2008 Global Economic Crisis

WEDNESDAY, Sept. 18 (HealthDay News) -- The 2008 global economic crisis correlated with increased rates of suicide in European and American countries, according to research published online Sept. 17 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f5239 )Editorial (http://www.bmj.com/content/347/bmj.f5612 )

Enhanced Care Program Set Up at Six Mayo Clinic Hospitals

WEDNESDAY, Sept. 18 (HealthDay News) -- A new program has been developed and implemented at six Mayo Clinic Health System hospitals to improve care and shorten hospital stays using remote monitoring, according to a press release issued by the Mayo Clinic.

More Information (http://www.mayoclinic.org/news2013-rst/7666.html )

Varenicline Safe and Effective in Those With Depression

WEDNESDAY, Sept. 18 (HealthDay News) -- Varenicline can increase smoking cessation rates in smokers with stable depression, without worsening depression or anxiety, according to a study published in the Sept. 17 issue of the Annals of Internal Medicine.

Abstract (http://annals.org/article.aspx?articleid=1738494#Abstract )Full Text (http://annals.org/article.aspx?articleid=1738494 )

Payment for Routine Office Visits Varies Substantially

WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1583.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1583.full )

EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

More Information (http://www.cdc.gov/nchs/data/databriefs/db129.htm )

Patient-Centered Diabetes Care Best in Those With High HbA1c

WEDNESDAY, Sept. 18 (HealthDay News) -- Patient-centered diabetes care is most effective when targeted to patients with HbA1c >8.5 percent, according to a study published online Aug. 15 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/12/dc12-1865.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/12/dc12-1865.full.pdf+html )

Routine Screening IDs Elderly at Risk of Mobility Limitation

TUESDAY, Sept. 17 (HealthDay News) -- Routine screening can identify older adults at risk of mobility limitation, and addressing their functional deficits with mobility devices and exercise can lead to improvement in mobility limitation, according to a review published in the Sept. 18 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1738875#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1738875 )

Unfounded Fears Prompt Prophylactic Mastectomy Choice

TUESDAY, Sept. 17 (HealthDay News) -- Among young women who undergo a bilateral mastectomy for cancer in one breast, contralateral prophylactic mastectomy (CPM) is often chosen to reduce risk of future cancer and improve survival, according to research published in the Sept. 17 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1738492 )

Chronic Care Management No Benefit for Drug Dependence

TUESDAY, Sept. 17 (HealthDay News) -- Chronic care management (CCM) is no better than usual primary care for self-reported abstinence for those with alcohol or drug dependence, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1738895#Abstract )Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1738895 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1738878 )

Livestock Industrial Agriculture Exposure Ups Odds of MRSA

TUESDAY, Sept. 17 (HealthDay News) -- Exposure to swine and dairy/veal industrial agriculture is associated with increased odds of methicillin-resistant Staphylococcus aureus (MRSA) infection; and, the incidence of health care-associated community-onset (HACO) and hospital-onset MRSA infections has decreased since 2005, according to two studies published online Sept. 16 in JAMA Internal Medicine.

Abstract - Casey (http://archinte.jamanetwork.com/article.aspx?articleid=1738717#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738717 )Abstract - Dantes (http://archinte.jamanetwork.com/article.aspx?articleid=1738718#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738718 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738714 )

Office Employees 'Too Tired' to Exercise

TUESDAY, Sept. 17 (HealthDay News) -- Barriers and enablers for good nutrition and physical activity influence employee health behaviors, according to research published online Sept. 12 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/13_0029.htm )

Care Pathway Proposed for Adolescent Depression

TUESDAY, Sept. 17 (HealthDay News) -- Researchers have gathered evidence, developed a care pathway, and identified quality indicators (QIs) for the management of adolescent depression, according to a special article published online Sept. 16 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-0600.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-0600.abstract )

Caseload Midwifery Safe and Cost-Effective for All Women

TUESDAY, Sept. 17 (HealthDay News) -- For all pregnant women, irrespective of risk factors, caseload midwifery is safe and appears to be cost-effective, according to a study published online Sept. 17 in The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61406-3/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61406-3/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61793-6/fulltext )

More Than 1.6 Million Americans Expected to Get Cancer in 2013

TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.

More Information (http://cancerprogressreport.org/2013/pages/toc.aspx )

Telomere Length Increase Lasts With Lifestyle Intervention

TUESDAY, Sept. 17 (HealthDay News) -- For men with low-risk prostate cancer, a comprehensive lifestyle intervention is associated with increased telomere length after five years of follow-up, according to a study published online Sept. 17 in The Lancet Oncology.

Abstract (http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(13)70366-8/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(13)70366-8/fulltext )

High LDL Cholesterol Remains Common Among U.S. Adults

TUESDAY, Sept. 17 (HealthDay News) -- High low-density lipoprotein (LDL) cholesterol remains common among U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(13)01058-8/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(13)01058-8/fulltext )

Detection Bias May Explain Raised Bladder CA Risk in T2DM

TUESDAY, Sept. 17 (HealthDay News) -- Early detection bias may explain the pattern of increased bladder cancer risk previously reported in patients with type 2 diabetes, according to a study published online Aug. 29 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0045.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0045.full.pdf+html )

Researchers Estimate Costs of Childhood Food Allergies

TUESDAY, Sept. 17 (HealthDay News) -- Childhood food allergies result in significant direct medical costs for the U.S. health care system and even larger total costs for families of food-allergic children, according to a study published online Sept. 16 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1738764#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1738764 )

Principles Underlying Team-Based Health Care Discussed

MONDAY, Sept. 16 (HealthDay News) -- The principles underlying the framework for a team-based model of primary health care have been established in a position paper from the American College of Physicians (ACP) published online Sept. 17 in the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1737233 )Editorial 1 (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1737234 )Editorial 2 (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1737235 )Editorial 3 (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1737236 )

Health Insurance Disparities for Children of Same-Sex Parents

MONDAY, Sept. 16 (HealthDay News) -- For children with same-sex parents, disparities in private health insurance are attenuated when they live in states that protect their legal relationship to both parents, according to research published online Sept. 16 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-0988.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-0988.full.pdf+html )

CDC Report Sheds Light on Antibiotic-Resistant Infections

MONDAY, Sept. 16 (HealthDay News) -- Antibiotic-resistant infections claim the lives of 23,000 people in the United States every year and take a tremendous financial toll on the already overburdened health care system, according to a report issued Sept. 16 by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/media/releases/2013/p0916-untreatable.html )

Americans Living Longer, Healthier Lives

MONDAY, Sept. 16 (HealthDay News) -- Health surveys show that quality-adjusted life expectancy has increased by about two years in U.S. adults over the past 20 years, according to research published online Sept. 12 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )

Racial Composition of Residents Tied to Nursing Home Quality

MONDAY, Sept. 16 (HealthDay News) -- The racial composition of nursing home residents has an influence on financial and quality performance, according to a study published online June 26 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12079/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12079/full )

More Than 150 Measles Cases in U.S. Through August 2013

MONDAY, Sept. 16 (HealthDay News) -- From Jan. 1 to Aug. 24, 2013, there were 159 cases of measles in 16 states in the United States, mainly resulting from eight outbreaks, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6236a2.htm )

U.S. Teens Have Improved Health Behaviors, but BMI Up

MONDAY, Sept. 16 (HealthDay News) -- Improvements were observed in obesity-related behaviors of U.S. adolescents between 2001 and 2009, but further research is needed to explain the increase seen in body mass index (BMI) during the same time period, according to research published online Sept. 16 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-1488.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-1488.full.pdf+html )

Analysis Confirms Bullying, Health Issues Link in Children

MONDAY, Sept. 16 (HealthDay News) -- Results of a recent meta-analysis confirm previous findings that being bullied is associated with psychosomatic problems in school-aged children; the research has been published online Sept. 16 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-0614.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-0614.full.pdf+html )

Kids With Neuro Disorders No More Likely to Get Flu Vaccine

MONDAY, Sept. 16 (HealthDay News) -- Although children with neurologic conditions are at high risk for complications of influenza infection, only half were vaccinated during the 2011 to 2012 influenza season, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6236a3.htm?s_cid=mm6236a3_w )

Hypoglycemia Unawareness Takes Toll on Families

MONDAY, Sept. 16 (HealthDay News) -- Family members of patients with type 1 diabetes and hypoglycemia unawareness often need support, according to a study published online Aug. 29 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-1154.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-1154.full.pdf+html )

Cinnamon Cuts Blood Glucose Levels in Diabetes Patients

MONDAY, Sept. 16 (HealthDay News) -- Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/452.abstract )Full Text (subscription or payment may be required) (http://www.annfammed.org/content/11/5/452.full )

High Burden of Endocarditis in Older Adults

FRIDAY, Sept. 13 (HealthDay News) -- The 2007 American Heart Association guidelines recommending a restriction of antibiotic prophylaxis have not increased the rates of hospitalization or adjusted mortality for endocarditis among Medicare beneficiaries, although the burden of endocarditis is high, according to a study published online Aug. 28 in the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1732398 )

Stress Reduction Program Reduces Teacher Burnout

FRIDAY, Sept. 13 (HealthDay News) -- Teachers show improvements in burnout, psychological symptoms, and classroom performance after participating in an eight-week stress reduction intervention modified specifically for their profession, according to a study published in the September issue of Mind, Brain, and Education.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/mbe.12026/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/mbe.12026/full )

Cervical Spine Range of Motion May Affect Postural Stability

FRIDAY, Sept. 13 (HealthDay News) -- In adults with neck pain, those with asymmetry in the range of motion (ROM) of the upper cervical spine (UCS) have increased postural sway compared with those with symmetry, but postural function does not differ between the groups, according to research published in the Sept. 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09010/The_Influence_of_Cervical_Spine_Flexion_Rotation.6.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09010/The_Influence_of_Cervical_Spine_Flexion_Rotation.6.aspx )

Gun Ownership Levels Linked to Firearm Homicide Rates

FRIDAY, Sept. 13 (HealthDay News) -- Higher levels of gun ownership are associated with increased firearm homicide rates, according to a study published online Sept. 12 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301409 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301409 )

Score Predicts Diabetes Remission After Gastric Bypass

FRIDAY, Sept. 13 (HealthDay News) -- A novel score based on four preoperative variables can predict the likelihood of type 2 diabetes remission following Roux-en-Y gastric bypass (RYGB) surgery, according to a study published online Sept. 13 in The Lancet Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70070-6/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70070-6/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70108-6/fulltext )

Review Questions Energy Drink Manufacturers Role in Research

FRIDAY, Sept. 13 (HealthDay News) -- The role of energy drink manufacturers in funding of research may be cause for concern, according to a Views & Reviews piece published online Sept. 12 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f5345 )

Community-Level Intervention Cuts Antibiotic Prescribing

FRIDAY, Sept. 13 (HealthDay News) -- A community-level intervention targeting residents and health care professionals can influence antibiotic prescribing for outpatients, according to a study published online Sept. 12 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f5391 )

Farmers' Market Coupons Up Produce Purchases for Poor

FRIDAY, Sept. 13 (HealthDay News) -- Health Bucks, a farmers' market incentive coupon program, increases access to produce in low-income communities, according to research published online Aug. 29 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/12_0285.htm )

Nearly a Third of Vaccines at Pharmacies Given Off-Hours

FRIDAY, Sept. 13 (HealthDay News) -- Almost one-third of vaccinations given to adults at community pharmacies are administered during off-clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/429.abstract )Full Text (subscription or payment may be required) (http://www.annfammed.org/content/11/5/429.full )

IOM Urges Coordinated Research Enterprise for Child Abuse

FRIDAY, Sept. 13 (HealthDay News) -- Although child abuse rates appear to be declining, the complexity of child abuse and neglect necessitates development of a coordinated research enterprise, according to a report published Sept. 12 by the Institute of Medicine.

More Information (http://www.iom.edu/Reports/2013/New-Directions-in-Child-Abuse-and-Neglect-Research.aspx )

Inverse Link for Dental Caries, Head/Neck Squamous Cell CA

FRIDAY, Sept. 13 (HealthDay News) -- Dental caries, crowns, and endodontic treatments are inversely associated with head and neck squamous cell carcinoma (HNSCC), according to a study published online Sept. 12 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1736930#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1736930 )

Residual Sleep Apnea Common After Adenotonsillectomy

FRIDAY, Sept. 13 (HealthDay News) -- For children younger than 3 years with obstructive sleep apnea (OSA), residual OSA is relatively common after adenotonsillectomy (T&A), according to a study published online Sept. 12 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1736931#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1736931 )

Elective Induction at Term Tied to Lower Odds of Cesarean

THURSDAY, Sept. 12 (HealthDay News) -- Compared with expectant management, elective induction at term (37 to 40 weeks of gestation) is associated with reduced likelihood of cesarean delivery, according to a study published online Sept. 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Elective_Induction_of_Labor_at_Term_Compared_With.99690.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Elective_Induction_of_Labor_at_Term_Compared_With.99690.aspx )

FDA OKs Botox As Temporary Treatment for Crow's Feet

THURSDAY, Sept. 12 (HealthDay News) -- The U.S. Food and Drug Administration approval for Botox Cosmetic (onabotulinumtoxinA) has been expanded to include moderate-to-severe lateral canthal lines, or "crow's feet."

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm367662.htm )

Most Children in U.S. Receiving Recommended Vaccinations

THURSDAY, Sept. 12 (HealthDay News) -- Most children in the United States are being immunized against vaccine-preventable diseases at the nationally accepted target rate, but coverage lags in some states and in children whose family incomes fall at or below the federal poverty level, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6236a1.htm?s_cid=mm6236a1_w )

Mediterranean Diet Tied to Less Age-Related Cognitive Decline

THURSDAY, Sept. 12 (HealthDay News) -- Greater adherence to a Mediterranean diet is associated with slower cognitive decline in older adults, according to a review published in the July issue of Epidemiology.

Abstract (http://journals.lww.com/epidem/Abstract/2013/07000/Mediterranean_Diet,_Cognitive_Function,_and.1.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/epidem/Abstract/2013/07000/Mediterranean_Diet,_Cognitive_Function,_and.1.aspx )

U.K. Nursing Students Report Seeing Lax Infection Control

THURSDAY, Sept. 12 (HealthDay News) -- U.K. nursing students report a solid understanding of infection control policies and compliance, or lack thereof, based on preclinical classroom instruction, according to a study published in the September issue of the American Journal of Infection Control.

Abstract (http://www.ajicjournal.org/article/S0196-6553(13)00187-9/abstract )Full Text (http://www.ajicjournal.org/article/S0196-6553(13)00187-9/fulltext )

ER Visits After Surgery Fairly Common in Medicare Patients

THURSDAY, Sept. 12 (HealthDay News) -- About 20 percent of Medicare patients discharged following six common inpatient surgeries visit the emergency department within 30 days, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1600.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1600.full )

Questions Remain About Effect of Exercise on Depression

THURSDAY, Sept. 12 (HealthDay News) -- Although more trials have been conducted on the effect of exercise in treating depression since the previous Cochrane review in 2009, the evidence is inconclusive, and further larger trials are needed, according to research published online Sept. 12 in The Cochrane Library.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004366.pub6/abstract;jsessionid=67ECBAB287DBC9098FBF6AD4CE92F27F.d04t01 )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004366.pub6/full )

Mindfulness Training Beneficial for Clinicians, Patients

THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.

Abstract - Fortney (http://www.annfammed.org/content/11/5/412.abstract )Full Text (http://www.annfammed.org/content/11/5/412.full )Abstract - Beach (http://www.annfammed.org/content/11/5/421.abstract )Full Text (http://www.annfammed.org/content/11/5/421.full )

Insulin Status Impacts Weight-Loss-Associated Vascular Gains

THURSDAY, Sept. 12 (HealthDay News) -- The positive vascular effects of weight reduction in obese patients are partially determined by insulin status, according to a study published online Sept. 4 in the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1734978 )Editorial (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1734982 )

Whole-Body MRI Helps Predict CVD Burden in Diabetes Patients

THURSDAY, Sept. 12 (HealthDay News) -- Whole-body magnetic resonance imaging (MRI) predicts cardiac and cerebrovascular disease burden in patients with diabetes mellitus (DM), according to a study published online Sept. 10 in Radiology.

Abstract (http://radiology.rsna.org/content/early/2013/08/28/radiol.13130371.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/08/28/radiol.13130371.full )

Inclusion of ABI May Better Identify Vascular Disease

WEDNESDAY, Sept. 11 (HealthDay News) -- Inclusion of the ankle/brachial index (ABI) may better identify vascular disease in patients with non-valvular atrial fibrillation (NVAF), according to a study published online Aug. 14 in the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1729171 )

Women May Benefit More From Interval Training

WEDNESDAY, Sept. 11 (HealthDay News) -- For running, women may benefit more from high intensity interval training (HIIT), according to a study published in the September issue of the Journal of Strength and Conditioning Research.

Abstract (http://journals.lww.com/nsca-jscr/Abstract/publishahead/Sex_specific_responses_to_self_paced,.97714.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/nsca-jscr/Abstract/publishahead/Sex_specific_responses_to_self_paced,.97714.aspx )

Episodic Migraines Linked to Obesity

WEDNESDAY, Sept. 11 (HealthDay News) -- The odds of episodic migraine (EM) are increased in obese individuals, compared to normal-weight individuals, according to a study published online Sept. 11 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/09/11/WNL.0b013e3182a824f7.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/09/11/WNL.0b013e3182a824f7.full.pdf+html )

Some Low-T Symptoms May Be Due to Low Estradiol in Men

WEDNESDAY, Sept. 11 (HealthDay News) -- Declines in testosterone levels as well as deficiencies in estradiol account for the clinical manifestations of testosterone deficiency in men, according to a study published in the Sept. 12 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1206168?query=featured_home )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1305307?query=featured_home )

Poorer Outcomes After Non-Cardiac Surgery in DM

WEDNESDAY, Sept. 11 (HealthDay News) -- For patients undergoing non-cardiac surgery, diabetes is associated with adverse perioperative complications and mortality, according to a study published online Aug. 29 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0770.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0770.full.pdf+html )

Autonomic Dysfunction Predicts Cardiovascular Events in T2DM

WEDNESDAY, Sept. 11 (HealthDay News) -- Autonomic dysfunction predicts cardiovascular events for patients with type 2 diabetes; and, the presence of cardiovascular autonomic neuropathy (CAN) predicts severe hypoglycemia (SH) in type 2 diabetes, according to two studies published online Aug. 19 in Diabetes Care.

Abstract - Karjalaine (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1072.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1072.full.pdf+html )Abstract - Yun (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1164.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1164.full.pdf+html )

Combo Therapy Not Superior for Severe Alcoholic Hepatitis

WEDNESDAY, Sept. 11 (HealthDay News) -- Combination therapy with pentoxifylline and prednisolone, compared with prednisolone alone, does not result in a higher rate of six-month survival in patients with alcoholic hepatitis, according to research published in the Sept. 11 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1737041#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737041 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737025 )

Experts Address California Breast Density Notification Law

WEDNESDAY, Sept. 11 (HealthDay News) -- A team of California-based breast imaging experts have developed a website and strategy in response to impending breast density notification laws, according to a special report published online Sept. 10 in Radiology.

Abstract (http://radiology.rsna.org/content/early/2013/08/28/radiol.13131217.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/08/28/radiol.13131217.full )

Being at Healthy Weight, Active Could Halve Endometrial Cancers

WEDNESDAY, Sept. 11 (HealthDay News) -- Being at a healthy weight and being physically active could prevent more than half of all cases of endometrial cancer in the United States, according to a report published Sept. 10 by the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR).

More Information (http://www.aicr.org/assets/docs/pdf/reports/2013-cup-endometrial-cancer.pdf )

Almost 17 Percent of Women Obese Nine Months Post-Delivery

WEDNESDAY, Sept. 11 (HealthDay News) -- Obesity occurs among about 17 percent of women nine months following delivery, and is associated with increasing parity in socioeconomically disadvantaged women, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378%2813%2900383-9/abstract )Full Text (subscription or payment may be required) (http://www.ajog.org/article/S0002-9378%2813%2900383-9/fulltext )

Peds Revisit Rates Not Good Indicator of Hospital Quality

WEDNESDAY, Sept. 11 (HealthDay News) -- Compared with average performance, few hospitals caring for children are identified as low- or high-performers by condition-specific revisit rates, likely because of low hospital volumes, according to research published in the September issue of Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/132/3/429.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/132/3/429.full )

Alcohol Consumption Prevalent in Early Pregnancy in Ireland

WEDNESDAY, Sept. 11 (HealthDay News) -- Alcohol consumption, including binge drinking, is common during early pregnancy among women in Ireland, according to a study published online Sept. 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Association_Between_Maternal_Alcohol_Consumption.99692.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Association_Between_Maternal_Alcohol_Consumption.99692.aspx )

Maternal Opioid Use Ups Risk of Neural Tube Defects

WEDNESDAY, Sept. 11 (HealthDay News) -- A higher rate of periconceptional opioid use has been observed among mothers of infants with neural tube defects, according to research published online Sept. 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Periconceptional_Use_of_Opioids_and_the_Risk_of.99689.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Periconceptional_Use_of_Opioids_and_the_Risk_of.99689.aspx )

FDA Stipulates Safety Label Update for Opioid Analgesics

TUESDAY, Sept. 10 (HealthDay News) -- In an attempt to reduce the risks of misuse, abuse, addiction, and other complications associated with extended-release and long-acting (ER/LA) opioid pain relievers, the U.S. Food and Drug Administration is requiring changes to safety labeling as well as post-market studies of the drugs.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm367726.htm )

Individual Physician-Level Incentives Improve BP Control

TUESDAY, Sept. 10 (HealthDay News) -- Individual physician-level financial incentives are associated with greater blood pressure control or appropriate response to uncontrolled blood pressure, but neither physician-level nor practice-level incentives result in greater use of guideline-recommended medications, according to a study published in the Sept. 11 issue of the Journal of the American Medical Association.

Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1737042 )

Performance-for-Pay Incentives Improve Cardiovascular Care

TUESDAY, Sept. 10 (HealthDay News) -- Performance-for-pay (P4P) incentives correlate with improvements in cardiovascular health care quality in electronic health record (EHR)-enabled small primary care clinics; and, EHR use is associated with less health care utilization among patients with diabetes, according to two studies published in the Sept. 11 issue of the Journal of the American Medical Association.

Abstract - Bardach (http://jama.jamanetwork.com/article.aspx?articleid=1737044#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737044 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737026 )Abstract - Reed (http://jama.jamanetwork.com/article.aspx?articleid=1737043#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737043 )

Intervention in Home Routines May Improve Child Health

TUESDAY, Sept. 10 (HealthDay News) -- A home-based intervention to encourage healthy habits, such as family meals, adequate sleep, and limited television time, may offer an approach to preventing child obesity in low-income families, according to research published online Sept. 9 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1735654#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1735654 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1735652 )

Prevalence of Hospitalization Due to Hypertensive Disease Up

TUESDAY, Sept. 10 (HealthDay News) -- From 1980 to 2007, the prevalence of hospitalization attributable to hypertensive disease increased for U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(13)01067-9/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(13)01067-9/fulltext )

Measures of Glucose and its Variability Are Inter-Related

TUESDAY, Sept. 10 (HealthDay News) -- Hemoglobin A1c (HbA1c) and glycated albumin (GA) are inter-related and correlate with retinopathy and nephropathy, while only HbA1c correlates with cardiovascular disease, according to a study published online Aug. 29 in Diabetes.

Abstract (http://diabetes.diabetesjournals.org/content/early/2013/08/27/db13-0782.abstract )Full Text (subscription or payment may be required) (http://diabetes.diabetesjournals.org/content/early/2013/08/27/db13-0782.full.pdf+html )

Treatment in Critical Care Often Perceived As Futile

TUESDAY, Sept. 10 (HealthDay News) -- Intensive care unit (ICU) treatment is frequently perceived as futile by critical care specialists, and entails considerable costs, according to a study published online Sept. 9 in JAMA Internal Medicine.

Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1735897 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1735891 )

Cardiac Imaging Not Useful for Screening Healthy Athletes

TUESDAY, Sept. 10 (HealthDay News) -- The prognostic value of using cardiac imaging to screen healthy athletes is uncertain, according to research published in the Sept. 1 issue of the Journal of the American College of Cardiology: Cardiovascular Imaging.

Full Text (subscription or payment may be required) (http://imaging.onlinejacc.org/article.aspx?articleid=1735748 )

Medicaid Funded Almost Half of All U.S. Births in 2010

TUESDAY, Sept. 10 (HealthDay News) -- In 2010, Medicaid funded nearly half of all births in the United States, according to a study published in the September issue of Women's Health Issues.

Abstract (http://www.whijournal.com/article/S1049-3867(13)00055-8/abstract )Full Text (http://www.whijournal.com/article/S1049-3867(13)00055-8/fulltext )

About Half of Health Care Providers Are 'Digital Omnivores'

TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.

More Information (http://www.epocrates.com/oldsite/statistics/2013%20Epocrates%20Mobile%20Trends%20Report_FINAL.pdf )

Radiographic Findings Mirror Clinical Severity in H7N9 Flu

TUESDAY, Sept. 10 (HealthDay News) -- In patients with novel avian-origin influenza A H7N9 virus infection, radiological findings mirror the severity of the clinical presentation, according to a study published in the September issue of Radiology.

Abstract (http://radiology.rsna.org/content/268/3/882.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/268/3/882.full )

AHA Defines 'Severely Obese' As New Risk Category for Youth

MONDAY, Sept. 9 (HealthDay News) -- Severely obese is a newly defined class of risk which characterizes about 5 percent of U.S. children and teens, according to an American Heart Association (AHA) scientific statement published online Sept. 9 in Circulation.

Abstract (http://circ.ahajournals.org/content/early/2013/09/09/CIR.0b013e3182a5cfb3.abstract )Full Text (http://circ.ahajournals.org/content/early/2013/09/09/CIR.0b013e3182a5cfb3.full.pdf+html )

Cardiac Risk Assessed in Adult Survivors of Childhood Cancer

MONDAY, Sept. 9 (HealthDay News) -- Modifiable cardiovascular risk factors, particularly hypertension, add to the treatment-associated risk of major cardiac events in adult survivors of childhood cancer, according to research published online Sept. 3 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/09/03/JCO.2013.49.3205.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/09/03/JCO.2013.49.3205.full.pdf+html )

Non-Medical Use of Prescription Drugs Drops in Young Adults

MONDAY, Sept. 9 (HealthDay News) -- In its latest report, 2012 National Survey on Drug Use and Health, the Substance Abuse and Mental Health Services Administration (SAMHSA) describes the use of illicit drugs, alcohol, and tobacco in the teen and adult civilian population of the United States.

More Information (http://www.samhsa.gov/data/NSDUH/2012SummNatFindDetTables/index.aspx?from=carousel&position=1&date=09052013 )

Anxiety, Fear of Pain Predict Chronic, Post-Surgery Pain

MONDAY, Sept. 9 (HealthDay News) -- State anxiety, psychological measures of amplification of pain, and acute postoperative pain independently predict post-surgical pain at three months, according to a study published in the August issue of The Journal of Pain.

Abstract (http://www.jpain.org/article/S1526-5900%2813%2900906-1/abstract )Full Text (subscription or payment may be required) (http://www.jpain.org/article/S1526-5900(13)00906-1/fulltext )

'Meaningful Use' Achievement Not Uniform Across Hospitals

MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1355?=right )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1355.full )

High Cholesterol Ups MI Risk More in Men Than Women

MONDAY, Sept. 9 (HealthDay News) -- Dyslipidemia seems to be more dangerous for men than women with regard to acute myocardial infarction (AMI) risk, according to a study published in the September issue of Epidemiology.

Abstract (http://journals.lww.com/epidem/Abstract/2013/09000/Risk_of_Acute_Myocardial_Infarction__Dyslipidemia.3.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/epidem/Abstract/2013/09000/Risk_of_Acute_Myocardial_Infarction__Dyslipidemia.3.aspx )

Program Helps Patients Quit Smoking Before Surgery

MONDAY, Sept. 9 (HealthDay News) -- A smoking cessation intervention offered in a preadmission clinic is associated with decreased rates of smoking on the day of surgery and 30 days postoperatively, according to research published in the September issue of Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/117/3/605.abstract )Full Text (http://www.anesthesia-analgesia.org/content/117/3/605.full )

Most Physicians Report Being Satisfied With Career Choice

MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.

More Information (http://www.physicianspractice.com )

Social Networking Can Help to Improve HIV Prevention

MONDAY, Sept. 9 (HealthDay News) -- Social networking seems to be an effective tool for increasing HIV testing among at-risk populations, according to a study published in the Sept. 3 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleID=1733276 )

CDC: U.S. Birth Rate Essentially Unchanged in 2012

MONDAY, Sept. 9 (HealthDay News) -- In 2012, the U.S. birth rate was essentially unchanged, but decreases were noted in the rates for teenagers and women in their early 20s, according to a report published Sept. 6 by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_05.pdf )

Obese Teens Can Also Develop Eating Disorders

MONDAY, Sept. 9 (HealthDay News) -- Obese adolescents are at risk of eating disorders, which can go unrecognized due to their higher weight status, according to a case report published online Sept. 9 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2012-3940.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2012-3940.full.pdf+html )

Adoption Linked to Increased Risk of Suicide Attempts

MONDAY, Sept. 9 (HealthDay News) -- Adopted offspring have increased odds of a reported suicide attempt, even after adjustment for factors associated with suicidal behavior, according to a study published online Sept. 9 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2012-3251.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2012-3251.full.pdf+html )

E-Cigarettes Modestly Effective for Helping Smokers Quit

MONDAY, Sept. 9 (HealthDay News) -- Electronic cigarettes (e-cigarettes) are modestly effective for helping smokers quit; and, a three-month television antismoking campaign is effective for increasing quit attempts, according to two studies published online Sept. 9 in The Lancet.

Abstract - Bullen (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61842-5/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61842-5/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61534-2/fulltext )Abstract - McAfee (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61686-4/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61686-4/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61839-5/fulltext )

Young Women With Fatal Breast Cancer Are Mostly Unscreened

MONDAY, Sept. 9 (HealthDay News) -- Most breast cancer deaths occur in unscreened women, according to a study published online Sept. 9 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28199/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28199/full )

Parental Tongue-Lashing Aggravates Teen Misbehavior

FRIDAY, Sept. 6 (HealthDay News) -- Harsh verbal discipline of children at age 13 by parents is linked with an increase in adolescent conduct problems and depressive symptoms, according to research published online Sept. 4 in Child Development.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/cdev.12143/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/cdev.12143/full )

Study of Topical Corticosteroid Use in Pregnancy Reassuring

FRIDAY, Sept. 6 (HealthDay News) -- Topical maternal exposure to corticosteroids during pregnancy is not associated with orofacial cleft, preterm delivery, fetal death, low Apgar score, and mode of delivery, however, low birth weight does correlate with increasing quantity of high potency exposure, according to a study published online Sept. 4 in JAMA Dermatology.

Full Text (http://archderm.jamanetwork.com/article.aspx?articleid=1735120 )

More Asthma Hospitalizations in Middle-Aged Women Than Men

FRIDAY, Sept. 6 (HealthDay News) -- In the fifth to sixth decades of life, women have a significantly higher hospitalization rates for asthma compared to men, according to research published in the September issue of the Annals of Allergy, Asthma & Immunology.

Abstract (http://www.annallergy.org/article/S1081-1206(13)00418-3/abstract )Full Text (subscription or payment may be required) (http://www.annallergy.org/article/S1081-1206(13)00418-3/fulltext )

Functional Outcome Explored in Those at Risk for Psychosis

FRIDAY, Sept. 6 (HealthDay News) -- Measures of social and role functioning predict functional outcome in those at clinical high risk for psychosis, and poor functional outcome is not entirely dependent on conversion to full-blown disease, according to research published online Sept. 4 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733251#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733251 )

Electronic Cigarettes Gaining in Popularity Among Youths

FRIDAY, Sept. 6 (HealthDay News) -- The impact of electronic cigarettes, also known as e-cigarettes, on those who use them is still unknown, but one thing is clear -- their popularity among U.S. youths has doubled in recent years, according to a report published in the Sept. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6235a6.htm?s_cid=mm6235a6_w )

Gestational Diabetes Tied to Increased Sleep Apnea Risk

FRIDAY, Sept. 6 (HealthDay News) -- There is a strong association between gestational diabetes mellitus (GDM) and obstructive sleep apnea (OSA), according to a study published online Aug. 21 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/08/20/jc.2013-2348.abstract )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/08/20/jc.2013-2348.full.pdf+html )

Telephone-Based Care Ups Pediatric Diabetes Management

FRIDAY, Sept. 6 (HealthDay News) -- Telephone-based care for pediatric diabetes management is a cost-effective approach to reducing care disparities, according to research published online Aug. 19 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1041.abstract?sid=d6be7a06-c8f9-40fb-ad57-24977bc2fcb9 )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1041.full.pdf+html )

Physicians Rarely Remind Patients to Use Sunscreen

FRIDAY, Sept. 6 (HealthDay News) -- Physicians very rarely educate patients regarding the use of sunscreen and sun-protective behaviors, according to a study published online Sept. 4 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1735118#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1735118 )

Researchers Find Online Scoliosis Info Is Poor Quality

FRIDAY, Sept. 6 (HealthDay News) -- The quality of web-based information on scoliosis is poor, according to a study published in the Aug. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/08150/An_Evaluation_of_Web_Sites_Recommended_by_UK_NHS.10.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/08150/An_Evaluation_of_Web_Sites_Recommended_by_UK_NHS.10.aspx )

Drug Non-Adherence Linked to Greater Pediatric Health Care Use

THURSDAY, Sept. 5 (HealthDay News) -- In children and adolescents with chronic medical conditions, medication non-adherence is associated with greater health care use, including more hospitalizations and visits to the emergency department, according to a study published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1451.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1451.full.pdf+html )

Maternal PTSD Tied to Increased Risk of Child Abuse

THURSDAY, Sept. 5 (HealthDay News) -- Mothers with posttraumatic stress disorder (PTSD) due to events such as serious accidents, assaults, war, or natural disasters are more likely to mistreat their children, even more than mothers with depression, according to a study published online Sept. 2 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1734463 #Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1734463 )

CDC: U.S. Drinking Water Sanitation Still a Concern

THURSDAY, Sept. 5 (HealthDay News) -- Sanitation and water management in the United States has improved, but potentially preventable outbreaks of drinking water-associated disease, sometimes fatal, still occur, according to a report published in the Sept. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6235a3.htm?s_cid=mm6235a3_w )

Moderate Exercise Doesn't Up Risk of Knee Osteoarthritis

THURSDAY, Sept. 5 (HealthDay News) -- Middle-aged adults who participate in moderate weekly physical activity do not increase their risk of knee osteoarthritis, according to a study published online Aug. 27 in Arthritis Care & Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/acr.22120/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/acr.22120/pdf )

Steroids Effective Short Term for Carpal Tunnel Syndrome

THURSDAY, Sept. 5 (HealthDay News) -- Methylprednisolone injections relieve symptoms of carpal tunnel syndrome in the short term, but most patients still have surgery at one year, according to a study published in the Sept. 3 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1733275 )

Continuation Phase Cognitive Therapy Beneficial in Depression

THURSDAY, Sept. 5 (HealthDay News) -- For patients with major depressive disorder, continuation phase cognitive therapy (C-CT) and fluoxetine prevent relapse; and, a cognitive behavioral prevention (CBP) program provides lasting benefits for some adolescents at risk for depressive disorders, according to two studies published online Sept. 4 in JAMA Psychiatry.

Abstract - Jarrett (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733252#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733252 )Abstract - Beardslee (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733254#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733254 )

Intervention for NICU Moms Reduces Their Trauma, Anxiety

THURSDAY, Sept. 5 (HealthDay News) -- An intervention aimed at reducing parental trauma and redefining the parental experience for those with very premature newborns is both feasible and cost-effective, according to a study published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1331 )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1331.full.pdf+html )

Processing Speed Drops After Medulloblastoma Diagnosis

THURSDAY, Sept. 5 (HealthDay News) -- Among key cognitive functions, processing speed (PS) shows the poorest outcomes five years after diagnosis of pediatric medulloblastoma, according to a study published online Aug. 26 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/08/22/JCO.2012.47.4775.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/08/22/JCO.2012.47.4775.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/08/22/JCO.2013.51.0578 )

Low Cardiovascular Fitness Early in Life Linked to Later Epilepsy

WEDNESDAY, Sept. 4 (HealthDay News) -- Low cardiovascular fitness early in life is associated with an increased risk of epilepsy later in life, according to a study published online Sept. 4 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/09/04/WNL.0b013e3182a4a4c0.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/09/04/WNL.0b013e3182a4a4c0.full.pdf+html )

Door-to-Balloon Times Have Improved in Primary PCI

WEDNESDAY, Sept. 4 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention (PCI), despite improvement in door-to-balloon times there has been no change in in-hospital mortality, according to a study published in the Sept. 5 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1208200?query=featured_home )

Low-Dose CT Lung Screening More Sensitive Than Radiography

WEDNESDAY, Sept. 4 (HealthDay News) -- Low-dose computed tomography (CT) lung screening is more sensitive than radiography, and predictors of cancer on low-dose CT have been identified, according to two studies published in the Sept. 5 issue of the New England Journal of Medicine.

Full Text - Aberle (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1208962?query=featured_home )Full Text - McWilliams (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1214726?query=featured_home )

Immunization Schedules Don't Impact PCV13 Immunogenicity

WEDNESDAY, Sept. 4 (HealthDay News) -- The immunogenicity of 13-valent pneumococcal conjugate vaccine (PCV13) is not significantly different for most serotypes when administered according to four different primary immunization schedules, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1734703#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734703 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734679 )

Even Short Bouts of Higher-Intensity Activity Are Beneficial

WEDNESDAY, Sept. 4 (HealthDay News) -- Even short bouts of higher-intensity physical activity (PA) of less than 10 minutes are beneficial for prevention of weight gain, according to a study published online Sept. 1 in the American Journal of Health Promotion.

Abstract (http://www.ajhpcontents.com/doi/abs/10.4278/ajhp.120606-QUAL-286?journalCode=hepr )Full Text (subscription or payment may be required) (http://www.ajhpcontents.com/doi/pdf/10.4278/ajhp.120606-QUAL-286 )

AAP Updates Recommendations for Flu Prevention in Children

WEDNESDAY, Sept. 4 (HealthDay News) -- Recommendations for routine use of seasonal influenza vaccine in children have been updated, according to an American Academy of Pediatrics (AAP) policy statement published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-2377.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-2377.full.pdf+html )

Major Health Care-Linked Infections Cost $9.8 Billion

WEDNESDAY, Sept. 4 (HealthDay News) -- The total annual cost associated with the five major health care-associated infections (HAIs) is $9.8 billion, according to a meta-analysis published online Sept. 2 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1733452#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733452 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733445 )

Only Half of Hypertensive Adults Aware of Diagnosis

WEDNESDAY, Sept. 4 (HealthDay News) -- Among adults in 17 countries of varying incomes, only about half with hypertension are aware of the diagnosis, and among those treated, only about a third achieve blood pressure control, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1734702#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734702 )

Medication Adherence Up With Fixed Dose Combo Strategy

WEDNESDAY, Sept. 4 (HealthDay News) -- For patients with or at high risk of cardiovascular disease (CVD), a fixed-dose combination (FDC) strategy for antiplatelet, statin, and blood pressure lowering medications is associated with improved medication adherence and with reductions in systolic blood pressure (SBP) and low-density lipoprotein cholesterol (LDL-C), according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1734704 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734680 )

Low Rates of Gastrointestinal Bleeding Post-Lumbar Fusion

WEDNESDAY, Sept. 4 (HealthDay News) -- The rates of gastrointestinal (GI) hemorrhage complications are very low following lumbar fusion surgery, but are associated with greater costs and mortality, according to a study published in the Aug. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/08150/Incidence_and_Risk_Factors_for_Gastrointestinal.9.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/08150/Incidence_and_Risk_Factors_for_Gastrointestinal.9.aspx )

Excess HRT-Tied Breast Cancer Risk Varies With Race, BMI

WEDNESDAY, Sept. 4 (HealthDay News) -- The increased risk of breast cancer among users of hormone replacement therapy (HRT) varies by race/ethnicity, body mass index (BMI), and breast density, according to a study published online Sept. 3 in the Journal of the National Cancer Institute.

Abstract (http://jnci.oxfordjournals.org/content/early/2013/08/26/jnci.djt207.abstract )Full Text (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/08/26/jnci.djt207.full )Editorial (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/08/26/jnci.djt239.extract )

Male-Female Physician Earnings Gap Has Persisted for 20 Years

TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733450 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733448 )

Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy

TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1731967#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731967 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731959 )

CDC: 200,000 Avoidable Deaths From Cardiovascular Disease

TUESDAY, Sept. 3 (HealthDay News) -- There were about 200,000 avoidable deaths from cardiovascular disease in 2010 in the United States, with deaths occurring disproportionately among those over 65 years old, males, non-Hispanic blacks, and those in the South, according to a report published in the Sept. 3 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm62e0903a1.htm?s_cid=mm62e0903a1_w )

USPSTF: Evidence Lacking for Ankle Brachial Index Screening

TUESDAY, Sept. 3 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of use of the ankle-brachial index (ABI) for screening for peripheral artery disease and for predicting cardiovascular disease risk, according to an evidence review and recommendation statement published in the Sept. 3 issue of the Annals of Internal Medicine.

Full Text - Evidence Review (http://annals.org/article.aspx?articleid=1733278 )Full Text - Recommendation Statement (http://annals.org/article.aspx?articleid=1733279 )Editorial (http://annals.org/article.aspx?articleid=1733280 )

No Link Found Between Various Insulins and Breast Cancer

TUESDAY, Sept. 3 (HealthDay News) -- Various types of insulins are not associated with breast cancer risk, according to a study published online Aug. 15 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/12/dc13-0695.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/12/dc13-0695.full.pdf+html )

Male Teens and Children at Higher Risk of Death Than Female Peers

TUESDAY, Sept. 3 (HealthDay News) -- Males have a higher likelihood of death from injuries and a variety of medical conditions than females among those under 20 years old, according to a study published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0339.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0339.full.pdf+html )

Parental Goals Impact ADHD Treatment Preference

TUESDAY, Sept. 3 (HealthDay News) -- Parents of children with attention-deficit/hyperactivity disorder (ADHD) are more likely to choose medication if the goal is academic achievement but more likely to choose behavior therapy if the goal is behavioral compliance, according to a study published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0152.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0152.full.pdf+html )

Pre-Diagnosis Coffee Intake Tied to Prostate CA Outcomes

TUESDAY, Sept. 3 (HealthDay News) -- Higher coffee consumption before prostate cancer diagnosis is associated with a lower risk of recurrence/progression, according to a study published in the August issue of Cancer Causes & Control.

Abstract (http://link.springer.com/article/10.1007/s10552-013-0270-5 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007/s10552-013-0270-5 )

Hydroxyurea Cost-Effective for Childhood Sickle Cell Anemia

TUESDAY, Sept. 3 (HealthDay News) -- Treating children with sickle cell anemia with hydroxyurea is associated with lower total medical costs (higher outpatient costs but lower inpatient costs) as compared to placebo, according to a study published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0333.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0333.full.pdf+html )

Workaholics Have Poorer Physical and Mental Health

MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.

Press Release (http://www.k-state.edu/media/newsreleases/aug13/workaholics82213.html )

Employer-Based Health Insurance Premiums Rose Modestly in 2013

MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644.full )