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.
Family Functioning Does Not Impact Family Dinner, Diet Link
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.
Limiting Social Media May Improve Psychological Well-Being
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.
Case Description Can Reliably Define Acute Flaccid Myelitis
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.
Abstract/Full Text
Editorial 1
Editorial 2
Teva Recalls Two Blood Pressure Medications
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.
For Teen Girls, Depression May Predict Subsequent Alcohol Use
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.
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Hypnotherapy Beats Education for Relief of IBS Symptoms
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.
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Editorial (subscription or payment may be required)
Increase Seen in Amphetamine, Opioid Use in Pregnant Women
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.
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Results of Pediatric Genomic Epilepsy Tests Often Reclassified
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.
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Genetic Analysis Shows Higher BMI May Up Risk for Depression
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.
Most Bills Enacted Into Law Limit Vaccine Exemptions
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.
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Climate Change Ups Heat Deaths, Especially Among Elderly
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.
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Dementia Often Misclassified With Brief Cognitive Assessments
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.
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Certain SGLT2 Inhibitors, GLP-1 RAs for T2DM Also Cut CV Risk
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.
Persistent Back Pain Linked to Earlier Mortality in Older Women
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.
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ADHD Diagnosis, Treatment Up for August-Born Children
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.
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Feature Tagging of Home Videos Promising in Autism Diagnosis
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.
FDA: Kratom Products Have High Levels of Heavy Metals
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.
Healthy Lifestyle Tied to Less Atherosclerosis for Women
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.
Large at Birth, Maternal Diabetes Up Child’s Risk for Obesity
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.
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Home-Based Intervention Helpful for Disadvantaged CKD Patients
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.
Abstract/Full Text
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Editorial 2
Amblyopia Linked to Lower Self-Perception in Children
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.
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Protein Intake Tied to Disability Trajectory in Very Old
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.
FDA: Safe to Eat Romaine Lettuce Again, but Check Labels
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.
More Information: FDA
More Information: CDC
FDA to Update Medical Device Approvals Process
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.
CBS/AP News Article
More Information
USPSTF: Evidence Lacking for Prevention of Child Maltreatment
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.
Final Recommendation Statement
Evidence Report
Editorial (subscription or payment may be required)
Prevalence of Eating Disorders 1.4 Percent in Preteens
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.
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Four Principles Underlie Patient and Family Partnership in Care
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.
Position Paper
Editorial (subscription or payment may be required)
Food Assistance May Help Older Adults Adhere to Diabetes Meds
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.
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Pregnancy-Associated Mortality Involving Opioids Up
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.
Less Pediatric Screen Time Tied to Better Well-Being
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.
Vitamin D Levels Linked to Cardiorespiratory Fitness
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.
Early Antibiotic Use May Be Tied to Higher Childhood Body Weight
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.
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ACA Coverage Substantial, but Did Not Impact Labor Markets
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.
Report: How Have Workers Fared Under the ACA?
Estimated 2.5 Percent of U.S. Children Diagnosed With Autism
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.
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Newborns Infected With Ebola in Congo Outbreak
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.
AP News Article
More Information: CDC
USPSTF Suggests Universal HIV Screening, PrEP for High-Risk Patients
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.
Draft Evidence Review – Adolescents/Adults
Draft Recommendation Statement – Adolescents/Adults
Comment on Recommendation Statement – Adolescents/Adults
Draft Evidence Review – Pregnancy
Draft Recommendation Statement – Pregnancy
Comment on Recommendation Statement – Pregnancy
Draft Evidence Review – PrEP
Draft Recommendation Statement – PrEP
Comment on Recommendation Statement – PrEP
Insulin Needed for T2DM Tx Set to Increase >20 Percent by 2030
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.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Youth Smoking Decline Mirrors Rise in Vaping Popularity
2013 to 2024 Saw Decrease in Benzodiazepine Prescribing 
Pediatricians Report Immigrant Families Avoiding Care for Their Children 
Psychiatrists Only Agree 55 Percent of the Time on Diagnoses 
Napping Opportunity May Improve Clinical Performance of Anesthesia Residents 
Socioeconomic Status Linked to Mortality After Acute Hip Fracture Surgery 
People Using Illicitly Sourced Fentanyl Face Worse Outcomes Than Medically Sourced Users 
Data Reveal No Hypersensitivity Due to Axillary Brachial Plexus Block Alone 
Tranexamic Acid Yields Lower Incidence of Red-Cell Transfusion in Noncardiac Surgery 
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