May 2016 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 May 2016. 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.

Smoking in Pregnancy Tied to Schizophrenia Risk for Child

TUESDAY, May 31, 2016 (HealthDay News) -- Smoking during pregnancy may increase the risk of the child developing schizophrenia, according to a study published online May 24 in The American Journal of Psychiatry.

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WHO Changes Advisory Regarding Sexual Transmission of Zika

TUESDAY, May 31, 2016 (HealthDay News) -- Women planning to become pregnant should wait at least eight weeks before trying to conceive if they or their partner live in -- or are returning from -- areas where Zika virus infections are occurring, U.N. health officials now recommend.

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AHRQ Communication Toolkit Can Help After Patient Harm Occurs

TUESDAY, May 31, 2016 (HealthDay News) -- A new communication toolkit created by the Agency for Healthcare Research and Quality (AHRQ) can help health care organizations and providers communicate with patients and families when harm occurs to patients.

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Glucocorticoid Use Ups Diabetes Risk in Rheumatoid Arthritis

TUESDAY, May 31, 2016 (HealthDay News) -- For patients with rheumatoid arthritis (RA), glucocorticoid treatment is associated with increased risk of diabetes mellitus (DM), according to a study published in the May issue of Arthritis & Rheumatology.

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ASCO Develops Recommendations for Invasive Cervical Cancer Care

TUESDAY, May 31, 2016 (HealthDay News) -- The American Society for Clinical Oncology (ASCO) has developed guidelines for the management and palliative care of women with invasive cervical cancer. The clinical practice guideline was published online May 25 in the Journal of Global Oncology.

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Zika Infects, Replicates in Immune Cells From Placenta

FRIDAY, May 27, 2016 (HealthDay News) -- New research, published online May 27 in Cell Host & Microbe, sheds light on how the Zika virus infects, but doesn't kill, placenta cells.

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CDC: Fatal Abusive Head Trauma Among Children Down in the U.S.

FRIDAY, May 27, 2016 (HealthDay News) -- Half as many infants and preschoolers in the United States are dying from abusive head trauma as in 2009, according to research published in the May 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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ACOG Provides Guidance on Optimizing Postpartum Care

FRIDAY, May 27, 2016 (HealthDay News) -- To optimize postpartum care, anticipatory guidance should be implemented during pregnancy, according to a Committee Opinion published by the American College of Obstetricians and Gynecologists (ACOG).

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Remaining Uninsured May Be Difficult to Reach Via ACA

FRIDAY, May 27, 2016 (HealthDay News) -- Uninsurance rates have decreased since the introduction of the Affordable Care Act (ACA), but reaching the remaining uninsured may prove challenging, according to a health policy brief published online May 23 in Health Affairs.

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PPI Use Ups NSAID-Induced Small Bowel Injury

FRIDAY, May 27, 2016 (HealthDay News) -- Proton pump inhibitors (PPIs) increase the risk of nonsteroidal anti-inflammatory drug-induced small bowel injury, according to a study published in the June issue of Clinical Gastroenterology and Hepatology.

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Triptorelin Doesn't Prevent Chemo-Induced Ovarian Failure

FRIDAY, May 27, 2016 (HealthDay News) -- Triptorelin plus norethisterone (GnRHa) does not prevent chemotherapy-induced premature ovarian failure (POF) in young patients with lymphoma, according to a study published online May 23 in the Journal of Clinical Oncology.

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Hip Fracture Incidence Up With Non-Dialysis-Requiring CKD

FRIDAY, May 27, 2016 (HealthDay News) -- The incidence of hip fracture and post-hip fracture mortality are increased for patients with non-dialysis-requiring chronic kidney disease (CKD), according to a study published online May 4 in the Journal of Bone and Mineral Research.

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Recognition of Patient Expertise Can Improve Adherence

FRIDAY, May 27, 2016 (HealthDay News) -- Recognizing the unique role of patients and their expertise within the physician-patient interaction can help to prevent non-adherence based on disagreement, according to an article published online May 18 in the Journal of Evaluation in Clinical Practice.

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Genetic Breast Cancer Risk Can Be Mediated by Healthy Lifestyle

THURSDAY, May 26, 2016 (HealthDay News) -- Women who carry common gene variants linked to breast cancer can still reduce risk of the disease by following a healthy lifestyle, according to research published online May 26 in JAMA Oncology.

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How Much of a Threat Will Zika Be to the United States?

THURSDAY, May 26, 2016 (HealthDay News) -- Some leading insect and infectious-disease experts think health officials in the United States are overreacting to the threat posed by the Zika virus this summer.

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Prolactin Receptor Signaling Linked to Expansion of β-Cells

THURSDAY, May 26, 2016 (HealthDay News) -- Prolactin receptor (PRLR) signaling plays a role in expansion of maternal β-cells during pregnancy, according to a study published online May 23 in Diabetes.

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Prenatal n-3 LCPUFAs Don't Cut IgE-Linked Disease in Children

THURSDAY, May 26, 2016 (HealthDay News) -- Prenatal supplementation with omega-3 (n-3) long-chain polyunsaturated fatty acids (LCPUFA) does not reduce immunoglobulin E (IgE)-associated allergic disease in children, according to a study published online May 25 in Pediatrics.

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Atrial Fibrillation Linked to Cancer Risk in Women

THURSDAY, May 26, 2016 (HealthDay News) -- Women with atrial fibrillation may be at an increased risk of developing cancer, particularly of the colon, according to research published online May 25 in JAMA Cardiology.

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Marijuana Use in Pregnancy Ups Odds of Premature Delivery

WEDNESDAY, May 25, 2016 (HealthDay News) -- Marijuana use during pregnancy may increase the risk of premature delivery, according to a study published in the July issue of Reproductive Toxicology.

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Wells Rule Beats 'Gestalt' in Ruling Out Pulmonary Embolism

WEDNESDAY, May 25, 2016 (HealthDay News) -- Both a physician's own probability estimate ("gestalt") and the Wells rule can be combined with D-dimer testing to safely rule out pulmonary embolism (PE) in primary care; however, the Wells rule is more efficient, according to a study published in the May/June issue of the Annals of Family Medicine.

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Behavioral Interventions Seem Safe, Beneficial for Infant Sleep

TUESDAY, May 24, 2016 (HealthDay News) -- Two commonly used sleep training strategies appear to have no harmful effect on infants' emotional development, according to research published online May 24 in Pediatrics.

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Health Coaches Can Help Increase Patient Engagement

TUESDAY, May 24, 2016 (HealthDay News) -- Introducing health coaches who can take on responsibilities to advance lifestyle changes, prevention, and patient health can help to increase patient satisfaction and engagement, according to the American Medical Association.

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Many Advanced Cancer Patients Lack Info About Their Disease

TUESDAY, May 24, 2016 (HealthDay News) -- Many patients with advanced cancer lack basic information about their prognosis or treatment, according to a study published online May 23 in the Journal of Clinical Oncology.

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Review: Hatha Yoga Beneficial for Reducing Anxiety

TUESDAY, May 24, 2016 (HealthDay News) -- Hatha yoga is effective for reducing anxiety, and efficacy increases with increasing number of practice hours, according to a meta-analysis published online May 20 in the Journal of Evidence-Based Medicine.

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Lifestyle Factors Can Significantly Affect Cancer Mortality

MONDAY, May 23, 2016 (HealthDay News) -- Most cancer deaths among white Americans could be prevented through four healthy lifestyle changes, according to a study published online May 19 in JAMA Oncology.

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Women Battling Cancer Need More Fertility Preservation Info

MONDAY, May 23, 2016 (HealthDay News) -- Many young female cancer survivors say they don't receive enough information about preserving their fertility, according to a study published online May 23 in Cancer.

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Clinicians Should Ask, Counsel About Firearms

MONDAY, May 23, 2016 (HealthDay News) -- Clinicians ask and counsel their patients about firearms less often than recommended, according to an article published online May 17 in the Annals of Internal Medicine.

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Study Suggests a Low-Salt Diet Could Harm Certain Patients

MONDAY, May 23, 2016 (HealthDay News) -- Restricting dietary salt to below 3,000 mg a day appears to increase the risk for cardiovascular disease similar to that of hypertension patients who eat too much salt, according to research published online May 20 in The Lancet.

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Moderate Link for Automated, Clinical Breast Density Measures

MONDAY, May 23, 2016 (HealthDay News) -- There is moderate correlation for automated and clinical assessments of breast density, according to a study published in the June issue of Radiology.

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FDA Redesigns Nutrition Facts Label

MONDAY, May 23, 2016 (HealthDay News) -- The Nutrition Facts panel on packaged foods in the United States is about to undergo long-awaited changes, with a redesign emphasizing realistic portion sizes and added sugars.

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Opioid Prescriptions Drop for First Time in Two Decades

MONDAY, May 23, 2016 (HealthDay News) -- In a sign that the opioid epidemic might be waning, new data show that the number of opioid prescriptions has dropped for the first time in 20 years.

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Racism Can Disrupt Physician-Patient Power Dynamics

FRIDAY, May 20, 2016 (HealthDay News) -- A case of racism by a patient that disrupted the power dynamics between a physician and patient is described in a reflection piece published in the May/June issue of the Annals of Family Medicine.

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Dietary Fat Intake in Adolescence May Affect Breast Density

FRIDAY, May 20, 2016 (HealthDay News) -- Teens who eat high amounts of saturated fats or low amounts of healthier mono- and polyunsaturated fats tend to have denser breasts 15 years later, according to a study published online May 19 in Cancer Epidemiology, Biomarkers & Prevention.

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CDC: New Method of Identifying Pregnant Women With Zika Virus

FRIDAY, May 20, 2016 (HealthDay News) -- The number of pregnant women in the United States infected with the Zika virus has just tripled because cases are now being counted in a more comprehensive way, federal health officials said Friday.

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Lifestyle Intervention Before Infertility Treatment No Benefit

FRIDAY, May 20, 2016 (HealthDay News) -- A lifestyle intervention preceding infertility treatment does not result in higher rates of vaginal birth among obese infertile women, according to a study published in the May 19 issue of the New England Journal of Medicine.

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Major Stroke May Be Prevented by Taking Aspirin After TIA

FRIDAY, May 20, 2016 (HealthDay News) -- Taking aspirin immediately after a transient ischemic attack (TIA) significantly reduces the risk of a major stroke, according to research published online May 18 in The Lancet.

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Strategies Can Help Streamline Revenue-Related Processes

THURSDAY, May 19, 2016 (HealthDay News) -- Strategies can be employed to maximize the amount of time available for patient care by streamlining revenue-related processes, according to the American Medical Association (AMA).

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Pregabalin in Pregnancy Linked to Increased Risk of Birth Defects

THURSDAY, May 19, 2016 (HealthDay News) -- The widely prescribed drug pregabalin (Lyrica) may slightly increase the risk for birth defects, according to a study published online May 18 in Neurology.

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Worse Outcomes for GDM With Impaired Insulin Sensitivity

THURSDAY, May 19, 2016 (HealthDay News) -- Among women with gestational diabetes mellitus (GDM), impaired insulin sensitivity, but not insulin secretion defects, is associated with a greater risk of adverse outcomes compared with normal glucose tolerance (NGT), according to a study published online May 13 in Diabetes Care.

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Self-Measured Waist Circumference Often Falls Short

THURSDAY, May 19, 2016 (HealthDay News) -- Self-measured waist circumference has a clinically important false-negative rate compared with professionally-measured waist circumference, according to a study published in the May/June issue of the Annals of Family Medicine.

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Burnout, Lack of Job Satisfaction Driving Doctors to Cut Hours

WEDNESDAY, May 18, 2016 (HealthDay News) -- Full-time physicians reporting worsening burnout or decreased job satisfaction are more likely to reduce their work hours, according to a study published in the April issue of Mayo Clinic Proceedings.

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IOM Committee Finds Genetically Engineered Crops Safe

WEDNESDAY, May 18, 2016 (HealthDay News) -- Crops created through genetic engineering are as safe to eat as crops developed through traditional plant-breeding methods, according to the National Academies of Sciences, Engineering, and Medicine.

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Sexual Harassment Experienced by One-Third of Female Doctors

WEDNESDAY, May 18, 2016 (HealthDay News) -- Thirty percent of female physicians face sexual harassment on the job, while close to three-quarters perceive gender bias at work and two-thirds say they have actually experienced it, according to survey findings published in the May 17 issue of the Journal of the American Medical Association.

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Ambulatory BP Monitoring Can Help ID Masked Hypertension

TUESDAY, May 17, 2016 (HealthDay News) -- Ambulatory blood pressure monitoring could help identify undetected hypertension in at-risk populations, according to a study published online May 16 in Hypertension.

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About Half of Myocardial Infarctions Are Asymptomatic

TUESDAY, May 17, 2016 (HealthDay News) -- As many as half of all myocardial infarctions (MIs) may be silent, according to a study published online May 16 in Circulation.

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Wine Beats Other Types of Alcohol in Reduction of T2DM Risk

TUESDAY, May 17, 2016 (HealthDay News) -- Wine is associated with a greater decrease in the risk of type 2 diabetes than beer or spirits, according to a review published online May 11 in the Journal of Diabetes Investigation.

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Religious Service Attendance May Affect Mortality Among Women

MONDAY, May 16, 2016 (HealthDay News) -- Women who regularly attend religious services may live longer than women who never attend services, according to research published online May 16 in JAMA Internal Medicine.

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Physical Activity Associated With Lower Risk of Many Cancers

MONDAY, May 16, 2016 (HealthDay News) -- Exercise may significantly reduce risk for many types of cancer, according to a large review published online May 16 in JAMA Internal Medicine.

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Complementary Medicine Use Up With Chronic Conditions

MONDAY, May 16, 2016 (HealthDay News) -- Adults with multiple chronic conditions frequently use complementary and alternative medicine (CAM), according to a study published online May 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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FDA Issues Stronger Warning on Side Effects of Fluoroquinolones

FRIDAY, May 13, 2016 (HealthDay News) -- Stronger warnings about the possible side effects of fluoroquinolones were issued Thursday by the U.S. Food and Drug Administration.

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Oophorectomy Tied to Increased Risk of Colorectal Cancer

FRIDAY, May 13, 2016 (HealthDay News) -- Oophorectomy may lead to increased risk of developing colorectal cancer, according to research reported in the June issue of the British Journal of Surgery.

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CAM Use May Affect Breast Cancer Patients' Chemo Decisions

FRIDAY, May 13, 2016 (HealthDay News) -- Women with early-stage breast cancer who utilize complementary and alternative medicine (CAM) may delay recommended chemotherapy, according to research published online May 12 in JAMA Oncology.

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Gestational DM Tied to Greater Total Adipose Tissue in Infants

FRIDAY, May 13, 2016 (HealthDay News) -- Infants born to mothers who had gestational diabetes mellitus (GDM) may be more likely to carry excess fat in early life, according to research published online May 12 in Diabetes Care.

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Fall Risk Up With Initiation, Intensification of HTN Meds

FRIDAY, May 13, 2016 (HealthDay News) -- For older adults, initiation and intensification of antihypertensive medication is associated with a short-term increased risk of serious fall injuries, according to a study published online May 10 in Circulation: Cardiovascular Quality and Outcomes.

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Bundle of Practices Can Cut Surgical Site Infections

FRIDAY, May 13, 2016 (HealthDay News) -- Implementing a bundle of evidence-based practices can reduce 30-day surgical site infection, according to a study published in the June issue of Obstetrics & Gynecology.

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Adolescent Fruit Consumption May Impact Breast Cancer Risk

THURSDAY, May 12, 2016 (HealthDay News) -- Teenage girls who consume large amounts of fruit may lower their future risk for breast cancer; however, women who drink more alcohol over time might increase their breast cancer risk, according to two studies published online May 11 in The BMJ.

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Prevalence of Gestational Diabetes Varies Across Seasons

THURSDAY, May 12, 2016 (HealthDay News) -- The prevalence of gestational diabetes mellitus (GDM) varies across the seasons, with higher prevalence in the summer and lower prevalence in the winter, according to a study published online May 10 in Diabetes Care.

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Use of Disease-Monitoring Tests Often Extreme in Breast Cancer

THURSDAY, May 12, 2016 (HealthDay News) -- More than one in three women with metastatic breast cancer (MBC) are extreme users of disease-monitoring tests, with higher total health care costs seen in association with extreme use, according to a study published online May 9 in the Journal of Clinical Oncology.

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Two Years of Tamoxifen Offers Long-Term Survival Benefit

THURSDAY, May 12, 2016 (HealthDay News) -- For premenopausal women with breast cancer, two years of tamoxifen is associated with long-term survival benefit, according to a study published online May 9 in the Journal of Clinical Oncology.

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Endometriosis Prevalence <25 Percent in Chronic Pelvic Pain

THURSDAY, May 12, 2016 (HealthDay News) -- The prevalence of surgically confirmed endometriosis is less than 25 percent among women undergoing hysterectomy for chronic pelvic pain, according to a study published in the June issue of Obstetrics & Gynecology.

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Pop-Up Messages Up Physician Awareness of Osteoporosis

THURSDAY, May 12, 2016 (HealthDay News) -- The introduction of pop-up messages relating to a history of dual-energy X-Ray absorptiometry (DXA) in an order communication system can increase the rates of DXA prescription, as well as the rates of osteoporosis medication and exercise, according to a study published online May 6 in the Journal of Evaluation in Clinical Practice.

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Excess Weight May Not Equal Early Mortality After All

WEDNESDAY, May 11, 2016 (HealthDay News) -- The body mass index (BMI) linked to the lowest rate of all-cause early mortality is rising, according to a study published in the May 10 issue of the Journal of the American Medical Association.

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High Maternal Glucose May Adversely 'Imprint' Baby

WEDNESDAY, May 11, 2016 (HealthDay News) -- A mother's excess weight gain or elevated blood glucose levels in pregnancy may put her child at increased risk for being overweight or obese, according to a study published online May 6 in Maternal and Child Health Journal.

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Misoprostol Should Be Considered in Postpartum Hyperthermia

WEDNESDAY, May 11, 2016 (HealthDay News) -- The synthetic prostaglandin E1 analogue misoprostol has known severe side effects and should be considered in cases of postpartum hyperthermia, rigors, and tachycardia, according to a case report published in the June issue of Obstetrics & Gynecology.

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Cutting Brand-Name Drug Use Could Save U.S. $73 Billion

TUESDAY, May 10, 2016 (HealthDay News) -- Americans could save tens of billions of dollars with more efficient drug use, replacing brand-name drugs with their generic equivalents whenever possible, according to a study published online May 9 in JAMA Internal Medicine.

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Swaddling May Increase Risk of Sudden Infant Death Syndrome

MONDAY, May 9, 2016 (HealthDay News) -- Swaddling infants before sleep may increase risk of sudden infant death syndrome (SIDS) substantially, according to a review published online May 9 in Pediatrics.

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Exercise Reduces Fatigue, Depression, Paresthesia in MS

MONDAY, May 9, 2016 (HealthDay News) -- For females with multiple sclerosis (MS), the addition of exercise programs to standard immune modulatory therapy can improve fatigue, depression, and paresthesia, according to a study published in the May issue of Medicine & Science in Sports & Exercise.

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CDC Establishes New 'Clean Hands Count' Campaign

MONDAY, May 9, 2016 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has introduced a new campaign, "Clean Hands Count," to encourage health care professionals, patients, and patients' families to keep their hands clean in order to prevent health care-associated infections.

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Malignancy Ups Risk of Post-Hysterectomy Readmission

MONDAY, May 9, 2016 (HealthDay News) -- Risk factors have been identified for 30-day readmission following hysterectomy, according to a study published in the May issue of the American Journal of Obstetrics & Gynecology.

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Portable, Rapid, Low-Cost Zika Test Shows Promise in Monkeys

FRIDAY, May 6, 2016 (HealthDay News) -- A fast, inexpensive test that detects the Zika virus in monkeys might be useful for doctors working far from hospitals, according to a study published online May 6 in Cell.

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Substantial Aggregate Costs of Care for Cervical Cancer

FRIDAY, May 6, 2016 (HealthDay News) -- The costs of care for cervical cancer vary by phase of care, and aggregate costs are substantial, according to a study published in the May issue of the American Journal of Obstetrics & Gynecology.

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Guideline-Based Phone Program Ups Provision, Timeliness of CPR

THURSDAY, May 5, 2016 (HealthDay News) -- Cardiopulmonary resuscitation (CPR) instruction may be just a cellphone call away, according to a study published online May 4 in JAMA Cardiology.

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Fluconazole Use May Raise Risk of Certain Birth Defects

THURSDAY, May 5, 2016 (HealthDay News) -- Prenatal use of low-dose fluconazole is associated with cleft lip with cleft palate and d-transposition of the great arteries, according to a study published in the May issue of the American Journal of Obstetrics & Gynecology.

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Increase in Low-Risk AMI Survivors From 2001 to 2011

WEDNESDAY, May 4, 2016 (HealthDay News) -- The proportion of low-risk survivors of acute myocardial infarction (AMI) increased from 2001 to 2011, and characteristics include younger age, male gender, and being married, according to a study published in the May 15 issue of The American Journal of Cardiology.

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Physician Leadership Training May Help Counteract Burnout

WEDNESDAY, May 4, 2016 (HealthDay News) -- Physician leaders with good leadership qualities are more likely to have employees who are satisfied and do not show signs of burnout, according to a study published in the April issue of the Mayo Clinic Proceedings and a report published by the American Medical Association.

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Herpes Simplex Virus Linked to Frailty, Mortality

WEDNESDAY, May 4, 2016 (HealthDay News) -- For older women, herpes simplex virus antibody levels are associated with incident frailty and mortality, according to a study published online April 30 in the Journal of the American Geriatrics Society.

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Price Transparency Tool Doesn't Cut Health Care Spending

WEDNESDAY, May 4, 2016 (HealthDay News) -- Employee use of a price transparency tool does not cut health care spending, according to a study published in the May 3 issue of the Journal of the American Medical Association.

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Radon in the Home Linked to Hematologic Malignancies

WEDNESDAY, May 4, 2016 (HealthDay News) -- There appears to be a strong link between exposure to high levels of radon in the home and women's risk of hematologic malignancies, according to a study published online recently in Environmental Research.

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USPSTF: Evidence Lacking for Celiac Disease Screening

TUESDAY, May 3, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to weigh the potential benefits and harms of screening for celiac disease in asymptomatic individuals. These findings form the basis of a draft recommendation statement published online May 3 by the USPSTF.

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Flu Vaccine in Pregnancy Protects Mother and Infant

TUESDAY, May 3, 2016 (HealthDay News) -- Pregnant women who receive influenza vaccination may be protecting their infants as well as themselves against the virus, according to a new report published online May 3 in Pediatrics.

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Still Too Many Antibiotic Prescriptions Being Written

TUESDAY, May 3, 2016 (HealthDay News) -- Nearly one-third of the antibiotics prescribed in the United States aren't appropriate for the conditions being treated, according to research published in the May 3 issue of the Journal of the American Medical Association.

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High Risk of Long-Term Complications Seen With ICDs

TUESDAY, May 3, 2016 (HealthDay News) -- Implantable cardioverter-defibrillators (ICDs) are associated with a high risk of long-term complications, according to research published online May 3 in the Annals of Internal Medicine.

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Report: Why Health Care Costs Are Lower in Europe Than U.S.

TUESDAY, May 3, 2016 (HealthDay News) -- European residents have access to the same health care services as U.S. residents but pay much less, and this is related to several specific factors, according to a report published by INDIGOMED on April 25.

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Cognitive Behavioral Therapy Advised for Chronic Insomnia

TUESDAY, May 3, 2016 (HealthDay News) -- Cognitive behavioral therapy is recommended as the initial treatment for all adults with chronic insomnia disorder, according to a clinical practice guideline published online May 3 in the Annals of Internal Medicine.

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Artemisia Extract Ups Insulin Sensitivity in GDM

TUESDAY, May 3, 2016 (HealthDay News) -- For women with gestational diabetes mellitus, daily administration of Artemisia extract is associated with improved insulin sensitivity, according to a study published online April 27 in the Journal of Clinical Pharmacology.

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Calorie Restriction Improves Mood, Health in Non-Obese

MONDAY, May 2, 2016 (HealthDay News) -- Calorie restriction may improve health, mood, sexual function, and stress levels even in non-obese individuals, according to research published online May 2 in JAMA Internal Medicine.

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2017 May Offer Fewer Choices for Affordable Care Act Enrollees

MONDAY, May 2, 2016 (HealthDay News) -- With the nation's largest health insurer exiting all but a few Affordable Care Act exchanges next year, some Americans may be left with fewer choices and some might see higher monthly premiums.

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Serum Prolactin in Pregnancy Predicts Prediabetes/Diabetes

MONDAY, May 2, 2016 (HealthDay News) -- Serum prolactin in pregnancy predicts the risk of postpartum prediabetes/diabetes, according to a study published online April 26 in Diabetes Care.

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