Here are what the editors at HealthDay consider to be the most important developments in Family Practice for February 2019. 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.
Teens’ Social Media Use Does Not Predict Later Depression
THURSDAY, Feb. 28, 2019 (HealthDay News) — Social media use does not predict later depressive symptoms among adolescents or college undergraduates, according to a study recently published in Clinical Psychological Science.
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FDA: Pulmonary Embolism Risk Up With Tofacitinib 10 mg for RA
THURSDAY, Feb. 28, 2019 (HealthDay News) — A safety clinical trial has revealed that tofacitinib (Xeljanz, Xeljanz XR) 10 mg twice daily is associated with an increased risk for pulmonary embolism (PE) and death among patients with rheumatoid arthritis (RA), the U.S. Food and Drug Administration warned in a safety alert this week.
Flu Vaccination During Pregnancy Does Not Cause Miscarriage
THURSDAY, Feb. 28, 2019 (HealthDay News) — An influenza vaccine cannot cause a pregnant woman to miscarry, researchers say.
Dietary Monitoring Key to Successful Weight Loss
THURSDAY, Feb. 28, 2019 (HealthDay News) — The frequency of dietary self-monitoring is significantly associated with weight loss, according to a study published online Feb. 25 in Obesity.
CDC: Progress in HIV Prevention Has Stalled in the United States
WEDNESDAY, Feb. 27, 2019 (HealthDay News) — The battle against new HIV infections has lost some steam in recent years, according to the U.S. Centers for Disease Control and Prevention.
Lowering BP, Lipids in Healthy Elderly Has No Cognitive Effect
WEDNESDAY, Feb. 27, 2019 (HealthDay News) — Candesartan plus hydrochlorothiazide, rosuvastatin, or their combination do not impact cognitive decline among older people, according to a study published online Feb. 27 in Neurology.
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Prenatal Vitamin Intake in Early Pregnancy May Cut Autism Risk
WEDNESDAY, Feb. 27, 2019 (HealthDay News) — Maternal prenatal vitamin intake during the first month of pregnancy is associated with a reduced risk for autism spectrum disorder (ASD) in siblings of children with ASD, according to a study published online Feb. 27 in JAMA Psychiatry.
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Achievement of Targets in T2DM Varies by Season
WEDNESDAY, Feb. 27, 2019 (HealthDay News) — There is seasonal variation in achievement of the guideline targets for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein (LDL) cholesterol among persons with type 2 diabetes mellitus (T2DM), according to a study published online Feb. 22 in Diabetes Care.
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Sustained Smoking Cessation May Delay, Prevent Seropositive RA
WEDNESDAY, Feb. 27, 2019 (HealthDay News) — While smoking is a strong risk factor for seropositive rheumatoid arthritis (RA), sustained smoking cessation could delay or even prevent disease development, according to a study published online Feb. 21 in Arthritis Care & Research.
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Antenatal Corticosteroid Tx Tied to Reduction in Birth Size
WEDNESDAY, Feb. 27, 2019 (HealthDay News) — Antenatal corticosteroid therapy (ACT) is associated with reductions in birth size for infants, according to a study published online Feb. 26 in PLOS Medicine.
Stewardship Programs Decrease Inpatient Fluoroquinolone Rx
WEDNESDAY, Feb. 27, 2019 (HealthDay News) — Fluoroquinolone stewardship interventions at hospitals are associated with less fluoroquinolone prescribing during hospitalization but not at discharge, according to a study published online Feb. 13 in Clinical Infectious Diseases.
Sufficient Investment Could Reduce HIV Epidemic by 2030
TUESDAY, Feb. 26, 2019 (HealthDay News) — New HIV infections could be reduced and prevalence could begin to decline by 2030 with sufficient investment, including meeting 95 percent targets for diagnosis, care retention, and viral suppression by 2025, according to a study published online Feb. 22 in AIDS and Behavior.
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Contributors to Delay of Multiple Sclerosis Diagnosis ID’d
TUESDAY, Feb. 26, 2019 (HealthDay News) — First symptoms and disease type are contributors to delays in multiple sclerosis (MS) diagnosis, according to a study recently published in the Multiple Sclerosis Journal.
Ultrasound of Calcaneus Efficient for Screening Bone Health
TUESDAY, Feb. 26, 2019 (HealthDay News) — Ultrasonography (US) of the calcaneus is efficient for screening bone health, according to a study published in the March issue of the Journal of the American Osteopathic Association.
Excessive Gestational Weight Gain Tied to Maternal Morbidity
TUESDAY, Feb. 26, 2019 (HealthDay News) — Gestational weight gain in excess of guidelines from the Institute of Medicine (IOM) is associated with increased risk of severe maternal morbidity, according to a study published in the March issue of Obstetrics & Gynecology.
MRI Cardiac Stress Test Predicts Death From Heart Disease
TUESDAY, Feb. 26, 2019 (HealthDay News) — Stress cardiac magnetic resonance imaging (CMR) can predict mortality in patients with known or suspected coronary artery disease (CAD), according to a study published online Feb. 8 in JAMA Cardiology.
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Program Aids Weight Loss in Patients With Mental Illness
TUESDAY, Feb. 26, 2019 (HealthDay News) — A behavioral weight loss intervention is effective among overweight and obese individuals with serious mental illness (SMI), regardless of their diabetes status, according to a study published online Feb. 14 in Diabetes Care.
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Classroom Initiative Ups Participation in School Breakfast
TUESDAY, Feb. 26, 2019 (HealthDay News) — A breakfast-in-the-classroom initiative increases participation in the federal School Breakfast Program but has an unintended consequence of increasing the incidence and prevalence of obesity, according to a study published online Feb. 25 in JAMA Pediatrics.
Environmental Exposures Before, After Birth Tied to Lung Function
TUESDAY, Feb. 26, 2019 (HealthDay News) — Exposure to several chemicals before and after birth appears to be associated with a decrease in lung function later in childhood, according to a study published in the February issue of The Lancet Planetary Health.
Prognostic Bleeding Risk Models Developed for Aspirin Use
MONDAY, Feb. 25, 2019 (HealthDay News) — Prognostic bleeding risk models that can estimate the absolute bleeding harms of aspirin have been developed for individuals in whom aspirin is being considered for primary prevention of cardiovascular disease (CVD), according to a study published online Feb. 26 in the Annals of Internal Medicine.
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Knowledge of Transgender Health Care Not Linked to Education
MONDAY, Feb. 25, 2019 (HealthDay News) — Transphobia — not formal or informal education — predicts provider knowledge of transgender health care, according to a study recently published in Medical Education.
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FDA: Thermography No Substitute for Mammograms
MONDAY, Feb. 25, 2019 (HealthDay News) — Despite claims to the contrary, thermography should not be used in place of mammography for breast cancer screening, detection, or diagnosis, according to the U.S. Food and Drug Administration.
Nonmedical Rx Opioid Use in Teens Linked to Parental Use
MONDAY, Feb. 25, 2019 (HealthDay News) — Nonmedical prescription opioid (NMPO) use in adolescents is associated with parental NMPO use and with smoking and parent-adolescent conflict, according to a study published online Feb. 25 in Pediatrics.
Prenatal Care Inadequate for Moms With Child Taken Into Care
MONDAY, Feb. 25, 2019 (HealthDay News) — Mothers with a history of having a child taken into care by child protection services have an increased risk for inadequate prenatal care in a future pregnancy, according to a study published online Feb. 25 in CMAJ, the journal of the Canadian Medical Association.
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Serious Medical Outcomes Reported With Kratom Exposure
MONDAY, Feb. 25, 2019 (HealthDay News) — Kratom, or Mitragyna speciosa, exposure is associated with serious medical outcomes, especially as part of multiple-substance exposure, according to a study published online Feb. 20 in Clinical Toxicology.
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2014 to 2017 Saw Improvement in Burnout for U.S. Physicians
MONDAY, Feb. 25, 2019 (HealthDay News) — From 2014 to 2017, there was an improvement in burnout and satisfaction with work-life integration among U.S. physicians, according to a study published online Feb. 22 in the Mayo Clinic Proceedings.
Incidence of Acute Myocardial Infarctions Up Among Young Women
MONDAY, Feb. 25, 2019 (HealthDay News) — The incidence of acute myocardial infarctions (AMI) has increased among younger women, and sedentary time is associated with an increased risk for cardiovascular disease (CVD) among women, according to two studies published in the Feb. 19 issue of Circulation, a “Go Red for Women” theme issue on cardiovascular disease in women.
Abstract/Full Text – Arora
Editorial
Abstract/Full Text – Bellettiere
Opioid-Related Mortality Up From 1999 to 2016 in Eastern U.S.
MONDAY, Feb. 25, 2019 (HealthDay News) — In the eastern United States, opioid-related mortality, particularly mortality associated with synthetic opioids, has increased, according to a study published online Feb. 22 in JAMA Network Open.
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Some Characteristics Unique to Depression Before, After Birth
MONDAY, Feb. 25, 2019 (HealthDay News) — Several unique characteristics are linked with depression at different time points before and after giving birth, according to a study published online Feb. 5 in the Journal of Neuroscience Research.
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FDA: Gout Drug Uloric Increases Risk of Death
FRIDAY, Feb. 22, 2019 (HealthDay News) — The gout medicine Uloric (febuxostat) carries a higher risk of death than allopurinol, according to the U.S. Food and Drug Administration.
Higher Triglycerides May Be Protective in the Very Elderly
FRIDAY, Feb. 22, 2019 (HealthDay News) — Higher triglycerides (TGs) is associated with a decreased risk of cognitive decline, activities of daily living (ADL) decline, frailty aggravation, and mortality in the oldest old, according to a study recently published in the Journal of the American Geriatrics Society.
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Since Early 2000s, Overdose Death Rates Are Highest in U.S.
FRIDAY, Feb. 22, 2019 (HealthDay News) — Since the early 2000s, the United States has had the highest drug overdose death rates among its peer countries, according to a study published online Feb. 21 in the Population and Development Review.
National Health Spending Set to Increase 5.5 Percent Annually
FRIDAY, Feb. 22, 2019 (HealthDay News) — National health spending is projected to increase at an annual rate of 5.5. percent from 2018 to 2027, with fundamental economic and demographic factors the main drivers, according to a report published online Feb. 20 in Health Affairs.
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Most Patients Do Not Disclose Complementary Medicine Use
FRIDAY, Feb. 22, 2019 (HealthDay News) — Just one-third of users of biologically based complementary medicine (CM) disclose their use to traditional health care providers, according to a review published online Feb. 7 in Scientific Reports.
Guideline Covers Extracutaneous Manifestations of Psoriasis
FRIDAY, Feb. 22, 2019 (HealthDay News) — The extracutaneous manifestations of psoriasis and guidance on use of biologic treatment for management of psoriasis are discussed in two new guidelines published online Feb. 13 in the Journal of the American Academy of Dermatology.
Abstract/Full Text – Elmets
Abstract/Full Text – Menter
One-Third of PCPs Discuss Breast Cancer Treatments With Patients
FRIDAY, Feb. 22, 2019 (HealthDay News) — One-third of primary care providers (PCPs) report participating in breast cancer treatment decisions, according to a study published online Feb. 1 in Cancer.
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Higher Salt Intake in DASH Diet Tied to More Lightheadedness
FRIDAY, Feb. 22, 2019 (HealthDay News) — Higher sodium intake in the context of the Dietary Approaches to Stop Hypertension (DASH) diet is tied to more frequent and severe lightheadedness, according to a study published recently in the Journal of Clinical Hypertension.
44.4 Million Estimated to Be Diagnosed With Cervical Cancer by 2069
FRIDAY, Feb. 22, 2019 (HealthDay News) — In the absence of further intervention, in the next 50 years, an estimated 44.4 million women will be diagnosed with cervical cancer globally, according to a study published online Feb. 19 in The Lancet Oncology.
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8 More U.S. Communities to Be Assessed for PFAS Toxin Exposure
THURSDAY, Feb. 21, 2019 (HealthDay News) — Eight additional communities near current or former U.S. military installations that will be included in assessments of human exposure to perfluoroalkyl and polyfluoroalkyl substances (PFAS) were announced Thursday by federal officials.
FDA Advances Regulation to Ensure Sunscreen Safety, Efficacy
THURSDAY, Feb. 21, 2019 (HealthDay News) — The U.S. Food and Drug Administration took steps Thursday to tighten regulation of over-the-counter sunscreen products.
More Information: FDA
More Information: EWG
2005 to 2015 Saw Drop in Primary Care Physician Supply
THURSDAY, Feb. 21, 2019 (HealthDay News) — From 2005 to 2015, there was a decrease in primary care physician supply per capita in the United States, with increased supply associated with lower mortality, according to a study published online Feb. 18 in JAMA Internal Medicine.
U.S. Agencies Probing Johnson & Johnson Over Asbestos in Talc
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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