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Authors of a new study say children adopted from outside the United States should be tested for hepatitis A. The study found that nearly one-third of these children may be immune to the virus. Therefore, they would not need vaccinations. About 1% of the children had active infections that they could spread to others. But most did not have symptoms. Therefore, U.S. health officials recommend hepatitis A shots for all people who adopt from countries where infection with the virus is widespread. This should occur at least two weeks before they meet the child. The new study looked at blood tests for 288 children. All had been adopted from abroad. Overall, 29% had antibodies that showed they were immune to hepatitis A. Immunity varied by region. The highest rate was 72% among African children. About 39% of Latin American and Caribbean children were immune.

Older adults who regularly walk at least 6 miles a week may be less likely to develop dementia, a study suggests. The study included nearly 300 adults. Their average age was 78. Researchers asked them how many blocks they walked each week. Nine years later, they were given magnetic resonance imaging (MRI) scans to measure brain volume. People who walked at least 72 blocks a week (6 to 9 miles) had more gray matter in the brain. Then, 4 years after the MRI, people were given tests related to cognitive ability (thinking and memory). The tests showed about 40% had either dementia or a mild cognitive impairment, which can lead to dementia. But people with more gray matter were only half as likely as others to have these problems. There was no benefit for people who walked fewer than 6 miles a week, researchers said. The journal Neurology published the study online.

People with peripheral artery disease (PAD) have high medical costs, a new study finds. And better treatments are needed, the research suggests. PAD is a narrowing of arteries in the legs. It causes pain during walking. The study kept track of 1,600 people with PAD for 2 years. Nearly 1 out of 3 people had a hospital stay related to PAD. Hospital costs were about $7,000 for a person who had no previous procedures to open up a leg artery. But having these treatments did not keep people out of the hospital. In fact, hospital costs went up. They averaged $11,700 for people who had a previous procedure. The study appeared October 13 in the journal Circulation: Cardiovascular Quality and Outcomes.

Doctors use two ways to open up blockages in neck (carotid) arteries. They do surgery or insert a tube called a stent. A new review of research finds that the risk of stroke, heart attack or other problems is different after each of the two procedures. Researchers put together the results from 13 studies that compared the two approaches. They included nearly 7,500 people. Those who got stents had a 65% higher risk of death or stroke within 30 days than those who got surgery. But in that period, people who had surgery were more likely to have other problems. Their chance of having a heart attack was 55% higher than for those who got a stent. Their chance of nerve paralysis was 85% higher. Authors of the study said more research is needed to determine who is most likely to benefit from each procedure. The study appeared in the journal Archives of Neurology.

With a big ad campaign about “hands-only” CPR, Arizona greatly increased the number of bystanders who tried it, a new study found. And people were more likely to live than when rescuers used traditional CPR. Arizona used public service ads, YouTube videos, free classes and other means to spread the word about hands-only CPR. This form of CPR uses a series of rapid pushes on the chest to circulate blood. There is no pause for “rescue breaths,” as in traditional CPR. In 2005, when the campaign began, about 28% of bystanders tried to use CPR when someone nearby had a cardiac arrest. In 2009, after the campaign, 40% tried CPR. More people used the hands-only method as time went on. People who got hands-only CPR were more likely to survive — 13% compared with 8% for traditional CPR. The study appeared in the Journal of the American Medical Association.

Taking a heartburn drug does not make the blood thinner Plavix less effective, a new study suggests. Some people take a heartburn drug to reduce their risk of stomach or intestinal bleeding from the blood thinner. Early studies suggested that adding the heartburn drug increased people’s risk of heart attacks or strokes. But the new study followed a design that is considered more accurate. It included 3,873 people who took clopidogrel (Plavix). They were randomly assigned to also receive the heartburn drug omeprazole (Prilosec) or a placebo. Everyone took aspirin. In the next 6 months, 109 people died, had a heart attack or stroke, or needed a heart procedure. The rate of these events was slightly lower for people who took Prilosec than for those who got the placebo. About 1.1% of people who took Prilosec developed stomach or intestinal bleeding.

Family therapy may be best for the long-term recovery of teens with anorexia nervosa, a study suggests. The study included 121 people, mostly girls. Their ages ranged from 12 to 18. Each was randomly assigned to one of two groups. People in one group received individual therapy. The other group got family therapy. Treatment continued for a year. At the end, similar numbers from both groups were in “full remission.” They had a normal weight. They also had an average score on an assessment of eating disorder symptoms. But a year after treatment ended, differences were clear. About 49% of those who had family therapy were in full remission, compared with 23% of those who had individual therapy. The study appeared in the journal Archives of General Psychiatry. HealthDay News wrote about it October 4.

The painkiller codeine may need to be phased out. Even normal doses can be dangerous for some people. So say the editors of the Canadian Medical Association Journal. The editorial appears in the Canadian Medical Association Journal. Codeine is found some over-the-counter medicines, such as adult cough syrups. The body converts codeine into morphine, which relieves pain. But some people’s bodies process codeine much faster than others, the editors say. This is caused by differences in certain genes. Most people don’t know if they have these genes. For those who do, the result could be a swift, toxic dose. At least two deaths and one severe brain injury among children have been linked to this effect. The best course may be to stop using codeine, the editors say. Instead, morphine could be used because its effects are more predictable.