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March 2013 Briefing - Diabetes & Endocrinology

Computer-Based Programs Show Benefits for Diabetes

FRIDAY, March 29 (HealthDay News) -- Computer-based diabetes self-management interventions have a small beneficial effect on blood glucose control, according to a review published online March 28 in The Cochrane Library.

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Higher Activity Levels May Protect Children From Stress

FRIDAY, March 29 (HealthDay News) -- Children with lower levels of daytime physical activity (PA) have higher hypothalamic-pituitary-adrenocortical axis (HPAA) activity in response to psychosocial stress, suggesting that PA may help children cope with stressful situations, according to research published online March 7 in the Journal of Clinical Endocrinology & Metabolism.

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Metabolite-Based Test May Detect Early Pancreatic Cancer

FRIDAY, March 29 (HealthDay News) -- A test that measures four serum metabolites can accurately distinguish patients with pancreatic cancer from healthy people and patients with pancreatitis, according to a study published online March 29 in Cancer Epidemiology, Biomarkers & Prevention.

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Gastric Bypass Leads to Gut Microbiota Changes in Mice

FRIDAY, March 29 (HealthDay News) -- Mice that undergo gastric bypass surgery have changes in their gut composition independent of weight loss, and transferring the gut microbiota to germ-free mice results in weight loss without sugery, according to a study published in the March 27 issue of Science Translational Medicine.

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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.

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Low Vitamin D Levels Common Among Spinal Fusion Patients

THURSDAY, March 28 (HealthDay News) -- A substantially high number of patients undergoing spinal fusion have a vitamin D deficiency or inadequacy, according to a study published in the March 15 issue of Spine.

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Higher Fiber Intake Tied to Lower Risk of First Stroke

THURSDAY, March 28 (HealthDay News) -- Higher fiber intake is associated with a lower risk of first stroke, according to a meta-analysis published online March 28 in Stroke.

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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.

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Breath Test Ties Hydrogen, Methane to Higher BMI

THURSDAY, March 28 (HealthDay News) -- There is a significant association between having both high methane and hydrogen results on a breath test and having a higher body mass index (BMI), according to a study published online March 26 in the Journal of Clinical Endocrinology & Metabolism.

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Birth Weight, Early Linear Growth Rate Affect Later Health

THURSDAY, March 28 (HealthDay News) -- In low- and middle-income countries, fast linear growth in the first two years of life is associated with increased adult height and completion of more schooling, while higher weight at birth and later in childhood is associated with increased risk of obesity, according to a study published online March 28 in The Lancet.

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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.

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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.

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Management of Short Stature in Childhood Discussed

WEDNESDAY, March 27 (HealthDay News) -- Short stature in childhood warrants evaluation, and various treatment options should be considered, according to a case vignette published in the March 28 issue of the New England Journal of Medicine.

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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).

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Psoriasis Tied to Increased Risk of New-Onset Diabetes

WEDNESDAY, March 27 (HealthDay News) -- Psoriasis is significantly tied to an increased risk of new-onset diabetes mellitus (DM), according to a study published online March 14 in Diabetes Care.

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Weight Loss, Muscle Depletion May Predict Cancer Survival

WEDNESDAY, March 27 (HealthDay News) -- Cancer patients with high weight loss, low muscle index, and low muscle attenuation have a poor prognosis regardless of body mass index (BMI), according to a study published online March 25 in the Journal of Clinical Oncology.

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Submitting Peer-Review Reports Could Expedite Process

WEDNESDAY, March 27 (HealthDay News) -- Attaching previous peer-review reports during the next submission of the same paper to a different journal could optimize the peer-review process, according to research published in the March/April issue of the Annals of Family Medicine.

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Sleep Duration Affects Glycemic Control in Type 2 Diabetes

TUESDAY, March 26 (HealthDay News) -- Patients with type 2 diabetes with either a short or long sleep duration have significantly higher hemoglobin A1c (A1C) levels compared to patients with intermediate sleep duration, according to research published in the March issue of Diabetes Care.

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Residency Reforms Reduced Duty Hours, Increased Sleep

TUESDAY, March 26 (HealthDay News) -- Additional residency reforms implemented in 2011 have reduced duty hours and increased sleep duration, but with perceived reductions in quality of patient care, according to research published online March 25 in JAMA Internal Medicine.

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Age of Menarche, Menopause Linked to Cardiovascular Risk

TUESDAY, March 26 (HealthDay News) -- For Chinese women, the age of menarche and menopause is not related to the risk of diabetes, but does correlate with cardiovascular disease and osteoporosis, according to a study published online March 7 in the Journal of Clinical Endocrinology & Metabolism.

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Attentive Eating Influences Food Intake

MONDAY, March 25 (HealthDay News) -- Being more aware while eating may lower food consumption, according to a study published in the April issue of the American Journal of Clinical Nutrition.

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Peds to Adult Diabetes Care Switch Mars Glycemic Control

MONDAY, March 25 (HealthDay News) -- For youth with type 1 diabetes, the transition from pediatric to adult diabetes care is associated with increased risk of poor glycemic control, according to a study published online March 25 in Pediatrics.

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Higher Mortality Rate Seen in Middle-Aged Diabetes Patients

FRIDAY, March 22 (HealthDay News) -- Middle-aged people with type 2 diabetes, particularly women and those under the age of 55, have a two to three times higher risk of all-cause and cardiovascular mortality than people without diabetes, according to research published online Feb. 22 in Diabetes Care.

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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.

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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.

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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.

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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.

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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.

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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.

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Endocrine Society Urges Better Standards for Estradiol Testing

THURSDAY, March 21 (HealthDay News) -- A new position statement published by The Endocrine Society recommends that estradiol measurement assays and reference ranges be standardized and that the health care community work toward improving the accessibility of accurate estradiol testing methods; the position statement was published online March 5 in the Journal of Clinical Endocrinology & Metabolism.

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Hypertension, APOE Genotype Add to Amyloid Deposits

THURSDAY, March 21 (HealthDay News) -- Hypertension in combination with the apolipoprotein E (APOE) genotype increases amyloid deposits in cognitively healthy middle-aged and older adults, according to a study published online March 18 in JAMA Neurology.

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Race Influences Lower Extremity Ischemia Treatment

THURSDAY, March 21 (HealthDay News) -- Even after adjustment for confounding variables, black patients are significantly more likely to undergo amputation for critical lower extremity ischemia, according to a study published online March 20 in JAMA Surgery.

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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.

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Intensive Glycemic Control Linked to Highest Weight Gains

WEDNESDAY, March 20 (HealthDay News) -- Weight gain is higher in patients with type 2 diabetes mellitus (T2DM) who receive more intensive glycemic control treatment and is associated with a reduction of A1C from baseline, according to research published online Feb. 14 in Diabetes Care.

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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.

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High-Potency Statins Up Acute Kidney Injury Hospitalizations

WEDNESDAY, March 20 (HealthDay News) -- For patients with non-chronic kidney disease, high-potency statin treatment is associated with an increased risk of hospitalization for acute kidney injury, according to a study published online March 19 in the BMJ.

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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.

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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.

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Sepsis Drug Eritoran Not Superior to Placebo

TUESDAY, March 19 (HealthDay News) -- Eritoran, a synthetic analog of lipid A and a toll-like receptor 4 antagonist, is no better than placebo in reducing mortality in patients with severe sepsis, according to a study published in the March 20 issue of the Journal of the American Medical Association.

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Skim Milk Does Not Prevent Obesity in Young Children

TUESDAY, March 19 (HealthDay News) -- For preschool children, consumption of 1 percent/skim milk is associated with overweight/obesity, according to a study published online March 18 in the Archives of Disease in Childhood.

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Maternal Vitamin D Not Linked to Child Bone Mineral Content

TUESDAY, March 19 (HealthDay News) -- There is no association between maternal 25-hydroxyvitamin D (25[OH]D) concentration and bone mineral content (BMC) in offspring at age 9 to 10 years, according to a study published online March 19 in The Lancet.

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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.

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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.

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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.

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USPSTF: Insufficient Evidence for ABI Screening for PAD, CVD

MONDAY, March 18 (HealthDay News) -- The U.S. Preventive Services Task Force has found that there is currently insufficient evidence to determine whether the ankle brachial index (ABI) is beneficial for screening for peripheral artery disease (PAD) and predicting the risk of cardiovascular disease.

Draft Recommendation Statement
Comment on Recommendations

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.

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Key Variables Examined in Gestational Diabetes Advance

MONDAY, March 18 (HealthDay News) -- For women with gestational diabetes mellitus (GDM), clinical and genetic factors including higher pre-pregnancy body mass index are associated with development of type 2 diabetes mellitus (T2DM), according to a study published online March 7 in the Journal of Clinical Endocrinology.

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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.

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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.

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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.

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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.

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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.

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AMA Files Brief Contesting Insurer's Payment Practices

WEDNESDAY, March 13 (HealthDay News) -- A landmark case examining the question of whether physicians can bring a class arbitration against a health insurer who has underpaid them is currently before the U.S. Supreme Court, in a brief filed by the Litigation Center of the American Medical Association and State Medical Societies and the Medical Society of New Jersey.

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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.

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$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.

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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.

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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.

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Self-Monitoring of Blood Glucose Protocol Cuts hs-CRP

THURSDAY, March 7 (HealthDay News) -- Among patients with poorly controlled type 2 diabetes, a structured self-monitoring of blood glucose (SMBG) protocol correlates with reductions in the level of high-sensitivity C-reactive protein (hs-CRP), according to a study published online Feb. 22 in Diabetes Care.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Proportion of Black Males in U.S. Medical Schools Dropping

MONDAY, March 4 (HealthDay News) -- The proportion of black males in medical school is decreasing, according to a report published by the Association of American Medical Colleges (AAMC).

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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.

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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.

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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.

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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.

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