Home Psychiatry June 2018 Briefing – Psychiatry

June 2018 Briefing – Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for June 2018. 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.

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) — Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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Prehabilitation May Improve Post Cardiac Surgery Outcomes

FRIDAY, June 29, 2018 (HealthDay News) — A three-pronged approach to prehabilitation, which includes improving nutritional status, exercise capacity, and worry reduction, may improve outcomes after cardiac surgery, according to a study published online June 27 in the Canadian Journal of Cardiology.

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Most Pediatricians in the United States Do Not Support Spanking

FRIDAY, June 29, 2018 (HealthDay News) — Most pediatricians in the United States do not support spanking children and are aware of evidence that spanking increases the risk of poor health outcomes in children, according to a study published in the Journal of Developmental & Behavioral Pediatrics.

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Twitter Posts Reveal Use of JUUL Vaporizer by Minors at School

FRIDAY, June 29, 2018 (HealthDay News) — Data from social media capture early public experiences with the JUUL vaporizer, a nicotine delivery device that is the size and shape of a thumb drive, according to a study published in the June 26 issue of Drug and Alcohol Dependence.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) — The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk

FRIDAY, June 29, 2018 (HealthDay News) — Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology.

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Midlife Fitness Linked to Lower Risk of Depression, CVD Death

THURSDAY, June 28, 2018 (HealthDay News) — Midlife fitness is associated with reduced risk of depression in later life and with reductions in the risk of cardiovascular disease (CVD) mortality and CVD mortality after later-life depression, according to a study published online June 27 in JAMA Psychiatry.

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Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) — Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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Intervention Programs Prevent Diabetes Distress in Teens

WEDNESDAY, June 27, 2018 (HealthDay News) Intervention programs that start before psychological symptoms develop can prevent diabetes distress (DD) in teens with type 1 diabetes, according to a study published in the June issue of Diabetes Care.

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CDC, APhA Create Guide for Community-Clinical Linkages

TUESDAY, June 26, 2018 (HealthDay News) — The U.S. Centers for Disease Control and Prevention and the American Pharmacists Association have created a guide that describes community-clinical linkages, which are connections among the community, clinics, and other settings where primary care is provided, according to an article published in Drug Topics.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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Thinner Retinal Nerve Fiber Layer Tied to Worse Cognitive Function

TUESDAY, June 26, 2018 (HealthDay News) — For individuals without neurodegenerative disease, a thinner retinal nerve fiber layer (RNFL) is associated with worse cognitive function and increased likelihood of future cognitive decline, according to a study published online June 25 in the JAMA Neurology.

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In Cancer Patients, PTSD May Increase Symptom Burden

TUESDAY, June 26, 2018 (HealthDay News) — Post-traumatic stress disorder (PTSD) symptoms among hospitalized patients with cancer are associated with a greater psychological and physical symptom burden as well as a decreased risk of hospital readmissions, according to a study published online June 15 in Cancer.

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Early Preterm Birth Linked to Increased ADHD Symptoms

TUESDAY, June 26, 2018 (HealthDay News) — Early preterm birth is associated with a higher level of attention deficit/hyperactivity disorder (ADHD) symptoms in preschool children after accounting for unmeasured genetic and environmental factors, according to a study published online June 25 in JAMA Pediatrics.

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Cannabis Use Prevalence Up Across Adult Age Groups

TUESDAY, June 26, 2018 (HealthDay News) — Across adult age categories, there was an increase in the prevalence of daily cannabis use after 2007, according to a study published online June 13 in the Journal of Studies on Alcohol and Drugs.

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Efavirenz Doesn’t Up Depression, Suicidal Ideation in HIV-Infected

MONDAY, June 25, 2018 (HealthDay News) — For persons living with HIV (PLHIV) in Uganda, use of efavirenz is not associated with increased risk of depression or suicidal ideation, according to a study published online June 26 in the Annals of Internal Medicine.

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AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) — At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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Poison Control Center Data Detail Peds Exposure to Buprenorphine

MONDAY, June 25, 2018 (HealthDay News) — Pediatric exposure to buprenorphine can result in serious adverse outcomes, especially among children aged younger than 6 years, according to a study published online June 25 in Pediatrics.

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Risk of OD Highest for First Days of Opioid + Benzodiazepine Use

FRIDAY, June 22, 2018 (HealthDay News) — Concurrent benzodiazepine use is associated with increased risk of opioid-related overdose, with the risk highest on the first days of concurrent use, according to a study published online June 22 in JAMA Network Open.

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E-Cigarettes May Help Some Quit Tobacco Smoking

FRIDAY, June 22, 2018 (HealthDay News) — Some individuals self-report that electronic cigarettes (e-cigarettes) help them quit smoking conventional cigarettes, according to a small study published online June 20 in the Harm Reduction Journal.

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Police Killings of Unarmed Blacks Impact Community Mental Health

FRIDAY, June 22, 2018 (HealthDay News) — For black U.S. adults, police killings of unarmed black Americans have adverse effects on mental health, according to a study published online June 21 in The Lancet.

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Most Teens, Young Adults With Type 1 Diabetes Report Stigma

FRIDAY, June 22, 2018 (HealthDay News) — Stigma is common in teens with type 1 diabetes and is associated with poor glycemic control, according to a study published recently in the Journal of Medical Internet Research.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) — More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

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Valuing Gluten-Free Food Tied to Better Dietary Intake

THURSDAY, June 21, 2018 (HealthDay News) — Young adults who value gluten-free food usually do so as part of a healthier dietary pattern, though they are also more likely to engage in unhealthy weight control activities, according to a study published online June 18 in the Journal of the Academy of Nutrition and Dietetics.

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Rate of Death Up in Year After Non-Fatal Opioid Overdose

THURSDAY, June 21, 2018 (HealthDay News) — There is a marked excess of deaths among U.S. adults who experience a non-fatal opioid overdose, according to a study published online June 20 in JAMA Psychiatry.

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NIH Initiative Aims to Address Opioid Misuse Over Long Term

WEDNESDAY, June 20, 2018 (HealthDay News) — A novel, innovative initiative is being developed to help end addiction over the long term, according to a viewpoint article published online June 12 in the Journal of the American Medical Association.

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Some Neonatal Risks for Lithium Exposure in Pregnancy

WEDNESDAY, June 20, 2018 (HealthDay News) — In utero lithium exposure is associated with an increased risk for neonatal readmission and major malformations, according to a meta-analysis published online June 18 in The Lancet Psychiatry.

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Increased Levels of Distress for Firearm Victimization

TUESDAY, June 19, 2018 (HealthDay News) — Firearm victimization is associated with increased levels of distress, according to a research letter published online June 19 in the Annals of Internal Medicine.

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Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) — Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

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Mental Health Declining for Disadvantaged U.S. Adults

TUESDAY, June 19, 2018 (HealthDay News) — Mental health seems to be declining among Americans of low relative socioeconomic position, according to a study published online June 18 in the Proceedings of the National Academy of Sciences.

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Meds for Opioid Use Disorder May Reduce Mortality in OD Survivors

MONDAY, June 18, 2018 (HealthDay News) — Use of medications for opioid use disorder (MOUD) is associated with a reduction in all-cause and opioid-related mortality after opioid overdose, according to a study published online June 19 in the Annals of Internal Medicine.

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AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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CDC: Many High School Students Engage in Health-Risk Behaviors

MONDAY, June 18, 2018 (HealthDay News) — Many high school students are engaged in health-risk behaviors, according to research published June 15 in the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Cannabis Use Linked to Psychosis Symptoms in Adolescents

MONDAY, June 18, 2018 (HealthDay News) — Cannabis use is associated with psychosis symptoms (PS) during adolescence, according to a research letter published online June 6 in JAMA Psychiatry.

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Amyloid PET Tied to Diagnostic Changes in Memory Clinic Cohort

MONDAY, June 18, 2018 (HealthDay News) — For an unselected memory clinic cohort, amyloid positron emission tomography (PET) results are associated with changes in etiology, diagnostic confidence, and patient treatment, according to a study published online June 11 in JAMA Neurology.

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FDA Approves First Generic Under-the-Tongue Suboxone

FRIDAY, June 15, 2018 (HealthDay News) — The first generic version of an under-the-tongue film to treat opioid addiction has been approved by the U.S. Food and Drug Administration.

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Binge Drinking Tied to Poorer Bone Health in Young Females

FRIDAY, June 15, 2018 (HealthDay News) — Binge drinking in adolescence may prevent girls from reaching their peak bone mass (PBM), according to a study published online June 13 in the Journal of Studies on Alcohol and Drugs.

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Walk Test IDs Risk of Cognitive Dysfunction Post Cardiac Surgery

FRIDAY, June 15, 2018 (HealthDay News) — The six-minute walk distance (6MWD) test is useful in identifying patients with a higher likelihood of developing postoperative cognitive dysfunction (POCD) following cardiac surgery, according to a study published online May 9 in the Annals of Thoracic Surgery.

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AMA President Calls Physicians to Lead in Addressing Gun Violence

THURSDAY, June 14, 2018 (HealthDay News) — The issue of gun violence must be addressed by the physician leadership scientifically, in an evidence-based manner, according to remarks issued by the president of the American Medical Association (AMA) at the organization’s annual meeting.

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CDC: U.S. Suicide Rate Rose 30 Percent From 2000 to 2016

THURSDAY, June 14, 2018 (HealthDay News) — From 2000 to 2016 there was a 30 percent increase in the age-adjusted suicide rate in the United States, according to a June data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

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Illicit Opioid Trade Up With Restrictions on Hydrocodone

THURSDAY, June 14, 2018 (HealthDay News) — The U.S. Drug Enforcement Administration’s 2014 ruling to reschedule hydrocodone combination products coincided with an increase in illicit trading of opioids through online illicit markets (cryptomarkets), according to a study published online June 13 in The BMJ.

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Antipsychotic Tx Linked to Adiposity Changes in Youths

THURSDAY, June 14, 2018 (HealthDay News) — Youth receiving antipsychotic treatment have adverse changes in adiposity and insulin sensitivity, with the greatest fat increases seen with olanzapine, according to a study published online June 13 in JAMA Psychiatry.

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APA: Suicide Prevention Should Be a Public Health Priority

WEDNESDAY, June 13, 2018 (HealthDay News) — Suicide prevention needs to be a public health priority, according to the American Psychological Association (APA).

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Pre-Op Psychiatric Dx Not Tied to Bariatric Sx Outcomes in Teens

WEDNESDAY, June 13, 2018 (HealthDay News) — Preoperative psychiatric diagnoses are not associated with weight loss outcomes in severely obese adolescents receiving bariatric surgery, according to a study published online June 1 in Pediatrics.

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Exposure to Maternal HTN May Up Risk of ASD, ADHD in Child

WEDNESDAY, June 13, 2018 (HealthDay News) — Exposure to hypertensive disorders of pregnancy (HDP) may be associated with an increase in the risk of autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) in offspring, according to a review published online June 6 in JAMA Psychiatry.

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Work Stress May Increase Risk of Developing Atrial Fibrillation

WEDNESDAY, June 13, 2018 (HealthDay News) — Job strain is associated with an increased risk of incident atrial fibrillation, according to a study published online May 30 in the European Journal of Preventive Cardiology.

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Higher Blood Pressure at Mid-Life Increases Dementia Risk

WEDNESDAY, June 13, 2018 (HealthDay News) — The risk of dementia is increased in 50-year-olds with blood pressure ≥130 mm Hg, which is below the current threshold for hypertension, according to a study published online June 13 in the European Heart Journal.

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Older Age, ICU, Poor Renal Fcn Up Risk of Opioid OD in Hospital

TUESDAY, June 12, 2018 (HealthDay News) — Risk factors for opioid overdose among hospitalized patients include being age 65 years or older, being in an intensive care unit (ICU), and having renal impairment, according to a study published online May 23 in the Journal of Clinical Pharmacy and Therapeutics.

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Meds With Depression As Adverse Side Effect Commonly Used

TUESDAY, June 12, 2018 (HealthDay News) — The estimated prevalence of using medications with depression as an adverse effect is 37.2 percent, according to a study published in the June 12 issue of the Journal of the American Medical Association.

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How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) — Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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Adverse Change in Employment Post-MI Tied to Worse Outcomes

TUESDAY, June 12, 2018 (HealthDay News) — Patients with an adverse change in employment after myocardial infarction (MI) have increased likelihood of worse outcomes, according to a study published online June 12 in Circulation: Cardiovascular Quality and Outcomes.

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Long-Term Type 1 Diabetes Associated With Cognitive Decline

TUESDAY, June 12, 2018 (HealthDay News) — Both patients with type 1 and patients with type 2 diabetes show overall worse cognition than people without diabetes, according to a study published online June 5 in Diabetes Care.

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Child Neuroblastoma Survivors at Risk for Psych Impairment

MONDAY, June 11, 2018 (HealthDay News) — Neuroblastoma survivors are at elevated risk for psychological impairment, according to a study published online June 11 in Cancer.

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Public Support Only Moderate for Opioid Harm Reduction Strategies

MONDAY, June 11, 2018 (HealthDay News) — Stigmatizing attitudes toward those who use opioids are associated with lower support for two evidence-based opioid harm reduction strategies, according to a study published in the June issue of Preventive Medicine.

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Negative Social Media Ups Risk of Depression in Young Adults

FRIDAY, June 8, 2018 (HealthDay News) — Negative experiences on social media are more impactful than positive interactions as it relates to depressive symptoms in young adults, according to a study published online June 6 in Depression and Anxiety.

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Some Common Allergies Linked to Odds of Autism in Children

FRIDAY, June 8, 2018 (HealthDay News) — Common allergic conditions, especially food allergy, are associated with autism spectrum disorder (ASD) in children, according to a study published online June 8 in JAMA Network Open.

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Older Age Tied to Poorer Course of Major Depressive Disorder

FRIDAY, June 8, 2018 (HealthDay News) — Older age is associated with poorer course of major depressive disorder (MDD), according to a study published online June 7 in The Lancet Psychiatry.

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Prostate Cancer Treatment Side Effects Linked to Distress

FRIDAY, June 8, 2018 (HealthDay News) — For prostate cancer survivors, dysfunction due to treatment side effects has a bidirectional association with emotional distress, according to a study published in the June issue of The Journal of Urology.

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1999 to 2016 Saw Increase in Suicide Rates Across Most States

THURSDAY, June 7, 2018 (HealthDay News) — From 1999 to 2016 there was a significant increase in suicide rates across 44 states, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Intellectual Activities in Later Life May Cut Dementia Risk

THURSDAY, June 7, 2018 (HealthDay News) — Active participation in intellectual activities among adults aged 65 years or older is associated with reduced risk of dementia, according to a study published online May 30 in JAMA Psychiatry.

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Lifetime Risks Temper Biomarker Tests for Alzheimer Dz Dementia

WEDNESDAY, June 6, 2018 (HealthDay News) — The lifetime risks of Alzheimer’s disease (AD) dementia vary considerably by age, gender, and the preclinical or clinical disease state, according to a study published online May 22 in Alzheimer’s & Dementia.

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Online Consumer Ratings of Physicians Tend to Be Skewed

WEDNESDAY, June 6, 2018 (HealthDay News) — Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.

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Job Strain May Raise Death Risk in Men With Cardiometabolic Dz

WEDNESDAY, June 6, 2018 (HealthDay News) — Job strain is associated with an increased risk of death among men with cardiometabolic disease, according to research published online June 5 in The Lancet Diabetes & Endocrinology.

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AMA Guide Highlights Importance of Caring for Caregivers

WEDNESDAY, June 6, 2018 (HealthDay News) — Physicians have a role to play in caring for caregivers to help prevent burnout, according to a guide for physicians published by the American Medical Association (AMA).

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More Adults Go to Psychiatrist, Not PCP, for Mental Health Care

WEDNESDAY, June 6, 2018 (HealthDay News) — The rate of mental health-related physician office visits is higher to psychiatrists than primary care physicians for all adults except those aged 65 years and older, according to a June data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

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Preschool Home Visits May Cut Later Need for School Services

WEDNESDAY, June 6, 2018 (HealthDay News) — A preschool home visiting program shows sustained benefits four years after the intervention and is associated with a reduced child need for school services, according to a study published online June 4 in JAMA Pediatrics.

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AAFP Joins Call on FDA to Reduce Nicotine Content in Cigarettes

WEDNESDAY, June 6, 2018 (HealthDay News) — The American Academy of Family Physicians (AAFP) has joined 40 public health and medical associations in favor of a proposed update to the U.S. Food and Drug Administration’s cigarette product standards to reduce the nicotine content in cigarettes.

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CDC: Prevalence of No Insurance Varies by Occupational Groups

WEDNESDAY, June 6, 2018 (HealthDay News) — The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

TUESDAY, June 5, 2018 (HealthDay News) — There is considerable variation in office-based physician visit rates by patient age and sex, according to a June data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

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Mindfulness Program May Help Increase Physical Activity Levels

TUESDAY, May 5, 2018 (HealthDay News) — A meditation and stress reduction program may be as effective as structured exercise programs for increasing physical activity, according to a study published in Medicine & Science in Sports & Exercise.

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American Indian Reservation Teens at Higher Risk for Drug Use

MONDAY, June 4, 2018 (HealthDay News) — American Indian students who live on or near reservations are at high risk for substance use versus U.S. youths in general, according to a study published online May 31 in JAMA Network Open.

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Research Reveals Unfavorable Beliefs About Frozen Vegetables

MONDAY, June 4, 2018 (HealthDay News) — Individuals have a negative bias toward frozen vegetables, according to a study published in the Aug. 1 issue of Appetite.

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Knowledge Gaps Found for Non-Drug Therapy in Peds ADHD

FRIDAY, June 1, 2018 (HealthDay News) — There are considerable gaps in knowledge relating to the effectiveness of non-pharmacologic treatments for attention-deficit/hyperactivity disorder (ADHD) in pediatric patients, according to a review published online May 30 in Pediatrics.

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Studies ID Impact of U.S. Opioid-Related Mortality, Rx Patterns

FRIDAY, June 1, 2018 (HealthDay News) — From 2001 to 2016 there was an increase in the number and percentage of opioid-related deaths; in addition, most patients receiving opioids receive immediate-release (IR) formulations, according to two studies published online June 1 in JAMA Network Open.

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Academic Underachievement With Tourette, Tic Disorders

FRIDAY, June 1, 2018 (HealthDay News) — Individuals with Tourette syndrome or chronic tic disorders have lower likelihood of academic achievement, according to a study published online May 29 in JAMA Neurology.

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Ob-Gyns Should ID Gynecologic Symptoms of Eating Disorders

FRIDAY, June 1, 2018 (HealthDay News) — Obstetrician-gynecologists should be aware of the gynecologic concerns and symptoms of eating disorders, according to a committee opinion published in the June issue of Obstetrics & Gynecology.

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Abortion Not Tied to Significantly Higher Antidepressant Use

FRIDAY, June 1, 2018 (HealthDay News) — The likelihood of using antidepressants may be increased for women who have abortions, but the increased use is not attributable to having had an abortion but to differences in risk factors for depression, according to a study published online May 30 in JAMA Psychiatry.

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