Here are what the editors at HealthDay consider to be the most important developments in Family Practice for January 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.
Rising Temps May Up Burden of Congenital Heart Disease in U.S.
THURSDAY, Jan. 31, 2019 (HealthDay News) — Projected increases in maternal heat exposure may result in increased congenital heart defect (CHD) burden, according to a study published online Jan. 30 in the Journal of the American Heart Association.
FDA Approves First Generic Version of Advair for Asthma, COPD
THURSDAY, Jan. 31, 2019 (HealthDay News) — The first generic form of the Advair Diskus (fluticasone propionate and salmeterol inhalation powder) inhaler has been approved by the U.S. Food and Drug Administration.
AHA: Nearly Half of U.S. Adults Have Cardiovascular Disease
THURSDAY, Jan. 31, 2019 (HealthDay News) — The prevalence of cardiovascular disease (CVD) is 48.0 percent in adults in the United States based on 2013 to 2016 data, according to a report published online Jan. 31 in Circulation.
E-Cigarettes More Effective for Smoking Cessation
THURSDAY, Jan. 31, 2019 (HealthDay News) — Electronic cigarettes are more effective for smoking cessation than nicotine replacement therapy, according to a study published online Jan. 30 in the New England Journal of Medicine.
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Small Increase in HbA1c Seen With Switch to Human Insulin in T2DM
THURSDAY, Jan. 31, 2019 (HealthDay News) — Switching from analogue to human insulin is associated with a small increase in hemoglobin A1c (HbA1c) levels, according to a study published in the Jan. 29 issue of the Journal of the American Medical Association.
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Meta-Analysis: Small Weight Increase Seen for Breakfast Eaters
THURSDAY, Jan. 31, 2019 (HealthDay News) — Eating breakfast may not be a good strategy for weight loss, according to research published online Jan. 30 in The BMJ.
Management of MS in Pregnancy Reviewed in U.K. Guideline
THURSDAY, Jan. 31, 2019 (HealthDay News) — It is important to discuss family planning and pregnancy proactively in women of childbearing age who have multiple sclerosis (MS), according to a review published online Jan. 5 in Practical Neurology.
Symptom Combos Suggesting Laryngeal Cancer Identified
THURSDAY, Jan. 31, 2019 (HealthDay News) — New symptom combinations that may indicate early symptoms of laryngeal cancer have been identified, according to a study published online Jan. 28 in the British Journal of General Practice.
More High-Value Care Associated With Receipt of Primary Care
THURSDAY, Jan. 31, 2019 (HealthDay News) — Receipt of primary care is associated with significantly more high-value care, slightly more low-value care, and a better health care experience, according to a study published online Jan. 28 in JAMA Internal Medicine.
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Aerobic Exercise Tied to Better Cognition at All Ages
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Aerobic exercise contributes to brain health in individuals as young as 20 years, according to a study published online Jan. 30 in Neurology.
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FDA Receives an ‘F’ in Tobacco Prevention Report Card
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — The U.S. Food and Drug Administration was given an “F” in a new American Lung Association report card evaluating tobacco prevention programs.
CNN Article
State of Tobacco Control
Expanded Recall Announced for Ibuprofen Oral Suspension Drops
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — An expanded recall of ibuprofen oral suspension drops that may contain higher-than-specified levels of ibuprofen that could harm infants’ kidneys has been announced by Tris Pharma, Inc.
Undisturbed Maternal Sleep Tied to Higher Risk for Late Stillbirth
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Long periods of undisturbed sleep during pregnancy are associated with late stillbirth, according to a study published online Jan. 18 in Birth.
No Asthma Benefit Seen With n3PUFA in Overweight Teens
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Omega-3 fatty acid (n3PUFA) supplements do not appear to improve asthma control in teens and young adults who are overweight or obese, according to a study published online Jan. 25 in the Annals of the American Thoracic Society.
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More Severe Injuries Sustained at Jump Parks Versus Home Trampolines
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — The proportion of fractures/dislocations, lower-extremity fractures, fractures in adults, and surgical interventions is higher for injuries associated with jump parks versus home trampolines, according to a study published in the Jan. 1 issue of the Journal of the American Academy of Orthopaedic Surgeons.
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Avoiding Full-Blown Diabetes Cuts Cardiovascular Risk
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Midlife increases in fasting glucose (FG) with conversion to diabetes are associated with higher cardiovascular disease (CVD) risk, according to research published online Jan. 7 in Diabetes Care.
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Large Insulin Price Hike to Be Investigated by U.S. Congress
TUESDAY, Jan. 29, 2019 (HealthDay News) — The soaring cost of insulin will be investigated as the U.S. Congress holds hearings into the high cost of prescription drugs, a lawmaker says.
1976 to 2016 Saw Drop in Firearm Ownership in Families
TUESDAY, Jan. 29, 2019 (HealthDay News) — From 1976 to 2016, there was a decrease in the proportion of families who had young children and owned firearms, although an increase was seen in the proportion who owned handguns, according to a study published online Jan. 28 in Pediatrics.
Older Adults With Comorbidities Identified as Frequent ED Users
TUESDAY, Jan. 29, 2019 (HealthDay News) — More than 5 percent of seniors visit emergency departments more than six times in one year, according to a study published online Jan. 28 in the Annals of Emergency Medicine.
NOACs Recommended as First-Line Prevention of Stroke in A-Fib
TUESDAY, Jan. 29, 2019 (HealthDay News) — For patients with atrial fibrillation, novel oral anticoagulants (NOACs) are recommended over warfarin to prevent stroke and weight loss is recommended for overweight and obese individuals, according to updated guidelines published online Jan. 28 in Circulation.
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Intensive BP Treatment Does Not Reduce Dementia Risk
TUESDAY, Jan. 29, 2019 (HealthDay News) — Treating systolic blood pressure (BP) to a goal of less than 120 mm Hg rather than 140 mm Hg does not result in a significant reduction in the risk for probable dementia, according to a study published online Jan. 28 in the Journal of the American Medical Association.
Few Patients With Type 1 Diabetes Meeting HbA1c Goals
TUESDAY, Jan. 29, 2019 (HealthDay News) — Only one in five children and adults with type 1 diabetes (T1D) in the United States achieve American Diabetes Association (ADA) goals for glycated hemoglobin (HbA1c), according to a study published online Jan. 18 in Diabetes Technology & Therapeutics.
New Guidelines Introduced for Inflammatory Bowel Disease in Pregnancy
TUESDAY, Jan. 29, 2019 (HealthDay News) — The American Gastroenterological Association (AGA) report, Inflammatory Bowel Disease (IBD) in Pregnancy Clinical Care Pathway, was published online Jan. 15 in Gastroenterology.
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Washington State Declares Health Emergency as Measles Spreads
MONDAY, Jan. 28, 2019 (HealthDay News) — A statewide public health emergency was declared in Washington after a measles outbreak near Portland, Oregon, reached 31 cases on Friday. The outbreak in the Pacific Northwest is in what has been called an antivaccination “hot spot” in the United States, the Associated Press reported.
Screen Time Linked to Poorer Child Developmental Performance
MONDAY, Jan. 28, 2019 (HealthDay News) — Screen time is associated with poorer performance on developmental screening tests among young children, according to a study published online Jan. 28 in JAMA Pediatrics.
Financial Stress, Coronary Heart Disease Linked in African-Americans
MONDAY, Jan. 28, 2019 (HealthDay News) — Financial stress may be associated with coronary heart disease among African-Americans, according to a study published in the February issue of the American Journal of Preventive Medicine.
Evidence Lacking for Benefit of Surgery for Vertebral Fractures
MONDAY, Jan. 28, 2019 (HealthDay News) — Surgical procedures do not appear to provide significant benefit for patients with vertebral fractures (VF), according to a second American Society for Bone and Mineral Research Task Force report published in the January issue of the Journal of Bone and Mineral Research.
Increase Seen in Multiple-Victim School-Related Homicide Rate
MONDAY, Jan. 28, 2019 (HealthDay News) — During 2009 through 2018, multiple-victim school-associated homicide rates increased significantly, while single-victim homicide rates remained stable from 1994 through 2016, according to research published in the Jan. 25 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Likelihood of Engaging in Choking Game Higher in Troubled Teens
MONDAY, Jan. 28, 2019 (HealthDay News) — Adolescents with higher levels of conduct disorder symptoms and greater rates of depressive symptoms have increased odds of reporting participation in the choking game, in which pressure is applied to the carotid artery to temporarily limit blood flow and oxygen, according to a study published online Jan. 28 in Pediatrics.
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Gender Gap Seen in Accessing Alcohol Treatment With Cirrhosis
MONDAY, Jan. 28, 2019 (HealthDay News) — Women with alcohol-associated cirrhosis (AC) are less likely to receive alcohol use disorder (AUD) treatment than men with the disease even though such treatment is associated with improved outcomes at one year, according to a study published online Jan. 22 in Alcoholism: Clinical & Experimental Research.
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Bone Health in Older Adults Not Improved by High-Dose Vitamin D
MONDAY, Jan. 28, 2019 (HealthDay News) — There is little benefit for older adults taking high-dose vitamin D supplements to improve their bone strength and reduce the risk for falls, according to a study published online Jan. 8 in The American Journal of Clinical Nutrition.
Adverse Birth Outcomes Up With Medically Assisted Reproduction
MONDAY, Jan. 28, 2019 (HealthDay News) — Children born by medically assisted reproduction have an increased risk for adverse birth outcomes; however, the increased risk appears to be attributable to other factors, according to a study published online Jan. 14 in The Lancet.
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Machine Learning Methods Can Detect UTI in Dementia Patients
MONDAY, Jan. 28, 2019 (HealthDay News) — Algorithms that combine Internet of Things (IoT) technologies and in-home sensory devices with machine learning techniques can be used to monitor the health and well-being of people with dementia, according to a study published online Jan. 15 in PLOS ONE.
Lean Body Mass in Childhood Linked to Lung Function at 15
FRIDAY, Jan. 25, 2019 (HealthDay News) — Higher lean body mass during childhood and adolescence is associated with higher lung function at age 15 years for both sexes, according to a study published online Jan. 11 in the American Journal of Respiratory and Critical Care Medicine.
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Psychopathology in Adulthood Up With Child Lead Exposure
THURSDAY, Jan. 24, 2019 (HealthDay News) — Higher childhood blood lead levels are associated with more psychopathology during the life course, according to a study published online Jan. 23 in JAMA Psychiatry.
Home-Based Program Achieves Hypertension Control
FRIDAY, Jan. 25, 2019 (HealthDay News) — A new home-based care delivery program can provide efficient and effective blood pressure (BP) control in individuals with hypertension, according to a study recently published in Clinical Cardiology.
Report IDs Areas Lacking Good Practice in Health Tech Assessment
FRIDAY, Jan. 25, 2019 (HealthDay News) — In a report published in the January issue of Value in Health, an ISPOR–The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).
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2003 to 2015 Saw Increase in Outpatient Benzodiazepine Use
FRIDAY, Jan. 25, 2019 (HealthDay News) — Outpatient benzodiazepine use increased from 2003 to 2015, according to a study published online Jan. 25 in JAMA Network Open.
Many Teens Not Up to Date on HPV Vaccination
FRIDAY, Jan. 25, 2019 (HealthDay News) — Many adolescents do not complete human papillomavirus (HPV) vaccination before turning 13 or 15 years old, according to a report published online Jan. 17 in the Journal of Infectious Diseases.
Assessment Tools Aid Risk Planning at Nursing Homes
FRIDAY, Jan. 25, 2019 (HealthDay News) — Better use of risk assessment tools, like the Changes in Health and End-stage disease Signs and Symptoms (CHESS) score, can help nursing homes identify which new residents are at risk for hospitalization or death within the first 90 days after admission, according to a study recently published in the Journal of the American Medical Directors Association.
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Measles Outbreak Prompts Public Emergency in Washington State
THURSDAY, Jan. 24, 2019 (HealthDay News) — An ongoing measles outbreak has led to a public health emergency being declared in Clark County, Washington.
Fried Chicken, Fish Linked to All-Cause, Cardiovascular Death
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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