July 2017 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 2017. 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.

Opioid-Related Fatal Car Crashes Up 7-Fold in Last Two Decades

MONDAY, July 31, 2017 (HealthDay News) -- There has been a seven-fold increase in the number of drivers killed in car crashes while under the influence of prescription opioids, according to a report published online July 20 in the American Journal of Public Health.

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Review: Positive Link for Alcohol, Nonmelanoma Skin Cancer

MONDAY, July 31, 2017 (HealthDay News) -- Alcohol intake seems to be positively associated with basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC), according to a review and meta-analysis published online July 28 in the British Journal of Dermatology.

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Single BMD, Fracture History Predict Long-Term Fracture Risk

MONDAY, July 31, 2017 (HealthDay News) -- For older women, a single bone mineral density (BMD) measure and fracture history can predict long-term fracture risk, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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FDA Proposes Lowering Nicotine Levels in Cigarettes

MONDAY, July 31, 2017 (HealthDay News) -- The U.S. Food and Drug Administration plans to begin a public dialogue about reducing nicotine levels in combustible cigarettes to non-addictive levels through achievable product standards, agency officials said Friday.

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More Progress Needed for Hep C Elimination in Country of Georgia

MONDAY, July 31, 2017 (HealthDay News) -- More interventions are needed to meet the target of hepatitis C virus (HCV) elimination, defined as a 90 percent reduction in prevalence by 2020, in the country of Georgia, according to research published in the July 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Moderate Drinking May Be Protective Against Diabetes

FRIDAY, July 28, 2017 (HealthDay News) -- Pattern of alcohol consumption may play a role in risk of type 2 diabetes, according to a study published online July 27 in Diabetologia.

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ACOG: Opioid Agonist Rx First Choice in Affected Pregnancies

FRIDAY, July 28, 2017 (HealthDay News) -- While opioid agonist pharmacotherapy continues to be the recommended therapy for pregnant women with an opioid use disorder, medically supervised withdrawal can be considered under the care of a physician experienced in perinatal addiction treatment and with informed consent, according to a committee opinion published in the August issue of Obstetrics & Gynecology.

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Walnuts Up Insula Activation to Highly Desirable Food Cues

FRIDAY, July 28, 2017 (HealthDay News) -- Short-term walnut consumption is associated with reduced feelings of hunger and appetite and increased activation of the right insula, according to a study published online July 17 in Diabetes, Obesity and Metabolism.

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CRC Screen Up for Older Patients, Those Not in Labor Force

FRIDAY, July 28, 2017 (HealthDay News) -- Factors associated with colorectal cancer (CRC) screening rates at U.S. community health centers include age and insurance status, but not patient-provider communication, according to a study published online July 14 in Cancer.

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Light Therapy Shows Moderate Benefits for Cognitively Impaired

FRIDAY, July 28, 2017 (HealthDay News) -- For cognitively impaired individuals, light therapy has a moderate effect on behavioral disturbances (BDs) and depression, and a small effect on sleep quality, according to a meta-analysis published online July 22 in the Journal of the American Geriatrics Society.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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ACOG Issues Guidelines for Teen Contraception Counseling

THURSDAY, July 27, 2017 (HealthDay News) -- Recommendations for counseling adolescents about contraception are presented in a committee opinion published in the August issue of Obstetrics & Gynecology.

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CVD Risk Factors May Be Altered in Transgender Adults

THURSDAY, July 27, 2017 (HealthDay News) -- Cardiovascular disease (CVD) risk factors may be altered among transgender adults receiving cross-sex hormone therapy (CSHT), according to a review published online July 25 in the Annals of Internal Medicine.

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Mobile Health Intervention Ups Infant Safe Sleep Practices

THURSDAY, July 27, 2017 (HealthDay News) -- A mobile health intervention can improve adherence to infant safe sleep practices, according to a study published in the July 25 issue of the Journal of the American Medical Association.

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SAMHSA: Opioid Abuse Up Among Older Adults

WEDNESDAY, July 26, 2017 (HealthDay News) -- While opioid abuse has decreased among younger Americans, the same cannot be said for older adults, according to the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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New Alcohol Screening, Brief Intervention Manual Developed

WEDNESDAY, July 26, 2017 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has announced the development of a new alcohol screening and brief intervention manual for use in family medicine practices.

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Bariatric Surgery Delay Can Result in Worse Outcomes

WEDNESDAY, July 26, 2017 (HealthDay News) -- Bariatric surgery at body mass index (BMI) less than 40 kg/m² tends to achieve better results, according to research published online July 26 in JAMA Surgery.

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Financial Incentives Found to Up Colonoscopy Participation

WEDNESDAY, July 26, 2017 (HealthDay News) -- In a study published recently in Gastroenterology, a cash incentive of $100 was tied to increased colorectal screening rates in eligible adults.

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Health Benefits of Healthy Lifestyle Quantified in U.S.

WEDNESDAY, July 26, 2017 (HealthDay News) -- For people age 50 years and older, having a favorable behavioral profile is associated with increased life expectancy and delayed onset of disability compared with the whole U.S. population, according to a study published online July 19 in Health Affairs.

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Many With Cancer Hospitalized, Undergo Imaging at End of Life

WEDNESDAY, July 26, 2017 (HealthDay News) -- About half of cancer patients are hospitalized and undergo at least one imaging scan at the end of life, according to a study published online July 24 in the Journal of Oncology Practice.

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Penile Microbiome May Be Risk Factor for HIV in Men

WEDNESDAY, July 26, 2017 (HealthDay News) -- The microbiome of the area on the penis located under the foreskin in uncircumcised straight men has been linked to increased risk for contracting HIV, according to a study published in the July 25 issue of mBio.

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Intergenerational Recurrence of Retained Placenta Observed

WEDNESDAY, July 26, 2017 (HealthDay News) -- Intergenerational recurrence of retained placenta is seen on the maternal and paternal side, according to a study published online July 21 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Survey Reveals Prediabetes Knowledge Gaps in Primary Care

TUESDAY, July 25, 2017 (HealthDay News) -- Most primary care physicians (PCPs) can't identify all 11 risk factors for prediabetes, according to a study published online July 20 in the Journal of General Internal Medicine.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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Obesity in Teens Ups Colon, Rectal Cancer Risk in Adulthood

TUESDAY, July 25, 2017 (HealthDay News) -- Obesity even in adolescence may raise the odds for colon and rectal cancers in adulthood, according to research published online July 24 in Cancer.

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Continuing Statin After Adverse Rx Tied to Lower Cardiac Risk

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with an adverse reaction to a statin, continued statin prescriptions are associated with lower incidence of cardiovascular events and death, according to a study published online July 25 in the Annals of Internal Medicine.

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More Genetic Tests May Benefit Ashkenazi Jewish Cancer Patients

TUESDAY, July 25, 2017 (HealthDay News) -- For Ashkenazi Jewish patients with breast cancer, comprehensive sequencing identifies pathogenic mutations in genes other than BRCA1 and BRCA2 founder alleles, according to a study published online July 20 in JAMA Oncology.

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ADHD Rx Associated With a Lower Risk for Alcohol, Drug Abuse

TUESDAY, July 25, 2017 (HealthDay News) -- Teens and adults with attention-deficit/hyperactivity disorder (ADHD) may have a lower risk of developing an alcohol or drug problem if they take medications to treat their ADHD, according to a study published online recently in the American Journal of Psychiatry.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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Many Americans Qualify As 'Overfat'

MONDAY, July 24, 2017 (HealthDay News) -- Traditional measurements do not fully capture the high rates of "overfat" individuals in developed countries, according to a study published online July 24 in Frontiers in Public Health.

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More Than Half of Murdered U.S. Women Killed by Partners, Exes

MONDAY, July 24, 2017 (HealthDay News) -- Most women murdered in the United States die at the hands of a current or former intimate partner, according to research published in the July 21 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Prevalence of Vertebral Fracture Varies With Assessment Method

MONDAY, July 24, 2017 (HealthDay News) -- The prevalence of vertebral fracture varies for different methods of radiological assessment, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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Longer Estrogen Exposure May Protect Against Depression

FRIDAY, July 21, 2017 (HealthDay News) -- Women exposed to estrogen for longer periods of time during the reproductive years may have a lower risk of depression, according to a study published online July 17 in Menopause.

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Perceived Physical Activity Level Predicts Mortality

FRIDAY, July 21, 2017 (HealthDay News) -- Perceived physical activity is associated with mortality, even after adjustment for actual physical activity, according to a study published online July 20 in Health Psychology.

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AMA Module Offers Help for Adding Pharmacist to Practice

FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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Pollutant Exposure May Lead to Multi-Generational Asthma Risk

FRIDAY, July 21, 2017 (HealthDay News) -- Maternal exposure to diesel exhaust particles during pregnancy may increase susceptibility to allergic asthma in more than one generation of offspring, according to an experimental study published online recently in the American Journal of Physiology-Lung Cellular and Molecular Physiology.

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Complications Up With Immediate Reconstruction After Mastectomy

FRIDAY, July 21, 2017 (HealthDay News) -- For women undergoing mastectomy, the incidence of surgical site infection (SSI) and noninfectious wound complications (NIWCs) is increased for those with immediate implant reconstruction (IR) versus delayed or secondary implant reconstruction (DR or SR), according to a study published online July 19 in JAMA Surgery.

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'Expansion Pathology' Method Could Mean Earlier Intervention

FRIDAY, July 21, 2017 (HealthDay News) -- A new method, called expansion pathology (ExPath), which is a clinically optimized form of expansion microscopy (ExM), can be used for pathology and clinical research, according to a report published online July 17 in Nature Biotechnology.

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Few Patients Receive Rx for Smoking Cessation Meds After MI

FRIDAY, July 21, 2017 (HealthDay News) -- Among older patients in community practice, the use of smoking cessation medications (SCMs) is low after myocardial infarction (MI), according to a study published online July 19 in JAMA Cardiology.

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NCI-Designated Care Often Excluded in Narrow Health Plans

THURSDAY, July 20, 2017 (HealthDay News) -- Narrow network health plans are less likely to cover treatment by doctors at centers affiliated with the U.S. National Cancer Institute, according to a study published online July 5 in the Journal of Clinical Oncology.

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C-Section, GDM Rates Down With Maternal Lifestyle Interventions

THURSDAY, July 20, 2017 (HealthDay News) -- Healthful lifestyle interventions consistently reduce gestational weight gain across various subgroups of women and significantly lower the odds of cesarean section without adversely affecting offspring outcomes, according to a study published online July 19 in The BMJ.

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Antidepressants in Pregnancy May Contribute to Autism in Child

THURSDAY, July 20, 2017 (HealthDay News) -- In the long-standing debate over whether antidepressants are safe to take during pregnancy, a new study, published online July 19 in The BMJ, suggests that exposure to the drugs in the womb might increase a child's risk of autism.

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More Patients Enrolled in Cancer Trials Under ACA

THURSDAY, July 20, 2017 (HealthDay News) -- The Affordable Care Act may have enabled more privately insured patients to enroll in clinical trials for cancer treatments, according to a study published online July 20 in Clinical Cancer Research.

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Heart Failure Risk Rises As Weight Increases

THURSDAY, July 20, 2017 (HealthDay News) -- Even a little weight gain can increase risk of developing heart failure, according to a report published online July 19 in the Journal of the American Heart Association.

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'Life's Simple 7' Adherence in 20s Tied to Better Brain Health Later

THURSDAY, July 20, 2017 (HealthDay News) -- People with heart-healthy habits in their 20s tend to have larger, healthier brains in their 40s, according to a study published online July 19 in Neurology.

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Earlier Menopause Independently Tied to Higher Risk of T2DM

THURSDAY, July 20, 2017 (HealthDay News) -- The earlier a woman begins menopause, the greater her risk of developing type 2 diabetes, according to a study published online July 18 in Diabetologia.

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Aspirin Responsiveness Can Change After Bariatric Surgery

THURSDAY, July 20, 2017 (HealthDay News) -- The effects of aspirin on platelet inhibition may be more potent after bariatric surgery, according to a study published online July 14 in Cardiovascular Therapeutics.

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ASCO Addresses Cancer Drug Pricing

THURSDAY, July 20, 2017 (HealthDay News) -- Noting that new cancer drugs routinely cost more than $100,000 per year, and prices on many existing treatments continue to rise, the American Society of Clinical Oncology (ASCO) has issued a position statement to address these financial concerns.

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EHR-Based Prompt Ups Hepatitis C Screening for Baby Boomers

THURSDAY, July 20, 2017 (HealthDay News) -- Implementation of an electronic health record (EHR)-based prompt can improve hepatitis C virus (HCV) screening rates among baby boomers, according to a study published online July 17 in Hepatology.

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Low Rate of Cancer Recurrence for Nipple-Sparing Mastectomy

WEDNESDAY, July 19, 2017 (HealthDay News) -- Nipple-sparing mastectomy doesn't raise a woman's risk for breast cancer recurrence, according to a study published online July 17 in the Journal of the American College of Surgeons.

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Animal Study Reveals Potential of Fetal Alcohol Damage Reversal

WEDNESDAY, July 19, 2017 (HealthDay News) -- Animal research may have yielded a potential treatment for fetal alcohol spectrum disorder in children; the new report was published online July 18 in Molecular Psychiatry.

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CDC: >100 Million Americans Have Diabetes or Prediabetes

WEDNESDAY, July 19, 2017 (HealthDay News) -- As of 2015, 9.4 percent of the population -- 30.3 million -- had diabetes, and another 84.1 million had prediabetes, the U.S. Centers for Disease Control and Prevention reported Tuesday.

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Chronic Disease Risk Rises With Even Slow, Steady Weight Gain

WEDNESDAY, July 19, 2017 (HealthDay News) -- Even a few extra pounds gained in early or middle adulthood can increase risk of chronic diseases such as type 2 diabetes and hypertension, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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USPSTF: Ovarian Cancer Screen to Be Avoided for Most Women

WEDNESDAY, July 19, 2017 (HealthDay News) -- The potential harms of ovarian cancer screening outweigh the benefits, so only very specific groups of women should be screened for the disease, the U.S. Preventive Services Task Force (USPSTF) says in a draft recommendation.

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Reduction of Opioid Dose May Improve Pain, Quality of Life

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reductions in opioid dosing might improve pain and function, as well as boost quality of life, according to a report published online July 18 in the Annals of Internal Medicine.

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Post-Op Pain May Often Be Underrated by Inpatient Staff

WEDNESDAY, July 19, 2017 (HealthDay News) -- Postoperative pain is frequently underrated when assessed by nursing staff on wards, according to a study published online July 14 in PAIN Practice.

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Reducing Hospital Readmissions Doesn't Up Mortality Rates

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reducing hospital readmission rates for acute myocardial infarction, heart failure, and pneumonia didn't increase mortality rates, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Electronic Messaging Intervention Cuts Cardiovascular Risk in T2DM

WEDNESDAY, July 19, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus, a electronic messaging intervention is effective for reducing cardiovascular risk, according to a study published online July 12 in the Journal of Clinical Nursing.

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Distress Screening Tied to Fewer ER Visits for Cancer Patients

WEDNESDAY, July 19, 2017 (HealthDay News) -- Adherence to distress screening protocols by cancer programs is associated with lower rates of medical service utilization, according to a study published in the July issue of the Journal of the National Comprehensive Cancer Network.

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Rare Skin Manifestations Can Indicate Secondary Syphilis

WEDNESDAY, July 19, 2017 (HealthDay News) -- A rare case of secondary syphilis which primarily presented with multiple nodules on the scalp has been detailed in a case report published online July 17 in the Journal of Dermatology.

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FDA Approves Nerlynx to Help Prevent HER2+ Breast CA Return

TUESDAY, July 18, 2017 (HealthDay News) -- Nerlynx (neratinib) has been approved by the U.S. Food and Drug Administration to help prevent human epidermal growth factor receptor type 2 (HER2)-positive breast cancer from returning.

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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Sunscreen Application Doesn't Provide Complete Body Cover

TUESDAY, July 18, 2017 (HealthDay News) -- Routine sunscreen application does not provide complete body coverage, according to a study published online July 12 in the International Journal of Cosmetic Science.

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Pregnancy-Related Mortality Ratio 17 Deaths Per 100,000

TUESDAY, July 18, 2017 (HealthDay News) -- The pregnancy-related mortality ratio was 17 deaths per 100,000 live births from 2011 to 2013, and the distribution of causes of death categories remained stable from 2006 to 2010, according to a study published in the August issue of Obstetrics & Gynecology.

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Type of Plant-Based Diet Affects Risk of Coronary Heart Disease

TUESDAY, July 18, 2017 (HealthDay News) -- While a plant-based diet can reduce risk of coronary heart disease (CHD), not all plant-based foods are equally healthy, and this distinction deserves more emphasis in dietary recommendations, according to a study published in the July 25 issue of the Journal of the American College of Cardiology.

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Infants With Potential Zika Exposure Should Have Eye Exam

MONDAY, July 17, 2017 (HealthDay News) -- Infants exposed to the Zika virus in utero should have their eyes examined for possible virus-related abnormalities, according to research published online July 17 in JAMA Pediatrics.

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Parents May Be Unclear on Teens' Vaccination Needs

MONDAY, July 17, 2017 (HealthDay News) -- New research from C.S. Mott Children's Hospital suggests that many American teens may not be getting recommended vaccinations because their parents are unaware of the need for them.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Maternal Uncontrolled Asthma Ups Risk of Asthma in Offspring

MONDAY, July 17, 2017 (HealthDay News) -- Children whose mothers have uncontrolled asthma during pregnancy are at increased risk of developing the disease at a young age, according to a study published online July 13 in the Journal of Allergy and Clinical Immunology.

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Female Physicians Found More Likely to Leave Rural Practice

MONDAY, July 17, 2017 (HealthDay News) -- Factors associated with physician mobility include smaller population size and lower primary care physician supply, according to a study published online in the July/August issue of the Annals of Family Medicine.

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~10 Percent Present to ER After Hysterectomy for Benign Disease

MONDAY, July 17, 2017 (HealthDay News) -- Overall, 9.1 percent of women who undergo hysterectomy for benign disease present to the emergency department and are not readmitted to the hospital, according to research published in the August issue of Obstetrics & Gynecology.

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Opioids Often Overprescribed in Patients Undergoing Surgery

MONDAY, July 17, 2017 (HealthDay News) -- For patients undergoing common elective procedures, opioids are often overprescribed, according to a study published online July 10 in the Annals of Surgery.

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Organizational Changes Encouraged for Safer Prescribing

MONDAY, July 17, 2017 (HealthDay News) -- Organizational changes are recommended by primary care physicians to support safer prescribing, according to a study published in the July/August issue of the Annals of Family Medicine.

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Long Working Hours May Increase Risk of Developing A-Fib

FRIDAY, July 14, 2017 (HealthDay News) -- Working long hours could increase risk of atrial fibrillation, according to a study published online July 13 in the European Heart Journal.

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Sinus Symptoms Improve 10 Years After Quitting Smoking

FRIDAY, July 14, 2017 (HealthDay News) -- Symptoms of chronic rhinosinusitis (CRS) can be reversed within 10 years after quitting smoking, according to a study published online July 12 in Otolaryngology-Head and Neck Surgery.

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Resistance Training Improves Microvascular Blood Flow in T2DM

FRIDAY, July 14, 2017 (HealthDay News) -- Resistance training is associated with improvement in oral glucose challenge (OGC)-stimulated muscle microvascular blood flow (MBF) and glycemic control, according to a study published online July 7 in Diabetes Care.

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Change to Cervical Screening Guidelines Impacted Chlamydia

FRIDAY, July 14, 2017 (HealthDay News) -- Changes to cervical cancer screening guidelines in Canada in 2012 correlated with reductions in chlamydia testing and decreases in reported incidence of chlamydia in females, according to a study published in the July/August issue of the Annals of Family Medicine.

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Early Career Burnout Can Be Contagious Via Social Networks

FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.

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Errors in Opioid Prescribing for Adult Outpatients Common

THURSDAY, July 13, 2017 (HealthDay News) -- For adults receiving opioid medication prescriptions, errors are common, and most often occur on handwritten prescriptions, according to research published recently in the Journal of Opioid Management.

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New Vaccines Show Promise in Protecting Fetus From Zika

THURSDAY, July 13, 2017 (HealthDay News) -- Two experimental vaccines might help protect human fetuses against the Zika virus, according to a study published in the July 13 issue of Cell.

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Large Study Shows Eating Better at Any Age Can Prolong Life

THURSDAY, July 13, 2017 (HealthDay News) -- Sustained diet changes -- even later in life -- can extend people's lives, according to research published in the July 13 issue of the New England Journal of Medicine.

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Western Diet Associated With Chronic Hepatic Inflammation

THURSDAY, July 13, 2017 (HealthDay News) -- In farnesoid X receptor (FXR) knockout (KO) mice, Proteobacteria and bacteroides persist in those fed a western diet (WD), even after antibiotic (Abx) treatment, according to a study published online July 12 in The American Journal of Pathology.

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Alendronate Cuts Hip Fx Risk in Seniors Taking Prednisolone

THURSDAY, July 13, 2017 (HealthDay News) -- For older patients receiving prednisolone, alendronate is associated with reduced risk of hip fracture, according to a study published in the July 11 issue of the Journal of the American Medical Association.

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Breastfeeding Appears to Lower the Risk of Multiple Sclerosis

THURSDAY, July 13, 2017 (HealthDay News) -- Women with a longer history of breastfeeding may be less likely to develop multiple sclerosis (MS) than mothers who never breastfed or nurse for briefer periods, according to a study published online July 12 in Neurology.

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Link for Maternal Antidepressant, Kids' Brain Health Questioned

THURSDAY, July 13, 2017 (HealthDay News) -- There is an increased risk of intellectual disability in children whose mothers take antidepressants while pregnant, but the association appears to be related to factors other than the medication use itself, according to a study published online July 12 in JAMA Psychiatry.

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Review: Little Evidence on Vitamin D-Allergy Association

WEDNESDAY, July 12, 2017 (HealthDay News) -- Vitamin D supplementation seems not to prevent allergies in pregnant women, breastfeeding women, or infants, though there is very little evidence about the association between vitamin D and allergic diseases, according to a review published online July 4 in Allergy.

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Medicaid Enrollees Are Satisfied With Their Health Care

WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.

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Doctors Should Also Advise Healthy People on Diet, Exercise

WEDNESDAY, July 12, 2017 (HealthDay News) -- Lifestyle counseling could help protect the long-term heart health of adults who aren't yet at high risk for heart attack and stroke, according to a final recommendation statement from the U.S. Preventive Services Task Force (USPSTF) published in the July 11 issue of the Journal of the American Medical Association.

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No Evidence CPAP Reduces Risks of CV Events, Mortality

WEDNESDAY, July 12, 2017 (HealthDay News) -- Treatment with continuous positive airway pressure (CPAP) doesn't appear to reduce risk of adverse cardiovascular-related outcomes or mortality, according to a meta-analysis published in the July 11 issue of the Journal of the American Medical Association.

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Most Caregivers of Older Adults at End of Life Are Unpaid

TUESDAY, July 11, 2017 (HealthDay News) -- Most caregivers who provide care to older adults in the 12 months before death are unpaid, and end-of-life caregivers report more care-related challenges, according to research published in the July issue of Health Affairs.

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Study Quantifies Health and Economic Burden of Preeclampsia

TUESDAY, July 11, 2017 (HealthDay News) -- Rates of preeclampsia continue to increase in the United States, exacting a significant economic toll, according to a study published online July 11 in the American Journal of Obstetrics and Gynecology.

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Intensive Lifestyle Changes May Up Frailty Fracture Risk in DM

TUESDAY, July 11, 2017 (HealthDay News) -- For overweight or obese individuals with diabetes mellitus (DM), intensive lifestyle intervention (ILI) does not increase overall fracture risk but correlates with increased risk of frailty fracture, according to a study published online July 5 in the Journal of Bone and Mineral Research.

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Regular Coffee Consumption May Help Extend Lifespan

TUESDAY, July 11, 2017 (HealthDay News) -- Drinking coffee is linked to longevity, according to two studies published online July 11 in the Annals of Internal Medicine.

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Health Service Use Unchanged From 1996-1997 to 2011-2012

TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.

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Editorial

Many Women Not Seeking Care for Dysmenorrhea

TUESDAY, July 11, 2017 (HealthDay News) -- Health care providers should offer routine screening for dysmenorrhea, and initiate discussions and provide education about dysmenorrhea and treatment options, according to a study published online July 5 in the Journal of Clinical Nursing.

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Patients Are Often Recording Doctor's Visits

TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.

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American Adults Without Health Insurance Rises by Two Million

TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.

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Rate of Non-Health Care Facility Medication Errors on the Rise

MONDAY, July 10, 2017 (HealthDay News) -- The rate of serious medication errors has doubled since 2000, according to a study published online July 10 in Clinical Toxicology.

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Sugary Drinks in Mid-Pregnancy Up Odds of Heavier Children

MONDAY, July 10, 2017 (HealthDay News) -- Expectant mothers who consume more sugary beverages during pregnancy tend to have children with higher amounts of body fat, according to a study published online July 10 in Pediatrics.

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Low Platelet Count Linked to Thrombosis in aPL Carriers

MONDAY, July 10, 2017 (HealthDay News) -- For antiphospholipid antibody (aPL) carriers, low platelet count is associated with increased risk of developing thrombosis, according to a study published online June 29 in the Journal of Thrombosis and Haemostasis.

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No Advance Directives for Almost Two-Thirds of U.S. Population

FRIDAY, July 7, 2017 (HealthDay News) -- An estimated two of three people in the United States have not completed an advanced directive, according to a review published in the July issue of Health Affairs.

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Sugar Intake During Pregnancy Tied to Allergy in Offspring

FRIDAY, July 7, 2017 (HealthDay News) -- High intake of sugar-laden foods and beverages during pregnancy may contribute to the development of asthma and allergies in offspring, according to research published in the July issue of the European Respiratory Journal.

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Rod, Cone Function Down for Children Born Extremely Preterm

FRIDAY, July 7, 2017 (HealthDay News) -- Children born extremely preterm have reduced rod and cone function compared with children born at term, according to a study published online June 29 in JAMA Ophthalmology.

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Market Competition Linked to Change in Generic Drug Prices

THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.

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AMA: Doctors Should Make Sure Their Online Info Is Accurate

THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.

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Herpes Zoster May Increase Risk of Myocardial Infarction, Stroke

THURSDAY, July 6, 2017 (HealthDay News) -- Herpes zoster (HZ) may be associated with an increased risk of cardiovascular events, according to a research letter published in the July 11 issue of the Journal of the American College of Cardiology.

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FDA Expands Use of Cooling Cap to Cut Chemo-Related Hair Loss

WEDNESDAY, July 5, 2017 (HealthDay News) -- A cooling cap approved in 2015 for use in breast cancer patients has received expanded approval from the U.S. Food and Drug Administration.

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Differences in U.S. Infant Mortality Rates for Blacks, Whites

WEDNESDAY, July 5, 2017 (HealthDay News) -- The mortality rate for black infants in the United States has risen in recent years, while the rate for white infants continues to decline, according to a research letter published online July 3 in JAMA Pediatrics.

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At-Risk Pain Patients Can Cut Opioid Use With Psychology Tools

WEDNESDAY, July 5, 2017 (HealthDay News) -- Teaching coping skills may help reduce the risk that patients with chronic pain will become addicted to opioids, according to research published online June 28 in the Canadian Journal of Pain.

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Concussion Can Increase Risk of Abnormal Menstrual Patterns

WEDNESDAY, July 5, 2017 (HealthDay News) -- Adolescent and young women have significantly increased odds of multiple, abnormal menstrual patterns following concussion, according to a study published online July 3 in JAMA Pediatrics.

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Editorial

Comparable Metabolic Effects for E-Cigarettes, Smoking

WEDNESDAY, July 5, 2017 (HealthDay News) -- Electronic cigarette smoking has the same deleterious effect on weight and metabolic parameters as traditional cigarettes, according to research published online June 29 in Obesity Reviews.

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Many U.S. Teens Can't Access Emergency Contraception

WEDNESDAY, July 5, 2017 (HealthDay News) -- Although the U.S. Food and Drug Administration has lifted age restrictions on the use of levonorgestrel emergency contraception (EC), many teens may still have difficulty obtaining the medication, according to a study published online June 30 in Pediatrics.

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