June 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 June 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.

Psychological Risks Higher in Atopic Dermatitis Patients

FRIDAY, June 30, 2017 (HealthDay News) -- Depression, anxiety, and suicidal ideation is more common among individuals with atopic dermatitis (AD), according to a study published online June 20 in Allergy.

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Poll Finds Seniors Struggling With Drug Costs Don't Seek Help

FRIDAY, June 30, 2017 (HealthDay News) -- Many older Americans who have difficulty paying for their medications don't seek help in finding more economical options, according to the University of Michigan National Poll on Healthy Aging.

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CDC: Teen Birth Rates, Overall Birth Rates Continue to Drop

FRIDAY, June 30, 2017 (HealthDay News) -- Teen births in the United States dropped to a record low last year, falling 9 percent from 2015, according to a report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Many Women Have Questions, Concerns About Tamoxifen

FRIDAY, June 30, 2017 (HealthDay News) -- Many women at high risk for breast cancer do not take tamoxifen to prevent the disease, often because they confuse naturally occurring symptoms with side effects from the medication, according to a study published online June 29 in the Journal of Clinical Oncology.

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Depression Contributes to Health Decline Seen in Cancer Caregivers

FRIDAY, June 30, 2017 (HealthDay News) -- Depression is known to be linked to worsening physical health, and this may be especially true for cancer caregivers, according to a study published online June 29 in Cancer.

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In HIV, Greater BMD Decline for Immediate Versus Delayed ART

FRIDAY, June 30, 2017 (HealthDay News) -- Immediate antiretroviral (ART) initiation at HIV diagnosis is associated with greater bone mineral density (BMD) declines compared with deferred initiation, according to a study published online June 26 in the Journal of Bone and Mineral Research.

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Doctors Urged to Take Care With Electronic Communications

THURSDAY, June 29, 2017 (HealthDay News) -- Care should be taken when conveying electronic messages to patients, according to a report published by the American Medical Association (AMA).

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Health of the Nation Presented in 40th Annual CDC Report

THURSDAY, June 29, 2017 (HealthDay News) -- The health of the United States is summarized in the 40th annual report published by the U.S. Centers for Disease Control and Prevention.

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Review Links Flaxseed Consumption to Weight Reduction

THURSDAY, June 29, 2017 (HealthDay News) -- Whole flaxseed consumption is associated with significant reductions in body weight, body mass index (BMI), and waist circumference, according to a review published online June 21 in Obesity Reviews.

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Fat Grafting May Improve Outcome in Breast Reconstruction

THURSDAY, June 29, 2017 (HealthDay News) -- For patients undergoing breast reconstruction, fat grafting may improve patient-reported outcomes, according to a study published online June 28 in JAMA Surgery.

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Dissolvable Microneedle Patch for Flu Vaccine Found Safe, Effective

WEDNESDAY, June 28, 2017 (HealthDay News) -- An experimental flu vaccine patch with dissolving microneedles appears safe and effective, according to research published online June 27 in The Lancet.

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FDA Seeks to Increase Number of Generic Drugs on Market

WEDNESDAY, June 28, 2017 (HealthDay News) -- New measures to increase the number of generic prescription drugs available to Americans have been taken by the U.S. Food and Drug Administration.

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Rx Changes, Counseling, Regular Visits Can Cut Opioid Deaths

WEDNESDAY, June 28, 2017 (HealthDay News) -- Three simple steps could decrease opioid-related mortality by about a third, according to a report published online June 26 in Drug and Alcohol Dependence.

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Mixed Results on Acupuncture for Incontinence, Infertility

WEDNESDAY, June 28, 2017 (HealthDay News) -- Acupuncture received mixed reviews in two new studies -- one focusing on stress incontinence and the other on polycystic ovary syndrome-related infertility. The research was published in the June 27 issue of the Journal of the American Medical Association.

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Lasting Negative Consequences for Anorexia Nervosa

WEDNESDAY, June 28, 2017 (HealthDay News) -- Anorexia nervosa (AN) has long-term negative consequences, and many patients do not experience remission, according to a study published online June 23 in the International Journal of Eating Disorders.

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Physician Attitude Important Factor in Patients Switching PCP

TUESDAY, June 27, 2017 (HealthDay News) -- Factors associated with patients switching physicians include physicians' attitude, design and comfort of a facility, and communication, according to an article published in Medical Economics.

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Shift Work May Affect the Body's Ability to Repair DNA Damage

TUESDAY, June 27, 2017 (HealthDay News) -- Capacity to repair everyday damage to cell DNA could be impaired in people who work the night shift, which may be due to melatonin suppression, according to a study published online June 26 in Occupational & Environmental Medicine.

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Persistent Mental Distress Ups Mortality in Heart Patients

TUESDAY, June 27, 2017 (HealthDay News) -- The cumulative burden of psychological stress increases mortality risk in patients with stable coronary heart disease, according to a study published online June 26 in Heart.

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Two-Step Irradiance Better for Condyloma Acuminatum

TUESDAY, June 27, 2017 (HealthDay News) -- For patients with condyloma acuminatum (CA), a two-step irradiance schedule is associated with a significantly greater reduction in pain during treatment than single-dose cold compress, according to a study published online June 22 in Lasers in Surgery and Medicine.

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Better Outcomes for Cardiology Care in Newly Diagnosed A-Fib

TUESDAY, June 27, 2017 (HealthDay News) -- For patients with newly diagnosed atrial fibrillation (AF), cardiology care is associated with improved outcomes versus primary care, according to a study published in the July 4 issue of the Journal of the American College of Cardiology.

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Intervention Ups Appropriate Dysglycemia Screening

TUESDAY, June 27, 2017 (HealthDay News) -- Implementation of an intervention, including electronic health record (EHR)-based decision support and training for use of the American Diabetes Association guidelines for dysglycemia screening, is associated with an increase in appropriate dysglycemia screening, according to a study published online June 15 in Diabetes Care.

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More Breast Cancers Diagnosed at Late Stage With Medicaid Cuts

MONDAY, June 26, 2017 (HealthDay News) -- Medicaid cuts could lead to an increase in the number of women diagnosed with late-stage breast cancer, according to a study published online June 26 in Cancer.

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Higher Fish Intake Appears to Reduce RA Symptoms

MONDAY, June 26, 2017 (HealthDay News) -- Eating fish at least twice a week may significantly reduce the pain and swelling associated with rheumatoid arthritis, according to a study published online June 21 in Arthritis Care & Research.

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Adding MRI to Mammography Ups Detection of Breast Cancer

MONDAY, June 26, 2017 (HealthDay News) -- For women aged 50 years or younger who have undergone breast conservation therapy, the addition of annual magnetic resonance imaging (MRI) to annual mammography screening improves detection of early-stage breast cancers, according to a study published online June 22 in JAMA Oncology.

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Review Spotlights Optimal Care of T2DM + Osteoporosis

MONDAY, June 26, 2017 (HealthDay News) -- Optimal management of coexisting type 2 diabetes (T2D) and osteoporosis should consider the scientific evidence, according to a review published online June 21 in the Journal of Clinical Endocrinology & Metabolism.

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Guidance Issued for Ob-Gyns on Mental Health Disorders in Teens

MONDAY, June 26, 2017 (HealthDay News) -- Obstetrician-gynecologists can reduce the morbidity and mortality associated with mental health disorders in adolescents by early identification, prompt referral, and care coordination, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

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Ob-Gyns Can Help ID Sex Workers, Improve Access to Care

FRIDAY, June 23, 2017 (HealthDay News) -- Obstetrician-gynecologists can help improve recognition of sex workers and increase their access to preventive care, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

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Carpal Tunnel Up With Increased Electronic Device Use

FRIDAY, June 23, 2017 (HealthDay News) -- Extended use of smartphones and other hand-held electronic devices leads to an increased risk of carpal tunnel syndrome, according to a study published online June 21 in Muscle & Nerve.

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Family History Questionnaire Ups Genetic Counseling for CRC

FRIDAY, June 23, 2017 (HealthDay News) -- For patients undergoing outpatient colonoscopy, a family history questionnaire (FHQ) sent by mail is associated with an increase in available family history and referral for genetic counseling, according to a study published online May 29 in the Journal of Digestive Diseases.

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Shared Decision-Making Encouraged in Multiple Sclerosis

FRIDAY, June 23, 2017 (HealthDay News) -- Patients should be engaged in decision-making about multiple sclerosis (MS) and the treatment options available, according to a report published online May 29 in Practical Neurology.

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ACOG: Shared Decision-Making Key to Breast Cancer Screening

FRIDAY, June 23, 2017 (HealthDay News) -- Shared decision-making is being emphasized in new American College of Obstetricians and Gynecologists (ACOG) mammography screening guidelines for women at average risk of breast cancer.

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CDC: Zika Can Be Found in Placental, Fetal Tissue at Birth

FRIDAY, June 23, 2017 (HealthDay News) -- Testing placental and fetal tissue after a child is born can confirm or rule out Zika infection, according to research published in the June 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Primary Care Pharmacy Model Attractive to Patients

FRIDAY, June 23, 2017 (HealthDay News) -- Patients express preference for a pharmacy-driven model of primary care versus a pharmacy offering minimal primary care services, according to a study published online June 18 in the Journal of Clinical Pharmacy and Therapeutics.

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Drug, Herb Interactions Frequent for Cancer Patients

FRIDAY, June 23, 2017 (HealthDay News) -- Patients with cancer frequently have herb-drug interactions (HDI) and drug-drug interactions (DDI), some of which have clinical consequences, according to research published online June 19 in the Journal of Oncology Practice.

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1991-2014 Saw Minimal Change in Health Spending Per State

THURSDAY, June 22, 2017 (HealthDay News) -- From 1991 to 2014 there was minimal change in health spending by state, according to a study published online June 14 in Health Affairs.

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Opioid Rx Too Often Given to Back Pain Patients With Depression

THURSDAY, June 22, 2017 (HealthDay News) -- Patients with low back pain who are depressed are more likely to be prescribed opioids, and to be prescribed higher doses, according to a study published online June 20 in PAIN Reports.

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Occupation Tied to Risk of Vitamin D Deficiency

THURSDAY, June 22, 2017 (HealthDay News) -- Shiftworkers, healthcare workers, and indoor workers are at high risk of developing vitamin D deficiency, according to a review published online June 22 in BMC Public Health.

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Medical-Home Recognition Higher in Demonstration Sites

THURSDAY, June 22, 2017 (HealthDay News) -- Demonstration sites, which are provided with care management fees and technical assistance to help them achieve the highest medical-home recognition, do have higher rates of medical-home recognition, according to a study published online June 21 in the New England Journal of Medicine.

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Sharp Rise Among Women for Opioid-Related Hospitalizations

WEDNESDAY, June 21, 2017 (HealthDay News) -- Opioid-related hospitalizations among women in the United States increased far faster than among men between 2005 and 2014, according to the U.S. Agency for Healthcare Research and Quality (AHRQ).

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Family Hx, Mutation Position Key Variables in BRCA1/2 Cancer Risk

WEDNESDAY, June 21, 2017 (HealthDay News) -- Breast cancer risk peaks around the 40s for BRCA1 mutation carriers and around the 50s for BRCA2 carriers, with family history and mutation location significant factors in determining individual risk, according to a report published in the June 20 issue of the Journal of the American Medical Association.

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CDC: Number of U.S. Counties With Zika-Carrying Mosquitoes Up

WEDNESDAY, June 21, 2017 (HealthDay News) -- Mosquitoes that can spread Zika, dengue, and chikungunya viruses are in more counties in the southern United States than previously thought, according to a study published online June 19 in the Journal of Medical Entomology.

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Weight-Loss Program Aids Black Breast Cancer Survivors

WEDNESDAY, June 21, 2017 (HealthDay News) -- A community-based interventionist-guided weight-loss program is efficacious for early-stage African-American breast cancer survivors (AABCS), according to a study published online June 15 in the Journal of Clinical Oncology.

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Education Can Promote Self-Management in CVD Conditions

WEDNESDAY, June 21, 2017 (HealthDay News) -- Therapeutic patient education interventions can promote self-management in selected cardiovascular conditions, according to a scientific statement published online June 19 in Circulation: Cardiovascular Quality and Outcomes.

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Diabetic Ketoacidosis Poses Fetal Risk During/After Event

WEDNESDAY, June 21, 2017 (HealthDay News) -- Diabetic ketoacidosis (DKA) during pregnancy poses risk for the fetus during and after the event, according to research published online June 12 in Diabetes Care.

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More Americans Using High-Doses of Vitamin D Supplementation

TUESDAY, June 20, 2017 (HealthDay News) -- Rising numbers of Americans may be getting too much vitamin D via supplementation, according to a research letter published in the June 20 issue of the Journal of the American Medical Association.

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Financial Incentives May Increase Viral Suppression in HIV

TUESDAY, June 20, 2017 (HealthDay News) -- For HIV-positive patients, financial incentives can lead to increased viral suppression, according to a study published online June 19 in JAMA Internal Medicine.

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Yoga Noninferior to Physical Therapy in Chronic Low Back Pain

TUESDAY, June 20, 2017 (HealthDay News) -- Yoga may be as effective as physical therapy for pain relief and improved function in patients with chronic low back pain, according to a study published online June 20 in the Annals of Internal Medicine.

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Risk of Cardiovascular Events Similar With, Without Diabetes

TUESDAY, June 20, 2017 (HealthDay News) -- For patients undergoing coronary angiography (CAG), those with and without diabetes without coronary artery disease (CAD) have the same risk of death, cardiac death, and myocardial infarction, according to a study published online June 8 in Diabetes Care.

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Support for Financial Penalties Up With Emphasis on Patient Harms

TUESDAY, June 20, 2017 (HealthDay News) -- Physicians who receive information about patient harms are more likely to support financial penalties targeting inappropriate antibiotic prescribing, according to a research letter published online June 20 in the Annals of Internal Medicine.

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AUA Reports on Nonneurogenic Chronic Urinary Retention

TUESDAY, June 20, 2017 (HealthDay News) -- A white paper has been developed by the American Urological Association Quality Improvement and Patient Safety committee with respect to the diagnosis and management of nonneurogenic chronic urinary retention; the paper was published in the July issue of The Journal of Urology.

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Yoga May Be Able to 'Reverse' Stress-Inducing DNA Reactions

MONDAY, June 19, 2017 (HealthDay News) -- The physical and mental health benefits of pursuits like yoga and meditation begin in the genes, according to research published online June 16 in the Frontiers in Immunology.

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Endurance Exercise Tied to Gastrointestinal Implications

MONDAY, June 19, 2017 (HealthDay News) -- The risk of gastrointestinal injury and impaired function seems to increase along with the intensity and duration of exercise, according to a study published online June 7 in Alimentary Pharmacology & Therapeutics.

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U.S. Teens Appear to Be As Sedentary As 60-Year-Olds

MONDAY, June 19, 2017 (HealthDay News) -- The average teen is no more active than the average 60-year-old, according to a study published in the August issue of Preventive Medicine.

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18 Percent Increase Projected in Primary Care Demand by 2023

MONDAY, June 19, 2017 (HealthDay News) -- The demand for primary care physicians is projected to increase 18.0 percent between 2013 and 2023, according to a May report published by the Congressional Budget Office.

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Hydrotherapy Plus Conventional Drugs Beneficial in RA

MONDAY, June 19, 2017 (HealthDay News) -- For patients with rheumatoid arthritis (RA), hydrotherapy in addition to conventional drugs is associated with improved antioxidant status, according to a study published online June 14 in the International Journal of Rheumatic Diseases.

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Case Report: Acneiform Eruption Tied to Vitamin B12 Therapy

FRIDAY, June 16, 2017 (HealthDay News) -- In a case report published online June 8 in the Journal of Cosmetic Dermatology, acneiform eruption associated with vitamin B12 therapy is described in five female patients ranging in age from 21 to 62 years.

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Health Insurers Recruiting Former Pharma Reps to Cut Costs

FRIDAY, June 16, 2017 (HealthDay News) -- Health insurers are recruiting former pharmaceutical company representatives to educate doctors and help save money on prescription medications, according to a report published June 8 in Kaiser Health News.

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Risk Factors Explain Most Heart Failure Risk in Incident A-Fib

FRIDAY, June 16, 2017 (HealthDay News) -- Four modifiable factors account for most of the population attributable risk of heart failure among women with new-onset atrial fibrillation (AF), according to a study published online June 14 in JACC: Heart Failure.

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20 Percent of Hospital Patients Have Side Effects From Abx Rx

FRIDAY, June 16, 2017 (HealthDay News) -- About 20 percent of U.S. hospital patients who receive antibiotics experience side effects from the drugs, according to research published online June 12 in JAMA Internal Medicine.

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Replacing Saturated Fats With Healthy Fats Lowers CVD Risk

FRIDAY, June 16, 2017 (HealthDay News) -- Replacing saturated fats with polyunsaturated fats and monounsaturated fats can reduce cardiovascular disease risk as much as statins, according to a new American Heart Association (AHA) advisory published online June 15 in Circulation.

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Sedentary Lifestyle May Up Risk of Renal, Bladder Cancers

THURSDAY, June 15, 2017 (HealthDay News) -- New research adds to growing evidence that inactivity may be a significant risk factor for cancer, according to a report published online May 19 in Cancer Epidemiology.

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Economic Burden of Neonatal Abstinence Syndrome Up Sharply

THURSDAY, June 15, 2017 (HealthDay News) -- Rates of neonatal abstinence syndrome (NAS) have risen dramatically in recent years -- and so has the cost of treating it, according to a study published online June 14 in Addiction.

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Birth Defect Risk Rises With Maternal Excess Weight Severity

THURSDAY, June 15, 2017 (HealthDay News) -- Women who are overweight or obese when they become pregnant face an elevated risk of having a baby with a major birth defect, with greater risk with increasing excess weight, according to research published online June 15 in The BMJ.

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AMA Endeavors to Increase Transparency of Rx Pricing

THURSDAY, June 15, 2017 (HealthDay News) -- The American Medical Association (AMA) is calling for more transparency in drug pricing amid rising costs that are putting some lifesaving medications out of reach for patients and communities.

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Concentrated Broccoli Sprout Extract May Help Fight T2DM

THURSDAY, June 15, 2017 (HealthDay News) -- Sulforaphane, found in cruciferous vegetables such as broccoli, may help obese type 2 diabetes patients better regulate dysglycemia, according to a study published in the June 14 issue of Science Translational Medicine.

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Risk of HPV-Linked Second Cancers Up After Anal Cancer

THURSDAY, June 15, 2017 (HealthDay News) -- Survivors of squamous cell carcinoma of the anus (SCCA) have an elevated risk of human papillomavirus (HPV)-related second primary malignancies (SPMs), according to a study published online June 13 in Cancer.

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Nomogram Predicts Survival for Adults Undergoing CAC Scoring

THURSDAY, June 15, 2017 (HealthDay News) -- A simple-to-use nomogram can predict five-, 10-, and 15-year survival among adults undergoing coronary artery calcium scoring (CACS), according to a study published online June 14 in JACC: Cardiovascular Imaging.

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Strategies Implemented to Cut Opioid ODs, Deaths in Maryland

THURSDAY, June 15, 2017 (HealthDay News) -- Strategies are being implemented to reduce opioid overdoses and deaths in Maryland, according to a report published by the American Medical Association (AMA).

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Antiplatelet Bleeding Risk Higher Than Expected for Older Patients

WEDNESDAY, June 14, 2017 (HealthDay News) -- Long-term daily aspirin use is linked to a higher-than-expected risk of disabling or fatal bleeding in patients aged 75 and over, according to a study published online June 13 in The Lancet.

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Glycation of Hemoglobin Differs by Race

WEDNESDAY, June 14, 2017 (HealthDay News) -- Both biological and socioeconomic factors appear to play a role in higher hemoglobin A1c (HbA1c) readings seen in black patients with diabetes, according to research published online June 13 in the Annals of Internal Medicine.

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Factors Predictive of Parental Intent to Vaccinate Against HPV

WEDNESDAY, June 14, 2017 (HealthDay News) -- Maternal education, Hispanic ethnicity, and provider recommendations are associated with parental intent to vaccinate adolescents against human papillomavirus (HPV), according to a study published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Sleep Apnea Linked to Diabetic Retinopathy in Type 2 Diabetes

WEDNESDAY, June 14, 2017 (HealthDay News) -- For patients with type 2 diabetes, obstructive sleep apnea (OSA) is associated with sight-threatening diabetic retinopathy (STDR) and with progression to pre-/proliferative DR, according to a study published online June 8 in the American Journal of Respiratory and Critical Care Medicine.

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Prevalence of Antiphospholipid Syndrome Up for Roma SLE

WEDNESDAY, June 14, 2017 (HealthDay News) -- The prevalence and risk of antiphospholipid syndrome (APS) is higher for Roma versus Caucasian systemic lupus erythematosus (SLE) patients, according to a study published online June 7 in the International Journal of Rheumatic Diseases.

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Coffee, Herbal Tea Consumption May Protect Against Liver Disease

TUESDAY, June 13, 2017 (HealthDay News) -- Regularly drinking coffee or herbal tea may help prevent chronic liver disease, according to a study published online June 6 in the Journal of Hepatology.

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Successful Pregnancies Seen After Uterine Fibroid Embolization

TUESDAY, June 13, 2017 (HealthDay News) -- Uterine fibroid embolization (UFE) can treat women with fibroids without jeopardizing their future fertility, according to research published online June 13 in Radiology.

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Expedited Partner Therapy Helps Reduce STI Incidence

TUESDAY, June 13, 2017 (HealthDay News) -- States that let doctors prescribe drugs to treat chlamydia or gonorrhea in both partners when only one makes an office visit have lower rates of the sexually transmitted infections, according to a study published online May 17 in Sexually Transmitted Infections.

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Cases of Legionnaires' Disease Reported in NYC, Las Vegas

TUESDAY, June 13, 2017 (HealthDay News) -- Cases of Legionnaires' disease in New York City and Las Vegas are being investigated by health officials.

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Olive Oil, Ibuprofen May Have Synergistic Effects

TUESDAY, June 13, 2017 (HealthDay News) -- The combination of extra virgin olive oil (EVOO) and ibuprofen at a therapeutic dose is superior to the two compounds used separately, according to an experimental study published online June 7 in the International Journal of Rheumatic Diseases.

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Food Cravings Down With Extended Calorie Restriction

TUESDAY, June 13, 2017 (HealthDay News) -- Extended calorie restriction is associated with a reduction in food cravings, according to a review and meta-analysis published online May 30 in Obesity Reviews.

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Traditional Chinese Medicine May Benefit Some CVD Patients

MONDAY, June 12, 2017 (HealthDay News) -- Traditional Chinese medicine (TCM) might have a role to play in treating or preventing cardiovascular disease in the West, according to a review published in the June 20 issue of the Journal of the American College of Cardiology.

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SAMHSA: 9.8 Million U.S. Adults Have Serious Mental Illness

MONDAY, June 12, 2017 (HealthDay News) -- Nearly 10 million American adults have a serious mental illness, and a similar number have considered suicide during the past year, according to a new report published in the Behavioral Health Barometer-United States, 2016, which was released June 12 by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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Medical Students Lacking Proficiency in BP Measurements

MONDAY, June 12, 2017 (HealthDay News) -- Medical students frequently do not achieve mastery of the skills necessary for accurate measurement of blood pressure (BP), according to a study published online April 28 in the Journal of Clinical Hypertension.

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Vitamin B6 Linked to Increased Risk of Hip Fracture

MONDAY, June 12, 2017 (HealthDay News) -- Vitamin B6, but not vitamin B12, is associated with increased risk of hip fracture during extended follow-up, according to a study published online June 2 in the Journal of Bone and Mineral Research.

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CDC: Kidney Disease Affects One in Seven Americans

MONDAY, June 12, 2017 (HealthDay News) -- Thirty million American adults (one in seven) have chronic kidney disease -- but many don't know it, according to an analysis of data from the U.S. Centers for Disease Control and Prevention.

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Review: Depression Screening As Inpatient Important, Feasible

MONDAY, June 12, 2017 (HealthDay News) -- Depression affects about one-third of hospital patients and could slow their recovery, according to research published recently in the Journal of Hospital Medicine.

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Opioids Tend to Be Over-Prescribed After Cesarean Section

FRIDAY, June 9, 2017 (HealthDay News) -- Women are routinely prescribed more opioid medications than they need after cesarean sections, creating a high risk for misuse, according to three studies published in the July issue of Obstetrics & Gynecology.

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FDA Approves Generic Version of HIV Drug Truvada

FRIDAY, June 9, 2017 (HealthDay News) -- The first generic version of the HIV drug Truvada (emtricitabine and tenofovir disoproxil fumarate) has been approved by the U.S. Food and Drug Administration.

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Birth Control Pills Recalled Due to Danger of Unintended Pregnancy

FRIDAY, June 9, 2017 (HealthDay News) -- One lot of Mibelas 24 Fe birth control pills has been recalled due to a packaging error that could put users at risk of unintended pregnancy, according to manufacturer Lupin Pharmaceuticals.

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New Bill With Tort Reforms Will Protect Iowa Physicians

FRIDAY, June 9, 2017 (HealthDay News) -- A new bill with tort reforms to protect Iowa physicians will take effect July 1, according to a report published by the American Medical Association (AMA).

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Young CA Survivors More Often Have Cost-Related Nonadherence

FRIDAY, June 9, 2017 (HealthDay News) -- Survivors of adolescent and young adult cancer are more likely to report cost-related medication nonadherence, according to a study published online May 23 in Cancer.

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Equal Wound Complications for Staples, Suture in Obese Women

FRIDAY, June 9, 2017 (HealthDay News) -- The rate of surgical site wound complications is similar for obese women undergoing midline vertical incision with skin closure via staples or subcuticular suture, according to a study published in the July issue of Obstetrics & Gynecology.

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FDA Requests Removal of Opana ER From Market

FRIDAY, June 9, 2017 (HealthDay News) -- Sales of reformulated Opana ER should be halted in the United States, the U.S. Food and Drug Administration says.

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CDC: ~5 Percent of Pregnancies With Zika Result in Birth Defects

FRIDAY, June 9, 2017 (HealthDay News) -- About one in 20 women in the U.S. territories who were infected with Zika during pregnancy had babies with possible Zika-associated birth defects, according to research published in the June 8 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Lithium's Risk to Fetus May Be Lower Than Previously Thought

THURSDAY, June 8, 2017 (HealthDay News) -- Lithium is linked to an increased risk of heart malformations in infants born to women taking the drug during pregnancy, but the risk is smaller than once believed, according to research published in the June 8 issue of the New England Journal of Medicine.

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U.S. Leads in Income-Based Health Care Inequalities

THURSDAY, June 8, 2017 (HealthDay News) -- The United States has larger income-related differences in perceptions of health and health care than other middle- and high-income countries, according to a report published in the June issue of Health Affairs.

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SGLT2 Inhibitors Linked to Increased Risk of Ketoacidosis

THURSDAY, June 8, 2017 (HealthDay News) -- Sodium-glucose cotransporter 2 (SGLT2) inhibitors appear to increase the risk of diabetic ketoacidosis in patients with type 2 diabetes, according to a research letter published in the June 8 issue of the New England Journal of Medicine.

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Certain Cancer Diagnoses Up in High-Income Counties in U.S.

THURSDAY, June 8, 2017 (HealthDay News) -- Americans living in high-income areas are more likely to be diagnosed with some types of cancer than people living in low-income areas, according to a perspective piece published in the June 8 issue of the New England Journal of Medicine.

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Antidepressants in Pregnancy Don't Affect Newborn Behavior

THURSDAY, June 8, 2017 (HealthDay News) -- Use of antidepressants in pregnancy is not associated with increased signs of irritability, difficulty feeding, sleep disturbances, or respiratory problems in infants two to four weeks after birth, according to a study published in the May issue of the Journal of Clinical Psychiatry.

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Election Results Could Be Harming Americans' Health

THURSDAY, June 8, 2017 (HealthDay News) -- A new analysis suggests that ballot box results may rob some of the American public of its health, driving up stress levels, disease incidence, premature births, and even premature deaths. The medicine and society article was published in the June 8 issue of the New England Journal of Medicine.

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Adverse Brain Outcomes Seen With Even Moderate Drinking

WEDNESDAY, June 7, 2017 (HealthDay News) -- Moderate drinkers are more than three times as likely as abstainers to show abnormal levels of atrophy in the right hippocampus, according to a study published online June 6 in The BMJ.

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Health System Sees Success With E-Visits Via Patient Portal

WEDNESDAY, June 7, 2017 (HealthDay News) -- Patient portals can successfully offer access to physicians without office visits, according to a report published online May 30 by the American Medical Association.

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Lifespan Up With Adoption of Four Healthy Lifestyle Behaviors

WEDNESDAY, June 7, 2017 (HealthDay News) -- Adoption of four healthy lifestyle behaviors is associated with increased lifespan for men and women, according to a study published online May 31 in the Journal of Internal Medicine.

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Nurse-Led Psych Intervention Beneficial in Breast Cancer

WEDNESDAY, June 7, 2017 (HealthDay News) -- A nurse-led psychological intervention program is beneficial for patients with breast cancer at high risk of depression, according to a study published online May 30 in the Journal of Clinical Nursing.

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Ablation Successful for Trigeminal Neuralgia in Pregnancy

WEDNESDAY, June 7, 2017 (HealthDay News) -- Trigeminal neuralgia in pregnancy can be managed successfully by conventional radiofrequency ablation of Gasserian ganglion, according to a case report published online June 2 in Pain Practice.

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Many Bariatric Surgery Patients Using Opioids Seven Years Later

WEDNESDAY, June 7, 2017 (HealthDay News) -- About 20 percent of U.S. bariatric surgery patients are still using prescription opioids seven years later, according to a study published recently in Surgery for Obesity and Related Diseases.

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CDC: High-Deductible Health Plan Use Rising Among Employers

WEDNESDAY, June 7, 2017 (HealthDay News) -- High-deductible health plans are becoming more common among U.S. adults with employer-sponsored health insurance coverage, according to a report issued June 6 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Inpatient Progress Note Content Often Cut and Pasted

WEDNESDAY, June 7, 2017 (HealthDay News) -- Less than 20 percent of progress note content is entered manually by medical students, residents, and direct care hospitalists, according to a research letter published online May 30 in JAMA Internal Medicine.

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Combo of Several Meds at Smaller Doses May Boost HTN Care

TUESDAY, June 6, 2017 (HealthDay News) -- Combining low doses of several different antihypertensive medications may be better than using a standard dose of just one drug, according to a review published online June 5 in Hypertension.

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Many Taking NOACs for A-Fib May Not Be Getting Right Dose

TUESDAY, June 6, 2017 (HealthDay News) -- Nearly one in six Americans taking non-vitamin K antagonist oral anticoagulants for atrial fibrillation may not be receiving the proper dose, according to a study published in the June 13 issue of the Journal of the American College of Cardiology.

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Positive Clinical Effects Seen for Placebos Without Deception

TUESDAY, June 6, 2017 (HealthDay News) -- Open-label placebos are associated with a positive effect compared with no treatment in a variety of clinical conditions, according to a review and meta-analysis published online May 30 in the Journal of Evidence-Based Medicine.

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Prevalence of Advanced HIV at ART Initiation Decreasing

TUESDAY, June 6, 2017 (HealthDay News) -- From 2004 to 2015 there were decreases in the prevalence of advanced disease at initiation of antiretroviral therapy (ART) in 10 high-burden countries, according to research published in the June 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Americans Are Getting Less Sodium From Packaged Food

MONDAY, June 5, 2017 (HealthDay News) -- As food manufacturers gradually cut amounts of salt in their products, consumers are now buying foods containing less sodium, according to a study published online June 5 in JAMA Internal Medicine.

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Conception Options Available for HIV-Discordant Couples

MONDAY, June 5, 2017 (HealthDay News) -- Various methods are available for reducing the risk of HIV transmission in HIV-discordant couples who would like to attempt conception, according to research published in the June 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Air Mattresses Present a Growing Safety Risk to Infants

MONDAY, June 5, 2017 (HealthDay News) -- An air mattress can present a hazardous environment for infants, according to a study published in the June issue of the American Journal of Public Health.

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U.S. Emergency Departments Commonly Overcharging Patients

FRIDAY, June 2, 2017 (HealthDay News) -- Americans are routinely overcharged for emergency department care, and minority and uninsured patients are most likely to face this issue, according to a study published online May 30 in JAMA Internal Medicine.

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Reducing SBP Targets Below Current Guidelines Cuts Risk

FRIDAY, June 2, 2017 (HealthDay News) -- For adults with hypertension treated with antihypertensive medication, reducing systolic blood pressure (SBP) levels to 120 to 124 mm Hg is associated with reduced risk of cardiovascular disease and all-cause mortality, according to a review published online May 31 in JAMA Cardiology.

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Model Predicts Acute GI Bleeding in Anticoagulated Patients

FRIDAY, June 2, 2017 (HealthDay News) -- For patients taking oral anticoagulants, a new model can predict acute gastrointestinal (GI) bleeding, which is associated with increased risk of all-cause mortality, according to a study published online May 19 in the Journal of Gastroenterology and Hepatology.

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Cool Water Works As Well As Hot for Ridding Hands of Germs

FRIDAY, June 2, 2017 (HealthDay News) -- For effective hand hygiene, water temperature matters less than time, according to a study published in the June issue of the Journal of Food Protection.

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Medication Adherence Up With Refill Synchronization Model

THURSDAY, June 1, 2017 (HealthDay News) -- An appointment-based model (ABM) which synchronizes medication refills to improve medication adherence is associated with improvement in medication-taking behavior, according to a review published online May 8 in the Journal of Clinical Pharmacy and Therapeutics.

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Excess Weight Increases Costs Across Health Care Settings

THURSDAY, June 1, 2017 (HealthDay News) -- Excess weight is associated with increased costs across health care settings, with the highest percentage increases seen in costs for medications, according to research published online May 22 in Obesity Reviews.

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Antiretroviral Regimen Adherence Up for Americans With HIV

THURSDAY, June 1, 2017 (HealthDay News) -- More Americans with HIV are adhering to antiretroviral therapy regimens, according to a study published online May 16 in AIDS.

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Certain Breast CA Patients Benefit From Adjuvant Capecitabine

THURSDAY, June 1, 2017 (HealthDay News) -- Capecitabine (Xeloda) can extend the lives of patients with human epidermal growth factor receptor 2 (HER2)-negative breast cancer who have residual invasive disease after receipt of neoadjuvant chemotherapy, according to a study published in the June 1 issue of the New England Journal of Medicine.

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