Here are what the editors at HealthDay consider to be the most important developments in Nursing for December 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Nurses Can Help Manage Drug Interactions in HIV/Hep C Treatment
TUESDAY, Dec. 31, 2019 (HealthDay News) — Drug interactions between antiretroviral therapy (ART) and direct-acting antivirals (DAAs) pose a clinical challenge in patients with HIV/hepatitis C virus (HCV) coinfection, according to an article published online Dec. 17 in the Journal of the Association of Nurses in AIDS Care.
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Machine Learning System Makes More Alerts for Med Errors
TUESDAY, Dec. 31, 2019 (HealthDay News) — A machine learning system can generate clinically valid alerts for medication errors that might be missed with existing clinical decision support (CDS) systems, according to a study published in the January issue of The Joint Commission Journal on Quality and Patient Safety.
CDC: Cases of Flu Continue to Mount Across America
MONDAY, Dec. 30, 2019 (HealthDay News) — Flu continues to spread throughout the United States and has reached elevated levels in nearly every state, according to the U.S. Centers for Disease Control and Prevention.
Intervention Cuts Preoperative Anxiety in Young Children
MONDAY, Dec. 30, 2019 (HealthDay News) — Among children undergoing elective day surgery, a brief, targeted Child Life preparation (CLP) intervention reduces preoperative anxiety prior to intravenous induction of anesthesia, according to a study published online Dec. 23 in Pediatric Anesthesia.
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Number of Children With Opioid Poisonings Increasing
MONDAY, Dec. 30, 2019 (HealthDay News) — The severity of pediatric admissions for acute opioid ingestions, especially following attempted suicide, increased from 2005 to 2018, according to a study published online Dec. 19 in Clinical Toxicology.
Prescribing Practices Can Mitigate Opioid Overdose Risk for Teens
FRIDAY, Dec. 27, 2019 (HealthDay News) — Older teens may have similar risk factors for prescription opioid overdose as adults, according to a study published online Dec. 16 in JAMA Pediatrics.
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Psychological Safety at Work Tied to Hospital Infection Prevention
THURSDAY, Dec. 26, 2019 (HealthDay News) — Hospitals reporting high levels of psychological safety in their work culture are more likely to have comprehensive infection prevention and control programs, according to a study published in the January issue of the American Journal of Infection Control.
Most Children Do Not Have Positive Results to Antibiotic Challenge
THURSDAY, Dec. 26, 2019 (HealthDay News) — Most children with non-β-lactam antibiotic (NBLA) allergy can be delabeled, with positive results on allergy testing for only 18 percent, according to a study published online Dec. 3 in Pediatrics.
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Many Do Not Discuss Menopause Concerns With Their Provider
THURSDAY, Dec. 26, 2019 (HealthDay News) — The majority of women experience symptoms and health concerns associated with menopause, but more than one-third never discuss these concerns with health care providers, according to a report released by HealthyWomen and WebMD.
Aging Smart, Aging Well Report
Patient Share of Out-of-Network Costs Rising
TUESDAY, Dec. 24, 2019 (HealthDay News) — The out-of-pocket costs for out-of-network (OON) care grew rapidly for privately insured Americans from 2012 to 2017, according to a study published in the December issue of the American Journal of Managed Care.
Endocrine Society Releases Hypoglycemia Performance Measures
TUESDAY, Dec. 24, 2019 (HealthDay News) — A new set of quality measures can help health care providers identify older adults with type 2 diabetes who are at increased risk for hypoglycemia, according to an article published online Dec. 11 in the Journal of Clinical Endocrinology & Metabolism.
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Enrollment in Affordable Care Act Holds Steady for Third Straight Year
MONDAY, Dec. 23, 2019 (HealthDay News) — Enrollment in Affordable Care Act coverage for next year has surpassed 8 million, a sign that many Americans still turn to the government health insurance program to help pay for their medical care.
Vaccination Rates Improved With Removal of Nonmedical Exemptions
MONDAY, Dec. 23, 2019 (HealthDay News) — Implementation of a policy that eliminated nonmedical exemptions from school entry requirements correlated with an increase in vaccination coverage and a reduction in nonmedical exemptions in California, according to a study published online Dec. 23 in PLOS Medicine.
Age at Obesity Onset Tied to Risk for Type 2 Diabetes in Women
MONDAY, Dec. 23, 2019 (HealthDay News) — The age of onset of obesity and cumulative exposure to obesity are associated with the risk for type 2 diabetes, according to a study published online Dec. 20 in Diabetologia.
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Number of Teens Vaping Marijuana on the Rise
MONDAY, Dec. 23, 2019 (HealthDay News) — The number of adolescents who vape marijuana is increasing, according to two research letters published online Dec. 17 in the Journal of the American Medical Association.
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Long Working Hours May Up Risk for Masked, Sustained HTN
MONDAY, Dec. 23, 2019 (HealthDay News) — Long working hours are an independent risk factor for masked and sustained hypertension, according to a study published online Dec. 19 in Hypertension.
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Congress Approves Raising Age to Buy Tobacco Products to 21
FRIDAY, Dec. 20, 2019 (HealthDay News) — A measure to raise the minimum age to buy tobacco and electronic cigarettes to 21 has been approved by the U.S. Congress and is expected to be signed into law by President Donald Trump.
Gabapentinoids, Opioids Combo Carries Risk for Breathing Problems
FRIDAY, Dec. 20, 2019 (HealthDay News) — New warnings about the risk for dangerous breathing difficulties when gabapentinoids are used with opioids or by certain patients must now appear on product labels, the U.S. Food and Drug Administration announced Thursday.
HbA1c Minimally Adds to CVD Risk Prediction in Prediabetes
FRIDAY, Dec. 20, 2019 (HealthDay News) — For individuals with prediabetes, hemoglobin A1c (HbA1c) minimally adds to cardiovascular disease (CVD) risk prediction, according to a study published online Dec. 18 in Diabetes Care.
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Concussions More Common Among College Students Than Thought
FRIDAY, Dec. 20, 2019 (HealthDay News) — Concussions are common among the U.S. collegiate population, with rates higher for non-sport-related concussion versus sport-related concussion, according to a study published online Dec. 18 in JAMA Network Open.
Some U.S. Adults Unaware of Any Myocardial Infarction Symptoms
FRIDAY, Dec. 20, 2019 (HealthDay News) — A considerable proportion of U.S. adults are unaware of some or all of the symptoms of myocardial infarction (MI), according to a study published online Dec. 18 in JAMA Network Open.
Private Care Program for U.S. Vets Gets $8.9 Billion in Budget Deal
THURSDAY, Dec. 19, 2019 (HealthDay News) — A controversial program meant to get more U.S. veterans to use private health care received $8.9 billion as part of a government spending bill approved by the House.
E-Cigarette Influencers to Be Banned From Instagram, Facebook
THURSDAY, Dec. 19, 2019 (HealthDay News) — Social media influencers who market electronic cigarette products will be banned from Facebook and Instagram, the companies say.
Sustained Weight Loss at 50+ May Lower Risk for Breast Cancer
THURSDAY, Dec. 19, 2019 (HealthDay News) — For women aged ≥50 years, sustained weight loss is associated with a reduced breast cancer risk, according to a study published online Dec. 17 in the Journal of the National Cancer Institute.
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Misuse of Nonopioid Medications Appears to Be on the Rise in U.S.
THURSDAY, Dec. 19, 2019 (HealthDay News) — Misuse/abuse, use in suicide attempts, and hospital admissions associated with gabapentin and baclofen have significantly increased among U.S. adults since 2013, according to a study published online Dec. 1 in Clinical Toxicology.
FDA to Allow States to Import Prescription Drugs From Other Countries
WEDNESDAY, Dec. 18, 2019 (HealthDay News) — Federal health officials have unveiled plans to allow prescription drug imports from Canada and other foreign nations.
Most Students Who Use E-Cigs Vape Nicotine and Marijuana
WEDNESDAY, Dec. 18, 2019 (HealthDay News) — About three-quarters of students who use electronic cigarettes report vaping nicotine, marijuana, and multiple substances, according to a study published online Dec. 16 in the American Journal of Preventive Medicine.
Possible Measles Exposures Occurred at LA International Airport
TUESDAY, Dec. 17, 2019 (HealthDay News) — People who were at Los Angeles International Airport on Dec. 11 may have been exposed to the measles virus, the Los Angeles County Department of Public Health warned Monday.
Congress Could Raise Age to Buy Tobacco Products to 21
TUESDAY, Dec. 17, 2019 (HealthDay News) — A provision to raise the U.S. minimum age to buy tobacco products from 18 to 21 years has been inserted into the end-of-year spending bill in Congress.
USPSTF Recommends Behavioral Counseling for STI Prevention
TUESDAY, Dec. 17, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends behavioral counseling for sexually active adolescents and for adults with increased sexually transmitted infection (STI) risk. These recommendations form the basis of a draft recommendation statement published online Dec. 17 by the USPSTF.
Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendation Statement
One in 10 Hospital Patients May Carry C. Diff at Admission
TUESDAY, Dec. 17, 2019 (HealthDay News) — Nearly one in 10 patients admitted to a hospital with no symptoms of diarrhea may be a carrier of Clostridioides difficile, according to a study published online Dec. 11 in Infection Control & Hospital Epidemiology.
Hospital-Level Home Acute Care Can Cut Costs, Health Care Use
TUESDAY, Dec. 17, 2019 (HealthDay News) — For acutely ill adults, hospital-level care at home is associated with reduced costs, health care use, and readmissions compared with usual hospital care, according to a study published online Dec. 17 in the Annals of Internal Medicine.
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Severe Maternal Morbidity, Mortality Both Up in Rural Areas
TUESDAY, Dec. 17, 2019 (HealthDay News) — Rural communities face greater severe maternal morbidity and mortality than urban communities, according to a report published in the December issue of Health Affairs, a theme issue on rural health.
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Outcomes Worse for Rural Residents With Chronic Conditions
MONDAY, Dec. 16, 2019 (HealthDay News) — Rural Medicare beneficiaries with complex chronic conditions have higher preventable hospitalization and mortality rates than their urban peers, which is partially explained by reduced access to specialists, according to a report published in the December issue of Health Affairs, a theme issue on rural health.
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E-Cigarette Use Independent Risk Factor for Chronic Lung Disease
MONDAY, Dec. 16, 2019 (HealthDay News) — Current use of electronic cigarettes is an independent risk factor for respiratory disease, according to a study published online Dec. 16 in the American Journal of Preventive Medicine.
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Consuming Ultraprocessed Food May Up Risk for Type 2 Diabetes
MONDAY, Dec. 16, 2019 (HealthDay News) — Ultraprocessed food (UPF) consumption is associated with an increased risk for type 2 diabetes (T2D), according to a study published online Dec. 16 in JAMA Internal Medicine.
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Palliative Care Reaching More Inpatients With Serious Illness
MONDAY, Dec. 16, 2019 (HealthDay News) — Inpatient palliative care teams are reaching a broader mix of patients earlier in the course of their illness, according to a study published online Dec. 6 in JAMA Network Open.
Mindfulness Program May Help Lower Blood Pressure
MONDAY, Dec. 16, 2019 (HealthDay News) — Participants in a mindfulness program have significant improvements in self-regulation skills and reductions in blood pressure, according to a small study published online Nov. 27 in PLOS ONE.
Hahn Confirmed as New FDA Chief
FRIDAY, Dec. 13, 2019 (HealthDay News) — Stephen Hahn, M.D., was confirmed as commissioner of the U.S. Food and Drug Administration in a 72-18 Senate vote on Thursday.
U.S. Will Have Three-Digit Number for Suicide Prevention Hotline
FRIDAY, Dec. 13, 2019 (HealthDay News) — A new three-digit number in the United States to contact a suicide prevention hotline is being created by federal officials.
Nurses Not Getting Enough Sleep Before Work
FRIDAY, Dec. 13, 2019 (HealthDay News) — Nurses are sleeping, on average, less than recommended amounts prior to work, which may have an impact on their health and performance on the job, according to a study published online Dec. 12 in Sleep Health.
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Evidence Supports Use of High-Dose Aspirin for Migraine
FRIDAY, Dec. 13, 2019 (HealthDay News) — Evidence supports the use of high-dose aspirin for treating acute migraine and low-dose aspirin for prevention of recurrent attacks, according to a review recently published in the American Journal of Medicine.
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Potentially Nephrotoxic Meds Prescribed to Children With CKD
THURSDAY, Dec. 12, 2019 (HealthDay News) — Potentially nephrotoxic medications are prescribed at a higher rate to children with versus without chronic kidney disease (CKD), according to a study published online Dec. 12 in the Clinical Journal of the American Society of Nephrology.
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Cost Saving-Related Rx Nonadherence Found for 7 Percent With HIV
THURSDAY, Dec. 12, 2019 (HealthDay News) — Seven percent of persons with HIV infection report cost saving-related nonadherence to prescription medication, according to research published in the Dec. 13 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Antibiotics Often Prescribed Without Documented Indication
THURSDAY, Dec. 12, 2019 (HealthDay News) — A considerable proportion of antibiotics are prescribed without a documented indication, according to a study published online Dec. 11 in The BMJ.
One in Three Parents Report Skipping Doctor, Dentist Appointment
THURSDAY, Dec. 12, 2019 (HealthDay News) — One in three parents have skipped a doctor or dentist appointment in the past year because they could not afford to pay for visits or find transportation, according to the results of a survey released Nov. 18 by Nemours Children’s Health System.
Redefining Health for the Well-Being of Children
State Legislators React to Preventable Disease Outbreaks
WEDNESDAY, Dec. 11, 2019 (HealthDay News) — Increases in vaccine-preventable disease (VPD) outbreaks are associated with an increase in proposed state legislation that would restrict vaccine exemptions, according to a research letter recently published in JAMA Pediatrics.
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Many Pregnant Women Not Meeting Nutritional Guidelines
WEDNESDAY, Dec. 11, 2019 (HealthDay News) — Women who are pregnant or trying to become pregnant may not be meeting dietary guidelines and/or nutritional recommendations, according to a review published Dec. 2 in Maternal & Child Nutrition.
U.S. Primary Care Doctors Face Challenges in Coordinating Care
TUESDAY, Dec. 10, 2019 (HealthDay News) — Physicians from the United States and other high-income countries report difficulties with care coordination, with a substantial proportion of U.S. physicians not receiving timely notification or the information needed from specialists or other sites of care, according to a study published online Dec. 10 in Health Affairs.
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Many With Diabetes Engage in Underground Exchange of Medications, Supplies
TUESDAY, Dec. 10, 2019 (HealthDay News) — Patients with diabetes frequently engage in underground exchange activities for medications and supplies, according to a study published online Dec. 4 in the Journal of Diabetes Science and Technology.
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U.S. Health Care Spending Up 4.6 Percent in 2018
TUESDAY, Dec. 10, 2019 (HealthDay News) — In 2018, U.S. health care spending increased 4.6 percent, a faster rate than that seen in 2017, according to a report published online Dec. 5 in Health Affairs.
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Low-Dose Aspirin May Cut Dementia Risk in Women With Diabetes
TUESDAY, Dec. 10, 2019 (HealthDay News) — Long-term use of low-dose aspirin may reduce the risk for dementia in women with type 2 diabetes, according to a study published online Dec. 4 in Diabetes Care.
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Breastfeeding May Protect Against Postpartum Relapses in MS
TUESDAY, Dec. 10, 2019 (HealthDay News) — Breastfeeding may be protective against postpartum relapses in multiple sclerosis (MS), according to a review and meta-analysis published online Dec. 9 in JAMA Neurology.
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Few MMR-Vaccine Eligible Children Receive Vaccine Before Travel
TUESDAY, Dec. 10, 2019 (HealthDay News) — Less than half of pediatric travelers who are eligible for pretravel measles, mumps, and rubella (MMR) vaccination are vaccinated during pretravel consultation, according to a study published online Dec. 9 in JAMA Pediatrics.
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Extending HPV Vaccination to Age 45 Provides Small Additional Benefit
MONDAY, Dec. 9, 2019 (HealthDay News) — Extending the current human papillomavirus (HPV) vaccination program to age 45 years is expected to produce small additional reductions in HPV-associated diseases with high additional costs, according to a study published online Dec. 10 in the Annals of Internal Medicine.
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Supreme Court Upholds Kentucky Abortion Ultrasound Law
MONDAY, Dec. 9, 2019 (HealthDay News) — A Kentucky law requiring physicians to perform ultrasounds and show fetal images to patients before abortions was upheld Monday by the U.S. Supreme Court.
Half of U.S. Physicians Recommend Complementary Health Approaches
MONDAY, Dec. 9, 2019 (HealthDay News) — More than half of office-based physicians recommend complementary health approaches (CHAs) to their patients, according to a study published online Dec. 2 in the Journal of Alternative and Complementary Medicine.
Many Patients Overestimate the Benefits of PCI
MONDAY, Dec. 9, 2019 (HealthDay News) — Many patients do not understand or remember the information given to them during the informed consent process for percutaneous coronary intervention (PCI), according to a study published online Nov. 27 in the European Journal of Cardiovascular Nursing.
FDA Testing Levels of Carcinogen in Diabetes Drug Metformin
FRIDAY, Dec. 6, 2019 (HealthDay News) — Levels of possible cancer-causing chemicals in metformin diabetes medications are under investigation by the U.S. Food and Drug Administration.
Cellphone-Related Injuries to Head, Neck on the Rise
FRIDAY, Dec. 6, 2019 (HealthDay News) — The number of head and neck injuries related to cellphone use that require emergency department attention has increased during a 20-year period, according to a study published online Dec. 5 in JAMA Otolaryngology-Head & Neck Surgery.
CDC: All 50 States Now Reporting Cases of Severe Vaping-Linked Lung Injury
FRIDAY, Dec. 6, 2019 (HealthDay News) — Cases of a serious, sometimes fatal, form of lung injury tied to vaping have now been reported in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. In total, case numbers have risen to 2,291, according to the latest update from the U.S. Centers for Disease Control and Prevention, issued Thursday.
More Information: CDC
CMAJ Report
European Respiratory Journal Report
Preterm Birth May Increase Risk for Diabetes Into Adulthood
FRIDAY, Dec. 6, 2019 (HealthDay News) — Preterm birth is associated with an increased risk for type 1 and type 2 diabetes from childhood into early and middle adulthood, according to a study published online Dec. 3 in Diabetologia.
Social Media Use Tied to Disordered Eating in Young Teens
FRIDAY, Dec. 6, 2019 (HealthDay News) — Use of social media (SM), particularly platforms with a strong focus on images, is associated with disordered-eating (DE) thoughts and behaviors in young adolescents, according to a study published online Dec. 3 in the International Journal of Eating Disorders.
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Annual Reported Measles Incidence Dropped From 2000 to 2018
THURSDAY, Dec. 5, 2019 (HealthDay News) — The annual reported measles incidence decreased from 2000 to 2018, but the number of cases increased from 2016 to 2018, according to research published in the Dec. 6 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
More Than 100 E. Coli Illnesses Now Linked to Romaine Lettuce
THURSDAY, Dec. 5, 2019 (HealthDay News) — Federal health officials are currently investigating a multistate outbreak of Escherichia coli infection linked to romaine lettuce thought to be grown in Salinas, California.
More Information: CDC
More Information: FDA
E-Cigarette Smokers Have Increased Odds of Depression
THURSDAY, Dec. 5, 2019 (HealthDay News) — Current and former electronic cigarette users have increased odds of depression compared with never users, according to a study published online Dec. 4 in JAMA Network Open.
Early-Onset CVD Rate Up for Children of Moms With Diabetes
THURSDAY, Dec. 5, 2019 (HealthDay News) — Children of mothers with diabetes have increased rates of early-onset cardiovascular disease (CVD), according to a study published online Dec. 4 in The BMJ.
Playing Analog Games Tied to Less Relative Cognitive Decline
THURSDAY, Dec. 5, 2019 (HealthDay News) — Playing analog games is associated with less relative cognitive decline, according to a study published online Nov. 18 in the Journals of Gerontology: Series B.
6.5 Percent of Adults Report Prescription Opioid Analgesic Use
THURSDAY, Dec. 5, 2019 (HealthDay News) — Overall, 6.5 percent of adults aged 20 years and older reported using a prescription opioid analgesic in the previous 30 days during 2013 to 2016, according to a report published in the December Health E-Stats, a publication of the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Services Affected by Rural Hospitals Joining Health Systems
WEDNESDAY, Dec. 4, 2019 (HealthDay News) — While affiliating with health systems may boost a rural hospital’s financial viability, the affiliation is often associated with reductions in critical services, according to a study published in the December issue of Health Affairs, a theme issue on rural health.
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Adults Not Living in Metro Areas Have Reduced Access to Care
WEDNESDAY, Dec. 4, 2019 (HealthDay News) — Adults not living in metropolitan statistical areas (MSAs) are more likely to have reduced access to or use of health care services, according to a study published online Dec. 4 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.
Postpartum Opioid Prescription Rates Vary Widely by Hospital
WEDNESDAY, Dec. 4, 2019 (HealthDay News) — Postpartum opioid prescription rates vary widely among hospitals, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology Maternal-Fetal Medicine.
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Physician Depressive Symptoms Tied to Higher Risk for Medical Errors
WEDNESDAY, Dec. 4, 2019 (HealthDay News) — Physicians showing depressive symptoms are at higher risk for medical errors, according to a review published Nov. 27 in JAMA Network Open.
Digital Sepsis Monitoring May Improve Inpatient Outcomes
TUESDAY, Dec. 3, 2019 (HealthDay News) — A digital sepsis alert is associated with improved outcomes, according to a study published online Nov. 20 in the Journal of the American Medical Informatics Association.
Decline in Adult Primary Care Visits Seen in 2007 to 2016
TUESDAY, Dec. 3, 2019 (HealthDay News) — There was a national decline in adult primary care visits from 2007 to 2016, but the decline was associated with a simultaneous uptick in longer visits with electronic follow-up, according to a study published in the November/December issue of the Annals of Family Medicine.
New Federal Program Provides Free HIV Prevention Drugs to Uninsured
TUESDAY, Dec. 3, 2019 (HealthDay News) — A new program to provide free HIV prevention drugs to people who cannot afford them because they do not have health insurance was announced Tuesday by the U.S. government.
eBay Bans Infant Inclined Sleepers, Other Companies Urged to Do Same
TUESDAY, Dec. 3, 2019 (HealthDay News) — eBay’s decision to ban infant inclined sleepers from its platform, including nonrecalled sleepers, was welcomed by Consumer Reports, which urged other companies to do the same.
Infancy Nurse Visit Program May Reduce Public Benefit Costs
TUESDAY, Dec. 3, 2019 (HealthDay News) — A prenatal and infancy nurse home visiting program is associated with reduced public benefit costs for low-income mothers and improved cognitive-related skills in their children, according to two studies published in the Dec. 1 issue of Pediatrics.
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Concussion May Up Risk for Suicide in High School Students
TUESDAY, Dec. 3, 2019 (HealthDay News) — High school students with a history of sports-related concussions might be at an increased risk for suicide, according to a study published online Nov. 11 in the Journal of Affective Disorders.
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Deportation Worry May Raise Risk for Hypertension in Women
TUESDAY, Dec. 3, 2019 (HealthDay News) — Deportation worry is associated with an increased risk for incident hypertension in women, according to a study published online Nov. 27 in the Journal of the American Heart Association.
Prediabetes Prevalent in U.S. Adolescents, Young Adults
MONDAY, Dec. 2, 2019 (HealthDay News) — The prevalence of prediabetes is high in U.S. adolescents and young adults, according to a study published online Dec. 2 in JAMA Pediatrics.
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Holding Intubated Infants in ICU Found to Be Safe, Beneficial
MONDAY, Dec. 2, 2019 (HealthDay News) — Holding intubated infants in the intensive care unit is well tolerated and does not increase adverse events, according to a study published in the December issue of Critical Care Nurse.
Child Consumption of Sugary Drinks Down From 2003 to 2014
MONDAY, Dec. 2, 2019 (HealthDay News) — Efforts to decrease sugar-sweetened beverage consumption during the past decade have been successful, according to a study published online Nov. 20 in the American Journal of Preventive Medicine.
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