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May 2014 Briefing - Hematology & Oncology

Monday, June 2, 2014 (Last Updated: 06/03/2014)

Here are what the editors at HealthDay consider to be the most important developments in Hematology & Oncology for May 2014. 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.

Consumer-Focused Cancer Center Ads Hone in on Emotions

FRIDAY, May 30, 2014 (HealthDay News) -- Cancer centers' direct-to-consumer advertisements often utilize emotional appeal, with little information about risks, benefits, and costs, according to research published online May 27 in the Annals of Internal Medicine.

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Lung Cancer Screening May Spur Smoking Cessation

FRIDAY, May 30, 2014 (HealthDay News) -- Smokers with abnormalities detected in lung cancer screening are significantly more likely to quit smoking, according to research published online May 28 in the Journal of the National Cancer Institute.

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Lack of Data Plagues Physician Re-Entry Into Practice

FRIDAY, May 30, 2014 (HealthDay News) -- There are significant barriers for physicians wishing to re-enter practice following a temporary leave and there are not many available resources to aid in the transition, according to the American Medical Association (AMA).

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FDA Orders New Warning Labels for Tanning Beds

THURSDAY, May 29, 2014 (HealthDay News) -- The U.S. Food and Drug Administration announced on Thursday that tanning beds and tanning booths now must carry a visible warning explicitly stating that the devices should not be used on people under age 18. However, the order does not outright ban teen use of tanning beds.

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Informed Consent Plays Major Role in Prostatectomy Lawsuits

THURSDAY, May 29, 2014 (HealthDay News) -- Claims of not receiving proper informed consent and clinical performance are the main issues that arise in radical prostatectomy malpractice litigation, according to a study published in the June issue of The Journal of Urology.

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Global Prevalence of Obesity Increased From 1980 to 2013

THURSDAY, May 29, 2014 (HealthDay News) -- The global prevalence of obesity is increasing in adults, as well as in children and adolescents, according to a study published online May 29 in The Lancet.

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Incidence of Some Cancers Associated With Income

THURSDAY, May 29, 2014 (HealthDay News) -- The risk for certain types of cancer seems to be linked to poverty or wealth, according to research published online May 27 in Cancer.

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ASCO Recommends Adjuvant Endocrine Therapy Extension

WEDNESDAY, May 28, 2014 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) is updating its guidelines on adjuvant endocrine therapy to recommend tamoxifen for up to 10 years for women with nonmetastatic hormone receptor-positive breast cancer. This updated clinical practice guideline was published online May 26 in the Journal of Clinical Oncology.

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Docs Must Consider Legal Issues Relating to Text Messaging

WEDNESDAY, May 28, 2014 (HealthDay News) -- The legal issues surrounding text messaging by physicians need to be considered, according to an article published May 23 in Medical Economics.

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Many Consider Contralateral Prophylactic Mastectomy

WEDNESDAY, May 28, 2014 (HealthDay News) -- A considerable proportion of women with breast cancer consider contralateral prophylactic mastectomy (CPM), according to a study published online May 21 in JAMA Surgery.

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Higher-Than-Expected Medicaid Enrollment Concerns States

WEDNESDAY, May 28, 2014 (HealthDay News) -- Unexpectedly high numbers of Americans who were previously eligible for Medicaid but were not enrolled are now signing up, and states are facing unanticipated costs for that coverage.

Health Highlights: May 27, 2014

Most Wikipedia Health Articles Contain Errors

WEDNESDAY, May 28, 2014 (HealthDay News) -- Ninety percent of health articles on Wikipedia contain errors, according to a new study published in the May issue of the Journal of the American Osteopathic Association.

Health Highlights: May 27, 2014
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International Variation in Lung Cancer Trends Seen in Women

TUESDAY, May 27, 2014 (HealthDay News) -- For young women, the rate of lung cancer mortality is stable or declining in most populations across the world, while for older women the rate is increasing, according to a study published online May 16 in Cancer Epidemiology, Biomarkers & Prevention.

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Cognition Affected in Subgroups of Breast Cancer Patients

FRIDAY, May 23, 2014 (HealthDay News) -- Overall, cancer does not seem to affect pretreatment cognition in older women with breast cancer, compared to healthy controls; however, cognition may be affected in some subgroups of breast cancer patients, according to a study published online May 19 in the Journal of Clinical Oncology.

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Workflow Changes Can Remove Practice Hassles

FRIDAY, May 23, 2014 (HealthDay News) -- Physicians can implement workflow strategies that return their focus to patient care, according to an article published May 8 in Medical Economics.

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Targeted Biopsy May Prompt Reclassification of Prostate CA

FRIDAY, May 23, 2014 (HealthDay News) -- Targeted prostate biopsy using multi-parametric magnetic resonance imaging-ultrasound fusion (mpMRI-US) may lead to reclassification of prostate cancer that was initially diagnosed as low-risk, according to research published in The Journal of Urology.

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Review IDs Modifiers of Cancer Risk in BRCA1/2 Carriers

FRIDAY, May 23, 2014 (HealthDay News) -- Modifiers of cancer risk have been identified for BRCA1/2 mutation carriers, according to a review published online May 13 in the Journal of the National Cancer Institute.

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FDA OKs Test to Improve Blood Donor-Recipient Matching

FRIDAY, May 23, 2014 (HealthDay News) -- The first gene-based test to help determine red blood cell compatibility between a blood donor and a recipient has been approved by the U.S. Food and Drug Administration.

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New Programs Aim to Forgive Student Medical Loans

THURSDAY, May 22, 2014 (HealthDay News) -- Changes to the student loan environment will make it possible for a significant amount, if not all, of medical student loans to be forgiven, according to an article published May 8 in Medical Economics.

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Thyroid, Liver, Pancreatic Cancer Burden to Increase

THURSDAY, May 22, 2014 (HealthDay News) -- Through 2030, breast, prostate, and lung cancers will remain the top cancer diagnoses; however, after that point, pancreas and liver cancers are projected to surpass breast and prostate, according to a study published online May 19 in Cancer Research.

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Doctors' Use of Electronic Health Records More Than Doubles

WEDNESDAY, May 21, 2014 (HealthDay News) -- Almost 80 percent of doctors in the United States have switched from paper to electronic health records, new government statistics show.

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Can E-Cigarettes Help You Quit Smoking?

WEDNESDAY, May 21, 2014 (HealthDay News) -- A new study by British researchers suggests that e-cigarettes can help people stop smoking. The study is published May 21 in the journal Addiction.

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Benefit of Aggressive Prostate CA Tx Weakens As Comorbidity Rises

WEDNESDAY, May 21, 2014 (HealthDay News) -- For men with early-stage prostate cancer, the cancer-specific survival benefit associated with aggressive prostate cancer treatment is reduced with increasing comorbidity, according to a study published online May 13 in Cancer.

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Testing IDs Actionable Drivers in Up to Two-Thirds of Lung Cancers

TUESDAY, May 20, 2014 (HealthDay News) -- Nearly two-thirds of lung cancers have actionable genetic drivers detectable with multiplexed testing, according to a study published in the May 21 issue of the Journal of the American Medical Association.

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Some Conditions Tied to Higher Herpes Zoster Risk

MONDAY, May 19, 2014 (HealthDay News) -- A wide range of medical conditions are tied to an increased risk of herpes zoster, according to a study published online May 13 in BMJ.

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Circulating Tumor Cells Prognostic in Early Breast Cancer

MONDAY, May 19, 2014 (HealthDay News) -- Circulating tumor cells (CTCs) are prognostic of poor survival in early breast cancer, according to a study published online May 15 in the Journal of the National Cancer Institute.

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'Handshake-Free Zones' May Be Coming to Health Care Settings

FRIDAY, May 16, 2014 (HealthDay News) -- Regulations to restrict handshakes in the health care setting, along with more robust hand hygiene programs, may help limit the spread of disease, according to a viewpoint published online May 15 in the Journal of the American Medical Association.

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AMA Proposing Specialty Care, Payment Models to CMS

FRIDAY, May 16, 2014 (HealthDay News) -- The American Medical Association (AMA) and other specialty societies have created new care delivery and payment models that they expect to be supported by the Centers for Medicare & Medicaid Services, according to a recent AMA news release.

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Tailored Intervention Does Not Up CRC Screening Rates

FRIDAY, May 16, 2014 (HealthDay News) -- An interactive multimedia computer program (IMCP) tailored to expanded health belief model sociopsychological factors is no more effective for encouraging colorectal cancer screening than a control nontailored informational program, according to a study published in the May/June issue of the Annals of Family Medicine.

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Resveratrol Level Not Linked to Longevity in Older Adults

THURSDAY, May 15, 2014 (HealthDay News) -- Resveratrol levels in the diet do not appear to be associated with mortality or incidence of disease, such as cardiovascular disease or cancer, in older adults, according to research published online May 12 in JAMA Internal Medicine.

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Scientists ID Toxins to Target in Breast Cancer Prevention

THURSDAY, May 15, 2014 (HealthDay News) -- Scientists have identified priority chemicals women should reduce exposure to and have documented how to test for their presence in women's bodies, according to research published online May 12 in Environmental Health Perspectives.

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CDC: Prescription Drug Use Continues to Climb in U.S.

WEDNESDAY, May 14, 2014 (HealthDay News) -- Prescription drugs are playing an increasingly larger role in U.S. life, with nearly half of all Americans taking one or more medications, according to a report -- titled "Health, United States, 2013" -- produced by the U.S. Centers for Disease Control and Prevention.

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ALA: Women Have Misperceptions About Lung Cancer

WEDNESDAY, May 14, 2014 (HealthDay News) -- Women have misperceptions about the incidence and risks of lung cancer, according to a report from the American Lung Association's (ALA) inaugural Women's Lung Health Barometer.

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PET-CT Rarely Impacts Surgical Management of CRC Metastases

TUESDAY, May 13, 2014 (HealthDay News) -- The use of positron emission tomography combined with computed tomography (PET-CT) compared with CT rarely impacts surgical management for patients with potentially resectable hepatic metastases of colorectal adenocarcinoma, according to a study published in the May 14 issue of the Journal of the American Medical Association.

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Wasteful Medicare Spending Topped $1.9 Billion in One Year

TUESDAY, May 13, 2014 (HealthDay News) -- Medicare spent at least $1.9 billion in 2009 on 26 types of tests and procedures that offer patients few or no health benefits, according to a new study published online May 12 in JAMA Internal Medicine.

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Age-Specific Cervical CA Rates Up With Hysterectomy Correction

TUESDAY, May 13, 2014 (HealthDay News) -- Correction for hysterectomy results in increased age-specific cervical cancer incidence rates, with the peak incidence shifting to older women, according to research published online May 12 in Cancer.

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Direct Pay Reduces Practices' Administration Hassles, Costs

MONDAY, May 12, 2014 (HealthDay News) -- Direct-pay practice models can allow doctors to reduce, or possibly eliminate, the administrative hassles and costs of dealing with insurance, according to an article published April 24 in Medical Economics.

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Physicians Need to Focus on Managing Their Own Stress

MONDAY, May 12, 2014 (HealthDay News) -- Managing stress and finding a reasonable work-life balance is important for physicians, according to a viewpoint written by Jeremy A. Lazarus, M.D., the immediate-past president of the American Medical Association (AMA).

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Predictors of Recurrence, Survival ID'd in Merkel Cell Carcinoma

MONDAY, May 12, 2014 (HealthDay News) -- For patients with Merkel cell carcinoma (MCC), predictors of recurrence and survival have been identified which may help to inform diagnostic and therapeutic management, according to a study published online May 7 in JAMA Dermatology.

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Specialty Care Shortage Leads to Lower Perceived Need for It

FRIDAY, May 9, 2014 (HealthDay News) -- Children with special health care needs living in counties with lower subspecialty supply have lower perceived need for subspecialty care, according to a study published online May 5 in Pediatrics.

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Most Docs Believe Patients Get Too Many Medical Tests

THURSDAY, May 8, 2014 (HealthDay News) -- Most physicians believe that doctors order too many medical tests, yet half admit to doing so themselves in response to a patient who insists, a new survey shows. The survey was part of the ABIM Foundation's Choosing Wisely initiative, which urges doctors and patients to avoid overused and inappropriate tests.

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Physicians Have Multiple EHR Documentation Strategies

THURSDAY, May 8, 2014 (HealthDay News) -- There are multiple documentation strategies available for physicians to use to improve their interaction with patients and optimize their use of electronic health records (EHRs), according to an article published April 8 in Medical Economics.

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Insurers: Sizeable Majority Has Paid ACA Premiums

THURSDAY, May 8, 2014 (HealthDay News) -- A significant majority of Americans who signed up for health insurance under the Affordable Care Act have completed the final step of enrollment by paying their first month's premium, insurers told a Congressional committee on Wednesday.

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Electronic Nose Can Discriminate Prostate Cancer From BPH

THURSDAY, May 8, 2014 (HealthDay News) -- The ChemPro 100-electronic nose can discriminate prostate cancer from benign prostatic hyperplasia using urine headspace, according to a study published in The Journal of Urology.

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ASCO Issues Guidelines for Advanced HER2+ Breast Cancer

WEDNESDAY, May 7, 2014 (HealthDay News) -- The American Society for Clinical Oncology (ASCO) has issued recommendations for the treatment of human epidermal growth factor receptor 2 (HER2)-positive advanced breast cancer and advanced HER2-positive breast cancer with brain metastases. These recommendations were published online May 5 in the Journal of Clinical Oncology.

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Massachusetts Health Care Reform Cut Mortality

WEDNESDAY, May 7, 2014 (HealthDay News) -- Health care reform in Massachusetts led to significant decreases in all-cause mortality, according to a study published in the May 6 issue of the Annals of Internal Medicine.

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AMA Develops Payment Guides for New Care Models

WEDNESDAY, May 7, 2014 (HealthDay News) -- The American Medical Association (AMA) has developed new tools to aid physicians in understanding payment arrangements in evolving fee-for-value care models.

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Cutting Six Risk Factors Could Prevent 37 Million Deaths

WEDNESDAY, May 7, 2014 (HealthDay News) -- By meeting targets for reducing six risk factors, 37 million deaths from the four main non-communicable diseases (NCDs) can be prevented, according to a study published online May 3 in The Lancet.

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Number of U.S. Elderly Will Double by 2050

WEDNESDAY, May 7, 2014 (HealthDay News) -- There will be almost twice as many elderly Americans in 2050 as there are now, posing serious issues for the nation's health care system, according to two U.S. Census Bureau reports released Tuesday.

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Considerable Savings From WHI Estrogen + Progestin Trial

TUESDAY, May 6, 2014 (HealthDay News) -- The Women's Health Initiative estrogen plus progestin (WHI E+P) trial resulted in considerable economic savings, according to a study published in the May 6 issue of the Annals of Internal Medicine.

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Low Vitamin D Levels Tied to Increased Cancer Risk in IBD

TUESDAY, May 6, 2014 (HealthDay News) -- Low plasma levels of 25-hydroxyvitamin D (25[OH]D) are associated with an increased risk of cancer in patients with inflammatory bowel diseases (IBD), according to a study published in the May issue of Clinical Gastroenterology and Hepatology.

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Central-Line Blood Infections Remain Costly for Children

TUESDAY, May 6, 2014 (HealthDay News) -- In pediatric inpatient settings, the rates of central line-associated bloodstream infections (CLABSI) have improved, but infections remain costly and correlate with high length-of-stay (LOS), according to a study published online May 5 in Pediatrics.

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Low Testosterone May Signal Prostate Cancer Reclassification

TUESDAY, May 6, 2014 (HealthDay News) -- Men under active surveillance for prostate cancer who have reductions in testosterone levels may be at increased risk for disease reclassification, according to research published online May 4 in BJU International.

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Review: High 25(OH)D Levels Tied to Improved CA Outcomes

MONDAY, May 5, 2014 (HealthDay News) -- For cancer patients, increased levels of circulating 25-hydroxyvitamin D (25[OH]D) at or near the time of diagnosis are associated with improved outcomes, according to a review published online April 29 in the Journal of Clinical Endocrinology & Metabolism.

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Risk of Cancer From UV Nail Drying Lamp Exposure Small

FRIDAY, May 2, 2014 (HealthDay News) -- The risk of cancer from ultraviolet (UV) nail drying lamp exposure is small, according to a research letter published online April 30 in JAMA Dermatology.

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Multiparametric MRI Found to Accurately Detect Prostate Cancer

FRIDAY, May 2, 2014 (HealthDay News) -- Multiparametric magnetic resonance imaging is highly accurate for the detection of prostate cancer in patients with clinically low-risk cancer, particularly for cancers with larger volume and higher Gleason grade, according to a study published in the May issue of Radiology.

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Highest Rates of Preventable Deaths in Southeastern States

FRIDAY, May 2, 2014 (HealthDay News) -- People in the southeastern United States have a much greater risk of dying early from any of the nation's five leading causes of death, according to a study published in the May 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Patient Factors Affect Accuracy of AFP Detection of Liver Cancer

FRIDAY, May 2, 2014 (HealthDay News) -- Measurement of α-fetoprotein (AFP) detects hepatocellular carcinoma (HCC) most accurately in patients without hepatitis C virus (HCV) infection, according to a study published in the May issue of Clinical Gastroenterology and Hepatology.

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Repeat Data Breaches Among Health Care Orgs Down

FRIDAY, May 2, 2014 (HealthDay News) -- Most health care organizations report having at least one recent data breach, but the number of organizations with more than five breaches has decreased, according to an article published April 8 in Medical Economics.

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White House Report Confirms Eight Million ACA Enrollees

FRIDAY, May 2, 2014 (HealthDay News) -- Eight million Americans enrolled in private marketplace health insurance plans under the Affordable Care Act between Oct. 1, 2013, and March 31, 2014, federal health officials confirmed Thursday.

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Vitamin D Deficiency May Up Risk of Aggressive Prostate Cancer

FRIDAY, May 2, 2014 (HealthDay News) -- Vitamin D levels appear to be associated with first prostate biopsy outcomes, according to research published in the May 1 issue of Clinical Cancer Research.

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AMA Alliance Session Explores the Resilient Medical Family

THURSDAY, May 1, 2014 (HealthDay News) -- Practical, evidence-base strategies should be employed to maintain a resilient medical family, according to an educational session to be hosted during the American Medical Association (AMA) Alliance National Conference, scheduled for June 8 to 10 in Chicago.

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Review: New Tanning Beds Just As Dangerous As Former Models

THURSDAY, May 1, 2014 (HealthDay News) -- Use of tanning beds is associated with increased likelihood of a melanoma diagnosis, with similar odds seen for use of newer tanning beds, according to a review published in the May issue of the Journal of the American Academy of Dermatology.

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WHO: Drug-Resistant Bacteria Now Found Worldwide

THURSDAY, May 1, 2014 (HealthDay News) -- Antibiotic-resistant bacteria are now found worldwide, a situation that could have serious public health consequences, the World Health Organization warns in a new report.

Health Highlights: May 1, 2014
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