Home Internal Medicine May 2019 Briefing – Internal Medicine

May 2019 Briefing – Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for May 2019. 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.

FDA to Hold First Public Meeting on CBD

FRIDAY, May 31, 2019 (HealthDay News) — A public meeting on cannabidiol (CBD) products will be held Friday by the U.S. Food and Drug Administration, with the goal of gathering information on products that contain CBD.

NBC News Article

Nonfasting Lipid Levels Adequate for Assessing Cardiovascular Risk

FRIDAY, May 31, 2019 (HealthDay News) — Fasting before a cholesterol test is not necessary when evaluating risk for cardiovascular events, according to a study published online May 28 in JAMA Internal Medicine.

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Providers, Peers Influence Aspirin Use Among African-Americans

FRIDAY, May 31, 2019 (HealthDay News) — Positive cultural beliefs around taking aspirin for prevention of cardiovascular disease (CVD) are associated with greater adoption of the intervention among African-Americans, according to a study published in the June issue of the Journal of Community Health.

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Lupus Manifestations Appear to Differ by Race, Ethnicity

FRIDAY, May 31, 2019 (HealthDay News) — Clinical manifestations of systemic lupus erythematosus (SLE) vary by racial and ethnic groups, according to a study published online May 22 in Arthritis Care & Research.

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CDC: Reported Measles Cases Reach 971

FRIDAY, May 31, 2019 (HealthDay News) — Five months into 2019, the number of measles cases in the United States has now reached 971, the largest number since 1992 when 963 total cases were reported for the year, the U.S. Centers for Disease Control and Prevention announced.

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Excess Cause-Specific Mortality Tied to Chronic Proton Pump Inhibitor Use

FRIDAY, May 31, 2019 (HealthDay News) — Taking proton pump inhibitors (PPIs) is associated with an excess of cause-specific mortality, according to a study published online May 30 in The BMJ.

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Exercise, Therapy May Improve Depression, Diabetes Outcomes

FRIDAY, May 31, 2019 (HealthDay News) — Exercise and/or behavioral treatment interventions may provide clinically meaningful improvements in depression outcomes in adults with type 2 diabetes (T2DM) and major depressive disorder (MDD), according to a study published online May 21 in Diabetes Care.

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Many Immunosuppressed Persons Join in Hurricane Cleanup

THURSDAY, May 30, 2019 (HealthDay News) — About half of immunosuppressed persons reported participating in cleanup activities following Hurricane Harvey, and less than half of those who performed heavy cleanup reported wearing a respirator, according to research published in the May 31 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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FDA Approves First Test for Zika in Human Blood

THURSDAY, May 30, 2019 (HealthDay News) — The first test to detect the Zika virus in human blood has been approved by the U.S. Food and Drug Administration.

CBS News Article

More Steps Tied to Lower Death Risk in Older Women

THURSDAY, May 30, 2019 (HealthDay News) — More steps taken per day are associated with lower mortality rates among older women, according to a study published online May 29 in JAMA Internal Medicine.

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Early-Onset CRC Rising Fastest for Whites in Western States

THURSDAY, May 30, 2019 (HealthDay News) — Whites in western states are experiencing the most rapid increase in early-onset colorectal cancer (CRC), according to a study published online May 29 in the Journal of the National Cancer Institute.

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Ultra-Processed Food Intake Linked to Increased CVD Risk

THURSDAY, May 30, 2019 (HealthDay News) — Ultra-processed food consumption is associated with an increased risk for cardiovascular disease and all-cause mortality, according to two studies published online May 29 in The BMJ.

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Editorial

High Costs Associated With Physician Burnout in U.S.

THURSDAY, May 30, 2019 (HealthDay News) — High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.

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Stepped Tx for Alcohol Use Disorder Studied in HIV Patients

THURSDAY, May 30, 2019 (HealthDay News) — Integrated stepped alcohol treatment (ISAT) reduces alcohol consumption in patients with HIV and a known drinking problem, according to a study published online May 17 in The Lancet HIV.

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Recent Plateauing Seen in Prevalence of Diagnosed Diabetes

WEDNESDAY, May 29, 2019 (HealthDay News) — The prevalence of diagnosed diabetes has plateaued during the last eight years, while the incidence has declined, according to a study published online May 28 in BMJ Open Diabetes Research & Care.

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Energy Drinks Prolong QTc Interval, Elevate Blood Pressure

WEDNESDAY, May 29, 2019 (HealthDay News) — Energy drinks prolong the QTc interval and are associated with an increase in blood pressure, according to a study published online May 29 in the Journal of the American Heart Association.

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Global Burden of Serious Health-Related Suffering to Double by 2060

WEDNESDAY, May 29, 2019 (HealthDay News) — The global burden of serious health-related suffering is set to increase 47 percent by 2060, according to a study published online May 22 in The Lancet Global Health.

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Reading Visit Notes May Improve Medication Management

WEDNESDAY, May 29, 2019 (HealthDay News) — Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.

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More Than 1 in 4 Middle-Aged Men, Women Have Low Bone Mineral Density

WEDNESDAY, May 29, 2019 (HealthDay News) — More than 25 percent of men and women aged 35 to 50 years have low bone mineral density (BMD), according to a study published in the June issue of the Journal of the American Osteopathic Association.

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Inappropriate Prescribing Leads to Poor Outcomes in Older Adults

WEDNESDAY, May 29, 2019 (HealthDay News) — Potentially inappropriate prescribing (PIP) is tied to increased health care utilization and poor outcomes among older individuals seen in primary care practices, according to a review published in the May/June issue of the Annals of Family Medicine.

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Decreased Air Pollutants Linked to Less Childhood Asthma

TUESDAY, May 28, 2019 (HealthDay News) — Decreases in ambient nitrogen dioxide and fine particulate matter (PM2.5) are associated with lower asthma incidence in children, according to a study published in the May 21 issue of the Journal of the American Medical Association.

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Meds for Weight Management Underutilized Among Veterans

TUESDAY, May 28, 2019 (HealthDay News) — Weight management medications (WMM) are underutilized among veterans, according to a study published online May 15 in Obesity.

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Work Burnout, Gaming Addiction Classified as Diseases by WHO

TUESDAY, May 28, 2019 (HealthDay News) — Work burnout is now a legitimate medical diagnosis, and gaming addiction is a mental health disorder, the World Health Organization says.

CNN Article
Newsweek Article

Higher BMI in Male Teens Tied to Cardiomyopathy in Adulthood

TUESDAY, May 28, 2019 (HealthDay News) — Increased body mass index (BMI) in adolescence is associated with an increased risk for cardiomyopathy in adulthood among men, according to a study published online May 28 in Circulation.

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Regulation of Intestinal Microbiota Beneficial for Anxiety

TUESDAY, May 28, 2019 (HealthDay News) — Regulation of the intestinal microbiota appears to be effective for improving anxiety symptoms, with nonprobiotic interventions performing better than probiotic interventions, according to a review published online May 17 in General Psychiatry.

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Suboptimal BP, Fasting Glucose Tied to Atrioventricular Block

TUESDAY, May 28, 2019 (HealthDay News) — Suboptimal blood pressure and fasting glucose levels are associated with atrioventricular (AV) block, according to a study published online May 24 in JAMA Network Open.

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Poverty Ups Risk for Amputation After Knee Replacement

TUESDAY, May 28, 2019 (HealthDay News) — Lower socioeconomic status is associated with an increased risk for above-knee amputation (AKA) after periprosthetic joint infection (PJI) of the knee, according to a study recently published in Clinical Orthopaedics and Related Research.

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Statin Use With Colorectal Cancer Lowers Risk for Early Death

FRIDAY, May 24, 2019 (HealthDay News) — Use of statins before or after colorectal cancer (CRC) diagnosis is linked to a lower risk for premature death, from either cancer or other causes, according to a review published online May 8 in Cancer Medicine.

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Poor Glycemic Control Linked to Sarcopenia in T2DM

FRIDAY, May 24, 2019 (HealthDay News) — For patients with type 2 diabetes, poor glycemic control is associated with sarcopenia, according to a study published online May 9 in the Journal of Diabetes Investigation.

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Intracranial Hemorrhage Risk Up With Low-Dose Aspirin

FRIDAY, May 24, 2019 (HealthDay News) — For individuals without symptomatic cardiovascular disease, the use of low-dose aspirin for primary prevention of cardiovascular events is associated with an increased risk for intracranial hemorrhage, according to a review and meta-analysis published online May 13 in JAMA Neurology.

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U.S. Lawmakers Say WHO Opioid Guidelines Too Lax

THURSDAY, May 23, 2019 (HealthDay News) — The World Health Organization’s pain care guidelines contain false claims about the safety of prescription opioid painkillers and should be withdrawn, two U.S. lawmakers say.

AP News Article

Most Patients at High Risk of Opiate Overdose Do Not Receive Naloxone Rx

THURSDAY, May 23, 2019 (HealthDay News) — Patients at high risk of opioid overdose rarely receive prescriptions for naloxone, despite many interactions with the health care system, according to a study published online May 3 in JAMA Network Open.

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Blood Donor Screening Data IDs Familial Hypercholesterolemia

THURSDAY, May 23, 2019 (HealthDay News) — Data from a blood donor screening program could represent a novel strategy for identifying familial hypercholesterolemia (FH), according to a study published online May 22 in JAMA Cardiology.

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Early cART Leads to Enhanced T Cell Function in HIV Infection

THURSDAY, May 23, 2019 (HealthDay News) — Early combination antiretroviral therapy (cART) leads to persistent functional T cell responses in most individuals with hyperacute HIV-1 infection, according to a study published online May 22 in Science Translational Medicine.

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Medication Nonadherence Common in Patients With T2DM

THURSDAY, May 23, 2019 (HealthDay News) — Routine urine samples can be used to test for medication adherence in patients with type 2 diabetes, according to a study published in the June issue of Diabetes Care.

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CDC: Cancer Death Rates Decreased, Heart Disease Deaths Rose

WEDNESDAY, May 22, 2019 (HealthDay News) — Cancer death rates declined for adults aged 45 to 64 years from 1999 to 2017, while heart disease death rates decreased to 2011 and then increased, according to the May 22 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Suboptimal Diet Accounted for >80,000 Cancer Cases in 2015

WEDNESDAY, May 22, 2019 (HealthDay News) — In 2015, more than 80,000 cancer cases were associated with suboptimal diet in U.S. adults, according to a study published online May 22 in JNCI: Cancer Spectrum.

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Half-Price Version of Humalog Insulin Now Available

WEDNESDAY, May 22, 2019 (HealthDay News) — A half-price version of Humalog insulin is now available in the United States, Eli Lilly said Wednesday.

AP News Article

Adverse Liver Outcomes Up With Diagnosis of NAFLD/NASH

WEDNESDAY, May 22, 2019 (HealthDay News) — The risks for cirrhosis and hepatocellular carcinoma (HCC) are increased for patients with a recorded diagnosis of nonalcoholic fatty liver disease (NAFLD)/nonalcoholic steatohepatitis (NASH), according to a study published online May 20 in BMC Medicine.

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Some Women With HIV Struggling to Achieve Viral Suppression

WEDNESDAY, May 22, 2019 (HealthDay News) — A considerable proportion of women with HIV have a high probability of viremia above 200 copies/mL, according to a study published online May 17 in JAMA Network Open.

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Homemade Sunscreen Recipes Commonly Shared, Offer Low Protection

TUESDAY, May 21, 2019 (HealthDay News) — There is widespread public interest in and acceptance of homemade sunscreens, even though they often do not offer sufficient protection from ultraviolet radiation, according to a study published online May 20 in Health Communication.

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Poor Broadband Penetration in Rural Areas Limits Telemedicine

TUESDAY, May 21, 2019 (HealthDay News) — Broadband penetration rates are considerably lower in the most rural counties, especially where access to primary care physicians and psychiatrists is inadequate, according to a study published online May 21 in the Annals of Internal Medicine.

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Regular Puzzle Use May Improve Cognition in Older Adults

TUESDAY, May 21, 2019 (HealthDay News) — Older adults who regularly perform word and number puzzles have higher cognitive functioning than those who do not engage in such activities, according to two studies recently published in the International Journal of Geriatric Psychiatry.

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Higher Consumption of Sugary Drinks May Up Mortality in Adults

TUESDAY, May 21, 2019 (HealthDay News) — Consumption of sugary beverages, including 100 percent fruit juices, is associated with higher all-cause mortality in U.S. adults, according to a study published online May 17 in JAMA Network Open.

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Non-Rx Fentanyl Up in Urine Tests Positive for Other Drugs

TUESDAY, May 21, 2019 (HealthDay News) — An increasing number of urine drug test (UDT) results positive for cocaine or methamphetamine are also positive for nonprescribed fentanyl, according to a study recently published in JAMA Network Open.

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Clinical Drug Diversion Costly to Health Care Organizations

TUESDAY, May 21, 2019 (HealthDay News) — U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.

Report (subscription and payment may be required)

Weight Gain, Loss in Seniors May Increase Risk for Dementia

TUESDAY, May 21, 2019 (HealthDay News) — Weight gain and weight loss in older adults are both associated with an increased risk for dementia, according to a study published online May 20 in BMJ Open.

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Readmission Rates Vary Little Among Primary Care Doctors

MONDAY, May 20, 2019 (HealthDay News) — There is minimal variation in readmission rates among primary care providers (PCPs), according to a study published online May 21 in the Annals of Internal Medicine.

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One-Third of Patients on Statins Do Not Reach Target Thresholds

MONDAY, May 20, 2019 (HealthDay News) — More than one-third of patients on statin therapy fail to achieve therapeutic thresholds for low-density lipoprotein cholesterol (LDL-C), according to a study published in the May issue of the Journal of Managed Care & Specialty Pharmacy.

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Hormone Therapy in Transgender Women Ups Breast Cancer Risk

MONDAY, May 20, 2019 (HealthDay News) — Transgender women receiving hormone treatments are at greater risk for developing breast cancer than cisgender men, according to a study published online May 15 in The BMJ.

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Cancer Screening Less Likely Among Current Smokers

FRIDAY, May 17, 2019 (HealthDay News) — Current smokers are less likely to receive guideline-concordant screening studies for breast, prostate, and colorectal cancer versus never smokers, according to a study published online May 17 in JAMA Network Open.

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Access to Care Worse for Sexual-Minority Cancer Survivors

MONDAY, May 20, 2019 (HealthDay News) — Sexual-minority cancer survivors have worse access to care and higher odds of poor quality of life (QOL), according to a study published online May 20 in Cancer.

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Many Lives Could Be Saved if All Hospitals Had Grade A Rating

FRIDAY, May 17, 2019 (HealthDay News) — More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to “A” grade hospitals, according to an updated report prepared for The Leapfrog Institute.

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Private Insurers Pay 241 Percent of What Medicare Would Pay

FRIDAY, May 17, 2019 (HealthDay News) — Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.

Press Release
Report

CDC: Salmonella Outbreaks Linked to Backyard Poultry

FRIDAY, May 17, 2019 (HealthDay News) — Backyard flocks of live poultry have been linked with Salmonella outbreaks that have sickened 52 people in 21 states, the U.S. Centers for Disease Control and Prevention said Thursday.

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Global Burden of Musculoskeletal Diseases on the Rise

FRIDAY, May 17, 2019 (HealthDay News) — The burden of musculoskeletal (MSK) diseases increased significantly worldwide between 2000 and 2015, according to a study published in the June issue of Annals of the Rheumatic Diseases.

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Sleep Duration Tied to Adverse Measures of Glycemia

FRIDAY, May 17, 2019 (HealthDay News) — Self-reported short and long sleep are both associated with adverse measures of glycemia among adults with prediabetes, according to a study published online May 10 in Diabetes Care.

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Quitting Smoking Lowers Risk for Bladder Cancer Postmenopause

FRIDAY, May 17, 2019 (HealthDay News) — Among postmenopausal women, former smokers have a reduced risk for bladder cancer within the first 10 years of cessation, which continues to decline over time but remains elevated compared with never smokers, according to a study published in the May issue of Cancer Prevention Research.

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More U.S. Adults Show Signs of Despair As They Enter Middle Age

THURSDAY, May 16, 2019 (HealthDay News) — Indicators of despair are rising among U.S. adults entering midlife, according to a study published in the May issue of the American Journal of Public Health.

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Americans Increasingly Open About Mental Health

THURSDAY, May 16, 2019 (HealthDay News) — Americans are becoming more positive about mental health, although some stigma remains, according to the results of a new poll released by the American Psychological Association (APA).

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North Carolina Sues Electronic Cigarette Maker JUUL

THURSDAY, May 16, 2019 (HealthDay News) — North Carolina is suing electronic-cigarette manufacturer JUUL for allegedly marketing its products to children and misleading the public about the health risks of the products. This lawsuit is the first filed by a state over JUUL’s alleged marketing toward teens, CNN reported.

CNN Article

Recs Updated for TB Screening, Treatment in Health Care Workers

THURSDAY, May 16, 2019 (HealthDay News) — Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Dabigatran Does Not Beat Aspirin for Preventing Recurrent Stroke

THURSDAY, May 16, 2019 (HealthDay News) — Dabigatran is not superior to aspirin for preventing recurrent stroke in patients with recent history of embolic stroke of undetermined source, according to a study published in the May 16 issue of the New England Journal of Medicine.

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Poll: Many Adults Worried About Developing Dementia

THURSDAY, May 16, 2019 (HealthDay News) — Many adults are worried about developing dementia and about half report taking steps to maintain or improve memory, according to a report published by the National Poll on Healthy Aging.

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Cannabis Legalization Not Tied to Higher Health Care Utilization

THURSDAY, May 16, 2019 (HealthDay News) — Legalization of recreational cannabis is not associated with changes in health care utilization, as measured by length of stay or health care costs, according to a study published in the May issue of BMJ Open.

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Habitual Glucosamine Use Linked to Reduced Risk for CVD Events

WEDNESDAY, May 15, 2019 (HealthDay News) — Habitual use of glucosamine supplements is associated with a reduced risk for cardiovascular disease (CVD) events, according to a study published online May 14 in The BMJ.

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Healthy Lifestyle Recommended for Reducing Dementia Risk

WEDNESDAY, May 15, 2019 (HealthDay News) — Guidelines emphasizing adoption of a healthy lifestyle for reducing the risk for cognitive decline and dementia have been developed by the World Health Organization.

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FDA: Tattoo Inks Recalled Due to Bacterial Contamination

WEDNESDAY, May 15, 2019 (HealthDay News) — Six tattoo inks have been recalled because they are contaminated with bacteria and could lead to infection that poses a serious health risk, the U.S. Food and Drug Administration says.

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Two-Thirds of Sunscreens Fail Safety Tests

WEDNESDAY, May 15, 2019 (HealthDay News) — Nearly two-thirds of sunscreens that were analyzed failed safety tests proposed by the U.S. Food and Drug Administration, the Environmental Working Group said Wednesday.

CNN Article

Thyroid Hormones Not Endorsed for Subclinical Hypothyroidism

WEDNESDAY, May 15, 2019 (HealthDay News) — Thyroid hormones are not recommended for adults with subclinical hypothyroidism (SCH), according to an article published online May 14 in The BMJ.

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CDC: Racial Disparity Seen With Lupus-Related Deaths

WEDNESDAY, May 15, 2019 (HealthDay News) — Mortality from systemic lupus erythematosus (SLE) is significantly higher among blacks, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Worldwide Prevalence of Eating Disorders Increased Since 2000

WEDNESDAY, May 15, 2019 (HealthDay News) — Eating disorders are highly prevalent worldwide, especially among women, according to research published in the May issue of the American Journal of Clinical Nutrition.

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Use of Rehab After Ischemic Stroke Varies in Acute Care

WEDNESDAY, May 15, 2019 (HealthDay News) — There is considerable variation in the use of rehabilitation services in the acute care setting following ischemic stroke, according to a study published in the May issue of Physical Therapy.

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Taxing Sweetened Beverages Reduces Volume Sold

TUESDAY, May 14, 2019 (HealthDay News) — Implementation of a beverage excise tax on sugar-sweetened and artificially sweetened beverages in Philadelphia in January 2017 was associated with a reduction in the volume of beverages sold, according to a study published in the May 14 issue of the Journal of the American Medical Association.

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Some Cervical Cancer Screening Strategies More Cost-Effective

TUESDAY, May 14, 2019 (HealthDay News) — A cervical cancer screening strategy that involves cytologic testing every three years from ages 21 to 29 years and then continuing cytologic testing or switching to low-cost high-risk human papillomavirus (hrHPV) testing every five years is reasonable, according to a study published online May 13 in JAMA Internal Medicine.

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Light, Incremental Physical Activity Can Help Reduce Brain Aging

TUESDAY, May 14, 2019 (HealthDay News) — Incremental physical activity (PA), even of light intensity, is associated with larger brain volume and healthy brain aging, according to a study published online April 19 in JAMA Network Open.

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Late-Onset Type 1 Diabetes Often Misdiagnosed as Type 2

TUESDAY, May 14, 2019 (HealthDay News) — Type 1 diabetes diagnosed in those older than age 30 years is clinically and biologically similar to disease occurring at younger ages but is often misidentified, according to a study recently published in Diabetologia.

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U.S. Prevalence of Alcoholic Fatty Liver Disease Stable at 4.7 Percent

TUESDAY, May 14, 2019 (HealthDay News) — The prevalence of alcoholic fatty liver disease (AFLD) has remained stable among U.S. adults, affecting 4.7 percent of adults in 2015 to 2016, according to a research letter published online May 7 in the Journal of the American Medical Association.

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Home-Based Cardiac Rehab May Be Option for Some Heart Patients

TUESDAY, May 14, 2019 (HealthDay News) — For low- to moderate-risk patients, home-based cardiac rehabilitation (HBCR) may be a reasonable alternative to center-based cardiac rehabilitation (CBCR), according to a joint scientific statement issued by the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. The statement was published online May 13 in Circulation, the Journal of the American College of Cardiology, and the Journal of Cardiopulmonary Rehabilitation and Prevention.

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Patients Find Note Reading Important for Health Management

MONDAY, May 13, 2019 (HealthDay News) — Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.

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Prevalence of Low Back Pain About 26.4 Percent in U.S. Workers

MONDAY, May 13, 2019 (HealthDay News) — The overall prevalence of low back pain (LBP) among U.S. workers is about 26.4 percent, according to a research letter published online May 14 in the Annals of Internal Medicine.

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CDC: U.S. Measles Cases in 2019 Reach 839

MONDAY, May 13, 2019 (HealthDay News) — The number of reported measles cases in the United States climbed to 839 as of last week, the highest yearly total in 25 years, the U.S. Centers for Disease Control and Prevention said Monday.

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Infection Risk Lower With Certain Psoriasis Treatments

MONDAY, May 13, 2019 (HealthDay News) — For patients with psoriasis treated with systemic medications, the risk for serious infection is reduced for new users of apremilast, etanercept, and ustekinumab versus methotrexate, according to a study published online May 10 in JAMA Dermatology.

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Adverse Childhood Experiences Linked to Worse Lupus Outcomes

MONDAY, May 13, 2019 (HealthDay News) — Adverse childhood experiences (ACEs) are associated with worse patient-reported systemic lupus erythematosus (SLE) outcomes, according to a study published online May 9 in Arthritis Care & Research.

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Prior Training Increases Internists’ Knowledge of PrEP for HIV

MONDAY, May 13, 2019 (HealthDay News) — For internal medicine (IM) residents, prior training is associated with higher levels of knowledge, comfort, and prescribing behaviors for preexposure prophylaxis (PrEP) for HIV, according to a study published online April 24 in the Journal of General Internal Medicine.

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Heart Patients at Risk When Pharmacies Close

MONDAY, May 13, 2019 (HealthDay News) — When pharmacies close, people with heart disease stop taking widely used heart medications, such as statins, beta-blockers, and oral anticoagulants, according to a study published online April 19 in JAMA Network Open.

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Fournier Gangrene Is Safety Concern With SGLT2 Inhibitors

MONDAY, May 13, 2019 (HealthDay News) — Fournier gangrene (FG) is a safety concern for adults with diabetes receiving treatment with sodium-glucose cotransporter-2 (SGLT2) inhibitors, according to a study published online May 7 in the Annals of Internal Medicine.

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CDC: Hepatitis A Virus Reports Increased in 2016 to 2018

FRIDAY, May 10, 2019 (HealthDay News) — From 2016 to 2018, there was an increase in reports of hepatitis A cases, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Health Professionals Supportive of Medicinal Cannabis

FRIDAY, May 10, 2019 (HealthDay News) — Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.

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Rate of Ordering Cancer Screening Tests Decreases During Clinic Day

FRIDAY, May 10, 2019 (HealthDay News) — As the clinic day progresses, the rate of clinician ordering of breast and colorectal cancer screening tests decreases, according to a study published online May 10 in JAMA Network Open.

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New Recommendations Developed for Breast Cancer Screening

FRIDAY, May 10, 2019 (HealthDay News) — New recommendations have been developed for breast cancer screening based on a life-years-gained model; the American Society of Breast Surgeons (ASBrS) official statement was published online May 3.

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Registry Can Reduce CRE Carriers, CRE Prevalence

FRIDAY, May 10, 2019 (HealthDay News) — The implementation of a registry can reduce the spread of carbapenem-resistant Enterobacteriaceae (CRE), even when only a proportion of facilities participate, according to a study published online May 9 in Clinical Infectious Diseases.

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Doctors Aware of Patient Difficulties Affording Medical Care

FRIDAY, May 10, 2019 (HealthDay News) — Physicians are aware of patients’ difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.

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Model Predicts Counties at Risk for Measles Outbreak

FRIDAY, May 10, 2019 (HealthDay News) — In a commentary published online May 9 in The Lancet Infectious Diseases, an analysis is proposed that can predict counties at risk for a measles outbreak.

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Generic Version of Truvada Available in U.S. by Sept. 2020

THURSDAY, May 9, 2019 (HealthDay News) — A generic version of the HIV preexposure prophylaxis (PrEP) drug Truvada will be available in the United States by September 2020, a year earlier than expected, according to Gilead Sciences.

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CDC: HIV Racial Disparity Measure Decreased From 2010 to 2016

THURSDAY, May 9, 2019 (HealthDay News) — If the incidence rates were the same for black women as for white women, an estimated 93 percent of incident HIV infections among black women would not have occurred in 2016, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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2018 Saw More Employed Physicians Than Self-Employed

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).

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Fifteen Million Patients Will Need First-Course Chemo in 2040

THURSDAY, May 9, 2019 (HealthDay News) — An estimated 15.0 million patients will require first-course chemotherapy in 2040, with delivery requiring 100,000 cancer physicians, according to a study published online May 8 in The Lancet Oncology.

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CDC: Uninsurance Levels Did Not Change Significantly in 2018

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Higher Risk for Mental Disorders Seen in Patients With Psoriasis

THURSDAY, May 9, 2019 (HealthDay News) — Patients with psoriasis have an increased risk for mental disorders, with time to onset starting within two to three months after diagnosis, according to two research letters published online May 8 in JAMA Dermatology.

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Lupus Affects Emotional, Mental Well-Being of Patients

THURSDAY, May 9, 2019 (HealthDay News) — More than 60 percent of patients with lupus report that the disease has a large effect on their emotional and mental well-being, according to a report published online May 9 by the World Lupus Federation.

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Risk for Cancer Increased in Men, Women With T2DM

THURSDAY, May 9, 2019 (HealthDay News) — Men and women with type 2 diabetes (T2D) have an increased risk for overall cancer and some site-specific cancers, according to a study published online May 9 in the Journal of Diabetes.

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Scientology Cruise Ship Passengers, Crew Still Under Quarantine

WEDNESDAY, May 8, 2019 (HealthDay News) — Hundreds of passengers and crew members of a Church of Scientology cruise ship remain under quarantine in its home port of Curacao while awaiting measles test results.

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Prices Will Soon Be Included in TV Drug Ads

WEDNESDAY, May 8, 2019 (HealthDay News) — In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.

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In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs

WEDNESDAY, May 8, 2019 (HealthDay News) — In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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Alcohol Consumption Per Capita Increasing Among Adults

WEDNESDAY, May 8, 2019 (HealthDay News) — Global goals for reducing alcohol use are unlikely to be achieved, with the global adult per-capita consumption projected to continue increasing to 2030, according to a study published online May 7 in The Lancet.

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CDC: Prevalence of Arthritis 22.8 Percent in U.S. Adults in 2017

WEDNESDAY, May 8, 2019 (HealthDay News) — The prevalence of arthritis was 22.8 percent in U.S. adults in 2017, with statewide variation in prevalence and in the prevalence of severe joint pain and physical inactivity among those with arthritis, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Patent Foramen Ovale Ups Ischemic Stroke in Those With PE

WEDNESDAY, May 8, 2019 (HealthDay News) — For patients with symptomatic pulmonary embolism (PE), the frequency of recent ischemic stroke is higher in those with patent foramen ovale (PFO), according to a study published online May 7 in the Annals of Internal Medicine.

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Low Glucose Levels at Hospital Discharge Tied to Poor Outcomes

WEDNESDAY, May 8, 2019 (HealthDay News) — Patients with diabetes who have hypoglycemia or near-normal glucose values during the last day of hospitalization have higher rates of 30-day readmission and postdischarge mortality, according to a study published online May 1 in the Journal of Clinical Endocrinology & Metabolism.

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Oral Aspirin Does Not Up FIT Test Sensitivity for ID’ing CRC

WEDNESDAY, May 8, 2019 (HealthDay News) — Administration of a single dose of oral aspirin prior to fecal immunochemical testing does not increase test sensitivity for detecting advanced colorectal neoplasms, according to a study published in the May 7 issue of the Journal of the American Medical Association.

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Recommendations Issued for Treating Tourette Syndrome

TUESDAY, May 7, 2019 (HealthDay News) — In a new American Academy of Neurology guideline published in the May 7 issue of Neurology, recommendations are presented for treating Tourette syndrome and other chronic tic disorders.

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Gentamicin Appropriate Second-Line Therapy to Ceftriaxone for Gonorrhea

TUESDAY, May 7, 2019 (HealthDay News) — A single dose of gentamicin is an appropriate second-line therapy for gonorrhea resistant to a single dose of ceftriaxone, according to a study published online May 2 in The Lancet.

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External Reference Pricing Could Cut Drug Costs in U.S.

TUESDAY, May 7, 2019 (HealthDay News) — The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.

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Efforts Needed to Ensure Publication of All Trials

TUESDAY, May 7, 2019 (HealthDay News) — Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.

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Plant-Based Diets Tied to Lower Risk for Heart Failure

TUESDAY, May 7, 2019 (HealthDay News) — Plant-based diets are associated with a lower risk for heart failure (HF) in adults without known heart disease, according to a study published in the April 30 issue of the Journal of the American College of Cardiology.

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FDA: French Soft Ripened Cheese Possibly Contaminated

MONDAY, May 6, 2019 (HealthDay News) — Consumers should not eat and retailers should not sell or serve l’Explorateur soft ripened cheese due to possible Listeria monocytogenes contamination, the U.S. Food and Drug Administration says.

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CDC: Number of Measles Cases in the United States Reaches 764

MONDAY, May 6, 2019 (HealthDay News) — At least 60 more measles cases have been reported in the United States, bringing the total so far this year to 764, health officials said Monday.

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Congo Ebola Outbreak Death Toll Surpasses 1,000

MONDAY, May 6, 2019 (HealthDay News) — The death toll in the Ebola outbreak in eastern Congo now stands at 1,008, the country’s health minister reported.

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Cardiorespiratory Fitness Tied to Lower Risk for Lung Cancer, CRC

MONDAY, May 6, 2019 (HealthDay News) — Higher cardiorespiratory fitness (CRF) is associated with a lower risk for incident lung and colorectal cancer and with a lower risk for all-cause mortality among those diagnosed with lung and colorectal cancer, according to a study published online May 6 in Cancer.

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U.S. Energy Drink Consumption Rose From 2003 to 2016

MONDAY, May 6, 2019 (HealthDay News) — Consumption of caffeinated energy drinks is on the rise in the United States among adolescents, young adults, and middle-aged adults, according to a study published April 18 in the American Journal of Preventive Medicine.

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Microbial Toxins Found in Electronic Cigarette Products

FRIDAY, May 3, 2019 (HealthDay News) — Electronic cigarette (EC) products may be contaminated with microbial toxins, according to a study published online April 24 in Environmental Health Perspectives.

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Primary Care Constitutes Minority of Research Funded by PCORI

FRIDAY, May 3, 2019 (HealthDay News) — An evaluation of funding cycles (7 through 14) from the Patient-Centered Outcomes Research Institute (PCORI) shows that relatively low levels of primary care research studies are funded, according to a study published April 15 in the Journal of General Internal Medicine.

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CDC: Foodborne Infections Increased From 2015 to 2018

FRIDAY, May 3, 2019 (HealthDay News) — From 2015 to 2018, the incidence of most foodborne infections increased, according to research published in the April 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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More Than Half of U.S. Adults Have Medical Financial Hardship

FRIDAY, May 3, 2019 (HealthDay News) — Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.

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Impact of Azithromycin Studied in Acute Exacerbation of COPD

FRIDAY, May 3, 2019 (HealthDay News) — Three months of azithromycin did not significantly reduce treatment failure (TF) among patients hospitalized for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD), according to a study published online May 3 in the American Journal of Respiratory and Critical Care Medicine.

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Prolonged Exposure to Low-Dose Radiation May Increase HTN Risk

FRIDAY, May 3, 2019 (HealthDay News) — For Russian Mayak nuclear enterprise workers occupationally exposed to ionizing radiation, hypertension incidence is associated with cumulative liver-absorbed dose from external γ-rays, according to a study published online May 3 in Hypertension.

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ART Stops HIV Transmission in Serodifferent Gay Couples

FRIDAY, May 3, 2019 (HealthDay News) — In HIV serodifferent gay couples, the within-couple rate of HIV transmission through condomless anal sex is zero when the HIV-positive partner is taking suppressive antiretroviral therapy (ART), according to a study published online May 2 in The Lancet.

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FDA Approves Dengue Vaccine for Endemic Regions

THURSDAY, May 2, 2019 (HealthDay News) — The dengue vaccine Dengvaxia has been approved by the U.S. Food and Drug Administration for use in the U.S. territories of American Samoa, Guam, Puerto Rico, and the U.S. Virgin Islands, but its use is limited to people aged 9 to 16 years. The vaccine has already been approved in 19 countries and the European Union.

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Measles Case Leads to Quarantine of Cruise Ship in St. Lucia

THURSDAY, May 2, 2019 (HealthDay News) — A case of measles has led to the quarantine of a cruise ship with nearly 300 passengers and crew on the Caribbean island of St. Lucia, health officials reported Wednesday. They said that one female crew member has a confirmed case of measles and that the ship has been under quarantine since Monday morning. The ship is scheduled to leave late Thursday, NBC News reported.

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Few U.S. Adults Use USB-Shaped Electronic Vapor Products

THURSDAY, May 2, 2019 (HealthDay News) — About 7.9 percent of U.S. adults reported ever use of electronic vapor products (EVPs) shaped like universal serial bus (USB) flash drives in 2018, according to a study published online April 25 in Tobacco Control.

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Childhood Oral Infection Linked to Atherosclerosis in Adulthood

THURSDAY, May 2, 2019 (HealthDay News) — Oral infections in childhood are associated with subclinical carotid atherosclerosis in adulthood, according to a study published online April 26 in JAMA Network Open.

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Cervical Adenocarcinoma Rates Increased in Some Populations

THURSDAY, May 2, 2019 (HealthDay News) — Many populations have increasing or stabilized incidence trends in cervical adenocarcinoma (AC), according to a study published in the June issue of Preventive Medicine.

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Preterm Birth Tied to Elevated Risk for Chronic Kidney Disease

THURSDAY, May 2, 2019 (HealthDay News) — Preterm and early preterm birth are associated with an increased risk for development of chronic kidney disease (CKD), according to a study published online May 1 in The BMJ.

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‘Vampire Facials’ at New Mexico Spa Linked to HIV Infections

WEDNESDAY, May 1, 2019 (HealthDay News) — Two people may have contracted HIV after undergoing so-called “vampire facials” at a New Mexico spa, state health officials say.

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FDA Puts Tough Warning Label on Ambien, Lunesta, Other Sleep Aids

WEDNESDAY, May 1, 2019 (HealthDay News) — The U.S. Food and Drug Administration is requiring a new boxed warning on sleep medications such as Ambien, Lunesta, and Sonata due to dangers from daytime drowsiness the day after their use.

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EPA Says Weed Killer in Roundup Is Safe

WEDNESDAY, May 1, 2018 (HealthDay News) — Despite thousands of lawsuits from people claiming that the weed killer glyphosate caused their cancer, the U.S. Environmental Protection Agency said Tuesday that the active ingredient in Roundup is safe.

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Patient Hand Contamination With Drug-Resistant Organisms Common

WEDNESDAY, May 1, 2019 (HealthDay News) — Patient hand contamination with multidrug-resistant organisms (MDROs) is common and correlates with contamination on high-touch hospital room surfaces, according to a study published online April 13 in Clinical Infectious Diseases.

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Thiazide Use May Lower Fracture Risk in Patients With Alzheimer Disease

WEDNESDAY, May 1, 2019 (HealthDay News) — Community-dwelling patients with Alzheimer disease (AD) experience a lower risk for fractures, including hip fractures, with thiazide use, according to a study published online April 16 in Osteoporosis International.

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FDA Approves Mavyret for Children, Adolescents With Hep C

WEDNESDAY, May 1, 2019 (HealthDay News) — Mavyret (glecaprevir and pibrentasvir) tablets are now approved to treat all six genotypes of hepatitis C virus (HCV) in children ages 12 to 17 years, the U.S. Food and Drug Administration announced yesterday.

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