January 2014 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for January 2014. 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.

Parity After Fertility Evaluation Impacts Relationship

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Women who undergo fertility evaluation and do not have a child have an increased likelihood of divorce or end of cohabitation, according to a study published online Jan. 29 in Acta Obstetricia et Gynecologica Scandinavica.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/aogs.12317/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/aogs.12317/full )

Intensive Lifestyle Reverses Glucose Abnormalities in Youth

FRIDAY, Jan. 31, 2014 (HealthDay News) -- An intensive lifestyle intervention can reverse early glucose abnormalities in obese youth, according to a study published in the February issue of Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/37/2/317.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/37/2/317.full )

Deal Could Trade Tort Reform for Additional Health Reform

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Physicians may be willing to make a trade in accepting some additional health reform efforts in exchange for tort reform, according to an article published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/33/1/53.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/33/1/53.full )

Osteoporosis/Osteopenia Prevalent in Chronic Pancreatitis

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Sixty-five percent of patients with chronic pancreatitis have osteoporosis or osteopenia, according to a meta-analysis published in the February issue of Clinical Gastroenterology and Hepatology.

Abstract (http://www.cghjournal.org/article/S1542-3565(13)00921-X/abstract )Full Text (subscription or payment may be required) (http://www.cghjournal.org/article/S1542-3565(13)00921-X/fulltext )

Four-Stage Model Developed to Prevent Young Adult Weight Gain

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Application of a four-stage model facilitated development of a successful intervention to prevent excessive weight gain in young adults, according to research published online Jan. 23 in the Journal of Nutrition Education and Behavior.

Abstract (http://www.jneb.org/article/S1499-4046(13)00714-8/abstract )Full Text (subscription or payment may be required) (http://www.jneb.org/article/S1499-4046(13)00714-8/fulltext )

Improving Infection Control Could Mean No More White Coats

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Health care personnel should consider their clinical attire, such as white lab coats, carefully with regards to risk of transmitting infection, according to guidelines published in the February issue of Infection Control and Hospital Epidemiology.

Abstract (http://www.jstor.org/stable/info/10.1086/675066 )Full Text (http://www.jstor.org/stable/full/10.1086/675066 )

Higher Odds of Teen Obesity for Overweight Kindergartners

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Incident childhood obesity is more likely to occur at younger ages, with overweight 5-year-olds four times as likely to become obese compared to their normal-weight peers, according to research published in the Jan. 30 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1309753?query=featured_home )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1315169?query=featured_home )

Study IDs Cardiovascular Risk for 'Silent' Adrenal Tumors

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Patients with adrenal tumors of intermediate phenotype or subclinical Cushing's syndrome are at increased risk of cardiovascular events and mortality compared to those with stable non-secreting adrenal incidentalomas, according to a study published online Jan. 29 in The Lancet Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70211-0/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70211-0/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70190-6/fulltext )

Report Reveals Payment Methods for Physicians

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Many physicians in non-solo practice settings are paid using different methods, with just over half receiving all or most of their compensation from salary, according to a report from the American Medical Association.

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ab3a17c69-7ccb-4795-8fba-e8cec6356875&plckScript=blogScript&plckElementId=blogDest )

Docs Prefer Tablets Over Smartphones for Reading Articles

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Although physicians generally use smartphones rather than tablets for professional purposes, they are more likely to read articles from medical publications and access medically oriented webcasts/podcasts on tablets, according to the results of a survey conducted by Kantar Media.

More Information (http://www.kantarmedia-healthcare.com/doctors-are-more-likely-to-use-tablets-over-smartphones-to-read-medical-publications )

Practices Must Engage Vendors for ICD-10 Updates Now

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Practice owners need to communicate with system vendors to coordinate International Classification of Diseases, 10th Revision (ICD-10) updates, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/practice-owners-must-talk-their-vendors-now-about-icd-10-updates )

Marital History and Support Linked to Bone Health

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Marital history, including disruptions and age at marriage, is associated with bone health in men, while marital support correlates with bone health in women, according to a study published online Jan. 15 in Osteoporosis International.

Abstract (http://link.springer.com/article/10.1007/s00198-013-2602-4 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007/s00198-013-2602-4/fulltext.html )

Businesses Urge Change to ACA's Insurance Mandate

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Beginning in 2015, U.S. businesses with 50 or more workers must provide health insurance to "full-time" employees, meaning workers who log at least 30 hours a week, on average.

Full Article (http://consumer.healthday.com/diabetes-information-10/insulin-news-414/businesses-urge-change-to-obamacare-s-insurance-mandate-684325.html )

High Estradiol Levels Linked to Dementia in Women

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Postmenopausal women with high estradiol levels have a two-fold higher risk of developing dementia, but the risk is 14-fold higher if they also have diabetes, according to a study published online Jan. 29 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/29/WNL.0000000000000107.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2014/01/29/WNL.0000000000000107.full.pdf+html )

Diabetes With Obesity Ups Liver Transplant Morbidity

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Morbidity is increased in the early postoperative phase following liver transplant for patients who have obesity with diabetes mellitus, according to research published online Jan. 7 in Liver Transplantation.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lt.23818/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lt.23818/pdf )

Risk of Flu-Linked Hospitalization Up for Adults With Diabetes

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Working-age adults with diabetes are at increased risk of all-cause hospitalizations associated with influenza, according to a study published online Jan. 24 in Diabetologia.

Full Text (http://www.diabetologia-journal.org )

Insurance Eligibility Headaches Expected With ACA

TUESDAY, Jan. 28, 2014 (HealthDay News) -- With the influx of newly insured patients under the Affordable Care Act, physician practices should be prepared to spend even more time verifying coverage, according to an article published Jan. 2 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/physicians-brace-aca-insurance-eligibility-headaches-january )

BMI Thresholds Predict Metabolic Syndrome in Teens

TUESDAY, Jan. 28, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention and FITNESSGRAM (FGram) body mass index (BMI) thresholds are predictive of metabolic syndrome in U.S. adolescents, according to a study published online Jan. 27 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2014/01/22/peds.2013-1308 )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/22/peds.2013-1308.full.pdf+html )

Framework Established to Promote Safety of Care

TUESDAY, Jan. 28, 2014 (HealthDay News) -- A framework has been established to advance clinical learning environments that promote change in the quality and safety of care, according to a perspective piece published online Jan. 27 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1314628?query=featured_home )

Role of Vitamin D in Disease Prevention Is Uncertain

TUESDAY, Jan. 28, 2014 (HealthDay News) -- Supplementation with vitamin D to prevent disease does not appear to improve health outcomes, according to research published online Jan. 24 in The Lancet: Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70212-2/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70212-2/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(14)70008-7/fulltext )

Costs Cut With Workplace Wellness Disease Management

MONDAY, Jan. 27, 2014 (HealthDay News) -- Workplace wellness programs, particularly those with a disease management component, can reduce monthly health care costs for members, according to a study published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/33/1/124.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/33/1/124.full )

Circulating Uric Acid May Play Protective Role in Obesity

MONDAY, Jan. 27, 2014 (HealthDay News) -- Circulating uric acid affects non-enzymatic antioxidant capacity (NEAC) and markers of oxidative stress in obese subjects, according to a study published online Dec. 18 in Diabetes.

Abstract (http://diabetes.diabetesjournals.org/content/early/2013/12/06/db13-1396.abstract )Full Text (subscription or payment may be required) (http://diabetes.diabetesjournals.org/content/early/2013/12/06/db13-1396.full.pdf+html )

Top Ten Physician Challenges of 2014 Discussed

MONDAY, Jan. 27, 2014 (HealthDay News) -- The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life balance, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/top-10-challenges-facing-physicians-2014 )

FDA Wants to Update Food Labels

MONDAY, Jan. 27, 2014 (HealthDay News) -- America's food labels may get their first makeover in more than 20 years. According to the U.S. Food and Drug Administration, the agency is working toward publishing proposed rules to update nutrition labels and serving size information.

Full Article (http://consumer.healthday.com/public-health-information-30/food-and-drug-administration-news-315/fda-food-labels-684201.html )

Online Fitness Tool Users Want Images Similar to Themselves

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Incorporating images that reflect the user may make Internet-based physical activity promotion tools more acceptable to users, including young overweight African-American women, according to a study published Jan. 16 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2014/13_0169.htm )

Financial Value Overrides Health in Supersized Food Buys

FRIDAY, Jan. 24, 2014 (HealthDay News) -- "Supersized" pricing increases the quantity of food purchased and consumed because of focus on financial value, while diminishing the importance of health effects, according to a study published in the Journal of Marketing.

Abstract (http://journals.ama.org/doi/abs/10.1509/jm.11.0261 )Full Text (subscription or payment may be required) (http://journals.ama.org/doi/pdf/10.1509/jm.11.0261 )

Writing a Blog Can Up a Doc's Visibility

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Blogs can be a valuable tool to promote physician practices, according to an article published Dec. 17 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/why-writing-blog-may-benefit-physician-s-career )

Most Patients at Diabetes Risk Consider Themselves Healthy

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Nearly 80 percent of patients at elevated risk for type 2 diabetes think they are in excellent or very good health, according to a new survey from the American Diabetes Association (ADA).

More Information (http://www.diabetes.org/newsroom/press-releases/2013/many-people-at-risk-for-type-2-dont-think-they-are-at-risk.html )

Medical Staff Performance Goals Should Be Clear, Attainable

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Staff performance in medical practices needs to be appropriately managed and measured with performance goals, according to an article published Dec. 25 in Medical Economics.

Full Article (http://medicaleconomics.modernmedicine.com/medical-economics/news/managing-staff-performance-reviews-and-raises )

Bisphenol A Exposure Cost $3 Billion in 2008

THURSDAY, Jan. 23, 2014 (HealthDay News) -- About $3 billion in health costs in 2008 could be attributed to bisphenol A (BPA) exposure, and removing BPA from all food uses could save nearly $2 billion annually, according to a study published online Jan. 22 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2014/01/16/hlthaff.2013.0686 )Full Text (http://content.healthaffairs.org/content/early/2014/01/16/hlthaff.2013.0686.full )

Legitimacy of Publishing Pharma-Funded Research Queried

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- The question of whether to stop publishing research funded by the drug industry is addressed in a head-to-head piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g171 )

ALA: Much More Must Be Done to Lower Smoking Rates

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- State inaction and tobacco industry tactics are slowing tobacco control efforts in the United States, a new report from the American Lung Association (ALA) finds.

Full Article (http://consumer.healthday.com/cancer-information-5/smoking-cessation-news-628/much-more-must-be-done-to-lower-smoking-rates-experts-say-684117.html )

CDC: Use of Infertility Services Declining in the United States

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Use of infertility services among women has been declining in recent years in the United States, according to a report published Jan. 22 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

More Information (http://www.cdc.gov/nchs/data/nhsr/nhsr073.pdf )

Mediterranean Diet Lowers Risk of Peripheral Artery Disease

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- A Mediterranean diet supplemented with extra-virgin olive oil or nuts is associated with a lower risk of peripheral artery disease (PAD), according to a research letter published in the Jan. 22/29 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817779 )

PCP Practices Not Well Organized for Providing Energy Balance Care

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Primary care physician (PCP) practices are not well organized for providing energy balance care, with considerable variation in provision of care between PCP specialties, according to a study published in the January/February issue of the American Journal of Health Promotion.

Abstract (http://ajhpcontents.org/doi/abs/10.4278/ajhp.121219-QUAN-626 )Full Text (subscription or payment may be required) (http://ajhpcontents.org/doi/full/10.4278/ajhp.121219-QUAN-626 )

Chinese Herb Capsule May Help Reduce Progression to Diabetes

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- A Tianqi capsule containing 10 Chinese herbal medicines significantly reduces the incidence of type 2 diabetes mellitus (T2DM) in individuals with impaired glucose tolerance (IGT), according to a study published online Jan. 16 in the Journal of Clinical Endocrinology amp; Metabolism.

Abstract (http://press.endocrine.org/doi/abs/10.1210/jc.2013-3276 )Full Text (subscription or payment may be required) (http://press.endocrine.org/doi/pdf/10.1210/jc.2013-3276 )

Persistent Mucosal Damage Ups Hip Fx Risk in Celiac Disease

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Patients with celiac disease with persistent villous atrophy (VA) are at higher risk of developing hip fractures compared with patients with mucosal healing, according to a study published online Jan. 16 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://press.endocrine.org/doi/abs/10.1210/jc.2013-3164 )Full Text (subscription or payment may be required) (http://press.endocrine.org/doi/pdf/10.1210/jc.2013-3164 )

Some Medical Schools Offering Accelerated Training

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Some medical schools are offering an accelerated three-year program, according to a report from Kaiser Health News.

More Information (http://www.kaiserhealthnews.org/stories/2014/january/14/medical-schools-shaving-off-a-year-of-training.aspx )

More Federal Funding of Health Centers Mitigates Access Issues

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Since 2000, increased federal funding for community health centers has helped low-income adults get access to primary care and dental care, according to a study published online Dec. 18 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/full )

ACA Impact on Primary Practice May Depend on Location

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The impact of Medicaid expansion under the Affordable Care Act (ACA) on physicians' primary care practices will vary geographically, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/what-will-insurance-exchanges-medicaid-expansion-mean-your-primary-care-pract )

Researchers Examine FDA Decision Making Processes

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The rationale behind the decision making processes of the U.S. Food and Drug Administration is discussed in three articles published in the Jan. 22/29 issue of the Journal of the American Medical Association.

Abstract - Downing (http://jama.jamanetwork.com/article.aspx?articleid=1817794#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817794 )Abstract - Rome (http://jama.jamanetwork.com/article.aspx?articleid=1817796#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817796 )Abstract - Sacks (http://jama.jamanetwork.com/article.aspx?articleid=1817795#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817795 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817770 )

Data Support Sedentary Time, Mortality Link for Older Women

TUESDAY, Jan. 21, 2014 (HealthDay News) -- For older women, increased sedentary time is associated with increased mortality risk after multivariate adjustment, according to a study published in the February issue of the American Journal of Preventive Medicine.

Abstract (http://www.ajpmonline.org/article/S0749-3797(13)00594-1/abstract )Full Text (subscription or payment may be required) (http://www.ajpmonline.org/article/S0749-3797(13)00594-1/fulltext )

Multiple Medications Increase Odds of Hospital Admission

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The likelihood of unplanned admission is increased with polypharmacy, but the association is modified by the number of long-term conditions, according to a study published online Jan. 16 in the British Journal of Clinical Pharmacology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/pdf )

Medication Synchronization Program Ups Adherence

TUESDAY, Jan. 21, 2014 (HealthDay News) -- A community pharmacy-based medication synchronization program can improve medication adherence, according to a study conducted by the National Community Pharmacists Association (NCPA).

More Information (http://www.ncpanet.org/pdf/survey/2014/ncpa-study-results.pdf )

Survey IDs Factors Influencing Physician Job Satisfaction

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Believing that they are delivering high-quality patient care is key to physician job satisfaction, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/delivering-quality-patient-care-key-physician-satisfaction-study-finds )

Doctor Urges Colleagues to Disclose Conflicts of Interest

MONDAY, Jan. 20, 2014 (HealthDay News) -- A campaign to encourage physicians to disclose potential conflicts of interest has sparked ire from doctors despite evidence that openness improves the doctor-patient relationship, according to a personal view piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g167 )

Diet-Beverage Intake Up for Obese, Overweight Adults

MONDAY, Jan. 20, 2014 (HealthDay News) -- Overweight and obese adults drink more diet beverages than healthy-weight adults, but eat more solid-food calories and consequently have comparable total calorie intake, according to a study published online Jan. 16 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301556 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2013.301556 )

Markers Other Than HbA1c Useful for Monitoring Diabetes

MONDAY, Jan. 20, 2014 (HealthDay News) -- Fructosamine and glycated albumin are markers of glycemic control that may complement hemoglobin A1c (HbA1c) in identifying risk of diabetes and its complications, according to research published online Jan. 15 in The Lancet Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70199-2/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70199-2/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(14)70003-8/fulltext )

CDC: About 42.1 Million Adults Smoke in the United States

FRIDAY, Jan. 17, 2014 (HealthDay News) -- In the United States, approximately 18 percent of adults still smoke, according to a report published in the Jan. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6302a2.htm?s_cid=mm6302a2_w )

USDA: Americans Eating Better, Cutting Calories

FRIDAY, Jan. 17, 2014 (HealthDay News) -- American adults are eating healthier diets, making better use of nutrition information on food labels, consuming more fiber and less cholesterol, and getting fewer calories from total fat and saturated fat, a federal government report says.

Full Article (http://consumer.healthday.com/vitamins-and-nutrition-information-27/dietary-fat-health-news-301/americans-eating-better-taking-in-fewer-calories-report-683984.html )

PAs, NPs Are Effective in Team-Based Diabetes Care

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Physician assistants (PAs) and nurse practitioners (NPs) can effectively perform a range of roles on primary care teams caring for patients with diabetes, according to a study published in the November issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/11/1942.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/11/1942.full )

Genetic Factors Conferring Diabetes Don't Affect Progression

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Genetic variants that predispose to diabetes are not associated with the rate of progression from diabetes to requirement of insulin treatment, according to a study published online Nov. 1 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2014/01/02/dc13-1995.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2014/01/02/dc13-1995.full.pdf+html )

State Insurance Marketplaces Boost Outreach Efforts

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Health insurance exchanges in five states with strong enrollment growth are ramping up efforts to reach even more uninsured Americans before the end of the Affordable Care Act's open enrollment period on March 31. The March 31 deadline is for people who want health coverage for 2014.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/state-health-marketplaces-boost-outreach-683935.html )

Reliable Emotion Words ID'd to Assess Patient Experience

THURSDAY, Jan. 16, 2014 (HealthDay News) -- A reliable set of emotion words have been identified that can serve as a tool for experience-based design questionnaires in health care, according to a study published in the December issue of Healthcare.

Full Text (http://www.sciencedirect.com/science/article/pii/S2213076413000389 )

J-Shaped Link for BMI and Mortality in Incident T2DM

THURSDAY, Jan. 16, 2014 (HealthDay News) -- For participants with incident type 2 diabetes, there is a J-shaped association between body mass index (BMI) and mortality, with a linear relationship seen among never smokers, according to a study published in the Jan. 16 issue of the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1304501 )

Long-Term Cervical/Vaginal CA, Death Risk Up With Treated CIN3

THURSDAY, Jan. 16, 2014 (HealthDay News) -- For women previously treated for cervical intraepithelial neoplasia grade 3 (CIN3), the risk of acquiring or dying from invasive cervical or vaginal cancer is elevated, particularly among older women, according to a study published online Jan. 14 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.f7361 )Editorial (http://www.bmj.com/content/348/bmj.f7700 )

NCPA: Access to Controlled Substances Often Delayed

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Most pharmacists report experiencing multiple delays or issues with their controlled substance orders, according to the results of the National Community Pharmacists Association (NCPA) Controlled Substances Access Survey.

More Information (http://www.ncpanet.org/pdf/survey/2014/controlled-substances-access-survey.pdf )

Survey Results Identify Drivers of Doctor Engagement

THURSDAY, Jan. 16, 2014 (HealthDay News) -- The results of a survey from the Physician Wellness Services and Cejka Search have identified the key aspects of doctor engagement.

More Information (http://www.cejkasearch.com/news/press-releases/rules-of-engagement-new-survey-reveals-drivers-of-physician-engagement-and-a-disconnect-with-administration/ )

FDA Warns Against Rx With High Levels of Acetaminophen

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is recommending that physicians stop prescribing and dispensing prescription combination drug products containing more than 325 mg of acetaminophen per tablet, according to a safety alert issued by the agency.

More Information (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm381650.htm )

Exposure to Some Phthalates Fell in the Last Decade

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Exposure to some phthalates has fallen over the last decade and may be associated with bans on their use, according to a study published online Jan. 15 in Environmental Health Perspectives.

Abstract (http://ehp.niehs.nih.gov/1306681/ )Full Text (http://ehp.niehs.nih.gov/wp-content/uploads/122/1/ehp.1306681.pdf )

Weight Stigma May Have Negative Consequences

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Stigmatizing messages targeted at combating obesity may have negative effects, according to a study published in the March issue of the Journal of Experimental Social Psychology.

Full Text (http://www.sciencedirect.com/science/article/pii/S0022103113002047 )

School-Based Food, Drink Commercialism Still High

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- There continues to be a high prevalence of school-based commercialism of food and beverages, according to research published online Jan. 13 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1812294#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1812294 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1810279 )

Gene Mutation Not Linked to Vascular Complications

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Patients with gene mutations leading to elevated glycated hemoglobin (HbA1c) levels have a low prevalence of clinically significant vascular complications, according to a study published in the Jan. 15 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1814212#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1814212 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1814194 )

USPSTF Recommends GDM Screening After 24 Weeks

TUESDAY, Jan. 14, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening asymptomatic pregnant women for gestational diabetes mellitus (GDM) after 24 weeks of gestation, according to a final recommendation statement published online Jan. 14 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1813285 )

Socioeconomic Disparities Increasing in Teen Obesity

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Overall obesity trends among adolescents indicate socioeconomic disparities, with increased prevalence among adolescents with low socioeconomic status (SES), according to a study published online Jan. 13 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2014/01/08/1321355110.abstract )Full Text (http://www.pnas.org/content/early/2014/01/08/1321355110.full.pdf+html )

Avocado at Lunch Cuts Hunger in Overweight Adults

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Eating a half of an avocado at lunch dampens appetite for the next several hours in overweight adults, according to research published online Nov. 27 in the Nutrition Journal.

Abstract (http://www.nutritionj.com/content/12/1/155#abs )Full Text (subscription or payment may be required) (http://www.nutritionj.com/content/12/1/155 )

Wednesday Is Deadline for Feb. 1 Coverage Under ACA

TUESDAY, Jan. 14, 2014 (HealthDay News) -- There's still time to enroll in a health insurance plan through one of the Affordable Care Act's new online marketplaces. Those who sign up by Wednesday will have coverage starting next month.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/deadline-for-feb-1-health-coverage-is-approaching-683814.html )

More Than Two Million People Have Signed Up for ACA Coverage

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Nearly 2.2 million Americans had selected health plans through the federal and state marketplaces as of late December, and nearly one in four was a young adult, the Obama administration disclosed Monday.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/more-than-2-million-enroll-in-marketplace-health-plans-683818.html )

Artificial Sweeteners Produce No Glucagon Response

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Artificial sweeteners do not produce any changes in glucose metabolism compared to a glass of water, according to a letter published in the December issue of Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/36/12/e202.extract )Full Text (http://care.diabetesjournals.org/content/36/12/e202.full )

Nut Intake Inversely Linked to Obesity, Metabolic Syndrome

MONDAY, Jan. 13, 2014 (HealthDay News) -- Nut consumption is inversely associated with obesity and with metabolic syndrome, with stronger associations seen for tree nuts, according to research published online Jan. 8 in PLOS ONE.

Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0085133 )

Testosterone Often Initiated in Men With Normal Levels

MONDAY, Jan. 13, 2014 (HealthDay News) -- Testosterone testing and supplementation have increased substantially over the last decade, with many men in the United States initiating treatment even though they have normal levels, according to a study published online Jan. 1 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://press.endocrine.org/doi/abs/10.1210/jc.2013-3570 )Full Text (subscription or payment may be required) (http://press.endocrine.org/doi/pdf/10.1210/jc.2013-3570 )

Calories, Fat, Sodium in Restaurant Meals Quantified

MONDAY, Jan. 13, 2014 (HealthDay News) -- An adult meal at a typical full-service restaurant chain contains about 1,495 kcal, 28 g saturated fat, and 3,512 mg sodium, according to a study published in the January issue of the Journal of Nutrition Education and Behavior.

Abstract (http://www.jneb.org/article/S1499-4046(13)00708-2/abstract )Full Text (http://www.jneb.org/article/S1499-4046(13)00708-2/fulltext )

CMS: New Rule Proposed for Contract Year 2015

MONDAY, Jan. 13, 2014 (HealthDay News) -- A proposed rule has been issued that will strengthen protections, improve health care quality, and reduce costs for Medicare beneficiaries with private Medicare Advantage and Part D prescription plans, according to a report from the Centers for Medicare & Medicaid Services (CMS).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2014-Fact-sheets-items/2014-01-06.html )

Early BPA Exposure May Up Subsequent Prostate Cancer Risk

MONDAY, Jan. 13, 2014 (HealthDay News) -- Exposure to bisphenol A (BPA) may increase the risk for prostate cancer later in life, according to an experimental study published online Jan. 1 in Endocrinology.

Abstract (http://press.endocrine.org/doi/abs/10.1210/en.2013-1955 )Full Text (subscription or payment may be required) (http://press.endocrine.org/doi/pdf/10.1210/en.2013-1955 )

Survey: Fees, Reimbursement Top Physician Worries

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The results of a new survey show that physicians are concerned about declining reimbursements and increasing administrative hassles, including negotiating with payers, obtaining prior authorizations, and cutting through government red tape, according to an article published Nov. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/flat-declining-salaries-inflate-physician-worries-over-payments-red-tape )

EHR Use Linked to Doc-Reported Enhanced Patient Care

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Use of electronic health records is associated with enhanced patient care overall, according to a study published online Dec. 21 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/full )

CMS: Low Growth for National Health Expenditures in 2012

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Overall national health expenditures were marked by a fourth consecutive year of low growth, according to a report from the Centers for Medicare & Medicaid Services.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2014-Press-releases-items/2014-01-06.html )

Female Conveners Up Number of Women at Scientific Symposia

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Having at least one woman on teams that convene scientific symposia increases the proportion of invited female speakers by 72 percent, compared with teams containing all men, according to a study published online Jan. 7 in mBio.

Abstract (http://mbio.asm.org/content/5/1/e00846-13 )Full Text (http://mbio.asm.org/content/5/1/e00846-13.full )

ACP Introduces Free 'High Value Care' Case Studies

FRIDAY, Jan. 10, 2014 (HealthDay News) -- In an effort to improve health care and eliminate wasteful practices, the American College of Physicians (ACP) has developed a series of High Value Care cases studies, available online for free.

More Information (http://hvc.acponline.org )

Conventional Versus Intensive T1DM Tx Not Tied to Menopause

THURSDAY, Jan. 9, 2014 (HealthDay News) -- For women with type 1 diabetes, intensive versus conventional treatment is not associated with menopause risk, although greater insulin dose is associated with lower natural menopause risk, according to research published in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/10/22/dc13-1746.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/10/22/dc13-1746.full.pdf+html )

FDA Approves Farxiga for Type 2 Diabetes

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Farxiga (dapaglifozin) has been approved by the U.S. Food and Drug Administration to treat adults with type 2 diabetes, the agency said Wednesday in a news release.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm380829.htm )

Experts Say Paleo Diet Is Worst, DASH Diet Is Best

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- The controversial Paleo Diet was last on the 2014 "Best Diets List" from U.S. News & World Report, while the DASH plan was named the best overall diet.

Full Article (http://consumer.healthday.com/health-technology-information-18/press-medical-and-health-reporting-news-552/health-highlights-jan-6-2014-683621.html )

Administrative Demands Hurt Patient-Doctor Relationship

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Administrative demands on doctors, particularly primary care physicians, threaten the patient-doctor relationship, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/can-doctor-patient-relationship-survive?contextCategoryId=146 )

Smoking Rates Still Low for Most Health Care Professionals

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Compared with 2006 to 2007, smoking rates among health care professionals for 2010 to 2011 continue to be lowest in physicians and highest in licensed practical nurses (LPNs), according to a research letter published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1812944 )

AMA Urges Med Students to Be Agents of Health Care Change

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Medical students are being encouraged to be agents of change in the health care system, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a247728ba-e82a-4527-97c6-010eeb7584af&plckScript=blogScript&plckElementId=blogDest#.Usuqmf35E_s )

Mediterranean Diet + Extra-Virgin Olive Oil Cuts Diabetes Risk

TUESDAY, Jan. 7, 2014 (HealthDay News) -- A Mediterranean diet enriched with extra-virgin olive oil (EVOO) is associated with reduction in the risk of new-onset diabetes among older adults at high risk for cardiovascular disease, according to a study published in the Jan. 7 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1811025 )

Tibial Nerve Decompression Doesn't Cut Cross-Sectional Area

TUESDAY, Jan. 7, 2014 (HealthDay News) -- For patients with painful diabetic polyneuropathy (DPN), surgical decompression of the tibial nerve has no effect on the mean cross-sectional area of the nerve, according to a study published online Dec. 30 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/12/17/dc13-1787.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/12/17/dc13-1787.full.pdf+html )

AAFP Backs FDA Tentative Trans Fats Determination

TUESDAY, Jan. 7, 2014 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has expressed their support for the U.S. Food and Drug Administration's tentative determination regarding partially hydrogenated oils (PHOs) as food additives.

More Information (http://www.aafp.org/news-now/government-medicine/20131231transfatltr.html )

Non-White Physicians Provide Disproportionate Minority Care

MONDAY, Jan. 6, 2014 (HealthDay News) -- Non-white physicians provide a disproportionate share of care to underserved populations, according to a research letter published online Dec. 30 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1792913 )

Slower Eating Reduces Hunger but Not Necessarily Intake

MONDAY, Jan. 6, 2014 (HealthDay News) -- While slower eating speed reduces hunger, it does not significantly lower caloric intake in overweight/obese individuals, according to research published online Jan. 2 in the Journal of the Academy of Nutrition and Dietetics.

Abstract (http://www.andjrnl.org/article/S2212-2672(13)01673-0/abstract )Full Text (subscription or payment may be required) (http://www.andjrnl.org/article/S2212-2672(13)01673-0/fulltext )

Health Law Calls for Calorie Counts on Vending Machines

MONDAY, Jan. 6, 2014 (HealthDay News) -- There may be a lot more counting of calories when people buy snacks from vending machines or order food in certain restaurants under rules currently being crafted as part of the final phase of the Affordable Care Act.

Full Article (http://consumer.healthday.com/health-technology-information-18/press-medical-and-health-reporting-news-552/health-highlights-jan-2-2014-683555.html )

Romosozumab Increases Bone Mineral Density Post-Menopause

MONDAY, Jan. 6, 2014 (HealthDay News) -- Romosozumab seems safe and effective for increasing bone mineral density in postmenopausal women with low bone mineral density, according to a study published online Jan. 1 in the New England Journal of Medicine.

Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1305224?query=featured_home )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1305224?query=featured_home#t=articleTop )Editorial (http://www.nejm.org/doi/full/10.1056/NEJMe1315500 )

AMA Details Top Five Federal Issues for 2014

MONDAY, Jan. 6, 2014 (HealthDay News) -- Implementation of the Affordable Care Act, the repeal of Medicare's failed sustained growth formula, and the proposed roll-out of the International Classification of Diseases, Version 10, top the list of federal issues expected to impact physicians and patients in 2014, according to a viewpoint piece published online Dec. 30 by the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ada87eb10-f35f-4894-b57d-b69658bc9ab6&plckScript=blogScript&plckElementId=blogDest )

Over 100 New Accountable Care Organizations Formed

FRIDAY, Jan. 3, 2014 (HealthDay News) -- One hundred twenty-three new Accountable Care Organizations (ACOs) have been formed by doctors, hospitals, and other health care providers, which will provide access to high-quality coordinated care for about 1.5 million Medicare beneficiaries, according to a report from the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/12/20131223a.html )

Hypothyroidism Not Tied to Cognitive Impairment in Aged

FRIDAY, Jan. 3, 2014 (HealthDay News) -- There is no association between either clinical or subclinical hypothyroidism and mild cognitive impairment (MCI) in the elderly, according to a study published online Dec. 30 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1791529#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1791529 )

Impact of Transitions in Doctors' Careers Discussed

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Transitions and their associated challenges are encountered throughout a doctors' medical career, according to an editorial published online Nov. 26 in BMJ.

Full Text (subscription or payment may be required) (http://www.bmj.com/content/347/bmj.f7086 )

Increasing BMI Tied to Steady Increase in Health Care Costs

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Health care costs increase steadily with increasing body mass index (BMI), with the increase starting at a BMI of 19, according to a study published online Dec. 9 in Obesity.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/oby.20669/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/oby.20669/pdf )

Worsening of Shortage of Residency Slots Feared

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Despite a looming physician shortage, the number of residency positions in the United States has not changed since 1996, creating a bottleneck that will become worse with further budget cuts, according to a blog post published Dec. 7 on KevinMD.com.

Full Blog Post (http://www.kevinmd.com/blog/2013/12/fearful-time-medical-students.html )Save GME Website (http://savegme.org/ )

CDC: Updated Guidance for HBV Vaccination for Health Workers

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Health care personnel should be vaccinated against hepatitis B virus (HBV) if they anticipate exposure to blood or body fluids, and receive serologic testing to assess for antibody against the virus, according to updated guidelines published in the Dec. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6210a1.htm?s_cid=rr6210a1_w )

Docs Have Until Jan. 31 to Change Medicare Status

THURSDAY, Jan. 2, 2014 (HealthDay News) -- The deadline for making changes to Medicare participation status has been extended to Jan. 31, 2014, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a0390d077-20bd-4215-9a2c-78e71583edbd&plckScript=blogScript&plckElementId=blogDest#.UsJswv35E_s )