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THE JAMA REPORT:

EMBARGO: 4 p.m. (ET) Tuesday, October 16, 2012
CHOLESTEROL LEVELS IMPROVE FOR U.S. ADULTS
Testing blood cholesterol levels is an important part of a healthy lifestyle. Studies show that higher levels of the “bad” or L-D-L cholesterol and lower levels of the “good” or H-D-L cholesterol are major risk factors for coronary heart disease. A new study examined if American adults are making favorable progress when it comes to managing healthy levels of cholesterol. Catherine Dolf has more in this week’s JAMA Report.
 
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RECENT JAMA REPORTS


EMBARGO: 4 p.m. (ET) Thursday, October 18, 2012
NOROVIRUS ASSOCIATED WITH SUBSTANTIAL INCREASED RISK OF HOSPITALIZATIONS AND DEATHS AMONG NURSING HOME RESIDENTS
Throughout the year but especially during the winter months outbreaks of norovirus commonly referred to as the “stomach flu” can occur. Symptoms may include abdominal cramps, vomiting and diarrhea. Outbreaks often occur in closed and crowded environments like nursing homes. A new study examined whether norovirus outbreaks were associated with increased risk of hospitalizations and death among nursing homes residents. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday,October 9, 2012
LOWER NUMBER OF ANGIOPLASTIES PERFORMED IN STATES PUBLICLY REPORTING OUTCOMES OF THESE PROCEDURES
Patients treated for acute heart attack may undergo an angioplasty procedure and receive a coronary artery stent. Currently, some U.S. states are mandated to publicly report the outcome of those procedures. A new study examined if patients in states with mandatory outcome reporting were less likely to receive these procedures than patients in states who do not have mandatory reporting of these outcomes. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday,September 18, 2012
HEALTH BENEFITS MAINTAINED AND IMPROVED AT SIX YEARS FOR PATIENTS UNDERGOING GASTRIC BYPASS SURGERY
Itís projected that 31 million people in the United States can qualify for gastric bypass surgery. Just ten years ago, this surgery was new and little was known about its long-term health benefits. A new study examined whether these benefits including sustained weight-loss, lower cardiovascular and diabetes risks continued six years after having the operation. Catherine Dolf has more in this weekís JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday,September 11, 2012
STUDY COMPARES STRATEGIES FOR ADJUSTING ASTHMA THERAPY IN ADULTS
Inhaled corticosteroids are the most widely used drugs for controlling asthma. Currently, U.S. guidelines recommend that adults with mild to moderate asthma should take this medication daily whether they have symptoms or not. A new study compared three strategies for adjusting the dose of inhaled steroids for adults with asthma. Catherine Dolf explains in this weekís JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday,August 21, 2012
IN PATIENTS WITH ACUTE HEART ATTACKS USING NEW-GENERATION DRUG-ELUTING STENT MORE EFFECTIVE THAN BARE- METAL STENT
Time is crucial after an acute heart attack. Many patients undergo a primary percutaneous coronary intervention or P-C-I to open blocked coronary arteries. Cardiologists do this by implanting a stent made of metallic mesh in the involved artery. Some of these stents can also release medication. A new study examined whether the next-generation drug-eluting stent is more effective than a bare-metal stent. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday,August 14, 2012
COMPUTER-BASED SCREENING PROGRAM FOR PARTNER VIOLENCE DID NOT IMPROVE WOMEN’S HEALTH STATUS OR QUALITY OF LIFE
Preventing coronary heart disease should begin in early childhood. Monitoring serum lipids, which is a measure of all types of cholesterol found in our system is important. These measurements make it possible for physicians to find out if the balance between the H-D-L or good cholesterol and the L-D-L or bad cholesterol is in appropriate limits. A new study examined these levels in American children and teenagers. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday,August 7, 2012
SERUM LIPIDS IMPROVE OVERALL IN U-S YOUTH; HOWEVER, ALMOST ONE IN TEN STILL HAVE ELEVATED TOTAL CHOLESTEROL LEVELS
Preventing coronary heart disease should begin in early childhood. Monitoring serum lipids, which is a measure of all types of cholesterol found in our system is important. These measurements make it possible for physicians to find out if the balance between the H-D-L or good cholesterol and the L-D-L or bad cholesterol is in appropriate limits. A new study examined these levels in American children and teenagers. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 31, 2012
CATARACT SURGERY ASSOCIATED WITH LOWER ODDS OF HIP FRACTURE IN THE MEDICARE POPULATION
Cataracts are most commonly found in older adults. They can impair vision, how well you see colors, and cause problems with depth perception and balance. Vision problems have also been associated with the risk of bone fractures. A new study examines the association between having cataract surgery and hip fracture risk in older Americans. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 22, 2012
DIFFERENCES IN CHARACTERISTICS AND RISK FACTORS BETWEEN FOREIGN-BORN AND U.S.-BORN PERSONS DIAGNOSED WITH HIV
For people born in foreign countries but living in the United States language and cultural barriers can make it difficult for many to learn about preventing, testing or seeking medical care for H-I-V. A new study examines the demographic characteristics and other risk factors for foreign born people living in the U-S who are diagnosed with HIV infection. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 17, 2012
BETA INTERFERON NOT ASSOCIATED WITH REDUCING LONG-TERM DISEASE PROGRESSION IN PATIENTS WITH RELAPSING REMITTING M-S
Many patients diagnosed with multiple sclerosis experience a form of the disease known as relapsing-remitting M-S. They experience flare-ups when the immune system attacks the central nervous system. Recovery periods may follow the flare-ups as the disease moves into remission. Disease modifying drugs are prescribed to help reduce inflammation and disease activity. A new study examines the long-term use of beta interferon for patients with relapsing-remitting M-S. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 10, 2012
NO INCREASED RISK OF ADVERSE FETAL OUTCOMES FOR PREGNANT WOMEN RECEIVING H-1-N-1 INFLUENZA VACCINE
During the 2009 H-1-N-1 pandemic pregnant women were among many groups targeted to receive the flu vaccine. Several million women in the United States and more than three hundred thousand in Europe were vaccinated. A new study examined whether H-1-N-1 vaccine exposure was associated with an increased risk of fetal complications. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 3, 2012
RATE OF COMMUNITY-ONSET MRSA INFECTIONS MAY BE DECREASING
Staph aureus which can be methicillin-resistant, MRSA or methicillin-susceptible, MSSA is a major cause of infections in hospitals and in the community. These infections have also affected those serving in the U-S military and their families. A new study examines the rate of these infections across the U-S military health system. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, June 26, 2012
STEPPED-CARE INTERVENTION EFFECTIVE FOR WEIGHT LOSS AND COSTS LESS TO IMPLEMENT THAN STANDARD TREATMENT
Most weight loss programs are rather intensive during the initial weeks of treatment. They can also be costly and require a huge time commitment. An alternative treatment is the stepped-care approach. This involves a lower-intensity intervention that only increases if a person’s weight loss goals are not met. A new study examines if the stepped-care approach is as effective as conventional weight loss treatments. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 12 p.m. (ET) Monday, June 18, 2012
RISK OF ALCOHOL ABUSE MAY INCREASE AFTER BARIATRIC SURGERY
Bariatric surgery has been shown to be one of the most effective treatments for severe obesity. It can lower the risk of many health problems including cardiovascular disease and diabetes. It also may increase the risk of alcohol abuse and dependence. A new study examines this risk before and after the procedure. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, June 12, 2012
INCREASE IN MEDICAL IMAGING TESTS, VARIATIONS IN THOSE TESTS AND RADIATION EXPOSURE ACROSS INTEGRATED HEALTH SYSTEMS
Advanced medical imaging tests like CTs, MRIs and PET scans aid physicians in diagnosing many diseases earlier and more accurately. However, some of these tests result in radiation exposure for patients. A new study shows a large increase in the number of tests being performed, variation in where they are used and also variation in the amount of radiation exposure patients receive throughout several large integrated health care systems across the United States.
 
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EMBARGO: 4 p.m. (ET) Tuesday, June 5, 2012
TELEPHONE ADMINISTERED COGNITIVE BEHAVORIAL THERAPY REDUCES RATES OF TREATMENT DISCONTINUATION AMONG PRIMARY CARE PATIENTS WITH DEPRESSION
Many patients experiencing depression prefer psychotherapy over taking antidepressant medications. However, around 75 percent of primary care patients who are diagnosed with depression experience barriers making it difficult for them to receive and continue regular therapy sessions. A new study examines whether cognitive behavioral therapy delivered over the telephone can be just as effective as seeing a therapist face-to-face. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 22, 2012
C-PAP TREATMENT SHOWS NO SIGNIFICANT DECREASE IN HYPERTENSION OR CARDIOVASCULAR EVENTS FOR NON-SLEEPY PATIENTS WITH SLEEP APNEA
Obstructive Sleep Apnea affects three to seven percent of the general population. It is caused by the collapse of the upper airway during sleep. This condition has been associated with hypertension and cardiovascular disorders. A new study examines whether continuous positive airway pressure or C-PAP treatment in patients with sleep apnea but without daytime sleepiness results in decreasing hypertension or cardiovascular events. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 15, 2012
FEWER ADULTS DYING IN AFRICAN COUNTRIES THAT RECEIVED U-S FINANCIAL SUPPORT FOR AIDS RELIEF
Treatment, education and prevention have been the focus of the United States when it comes to addressing the H-I-V/AIDS epidemic in Africa. In 2003, the President’s Emergency Plan for AIDS Relief or PEPFAR began targeting several African countries, providing funding to fight the disease. A new study examines if this effort is associated with saving lives. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 1, 2012
BETTER OUTCOMES FOR OLDER WOMEN AFTER RECEIVING WHOLE BREAST IRRADIATION COMPARED TO BRACHYTHERAPY
Brachytherapy has become increasingly and commonly used in the United States to treat breast cancer after a lumpectomy. Although this therapy and the standard treatment, whole breast irradiation, are usually successful, a new study finds there may be some differences in the outcomes for older women between these two treatments. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, April 24, 2012
TEXT MESSAGING ABOUT FLU VACCINE ASSOCIATED WITH INCREASED FLU VACCINATIONS IN LOW-INCOME CHILDREN AND TEENS
Influenza infection is a common reason children and teens are hospitalized in the United States each year. While the flu vaccine is safe and effective just over half of children, age six months to 17 years, were vaccinated during last year’s flu season. A new study examined whether sending parents text message reminders would increase the rate of flu vaccinations in children. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 10 a.m. (ET) Tuesday, April 17, 2012
IMPROVED SURVIVAL FOR TRAUMA PATIENTS TRANSPORTED BY HELICOPTER VERSUS GROUND EMERGENCY MEDICAL SERVICES
More than 50 million people every year are injured in the United States. Significant improvements have been made in surviving severe injuries because of advancements in emergency medical services including life-saving transport of these patients. A new study examines the differences in survival of transporting trauma patients by helicopter compared to ground ambulance. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, April 10, 2012
SIX WAYS TO CUT WASTE AND IMPROVE QUALITY IN U-S HEALTH CARE
Nearly everyone agrees, health care costs in the United States are becoming unsustainable. These higher costs not only affect Medicare and Medicaid services but private sector health insurance as well. In an effort to reduce these costs, changes in payment levels, benefit structures and eligibility have been suggested. A less harmful strategy may be to reduce the waste in health care. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, April 3, 2012
ADDING YEARLY ULTRASOUND OR SINGLE M-R-I TO MAMMOGRAPHY INCREASED BREAST CANCER DETECTION IN HIGH RISK WOMEN
For the majority of women a screening mammogram is effective in detecting breast cancer. However, for women who have dense breasts and an increased risk of breast cancer, adding other diagnostic tests may also help identify cancer that may not be seen on a mammogram. A new study examined whether adding a yearly ultrasound or a single M-R-I in addition to a mammogram can benefit women who have an increased risk of breast cancer. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 27, 2012
HIGHER DRUG CO-PAYMENT FOR PRIVATELY INSURED CHILDREN WITH ASTHMA ASSOCIATED WITH LESS USE OF ASTHMA MEDICATION AND MORE HOSPITALIZATIONS
Medication needed to treat children with chronic asthma can be expensive. More private insurers are now shifting some of the cost of these drugs towards patients in an effort to control expenses. A new study examined whether these higher out-of-pocket expenses for privately insured children with asthma are associated with use of asthma medication and overall health. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 20, 2012
SUBSTANTIAL INCREASE IN ANESTHESIA SERVICES DURING ROUTINE GASTROENTEROLOGY PROCEDURES IN LOW-RISK ADULTS
In an effort to help control health care spending, one solution being suggested is to reduce services that may not deliver a clinical value to patients. A new study examines anesthesia services provided to adult patients during routine gastroenterology procedures including colonoscopies and endoscopies. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 13, 2012
HIGHER HOSPITAL SPENDING ASSOCIATED WITH LOWER READMISSION RATES, BETTER QUALITY OF CARE AND PATIENT SURVIVAL
There are many differences between health care in Canada and the United States. Canada has a universal system and spends about sixty percent of what the U-S spends per person on health care. There are also far fewer specialists and more selective use of specialized technologies in Canada. A new study looked at higher and lower spending hospitals in Ontario to see whether there was a difference in patient outcomes. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 6, 2012
STUDY EXAMINES HIGH-RISK OPIATE USE AMONG IRAQ AND AFGHANISTAN VETERANS WITH MENTAL HEALTH DISORDERS
Treating the physical and invisible wounds of many returning Iraq and Afghanistan veterans may involve the use of pain medications and other therapies. A new study found that U.S. veterans with mental health conditions, especially Post-Traumatic Stress Disorder, were more likely than veterans without mental health disorders to receive opioid medications, but were also at increased risk for adverse clinical outcomes related to use of these drugs. Catherine Dolf has more in this weekÕs JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, February 21, 2012
YOUNGER WOMEN HAVE SYMPTOMS OTHER THAN CHEST PAIN AND AN INCREASED RISK OF DYING AFTER HEART ATTACK
Chest pain is still the hallmark symptom of a heart attack. However, patients can experience other atypical symptoms including, jaw, back, shoulder and even stomach discomfort or may have no pain at all. A new study looks at how these different symptoms and age are associated with the risk of dying from a heart attack among men and women. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, February 14, 2012
COMMON ANTIBIOTIC PROVIDES NO BENEFIT FOR PATIENTS WITH ACUTE SINUSITIS
During these cold winter months or really anytime, experiencing a sinus infection or what physicians refer to as acute sinusitis can be debilitating. In the United States, one of every five patients with this condition is given a prescription for antibiotics to help reduce symptoms. A new study examined whether using an antibiotic offers patients any real benefits. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, February 7, 2012
INFANTS RECEIVING ROTAVIRUS VACCINE SHOW NO INCREASED RISK FOR UNCOMMON BUT SERIOUS INTESTINAL DISORDER
A rare but serious intestinal disorder known as intussusception is most commonly seen in children less than a year old. Symptoms include abdominal pain, vomiting and bowel problems. A rotavirus vaccine was pulled from the market in 1999 because it was associated with an increased risk of the illness. A new study looks at whether or not a current rotavirus vaccine is also associated with increasing the risk of this condition. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 31, 2012
RE-OPERATION RATES AFTER PARTIAL MASTECTOMY VARY WIDELY FROM HOSPITAL TO HOSPITAL AND SURGEON TO SURGEON
After a breast cancer diagnosis the most common operation is breast conserving therapy or partial mastectomy. The goal is to surgically remove all the cancer and leave behind normal tissue, what's known as clear margins. Failure to attain these margins requires additional surgery. A new study looked at how re-operation rates can vary from hospital to hospital and surgeon to surgeon. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 24, 2012
COMMONLY PRESCRIBED ACID REFLUX MEDICATION NOT HELPFUL FOR CHILDREN WITH UNCONTROLLED ASTHMA
Acid reflux is common in many children with asthma. Medications known as proton pump inhibitors or P-P-I's help suppress stomach acid and are widely prescribed in clinical practice, even though it's still unclear whether or not they are effective in treating asthma symptoms. A new study tested this medication to see if it could help children whose asthma symptoms were poorly controlled. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 17, 2012
ANTI-PLATELET DRUG USEFUL TO BRIDGE PATIENTS WITH CORONARY STENTS TO CARDIAC SURGERY
Patients with coronary stents require medication that inhibits platelet activity and prevents clotting. However, if patients need additional surgery that medication must be stopped several days in advance because it increases the risk of major bleeding during the operation. A new study tested an investigational drug that decreases clotting risk and also leaves the system quicker after it is stopped so surgery can be performed without a major delay. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 10, 2012
CHANGES IN LUNG FUNCTION APPEAR TO DEPEND ON LEVEL OF MARIJUANA USE OVER A LIFETIME
Marijuana is an illicit drug but increasingly common in the United States. It is also used legally by some patients for medical purposes. Marijuana smoke contains many of the same elements that are in tobacco smoke. A new study looks at what effect marijuana use has on lung function. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 3, 2012
CALORIES, NOT PROTEIN, AFFECT FAT STORAGE AND WEIGHT GAIN IN THE BODY WHEN OVEREATING
The New Year brings countless resolutions for many Americans and always high on the list is losing weight and eating better. Sixty percent of U-S adults are overweight and more than thirty percent are obese. One reason for this is that many Americans tend to overeat. A new study finds that the amount of calories not protein, still determines whether you gain weight when you eat more than you should. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, December 20, 2011
SLEEP DISORDERS COMMON IN POLICE OFFICERS, LINKED WITH INCREASED RISK OF POOR HEALTH, SAFETY AND PERFORMANCE OUTCOMES
Sleep disorders affect millions of people in the United States and often are undiagnosed and untreated. That can be especially detrimental to shift workers, including police officers. A new study finds that sleep disorders are common among North American police officers and are associated with an increased risk of poor health, and self-reported safety and performance outcomes. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, December 13, 2011
OBSTETRIC CONDITIONS, PLACENTA ABNORMALITIES MOST COMMON CAUSES OF STILLBIRTH IN THE U-S
Today stillbirth rates in the United States remain higher than that of many other developed countries, affecting about one in every 160 pregnancies. The cause is often unknown leaving parents devastated and with unanswered questions. A new study finds that if a full evaluation is performed after the birth, most times a possible cause of the stillbirth can often be determined. Catherine Dolf has more in this week's JAMA Report.
 
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***SPECIAL EMBARGO: 11a.m (ET) Monday, December 12, 2011***
NO SIGNIFICANT INCREASE IN CARDIOVASCULAR PROBLEMS FOR YOUNG AND MIDDLE-AGED ADULTS TAKING A-D-H-D MEDICATION
Over the last decade the use of medications to treat attention-deficit/hyperactivity disorder increased more rapidly in adults than in children. These medications have been shown to raise heart rate and blood pressure which can lead to cardiovascular events. A new study examines whether there is an association between use of A-D-H-D drugs and risk for heart attack, stroke or sudden cardiac death in young and middle-aged adults. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, December 6, 2011
EXPOSURE TO CORTICOSTEROIDS BEFORE BIRTH ASSOCIATED WITH BENEFITS FOR EXTREMELY PRE-MATURE INFANTS
A typical pregnancy may last anywhere from 38 to 42 weeks. Infants born at 25 weeks or less are considered extremely pre-mature and face a number of health issues including having under-developed lungs and not surviving their birth. A new study finds that babies born at 23 to 25 weeks who are exposed to corticosteroids before birth have an increased rate of survival and a lower risk for neurodevelopmental disorders after birth. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, November 22, 2011
HEART VALVE REPLACEMENT ASSOCIATED WITH IMPROVED OUTCOMES FOR PATIENTS WITH ENDOCARDITIS COMPLICATED BY HEART FAILURE
Endocarditis is an infection that damages the lining of the heart and the heart valves. It occurs when bacteria or other organisms enter the bloodstream and travel to the heart. A complication of this disease is heart failure and if left untreated can be life-threatening. A new study finds that heart valve replacement surgery was associated with improved outcomes for patients with endocarditis complicated by heart failure. Catherine Dolf explains in this week's JAMA Report.
 
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***SPECIAL EMBARGO TIME***: 8 a.m. (ET) Tuesday, November 15, 2011
INVESTIGATIONAL CHOLESTEROL MEDICATION ALONE OR COMBINED WITH STATINS FOUND TO RAISE H-D-L AND LOWER L-D-L LEVELS
Statins have revolutionized cardiovascular disease prevention by helping lower "bad" cholesterol or L-D-L levels in the blood. However, even with lower L-D-L levels many patients are at risk for experiencing heart attack, stroke and other complications. Raising H-D-L or "good" cholesterol levels can help in reducing these risks but finding the right medication to do this has been challenging. A new study that tested an experimental medication from a different class of drugs has promising results. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, November 8, 2011
STRESS TESTS PERFORMED AFTER CORONARY ARTERY BYPASS AND STENTING PROCEDURES MAY BE RELATED TO FINANCIAL FACTORS
The number of patients undergoing cardiac stress testing has increased significantly over the last decade. These tests are often done before and also after cardiac bypass surgery or stenting procedures. A new study finds that the use of stress tests performed after surgery or stenting varied widely across the country and may be related to financial factors. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, November 1, 2011
ALCOHOL CONSUMPTION OVER A WOMAN'S LIFETIME ASSOCIATED WITH RISK OF BREAST CANCER
Drinking higher levels of alcohol has been associated with an increased risk of breast cancer but what about drinking at lower levels or patterns of drinking over the course of a woman's lifetime? A new study finds a moderate amount of drinking is associated with a small increase in breast cancer risk and drinking both early and later in life was also independently associated with elevated risk. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, October 25, 2011
LUNG CANCER SCREENING C-T SCANS MAY ALSO IDENTIFY HEAVY SMOKERS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Chronic obstructive pulmonary disease or C-O-P-D is a major cause of death for heavy smokers. The onset of the disease can be insidious and is often underdiagnosed until it reaches a more advanced stage. A new study finds using computed tomography or C-T scans when screening smokers for lung cancer can also help detect C-O-P-D. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, October 18, 2011
MEDICARE HEART FAILURE HOSPITALIZATIONS DOWN SUBSTANTIALLY WHILE HEART FAILURE DEATHS REMAIN HIGH
Heart failure affects about six million patients each year in the United States. It ranks as the most frequent cause of hospitalizations among older Americans. The disease is also expensive to treat with almost 40 billion dollars spent last year alone. A new study finds the number of Medicare patients hospitalized for heart failure has declined substantially but the death rate one year after being hospitalized for heart failure still remains high nationwide. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, October 11, 2011
HEALTHY MEN TAKING VITAMIN E SUPPLEMENTS HAVE INCREASED RISK OF DEVELOPING PROSTATE CANCER
Prior studies have shown a relationship between the supplements Selenium and Vitamin E and preventing prostate cancer. In 2008, researchers from the "SELECT" or Selenium and Vitamin E Cancer Prevention Trial found taking extra doses of these supplements did not help prevent the disease. Researchers then continued following the men even though they stopped taking the supplements. Long-term follow-up results show that men who took Vitamin E during the trial had an increased risk of developing prostate cancer. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, October 4, 2011
ADVANCE DIRECTIVES LIMITING END-OF-LIFE CARE ASSOCIATED WITH LOWER MEDICARE SPENDING IN CERTAIN REGIONS OF U.S.
Surveys show many patients nearing the end of their life do not wish to receive aggressive medical treatments including being connected to a respirator or having placement of a feeding tube. An advance directive such as a living will or a health care power of attorney can help ensure a patient's wishes will be carried out. A new study finds these advance directives, limiting end-of-life treatment in certain regions of the country are associated with lower Medicare spending, reduced likelihood of dying in a hospital, and increased use of hospice care. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, September 27, 2011
INCREASING DOSES OF SAW PALMETTO EXTRACT NOT EFFECTIVE FOR IMPROVING LOWER URINARY TRACT SYMPTOMS IN OLDER MEN
An enlarged prostate can become an issue for men as they age, potentially slowing or blocking urination and also causing other bothersome lower urinary tract symptoms. Plant extracts, including fruit from the Saw Palmetto plant have been widely used for these issues. A new study finds taking increased doses of Saw Palmetto extract produced no significant improvement for men with lower urinary tract symptoms. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, September 20, 2011
SEXUAL FUNCTION OUTCOMES CAN BE PREDICTED AMONG MEN FOLLOWING PROSTATE CANCER TREATMENT
Surviving prostate cancer treatment may lead to other health concerns for men. Sexual function issues are commonplace after treatment and pose significant consequences when it comes to quality of life. A new study finds that examining a patient's cancer severity, age and sexual function levels before treatment may help predict sexual outcomes after treatment. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, September 13, 2011
NATIONWIDE GRADUATED DRIVER LICENSING PROGRAMS BENEFIT YOUNGER RATHER THAN OLDER TEEN DRIVERS
Motor vehicle crashes are the leading cause of death for American teenagers. In the last decade more than 23 thousand teenage drivers and 14 thousand of their passengers were killed in car crashes. A new study finds implementing nationwide graduated driver licensing programs are beneficial when it comes to keeping younger teens alive but are not associated with similar benefit when it comes to older teens. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, September 6, 2011
UNCONSCIOUS RACE AND SOCIAL BIAS NOT RELATED TO CLINICAL ASSESSMENT AND DECISION MAKING FOR NEW MEDICAL STUDENTS
We all have unconscious preferences including for a person's race and social class. Studies have shown that physicians may act on those particular preferences when treating patients, even if they are not conscious about doing so, which might affect outcomes. A new study finds that while incoming medical students also have these unconscious preferences they did not influence how the students would assess and treat different types of patients. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, August 23, 2011
CHOLESTEROL-LOWERING FOODS AND DIETARY ADVICE SIGNIFICANTLY REDUCES L-D-L LEVELS IN OLDER MEN AND WOMEN
Diet and lifestyle are important factors to help maintain healthy serum cholesterol levels. Efforts have been made to help reduce LDL or the "bad" cholesterol by introducing foods known to have cholesterol-lowering properties. A new study finds combining these foods with a low-saturated fat diet in addition to dietary advice, significantly lowers L-D-L levels. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, August 16, 2011
USE OF RADIOACTIVE IODINE FOR THYROID CANCER INCREASING, WITH WIDE VARIATION IN HOW AND WHERE IT'S USED
Thyroid cancer is increasing in the United States. Surgery is the standard treatment. For some patients, radioactive iodine is also used after surgery to help reduce recurrence of the disease. A new study finds that while use of this therapy is increasing, there is also wide variation in radioactive iodine treatment among hospitals. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, August 9, 2011
SLEEP APNEA ASSOCIATED WITH AN INCREASED RISK OF DEVELOPING COGNITIVE PROBLEMS OR DEMENTIA IN OLDER WOMEN
Many elderly Americans often assume that sleep problems during the night go hand in hand with aging. A new study finds elderly women with sleep-disordered breathing or sleep apnea are increasing their risk for developing cognitive problems including memory loss, lower attention levels and the ability to concentrate over time. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, August 2, 2011
ANTI-PSYCHOTIC DRUG USED TO TREAT MILITARY-RELATED POST-TRAUMATIC STRESS NOT EFFECTIVE IN REDUCING SYMPTOMS
Today, Post-Traumatic Stress Disorder is the most common and costly psychiatric condition affecting U-S Veterans. In conjunction with other therapies, physicians use a variety of medications to help manage symptoms. However, a gap remains in their effectiveness. A new study finds that using an anti-psychotic medication commonly prescribed for military-related P-T-S-D is not effective for significantly reducing symptoms of the disorder. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 26, 2011
IMPLEMENTATION OF MEDICARE PART D ASSOCIATED WITH POSITIVE HEALTH AND ECONOMIC BENEFITS FOR OLDER ADULTS
Implementing Medicare Part D has helped seniors with limited drug coverage pay for essential medications. A new study finds Part D is associated with helping these older patients decrease spending for hospital stays and extended nursing care, which sometimes follows a trip to the hospital. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 19, 2011
OVERALL CALORIE COUNTS ACCURATE ON RESTAURANT MENUS BUT VARY WIDELY FOR SOME INDIVIDUAL FOODS
Even though two thirds of Americans continue to struggle with being overweight and obese they also continue to eat out at restaurants. Recent studies show almost a third of our daily calories are typically not prepared at home. A new study finds while overall calorie counts on restaurant menus nationwide are accurate, some individual foods had large variations in the calories they contained. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 12, 2011
UPDATING FAMILY CANCER HISTORY IMPORTANT FOR PREVENTION AND SCREENINGS
A family medical history is an important tool physicians use in determining a person's risk of developing cancer, especially if that person has one or more close family members who have the disease. A new study finds that a person's history of cancer may change significantly between ages 30 and 50 and should be updated during that time so appropriate cancer screenings can be recommended. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, July 5, 2011
WOMEN WHO FOLLOW A LOW-RISK, HEALTHY LIFESTYLE LOWER THEIR RISK OF SUDDEN CARDIAC DEATH
Sudden cardiac death occurs when the heart suddenly stops beating and can happen without warning. It can also happen to many people, including women who are apparently healthy and don't realize they may be at risk for cardiac problems. A new study finds women who followed a low-risk, healthy lifestyle including a diet full of fresh fruits and vegetables have a reduced risk of sudden cardiac death. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, June 21, 2011
SMOKING MAY INCREASE THE RISK OF DEATH AND RECURRENCE FROM PROSTATE CANCER
A recent review by the U-S Surgeon General found probable evidence that smoking contributes to a higher rate of dying from prostate cancer. Now, a new study reveals men who smoke when diagnosed with the disease may increase their risk of dying and recurrence but men who quit smoking for at least 10 years prior to their diagnosis face risks similar to men who have never smoked. Catherine Dolf has more in this week's JAMA Report.
 
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ATTENTION: EARLY FEED: Sunday, June 12, 2011 2:00 - 2:15 PM (ET)
SURVIVAL RATE NO BETTER FOR OLDER OBESE MEN FOLLOWING BARIATRIC SURGERY
Bariatric surgery has been shown to help severely obese patients lose weight, improve weight-related diseases and their quality of life but does it help them live longer? A new study finds severely obese older men undergoing the procedure do not live any longer than men who did not have the surgery. Catherine Dolf explains in this week's JAMA Report.
 
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ATTENTION: EARLY FEED: SATURDAY, June 4, 2011 2:00 - 2:15 PM (ET)
YEARLY OVARIAN CANCER SCREENING ASSOCIATED WITH NO REDUCTION IN DEATH AND INCREASED FALSE POSITIVE TESTS
Ovarian cancer is one of the leading causes of cancer deaths among women. Early screenings including blood tests and ultrasound are used to help detect the disease. A new major study finds these screenings given to women with no history or symptoms do not help detect the cancer any earlier or decrease the risk of dying. In addition, the tests may produce a higher number of false positive results causing unnecessary surgeries leading to other complications. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 31, 2011
NIGHTTIME VERSUS DAYTIME HEART OR LUNG TRANSPLANTS ASSOCIATED WITH NO DIFFERENCE IN SURVIVAL
A major concern for patients having surgery or seeking medical care is that they will face increased risks if they are treated at night versus during the day. Nighttime medical care has been associated with worse outcomes in several areas. Results from a new study indicate that patients undergoing nighttime heart and lung transplants face no greater risks than patients operated on during the day. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 24, 2011
ATRIAL FIBRILLATION ASSOCIATED WITH ELEVATED RISK OF DEATH IN OTHERWISE HEALTHY MIDDLE-AGE WOMEN
Atrial fibrillation is a sustained irregular heartbeat occurring when there is a disturbance in the heart's electrical system. Prior studies have shown an increased risk of death in older patients with this disorder. A new study finds there is also an increased risk of death in otherwise healthy middle-age women with low cardiovascular events who develop atrial fibrillation. Catherine Dolf has more in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 17, 2011
EMERGENCY DEPARTMENT CLOSURES ASSOCIATED WITH ECONOMIC FACTORS INCLUDING COMPETITION AND FOR-PROFIT STATUS
The number of urban U-S hospital emergency departments shutting their doors continues to increase. While federal law requires hospitals to provide emergency treatment to anyone regardless of their ability to pay, hospitals are not required to operate an emergency department. A new study finds emergency departments at for-profit hospitals that are located in competitive markets, that have lower profit margins and serve a higher proportion of underinsured and poverty level patients have a higher risk of closure. Catherine Dolf explains in this week's JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 10, 2011
GAP STILL EXISTS IN DRUG THERAPY PRESCRIBED TO HEART PATIENTS BEFORE AND AFTER ANGIOPLASTY OR STENTING
Procedures involving coronary artery angioplasty or stenting known as P-C-I’s, are becoming increasingly more common for treating blockages in the heart. Recent studies have shown patients with stable heart disease who are taking optimal drug therapy didn’t receive any additional benefit from this procedure in terms of living longer or preventing heart attack. A new study finds there is still a gap in the number of heart patients receiving medical therapy both before and after their P-C-I procedures. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, May 3, 2011
HEART BYPASS SURGERY LESS COMMON TODAY THAN A DECADE AGO
Restoring blood flow to blocked arteries in the heart may require either undergoing major surgery or less invasive procedures involving the use of a balloon or metal tubing called stents to help re-open the arteries. A new study reveals that coronary bypass surgery has declined in recent years even though more U-S hospitals are performing the procedure and it is being increasingly replaced by these other less invasive therapeutic options. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, April 26, 2011
VITAMIN E AND THE DRUG METFORMIN NO BETTER THAN PLACEBO IN TREATING NONALCOHOLIC FATTY LIVER DISEASE IN OBESE CHILDREN
America’s overweight and obese children face another health concern known as nonalcoholic fatty liver disease. It is the most common chronic liver condition in these youngsters and involves a buildup of fat in the liver which if undetected and untreated can increase the risk for developing heart disease as well as cirrhosis later in life. A new study examined whether taking Vitamin E or the diabetes medication Metformin, would help improve disease outcomes. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, April 19, 2011
MEDICARE PATIENTS HAVE SHORTER HOSPITAL STAY AFTER HIP REPLACEMENT BUT REQUIRE MORE SKILLED CARE BEFORE GOING HOME
Hip replacement is becoming one of the most common procedures within the Medicare population. It’s estimated that 280 thousand procedures are performed yearly in the United States. A new study finds the death rate associated with the operation is low, hospital stays have shortened and readmission rates following hip replacement have increased as more patients are discharged to a skilled care center instead of going home. Catherine Dolf has more in this week’s JAMA Report.
 
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SPECIAL EMBARGO TIME: 10 a.m. (ET) Tuesday, April 12, 2011
PEOPLE WITH NO CLINICAL SYMPTOMS OF GENITAL HERPES BUT WHO ARE STILL INFECTED HAVE ACTIVE VIRUS ON ALMOST 10 PERCENT OF DAYS
Genital herpes remains one of the most common sexually transmitted diseases. Many people think they can only infect their sexual partners if they are showing symptoms, such as genital lesions. A new study finds that among those who test positive but have no clinical symptoms, the infection is still active and can be shedding in the genital tract, therefore posing a potentially increased risk of transmitting the infection to sexual partners. Catherine Dolf explains more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, April 5, 2011
A WOMAN'S AGE ASSOCIATED WITH DIFFERING LONG-TERM HEALTH RISKS AND BENEFITS AFTER ESTROGEN-ONLY THERAPY
In 2004, the Women’s Health Initiative Estrogen-Only Trial was stopped one year early because of an increased risk of stroke and no overall health benefit for the postmenopausal women who had hysterectomies taking the medication. A new long-term study continued following many of the women after they stopped the estrogen and finds that their age was associated with certain ongoing health risks and benefits long after taking the last pill.    Catherine Dolf explains more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 22, 2011
RISK INCREASES FOR HEART ATTACK OR SUDDEN CARDIAC DEATH SHORTLY AFTER EPISODIC PHYSICAL ACTIVITY AND SEXUAL ACTIVITY
Heart attack and cardiac arrest are major causes of illness and death every year in the United States.  Decreasing the risk of these events is associated with being physically active on a regular basis. However, a new study finds certain people engaging in periodic physical activity and sexual activity may have an increased risk for serious cardiac events. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 15, 2011
U-S SEES MAJOR DECLINE IN "PACK-A-DAY" OR HEAVY SMOKING RATES OVER THE LAST 40 YEARS WITH CALIFORNIA LEADING THE WAY
In the mid-1960s almost half of those who smoked cigarettes in this country were up to a ‘pack-a-day’ or more. That number began to decline in 1965 after the U-S Surgeon General issued the first report linking cancer and smoking. A new study finds that over the last 40 years heavy smoking rates tumbled but one state led the pack when it came to people who successfully quit or who never even started to smoke. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 8, 2011
ADULT TRAUMA PATIENTS HAVE INCREASED RISK OF DYING AFTER LEAVING THE HOSPITAL, ESPECIALLY IF ADMITTED TO A SKILLED NURSING FACILITY
The quality of care received by injured patients on the scene and in hospital trauma centers plays an important role in their ability to leave the hospital alive. A new study of trauma patients finds that many more are surviving their hospital stay, however, survival rates at three years for these patients are lower than expected.  Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, March 1, 2011
GENE MUTATION ASSOCIATED WITH TYPE 2 DIABETES IN U-S AND EUROPEAN PATIENTS
Type 2 Diabetes affects more than 200 million people worldwide. The disease process involves an inability of blood sugar to enter the cells to supply energy. A new study finds that about 10 percent of these patients in the United States and Europe have a gene mutation associated with the disease. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, February 22, 2011
RADIOFREQUENCY EXPOSURE FROM CELL PHONES MAY AFFECT BRAIN ACTIVITY
Cell phone use continues to increase not only in the United States but worldwide. This has prompted concerns regarding potential harmful effects from exposure to the radiofrequency signals emitted from these phones while in use. A new study finds that 50 minutes of cell phone exposure is associated with increased brain activity. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, February 15, 2011
OLDER BLACK PATIENTS READMITTED TO THE HOSPITAL MORE FREQUENTLY THAN WHITE PATIENTS
Eliminating the racial gaps in U-S health care remains a national priority. One of those gaps involves hospital readmission rates. A new study finds black patients within the Medicare system are more likely than white patients to be readmitted within 30 days of a hospital visit for three common conditions, with differences related to race and where the care was received. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, February 8, 2011
SURVIVAL AND RECURRENCE RATES NO WORSE FOR BREAST CANCER PATIENTS WHO UNDERGO LESS RADICAL LYMPH NODE SURGERY
Breast cancer surgery which involves removing a large number of lymph nodes is associated with a risk of complications. In the early 19-90s surgeons began performing a less invasive procedure, by removing a few lymph nodes closest to the tumor but only if those nodes were cancer free. A new study finds that breast cancer patients who had fewer lymph nodes removed did not have worse outcomes compared with patients having the more radical procedure.  Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 25, 2011
TREATMENT AT STROKE CENTER HOSPITALS ASSOCIATED WITH IMPROVED PATIENT SURVIVAL
Stroke is the leading cause of long term disability and the third cause of death for Americans. Today, nearly 700 of the 5000 acute care hospitals nationwide are designated stroke centers, equipped with specialized medical teams that help to evaluate and treat patients rapidly and efficiently. A new study shows receiving treatment at stroke centers is associated with a lower risk of death and more frequent use of medication that may help minimize damage to the brain. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 18, 2011
ANTI-DEPRESSANT MEDICATION ASSOCIATED WITH REDUCING FREQUENCY AND SEVERITY OF MENOPAUSAL HOT FLASHES
Menopausal hot flashes are often treated with hormonal therapy but recent studies show these reproductive hormones are related to certain health risks. Right now there is no other F-D-A approved treatment for hot flashes, which affect millions of otherwise healthy menopausal women. A new study shows an anti-depressant medication may help reduce the frequency and severity of hot flashes. Catherine Dolf explains in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 11, 2011
SHINGLES VACCINE ASSOCIATED WITH LOWERING RISK OF DEVELOPING THE DISEASE IN ADULTS 60 YEARS AND OLDER
It’s estimated about one million cases of shingles occur yearly in the United States. Shingles is a painful and often debilitating condition affecting adults 60 years and older. A new study shows that receiving the shingles vaccine is associated with lowering the risk of getting the disease. Catherine Dolf has more in this week’s JAMA Report.
 
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EMBARGO: 4 p.m. (ET) Tuesday, January 4, 2011
WALKING SPEED ASSOCIATED WITH SURVIVAL IN OLDER ADULTS
Longevity may vary widely in older adults. An 80 year old may have 20 more years of life ahead and another just a few years. This becomes important when physicians assess ongoing treatment plans and care goals for their older patients. A new study shows that walking speed among older persons is associated with their life expectancy. Catherine Dolf has more in this week’s JAMA Report.
 
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