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August 2020 Briefing – Nursing

Here are what the editors at HealthDay consider to be the most important developments in Nursing for August 2020. 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.

FDA Could Green-Light COVID-19 Vaccines Before Clinical Trials Completed

MONDAY, Aug. 31, 2020 (HealthDay News) — Emergency use authorization (EUA) or approval for a COVID-19 vaccine before phase 3 clinical trials are complete could be considered by the U.S. Food and Drug Administration, according to the agency’s commissioner, Stephen Hahn, M.D.

CNN Article

Community-Level Factors Explain Some Racial Disparities in COVID-19

MONDAY, Aug. 31, 2020 (HealthDay News) — Community-level factors explain some, but not all, racial and ethnic disparities in COVID-19 rates in Massachusetts, according to a report published online Aug. 27 in Health Affairs.

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Chlamydia, Gonorrhea Rates Up Among Young Women in the U.S.

MONDAY, Aug. 31, 2020 (HealthDay News) — There has been an age shift in positivity for Chlamydia trachomatis and Neisseria gonorrhoeae among women, according to a study published online Aug. 20 in the American Journal of Preventive Medicine.

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Palliative Care Explored for Long-Term Neurological Conditions

MONDAY, Aug. 31, 2020 (HealthDay News) — For patients with long-term neurological conditions, a short-term integrated palliative care (SIPC) intervention does not alter palliative care outcomes or patient-reported outcomes compared with standard care, according to a study published online Aug. 28 in JAMA Network Open.

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Editorial

Long-Term Follow-Up Reported for BP Telemonitoring Program

MONDAY, Aug. 31, 2020 (HealthDay News) — Among adults with uncontrolled blood pressure, fewer cardiovascular events and lower costs were observed at five years with a pharmacist-led telemonitoring program, but the differences were not statistically significant compared with usual care, according to a study published online Aug. 31 in Hypertension.

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Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 24 to 28, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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FDA Warns of Hand Sanitizers in Food-Like Packaging

FRIDAY, Aug. 28, 2020 (HealthDay News) — A warning about alcohol-based hand sanitizers in packaging that looks like food or drink has been issued by the U.S. Food and Drug Administration.

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Model Says COVID-19 Deaths Could Surpass 317,000 by December

FRIDAY, Aug. 28, 2020 (HealthDay News) — A widely cited model for COVID-19 deaths in the United States predicts a total of 317,000 deaths by December.

CNN Article

Mortality, Intubation Rates Lower With Anticoagulation in COVID-19

FRIDAY, Aug. 28, 2020 (HealthDay News) — Among hospitalized patients with COVID-19, anticoagulation (AC) is associated with reduced mortality and intubation, according to a study published online Aug. 26 in the Journal of the American College of Cardiology.

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COVID-19 Infection May Initially Present as Acute Pancreatitis

FRIDAY, Aug. 28, 2020 (HealthDay News) — Acute pancreatitis may be a gastrointestinal manifestation of COVID-19, according to research published online Aug. 26 in Gastroenterology.

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Losing Weight Before Midlife Cuts Mortality Risk

FRIDAY, Aug. 28, 2020 (HealthDay News) — Weight loss from obesity to overweight between early adulthood through midlife is associated with a lower risk for early death compared with maintaining obesity, according to a study published online Aug. 14 in JAMA Network Open.

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Parents Have Contradictory Views on Childhood Vaccines

THURSDAY, Aug. 27, 2020 (HealthDay News) — The vast majority of parents believe vaccines are the best way to protect their children from infectious diseases, yet two-thirds are still nervous to take their children to their pediatrician’s office during the COVID-19 pandemic, according to the results of a survey released by Orlando Health.

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Recovery Protocol Cuts Opioid Use After Elective Neurosurgery

THURSDAY, Aug. 27, 2020 (HealthDay News) — Enhanced recovery after surgery (ERAS) protocols can reduce postoperative use of opioids in patients undergoing elective spine and peripheral nerve surgical procedures, according to a study published online Aug. 6 in Pain Medicine.

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Metabolic Syndrome Linked to Worse Outcomes in COVID-19

THURSDAY, Aug. 27, 2020 (HealthDay News) — Metabolic syndrome (MetS) is associated with a lethal outcome for patients with COVID-19, according to a study published online Aug. 25 in Diabetes Care.

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Guideline Updated for Nutrition in Chronic Kidney Disease

THURSDAY, Aug. 27, 2020 (HealthDay News) — The National Kidney Foundation and the Academy of Nutrition and Dietetics have updated the clinical practice guideline for nutrition in chronic kidney disease (CKD); the 2020 update was published as a supplement to the September issue of the American Journal of Kidney Diseases.

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U.S. Nursing Home Staff Must Be Tested Regularly for COVID-19

WEDNESDAY, Aug. 26, 2020 (HealthDay News) — Nursing home staff will have to be tested regularly for COVID-19, and facilities that fail to do so will face fines, the Trump administration said Tuesday.

AP News Article

Increase in Hospital Bed Use Tied to COVID-19 Deaths in Seven Days

WEDNESDAY, Aug. 26, 2020 (HealthDay News) — Intensive care unit (ICU) and non-ICU bed use as a percentage of a state’s hospital bed capacity is significantly associated with an increase in overall COVID-19 deaths during the next seven days, according to a study published online Aug. 19 in the Journal of General Internal Medicine.

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Nurse Understaffing Common in Hospitals Prior to COVID-19

TUESDAY, Aug. 25, 2020 (HealthDay News) — Many hospital nurses in Illinois and New York were burned out and working in understaffed conditions immediately prior to the first wave of COVID-19 patients, according to a study published online Aug. 18 in BMJ Quality & Safety.

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Vitamin D Supplement No Benefit in Pediatric Persistent Asthma

TUESDAY, Aug. 25, 2020 (HealthDay News) — Vitamin D3 supplementation does not prolong the time to severe asthma exacerbation among children with persistent asthma and low vitamin D levels, according to a study published in the Aug. 25 issue of the Journal of the American Medical Association.

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Prevalence of SARS-CoV-2 in Asymptomatic Children Identified

TUESDAY, Aug. 25, 2020 (HealthDay News) — The pooled prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV02) in asymptomatic children is 0.65 percent and is significantly associated with the incidence of COVID-19 in the general population, according to a research letter published online Aug. 25 in JAMA Pediatrics.

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CPR Preferences Explored for Patients Receiving Dialysis

TUESDAY, Aug. 25, 2020 (HealthDay News) — Among patients receiving dialysis, cardiopulmonary resuscitation (CPR) preferences are associated with some aspects of end-of-life care, according to a study published online Aug. 24 in JAMA Network Open.

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Return to Hospital Infrequent After COVID-19 Admission

TUESDAY, Aug. 25, 2020 (HealthDay News) — Return to hospital after discharge for inpatients with COVID-19 is infrequent, according to a study published online Aug. 19 in the Journal of General Internal Medicine.

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Maternal Caffeine Intake May Be Tied to Negative Pregnancy Outcomes

TUESDAY, Aug. 25, 2020 (HealthDay News) — Maternal caffeine consumption is associated with negative pregnancy outcomes, according to a review published online Aug. 24 in BMJ Evidence-Based Medicine.

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Web Searches Suggesting Acute Anxiety Spiked Early in COVID-19

TUESDAY, Aug. 25, 2020 (HealthDay News) — Internet searches indicative of acute anxiety peaked early in the COVID-19 pandemic, according to a research letter published online Aug. 24 in JAMA Internal Medicine.

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Health, Economic Factors Tied to Outcomes of Emergency Surgery

TUESDAY, Aug. 25, 2020 (HealthDay News) — Increased levels of comorbidity and socioeconomic deprivation are associated with mortality, discharge destination, and length of hospital stay (LOS) following admission for emergency general surgery (EGS), according to a study published online Aug. 24 in Trauma Surgery & Acute Care Open.

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Heart Events Observed for ~12 Percent of Adults Hospitalized With Flu

TUESDAY, Aug. 25, 2020 (HealthDay News) — Among adults hospitalized with laboratory-confirmed influenza, 11.7 percent have an acute cardiovascular event, according to a study published online Aug. 25 in the Annals of Internal Medicine.

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Staffing, PPE Shortages Continue in U.S. Nursing Homes

MONDAY, Aug. 24, 2020 (HealthDay News) — One in five U.S. nursing homes reports a severe shortage of personal protective equipment (PPE) and any shortage of staff during the COVID-19 pandemic, according to a report published online Aug. 20 in Health Affairs.

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Widespread Mask Use Could Save 70,000 U.S. Lives by Dec. 1

MONDAY, Aug. 24, 2020 (HealthDay News) — There could be another 134,000 COVID-19 deaths in the United States by Dec. 1 if no new prevention measures are introduced, and the number of deaths could be much higher if rules are relaxed, researchers report. However, they also said that 70,000 lives could be saved if more people wore masks, CNN reported.

CNN Article

World’s First Confirmed Case of COVID-19 Reinfection Reported in Hong Kong

MONDAY, Aug. 24, 2020 (HealthDay News) — The world’s first confirmed case of reinfection with the new coronavirus has been reported in Hong Kong.

The New York Times Article

Clinical Impact of Remdesivir in Moderate COVID-19 Unclear

MONDAY, Aug. 24, 2020 (HealthDay News) — Patients with moderate COVID-19 receiving a five-day course of remdesivir have a statistically significant difference in clinical status compared with usual care, according to a study published online Aug. 21 in the Journal of the American Medical Association.

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For Black Children With Autism, Diagnosis Occurs at About Age 5

MONDAY, Aug. 24, 2020 (HealthDay News) — Diagnosis of African American children with autism spectrum disorder (ASD) occurs at an average of 64.9 months, many months after parents’ first concerns about their child’s development, according to a study published online Aug. 24 in Pediatrics.

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School-Located Influenza Vaccine Intervention Beneficial

MONDAY, Aug. 24, 2020 (HealthDay News) — A school-located influenza vaccination (SLIV) intervention is associated with a reduction in the incidence of influenza hospitalization, according to a study published online Aug. 18 in PLOS Medicine.

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CDC: Risky Behaviors Common Among U.S. Teens

FRIDAY, Aug. 21, 2020 (HealthDay News) — Risky behaviors remain common among U.S. teens, according to the 2019 Youth Risk Behavior Surveillance report published as a supplement to the Aug. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 17 to 21, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Public COVID-19 Information Written at Too High a Level

FRIDAY, Aug. 21, 2020 (HealthDay News) — Online information about the COVID-19 pandemic posted by the World Health Organization, U.S. Centers for Disease Control and Prevention, and other public health organizations worldwide may be too difficult for many people to understand, a new study suggests.

CNN Article

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White House Blocks FDA’s Power to Regulate Lab Tests

FRIDAY, Aug. 21, 2020 (HealthDay News) — The Trump administration has blocked the U.S. Food and Drug Administration from regulating a wide swath of laboratory tests, including ones for COVID-19.

Washington Post Article

Extract From Deadly Plant Touted as COVID-19 Cure

FRIDAY, Aug. 21, 2020 (HealthDay News) — Experts have slammed claims by a major Trump donor that an extract from a deadly plant is a cure for COVID-19.

The New York Times Article

Older Adults With Depression Showing Resilience in Pandemic

FRIDAY, Aug. 21, 2020 (HealthDay News) — Most older adults with preexisting major depressive disorder (MDD) showed resilience in the first two months of the COVID-19 pandemic, but they express concerns about the future as the pandemic continues, according to a study published in the September issue of The American Journal of Geriatric Psychiatry.

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ACIP Issues Recommendations for 2020 to 2021 Flu Vaccination

FRIDAY, Aug. 21, 2020 (HealthDay News) — Advisory Committee on Immunization Practices (ACIP) recommendations have been updated to include the influenza vaccination for the 2020 to 2021 season; the recommendations were published in the Aug. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Adolescent Vaccinations Decreased During COVID-19 Pandemic

FRIDAY, Aug. 21, 2020 (HealthDay News) — The decrease in vaccination orders seen during the COVID-19 pandemic could offset increases in vaccinations for adolescents from 2018 to 2019, according to research published in the Aug. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Exposure to Air Pollution Tied to New Asthma in Children

FRIDAY, Aug. 21, 2020 (HealthDay News) — Fine particulate matter contributes to the development of asthma and persistent wheezing in children, according to a study published online Aug. 19 in The BMJ.

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CDC: Mortality Rates Lowest for Infants of Normal-Weight Women

FRIDAY, Aug. 21, 2020 (HealthDay News) — Infants of women who are normal weight prepregnancy have the lowest total infant, neonatal, and postneonatal mortality rates, with increased rates seen for infants of women who are underweight or who have obesity prepregnancy, according to the Aug. 21 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Wawona Bagged Peaches Linked to Salmonella Outbreak

THURSDAY, Aug. 20, 2020 (HealthDay News) — A Salmonella outbreak that has sickened 68 people in nine states may be linked to Wawona-brand bagged peaches sold at ALDI stores, the U.S. Food and Drug Administration said Wednesday.

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Michigan to Pay $600 Million to Flint Water Crisis Victims

THURSDAY, Aug. 20, 2020 (HealthDay News) — Victims of the Flint water crisis will receive about $600 million from the state of Michigan in a major settlement to be announced this week, two people with knowledge of the deal say.

The New York Times Article

Incidence of COVID-19 Up for American Indians, Alaska Natives

THURSDAY, Aug. 20, 2020 (HealthDay News) — The overall incidence of COVID-19 is increased among American Indian and Alaska Native (AI/AN) persons in the United States, according to research published in the Aug. 19 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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SARS-CoV-2 Nasopharyngeal Load Higher in Children Than Adults

THURSDAY, Aug. 20, 2020 (HealthDay News) — Children with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have the highest nasopharyngeal viral load in the first two days of symptoms, according to a study published online Aug. 20 in The Journal of Pediatrics.

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Longer Bisphosphonate Use May Up Atypical Femur Fracture Risk

THURSDAY, Aug. 20, 2020 (HealthDay News) — Longer duration of bisphosphonate use is associated with an increased risk for atypical femur fracture, according to a study published in the Aug. 20 issue of the New England Journal of Medicine.

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Short-Term PrEP Feasible for Men at Risk for HIV on Vacation

THURSDAY, Aug. 20, 2020 (HealthDay News) — Preexposure prophylaxis (PrEP) is well tolerated by men who have sex with men (MSM) at episodic risk for HIV while on vacation, according to a study published online Aug. 15 in the Journal of Acquired Immune Deficiency Syndrome.

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Disparities Seen in COVID-19 Hospitalizations in Racial/Ethnic Subgroups

THURSDAY, Aug. 20, 2020 (HealthDay News) — There are considerable disparities in the prevalence of COVID-19 across racial/ethnic subgroups in the United States, according to a research letter published online Aug. 17 in JAMA Internal Medicine.

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Each Week of Early Alcohol Use Tied to Incremental Miscarriage Risk

THURSDAY, Aug. 20, 2020 (HealthDay News) — Each additional week of alcohol exposure during the first trimester of pregnancy increases the risk for spontaneous abortion, according to a study published online July 12 in the American Journal of Obstetrics and Gynecology.

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Health Worse for Baby Boomer Caregivers Versus Noncaregivers

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Baby boomer caregivers more often have chronic health conditions and frequent mental distress (FMD) than noncaregivers, according to a study published online Aug. 13 in the U.S. Centers for Disease Control and Prevention Preventing Chronic Disease.

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Poll: More Older Adults Using Telehealth During Pandemic

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — More older adults have used telehealth to consult with a health care provider during the COVID-19 pandemic compared with that seen in the previous year, according to a report published online Aug. 17 based on the results of the University of Michigan National Poll on Healthy Aging.

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HHS: Pharmacists in All States Can Give Childhood Vaccinations

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Children can now be vaccinated by pharmacists in all 50 states as the U.S. government seeks to prevent a decline in routine vaccinations during the COVID-19 pandemic.

AP News Article

CDC: Recalled Onions Linked to 869 Salmonella Cases in 47 States

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Recalled onions have been linked to a Salmonella outbreak that has caused 869 illnesses in 47 states, according to an update late Tuesday by the U.S. Centers for Disease Control and Prevention.

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Disparities Seen in COVID-19 Hot Spots for Racial, Ethnic Minority Groups

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Disparities in COVID-19 cases are seen in one or more underrepresented racial/ethnic groups in almost all hot spots in the United States, according to research published in the Aug. 14 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CNS-Active Meds Often Prescribed for Older Adults With Dementia

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Patients with dementia are frequently prescribed central nervous system (CNS)-active medications, according to a research letter published online Aug. 18 in the Journal of the American Medical Association.

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Antibiotics May Reduce Efficacy of Hormonal Contraceptives

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — The efficacy of hormonal contraceptives may be reduced with use of antibiotics, according to a study published online Aug. 18 in BMJ Evidence-Based Medicine.

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USPSTF Urges Behavioral Counseling to Prevent STIs

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends behavioral counseling interventions for preventing sexually transmitted infections (STIs) in adolescents and adults at increased risk. These recommendations form the basis of a final recommendation statement published in the Aug. 18 issue of the Journal of the American Medical Association.

Evidence Report

Final Recommendation Statement

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Honey Beats Usual Care for Upper Respiratory Tract Infections

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — For upper respiratory tract infections (URTIs), honey seems superior to usual care, according to a review and meta-analysis published online Aug. 18 in BMJ Evidence-Based Medicine.

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Homelessness Tied to Higher Readmission Rates

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Homelessness is associated with significantly higher 30- and 90-day readmission rates even when adjusting for other demographic and clinical factors, according to a study recently published in the Journal of General Internal Medicine.

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COVID-19 Spread Among Students Prompts UNC to Return to Online Teaching

TUESDAY, Aug. 18, 2020 (HealthDay News) — In a potential harbinger of what could unfold on college campuses across the United States this fall, the University of North Carolina at Chapel Hill said Monday it will revert back to online teaching after testing showed a rapid spread of COVID-19 among students.

The New York Times Article

COVID-19 Cases Rebound Sharply in U.S. Nursing Homes

TUESDAY, Aug. 18, 2020 (HealthDay News) — COVID-19 cases in U.S. nursing homes rose nearly 80 percent earlier this summer, and the vast majority of them occurred in Sunbelt states, a new study shows.

Press Release

AHCA/NCAL Report

Higher BPA Exposure Linked to Increased Risk for All-Cause Mortality

TUESDAY, Aug. 18, 2020 (HealthDay News) — Higher bisphenol A (BPA) exposure is associated with an increased risk for all-cause mortality in a nationally representative cohort of U.S. adults, according to a study published online Aug. 17 in JAMA Network Open.

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Rates of Prescription Opioid Use Higher in Cancer Survivors

TUESDAY, Aug. 18, 2020 (HealthDay News) — Cancer survivors have higher rates of prescription opioid use but do not have increased rates of prescription opioid misuse compared with those without a history of cancer, according to a study published online Aug. 17 in JAMA Network Open.

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In-Person Obstetric Visits Not Likely to Spread COVID-19

TUESDAY, Aug. 18, 2020 (HealthDay News) — There does not appear to be a significant association between the number of in-person health care visits and the rate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among obstetrical patients, according to a research letter published online Aug. 14 in the Journal of the American Medical Association.

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COVID-19 Antibodies Detected in Maternity Care Workers in U.K.

TUESDAY, Aug. 18, 2020 (HealthDay News) — One out of six maternity health care workers are seropositive for antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), according to a study published online Aug. 10 in Anaesthesia.

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Many Pediatric Practitioners Do Not Advise Waiting Between New Foods

TUESDAY, Aug. 18, 2020 (HealthDay News) — Most pediatric practitioners do not counsel families to wait three days or longer between introducing new foods for infants, according to a study published online Aug. 17 in JAMA Network Open.

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ACP, AAFP Issue Guidelines for Acute Musculoskeletal Injuries

TUESDAY, Aug. 18, 2020 (HealthDay News) — Topical nonsteroidal anti-inflammatory drugs (NSAIDs) are recommended for the treatment of acute pain from non-low back, musculoskeletal injuries, according to a clinical guideline developed by the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) and published online Aug. 18 in the Annals of Internal Medicine.

Clinical Guideline

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FDA: Cyclospora Outbreak Source Still Unknown

MONDAY, Aug. 17, 2020 (HealthDay News) — The source of an outbreak of Cyclospora infections that have affected 690 people in 13 states is still unknown, the U.S. Food and Drug Administration says.

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COVID-19 Impact on Homeless People in U.S. Not as Bad as Feared

MONDAY, Aug. 17, 2020 (HealthDay News) — The impact of the COVID-19 pandemic on homeless people in the United States has not been as severe as feared, data show.

AP News Article

Neck Gaiters ‘Worse Than Nothing’ in Preventing COVID-19 Spread

MONDAY, Aug. 17, 2020 (HealthDay News) — Thin, stretchy neck gaiters are “worse than nothing” when it comes to preventing the spread of COVID-19, according to researchers.

CBS News Article

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CV Risk Factors, Comorbidity Tied to COVID-19 CV Complications

MONDAY, Aug. 17, 2020 (HealthDay News) — For patients hospitalized with COVID-19, preexisting cardiovascular comorbidities or risk factors (RFs) are associated with cardiovascular complications, which contribute to mortality, according to a meta-analysis published online Aug. 14 in PLOS ONE.

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Incidence, Severity of Intimate Partner Violence Up During Pandemic

MONDAY, Aug. 17, 2020 (HealthDay News) — The incidence and severity of physical intimate partner violence (IPV) have been higher during the COVID-19 pandemic than in the previous three years, according to a study published online Aug. 13 in Radiology.

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Diabetes Cuts Life Expectancy in U.K. by 6 Million Life Years

MONDAY, Aug. 17, 2020 (HealthDay News) — Mortality resulting from poorly controlled diabetes could be associated with a loss of 6 million life years in the United Kingdom, according to a study recently published in Cardiovascular Endocrinology & Metabolism.

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Hospital Visitation, Communication Policies Evolving Due to COVID-19

MONDAY, Aug. 17, 2020 (HealthDay News) — Patient visitation policies and clinician communication methods in hospitals have undergone a major overhaul, according to a letter to the editor published online July 20 in the American Journal of Respiratory and Critical Care Medicine.

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Breast Cancer Mortality Decreased With Mammography From Age 40

MONDAY, Aug. 17, 2020 (HealthDay News) — Annual mammography from age 40 years is associated with a relative reduction in breast cancer mortality for 10 years, according to a study published online Aug. 12 in The Lancet Oncology.

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Child Developmental Vulnerability Up With Maternal Depression

MONDAY, Aug. 17, 2020 (HealthDay News) — Children exposed to maternal depression have an increased risk for developmental vulnerability at school entry, with stronger associations for exposure to maternal depression before age 1 year and between ages 4 and 5 years, according to a study published online Aug. 17 in Pediatrics.

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Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 10 to 14, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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COVID-19 Deaths in Nursing Homes Climbing Again

FRIDAY, Aug. 14, 2020 (HealthDay News) — The novel coronavirus is surging once more in U.S. nursing homes, where it killed tens of thousands at the start of the pandemic.

Washington Post Article

Excess Mortality During Peak of 1918 Flu Similar to COVID-19 in NYC

FRIDAY, Aug. 14, 2020 (HealthDay News) — Excess mortality during the peak of the 1918 H1N1 influenza pandemic was comparable to that seen early in the COVID-19 pandemic outbreak in New York City, according to a research letter published online Aug. 13 in JAMA Network Open.

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Convalescent Plasma Efficacious for Severe COVID-19

FRIDAY, Aug. 14, 2020 (HealthDay News) — Transfusion of convalescent plasma is efficacious in patients with severe COVID-19, according to a study published online Aug. 11 in The American Journal of Pathology.

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Positivity Rates of SARS-CoV-2 Low for Children in England

FRIDAY, Aug. 14, 2020 (HealthDay News) — Children in England had low positivity rates of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) during the first COVID-19 pandemic peak and also had a low case-fatality rate, according to a study published online Aug. 12 in the Archives of Disease in Childhood.

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More Than One-Third of U.S. Children Consume Fast Food

FRIDAY, Aug. 14, 2020 (HealthDay News) — More than one-third of U.S. children and adolescents consumed fast food on a given day during 2015 to 2018, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Outdoor Artificial Light at Night May Worsen Sleep in Teens

FRIDAY, Aug. 14, 2020 (HealthDay News) — Higher levels of outdoor artificial light at night (ALAN) are associated with less favorable sleep patterns as well as mood and anxiety disorders in adolescents, according to a study published online July 8 in JAMA Psychiatry.

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Abnormal Liver Tests Common in Hospitalized COVID-19 Patients

THURSDAY, Aug. 13, 2020 (HealthDay News) — Hospitalized patients with COVID-19 frequently have abnormal liver tests, which may be associated with poorer clinical outcomes, according to research published online July 29 in Hepatology.

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FDA Warns of Hand Sanitizers Tainted With 1-Propanol

THURSDAY, Aug. 13, 2020 (HealthDay News) — The U.S. Food and Drug Administration is warning people not to use hand sanitizers made by Harmonic Nature S de RL de MI in Mexico.

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Adverse Mental, Behavioral Health Issues Common During COVID-19

THURSDAY, Aug. 13, 2020 (HealthDay News) — More than 40 percent of adults across the United States have reported at least one adverse mental or behavioral health condition during the COVID-19 pandemic, according to research published in the Aug. 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC Updates Info on Multisystem Inflammatory Syndrome in Children

THURSDAY, Aug. 13, 2020 (HealthDay News) — As of July 29, there have been a total of 570 U.S. cases of multisystem inflammatory syndrome in children (MIS-C), according to research published in the Aug. 7 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Physicians Do Not See They Are Part of Antibiotic Rx Problem

THURSDAY, Aug. 13, 2020 (HealthDay News) — Primary care physicians generally do not recognize antibiotic resistance and inappropriate prescribing as issues in their practice, according to a study published in the July issue of Open Forum Infectious Diseases.

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Maternal Weight Tied to Early-Onset Neonatal Bacterial Sepsis

THURSDAY, Aug. 13, 2020 (HealthDay News) — Risk for early-onset neonatal bacterial sepsis (EOS) increases with maternal overweight and obesity, particularly in term infants, according to a study recently published in Clinical Infectious Diseases.

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Many Community Outbreaks of COVID-19 Traced to Restaurants, Bars

WEDNESDAY, Aug. 12, 2020 (HealthDay News) — New data show that many of the community outbreaks of COVID-19 that have cropped up in the United States this summer have originated in restaurants and bars.

The New York Times Article

U.S. Government to Buy 100 Million Doses of COVID-19 Vaccine From Moderna

WEDNESDAY, Aug. 12, 2020 (HealthDay News) — The Trump administration has agreed to pay $1.5 billion for 100 million doses of a COVID-19 vaccine from Moderna once it is approved, CNN reported Wednesday.

CNN Article

CDC: Pediatric Hospitalizations for COVID-19 Increasing

WEDNESDAY, Aug. 12, 2020 (HealthDay News) — While rates of hospitalization for children with COVID-19 remain low, they have been increasing, according to research published in the Aug. 7 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Preventable Hospitalizations Up Among Those With Dementia

WEDNESDAY, Aug. 12, 2020 (HealthDay News) — The number of potentially preventable hospitalizations among older adults with dementia is increasing, according to a study published online July 23 in the Journal of the American Geriatrics Society.

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Environmental Factors Tied to Childhood Obesity

WEDNESDAY, Aug. 12, 2020 (HealthDay News) — Childhood obesity is associated with multiple environmental factors, including exposure to smoking and air pollution, according to a study recently published in Environmental Health Perspectives.

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SARS-CoV-2 Rates Up for Minority, Disadvantaged Children

TUESDAY, Aug. 11, 2020 (HealthDay News) — The rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are increased among minority and socioeconomically disadvantaged children, according to a study published online Aug. 5 in Pediatrics.

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Gilead Seeks FDA Approval for Remdesivir

TUESDAY, Aug. 11, 2020 (HealthDay News) — Gilead Sciences has applied to the U.S. Food and Drug Administration for approval for its COVID-19 treatment, remdesivir. The antiviral drug will take the brand name Veklury, the company said.

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FDA Head Says Any Approved COVID-19 Vaccine Will Be Safe

TUESDAY, Aug. 11, 2020 (HealthDay News) — Stephen Hahn, M.D., the head of the U.S. Food and Drug Administration, said Monday that the agency will not compromise safety when approving a COVID-19 vaccine, CNN reported.

CNN Article

Russia Approves COVID-19 Vaccine Before Trials Completed

TUESDAY, Aug. 11, 2020 (HealthDay News) — Before completing clinical trials to ensure the vaccine is safe and effective, the Russian government has gone ahead and approved a vaccine against the new coronavirus, The New York Times reported Tuesday.

The New York Times Article

Prenatal Cannabis Exposure May Harm Child Neurodevelopment

TUESDAY, Aug. 11, 2020 (HealthDay News) — Cannabis use during pregnancy is associated with an increased risk of neurodevelopmental disorders in offspring by age 10 years, according to a study published Aug. 10 in Nature Medicine.

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Shared Decision Making Improves Youth Continuous Glucose Monitor Use

TUESDAY, Aug. 11, 2020 (HealthDay News) — Youth with diabetes who are involved with the decision to start continuous glucose monitoring (CGM) are more likely to continue using the technology, according to a study published online July 23 in Diabetes Care.

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Malnutrition Common in Acute Coronary Syndrome Patients

TUESDAY, Aug. 11, 2020 (HealthDay News) — Patients with acute coronary syndrome (ACS) often have malnutrition, which is associated with increased risk for mortality and major adverse cardiovascular events (MACEs), according to a study published in the Aug. 18 issue of the Journal of the American College of Cardiology.

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Expanding Medicaid in Holdout States Could Insure 3.9 Million

MONDAY, Aug. 10, 2020 (HealthDay News) — Expanding Medicaid to all states could reduce the number of uninsured by 28 percent based on pre-COVID-19 data, according to a report released by the Urban Institute and the Robert Wood Johnson Foundation.

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FDA: Outbreak of Salmonella Infections Linked to Onions

MONDAY, Aug. 10, 2020 (HealthDay News) — The U.S. Food and Drug Administration is warning consumers not to use onions recalled by Thomson International Inc. as they may be contaminated with Salmonella, which has sickened more than 900 people in the United States and Canada.

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Report: 97,000 U.S. Children Infected With COVID-19 in Late July

MONDAY, Aug. 10, 2020 (HealthDay News) — With millions of American children soon returning to school, a new study shows that at least 97,000 children were infected with COVID-19 during the last two weeks of July.

The New York Times Article

Multisystem Inflammatory Syndrome in Children

Two-Thirds of U.S. Adults Likely to Get COVID-19 Vaccine

MONDAY, Aug. 10, 2020 (HealthDay News) — Two-thirds of U.S. adults say they would get a COVID-19 vaccine, according to the results of a survey released Aug. 6 by the COVID-19 Consortium for Understanding the Public’s Policy Preferences Across States.

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Serine 91 Genotype of gyrA Gonorrhea Successfully Treated With Ciprofloxacin

MONDAY, Aug. 10, 2020 (HealthDay News) — For patients with gonorrhea, detection of the wild-type serine 91 genotype of the gyrA gene of Neisseria gonorrhoeae is predictive of a successful treatment outcome with ciprofloxacin, according to a study published online Aug. 7 in Clinical Infectious Diseases.

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Many U.S. Children Eligible for Type 2 Diabetes Screening

MONDAY, Aug. 10, 2020 (HealthDay News) — Many children are eligible for type 2 diabetes screening, but few test positive for prediabetes or diabetes, according to a study published online Aug. 10 in Pediatrics.

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Almost One in Three Black Young Adults in U.S. Have Hypertension

FRIDAY, Aug. 7, 2020 (HealthDay News) — Nearly one in three young non-Hispanic black adults and about one in five young Mexican-American and non-Hispanic white adults have hypertension, according to a study published in the July 1 issue of Mayo Clinic Proceedings.

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In Wales, One-Fifth of Adults With Hearing Aids Do Not Use Them

FRIDAY, Aug. 7, 2020 (HealthDay News) — About 20 percent of adults with hearing aids in Wales, the United Kingdom, do not use them, according to a study recently published in the International Journal of Audiology.

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Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 3 to 7, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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300,000 American Deaths Projected by December Without More Face Mask Use

FRIDAY, Aug. 7, 2020 (HealthDay News) — As the U.S. COVID-19 case count neared 5 million on Thursday, a new model predicted that nearly 300,000 Americans could die of COVID-19 by December if more people do not wear masks or practice better social distancing.

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Life Expectancy 78.60 Years for U.S. Population for 2009-2011

FRIDAY, Aug. 7, 2020 (HealthDay News) — Life expectancy for 2009 to 2011 was 78.60 years for the total U.S. population, with the highest life expectancy for Hispanic women, according to the Aug. 7 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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SARS-CoV-2 Antibodies Detected in 13.7 Percent of NYC HCPs

FRIDAY, Aug. 7, 2020 (HealthDay News) — Among health care providers in the New York City area, 13.7 percent have severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies, a rate similar to adults randomly tested in New York state, according to a research letter published online Aug. 6 in the Journal of the American Medical Association.

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Overscreening for Cancer Common Among Older Adults

FRIDAY, Aug. 7, 2020 (HealthDay News) — Almost half of older U.S. adults report being screened for colorectal, cervical, or breast cancer beyond recommended upper age limits, particularly women living in metropolitan areas, according to a study published online July 27 in JAMA Network Open.

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Expanded Obstetric Comorbidity Score Developed, Validated

FRIDAY, Aug. 7, 2020 (HealthDay News) — An expanded obstetric comorbidity score improves the prediction of severe maternal morbidity, according to a study published online Aug. 6 in Obstetrics & Gynecology.

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Moderna Charging Much More for COVID-19 Vaccine Than Others

FRIDAY, Aug. 7, 2020 (HealthDay News) — Moderna is charging $37 a dose for its experimental vaccine, which is far more than what other companies say they plan to charge for their vaccines, CBS News reported Wednesday. Because two doses of the vaccine are needed to immunize people from COVID-19, total costs could be $74 per person.

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Johnson & Johnson Makes $1 Billion Vaccine Deal

THURSDAY, Aug. 6, 2020 (HealthDay News) — The U.S. government will pay Johnson & Johnson $1 billion for 100 million doses of its vaccine if it is approved by the U.S. Food and Drug Administration, the Washington Post reported Wednesday.

Washington Post Article

Scientists Call for Broader Use of Faster COVID-19 Tests

THURSDAY, Aug. 6, 2020 (HealthDay News) — As COVID-19 cases continue to surge across America, scientists on Wednesday called for widespread adoption of simpler, less accurate tests, as long as they are given often and quickly.

The New York Times Article

ICU Beds Lacking in Low-Income Neighborhoods Across the U.S.

THURSDAY, Aug. 6, 2020 (HealthDay News) — There are greater shortages of intensive care unit (ICU) beds for critically ill patients in low-income neighborhoods compared with high-income neighborhoods, according to a report published in the August issue of Health Affairs.

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ED Visits Decreased in Five States From January Through April 2020

THURSDAY, Aug. 6, 2020 (HealthDay News) — As the COVID-19 pandemic intensified, there was a decrease in emergency department visits in five states from January through April 2020, according to a study published online Aug. 3 in JAMA Internal Medicine.

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Early Use of IL-6 Inhibitors May Improve COVID-19 Outcomes

THURSDAY, Aug. 6, 2020 (HealthDay News) — For patients with severe COVID-19, administration of an interleukin-6 receptor inhibitor (IL6ri) earlier in the disease course is associated with improved outcomes, according to a study published online July 25 in the International Journal of Infectious Diseases.

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CDC: More American Indian, Alaska Natives in Fair, Poor Health

THURSDAY, Aug. 6, 2020 (HealthDay News) — American Indian and Alaska Native (AIAN) adults are more likely to be in fair or poor health than all U.S. adults, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Diabetes-Related Lower-Limb Amputations Up in Older Adults

THURSDAY, Aug. 6, 2020 (HealthDay News) — Since 2009, diabetes-related nontraumatic lower-extremity amputation (NLEA) has been increasing among older adults, according to a study published online July 28 in Diabetes Care.

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CDC Describes 238 Confirmed Cases of Acute Flaccid Myelitis

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Acute flaccid myelitis (AFM) mainly occurs during August to November, and weakness onset is often preceded by prodromal fever, respiratory illness, or both, according to research published in the Aug. 4 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Experimental COVID-19 Vaccine Shows Encouraging Results

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Maryland-based Novavax said Tuesday that preliminary trials of an experimental COVID-19 vaccine were promising.

The New York Times Article

Seven States Join Pact to Speed COVID-19 Testing

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — As the daily U.S. COVID-19 death toll averaged more than 1,000 for the ninth straight day on Tuesday, governors from seven states banded together to shorten turnaround time for COVID-19 test results.

The New York Times Article

CNN Article

Bisphenol A Linked to More Asthma Symptoms in Young Boys

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Higher levels of bisphenol A (BPA), a chemical used to make certain plastics and resins, may cause more severe asthma symptoms in children, according to a study published online July 28 in the Journal of Allergy and Clinical Immunology.

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CV Meds Underused in Hispanics With Peripheral Artery Disease

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Individuals of Hispanic/Latino background with known peripheral artery disease (PAD) have the lowest use of all classes of cardiovascular medications, according to a study published online Aug. 5 in the Journal of the American Heart Association.

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Study Looks at Optimal Strategy for Reopening Schools in U.K.

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Population-wide testing and effective contact tracing are necessary to prevent an epidemic rebound following school reopening in the United Kingdom; and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission rates were low in an educational setting in Australia, according to two studies published online Aug. 3 in The Lancet Child & Adolescent Health.

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Improved Screenings by Ob-Gyns May Help Detect Heart Problems

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Many women seen in outpatient obstetrics-gynecology (ob-gyn) clinics are unaware of their own cardiovascular risk factors and symptoms, according to a study published online July 13 in the Journal of Women’s Health.

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Health Plans Not Implementing Prior Authorization Reforms

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Physicians say prior authorization (PA) continues to interfere with patient care and can lead to adverse clinical consequences, according to the results of a survey released by the American Medical Association.

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President Says Medicare Should Expand Telehealth Services

TUESDAY, Aug. 4, 2020 (HealthDay News) — President Donald Trump signed an order on Monday that will broaden the role of telehealth for Medicare patients, the Associated Press reported.

AP News Article

Number of Newly ID’d U.S. Patients With Cancer Dropped During COVID-19

TUESDAY, Aug. 4, 2020 (HealthDay News) — During the COVID-19 pandemic period, there was a significant decline in newly identified U.S. patients with six common types of cancer, according to a research letter published online Aug. 4 in JAMA Network Open.

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Most Studies Still Fail to Analyze Data by Sex

TUESDAY, Aug. 4, 2020 (HealthDay News) — The effect of gender is still largely ignored in scientific studies, according to a study published online June 9 in eLife.

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Trump’s Plan Limits Free Nursing Home COVID-19 Tests

TUESDAY, Aug. 4, 2020 (HealthDay News) — The plan to give every nursing home a fast COVID-19 testing machine has a catch, the Associated Press reported Tuesday. The catch is that under the Trump administration plan, the government will not give kits to check staff and residents more than a couple of times.

AP News Article

Burnout High Among Nonphysician Frontline Health Care Workers

TUESDAY, Aug. 4, 2020 (HealthDay News) — More than 40 percent of nurses on the front lines during the pandemic may be experiencing burnout, according to a research letter published online Aug. 4 in JAMA Network Open.

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Remote Weight-Loss Program Optimized to Cut Costs, Maximize Results

TUESDAY, Aug. 4, 2020 (HealthDay News) — A new, remote weight-loss program from Northwestern Medicine, called Opt-IN, yields maximum weight loss for the lowest price and less burden compared with the Diabetes Prevention Program (DPP), the current gold standard of behavioral, nondrug weight-loss programs, according to a study published online July 12 in Obesity.

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Program Cuts Outpatient Antibiotic Rx for Peds Respiratory Infections

TUESDAY, Aug. 4, 2020 (HealthDay News) — A distance learning program is effective for reducing outpatient prescribing for pediatric acute respiratory tract infection (ARTI) visits, according to a study published online Aug. 3 in Pediatrics.

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Obesity Ups Risk for Intubation, Death With COVID-19 in Adults <65

MONDAY, Aug. 3, 2020 (HealthDay News) — Obesity is associated with an increased risk for intubation or death among hospitalized adults with COVID-19, with the association observed in adults younger than 65 years but not in older adults, according to a study published online July 29 in the Annals of Internal Medicine.

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Adverse Experiences More Common Among Children Raised by Grandparents

MONDAY, Aug. 3, 2020 (HealthDay News) — Children in grandparent-led households are much more likely to have a history of adverse childhood experiences (ACEs), according to a study published online Aug. 3 in Pediatrics.

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Risk for Positive COVID-19 Test Up for Health Care Workers

MONDAY, Aug. 3, 2020 (HealthDay News) — Frontline health care workers have an increased risk for reporting a positive test for COVID-19, according to a study published online July 31 in The Lancet Public Health.

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Guidelines Indicate Breastfeeding Is Safe After Maternal Anesthesia

MONDAY, Aug. 3, 2020 (HealthDay News) — Breastfeeding is safe after anesthesia, according to guidelines issued by the Association of Anaesthetists and published online July 31 in Anaesthesia.

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38 Percent of Older Adults in U.S. Not Ready for Video Doctor Visits

MONDAY, Aug. 3, 2020 (HealthDay News) — An estimated 38 percent of all older adults in the United States are not ready for video visits with physicians, according to a research letter published online Aug. 3 in JAMA Internal Medicine.

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