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Report: Avoid cesarean delivery when possible

Report: Avoid cesarean delivery when possible

Cesarean delivery linked to more complications and lower chances of vaginal delivery for subsequent births.

Routine admission may not be beneficial for adults with chest pain

Routine admission may not be beneficial for adults with chest pain

Vast majority who have normal cardiac test results are in no immediate danger, researchers say.

Mediterranean diet not associated with rheumatoid arthritis risk

Mediterranean diet not associated with rheumatoid arthritis risk

No significant association between Mediterranean diet and risk of rheumatoid arthritis in two large cohorts of U.S. women.

Shift work may pose threat to metabolic health

Shift work may pose threat to metabolic health

Excess weight and sleep issues are more common among those with changing schedules.

Acne history linked with increased melanoma risk

Acne history linked with increased melanoma risk

After adjustment for known risk factors, increased relative risk for women with history of acne.

Primary care prostate cancer screening practices have changed

Primary care prostate cancer screening practices have changed

Primary care screening patterns have changed as a result of the USPSTF recommendation.

Exercise may help older men live longer

Exercise may help older men live longer

Study links activity in older men to longer lives.

CDC: Beware of norovirus in untreated swimming water

CDC: Beware of norovirus in untreated swimming water

Safe hygiene practices can prevent norovirus outbreaks, according to the CDC.

One in 10 kids receive attention-deficit/hyperactivity disorder diagnosis

One in 10 kids receive attention-deficit/hyperactivity disorder diagnosis

The number of children diagnosed with attention-deficit/hyperactivity disorder was lowest among those without health insurance.

Iron deficiency may impact metabolic pathways

Iron deficiency may impact metabolic pathways

Iron treatment correlated with significant increases in serum folate and vitamin B12 from baseline.

Grip strength may indicate increased heart disease, mortality risk

Grip strength may indicate increased heart disease, mortality risk

Every 11-pound drop in grip strength was also associated with a 9% increased risk of stroke and a 7% higher risk of myocardial infarction.

Paying smokers to quit effective cessation strategy

Paying smokers to quit effective cessation strategy

Deposit programs were twice as effective as the rewards programs, and five times more effective than simply receiving free smoking aids.

Updated guidelines for hepatitis B screening among patients with cancer

Updated guidelines for hepatitis B screening among patients with cancer

HBV screening is not supported for patients who have neither HBV risk factors nor anticipate cancer therapy associated with a high risk of reactivation.

Pollen-derived adenosine key in ragweed allergy

Pollen-derived adenosine key in ragweed allergy

Adenosine found to aggravate ragweed-induced allergic lung inflammation

Phase 1 trial results favorable for new psoriasis drug

Phase 1 trial results favorable for new psoriasis drug

The rate of reported adverse events was comparable in both the treatment and placebo groups.

Paternal age linked to increased cancer risk

Paternal age linked to increased cancer risk

There was no association between having an older mother and increased risk of these cancers.

Maryland passes nurse practitioner full-practice authority law

Maryland passes nurse practitioner full-practice authority law

Governor Hogan signed the bill (HB 999/SB 723) into law on May 12, making Maryland the 21st full-practice authority state in the United States.

High albuterol inhaler costs linked to chlorofluorocarbon ban

High albuterol inhaler costs linked to chlorofluorocarbon ban

An FDA ban on chlorofluorocarbon increased the cost of albuterol inhalers, which before the ban, contained chlorofluorocarbon.

Can a video game provide health benefits?

Can a video game provide health benefits?

Equivalent health benefits were seen for active video games and laboratory-based exercise or field-based physical activity.

Reminder system improves human papillomavirus vaccine adherence

Reminder system improves human papillomavirus vaccine adherence

The prompted cohort was significantly more likely to complete the vaccine series in a timely manner compared with the unprompted cohort.

Obese patients taking warfarin may have higher bleeding risk

Obese patients taking warfarin may have higher bleeding risk

The heavier someone was, the greater their risk of bleeding while taking warfarin.

Many women unaware of female-specific stroke warning signs

Many women unaware of female-specific stroke warning signs

Only one in 10 women were aware that hiccups that occur with unusual chest pain is an early warning sign of stroke in women.

Measles depletes immune system up to three years post-infection

Measles depletes immune system up to three years post-infection

Children's immune systems appeared to be weakened for as long as 28 months following a measles infection, during which time they were at increased risk for death from a viral or bacterial disease

Vitamin D aids weight loss in obese, overweight patients

Vitamin D aids weight loss in obese, overweight patients

A significantly greater weight decrease was observed in patients assigned to receive vitamin D compared with patients who had no supplementation.

Therapeutic silencing of IL-23 may treat psoriasis

Therapeutic silencing of IL-23 may treat psoriasis

These study findings confirm that the therapeutic silencing of IL-23 is a potential target for psoriasis prevention and management.

Clostridium difficile infections most prevalent in Northeast

Clostridium difficile infections most prevalent in Northeast

C. difficile costs as much as $4.8 billion in estimated extra health care costs per year.

Pre-ACA, how much were uninsured patients paying for primary care visits?

Pre-ACA, how much were uninsured patients paying for primary care visits?

Prices were significantly lower at family practice offices versus internists, in offices participating in Medicare managed care plans, and in federally qualified health centers.

How has the Affordable Care Act impacted insurance enrollment rates?

How has the Affordable Care Act impacted insurance enrollment rates?

But many Americans still can't afford medical care

Many foods marketed to kids do not meet federal nutrition guidelines

Many foods marketed to kids do not meet federal nutrition guidelines

Of the 407 listed products, 53% did not meet the CDC's Interagency Working Group's nutrition recommendations.

Overweight patients with type 2 diabetes may have lower mortality risk

Overweight patients with type 2 diabetes may have lower mortality risk

Although overweight patients were more likely to develop heart disease, overweight patients, however, were less likely to die, compared with obese and normal-weight individuals.

Fecal transplantation effective treatment for Clostridium difficile infection

Fecal transplantation effective treatment for Clostridium difficile infection

In recurrent infections caused by C. difficile, the intervention is successful 85% of the time.

Tdap vaccine effectiveness may wane over time in preteens

Tdap vaccine effectiveness may wane over time in preteens

The CDC does not recommend any shift in vaccine protocols at this time.

Unsupervised home births rise in popularity

Unsupervised home births rise in popularity

Guidelines from the American College of Obstetricians and Gynecologists (ACOG) state that hospital and birthing center births are safer.

One fewer sugary drink a day cuts diabetes risk

One fewer sugary drink a day cuts diabetes risk

Drinking water, unsweetened tea or coffee instead lowered risk by 25%.

Raplixa approved to help control surgical bleeding

Raplixa approved to help control surgical bleeding

Spray-dried fibrin sealant promotes clotting when other methods are "ineffective or impractical."

Walking two minutes per hour may reverse negative effects of sitting

Walking two minutes per hour may reverse negative effects of sitting

Trading two minutes of sitting for two minutes of light-intensity activity each hour lowered the risk of premature death by 33%.

Some pregnant women may think e-cigarettes are safe

Some pregnant women may think e-cigarettes are safe

Nearly three-quarters of the women who had tried e-cigarettes believed they were less harmful than tobacco.

What providers need to know about the Apple Watch

What providers need to know about the Apple Watch

Some companies and organizations see the potential of the Apple Watch as a useful device for clinicians in communication with patients and colleagues, plus quick access to patient records.

Certain gut microbes may be linked to obesity risk

Certain gut microbes may be linked to obesity risk

More than two dozen of metabolites were highly correlated with diet, and about half the molecules had not previously been linked to obesity risk.

Antipsychotics may increase diabetes risk in children

Antipsychotics may increase diabetes risk in children

Antipsychotic medications increase a child's risk of developing type 2 diabetes by up to 50%.

Smoking exposure in children

Smoking exposure in children

Exposing children to secondhand smoke may increase their risk for heart disease later in life.

Discussion urged with statins

Discussion urged with statins

Clinicians should clearly explain the risks and benefits to patients beginning statin therapy.

Treating hypertension in patients with coronary heart disease

Treating hypertension in patients with coronary heart disease

Clinicians should help patients with CAD lower their blood pressure to reduce the risk of heart attack and stroke.

Investigational meningococcal vaccine may protect patients during outbreak

Investigational meningococcal vaccine may protect patients during outbreak

In the target population, 89.1% coverage with the two-dose vaccination series was obtained through May 14, 2014.

Chronic obstructive pulmonary disease may increase sudden cardiac death risk

Chronic obstructive pulmonary disease may increase sudden cardiac death risk

The risk was found to be even higher at 5 years after diagnosis

High salt intake may not lead to adverse effects on blood pressure in teen girls

High salt intake may not lead to adverse effects on blood pressure in teen girls

Higher potassium intakes were inversely associated with blood pressure change throughout adolescence.

Hyperglycemic crisis episodes up mortality risk in seniors

Hyperglycemic crisis episodes up mortality risk in seniors

Independent mortality predictors included older age, male sex, renal disease, stroke, cancer, COPD, and congestive heart failure.

Experimental microneedle patch may be game changer for vaccine delivery

Experimental microneedle patch may be game changer for vaccine delivery

A recently completed study on the patch found that it produced a strong immune response to the measles virus in rhesus macaques with no adverse effects or health issues.

Even one hour of TV a day boosts kids' obesity risk

Even one hour of TV a day boosts kids' obesity risk

Kids who watched more than one hour of television were more likely to be at unhealthy weights compared with those who watched less.

Pediatric diabetic ketoacidosis incidence may be on the rise

Pediatric diabetic ketoacidosis incidence may be on the rise

The incidence of diabetic ketoacidosis in children in Colorado at the time of type 1 diabetes diagnosis increased by 55% from 1998 to 2012.

Increases in glycemic load tied to long-term weight gain

Increases in glycemic load tied to long-term weight gain

In general, adult patients gained more weight as the glycemic load in their diets rose.

American Diabetes Association releases diabetes guidelines for primary-care providers

American Diabetes Association releases diabetes guidelines for primary-care providers

The report focuses on diabetes care concepts, which include patient centeredness, diabetes across the life span, and advocacy for patients with diabetes.

Colorectal cancer screening for seniors often inappropriate

Colorectal cancer screening for seniors often inappropriate

Colorectal cancer screening was higher in 2010 than in 2008 (58.9% versus 53.7%) and correlated with longer life expectancy and younger age.

Exercise won't make up for poor diet

Exercise won't make up for poor diet

The most effective intervention for reducing the features of metabolic syndrome is dietary carbohydrate restriction.

Antibiotic shortages may catch providers off guard

Antibiotic shortages may catch providers off guard

Many of the drug shortages were of broad-spectrum antibiotics.

VNN1 gene may be potential biomarker for childhood asthma

VNN1 gene may be potential biomarker for childhood asthma

The activity of a gene called vanin-1 (VNN1) affected whether they were good or poor responders to corticosteroid treatment.

Mindfulness-based cognitive therapy as effective as antidepressants

Mindfulness-based cognitive therapy as effective as antidepressants

Results of the study indicate that mindfulness-based cognitive therapy is as effective as antidepressants for preventing recurring depression .

ACP urges FDA to ban e-cigarette flavorings, ads

ACP urges FDA to ban e-cigarette flavorings, ads

Calling for a ban on television advertisements for e-cigarettes follows the American College's continuing policy supporting bans on all tobacco advertising.

More evidence debunks measles vaccine, autism link

More evidence debunks measles vaccine, autism link

Finding held true even for children at risk for the developmental disorder

FDA recalls Queso Fresco cheese for Staphylococcus aureus contamination

FDA recalls Queso Fresco cheese for Staphylococcus aureus contamination

To date, no illnesses are known by the Department of Agriculture and Markets to be associated with this product.

Exercise with calorie reduction benefits glucoregulation

Exercise with calorie reduction benefits glucoregulation

Weight losses were similar in all groups, but insulin sensitivity index values increased two-fold more in the calorie reduction and exercise group.

New adult congenital heart disease guidelines released

New adult congenital heart disease guidelines released

Adult patients diagnosed with congenital heart failure need to seek routine follow-up care.

Feds revisit mammography guidelines

Feds revisit mammography guidelines

Women in their 40s should make a decision whether or not to receive mammograms every two years after talking about their individual risk factors with their providers.

Long-term aspirin use may lower gastrointestinal cancer risk

Long-term aspirin use may lower gastrointestinal cancer risk

The reduced risk was largely due to fewer cases of gastrointestinal cancers, including colon cancer, rectal cancer, and esophageal cancer.

Gene variation linked to smoking duration

Gene variation linked to smoking duration

The average age of diagnosis was 61 years among those with the variation and 65 years for those without the variation.

Prepare for a bad allergy season

Prepare for a bad allergy season

Although, because pollen season started later this year, pollen season may be shorter than in past years, according to allergy experts.

Modest caffeine consumption may reduce liver scarring in patients with hepatitis C

Modest caffeine consumption may reduce liver scarring in patients with hepatitis C

About 100 milligrams of caffeine was associated with a one-third reduction of advanced liver scarring.

Subcutaneous measles vaccine superior to aerosolized vaccine

Subcutaneous measles vaccine superior to aerosolized vaccine

At day 91, 85.4% of children in the aerosol group and 94.6% in the subcutaneous group were seropositive.

Fish oil may lower atherothrombotic risk in patients with suspected coronary artery disease

Fish oil may lower atherothrombotic risk in patients with suspected coronary artery disease

Regardless of lipid-lowering therapy, patients on fish oil supplementation had lower urinary 11-dehydrothromboxane B2 levels.

Is 'flakka' the new bath salt?

Is 'flakka' the new bath salt?

Use of a new designer drug, a synthetic version of cathinone, appears to be on the rise.

Ebola vaccine trials start in West Africa

Ebola vaccine trials start in West Africa

Roughly 6,000 health workers will get shots in country hit hard by current outbreak

Gestational diabetes may up kids' autism risk

Gestational diabetes may up kids' autism risk

Under guidelines from the American College of Obstetricians and Gynecologists, women are screened for gestational diabetes, usually at 24 to 28 weeks.

Type 2 diabetes screening does not improve mortality rates

Type 2 diabetes screening does not improve mortality rates

Treatment of impaired fasting glucose, impaired glucose tolerance can delay progression to diabetes.

Quadrivalent human papillomavirus vaccine cost-effective oropharyngeal cancer prevention

Quadrivalent human papillomavirus vaccine cost-effective oropharyngeal cancer prevention

The potential costs and effectiveness of HPV4 vaccination versus no vaccination were compared in a theoretical cohort based on a cohort of 192,940 boys aged 12 years.

Assessing third-line treatment options for type 2 diabetes

Assessing third-line treatment options for type 2 diabetes

Add-on thiazolidinedione decreased HbA1c significantly better than add-on glimepiride among patients inadequately controlled on metformin + exenatide, but there were significant increases in BMI and systolic blood pressure.

Rule out pulmonary embolism by combining Wells rule and D-dimer test

Rule out pulmonary embolism by combining Wells rule and D-dimer test

Combining the Wells rule and a POC yielded a sensitivity and specificity of 94.5% and 51.0%, respectively, which when combined with a quantitative test changed to 98.6% and 47.2%, respectively.

Serious life events may increase type 1 diabetes risk in kids

Serious life events may increase type 1 diabetes risk in kids

Serious life events, such as death, illness, divorce or birth of a new child, during childhood can triple the risk for developing type 1 diabetes later.

Sam's Club savings program now offers low-cost Alzheimer, diabetes medications

Sam's Club savings program now offers low-cost Alzheimer, diabetes medications

More than 200 generic medications are available for $4 and more than 400 generic prescriptions are available for $10.

Stroke patients at higher risk for suicide

Stroke patients at higher risk for suicide

During follow-up, 1,217 suicides attempts were reported; 260 were fatal.

Are shorter people at higher risk for developing coronary artery disease?

Are shorter people at higher risk for developing coronary artery disease?

There is a relative 13.5% increase in coronary artery disease risk for every 2.5 inches shaved off a person's height.

Allergy medication may help treat hepatitis C infection

Allergy medication may help treat hepatitis C infection

Although the mechanism of action is unknown, it is believed that chlorcyclizine HCl targets viral entry into host cells without significant cytotoxicity.

Sleep apnea could raise psoriasis risk in women

Sleep apnea could raise psoriasis risk in women

The presence of snoring was not associated with a higher risk of psoriasis.

Depression linked to increased gestational diabetes risk

Depression linked to increased gestational diabetes risk

Significant symptoms of depression were identified in 20% of women with gestational diabetes mellitus and 13% of women without gestational diabetes mellitus.

Few weight-loss programs backed by scientific evidence

Few weight-loss programs backed by scientific evidence

Only Weight Watchers and Jenny Craig had gone through studies showing that people not only lost weight but kept it off for at least a year.

Nurse-physician collaboration cuts ICU infection rates

Nurse-physician collaboration cuts ICU infection rates

Units with more nursing hours per patient-day had a 0.42 decrease in the rate of bloodstream infections.

Researchers identify gene that causes psoriatic arthritis

Researchers identify gene that causes psoriatic arthritis

This discovery could prevent progression of psoriatic arthritis in patients with psoriasis.

Dipeptidyl peptidase-4 inhibitor use not tied to pneumonia hospitalizations

Dipeptidyl peptidase-4 inhibitor use not tied to pneumonia hospitalizations

Of the 49,653 patients included in the cohort, 562 were hospitalized for community-acquired pneumonia during follow-up.

Lifestyle interventions for diabetes yield modest weight loss results

Lifestyle interventions for diabetes yield modest weight loss results

From all 10 lifestyle intervention groups, the pooled within-group effect on weight (3,063 patients) was −5.33 kg.

Three-quarters of kids with ADHD take medication

Three-quarters of kids with ADHD take medication

Of the patients with current ADHD, 74.0% received treatment in the past week and 44.0% had received behavioral therapy in the past year.

HIV may damage central nervous system during early stages of infection

HIV may damage central nervous system during early stages of infection

Of the patients, 10% to 22% showed evidence of HIV replication or inflammation in the brain at different times within the first two years of infection.

Opioids improve breathlessness in patients with chronic obstructive pulmonary disease

Opioids improve breathlessness in patients with chronic obstructive pulmonary disease

Opioids had no impact on exercise capacity, however.

Vegetarian-vegan diets may be safe for pregnant women

Vegetarian-vegan diets may be safe for pregnant women

Vegetarian mothers were reported to have lower birth weight babies in five studies, while two studies reported higher birth weights.

Multidrug-resistant shigellosis spreads through United States

Multidrug-resistant shigellosis spreads through United States

In the United States, most Shigella is already resistant to the antibiotics ampicillin and trimethoprim/sulfamethoxazole.

Cardiovascular disease-related deaths on the rise

Cardiovascular disease-related deaths on the rise

In 1990, 12.3 million people died worldwide of heart disease. The number grew to 17.3 million by 2013, an increase of 40%.

All-oral simeprevir-sofosbuvir superior to interferon-based treatment for HCV patients with compensated cirrhosis

All-oral simeprevir-sofosbuvir superior to interferon-based treatment for HCV patients with compensated cirrhosis

Patients assigned the interferon-containing regimen had a significantly higher rate of virologic relapse compared with patients given simeprevir and sofosbuvir.

Moderate alcohol intake may cut fasting insulin

Moderate alcohol intake may cut fasting insulin

Alcohol consumption did not influence estimated insulin sensitivity or fasting glucose but was correlated with reductions in HbA1c and fasting insulin concentrations.

Methotrexate, cyclosporine among most affordable psoriasis treatments

Methotrexate, cyclosporine among most affordable psoriasis treatments

Infliximab and ustekinumab 90 mg were the most costly therapies.

Is it time to reconsider acetaminophen for back pain?

Is it time to reconsider acetaminophen for back pain?

Acetaminophen provided a small benefit in the reduction of pain and disability in patients with osteoarthritis of the hip or knee and provided no benefit in reducing pain in patients with lower back pain.

Proper screening of at-risk alcohol users is lacking

Proper screening of at-risk alcohol users is lacking

Only a minority of primary care providers appropriately screen or intervene with at-risk alcohol users.

Phase 1 trial results favorable for experimental psoriasis drug

Phase 1 trial results favorable for experimental psoriasis drug

The 31 patients who received BI 655066 had clinical improvement beginning at week 2 and maintained through week 66 weeks.