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Teenage drug use on the decline

Teenage drug use on the decline

A federal report revealed the number of teens reporting illicit drug use fell in 2013.

Fitness delays age-related hypertension in males

Fitness delays age-related hypertension in males

Male patients who reported a high level of cardiorespiratory fitness postponed increases in age-related diastolic and systolic blood pressure levels.

Antimicrobials commonly prescribed for acute respiratory tract infections

Antimicrobials commonly prescribed for acute respiratory tract infections

Antimicrobial agents were prescribed in 56.9% of acute respiratory tract infections encounters, representing an estimated 11.4 million potentially preventable antimicrobial prescriptions.

HPV knowledge doesn't predict vaccine compliance

HPV knowledge doesn't predict vaccine compliance

After surveying low-income communities, researchers found that human papillomavirus knowledge did not sway vaccination compliance.

What's in a name? PAs thrive in the United Kingdom

What's in a name? PAs thrive in the United Kingdom

U.K. physician associates in high demand, face similar challenges as U.S. counterparts.

Poverty linked to increased respiratory-related hospitalizations

Poverty linked to increased respiratory-related hospitalizations

Low income patients had nearly three times the odds of hospitalization compared with high income patients.

Cesarean risk higher with low-delivery-volume obstetricians

Cesarean risk higher with low-delivery-volume obstetricians

The odds of cesarean delivery were two-fold higher for patients whose obstetricians performed fewer than 60 deliveries per year.

Young adults uninformed about opioid abuse risks

Young adults uninformed about opioid abuse risks

Researchers found that young people were unaware about the risks associated with prescription opioid abuse and call for better outreach strategies and overdose prevention programs.

Technology-assisted interventions better for weight loss

Technology-assisted interventions better for weight loss

Interventions that included a clinician component appeared to promote more weight loss compared with fully automated interventions.

Prediabetes linked to increased cancer risk

Prediabetes linked to increased cancer risk

Significantly different risks of site-specific cancer were seen, with the highest risk for liver, endometrial, and stomach/colorectal cancer.

Novel weight-loss medication approved by the FDA

Novel weight-loss medication approved by the FDA

Results showed that patients who took Contrave had an average weight loss of 4.1% more compared with patients who were assigned placebo.

Dementia patients often prescribed questionable medications

Dementia patients often prescribed questionable medications

Many nursing home residents incur substantial costs associated with questionable medication prescriptions.

Stopping selective serotonin reuptake inhibitors does not cut miscarriage risk

Stopping selective serotonin reuptake inhibitors does not cut miscarriage risk

Increased miscarriage risk has been observed in both female patients who have been exposed to selective serotonin reuptake inhibitors (SSRIs) and patients who discontinued use.

Enterovirus D68 spreads in midwest United States

Enterovirus D68 spreads in midwest United States

Clinicians should be aware that although the EV-D68 strain may present and behave similar to other enteroviruses, its clinical manifestations are unique.

Stepwise glucocorticoid withdrawal OK for COPD

Stepwise glucocorticoid withdrawal OK for COPD

The risk of moderate or severe exacerbations was similar among patients who discontinued inhaled glucocorticoids and those who continued glucocorticoid therapy.

Clinical associates bridge health disparities in South Africa

Clinical associates bridge health disparities in South Africa

American physician assistant and nurse practitioner programs could benefit from hands-on learning style of their South African counterparts.

Excessive health precautions unhelpful in fighting Ebola

Excessive health precautions unhelpful in fighting Ebola

Ebola is transmitted through contact with infected patients' secretions, making complete respiratory protection fruitless and such efforts potentially hindering treatment.

Abdominal fat tied to increased hypertension risk

Abdominal fat tied to increased hypertension risk

Visceral adipose tissue was significantly associated with hypertension development, but not lower-body fat and subcutaneous adipose tissue.

Physical activity tied to lower heart failure risk

Physical activity tied to lower heart failure risk

Leisure-time physical activity was inversely related to risk of developing heart failure in this study from Circulation: Heart Failure.

Personalized letters increase mammography screening rates

Personalized letters increase mammography screening rates

Patients overdue for screening were more likely to return for a mammogram after their family health-care provider sent personalized letter and postcard reminders.

High potassium intake lowers stroke, mortality risk

High potassium intake lowers stroke, mortality risk

The association between ischemic stroke risk and potassium intake was strongest in nonhypertensive senior female patients.

Influenza vaccine effective in HIV pregnancy

Influenza vaccine effective in HIV pregnancy

Pregnant women with HIV experienced partial protection from the flu when given the trivalent inactivated influenza vaccine.

Dietary salt linked to an increase in multiple sclerosis activity

Dietary salt linked to an increase in multiple sclerosis activity

Patients with multiple sclerosis who had high levels of sodium intake were 3.4 times more likely to develop a new lesion.

Marijuana withdrawal may identify substance-dependence in teens

Marijuana withdrawal may identify substance-dependence in teens

Adolescents reporting withdrawal and a drug problem improved at a greater rate compared with those who did not.

Childhood adiposity linked to gestational diabetes, hyperglycemia exposure in utero

Childhood adiposity linked to gestational diabetes, hyperglycemia exposure in utero

Girls whose mothers had both gestational diabetes and high BMI had the highest odds of having a BMI ≥85th percentile.

Can a 'soda tax' cut down child obesity?

Can a 'soda tax' cut down child obesity?

An excise tax on sugar-sweetened beverages such as soda is the most effective way to racial disparities in the prevalence of childhood obesity.

Long-term use of sulfonylureas ups coronary heart disease risk

Long-term use of sulfonylureas ups coronary heart disease risk

Women who manage their type 2 diabetes using sulfonylureas are at increased risk of developing coronary heart disease (CHD).

Post-concussion, look for physical regression in high-school athletes

Post-concussion, look for physical regression in high-school athletes

Teen athletes who have re-entered athletics following a concussion are reported regressing abilities in their physical abilities.

Birth control pill as effective as antibiotics for acne management

Birth control pill as effective as antibiotics for acne management

Although antibiotics may be superior at three months, oral contraceptive pills s are equivalent to antibiotics at six months in reducing acne.

Aspirin after anticoagulation lowers recurrent venous thromboembolism risk

Aspirin after anticoagulation lowers recurrent venous thromboembolism risk

After a first unprovoked venous thromboembolism, aspirin following anticoagulation treatment reduced VTE occurrence.

California gears up for medical malpractice ballot initiative

California gears up for medical malpractice ballot initiative

Troy and Alana Pack Patient Safety Act would require drug testing for physicians and an increase in malpractice caps.

Self-monitoring, self-titrating hypertension meds benefit high-risk patients

Self-monitoring, self-titrating hypertension meds benefit high-risk patients

Coupling self-monitoring with self-titration of antihypertensives resulted in lower systolic blood pressure at 12 months, compared with usual care.

Obese kids more prone to bullying

Obese kids more prone to bullying

Obese and overweight children are more likely to be involved in bullying, both as victim and perpetrator.

Is medical marijuana reducing opioid overdose mortality?

Is medical marijuana reducing opioid overdose mortality?

States that have enacted medical cannabis laws have seen an overall 24.8% mean drop in state-level opioid overdose mortality rates.

Offer behavioral counseling for obese, overweight patients with CVD risk

Offer behavioral counseling for obese, overweight patients with CVD risk

The USPSTF recommends primary-care providers refer or offer behavioral counseling for obese patients at risk of cardiovascular disease.

Intensive lifestyle intervention cuts type 2 diabetes costs

Intensive lifestyle intervention cuts type 2 diabetes costs

Encouraging intensive lifestyle interventions for patients with type 2 diabetes provides saves more in health care costs than education and support alone.

Food allergy more common in urban youth

Food allergy more common in urban youth

After examining immunoglobulin E levels to milk, egg, and peanut, researchers found that food allergy incidence is extremely high among inner-city kids.

Hydrocodone painkillers face increased federal restriction

Hydrocodone painkillers face increased federal restriction

Following a spike in hydrocodone painkillers addiction, the federal government is restricting access to the opiate.

Weight-loss benefits extend to psoriatic arthritis

Weight-loss benefits extend to psoriatic arthritis

Losing weight while taking biologics for psoriatic arthritis (PsA) resulted in greater symptom improvement among obese/overweight compared than no weight loss.

Genomic test differentiates between psoriasis, eczema

Genomic test differentiates between psoriasis, eczema

The test identified whether all patients in the study had either dermatologic condition correctly.

Psoriatic Arthritis Forum calls for better comorbidity screening

Psoriatic Arthritis Forum calls for better comorbidity screening

Rheumatologists, dermatologists, and patient representatives collaborated to draft these first-ever guidelines.

New blood test may aid type1 diabetes diagnosis

New blood test may aid type1 diabetes diagnosis

The Zinc Transporter 8 Autoantibody (ZnT8Ab, Kronus) ELISA Assay detects the presence of an autoantibody that distinguishes type 1 diabetes from other forms of the disease in some patients.

Asthma mortality rate highest in older women

Asthma mortality rate highest in older women

Risk for osteoporosis, glaucoma, cataracts, and adrenal suppression elevated among women with asthma aged 65 years and older.

Secondhand smoke ups asthma, rhinitis, eczema risks through adolescence

Secondhand smoke ups asthma, rhinitis, eczema risks through adolescence

In utero, infant exposure to tobacco smoke has been linked to increased to asthma, rhinitis risk in early childhood and eczema in later life.

Teen birth rates dropped 57% from 1991 to 2012

Teen birth rates dropped 57% from 1991 to 2012

Behavioral changes in sexual activity and contraceptive use have contributed to the overall drop in teen pregnancies.

Metabolic benefits of fenofibrate greater for women

Metabolic benefits of fenofibrate greater for women

Lipoprotein improvements from fenofibrate greater for women than men; CVD event reduction similar.

HPV vaccine safe for teens, provides long-term benefits

HPV vaccine safe for teens, provides long-term benefits

Vaccination-induced anti-HPV response persists through 96 months for all HPV vaccine types.

Alabama widow awarded $4M for undiagnosed heart attack

Alabama widow awarded $4M for undiagnosed heart attack

A widow received the highest malpractice award in an Alabama county's history after her husband's heart attack was misdiagnosed.

Discussing direct benefits increases parents' intent to vaccinate

Discussing direct benefits increases parents' intent to vaccinate

Emphasizing only societal benefits of MMR vaccine does not increase intention of parents to vaccinate.

Cancer drug may restore hair in alopecia patients

Cancer drug may restore hair in alopecia patients

Bone marrow cancer drug ruxolitinib appears to restore hair in patients with alopecia areata.

Chemicals found in plastics, household products reduce testosterone

Chemicals found in plastics, household products reduce testosterone

Chemicals found in many household products may reduce androgen levels in both sexes.

Stay alert for malnutrition in older patients

Stay alert for malnutrition in older patients

Sixty percent of older patients presenting to emergency department are malnourished or at risk.

Pediatric stroke risk increases with infection

Pediatric stroke risk increases with infection

Greatest association was seen for infections in three days prior to stroke.

CVD risks hit blacks, females harder

CVD risks hit blacks, females harder

Cutting traditional risk factors could eliminate significant amount of cardiovascular disease

High-dose flu shot better for seniors

High-dose flu shot better for seniors

A high-dose trivalent vaccine demonstrated improved protection for seniors against flu than the standard-dose vaccine.

Rapid HIV screening in ED setting accurate, feasible

Rapid HIV screening in ED setting accurate, feasible

Program serves as model for delivering public health measure in acute care setting.

Are PAs and NPs undergoing enough dermatologic training?

Are PAs and NPs undergoing enough dermatologic training?

NPs and PAs are independently performing 2.6 million dermatologic procedures in the United States.

High-dose aspirin still prescribed after myocardial infarction

High-dose aspirin still prescribed after myocardial infarction

Although data suggests low-dose aspirin offers similar results without the risk of bleeding, high-dose aspirin is still more commonly prescribed.

Does lowering sodium intake benefit or hurt CVD risk?

Does lowering sodium intake benefit or hurt CVD risk?

Three studies provide further evidence for complex link between sodium intake, cardiac health.

People with diabetes now live with disease longer

People with diabetes now live with disease longer

The number of years spent living with diabetes increased by 156% in men and by 70% in women from 1986 to 2011.

Psoriatic arthritis outcomes worse with smoking

Psoriatic arthritis outcomes worse with smoking

Worse patient-reported outcomes, shorter treatment adherence, and poorer response to treatment among smokers.

Home colorectal cancer test approved

Home colorectal cancer test approved

Cologuard, a noninvasive home-test, has been approved by the FDA to screen for colorectal cancer.

What do disease-control specialists pack to fight Ebola?

What do disease-control specialists pack to fight Ebola?

CDC disease control specialist Rebecca Merrill shares what she's packing on her trip to fight Ebola in West Africa.

Impact location does not affect concussion outcomes

Impact location does not affect concussion outcomes

Impact location in football accidents was not associated with the number of symptoms reported, prevalence of reported symptoms, or symptom resolution time.

Depression Tx risks, benefits unclear for pregnant patients

Depression Tx risks, benefits unclear for pregnant patients

Indirect evidence suggested future studies should focus on congenital anomalies, autism spectrum, and attention deficit disorders in offspring.

Medical errors in Massachusetts hospitals increased 70% from last year

Medical errors in Massachusetts hospitals increased 70% from last year

In 2012, Massachusetts implemented legislation that requires more thorough reporting of medical errors, which may explain the state-wide increase in errors.

Multiple measurements more accurately predicts pain

Multiple measurements more accurately predicts pain

Fluctuating nature of low back pain suggests measuring outcomes more frequently may aid prediction.

Telemedicine in primary care

Telemedicine in primary care

Doctors need to invest in appropriate equipment, consider operation issues, legal issues.

Early dermatologic follow-up benefits psoriasis

Early dermatologic follow-up benefits psoriasis

Only about 20% of patients with psoriasis were seen by their health-care provider for follow up within one to two weeks after an initial visit.

CDC: Breast, cervical cancer screenings benefit millions

CDC: Breast, cervical cancer screenings benefit millions

More than 4 million female patients have been screened for breast and cervical cancer since the creation of the program.

Obstetrical complications vary fivefold across U.S. hospitals

Obstetrical complications vary fivefold across U.S. hospitals

Clinicians and policy makers should develop quality metrics to improve obstetrical outcomes.

Drug-related suicide attempts on the rise

Drug-related suicide attempts on the rise

Spikes noted among young and middle-age adults.

Low-income patients more likely to undergo diabetes-related amputation

Low-income patients more likely to undergo diabetes-related amputation

Researchers found that more non-English speaking, older male patients from low-income areas had preventable amputations.

Does losing weight make patients happier?

Does losing weight make patients happier?

Patients who reported losing more than 5% of their body weight also reported depressed moods more often.

HIV, HSV-2 coinfection linked to increase in HIV prevalence

HIV, HSV-2 coinfection linked to increase in HIV prevalence

There were marked increases in the prevalence of HIV from 7% to 13% for nearly all demographic subgroups in two cohorts of noninjection drug users.

Oritavancin is approved to treat skin infections

Oritavancin is approved to treat skin infections

The FDA has approved three drugs to treat ABSSI in 2014.

FDA is now enforcing its gluten-free standards

FDA is now enforcing its gluten-free standards

Manufacturers are now subject to scrutiny and could be subject to regulatory action if gluten-free labels are not consistent with agency standards.

Routine mammograms still benefit older female patients

Routine mammograms still benefit older female patients

Breast cancer survival was better in female patients whose cancer was detected by mammography, with 97% alive five years later.

Work-related stress increases diabetes risk

Work-related stress increases diabetes risk

Stratified analysis showed that job strain was associated with increased risk of type 2 diabetes among those with healthy and unhealthy lifestyle habits.

Abnormal B-cell function influences HIV-specific immune responses

Abnormal B-cell function influences HIV-specific immune responses

Early treatment linked with greater capacity to maintain pretreatment levels of B-cell response to virus.

Will hepatitis C become a rare disease in the next 20 years?

Will hepatitis C become a rare disease in the next 20 years?

Advancements in drug regimens and more aggressive screenings could reduce hepatitis C significantly in the next two decades.

Alcohol abuse may increase dementia risk

Alcohol abuse may increase dementia risk

The odds of severe memory impairment more than doubled with a history of alcohol use disorders.

High-dose estrogen contraception ups breast CA risk

High-dose estrogen contraception ups breast CA risk

Elevated risk observed with recent use of contraceptives involving high-dose estrogen, but not for low-dose estrogen oral contraceptives.

Eating beans, lentils, and peas aids weight loss

Eating beans, lentils, and peas aids weight loss

Patients reported feeling 31% more full after eating one serving of dietary pulses.

NPs, PAs fill gaps in rheumatology care

NPs, PAs fill gaps in rheumatology care

An increasing number of rheumatology NPs, PAs could enhance access to care.

CDC: 1 in 10 primary-care visits involves diabetes

CDC: 1 in 10 primary-care visits involves diabetes

Nearly $245 billion each year goes to the management of diabetes.

HIV undetectable in infants given early ART

HIV undetectable in infants given early ART

Starting combination antiretroviral therapy within 72 hours of birth significantly reduced HIV reservoirs.

Statin efficacy varies widely from patient to patient

Statin efficacy varies widely from patient to patient

More than 40% of those taking high-dose statins don't reach LDL-C target of <70 mg/dL

Empagliflozin approved to treat diabetes

Empagliflozin approved to treat diabetes

Pivotal trials showed that empagliflozin improved hemoglobin A1c levels compared with placebo.

High CD4 count attenuates stroke risk in HIV

High CD4 count attenuates stroke risk in HIV

Those with HIV and high CD4 cell counts had no excess risk for ischemic stroke compared with those without HIV.

Increasing activity, decreasing sitting reduces obesity risks

Increasing activity, decreasing sitting reduces obesity risks

The combined effect of high physical activity and low leisure time sitting suggests a substantially reduced risk of developing obesity.

Screen men for abdominal aneurysm

Screen men for abdominal aneurysm

The USPSTF document noted that the prevalence of AAA is 3.9% to 7.2% in men and 1.0% to 1.3% in women.

Presence, pain intensity, itch may be signs of skin cancer

Presence, pain intensity, itch may be signs of skin cancer

The prevalence of itch was 36.9%, and the prevalence of pain was 28.2% across all skin cancer, but these symptoms were mainly absent in melanomas

Travel warning issued after Ebola outbreak worsens in West Africa

Travel warning issued after Ebola outbreak worsens in West Africa

Agency also plans to send 50 more experts to the affected countries.

COPD costs projected to reach $49B in 2020

COPD costs projected to reach $49B in 2020

Nearly 13 million U.S. adults had chronic obstructive pulmonary disease in 2011, and 24 million adults had signs of impaired lung function.

Dieting young triggers greater health complications later in life

Dieting young triggers greater health complications later in life

In young women, dieting at a younger age predicts obesity, extreme weight control measures, and alcohol misuse.

IOM: GME funding system needs an overhaul

IOM: GME funding system needs an overhaul

Medicare should continue to support graduate medical education, contingent on value.

Stroke incidence, mortality declines in senior patients

Stroke incidence, mortality declines in senior patients

Incident strokes in the Medicare population aged ≥65 years decreased by approximately 40% over the last two decades.

HIV prophylaxis may also protect against herpes

HIV prophylaxis may also protect against herpes

Oral tenofovir-based prophylaxis for HIV also reduced herpes simplex virus-2 transmission.

Dietary salt intake linked to CVD in patients with T2D

Dietary salt intake linked to CVD in patients with T2D

Sodium reduction has been encouraged in guidelines for diabetes care in many countries.