Health Information

March 2013 Briefing - Nursing

March 2013 Briefing - Nursing

Many Uninsured Vets Will Be Eligible for Medicaid Under ACA

FRIDAY, March 29 (HealthDay News) -- A large proportion of uninsured veterans and their spouses will be eligible for Medicaid or new subsidies for coverage under the Affordable Care Act (ACA), according to a report published by the Robert Wood Johnson Foundation.

More Information (http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2013/rwjf405143 )

Viral DNA-Based Testing Can Triage Women With Abnormal Pap

THURSDAY, March 28 (HealthDay News) -- DNA-based testing with Hybrid Capture 2 (HC2) assay is more accurate than repeat cytology in identifying women with cervical cancer when their initial Pap smear shows atypical squamous cells of undetermined significance (ASCUS), according to research published online March 28 in The Cochrane Library.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008054.pub2/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008054.pub2/full )

Study: Primary Care Extension Program Should Be Funded

THURSDAY, March 28 (HealthDay News) -- The Primary Care Extension Program (PCEP) has the potential to transform primary care and needs to be funded, according to a study published in the March/April issue of the Annals of Family Medicine.

Abstract (http://annfammed.org/content/11/2/173.abstract )Full Text (subscription or payment may be required) (http://annfammed.org/content/11/2/173.full )

Using Internet Search Logs Can Help Identify Drug Interactions

THURSDAY, March 28 (HealthDay News) -- Search logs can be used to inexpensively mine for anonymized signals that may alert authorities to potential drug interactions and add new Web-scale pharmacovigilance capabilities, according to research published online March 6 in the Journal of the American Medical Informatics Association.

Abstract (http://jamia.bmj.com/content/early/2013/02/05/amiajnl-2012-001482.abstract )Full Text (subscription or payment may be required) (http://jamia.bmj.com/content/early/2013/02/05/amiajnl-2012-001482.full.pdf+html )

Experience-Related Data Limited in Children's Surgery

THURSDAY, March 28 (HealthDay News) -- In pediatric surgery, hospital-level characteristics are often strongly associated with improved outcomes in rarer, more complex procedures, while surgeon-level factors may be more important predictors in common procedures, according to a review published online March 25 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1671777#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1671777 )

Regional Variation Noted in Prevalence of Delayed Care

THURSDAY, March 28 (HealthDay News) -- There is considerable county-wide variation in the prevalence of delayed care, with high prevalence linked to a weaker health care infrastructure, according to a letter published in the March 28 issue of the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMc1214874 )

Inpatient Deaths Fell by 8 Percent in Last Decade

WEDNESDAY, March 27 (HealthDay News) -- The number of inpatient hospital deaths declined by 8 percent over the last decade, although the total number of hospitalizations increased by 11 percent during the same period, according to a March data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

Full Text (http://www.cdc.gov/nchs/data/databriefs/db118.htm )

Daylight Savings Time Modestly Affects AMI Type, Incidence

WEDNESDAY, March 27 (HealthDay News) -- Transition to and from daylight savings time (DST) might modestly affect the incidence and type of acute myocardial infarction (AMI), according to research published in the March issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(12)02443-5/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(12)02443-5/fulltext )

Certified Primary Stroke Centers Use More Rt-PA

TUESDAY, March 26 (HealthDay News) -- Joint Commission certified primary stroke centers (PSCs) use more recombinant tissue plasminogen activator (rt-PA) for ischemic stroke than non-PSCs, according to a study published online March 26 in the Journal of the American Heart Association.

Abstract (http://jaha.ahajournals.org/content/2/2/e000071.abstract )Full Text (http://jaha.ahajournals.org/content/2/2/e000071.full )

Social Isolation, Apart From Loneliness, Can Harm Health

TUESDAY, March 26 (HealthDay News) -- Both loneliness and social isolation are associated with mortality, with the link for social isolation independent of demographics, baseline health, and loneliness, according to a study published online March 25 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2013/03/19/1219686110.abstract )Full Text (http://www.pnas.org/content/early/2013/03/19/1219686110.full.pdf+html )

MRSA Colonization in Groin Tied to Clinical Infections

TUESDAY, March 26 (HealthDay News) -- Groin colonization of methicillin-resistant Staphylococcus aureus (MRSA) leads to an increased risk of developing active MRSA infection later among HIV-infected patients, according to a study published in the April issue of Emerging Infectious Diseases.

Full Text (http://wwwnc.cdc.gov/eid/article/19/4/12-1353_article.htm )

One in 10 Parents Often Don't Follow Pediatricians' Advice

TUESDAY, March 26 (HealthDay News) -- Although the majority of parents follow the advice of their child's health care provider most or all of the time, a considerable percentage of parents only occasionally follow their advice, according to a report published March 18 by the C.S. Mott Children's Hospital.

More Information (http://mottnpch.org/reports-surveys/just-what-doctor-ordered-not-many-parents )

Unintended Harmful Effects of Mammography Studied

TUESDAY, March 26 (HealthDay News) -- A false-positive test result from screening mammography is not harmless and can result in negative long-term psychosocial consequences, according to research published in the March/April issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/2/106.abstract )Full Text (http://www.annfammed.org/content/11/2/106.full )

Even the Poorest Handheld Umbrellas Can Block UV Rays

MONDAY, March 25 (HealthDay News) -- Handheld umbrellas are effective at blocking ultraviolet radiation (UVR), according to a study published online March 20 in JAMA Dermatology.

Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1670412 )

FDA Approves Inhaler for Cystic Fibrosis Patients

MONDAY, March 25 (HealthDay News) -- The TOBI Podhaler (tobramycin inhalation powder) has been approved by the U.S. Food and Drug Administration to treat cystic fibrosis patients infected with Pseudomonas aeruginosa, a bacterium that can damage the lungs.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm345123.htm )

Nurses Can Resolve Low Complexity, Primary Care Cases

MONDAY, March 25 (HealthDay News) -- Nurses can comparably solve acute, low complexity health problems with similar results to general practitioners, according to a study published online March 21 in the Journal of Advanced Nursing.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jan.12120/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jan.12120/full )

Field Stories Can Shape Public Policy for Obesity Prevention

FRIDAY, March 22 (HealthDay News) -- Stories from the field can help highlight policy, systems, and environmental approaches effective in obesity prevention, according to a study published online Feb. 14 in Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/12_0141.htm )

Telehealth in Addition to Usual Care Not Cost-Effective

FRIDAY, March 22 (HealthDay News) -- For adults with chronic health conditions, a telehealth intervention in addition to standard support and treatment is associated with increased costs, with no significant benefit in terms of quality adjusted life years (QALYs), according to a study published online March 22 in BMJ.

Full Text (http://www.bmj.com/content/346/bmj.f1035 )

Mobility Impaired May Have Difficulty Accessing Docs

FRIDAY, March 22 (HealthDay News) -- Many U.S. subspecialty practices cannot accommodate patients with mobility impairment, according to a study published in the March 19 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1667265 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleID=1667280 )

Most People With Prediabetes in the Dark About Their Condition

THURSDAY, March 21 (HealthDay News) -- Most of the people in the United States with prediabetes, a state that puts them at high risk of developing type 2 diabetes if they do not take measures to prevent that progression, are unaware of their condition, according to research published in the March 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6211a4.htm?s_cid=mm6211a4_w )

Impact of Budget Sequestration on Health Care Discussed

THURSDAY, March 21 (HealthDay News) -- The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece published online March 20 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1303266?query=featured_home )

Higher Infection Rate Noted With NICU Nurse Understaffing

THURSDAY, March 21 (HealthDay News) -- Understaffing of neonatal intensive care units (NICUs) is common and is associated with an increased risk of nosocomial infection in very low-birth-weight (VLBW) infants, according to a study published online March 18 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1669323#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1669323 )

Suicide Ideation, Attempts Higher in Children With Autism

THURSDAY, March 21 (HealthDay News) -- Children with autism have much higher rates of suicide ideation and suicide attempts than typical children, according to a study published in the January issue of Research in Autism Spectrum Disorders.

Abstract (http://www.sciencedirect.com/science/article/pii/S1750946712000931 )Full Text (subscription or payment may be required) (http://www.sciencedirect.com/science/article/pii/S1750946712000931 )

Hypospadias Not Related to Organic Diet During Pregnancy

THURSDAY, March 21 (HealthDay News) -- Although no obvious relationship between organic diet during pregnancy and hypospadias has been found, frequent consumption of non-organic high-fat dairy products during pregnancy might be associated with increased odds of hypospadias, according to research published in the March issue of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(12)05098-7/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(12)05098-7/fulltext )Editorial (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(12)05843-0/fulltext )

Annual BP Checks May Improve Hypertension Identification

THURSDAY, March 21 (HealthDay News) -- For previously normotensive adults, an annual office-based hypertension screening strategy is associated with improved specificity while maintaining sensitivity, according to a study published in the March/April issue of Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/2/116.abstract )Full Text (http://www.annfammed.org/content/11/2/116.full )

Heart-Healthy Lifestyle Can Also Reduce Cancer Risk

THURSDAY, March 21 (HealthDay News) -- Subjects who are enrolled in the Atherosclerosis Risk in Communities (ARIC) study and are meeting goals for six to seven ideal health metrics have a 51 percent lower risk of incident cancer than those not meeting any goals for ideal health metrics, according to research published online March 18 in Circulation.

Abstract (http://circ.ahajournals.org/content/early/2013/03/13/CIRCULATIONAHA.112.001183.abstract )Full Text (http://circ.ahajournals.org/content/early/2013/03/13/CIRCULATIONAHA.112.001183.full.pdf+html )

Effect of Immigration Status on Medicaid Eligibility Discussed

WEDNESDAY, March 20 (HealthDay News) -- Under the Affordable Care Act, a considerable proportion of low-income uninsured adults will be ineligible for Medicaid coverage due to their immigration status, and their main providers are likely to be safety-net health care providers, according to a March report published by the State Health Access Data Assistance Center.

More Information (http://www.rwjf.org/en/research-publications/find-rwjf-research/2013/03/state-estimates-of-the-low-income-uninsured-not-eligible-for-the.html )

Manual Osteopathic Treatment Improves Chronic Back Pain

WEDNESDAY, March 20 (HealthDay News) -- Treatment of nonspecific chronic low back pain with osteopathic manual treatment (OMT) is associated with moderate or substantial improvements in low back pain, according to a study published in the March/April issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/2/122.abstract )Full Text (http://www.annfammed.org/content/11/2/122.full )

Chlorthalidone No Better Than Hydrochlorothiazide for HTN

WEDNESDAY, March 20 (HealthDay News) -- For older adults with hypertension, chlorthalidone is not associated with fewer adverse cardiovascular events or death, but correlates with increased hypokalemia compared with hydrochlorothiazide, according to a study published in the March 19 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1667266 )

Total Knee Replacement Poses Large Public Health Burden

WEDNESDAY, March 20 (HealthDay News) --The prevalence of total knee replacement is estimated at 4.2 percent for U.S. adults aged 50 years and older, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1555390 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1555390 )

ER Discharge Dx/Disposition Discordant With Chief Complaint

TUESDAY, March 19 (HealthDay News) -- A considerable proportion of patients with emergency department visits with the same presenting complaint as those ultimately given a primary care-treatable diagnosis require immediate emergency care or hospital admission, according to a study published in the March 20 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1669818#Abstract )Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1669818 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1669802 )

One in Three U.S. Seniors Dies With Alzheimer's or Dementia

TUESDAY, March 19 (HealthDay News) -- Alzheimer's deaths are increasing, with one in three seniors currently expected to die with Alzheimer's or another form of dementia, according to a report published by the Alzheimer's Association.

More Information (http://www.alz.org/national/documents/facts_and_figures_2013_press_release.pdf )

Conflict-of-Interest Disclosures Common at 2011 AAOS Meeting

TUESDAY, March 19 (HealthDay News) -- At the 2011 American Academy of Orthopaedic Surgeons (AAOS) annual meeting, voluntarily disclosed conflicts of interest were common, especially for featured symposia, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1654958 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1654958 )

Aristolochic Acid Nephropathy, a Global Health Problem

TUESDAY, March 19 (HealthDay News) -- Although the first description of a rapidly progressive nephropathy associated with the consumption of aristolochic acid (AA) found in Chinese herbs was first reported 20 years ago, AA-induced nephropathy remains a worldwide health concern due to the lack of regulation on herbal medication and the easy availability of such medications online, according to a review published in the March 19 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1667266 )

Barrier Assessment Improves Care for Elderly With Diabetes

TUESDAY, March 19 (HealthDay News) -- For older adults with diabetes, an active intervention involving assessment of barriers to self-care and development of strategies to cope with these barriers is superior to usual care, according to research published in the March issue of Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/36/3/543.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/3/543.full )

AAN Updates Guidelines for Sports Concussion Management

MONDAY, March 18 (HealthDay News) -- The risks, diagnosis, and management of sports concussion have been reviewed in updated guidelines published online March 18 by the American Academy of Neurology (AAN) in Neurology.

Abstract (http://www.neurology.org/content/early/2013/03/15/WNL.0b013e31828d57dd.abstract )Full Text (http://www.neurology.org/content/early/2013/03/15/WNL.0b013e31828d57dd.full.pdf+html )Editorial (http://www.neurology.org/content/early/2013/03/15/WNL.0b013e31828d9c13.full.pdf+html )

Exercise Improves Quality of Life in Type 2 Diabetes

MONDAY, March 18 (HealthDay News) -- For people with type 2 diabetes mellitus (T2DM), a nine-month aerobic and resistance training program significantly improves quality of life (QOL) compared with no exercise, according to research published online Feb. 12 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-1153.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-1153.long )

Pharmacist-Led Home BP Program Shows Success

MONDAY, March 18 (HealthDay News) -- Compared with usual care, a pharmacist-led home blood pressure monitoring (HBPM) intervention called Heart360 results in greater blood pressure (BP) reductions, superior BP control, and higher patient satisfaction, according to research published online March 5 in Circulation: Cardiovascular Quality and Outcomes.

Abstract (http://circoutcomes.ahajournals.org/content/early/2013/03/05/CIRCOUTCOMES.112.968172.abstract )Full Text (subscription or payment may be required) (http://circoutcomes.ahajournals.org/content/early/2013/03/05/CIRCOUTCOMES.112.968172.full.pdf+html )

Evidence Indicates Link for Shift Work, Ovarian Cancer

MONDAY, March 18 (HealthDay News) -- Shift work may be associated with an increased risk of ovarian cancer, according to a study published in the April issue of Occupational & Environmental Medicine.

Abstract (http://oem.bmj.com/content/70/4/231.short?g=w_oem_current_tab )Full Text (subscription or payment may be required) (http://oem.bmj.com/content/70/4/231.full )Editorial (subscription or payment may be required) (http://oem.bmj.com/content/70/4/283.extract )

Cellphone Use While Driving Varies From 21 to 69 Percent

MONDAY, March 18 (HealthDay News) -- The prevalence of talking on a cellphone while driving ranges from 21 to 69 percent across the United States and seven European countries, according to research published in the March 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6210a1.htm?s_cid=mm6210a1_e )

Black Children Less Likely to Be Prescribed Antibiotics

MONDAY, March 18 (HealthDay News) -- Black children are less likely to be prescribed antibiotics and to be diagnosed with conditions that require antibiotics, even when treated by the same doctor, according to research published online March 18 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/03/12/peds.2012-2500.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/03/12/peds.2012-2500.full.pdf+html )

Robotic Surgery Not Best for Hysterectomy, ACOG Says

FRIDAY, March 15 (HealthDay News) -- Robotic surgery is not the only, the best, or the most cost-efficient method for a minimally invasive hysterectomy, according to a statement published March 14 by the American College of Obstetricians & Gynecologists (ACOG).

More Information (http://www.acog.org/About_ACOG/News_Room/News_Releases/2013/Statement_on_Robotic_Surgery )

Final Rule in Notice of Benefit, Payment Parameters Issued

FRIDAY, March 15 (HealthDay News) -- The final rule of the Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2014, which expands on existing standards, has been released.

More Information (http://content.govdelivery.com/bulletins/gd/USCMS-6ebb0f )

BP Shifts Tied to Mortality Risk for Blacks With Kidney Disease

FRIDAY, March 15 (HealthDay News) -- Higher systolic blood pressure visit-to-visit variability (SBV) is independently associated with overall and cardiovascular mortality in African-Americans with chronic kidney disease (CKD), according to a study published online March 14 in the Clinical Journal of the American Society of Nephrology.

Abstract (http://cjasn.asnjournals.org/content/early/2013/03/12/CJN.10131012.abstract )Full Text (subscription or payment may be required) (http://cjasn.asnjournals.org/content/early/2013/03/12/CJN.10131012.full )

Oral Melatonin Has No Effect on Appetite in Advanced Cancer

FRIDAY, March 15 (HealthDay News) -- Oral melatonin does not improve appetite, weight, or quality of life for patients with cachexia due to advanced cancer, according to research published online Feb. 25 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/02/25/JCO.2012.43.6766.short?rss=1 )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/02/25/JCO.2012.43.6766.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/02/25/JCO.2012.48.3149.full.pdf+html )

Exercise, Counseling Cut Days Off From Back Pain in Recruits

FRIDAY, March 15 (HealthDay News) -- Neuromuscular exercise and counseling decrease the number of days off due to low back pain (LBP) among young men serving in the military, according to a study published in the March 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/03010/Neuromuscular_Exercise_and_Counseling_Decrease.2.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/03010/Neuromuscular_Exercise_and_Counseling_Decrease.2.aspx )

High-Fat Dairy Linked to All-Cause, Breast Cancer Mortality

FRIDAY, March 15 (HealthDay News) -- For women with a breast cancer diagnosis, high-fat dairy consumption is associated with a higher mortality risk, according to a study published online March 14 in the Journal of the National Cancer Institute.

Abstract (http://jnci.oxfordjournals.org/content/early/2013/03/08/jnci.djt027.abstract )Full Text (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/03/08/jnci.djt027.full )Editorial (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/03/08/jnci.djt052.extract )

About 14 Percent of Moms Face Postpartum Depression

FRIDAY, March 15 (HealthDay News) -- About 14 percent of mothers are depressed postpartum, with a postpartum onset in most cases, and with the most common diagnosis being major depressive disorder with comorbid anxiety disorders, according to a study published online March 13 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1666651#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1666651 )

Health Insurance Exchanges Will Mainly Be Run by Feds

FRIDAY, March 15 (HealthDay News) -- More than half of the states within the United States will allow the federal government to establish health insurance exchanges, according to a report issued by the Henry J. Kaiser Family Foundation.

More Information (http://www.statehealthfacts.org/comparemaptable.jsp?ind=962&cat=17 )

Cardio Risks Need Evaluation Before Prescribing Statins

FRIDAY, March 15 (HealthDay News) -- Physicians may not adequately consider a patient's cardiovascular risk when prescribing statins as preventive therapy, according to a research letter published online March 11 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1666428 )

Cardiac Benefits of Physical Activity in Diabetes Studied

FRIDAY, March 15 (HealthDay News) -- Adults with clinical diabetes are more likely to experience cardiovascular death than those without diabetes; however, physical activity may negate the negative impact of diabetes on cardiovascular mortality, according to a study published in the March issue of Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/36/3/690.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/3/690.full )

Pharmaceutical Companies Are Reducing Promotional Spending

FRIDAY, March 15 (HealthDay News) -- Pharmaceutical companies have been reducing the amount of money they spend on promotion to consumers and providers over the past decade and spend much less to promote biologics compared with small molecule drugs, according to a study published online March 4 in PLOS ONE.

Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0055504 )

Preventive Measures Not Enough to Combat C. difficile

THURSDAY, March 14 (HealthDay News) -- Although measures have been adopted to combat Clostridium difficile infection (CDI), most facilities have not reported improvement in health care facility-associated CDI rates, according to survey findings published by the Association for Professionals in Infection Control and Epidemiology (APIC).

More Information (http://www.apic.org/For-Media/News-Releases/Article?id=0fdc93fa-a6f9-4a53-b70c-ff04d1cfea3b )

Stimulated Reporting Accounts for High Dabigatran Bleeding

THURSDAY, March 14 (HealthDay News) -- The increased number of post-marketing reports of bleeding associated with use of dabigatran seems to be an example of stimulated reporting and may not represent an increased bleeding risk, according to a perspective piece published online March 13 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1302834?query=featured_home )

Rules Must Evolve to Allow New Drugs for Early Alzheimer's

THURSDAY, March 14 (HealthDay News) -- Given the shift in the focus of drug development for Alzheimer's disease toward earlier disease stages, before the onset of dementia, regulatory guidelines need to evolve, according to a perspective piece published online March 13 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1302513?query=featured_home )

Family-Centered Advanced Care Planning Benefits Ailing Teens

THURSDAY, March 14 (HealthDay News) -- Family-centered advanced care planning (ACP) enables families to better understand and agree on end-of-life decisions for adolescents with cancer, according to a study published online March 11 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1663080#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1663080 )

Medicare Patients Enrolled in Hospice Receive Better Care

THURSDAY, March 14 (HealthDay News) -- Medicare patients who enroll in hospice care receive better care at a lower cost, with the greatest savings if they enroll 15 to 30 days before death, according to a study published in the March issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/3/552.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/3/552.full )

ERs Need to Do More to Inform Parents on Child Seat Safety

THURSDAY, March 14 (HealthDay News) -- Although the availability of child passenger safety resources varies by practice setting, only one-third to one-half of emergency department physicians recommend replacement of a child's car seat after a motor vehicle collision (MVC), according to research published in the March issue of Pediatric Emergency Care.

Abstract (http://journals.lww.com/pec-online/pages/articleviewer.aspx?year=2013&issue=03000&article=00010&type=abstract )Full Text (subscription or payment may be required) (http://journals.lww.com/pec-online/pages/articleviewer.aspx?year=2013&issue=03000&article=00010&type=abstract )

Medicare Cancer Spending Has Little Effect on Survival

THURSDAY, March 14 (HealthDay News) -- Medicare spending for advanced cancer care has substantial regional variation, according to a study published online March 12 in the Journal of the National Cancer Institute.

Abstract (http://jnci.oxfordjournals.org/content/early/2013/03/08/jnci.djt025.abstract )Full Text (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/03/08/jnci.djt025.full )

Geriatric Factors Can Foretell Tolerances to Chemotherapy

THURSDAY, March 14 (HealthDay News) -- For elderly patients with metastatic colorectal cancer (mCRC), scores on the Mini-Mental State Examination (MMSE) and Instrumental Activities of Daily Living (IADL) were predictive of severe toxicity or unexpected hospitalization after fluorouracil-based chemotherapy with or without irinotecan (IRI), according to research published online March 4 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/03/04/JCO.2012.42.9894.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/03/04/JCO.2012.42.9894.full.pdf+html )

Vitamin D3 Supplementation Lowers Systolic BP in Blacks

THURSDAY, March 14 (HealthDay News) -- Vitamin D3 (cholecalciferol) supplementation lowers systolic blood pressure in blacks, according to a study published in the April issue of Hypertension.

Abstract (http://hyper.ahajournals.org/content/61/4/779.abstract )Full Text (subscription or payment may be required) (http://hyper.ahajournals.org/content/61/4/779.full )

Self-Reported Vision Loss Is Associated With Depression

THURSDAY, March 14 (HealthDay News) -- Self-reported vision loss is significantly associated with depression, according to a study published online March 7 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1660943#Abstract )Full Text (http://archopht.jamanetwork.com/article.aspx?articleid=1660943 )

Childhood Obesity Tied to Worse Hospital Outcomes

THURSDAY, March 14 (HealthDay News) -- Childhood obesity may be a risk factor for worse outcomes in hospitalized children with critical illness, oncologic diagnoses, or transplants, according to a review published online March 11 in JAMA Pediatrics.

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Family Presence During CPR Has Positive Effect for Family

WEDNESDAY, March 13 (HealthDay News) -- Family presence during cardiopulmonary resuscitation (CPR) at home correlates with positive psychological variables for the family; and survival and readmission among older patients who survive an in-hospital cardiac arrest is related to demographic variables and neurologic status at discharge, according to two studies published in the March 14 issue of the New England Journal of Medicine.

Full Text - Jabre (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1203366 )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1300397 )Full Text - Chan (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1200657 )

FDA Reaffirms Azithromycin Tie to Heart Rhythm Abnormalities

WEDNESDAY, March 13 (HealthDay News) -- The drug labels on azithromycin (Zithromax, Zmax) have been updated to strengthen the Warnings and Precautions section with information relating to abnormal changes in the electrical activity of the heart, which may lead to a potentially fatal irregular heart rhythm, according to a March 12 safety announcement issued by the U.S. Food and Drug Administration.

More Information (http://www.fda.gov/Drugs/DrugSafety/ucm341822.htm )

FDA Approves Lymphoseek to Help Locate Lymph Nodes

WEDNESDAY, March 13 (HealthDay News) -- The injected imaging drug Lymphoseek (technetium Tc 99m tilmanocept) has been approved by the U.S. Food and Drug Administration to help surgeons locate the lymph nodes among people with breast cancer or melanoma who are undergoing surgery to remove tumor-draining lymph nodes.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm343525.htm )

Primary Care Noninferior for Management of Sleep Apnea

WEDNESDAY, March 13 (HealthDay News) -- Management of obstructive sleep apnea in a primary care setting is noninferior to care at specialist sleep centers, according to a study published in the March 13 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1667091#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1667091 )

Post-PCI Bleeding Linked to Increased In-Hospital Mortality

WEDNESDAY, March 13 (HealthDay News) -- Post-percutaneous coronary intervention (PCI) bleeding events are associated with an increased risk of in-hospital mortality, according to a study published in the March 13 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1667092#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1667092 )

Post-Stroke Walking Improves Survivors' Quality of Life

WEDNESDAY, March 13 (HealthDay News) -- Walking improves the physical health component of quality of life measures in stroke survivors, according to a study published online March 7 in Stroke.

Abstract (http://stroke.ahajournals.org/content/early/2013/03/07/STROKEAHA.111.000642.abstract )Full Text (subscription or payment may be required) (http://stroke.ahajournals.org/content/early/2013/03/07/STROKEAHA.111.000642.full.pdf+html )

2009 H1N1 Vaccine Tied to Small Risk of Guillain-Barré Syndrome

WEDNESDAY, March 13 (HealthDay News) -- The monovalent inactivated influenza (H1N1) 2009 vaccine is associated with a small but significant increase in the risk of Guillain-Barré syndrome in the United States, according to a meta-analysis published online March 13 in The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)62189-8/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)62189-8/fulltext )

Sentinel Injuries Are Common in Infants Who Are Abused

WEDNESDAY, March 13 (HealthDay News) -- Sentinel injuries are common among infants who suffer abuse and are rare in those who are evaluated for abuse and found to not be abused, according to a study published online March 11 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/03/06/peds.2012-2780.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/03/06/peds.2012-2780.full.pdf+html )

Wide Variation in Cesarean Rates Across U.S. Hospitals

WEDNESDAY, March 13 (HealthDay News) -- Rates of cesarean delivery vary about 10-fold across a sample of U.S. hospitals nationwide, according to a study published in the March issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/3/527.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/3/527.full )

Patients With Diabetes Don't Wear Custom Footwear Enough

TUESDAY, March 12 (HealthDay News) -- Adherence rates for wearing custom-made footwear are inadequate for patients with diabetes with a recently healed plantar foot ulcer, according to a study published online Jan. 15 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-1330.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-1330.full.pdf+html )

Psycho-Oncologic Interventions May Be Beneficial for Adults

TUESDAY, March 12 (HealthDay News) -- For adults with cancer, psycho-oncologic interventions, such as relaxation, individual and group psychotherapy, and psychoeducation, may be effective in producing significant small-to-medium improvement in patients' emotional distress and quality of life, according to a study published in the Feb. 20 issue of the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/31/6/782.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/31/6/782.full.pdf+html )

Breastfeeding Does Not Reduce Obesity Risk at Age 11.5

TUESDAY, March 12 (HealthDay News) -- While promoting breastfeeding increases breastfeeding rates, it has no effect on the risk of overweight or obesity in children at 11.5 years of age, according to a study in the March 13 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1667089#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1667089 )

Smoking Cessation Cuts Cardiac Risk, Despite Weight Gain

TUESDAY, March 12 (HealthDay News) -- Smoking cessation reduces the risk of cardiovascular disease in people without diabetes, even after taking subsequent weight gain into account, according to a study in the March 13 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1667090#Abstract )Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1667090 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1667068 )

More Gun Laws Linked to Fewer Gun Deaths

TUESDAY, March 12 (HealthDay News) -- States with more firearm laws have a lower rate of gun deaths overall and by suicide and homicide, according to a study published online March 6 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1661390#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1661390 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1661391 )

$120 Million to Be Sequestered From Health Centers in 2013

TUESDAY, March 12 (HealthDay News) -- Budget sequestration, which is expected to reduce federal spending, is likely to result in a $120 million loss in grant funding for the nation's 1,200 community health centers in 2013, according to a report published by the Geiger Gibson/ RCHN Community Health Foundation Research Collaborative.

More Information (http://sphhs.gwu.edu/departments/healthpolicy/publications/GGRCHN.pdf )

Worldwide, Contraceptive Prevalence Up Since 1990

TUESDAY, March 12 (HealthDay News) -- Since 1990, contraceptive prevalence has increased worldwide and the unmet need for family planning has decreased, but the absolute number of women with a demand for contraception is likely to increase by 2015, according to a study published online March 12 in The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)62204-1/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)62204-1/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60588-7/fulltext )

Many Elderly Consider Cancer Screening Obligatory

TUESDAY, March 12 (HealthDay News) -- Many older adults consider cancer screening to be morally obligatory, but screening colonoscopy is often given inappropriately in the elderly, according to two studies published online March 11 in JAMA Internal Medicine.

Abstract - Torke (http://archinte.jamanetwork.com/article.aspx?articleid=1666431#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1666431 )Abstract - Sheffield (http://archinte.jamanetwork.com/article.aspx?articleid=1666433#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1666433 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1666436 )

Da Vinci Robot Used in Anterior Lumbar Interbody Fusion

TUESDAY, March 12 (HealthDay News) -- The da Vinci Robotic Surgical System can be used for anterior lumbar interbody fusion, according to a case report published in the Feb. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/02150/The_da_Vinci_Robotic_Surgical_Assisted_Anterior.11.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/02150/The_da_Vinci_Robotic_Surgical_Assisted_Anterior.11.aspx )

Salmonella Typhimurium Outbreak Traced to Frogs

MONDAY, March 11 (HealthDay News) -- An outbreak of primarily pediatric Salmonella Typhimurium infections in the United States has been traced to aquatic African dwarf frogs kept as pets, according to a study published online March 11 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/03/06/peds.2012-2031.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/03/06/peds.2012-2031.full.pdf+html )

Aspirin Cuts Melanoma Risk in Postmenopausal Caucasians

MONDAY, March 11 (HealthDay News) -- For postmenopausal Caucasian women, aspirin use is associated with a significantly reduced risk of melanoma, according to a study published online March 11 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.27817/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.27817/full )

More Evidence of Waning Immunity of Pertussis Vaccine

MONDAY, March 11 (HealthDay News) -- Children who receive five doses of the acellular pertussis vaccine (DTaP) have an increasing risk of developing the illness in the six years after the last dose, supporting the concept of waning vaccine immunity and possibly explaining the increasing proportion of cases among 7- to 10-year-old children, according to a study published online March 11 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/03/06/peds.2012-1928.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/03/06/peds.2012-1928.full.pdf+html )

Processed Meat Consumption Linked to Higher Mortality Risk

MONDAY, March 11 (HealthDay News) -- Processed meat consumption is linked to an increased risk of mortality, according to a study published in the March issue of BMC Medicine.

Abstract (http://www.biomedcentral.com/1741-7015/11/63/abstract )Full Text (http://www.biomedcentral.com/1741-7015/11/63 )

Acute Physical Exercise Improves Executive Function

MONDAY, March 11 (HealthDay News) -- Acute physical exercise improves executive function in children, adolescents, and young adults, according to a meta-analysis published online March 6 in the British Journal of Sports Medicine.

Abstract (http://bjsm.bmj.com/content/early/2013/02/13/bjsports-2012-091441.short )Full Text (subscription or payment may be required) (http://bjsm.bmj.com/content/early/2013/02/13/bjsports-2012-091441.full )

FDA Encourages Opioid Prescribers to Pursue Training

MONDAY, March 11 (HealthDay News) -- Prescribers of extended-release/long-acting (ER/LA) opioid analgesics are encouraged to participate in continuing medical education (CME) provided by manufacturers of these analgesics, according to an open letter published March 1 by the U.S. Food and Drug Administration.

More Information (http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm330614.htm )

New Pap Guidelines May Delay Adenocarcinoma Diagnosis

FRIDAY, March 8 (HealthDay News) -- Recent revisions in national guidelines for cervical cancer screening may affect clinicians' ability to diagnosis adenocarcinoma in situ (AIS), particularly in young patients, according to a study published online March 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Potential_Effects_of_Updated_Pap_Test_Screening.99877.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Potential_Effects_of_Updated_Pap_Test_Screening.99877.aspx )

Shelf Life of Blood Appears Shorter Than Thought

FRIDAY, March 8 (HealthDay News) -- Red blood cells stored longer than three weeks begin to lose their flexibility, according to a small study published online Feb. 28 in Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/early/2013/02/27/ANE.0b013e31828843e6.abstract?sid=4c4b6ed8-c103-4f21-983c-959eda016078 )Full Text (subscription or payment may be required) (http://www.anesthesia-analgesia.org/content/early/2013/02/27/ANE.0b013e31828843e6.full.pdf+html )

Little Evidence Red Flags Are Useful in Detecting Spinal Woes

FRIDAY, March 8 (HealthDay News) -- Researchers have doubts as to the diagnostic accuracy or usefulness of red flag indicators to detect or exclude spinal malignancy in patients with low back pain (LBP), according to research published online Feb. 28 in The Cochrane Library.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008686.pub2/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008686.pub2/full )

Risk Factors ID'd for Massive Blood Loss in Scoliosis Surgery

FRIDAY, March 8 (HealthDay News) -- For patients undergoing scoliosis surgery, the risk of massive blood loss is increased with preoperative Cobb angles bigger than 50 degrees and for those undergoing osteotomy or fusion of more than six levels, according to a study published in the Feb. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/02150/Prediction_of_Massive_Blood_Loss_in_Scoliosis.10.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/02150/Prediction_of_Massive_Blood_Loss_in_Scoliosis.10.aspx )

Neonatal Size Unaffected by Gestational Diabetes Drugs

FRIDAY, March 8 (HealthDay News) -- Women with gestational diabetes mellitus treated with metformin or insulin have similar changes in markers of metabolic status and no differences in offspring birth weight, according to a study published in the March issue of Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/36/3/529.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/3/529.full )

Link for Intravaginal Insertion of Products, Bacterial Vaginosis

FRIDAY, March 8 (HealthDay News) -- Intravaginal insertion of over-the-counter products is linked to an increased risk of bacterial vaginosis, according to a study published online March 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Intravaginal_Practices_and_Risk_of_Bacterial.99870.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Intravaginal_Practices_and_Risk_of_Bacterial.99870.aspx )

Salty Diet Implicated in Autoimmune Disease

FRIDAY, March 8 (HealthDay News) -- A salty diet could contribute to the development of autoimmune diseases, according to research published in the March 6 issue of Nature.

Abstract 1 (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature11868.html )Full Text (subscription or payment may be required) (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature11868.html#/access )Abstract 2 (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature11981.html )Full Text (subscription or payment may be required) (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature11981.html#/access )Abstract 3 (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature11984.html )Full Text (subscription or payment may be required) (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature11984.html#/access )

Opioid Guidelines for ER Docs Help, But More Study Needed

FRIDAY, March 8 (HealthDay News) -- Local recommendations like those recently released in New York City aimed at improving opioid prescribing are good first steps but unlikely on their own to address the full problem, according to a viewpoint published in the March 6 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1660392 )

Doctors Decide to Use CT Scans, But With Little Talk of Risks

FRIDAY, March 8 (HealthDay News) -- Most decisions to undergo outpatient computed tomography (CT) scans are made by physicians and risk communication is infrequent, according to a research letter published online March 4 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657757 )

Estimated Cost of Diabetes $245 Billion in U.S. in 2012

FRIDAY, March 8 (HealthDay News) -- The economic burden of diabetes was estimated at $245 billion in the United States in 2012, according to a scientific statement published online March 6 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/03/05/dc12-2625.abstract )Full Text (http://care.diabetesjournals.org/content/early/2013/03/05/dc12-2625.full.pdf+html )

Sleep Meds Up Hip Fracture Risk Among Nursing Home Residents

THURSDAY, March 7 (HealthDay News) -- There is an increased risk for hip fracture among nursing home residents using a nonbenzodiazepine hypnotic drug, according to a study published online March 4 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1657760#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657760 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657762 )

Deep Suctioning in Bronchitis Admission Tied to Longer Stays

THURSDAY, March 7 (HealthDay News) -- Deep suctioning used in the first 24 hours after a pediatric admission for bronchitis is associated with increased length of stays (LOS), according to a study published online March 4 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1659615#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1659615 )

Insomnia Linked to Greater Risk of Heart Failure

THURSDAY, March 7 (HealthDay News) -- Insomnia is associated with an increased risk of heart failure, with the risk increasing as the number of insomnia symptoms increases, according to a study published online March 5 in the European Heart Journal.

Abstract (http://eurheartj.oxfordjournals.org/content/early/2013/02/28/eurheartj.eht019.short?rss=1 )Full Text (subscription or payment may be required) (http://eurheartj.oxfordjournals.org/content/early/2013/02/28/eurheartj.eht019.full )

Double-Jointed Adolescents Risk Musculoskeletal Pain

THURSDAY, March 7 (HealthDay News) -- Joint hypermobility (JH) increases the risk of musculoskeletal pain in adolescence, particularly in the shoulder, knee, and ankle/foot, according to a study published online Feb. 28 in Arthritis & Rheumatism.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/art.37836/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/art.37836/pdf )

Lowering CT Tube Voltage for Colonography Beneficial

THURSDAY, March 7 (HealthDay News) -- In patients undergoing computed tomography (CT) colonography, reducing the tube voltage from 120 kVp to 100 kVp significantly reduces radiation dose while minimally reducing image quality, regardless of patient size, according to a study published in the March issue of Radiology.

Abstract (http://radiology.rsna.org/content/266/3/791.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/266/3/791.full )

Action Urged to Deal With Handheld Phone Use in Cars

THURSDAY, March 7 (HealthDay News) -- Strong action is urged to tackle the growing problem of handheld phone use and texting while driving, according to a viewpoint published in the March 6 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1660390 )

Cochrane Group Skeptical About Latest Roche Pledges

THURSDAY, March 7 (HealthDay News) -- Following requests from Cochrane researchers, Roche has pledged to release full clinical study reports for Tamiflu, although there appear to be conditions attached, according to correspondence published in BMJ.

More Information (http://www.bmj.com/tamiflu/roche )

Coordinated Care Model Suggested for Palliative Care

THURSDAY, March 7 (HealthDay News) -- To deal with the increasing demand for palliative care services, a coordinated palliative care model is proposed, according to a perspective piece published online March 6 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1215620?query=featured_home )

In U.S., Carbapenem-Resistant Enterobacteriaceae Increasing

WEDNESDAY, March 6 (HealthDay News) -- In the last decade there has been an increase of carbapenem-resistant Enterobacteriaceae (CRE) in acute-care hospitals in the United States, according to a report published in the March 5 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm62e0305a1.htm?s_cid=mm62e0305a1_w )

White Matter Integrity Varies With MS Cognitive Impairment

WEDNESDAY, March 6 (HealthDay News) -- Diffusion tensor imaging (DTI) metrics reveal distinct white matter (WM) integrity in patients with cognitively preserved (CP) and cognitively impaired (CI) multiple sclerosis (MS), according to research published online March 6 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/03/06/WNL.0b013e31828726cc.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/03/06/WNL.0b013e31828726cc.full.pdf+html )

Changes Suggested for Hospital Readmission Reduction Program

WEDNESDAY, March 6 (HealthDay News) -- To avoid penalizing hospitals that care for the most vulnerable Americans, modifications are suggested for the Centers for Medicare and Medicaid Services (CMS) Hospital Readmissions Reduction Program (HRRP), according to a perspective piece published online March 6 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1300122?query=featured_home )

Study Compares Procedures for Postmastectomy Reconstruction

WEDNESDAY, March 6 (HealthDay News) -- For patients undergoing autologous postmastectomy breast reconstruction, the rates of complications vary with different procedures, according to research published in the February issue of the Journal of the American College of Surgeons.

Abstract (http://www.journalacs.org/article/S1072-7515(12)01311-7/abstract )Full Text (subscription or payment may be required) (http://www.journalacs.org/article/S1072-7515(12)01311-7/fulltext )

Improving Eating Habits Cuts Depression in Dementia

WEDNESDAY, March 6 (HealthDay News) -- For elderly adults with dementia, symptoms of depression can be improved through nutritional improvement interventions, according to a study published online Feb. 28 in the Journal of Advanced Nursing.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jan.12097/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jan.12097/pdf )

Nonheme Iron Intake Linked to Reduced Risk of PMS

WEDNESDAY, March 6 (HealthDay News) -- Intake of specific minerals seem to be associated with the risk of premenstrual syndrome (PMS), with high intake of nonheme iron linked to reduced risk of PMS, according to research published online Feb. 26 in the American Journal of Epidemiology.

Abstract (http://aje.oxfordjournals.org/content/early/2013/02/23/aje.kws363.abstract )Full Text (subscription or payment may be required) (http://aje.oxfordjournals.org/content/early/2013/02/23/aje.kws363.full.pdf+html )

Symptom-Specific Quality of Life Up in Repeat Sling Procedure

WEDNESDAY, March 6 (HealthDay News) -- Women undergoing repeat midurethral sling procedure have a significantly increased risk of stress urinary incontinence (SUI) failure, but experience greater improvement in urinary symptom-specific quality of life (QOL) than women undergoing a primary procedure, according to research published in the February issue of Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/2013/02000/Incontinence_Outcomes_in_Women_Undergoing_Primary.10.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/2013/02000/Incontinence_Outcomes_in_Women_Undergoing_Primary.10.aspx )

Posttraumatic Stress Disorder Common After Lung Injury

WEDNESDAY, March 6 (HealthDay News) -- Posttraumatic stress disorder (PTSD) symptoms are common in patients recovering from acute lung injury (ALI), according to a study published online March 5 in Psychological Medicine.

Abstract (http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8843288&fulltextType=RA&fileId=S0033291713000214 )Full Text (subscription or payment may be required) (http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8843288&fulltextType=RA&fileId=S0033291713000214 )

HIV Infection Linked to Risk of Acute Myocardial Infarction

WEDNESDAY, March 6 (HealthDay News) -- HIV infection is associated with an increased risk of acute myocardial infarction (AMI), even after adjustment for Framingham risk factors, according to a study published online March 4 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1659742#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1659742 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1659741 )

Portable Device May Help Diagnose Vertebrobasilar Stroke

WEDNESDAY, March 6 (HealthDay News) -- A portable device that measures eye movements may help non-specialist physicians diagnose stroke in high-risk patients with acute vertigo or dizziness, according to a study published online March 5 in Stroke.

Abstract (http://stroke.ahajournals.org/content/early/2013/03/05/STROKEAHA.111.000033.abstract )Full Text (subscription or payment may be required) (http://stroke.ahajournals.org/content/early/2013/03/05/STROKEAHA.111.000033.full.pdf+html )

Two Drug Classes Found Effective for Restless Legs Syndrome

WEDNESDAY, March 6 (HealthDay News) -- In patients with restless legs syndrome, dopamine agonists and calcium channel alpha-2-delta ligands are effective in reducing symptoms and improving sleep and quality of life, although adverse events are common and often lead to treatment withdrawals, according to a review published online March 4 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1657759#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657759 )

Most Docs Report Information Overload in EHR-Setting

WEDNESDAY, March 6 (HealthDay News) -- Primary care practitioners (PCPs) using electronic health records (EHRs) are susceptible to information overload and feel that the EHR notification system makes it possible to miss test results, according to a research letter published online March 4 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657753 )

Clinical Trials Published Almost Two Years After Completion

WEDNESDAY, March 6 (HealthDay News) -- Clinical trials are published, on average, almost two years after completion, with time to publication affected by the funding source, number of trial participants, and journal impact factor, according to a research letter published online March 4 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657754 )

Mortality Index Can Accurately Identify 10-Year Mortality Risk

TUESDAY, March 5 (HealthDay News) -- For U.S. adults older than 50 years, a 12-item mortality index can accurately detect 10-year mortality risk, according to a research letter published in the March 6 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1660374 )

Simple Measures Feasible for Promoting Sleep in the ICU

TUESDAY, March 5 (HealthDay News) -- Simple interventions to promote sleep are feasible for patients in medical intensive care units (ICUs) and result in improvements in nighttime noise and reduced incidence of delirium/coma, according to a study published in the March issue of Critical Care Medicine.

Abstract (http://journals.lww.com/ccmjournal/Abstract/2013/03000/The_Effect_of_a_Quality_Improvement_Intervention.12.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/ccmjournal/Abstract/2013/03000/The_Effect_of_a_Quality_Improvement_Intervention.12.aspx )

Low-Risk Bladder Cancer Rarely Progresses to Muscle Invasion

TUESDAY, March 5 (HealthDay News) -- Low-risk bladder cancer rarely progresses to muscle invasion but is associated with an increased risk of disease-specific mortality compared with matched populations, according to research published in the March issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(12)04977-4/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(12)04977-4/fulltext )

Atrial Fibrillation Associated With Cognitive Impairment

TUESDAY, March 5 (HealthDay News) -- Atrial fibrillation is strongly associated with a higher risk of cognitive impairment and dementia regardless of stroke history, according to a pooled risk analysis published in the March 5 issue of Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1656413 )

Newborns of Obese Mothers Have Thicker Aortic Walls

TUESDAY, March 5 (HealthDay News) -- Maternal adiposity correlates with thickening of the aortic wall in newborns, according to a letter published online Feb. 27 in the Archives of Diseases of Childhood: Fetal Neonatal Edition.

Abstract (http://fn.bmj.com/content/early/2013/01/31/archdischild-2012-303566.short )Full Text (subscription or payment may be required) (http://fn.bmj.com/content/early/2013/01/31/archdischild-2012-303566.full )

Diagnostic Testing Does Little to Reassure Patients

TUESDAY, March 5 (HealthDay News) -- Although further primary care visits may be reduced, diagnostic tests for symptoms with a low risk of serious illness actually do little to reassure patients, decrease their anxiety, or resolve their symptoms over the short or long term, according to research published online Feb. 25 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1656539#Abstract )Full Text (subscription or payment may be required) (http://store.jamanetwork.com/productDetails.aspx?articleid=1656539 )

Prospective Human Data Link Mercury Exposure to Diabetes

TUESDAY, March 5 (HealthDay News) -- Young adults exposed to mercury have a higher risk of developing diabetes later in life, according to a study published online Feb. 19 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-1842.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-1842.full.pdf+html )

Blacks Have More Preventable Hypertension Hospitalizations

TUESDAY, March 5 (HealthDay News) -- Blacks have higher rates of preventable hypertension hospitalizations than whites, according to a study published online Feb. 28 in Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/12_0165.htm )

U.K. Health Performance Worse Than Comparable Countries

TUESDAY, March 5 (HealthDay News) -- The United Kingdom has worse health performance than other comparable countries, according to a study published online March 5 in The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60355-4/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60355-4/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60188-9/fulltext )

Screening May Reduce Risk for Late-Stage CRC by 70 Percent

MONDAY, March 4 (HealthDay News) -- For average-risk adults, screening colonoscopy is associated with a significant decrease in the risk of any colorectal cancer (CRC) and of right colon cancer; and interventions using electronic health records (EHRs) increase screening rates, according to two studies published in the March 5 issue of the Annals of Internal Medicine.

Full Text - Doubeni (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1656410 )Full Text - Green (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1656409 )

Exercise Tied to Mental Health in Bariatric Sx Candidates

MONDAY, March 4 (HealthDay News) -- Bariatric surgery candidates who meet relatively low thresholds of physical activity are less likely to have recently received treatment for anxiety or depression compared with less active people, according to a study published in the February issue of the Journal of Psychosomatic Research.

Abstract (http://www.jpsychores.com/article/S0022-3999(12)00319-4/abstract )Full Text (subscription or payment may be required) (http://www.jpsychores.com/article/S0022-3999(12)00319-4/fulltext )

Panel Recommends 10 Patient Safety Strategies

MONDAY, March 4 (HealthDay News) -- An expert panel is strongly encouraging the immediate adoption of 10 patient safety strategies and encouraging the adoption of a further 12, according to a supplement published in the March 5 issue of the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1657884 )Editorial (http://annals.org/article.aspx?articleid=1656416 )

Computerized Provider Order Entry System Cuts Rx Errors

MONDAY, March 4 (HealthDay News) -- Electronic prescribing through computerized provider order entry (CPOE) systems can substantially reduce medication errors in inpatient acute-care settings, according to a study published online Feb. 20 in the Journal of the American Medical Informatics Association.

Abstract (http://jamia.bmj.com/content/early/2013/01/27/amiajnl-2012-001241.short )Full Text (http://jamia.bmj.com/content/early/2013/01/27/amiajnl-2012-001241.full )

Irradiation Shows Lasting Results for Prostate Cancer Control

MONDAY, March 4 (HealthDay News) -- For men with prostate cancer, treatment with irradiation is associated with lasting prostate cancer control, defined as a prostate-specific antigen cutoff of less than 0.2 ng/ml, with no recurrence seen from 15.5 to 25 years, according to a study published in the March issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(12)05342-6/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(12)05342-6/fulltext )

Delayed Speech Is Not Linked With Autism Stereotypes

MONDAY, March 4 (HealthDay News) -- Children with autism spectrum disorder who are severely language-delayed are more likely to acquire speech and acquire it earlier if they score higher on nonverbal intelligence tests and are less socially impaired, according to a study published online March 4 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/02/26/peds.2012-2221.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/02/26/peds.2012-2221.full.pdf+html )

Postpartum Anxiety More Common Than Depression

MONDAY, March 4 (HealthDay News) -- Postpartum anxiety is more common than depression in the days and months following delivery, and is associated with adverse maternal heath outcomes and reduced duration of breastfeeding, according to a study published online March 4 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/02/26/peds.2012-2147.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/02/26/peds.2012-2147.full.pdf+html )

Childhood ADHD Has Adverse Impact Lasting Into Adulthood

MONDAY, March 4 (HealthDay News) -- Childhood attention-deficit hyperactivity disorder (ADHD) has long-term consequences, with adults at increased risk for death from suicide and having one or more psychiatric disorders other than ADHD, according to a study published online March 4 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/02/26/peds.2012-2354.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/02/26/peds.2012-2354.full.pdf+html )

Extreme Weather Impacts Ambulance Call-Outs

MONDAY, March 4 (HealthDay News) -- Extreme weather, either hot or cold, significantly affects the number of ambulance call-outs and response times, according to a study published online Feb. 27 in the Emergency Medicine Journal.

Abstract (http://emj.bmj.com/content/early/2013/02/01/emermed-2012-201817.abstract )Full Text (subscription or payment may be required) (http://emj.bmj.com/content/early/2013/02/01/emermed-2012-201817.full )

Death of Sibling Boosts Heart Attack Risks for Adults

MONDAY, March 4 (HealthDay News) -- There is an increased risk of death from a myocardial infarction among adults who experience the death of a sibling, according to a study published online Feb. 27 in the Journal of the American Heart Association.

Abstract (http://jaha.ahajournals.org/content/2/2/e000046.abstract )Full Text (subscription or payment may be required) (http://jaha.ahajournals.org/content/2/2/e000046.full )

CMS Reports on Progress Toward Improved Health Care

MONDAY, March 4 (HealthDay News) -- Considerable progress has already been made toward improving the quality and delivery of health care, according to a Centers for Medicare and Medicaid Services (CMS) bulletin published online Feb. 28.

More Information (http://content.govdelivery.com/bulletins/gd/USCMS-6e809e )

Personalized Patient-Risk Info Enhances Informed Choice

FRIDAY, March 1 (HealthDay News) -- When patients are given personalized versus generic risk information, they are better able to make genuinely informed choices about undergoing screening tests, according to research published online Feb. 28 in The Cochrane Library.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001865.pub3/abstract;jsessionid=94CDF1CD396A27209DECE166FF170214.d03t02 )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001865.pub3/full )

Sex Transmits Secondary, Tertiary Cases of Vaccinia Virus

FRIDAY, March 1 (HealthDay News) -- The potential exists for further transmission of vaccinia virus beyond the direct sexual contacts of smallpox vaccinees, according to a case report published in the March 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6208a2.htm?s_cid=mm6208a2_w )

Sports, Other Shared Activity Aids Father-Daughter Bonding

FRIDAY, March 1 (HealthDay News) -- For fathers and daughters there is considerable agreement in the events which affect their perception of closeness, with the main turning point being participation in activities together, according to a study published in Human Communication.

Full Text (http://www.uab.edu/Communicationstudies/humancommunication/04_02_Barrett.pdf )

Overused Ophthalmology Tests, Treatments Identified

FRIDAY, March 1 (HealthDay News) -- The American Academy of Ophthalmology (AAO) is participating in the Choosing Wisely campaign and has identified five tests and treatments that may be overused.

More Information (http://www.aao.org/newsroom/release/20130221.cfm )

Sequestration to Impact Health Care-Related Programs

FRIDAY, March 1 (HealthDay News) -- The $85 billion of mandatory cuts in federal spending that take effect March 1 as part of sequestration will be felt across health care and related programs, with cuts to Medicare providers and to the budgets of federal agencies.

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

Patients Increasingly Sue Over Botched Laser Hair Removals

FRIDAY, March 1 (HealthDay News) -- Laser hair removal is the most commonly litigated cutaneous laser surgery procedure, with physicians being named as defendants even when not performing the procedure, according to research published in the February issue of JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1654904#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1654904 )