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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for November 2018. 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.<\/p>\n
Family Functioning Does Not Impact Family Dinner, Diet Link<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — Among adolescents and young adults, family dinner frequency is associated with healthful dietary intake, regardless of family functioning, according to a study published online Nov. 21 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Limiting Social Media May Improve Psychological Well-Being<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — Limiting social media use to 30 minutes per day may lead to significant improvement in well-being, according to a study published in the December issue of the Journal of Social and Clinical Psychology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Case Description Can Reliably Define Acute Flaccid Myelitis<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — A case description can reliably define patients with acute flaccid myelitis (AFM), according to a study published online Nov. 30 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial 1<\/a><\/p>\n Editorial 2<\/a><\/p>\n Teva Recalls Two Blood Pressure Medications<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — All lots of amlodipine\/valsartan and amlodipine\/valsartan\/hydrochlorothiazide combination blood pressure tablets have been recalled by Teva Pharmaceuticals due to higher-than-acceptable levels of a chemical that may cause cancer.<\/p>\n More Information<\/a><\/p>\n For Teen Girls, Depression May Predict Subsequent Alcohol Use<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — For adolescent girls, depression, but not anxiety, predicts future alcohol use, according to a study published online Nov. 25 in Alcoholism: Clinical and Experimental Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Hypnotherapy Beats Education for Relief of IBS Symptoms<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — For patients with irritable bowel syndrome (IBS), individual and group hypnotherapy are more effective than educational supportive therapy in relieving symptoms, according to a study published online Nov. 22 in The Lancet Gastroenterology & Hepatology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Increase Seen in Amphetamine, Opioid Use in Pregnant Women<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — The incidence of amphetamine and opioid use has increased among pregnant women, especially in rural counties, according to a study published online Nov. 29 in the American Journal of Public Health<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Results of Pediatric Genomic Epilepsy Tests Often Reclassified<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — The interpretation of genomic epilepsy tests has evolved rapidly in the last five years, and genetic variants identified in pediatric patients are often reclassified, according to research published online Nov. 5 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Genetic Analysis Shows Higher BMI May Up Risk for Depression<\/font><\/p>\n THURSDAY, Nov. 29, 2018 (HealthDay News) — Being overweight likely plays a causal role in the development of depression, even in the absence of other health problems, according to a study published online Nov. 13 in the International Journal of Epidemiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Most Bills Enacted Into Law Limit Vaccine Exemptions<\/font><\/p>\n THURSDAY, Nov. 29, 2018 (HealthDay News) — Most proposed bills in state legislatures from 2011 to 2017 sought to expand access to immunization exemptions, but the majority of bills enacted into law limited exemptions, according to a study published online Nov. 29 in the American Journal of Public Health<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Climate Change Ups Heat Deaths, Especially Among Elderly<\/font><\/p>\n THURSDAY, Nov. 29, 2018 (HealthDay News) — Risk for heat-related disease and death is rising worldwide due to climate change, according to a report published online Nov. 28 in The Lancet<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Dementia Often Misclassified With Brief Cognitive Assessments<\/font><\/p>\n THURSDAY, Nov. 29, 2018 (HealthDay News) — When using brief cognitive assessments, dementia is often misclassified, according to a study published online Nov. 28 in Neurology Clinical Practice<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Certain SGLT2 Inhibitors, GLP-1 RAs for T2DM Also Cut CV Risk<\/font><\/p>\n THURSDAY, Nov. 29, 2018 (HealthDay News) — Certain sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide 1 receptor agonists (GLP-1 RAs) demonstrate significant cardiovascular (CV) benefit and should be used for reducing CV risk in patients with type 2 diabetes (T2D) and atherosclerotic cardiovascular disease (ASCVD), according to a report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways published online Nov. 26 in the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Persistent Back Pain Linked to Earlier Mortality in Older Women<\/font><\/p>\n THURSDAY, Nov. 29, 2018 (HealthDay News) — Frequent persistent back pain is associated with increased mortality in older women, according to a study recently published in the Journal of General Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n ADHD Diagnosis, Treatment Up for August-Born Children<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — In states with a Sept. 1 cutoff for kindergarten entry, the rates of attention-deficit\/hyperactivity disorder (ADHD) diagnosis and treatment are higher for children born in August than those born in September, according to a study published in the Nov. 29 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Feature Tagging of Home Videos Promising in Autism Diagnosis<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — Feature tagging of home videos for machine learning classification of autism spectrum disorder (ASD) with the use of a mobile device produces accurate results in short time frames, according to a study published online Nov. 27 in PLOS Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n FDA: Kratom Products Have High Levels of Heavy Metals<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — In addition to many other health risks, kratom products can have high levels of heavy metals, according to Scott Gottlieb, M.D., commissioner of the U.S. Food and Drug Administration.<\/p>\n More Information<\/a><\/p>\n Healthy Lifestyle Tied to Less Atherosclerosis for Women<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — A healthy lifestyle during midlife is associated with less subclinical atherosclerosis among women, according to a study published online Nov. 28 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Large at Birth, Maternal Diabetes Up Child’s Risk for Obesity<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — Large for gestational age (LGA) is a stronger marker than maternal diabetes for subsequently being overweight or obese in early childhood, according to a study published online Nov. 13 in Diabetologia<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Home-Based Intervention Helpful for Disadvantaged CKD Patients<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — A home-based intervention can improve disadvantaged chronic kidney disease (CKD) patients’ activation in their health and health care, according to a study published online Nov. 15 in the Clinical Journal of the American Society of Nephrology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial 1<\/a><\/p>\n Editorial 2<\/a><\/p>\n Amblyopia Linked to Lower Self-Perception in Children<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — Children with amblyopia report lower self-perception for scholastic, social, and athletic measures, which may be associated with slower reading speed and worse motor skills, according to a study published online Nov. 15 in JAMA Ophthalmology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required<\/a><\/p>\n Protein Intake Tied to Disability Trajectory in Very Old<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — For very old adults, higher protein intake is associated with better disability trajectories, according to a study published online Nov. 1 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n FDA: Safe to Eat Romaine Lettuce Again, but Check Labels<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — In a statement released late yesterday, the U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced that the agency was lifting its advisory against eating romaine lettuce, first put in place last Tuesday. At that point, the agency had not been able to narrow down the source of the tainted lettuce. But now the source seems to be “end-of-season” lettuce harvested somewhere in the Central Coast regions of central and northern California. And “harvesting of romaine lettuce from this region has [already] ended for the year,” Gottlieb noted.<\/p>\n More Information: FDA<\/a><\/p>\n More Information: CDC<\/a><\/p>\n FDA to Update Medical Device Approvals Process<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — A major update of the United States’ system for approving medical devices was announced yesterday by the Food and Drug Administration.<\/p>\n CBS\/AP News<\/i> Article<\/a><\/p>\n More Information<\/a><\/p>\n USPSTF: Evidence Lacking for Prevention of Child Maltreatment<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence on the benefits and harms of primary care interventions for preventing child maltreatment is currently inadequate. These findings form the basis of a final recommendation statement published online Nov. 27 in the Journal of the American Medical Association<\/i>.<\/p>\n Final Recommendation Statement<\/a><\/p>\n Evidence Report<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Prevalence of Eating Disorders 1.4 Percent in Preteens<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — The prevalence of eating disorders among 9- to 10-year-olds in the United States is 1.4 percent, with no difference in prevalence between boys and girls, according to a research letter published online Nov. 26 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Four Principles Underlie Patient and Family Partnership in Care<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals, according to a position paper published online Nov. 27 in the Annals of Internal Medicine<\/i>.<\/p>\n Position Paper<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Food Assistance May Help Older Adults Adhere to Diabetes Meds<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — Participation in the Supplemental Nutrition Assistance Program (SNAP) may reduce the number of low-income older adults with diabetes forgoing medications because of cost, according to a study published online Nov. 19 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Pregnancy-Associated Mortality Involving Opioids Up<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — From 2007 to 2016, there was a sharp increase in pregnancy-associated mortality involving opioids, according to a research letter recently published in the American Journal of Obstetrics & Gynecology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Less Pediatric Screen Time Tied to Better Well-Being<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — A higher amount of screen time per day is associated with decreased psychological well-being in children and adolescents, according to a study published in the December issue of Preventive Medicine Reports<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Vitamin D Levels Linked to Cardiorespiratory Fitness<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — Serum vitamin D levels are associated with cardiorespiratory fitness (CRF), according to a study recently published in the European Journal of Preventive Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Early Antibiotic Use May Be Tied to Higher Childhood Body Weight<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — Antibiotic use in children <24 months of age is associated with a slightly higher body weight at 5 years of age, according to a study published recently in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n ACA Coverage Substantial, but Did Not Impact Labor Markets<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets, according to a report published by the Robert Wood Johnson Foundation and the Urban Institute.<\/p>\n Report: How Have Workers Fared Under the ACA?<\/a><\/p>\n Estimated 2.5 Percent of U.S. Children Diagnosed With Autism<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — The prevalence of parent-reported autism spectrum disorder (ASD) is estimated at 2.5 percent among U.S. children aged 3 to 17 years, according to a study published online Nov. 26 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Newborns Infected With Ebola in Congo Outbreak<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — Ebola infections in newborns are being reported in the current outbreak of the deadly disease in Congo, the World Health Organization says.<\/p>\n AP News<\/i> Article<\/a><\/p>\n More Information: CDC<\/a><\/p>\n USPSTF Suggests Universal HIV Screening, PrEP for High-Risk Patients<\/font><\/p>\n TUESDAY, Nov. 20, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends HIV screening for individuals aged 15 to 65 years, including all pregnant women, and pre-exposure prophylaxis (PrEP) should be offered to those at high risk of HIV. These findings form the basis of two draft recommendation statements published online Nov. 20 by the USPSTF.<\/p>\n Draft Evidence Review – Adolescents\/Adults<\/a><\/p>\n Draft Recommendation Statement – Adolescents\/Adults<\/a><\/p>\n Comment on Recommendation Statement – Adolescents\/Adults<\/a><\/p>\n Draft Evidence Review – Pregnancy<\/a><\/p>\n Draft Recommendation Statement – Pregnancy<\/a><\/p>\n Comment on Recommendation Statement – Pregnancy<\/a><\/p>\n Draft Evidence Review – PrEP<\/a><\/p>\n Draft Recommendation Statement – PrEP<\/a><\/p>\n Comment on Recommendation Statement – PrEP<\/a><\/p>\n Insulin Needed for T2DM Tx Set to Increase >20 Percent by 2030<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — From 2018 to 2030, the insulin required to treat type 2 diabetes is expected to increase more than 20 percent, according to a study published online Nov. 20 in The Lancet Diabetes & Endocrinology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Youth Smoking Decline Mirrors Rise in Vaping Popularity<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — Even with the rapid rise in popularity of electronic cigarettes, there has been a simultaneous decline in smoking prevalence among U.S. teens and young adults, suggesting e-cigarettes may not prompt young people to start smoking, according to a study published online Nov. 20 in Tobacco Control<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Probiotics Show No Benefits for Pediatric Acute Gastroenteritis<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — For children with acute gastroenteritis, probiotics show no significant benefit versus placebo, according to two studies published in the Nov. 22 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text – Schnadower (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Freedman (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Child Overweight, Obesity Linked to Increased Asthma Risk<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — Children who are overweight or obese have an increased risk for asthma, according to a study published online Nov. 26 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Lung Cancer Screening Implementation Guide Developed<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — The American Lung Association and the American Thoracic Society have established a website to guide implementation of lung cancer screening, according to an editorial published in the Nov. 1 issue of the American Journal of Respiratory and Critical Care Medicine<\/i>.<\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Implementation Guide for Lung Cancer Screening<\/a><\/p>\n Obesity Tied to Increased Risk for Early-Onset CRC in Women<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — Obesity is associated with an increased risk for early-onset colorectal cancer (CRC) among women, according to a study recently published in JAMA Oncology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required <\/a><\/p>\n CDC: U.S. Abortion Rate Declined 24 Percent From 2006 to 2015<\/font><\/p>\n WEDNESDAY, Nov. 21, 2015 (HealthDay News) — The abortion rate in the United States fell 24 percent between 2006 and 2015, according to research published in the Nov. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n FDA Approves Drug to Treat Rare Immune Disease<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — The U.S. Food and Drug Administration on Monday approved Gamifant (emapalumab-lzsg) for the treatment of primary hemophagocytic lymphohistiocytosis (HLH) in pediatric (as young as newborn) and adult patients who have refractory, recurrent, or progressive disease or intolerance with conventional HLH treatment.<\/p>\n More Information<\/a><\/p>\n U of Maryland Student Dies of Adenovirus-Related Illness<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — An 18-year-old University of Maryland student has died from an adenovirus-related illness, and there have been reports of five other cases among students.<\/p>\n CBS News<\/i> Article<\/a><\/p>\n More Information: CDC<\/a><\/p>\n FDA Approves Drug for Treatment of Travelers’ Diarrhea<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — The U.S. Food and Drug Administration on Friday announced it has approved Aemcolo (rifamycin), an antibacterial drug indicated for treating adult patients with travelers’ diarrhea caused by noninvasive strains of Escherichia coli<\/i> (E. coli<\/i>) without fever or blood in the stool.<\/p>\n More Information<\/a><\/p>\n Few Mandatory Pediatric Postmarketing Studies Completed<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — During a median follow-up of 6.8 years, only 33.8 percent of mandatory pediatric postmarketing studies were completed, according to a study published online Nov. 19 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Smoke-Free Policies Linked to Lower Systolic Blood Pressure<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — Smoke-free policies are associated with small reductions in blood pressure (BP), according to a study published online Nov. 21 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Switching to High-Deductible Insurance Delays Diabetes Care<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — For patients with diabetes, those switching from low-deductible to high-deductible insurance have increased delays in seeking care and diagnostic testing for macrovascular symptoms and for first procedure-based treatment, according to a study published online Nov. 20 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n