July 2015 Briefing - OBGYN & Women's Health

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Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for July 2015. 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.

CDC: Too Few U.S. Adolescents Getting HPV Vaccination

FRIDAY, July 31, 2015 (HealthDay News) -- Four out of 10 girls and six out of 10 boys, aged 13 to 17, have not started the recommended human papillomavirus (HPV) vaccine series, according to survey results published in the July 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AMA Wants Doctor Input on EHRs, Meaningful Use

FRIDAY, July 31, 2015 (HealthDay News) -- The American Medical Association (AMA) is encouraging clinicians to share their perspectives on electronic heath records (EHRs) and the meaningful use program.

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U.K. Study: Alcohol Use Tied to Less Disability in Chronic Pain

FRIDAY, July 31, 2015 (HealthDay News) -- Moderate to heavy drinking might cut the likelihood of disability for people with chronic widespread pain such as that related to fibromyalgia, according to new research published online July 20 in Arthritis Care & Research.

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Most Obstetricians Screen for Group B Strep at 35 to 37 Weeks

FRIDAY, July 31, 2015 (HealthDay News) -- Almost all obstetricians collect group B streptococcus screening samples, but practice patterns vary, according to research published in the August issue of the American Journal of Obstetrics & Gynecology.

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Test Set Performance Indicators Correlate Well With Clinical Audit

FRIDAY, July 31, 2015 (HealthDay News) -- Some performance indicators for mammography test sets are associated with aspects of clinical audit parameters, according to a study published in the August issue of the Journal of Medical Imaging and Radiation Oncology.

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U.S. Health Spending Projected to Rise 5.8 Percent By 2024

FRIDAY, July 31, 2015 (HealthDay News) -- From 2014 to 2024, U.S. health spending growth is projected to increase by about 6 percent, according to a report published online July 28 in Health Affairs.

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U.S. Medical Groups Fighting Prescription Opioid Abuse

THURSDAY, July 30, 2015 (HealthDay News) -- Led by the American Medical Association (AMA), a group of 27 major U.S. medical organizations are banding together to tackle the continuing epidemic of opioid abuse.

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Cranberry Juice Capsules Cut UTI Risk After Gynecological Surgery

THURSDAY, July 30, 2015 (HealthDay News) -- Cranberry juice capsules reduce the rate of urinary tract infection (UTI) in women undergoing elective benign gynecological surgery involving urinary catheterization, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

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Higher Risk for Depression With Psoriasis

THURSDAY, July 30, 2015 (HealthDay News) -- There is an increased risk of depression among women with psoriasis, according to a study published online July 17 in the British Journal of Dermatology.

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Similar Adverse Effects Seen for St. John's Wort, Fluoxetine

WEDNESDAY, July 29, 2015 (HealthDay News) -- Adverse reactions to St. John's wort are similar to those reported for fluoxetine, according to research published in the July issue of Clinical and Experimental Pharmacology and Physiology.

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No Significant Pregnancy Risks for Topical Retinoid Exposure

WEDNESDAY, July 29, 2015 (HealthDay News) -- Topical retinoid exposure is not significantly associated with an increased risk of major congenital malformations, spontaneous abortion, low birth weight, or prematurity, according to a review published online July 26 in the British Journal of Dermatology.

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Probiotic Supplements May Help Prevent Infantile Eczema

WEDNESDAY, July 29, 2015 (HealthDay News) -- Probiotic supplementation in pregnancy and early infancy can prevent infantile eczema, according to a review and meta-analysis published online July 21 in Allergy.

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Patients Report Improved Care Access, Better Health With ACA

TUESDAY, July 28, 2015 (HealthDay News) -- Millions more Americans have affordable health insurance, access to a personal doctor, and feel they are in better health following the first two open-enrollment periods of the Affordable Care Act (ACA), a new analysis shows. The results are published in the July 28 issue of the Journal of the American Medical Association.

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USPSTF: Screen All Adults for Depression in Primary Care

TUESDAY, July 28, 2015 (HealthDay News) -- In an updated draft recommendation released Monday, the U.S. Preventive Services Task Force urges that primary care physicians regularly screen for depression in all adult patients (B recommendation).

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Visit-to-Visit BP Variability May Impact Cardiovascular Outcomes

TUESDAY, July 28, 2015 (HealthDay News) -- Wide blood pressure fluctuations may signal an increased risk of coronary heart disease and early death, according to research published online July 28 in the Annals of Internal Medicine.

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Components of Mediterranean Lifestyle Cut Postprandial Lipemia

TUESDAY, July 28, 2015 (HealthDay News) -- Components of the Mediterranean lifestyle may reduce postprandial lipemia (PPL), an independent risk factor for cardiovascular disease, according to a review published online July 7 in the American Journal of Physiology: Endocrinology and Metabolism.

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Cancer Patients Lack Awareness of Fertility Preservation Options

MONDAY, July 27, 2015 (HealthDay News) -- Many young cancer patients -- especially females -- have limited awareness about options to preserve their fertility, according to a study published online July 27 in Cancer.

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Delays Noted in the Reporting of Serious Patient Harms to FDA

MONDAY, July 27, 2015 (HealthDay News) -- About 10 percent of cases where a drug does serious harm are not reported to the U.S. Food and Drug Administration within the required 15-day period, according to a new analysis published online July 27 as a research letter in JAMA Internal Medicine.

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Improved Care Transitions Needed Post Ambulatory Surgery

MONDAY, July 27, 2015 (HealthDay News) -- Patients age 70 or older are at greater risk of unanticipated hospital admission within 30 days of ambulatory surgery, even after adjusting for comorbidities, according to a study published online July 22 in the Journal of the American Geriatrics Society.

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Generic Meds Boost Survival in Some Early Breast Cancers

FRIDAY, July 24, 2015 (HealthDay News) -- There's more evidence that two classes of generic drugs (aromatase inhibitors and bisphosphonates) reduce the risk of death in postmenopausal women with early breast cancer, according to two studies published online July 23 in The Lancet.

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Expansion of High-Deductible Plans to Impact Physician Care

FRIDAY, July 24, 2015 (HealthDay News) -- As a result of the increasing popularity of high-deductible health care plans, patients now have more financial responsibility for medical services, which is impacting physician practices, according to an article published in Medical Economics.

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Human Breast Milk Effective for Atopic Dermatitis in Infants

FRIDAY, July 24, 2015 (HealthDay News) -- Topical application of human breast milk (HBM) is effective for infants with mild to moderate atopic dermatitis, according to a study published in the August issue of the International Journal of Dermatology.

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CDC: Stillbirths Now Outnumber Infant Deaths in U.S.

THURSDAY, July 23, 2015 (HealthDay News) -- Stillbirths have eclipsed infant deaths for the first time in the United States, according to new research published in the U.S. Centers for Disease Control and Prevention's July 23 National Vital Statistics Report.

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Ginger May Be Effective for Relieving Primary Dysmenorrhea

THURSDAY, July 23, 2015 (HealthDay News) -- Ginger is effective for reducing pain in individuals with primary dysmenorrhea, according to a review published online July 14 in Pain Medicine.

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Nodal Radiation Doesn't Impact Early Breast Cancer Survival

THURSDAY, July 23, 2015 (HealthDay News) -- Some women who have surgery for early-stage breast cancer may benefit from additional radiation to nearby lymph nodes, although there is no clear advantage in overall survival, two new clinical trials suggest. The studies were published in the July 23 issue of the New England Journal of Medicine.

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CDC: U.S. Teens Waiting Longer to Have Sex

WEDNESDAY, July 22, 2015 (HealthDay News) -- Fewer than half of U.S. teenagers aged 15 to 19 are having sex, a rate dramatically lower than it was a quarter-century ago, according to a July data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Antibiotic May Reduce Anticoagulant Effect of Warfarin

WEDNESDAY, July 22, 2015 (HealthDay News) -- The antibiotic dicloxacillin may lessen the effects of vitamin K antagonists, according to research published in the July 21 issue of the Journal of the American Medical Association.

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Increasing Cervical Length Linked to Prolonged Pregnancy

WEDNESDAY, July 22, 2015 (HealthDay News) -- For nulliparous women, increasing second-trimester cervical length is associated with an increased likelihood of prolonged pregnancy, according to a study published online July 15 in Obstetrics & Gynecology.

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2009 Pap Guidelines Linked to Drop in Chlamydia Testing

TUESDAY, July 21, 2015 (HealthDay News) -- A major change in Papanicolaou (Pap) test guidelines introduced in 2009 may have had an unintended consequence: Some young women are missing out on screening for chlamydia, according to a report published in the July/August issue of the Annals of Family Medicine.

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CDC: Aspirin Use Common Among Americans With Heart Disease

TUESDAY, July 21, 2015 (HealthDay News) -- About seven in 10 Americans with a history of cardiovascular disease (CVD) or stroke regularly take aspirin, according to a report published in the July 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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ASCO Guidelines: Biomarker Use in Metastatic Breast CA Treatment

TUESDAY, July 21, 2015 (HealthDay News) -- Biomarkers can be used to guide decisions on systemic therapy for women with metastatic breast cancer, according to the American Society of Clinical Oncology Clinical Practice Guideline published online July 20 in the Journal of Clinical Oncology.

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CMS Finalizes Decision to Cover HPV Testing for Cervical Cancer

TUESDAY, July 21, 2015 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) has finalized the decision to cover human papillomavirus (HPV) testing once every five years in conjunction with a Pap smear test for asymptomatic Medicare beneficiaries aged 30 to 65 years, according to a report published by the American Academy of Family Physicians (AAFP).

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Article Answers Reader Questions About Coding

MONDAY, July 20, 2015 (HealthDay News) -- Reader questions about coding a new evaluation and management (E/M) with modifier 25 and codes for three-dimensional (3D) mammograms are answered in an article published in Medical Economics.

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Cervical Cerclage Rates Remain Steady

MONDAY, July 20, 2015 (HealthDay News) -- Cervical cerclage is a commonly performed obstetric procedure and its rate of use has remained steady in recent years, according to a study published online July 7 in Obstetrics & Gynecology.

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Extensive Nonadherence to Vaccine Guidelines in Diabetes

MONDAY, July 20, 2015 (HealthDay News) -- Among patients with diabetes, considered to be at increased risk of infection and infectious complications, there is considerable nonadherence to national guidelines for hepatitis B, influenza, and 23-valent pneumococcal polysaccharide vaccines, according to a study published in the July issue of Clinical Diabetes.

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Most Obese Patients Never Reach a Healthy Weight

FRIDAY, July 17, 2015 (HealthDay News) -- Weight loss is considered a major health goal for people who are obese, but the reality is that few reach a normal weight or keep any lost pounds off, according to a study published online July 16 in the American Journal of Public Health.

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Clinicians May Harbor Biases About Sexual Orientation

FRIDAY, July 17, 2015 (HealthDay News) -- Clinicians may be biased when it comes to the sexual orientation of patients, new research suggests. The study was published online July 16 in the American Journal of Public Health.

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Universal Health Literacy Precautions Recommended

FRIDAY, July 17, 2015 (HealthDay News) -- Universal health literacy precautions should be used to provide understandable information for all patients, according to an article published in the July 15 issue of American Family Physician.

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Increasing Aerobic Exercise Rx Benefits Older Women

FRIDAY, July 17, 2015 (HealthDay News) -- Doubling the recommended weekly exercise amount may help postmenopausal women lose significantly more body fat, according to research findings reported online July 16 in JAMA Oncology.

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CDC: ACA May Have Boosted Uptake of Preventive Care

FRIDAY, July 17, 2015 (HealthDay News) -- Americans are up to three times more likely to receive preventive care if they have health insurance, federal officials reported Thursday. And people paying for private insurance received the same preventive care as people on Medicaid or Medicare, according to the findings published in the July 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AMA Suggests Ways to Encourage Use of Patient Portals

THURSDAY, July 16, 2015 (HealthDay News) -- Measures can be taken to encourage patients to use patient portals to help ensure practices meet current Stage 2 meaningful use requirements, according to an article published by the American Medical Association (AMA).

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Choosing Wisely: How to Implement in Clinical Practice

THURSDAY, July 16, 2015 (HealthDay News) -- Strategies should be adopted to help with implementation of the Choosing Wisely program, which was designed to address the problem of medical overuse, according to an article published in the July/August issue of Family Practice Management.

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Genes May Be Key to a Better HIV Vaccine

THURSDAY, July 16, 2015 (HealthDay News) -- An individual's genetic makeup may determine whether an HIV vaccine will work, a new study suggests. The findings were published in the July 15 issue of Science Translational Medicine.

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Early Healthy Eating Intervention in Pregnancy Helps Obese Women

THURSDAY, July 16, 2015 (HealthDay News) -- A healthy eating (HE) intervention is associated with lower gestational weight gain (GWG) and fasting glucose than a physical activity (PA) intervention, according to a study published online June 25 in Diabetes Care.

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Breast CA Survivors Gain More Weight Than Cancer-Free Peers

WEDNESDAY, July 15, 2015 (HealthDay News) -- Among women with a family history of breast cancer, breast cancer survivors tend to gain more weight than women who are free of the disease, new research suggests. The study was published online July 15 in Cancer Epidemiology, Biomarkers & Prevention.

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Leisure Time Sitting Linked to Increased Risk of Specific Cancers

WEDNESDAY, July 15, 2015 (HealthDay News) -- High levels of time spent sitting may increase a woman's odds for cancer, particularly multiple myeloma, breast, and ovarian cancers, according to a study published online June 30 in Cancer Epidemiology, Biomarkers & Prevention.

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Few U.S. States Mandate Human Papillomavirus Vaccine

WEDNESDAY, July 15, 2015 (HealthDay News) -- Almost a decade after the human papillomavirus (HPV) vaccine was first recommended for girls, only two U.S. states and Washington, D.C., require the immunization, according to a research letter published in the July 14 issue of the Journal of the American Medical Association.

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Questionable Benefit for Episiotomy in Vacuum Delivery

WEDNESDAY, July 15, 2015 (HealthDay News) -- Episiotomy is associated with obstetric anal sphincter injuries (OASIS) during vacuum delivery, with risk varying based on parity and type of episiotomy, according to a meta-analysis published in the July issue of BJOG: An International Journal of Obstetrics and Gynaecology.

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Prenatal Genetic Tests Can Identify Maternal Cancers

TUESDAY, July 14, 2015 (HealthDay News) -- Abnormal results on noninvasive prenatal genetic tests may indicate maternal cancers rather than a medical issue with the fetus, according to research published online July 13 in the Journal of the American Medical Association.

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Facility Costs of Hospital Birth Vary by Nearly $10K Across U.S.

TUESDAY, July 14, 2015 (HealthDay News) -- The estimated facility cost for low-risk childbirths varies among hospitals by nearly $10,000 across the United States, according to research published in the July issue of Health Affairs.

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Progress in Reporting Conflict of Interest Among IRB Members

TUESDAY, July 14, 2015 (HealthDay News) -- Among institutional review board (IRB) members, there has been positive progress in the reporting and management of conflicts of interest, according to a study published online July 13 in JAMA Internal Medicine.

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Arts Observation Curriculum May Be Beneficial for Medical Students

TUESDAY, July 14, 2015 (HealthDay News) -- Use of an arts observation curriculum can help students learn to observe objectively and articulate their observations, which are important traits for clinical practice, according to an article published online July 3 in Academic Medicine.

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Metformin in Pregnancy Shows No Effect on Infant Birth Weight

MONDAY, July 13, 2015 (HealthDay News) -- Use of metformin during pregnancy doesn't impact the birth weight of infants born to obese mothers, according to a study published online July 9 in The Lancet Diabetes & Endocrinology.

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Secondhand Smoke Exposure Tied to Increased Stroke Risk

MONDAY, July 13, 2015 (HealthDay News) -- Stroke risk is increased with secondhand smoke (SHS) exposure, according to a study published online June 23 in the American Journal of Preventive Medicine.

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Multiple Contraceptive Attributes Influence Decision Making

MONDAY, July 13, 2015 (HealthDay News) -- Multiple attributes influence contraceptive decision making, according to a study published in the July issue of the American Journal of Obstetrics & Gynecology.

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Strategies Needed to Combat Weight Gain in Smoking Cessation

MONDAY, July 13, 2015 (HealthDay News) -- Quitting smoking is associated with weight gain, according to a meta-analysis published online June 26 in Obesity Reviews, and clinicians are encouraged to help patients who are undergoing cessation achieve/maintain a healthy weight.

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Work Restriction Notes Should Be Carefully Written

FRIDAY, July 10, 2015 (HealthDay News) -- Writing an effective work restriction note is important for protecting pregnant women's jobs, according to a commentary published in the August issue of Obstetrics & Gynecology.

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Many Overweight Teens Don't See Their Weight As a Problem

FRIDAY, July 10, 2015 (HealthDay News) -- Many overweight and obese teens don't believe they have a weight problem, according to a study published online July 9 in the International Journal of Obesity.

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Caution: Handle TCA With Care to Avoid Chemical Burns

FRIDAY, July 10, 2015 (HealthDay News) -- Gynecologists should be aware that accidental exposure to trichloroacetic acid, which is used in routine procedures, may lead to serious chemical burns, according to a case report published in the August issue of Obstetrics & Gynecology.

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CDC: Too Few Americans Eating Enough Fruits, Vegetables

FRIDAY, July 10, 2015 (HealthDay News) -- Most Americans are not consuming the recommended amount of fruits and vegetables, according to a new report published in the July 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA Strengthens Heart Attack, Stroke Warning for NSAIDs

FRIDAY, July 10, 2015 (HealthDay News) -- The U.S Food and Drug Administration on Thursday strengthened the warning labels for non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs), regarding increased risk of heart attack or stroke.

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Women's Birth Control Rx Costs Down Due to ACA

THURSDAY, July 9, 2015 (HealthDay News) -- Out-of-pocket costs for prescription birth control have dropped significantly since the Affordable Care Act took effect in the United States, according to a study published in the July issue of Health Affairs.

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Breastfeeding May Help Reduce Midlife Atherosclerosis

THURSDAY, July 9, 2015 (HealthDay News) -- Young women who breastfeed may have a reduced risk of early subclinical atherosclerosis during midlife, compared with those who bottle feed their babies, according to research published in the August issue of Obstetrics & Gynecology.

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Another Study Shows Link Between SSRIs and Birth Defects

THURSDAY, July 9, 2015 (HealthDay News) -- New research provides more evidence of a possible link between selective serotonin reuptake inhibitor (SSRI) antidepressant use early in pregnancy and a small increased risk of birth defects. The study appears online July 8 in The BMJ.

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Herpes Simplex Virus Can Mimic Premature Rupture of Membranes

THURSDAY, July 9, 2015 (HealthDay News) -- Unique presentation of herpes simplex virus infection in pregnancy can be misdiagnosed as premature rupture of membranes (PROM), according to a case report published in the August issue of Obstetrics & Gynecology.

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CDC: Most Americans in Favor of Raising Legal Smoking Age to 21

THURSDAY, July 9, 2015 (HealthDay News) -- Three-quarters of American adults favor raising the legal smoking age to 21, according to a report published online July 6 in the American Journal of Preventive Medicine.

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IGF2 Variant Affects Prenatal and Postnatal Growth

THURSDAY, July 9, 2015 (HealthDay News) -- An IGF2 variant (c.191C→A, p.Ser64Ter) affects postnatal as well as prenatal growth among those who have inherited the variant through paternal transmission, according to a report published online July 8 in the New England Journal of Medicine.

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Pockets of U.S. Have Excessive Colorectal Cancer Mortality

WEDNESDAY, July 8, 2015 (HealthDay News) -- People living in 94 counties spread across the lower Mississippi Delta region, in 107 counties in west-central Appalachia, and in 37 counties in eastern Virginia/North Carolina have seen little change in lives lost to colorectal cancer, according to a study published online July 8 in Cancer Epidemiology, Biomarkers & Prevention.

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CDC: Heroin Use Up Among Women, Wealthier People

WEDNESDAY, July 8, 2015 (HealthDay News) -- The face of heroin addiction in the United States is changing, as groups with historically lower rates of heroin use, including women and people with private insurance and higher incomes, are becoming users, federal officials reported Tuesday. The findings were published in the July 7 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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ASCO Endorses ASTRO Guidelines for Endometrial Cancer

WEDNESDAY, July 8, 2015 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) has endorsed postoperative radiation therapy guidelines for endometrial cancer, according to a report published online July 6 in the Journal of Clinical Oncology.

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Misunderstanding of Term 'Hypertension' May Impact Care

WEDNESDAY, July 8, 2015 (HealthDay News) -- Misunderstanding of the term hypertension may impact antihypertensive medication use and adherence, according to a perspective piece published online July 7 in Circulation: Cardiovascular Quality and Outcomes.

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ACIP Recommends MenB Vaccine for 16- to 23-Year-Olds

WEDNESDAY, July 8, 2015 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has voted to issue a category B recommendation for use of two serogroup B meningococcal (MenB) vaccines in patients aged 16 to 23 years for short-term disease prevention, according to a report published by the American Academy of Family Physicians.

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Correction of Vitamin B-12 Deficiency No Benefit in Seniors

WEDNESDAY, July 8, 2015 (HealthDay News) -- For older adults, vitamin B-12 supplementation is not associated with improvements in neurologic or cognitive function, according to a study published online July 1 in the American Journal of Clinical Nutrition.

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Life Expectancy Substantially Drops With Disease Combo

TUESDAY, July 7, 2015 (HealthDay News) -- While having one major health problem -- such as diabetes, myocardial infarction, or stroke -- can increase the risk for an early death, new research warns that the risk of dying prematurely goes up significantly for individuals with more than one of these conditions. The findings were reported in the July 7 issue of the Journal of the American Medical Association.

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Higher Pregnancy/Childbirth Risks for Women With Epilepsy

TUESDAY, July 7, 2015 (HealthDay News) -- Pregnant women with epilepsy appear to have a heightened risk of adverse outcomes, including a higher mortality risk, according to research published online July 6 in JAMA Neurology.

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No 'Downside' With Residents Assisting During Surgery

TUESDAY, July 7, 2015 (HealthDay News) -- Patients undergoing brain or spine surgery are at no greater risk if residents assist during the operation, a new study indicates. The findings were published recently in the Journal of Neurosurgery.

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HIV-Infected Patients Frequently Have Chronic Pain

TUESDAY, July 7, 2015 (HealthDay News) -- Many HIV-infected patients have chronic pain, which frequently co-occurs with high levels of depression symptoms, according to a study published online June 27 in Pain Medicine.

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Court Upholds Medical Liability Damages Cap

TUESDAY, July 7, 2015 (HealthDay News) -- The non-economic damages cap under the Medical Injury Compensation Reform Act (MICRA) has been upheld again in a California court of appeal, according to a report published by the American Medical Association.

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Regular Mammograms May Lead to Widespread Overdiagnosis

MONDAY, July 6, 2015 (HealthDay News) -- Increased numbers of small cancers and precancerous lesions are found in geographical areas where more mammograms take place; however, the higher screening rates are not associated with reduced breast cancer mortality, according to a study published online July 6 in JAMA Internal Medicine.

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Despite Risk to Patients, Health Providers Often Work While Sick

MONDAY, July 6, 2015 (HealthDay News) -- Many health care professionals work when they are sick, putting their patients at risk for serious illness or even death, according to a study published online July 6 in JAMA Pediatrics.

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Mortality Rates Declining for Many Cancers

MONDAY, July 6, 2015 (HealthDay News) -- For many cancers, mortality rates are declining and are expected to meet Healthy People 2020 (HP2020) targets, according to a study published online July 2 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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New Evidence Can Help Informed Choice in Incontinence Surgery

MONDAY, July 6, 2015 (HealthDay News) -- An intervention review indicates that mid-urethral sling (MUS) operations are a highly effective treatment for stress urinary incontinence (SUI) in women; however, complication rates and long-term need for repeat surgery are factors for patients to consider when choosing a procedure, according to the authors. The review was published online July 1 in The Cochrane Library.

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Disorganized Documentation Ups Peri-Op Communication Failures

MONDAY, July 6, 2015 (HealthDay News) -- Communication failures in the perioperative setting often result from inaccurate or inaccessible documentation, as well as document overload, according to a study published in the July issue of the Journal of Clinical Nursing.

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Worse Survival With Chemo Dose Reduction in Ovarian Cancer

THURSDAY, July 2, 2015 (HealthDay News) -- Chemotherapy dose reduction is associated with worse survival in ovarian cancer, according to a study published online July 2 in JAMA Oncology.

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Asian-Language Smoking Quitline Successful Nationwide

THURSDAY, July 2, 2015 (HealthDay News) -- An Asian-Language Smokers Quitline (ASQ) reaches Chinese, Korean, and Vietnamese speakers nationwide, and most callers receive medication and counseling, according to a study published online June 25 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Weight Loss + Vitamin D3 Cuts IL-6 in Postmenopausal Women

THURSDAY, July 2, 2015 (HealthDay News) -- Weight loss of 5 percent or more, combined with vitamin D3 supplementation, is associated with significant reductions in interleukin-6 in postmenopausal women, according to a study published recently in Cancer Prevention Research.

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CVD Risk Factor Levels Too High, Even in Best-Performing States

THURSDAY, July 2, 2015 (HealthDay News) -- About half of cardiovascular deaths could be prevented in U.S. adults if five major modifiable cardiovascular risk factors were eliminated, according to a study published online June 30 in the Annals of Internal Medicine.

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Additional Years of Secondary Schooling Can Cut HIV Risk

THURSDAY, July 2, 2015 (HealthDay News) -- Additional years of secondary schooling provide a cost-effective HIV prevention measure in Botswana, according to a study published online June 28 in The Lancet Global Health.

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Sex Differences in CHD Event Risk Vary by Race

THURSDAY, July 2, 2015 (HealthDay News) -- Whites have larger sex differences in the risk of incident coronary heart disease (CHD) events than blacks, according to a study published online July 1 in the Journal of the American Heart Association.

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Obese Teen Girls Less Likely to Use Contraception

WEDNESDAY, July 1, 2015 (HealthDay News) -- Obesity is associated with less frequent and less consistent contraceptive use among sexually active 18- to 19-year-old girls, according to research published online July 1 in The Journal of Pediatrics.

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Types/Timing of Physical Activity May Up Incontinence Risk

WEDNESDAY, July 1, 2015 (HealthDay News) -- For middle-aged women, substantially increased overall lifetime physical activity is associated with slightly increased odds of moderate/severe stress urinary incontinence (SUI), and greater strenuous activity during the teen years may modestly increase SUI risk. The findings were published in the July issue of the American Journal of Obstetrics & Gynecology.

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Meta-Analysis: Gum Chewing Beneficial After Cesarean Delivery

WEDNESDAY, July 1, 2015 (HealthDay News) -- Gum chewing seems to be effective for reducing post-cesarean delivery gastrointestinal (GI) complications, according to a meta-analysis published in the July issue of the Journal of Clinical Nursing.

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Public Opinion Sought on New Licensure for Assistant Physicians

WEDNESDAY, July 1, 2015 (HealthDay News) -- New classification of licensure for assistant physicians has been created, and public opinion is being sought by the Missouri State Board of Registration for the Healing Arts prior to filing these rules with the Secretary of State's Office and the Joint Committee on Administrative Rules.

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