May 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 May 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.

Distinct Maternal, Fetal Risks for Anticoagulants in Pregnancy

WEDNESDAY, May 31, 2017 (HealthDay News) -- Anticoagulation for mechanical heart valves during pregnancy is associated with distinct maternal and fetal risks, according to a review published in the June 6 issue of the Journal of the American College of Cardiology.

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CDC: Prevalence of Arthritis 31.8% in Most Rural Areas of U.S.

WEDNESDAY, May 31, 2017 (HealthDay News) -- The prevalence of arthritis is 31.8 percent in the most rural areas and 20.5 percent in the most urban areas of the United States, according to research published in the May 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Mindfulness-Based Childbirth Prep Course Found Beneficial

WEDNESDAY, May 31, 2017 (HealthDay News) -- Participation in a mindfulness-based childbirth preparation course, the Mind in Labor (MIL), is associated with improvement in women's childbirth-related appraisals and psychological functioning, according to a study published online May 12 in BMC Pregnancy and Childbirth.

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Gender Minority Adults More Likely to Report Poor Health

WEDNESDAY, May 31, 2017 (HealthDay News) -- Gender minority adults have a higher rate of health issues than their cisgender peers, according to a research letter published online May 30 in JAMA Internal Medicine.

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CDC: Teenage Birth Rate at All-Time Low in the United States

TUESDAY, May 30, 2017 (HealthDay News) -- Teen births continue to decline in the United States, with a 9 percent drop from 2013 to 2014, according to a report published online May 30 in Pediatrics.

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Social Psychology May Help With Physician Error Disclosure

TUESDAY, May 30, 2017 (HealthDay News) -- Lessons from social psychology can be used to improve behavioral changes in terms of error disclosure, according to research published online May 18 in Medical Education.

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Daily Texting Effectively Monitors Rx Adherence, Side Effects

TUESDAY, May 30, 2017 (HealthDay News) -- For patients with breast cancer receiving endocrine therapy, daily bidirectional text messaging can monitor adherence and adverse events (AEs), according to a study published online May 23 in JCO: Clinical Cancer Informatics.

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High-Risk Pools May Represent Step Back for U.S. Health Care

TUESDAY, May 30, 2017 (HealthDay News) -- Proposed legislation as part of the American Health Care Act, which includes the option of high-risk pools, is not likely to reduce costs, according to an Ideas and Opinions piece published online May 23 in the Annals of Internal Medicine.

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ACOG: Assess All Active Women for Female Athlete Triad

TUESDAY, May 30, 2017 (HealthDay News) -- All active females should be assessed for components of the female athlete triad, with further evaluation if one or more components are identified, according to a Committee Opinion published in the June issue of Obstetrics & Gynecology.

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Breaking Up Sedentary Time With Upper Body Activity Beneficial

TUESDAY, May 30, 2017 (HealthDay News) -- For obese adults, performing short bouts of arm ergometry during prolonged sitting is associated with reduced mean blood glucose and insulin incremental area under the curve (iAUC), according to a study published online May 23 in Diabetes, Obesity and Metabolism.

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Reduced Cellular Aging Seen With Regular, Strenuous Exercise

TUESDAY, May 30, 2017 (HealthDay News) -- People who consistently engage in high levels of physical activity have longer telomeres than those who have sedentary lifestyles, as well as those who are moderately active, according to a study scheduled for publication in the July issue of Preventive Medicine.

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Four Separate Events Led to Zika's Introduction Into Florida

FRIDAY, May 26, 2017 (HealthDay News) -- The 2016 Zika outbreak in Florida wasn't due to a single introduction and spread of the virus, but rather at least four separate events, according to research published online May 24 in Nature.

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New Health Care Act Could Result in 23 Million Losing Insurance

FRIDAY, May 26, 2017 (HealthDay News) -- The Republican-led bill to repeal and replace the Affordable Care Act (ACA) that passed the House this month would result in 23 million Americans losing their health insurance coverage, according to a report issued by the Congressional Budget Office (CBO).

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New Bill Intends to Repeal Limits on Physician-Owned Hospitals

FRIDAY, May 26, 2017 (HealthDay News) -- A new bill introduced in the U.S. House of Representatives would repeal the federal law essentially banning construction of physician-owned hospitals and making it difficult for these facilities to grow, according to a report published by the American Medical Association (AMA).

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Factors Raise Risk of Pregnancy-Related Stroke in Preeclampsia

FRIDAY, May 26, 2017 (HealthDay News) -- Several factors raise the risk of pregnancy-related stroke in women with preeclampsia, according to a study published online May 25 in Stroke.

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Targeting ANGPTL3 Can Significantly Lower Cholesterol

FRIDAY, May 26, 2017 (HealthDay News) -- Two separate research groups say they've successfully reduced cholesterol in humans by using different methods to block the angiopoietin-like 3 (ANGPTL3) gene. The findings were published online May 24 in the New England Journal of Medicine.

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Some Benefit for Curcuminoids in Knee Osteoarthritis

FRIDAY, May 26, 2017 (HealthDay News) -- Curcuminoids seem beneficial for knee osteoarthritis (OA), although they are less effective for pain relief than ibuprofen, according to a review and meta-analysis published online May 4 in the International Journal of Rheumatic Diseases.

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Riboflavin Shows Positive Effect for Migraine in Adults

FRIDAY, May 26, 2017 (HealthDay News) -- Riboflavin is well tolerated and has a positive therapeutic effect in prophylactic treatment of migraine headache in adults, according to a review published online May 8 in the Journal of Clinical Pharmacy and Therapeutics.

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Technology Can Help Patients Facing Routine Decisions

FRIDAY, May 26, 2017 (HealthDay News) -- Information technology can be harnessed to assist patients facing routine decisions, according to a study published in the May/June issue of the Annals of Family Medicine.

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Location of Body Fat Can Indicate Obesity-Related Cancer Risk

THURSDAY, May 25, 2017 (HealthDay News) -- Both body mass index (BMI) and location of excess body fat on the body are good indicators of obesity-related cancer risk, according to a meta-analysis published online April 25 in the British Journal of Cancer.

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New Interactive Module Aims to Clarify Professional Boundaries

THURSDAY, May 25, 2017 (HealthDay News) -- A new interactive training module in medical ethics can help physicians to understand professional boundaries, according to a report published by the American Medical Association (AMA).

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Knee Pain Relief Seen With Fiber, Chondroitin in Osteoarthritis

THURSDAY, May 25, 2017 (HealthDay News) -- Fiber and/or the dietary supplement chondroitin may help reduce knee pain from arthritis, according to two studies published online May 23 in the Annals of the Rheumatic Diseases.

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Two-Dose HPV Vaccine Effective Against Genital Warts

THURSDAY, May 25, 2017 (HealthDay News) -- New research supports the recent U.S. recommendation for two, rather than three, doses of the human papillomavirus (HPV) vaccine to protect against genital warts in preteens and teens. The report was published in the June issue of Sexually Transmitted Diseases.

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Path to Empathy Deemed As Vital As Being Empathetic

THURSDAY, May 25, 2017 (HealthDay News) -- Different paths to perspective of another's experience are associated with varying effect on helpers' health during helping behavior, according to a study published online April 16 in the Journal of Experimental Social Psychology.

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Calls, SMS Can Increase Adherence to FIT CRC Screening

THURSDAY, May 25, 2017 (HealthDay News) -- Telephone calls and short message service (SMS) can improve the likelihood of fecal immunochemical test (FIT) pick-up and return, according to a research letter published online May 18 in JAMA Oncology.

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Induction With Concurrent Oxytocin, Foley Speeds Delivery

THURSDAY, May 25, 2017 (HealthDay News) -- The rate of delivery within 24 hours is increased with induction with concurrent oxytocin infusion added to preinduction cervical ripening with a Foley catheter versus Foley followed by oxytocin, according to a study published in the June issue of Obstetrics and Gynecology.

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FDA Approves Keytruda for All Cancers With Genetic Biomarker

WEDNESDAY, May 24, 2017 (HealthDay News) -- Keytruda (pembrolizumab) has been approved by the U.S. Food and Drug Administration to treat any cancer that has a certain genetic biomarker, regardless of where in the body the cancer originated.

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Regular Chocolate Consumption May Lower Risk of A-Fib

WEDNESDAY, May 24, 2017 (HealthDay News) -- Regular chocolate consumption may lead to a lower risk of atrial fibrillation (AF), according to research published online May 23 in Heart.

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Reducing Caloric Intake Appears to Slow Biological Aging

WEDNESDAY, May 24, 2017 (HealthDay News) -- Limiting calorie intake may slow aging, according to a study published online May 22 in the Journals of Gerontology, Series A: Biological Sciences and Medical Sciences.

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Doctors Urged to Check Patient Drug History Before Opioid Rx

WEDNESDAY, May 24, 2017 (HealthDay News) -- Prescription databases can help combat drug abuse when doctors are required by law to check them before writing opioid prescriptions, according to a study to be published in a future issue of the American Economic Journal: Economic Policy.

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Mortality Rates Found Lower at Major Teaching Hospitals

WEDNESDAY, May 24, 2017 (HealthDay News) -- Older adults treated at major teaching facilities are less likely to die in the weeks and months following their discharge than patients admitted to community hospitals, according to research published in the May 23/30 issue of the Journal of the American Medical Association.

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Social Contagion Impacts Imaging Use in Breast Cancer

WEDNESDAY, May 24, 2017 (HealthDay News) -- The likelihood of advanced imaging (magnetic resonance imaging [MRI] and positron emission tomography [PET]) use is increased for women assigned to surgeons whose peers had the highest rate of baseline imaging use, according to a study published recently in the Journal of the National Cancer Institute.

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Normal Meal Tolerance Test Is Practical, Reliable in T2DM

WEDNESDAY, May 24, 2017 (HealthDay News) -- A normal meal tolerance test (NMTT) -- a simplified version of the mixed meal tolerance test -- is valuable as an insulin secretion test in patients with type 2 diabetes, with exception of those in a hyperglycemic state, according to a study published online May 11 in the Journal of Diabetes Investigation.

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Double-Edged Health Care Experience for Endometriosis

WEDNESDAY, May 24, 2017 (HealthDay News) -- For women with endometriosis, the health care experience is double-edged, with both a destructive and constructive side, according to a study published online May 11 in the Journal of Clinical Nursing.

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Even Small Amounts of Alcohol Can Affect Breast Cancer Risk

TUESDAY, May 23, 2017 (HealthDay News) -- Exercising regularly, maintaining a healthy weight, and limiting alcohol could all reduce breast cancer risk, according to findings released by the American Institute for Cancer Research and the World Cancer Research Fund.

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Statin Therapy Found to Be of Little Benefit in Older Adults

TUESDAY, May 23, 2017 (HealthDay News) -- The benefit of pravastatin for primary prevention in older adults with moderate hyperlipidemia and hypertension is questionable, according to a study published online May 22 in JAMA Internal Medicine.

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Filtered Cigarettes May Up Rates of Lung Adenocarcinoma

TUESDAY, May 23, 2017 (HealthDay News) -- Filtered cigarettes might be even more unhealthy than unfiltered ones, and a new review published online May 22 in the Journal of the National Cancer Institute suggests that they have been raising rates of adenocarcinomas of the lung.

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Five-Year Risk of Repeat SUI, POP Surgery Less Than 10 Percent

TUESDAY, May 23, 2017 (HealthDay News) -- For women undergoing surgery for stress urinary incontinence (SUI) and pelvic organ prolapse (POP), the risk of repeat procedures is less than 10 percent, with increased risks for older women and initial POP surgery, according to a study published in the June issue of Obstetrics & Gynecology.

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Poverty Affects Severity of Organ Damage Due to Lupus

MONDAY, May 22, 2017 (HealthDay News) -- Poverty and race are tied to the health of lupus patients in the United States, according to two new studies.

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Nine of Ten Practices Surveyed Have Dismissed Patients

MONDAY, May 22, 2017 (HealthDay News) -- The majority of medical practices have dismissed patients, according to a research letter published online May 15 in JAMA Internal Medicine.

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Gender Confirmation Surgeries Up 20 Percent From 2015 to 2016

MONDAY, May 22, 2017 (HealthDay News) -- The American Society of Plastic Surgeons (ASPS) reports a nearly 20 percent increase in transgender-related surgeries in the first two years of collecting data on these procedures.

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One in Five Cancers in the United States Is Considered Rare

FRIDAY, May 19, 2017 (HealthDay News) -- Rare cancers account for one in five cancers diagnosed in the United States, presenting special challenges to doctors and patients, according to research published online May 19 in CA: A Cancer Journal for Clinicians.

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CDC: Crypto Outbreaks Linked to Pools Have Doubled Since 2014

FRIDAY, May 19, 2017 (HealthDay News) -- Outbreaks of cryptosporidiosis have doubled in recent years at swimming pools and water playgrounds in the United States, according to research published in the May 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report (MMWR).

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Eating More Fruits, Vegetables May Lower Risk of PAD

FRIDAY, May 19, 2017 (HealthDay News) -- Eating plenty of fruits and vegetables may help reduce the risk of peripheral artery disease (PAD), according to a study published online May 18 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Glucose Peaks Linked to Cognitive Decline, Dementia in Diabetes

FRIDAY, May 19, 2017 (HealthDay News) -- Glucose peaks are associated with cognitive decline and dementia among individuals with diabetes, according to a study published online May 12 in Diabetes Care.

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Study Questions Utility of Universal Cervical Length Screens

FRIDAY, May 19, 2017 (HealthDay News) -- Patients with a short cervix who deliver prematurely have a significantly longer interval from antenatal corticosteroid administration, and fewer receive antenatal corticosteroids within seven days of birth, according to a study published in the June issue of Obstetrics & Gynecology.

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Tips Provided to Help Physicians Plan for Retirement

THURSDAY, May 18, 2017 (HealthDay News) -- Physicians should consider their retirement and plan ahead at all stages of their career, according to an article published in Medical Economics.

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More U.S. Women Living With Metastatic Breast Cancer

THURSDAY, May 18, 2017 (HealthDay News) -- The number of U.S. women living with metastatic breast cancer has been rising since the 1990s, according to a study published online May 18 in Cancer Epidemiology, Biomarkers & Prevention.

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Weight Loss, Aerobic+Resistance Exercise Best for Obese Seniors

THURSDAY, May 18, 2017 (HealthDay News) -- Engaging in aerobic and resistance exercise while losing weight enables elderly obese patients to maintain more muscle mass and bone density compared to those who do just one type of exercise or none at all, according to a study published in the May 18 issue of the New England Journal of Medicine.

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Global Burden of Cardiovascular Disease Assessed

THURSDAY, May 18, 2017 (HealthDay News) -- Cardiovascular disease (CVD) is a major global burden, despite declines in the mortality rate due to CVD in high-income and some middle-income countries, according to a study published online May 17 in the Journal of the American College of Cardiology.

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Promising Start for National Diabetes Prevention Program

THURSDAY, May 18, 2017 (HealthDay News) -- The National Diabetes Prevention Program (DPP) has achieved widespread implementation of the lifestyle change portion to help prevent type 2 diabetes, according to a study published online May 12 in Diabetes Care.

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AIDS Epidemic Could End in U.S. by 2025

WEDNESDAY, May 17, 2017 (HealthDay News) -- If certain targets are met, the rate of new HIV infections may be down to 12,000 a year by 2025, which would mark a transition toward the end of the HIV/AIDS epidemic, according to research published online May 15 in the American Journal of Preventive Medicine.

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Treatment in Hospital by Older Doctors Tied to Higher Mortality

WEDNESDAY, May 17, 2017 (HealthDay News) -- Hospitalized patients 65 and older may face a slightly higher risk of dying within a month of their admittance when treated by an older versus younger physician, according to research published online May 16 in The BMJ.

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3D Printed Ovaries Produce Healthy Offspring in Animal Model

WEDNESDAY, May 17, 2017 (HealthDay News) -- In an article published online May 16 in Nature Communications, U.S. scientists report they've created a bioprosthetic ovary in a mouse using three-dimensional (3D) printing technology -- and the mouse has given birth to healthy pups.

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Acute MI Risk Significantly Up Following Respiratory Infection

WEDNESDAY, May 17, 2017 (HealthDay News) -- The risk of acute myocardial infarction (AMI) increases sharply after a respiratory infection, according to a study published in the May issue of the Internal Medicine Journal.

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HRT Not Advised for Disease Prevention Post Menopause

WEDNESDAY, May 17, 2017 (HealthDay News) -- Using hormone therapy to prevent chronic health issues, such as cardiovascular disease and bone loss, in postmenopausal women may do more harm than good, the U.S. Preventive Services Task Force (USPSTF) says.

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CDC: Slowing of Decline in Number of Uninsured Adults

WEDNESDAY, May 17, 2017 (HealthDay News) -- The decline in the number of Americans without health insurance stalled in 2016 after five years of progress, according to a U.S. Centers for Disease Control and Prevention report released Tuesday.

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Telemedical Lifestyle Intervention Ups T2DM Glycemic Control

WEDNESDAY, May 17, 2017 (HealthDay News) -- A Telemedical Lifestyle Intervention Program (TeLiPro) can improve glycemic control in advanced-stage type 2 diabetes, according to a study published online May 12 in Diabetes Care.

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Body Size Linked to Primary Hyperparathyroidism in Women

WEDNESDAY, May 17, 2017 (HealthDay News) -- Body size seems to be associated with increased risk of primary hyperparathyroidism (P-HPTH) in women, according to a study published online May 10 in the Journal of Bone and Mineral Research.

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Plan Suggested for Reducing Health Care Costs

TUESDAY, May 16, 2017 (HealthDay News) -- Health care costs can be reduced, with a nine-step plan suggested as a starting place, according to an article published in Medical Economics.

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No Evidence Steroids Benefit Symptomatic Knee Osteoarthritis

TUESDAY, May 16, 2017 (HealthDay News) -- Regular use of corticosteroid injections for degenerative knee disease is ineffective and may even result in cartilage loss, according to a study published in the May 16 issue of the Journal of the American Medical Association.

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Too Few U.S. Hospitals Have C-Section Rates Below HHS Target

TUESDAY, May 16, 2017 (HealthDay News) -- Hospital cesarean-section rates vary widely across the United States, from a low of 7 percent to a high of 64.6 percent, according to a new analysis published May 16 in Consumer Reports.

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Findings Support More Targeted Approach to Cholesterol Screens

TUESDAY, May 16, 2017 (HealthDay News) -- The prevalence of elevated cardiovascular risk is low in normotensive, nonsmoking women younger than 50 years and men younger than 40 years, according to a study published online May 16 in the Annals of Internal Medicine.

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Warmer Temperatures May Up Risk of Gestational Diabetes

TUESDAY, May 16, 2017 (HealthDay News) -- Outdoor air temperature may influence a pregnant woman's risk of developing gestational diabetes, according to a study published online May 15 in CMAJ, the journal of the Canadian Medical Association.

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Younger Age at Menopause Tied to Higher Risk of Heart Failure

TUESDAY, May 16, 2017 (HealthDay News) -- Women who undergo menopause early or who never gave birth might have an increased risk of heart failure, according to a study published in the May 23 issue of the Journal of the American College of Cardiology.

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Few Eligible U.S. Travelers Getting Pre-Trip Measles Vaccine

TUESDAY, May 16, 2017 (HealthDay News) -- More than half of eligible Americans traveling abroad don't get a measles vaccine, and a key reason is lack of concern about the disease, according to a study published online May 16 in the Annals of Internal Medicine.

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Cancer Screen Adherence Low for Solid Organ Transplant Recipients

TUESDAY, May 16, 2017 (HealthDay News) -- Most solid organ transplant recipients (SOTR) do not adhere to standard recommendations for cancer screening, according to a study published online May 9 in the American Journal of Transplantation.

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HRT May Increase Risk of Postmenopausal Hearing Loss

MONDAY, May 15, 2017 (HealthDay News) -- Hearing loss is linked to several factors associated with menopause, according to research published online May 8 in Menopause.

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Warning Against Domperidone Use for Lactating Women

MONDAY, May 15, 2017 (HealthDay News) -- The dopamine receptor antagonist domperidone, which may increase milk production in lactating women, is associated with serious cardiac risks, and should not be used for lactation enhancement, according to a commentary published in the June issue of Obstetrics and Gynecology.

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Quinine Exposure Linked to All-Cause Mortality

MONDAY, May 15, 2017 (HealthDay News) -- Long-term quinine exposure is associated with increased mortality, according to a research letter published in the May 9 issue of the Journal of the American Medical Association.

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Hospitals Need to Be Prepared for Ransomware Attacks

FRIDAY, May 12, 2017 (HealthDay News) -- Hackers are increasingly targeting hospitals, using viruses to lock their computer systems and hold sensitive medical data and other files hostage, according to an observation piece published online May 11 in The BMJ.

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CDC: Steep Rise in New HCV Infections Over Last Five Years

FRIDAY, May 12, 2017 (HealthDay News) -- Reports of new hepatitis C virus (HCV) infections in the United States nearly tripled over five years, reaching a 15-year high, according to the U.S. Centers for Disease Control and Prevention.

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Tai Chi Can Help Relieve Insomnia in Breast Cancer Survivors

FRIDAY, May 12, 2017 (HealthDay News) -- For breast cancer survivors, tai chi is as effective as cognitive behavioral therapy and more effective than medication in treating insomnia and reducing the risk for sleep loss-related health issues, including depression, fatigue, and a weakened immune system, according to a study published online May 10 in the Journal of Clinical Oncology.

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10 Minutes of Meditation Can Up Focus for Patients With Anxiety

FRIDAY, May 12, 2017 (HealthDay News) -- Ten minutes daily of mindful meditation can improve focus among patients with anxiety, according to a report published in the May issue of Consciousness and Cognition.

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Never Breastfeeding Linked to Increased Risk of T1DM

FRIDAY, May 12, 2017 (HealthDay News) -- Never breastfeeding seems to be associated with increased risk of type 1 diabetes, according to a study published online May 9 in Diabetes Care.

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CDC: Hep C Infections Among Pregnant Women Increasing

FRIDAY, May 12, 2017 (HealthDay News) -- The prevalence of hepatitis C (HCV) infection among pregnant women nearly doubled between 2009 and 2014, according to research published in the May 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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ACP: Recommendations Updated for Low Bone Density Treatment

FRIDAY, May 12, 2017 (HealthDay News) -- In a clinical practice guideline update published online May 9 in the Annals of Internal Medicine, recommendations are presented for the treatment of low bone density and osteoporosis to prevent fractures.

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Enhanced Recovery After Surgery Program Ups Outcomes

FRIDAY, May 12, 2017 (HealthDay News) -- An enhanced recovery after surgery (ERAS) program is associated with improved outcomes for patients undergoing elective colorectal resection and emergency hip fracture repair, according to a study published online May 10 in JAMA Surgery.

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Life Expectancy for HIV+ Patients Up Since Introduction of ART

THURSDAY, May 11, 2017 (HealthDay News) -- Young adults with HIV who get treatment are living longer in North America and Europe, according to a study published online May 10 in The Lancet HIV.

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Practice Prices Linked to Some Measures of Care Coordination

THURSDAY, May 11, 2017 (HealthDay News) -- High-price practices have higher scores on certain measures of care coordination and management, but the overall relationship between higher prices and quality and efficiency of care is weak, according to a report published in the May issue of Health Affairs.

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Leukotriene B4 Is Promising Drug Target for Tx of Lymphedema

THURSDAY, May 11, 2017 (HealthDay News) -- An underlying mechanism has been identified that could eventually lead to the first drug therapy for lymphedema, according to a study published online May 10 in Science Translational Medicine.

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Outpatient Wait Times Are Longer for Medicaid Recipients

THURSDAY, May 11, 2017 (HealthDay News) -- Medicaid patients have slightly longer waits at medical appointments than those with private insurance, according to a report published in the May issue of Health Affairs.

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New VTE Often Occurs During Chemo in Ovarian Cancer

THURSDAY, May 11, 2017 (HealthDay News) -- For patients with ovarian cancer, new diagnosis of venous thromboembolism frequently occurs during neoadjuvant or adjuvant chemotherapy, according to a study published in the June issue of Obstetrics and Gynecology.

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Biomarker ID'd for Pregnancy-Induced Glucose Intolerance

THURSDAY, May 11, 2017 (HealthDay News) -- One measurement of plasma glycated CD59 (pGCD59) in pregnancy can predict glucose intolerance, according to a study published online May 3 in Diabetes Care.

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Patients Satisfied With Telehealth Primary Care Visits

THURSDAY, May 11, 2017 (HealthDay News) -- Patients express satisfaction with telehealth primary care video visits, with most reporting interest in continuing use of video visits as an alternative to in-person visits, according to a study published in the May/June issue of the Annals of Family Medicine.

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Responsibility for Most of Dementia Care Falls to Women

WEDNESDAY, May 10, 2017 (HealthDay News) -- When it comes to the daily care of Americans with dementia, most of the responsibility is still falling on family members, with women handling the lion's share, according to a viewpoint piece published online May 8 in JAMA Neurology.

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Initiation of NSAID Use Associated With Risk of Acute MI

WEDNESDAY, May 10, 2017 (HealthDay News) -- Nonsteroidal anti-inflammatory drugs (NSAIDs) increase the risk of acute myocardial infarction (MI) by 20 to 50 percent, with elevated risk as early as the first week of use, according to a report published online May 9 in The BMJ.

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Increases in Rates of Insured Don't Harm Continuously Insured

WEDNESDAY, May 10, 2017 (HealthDay News) -- Increases in insurance coverage from 2008 to 2014 were not associated with worse access to care for continuously insured adults, according to a study published in the May issue of Health Affairs.

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Risk of Zika Infection Appears to Be Low for Pregnant Women

WEDNESDAY, May 10, 2017 (HealthDay News) -- U.S. women traveling to areas where the Zika virus is circulating might be less likely to be infected than expected, but risk remains, according to research published in the June issue of Obstetrics & Gynecology.

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Vitamin D Doesn't Impact Insulin Sensitivity, Secretion in T2DM

WEDNESDAY, May 10, 2017 (HealthDay News) -- For patients with type 2 diabetes (T2D) and vitamin D deficiency, vitamin D supplementation has no impact on insulin sensitivity or secretion, according to a study published online May 3 in Diabetes Care.

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Postmarket Safety Events for 32 Percent of Novel Therapeutics

WEDNESDAY, May 10, 2017 (HealthDay News) -- From 2001 to 2010, 32 percent of novel therapeutics approved by the U.S. Food and Drug Administration had a postmarket safety event, according to a study published in the May 9 issue of the Journal of the American Medical Association.

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HCV Infection Increasing in Reproductive-Aged Women

WEDNESDAY, May 10, 2017 (HealthDay News) -- The number of reproductive-aged women with past or present hepatitis C virus (HCV) infection is increasing, according to a study published online May 9 in the Annals of Internal Medicine.

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USPSTF Does Not Recommend Routine Thyroid Cancer Screening

TUESDAY, May 9, 2017 (HealthDay News) -- Clinicians should not routinely screen adults for thyroid cancer if they have no symptoms or warning signs of the disease, according to a final recommendation statement issued by the U.S. Preventative Services Task Force and published in the May 9 issue of the Journal of the American Medical Association.

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Editorial

EpiPens Found to Still Be Viable Long After Expiration Date

TUESDAY, May 9, 2017 (HealthDay News) -- EpiPens can remain effective years after their expiration date, according to a research letter published online May 8 in the Annals of Internal Medicine.

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Evidence-Based Medicine Course Beneficial for Critical Thinking

TUESDAY, May 9, 2017 (HealthDay News) -- An evidence-based medicine (EBM) course has some positive effect on medical student critical thinking (CT), according to a study published online April 27 in the Journal of Evidence-Based Medicine.

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Most Physician Mothers Report Perceived Discrimination

TUESDAY, May 9, 2017 (HealthDay News) -- A considerable proportion of physician mothers report perceived discrimination, according to a research letter published online May 8 in JAMA Internal Medicine.

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Poor Environmental Quality Tied to Higher Cancer Rates

TUESDAY, May 9, 2017 (HealthDay News) -- Overall environmental quality is strongly associated with increased cancer risk, according to a study published online May 8 in Cancer.

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Internet-Based Vestibular Rehab Beneficial for Dizziness

TUESDAY, May 9, 2017 (HealthDay News) -- Internet-based vestibular rehabilitation reduces dizziness for adults aged 50 years or older, according to a study published in the May/June issue of the Annals of Family Medicine.

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Only 10 Percent of Daily Salt Intake Comes From Shaker

TUESDAY, May 9, 2017 (HealthDay News) -- Most of the salt that Americans consume comes from processed foods and restaurant meals, according to a report published in the May 9 issue of Circulation.

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Breastfeeding Plays Key Role in Ensuring Healthy Infant Gut

MONDAY, May 8, 2017 (HealthDay News) -- Breastfeeding can seed good bacteria in an infant's digestive system, according to research published online May 8 in JAMA Pediatrics.

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More Women Than Men Leaving Practice of Medicine

MONDAY, May 8, 2017 (HealthDay News) -- More women than men leave the practice of medicine, according to an article published in Medical Economics.

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Eradication of H. pylori Beneficial for Concurrent Rosacea

MONDAY, May 8, 2017 (HealthDay News) -- For patients with concurrent rosacea and Helicobacter pylori infection, use of standard H. pylori eradication therapy is associated with improvement in rosacea, according to a study published online April 27 in the Journal of Dermatology.

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Open-Label Placebos Seem to Have Positive Clinical Effect

MONDAY, May 8, 2017 (HealthDay News) -- Compared with no treatment, open-label placebos seem to have a positive clinical effect, according to a review published online April 27 in the Journal of Evidence-Based Medicine.

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Osteoporosis Tx Ups Survival in Postmenopausal Breast Cancer

MONDAY, May 8, 2017 (HealthDay News) -- For postmenopausal breast cancer patients receiving aromatase inhibitors, oral osteoporosis therapy (OPT) is associated with improved survival, according to a study published online May 2 in Cancer.

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Even 'Social Smoking' Negatively Affects Cardiovascular Health

FRIDAY, May 5, 2017 (HealthDay News) -- Social smokers have the same risk for hypertension and elevated cholesterol as regular smokers do, according to a study published online May 2 in the American Journal of Health Promotion.

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AAFP Releases Primary Care-Based Payment Proposal

FRIDAY, May 5, 2017 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has responded to a request for proposals from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) by submitting a detailed plan, according to an AAFP news release.

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Weight-Loss Behavioral Program Beneficial for Adults

FRIDAY, May 5, 2017 (HealthDay News) -- A weight-management group behavioral program is more effective than an intervention comprising brief advice and self-help materials, according to a study published online May 3 in The Lancet.

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Symptomatic Hand Osteoarthritis Will Affect 40 Percent of People

FRIDAY, May 5, 2017 (HealthDay News) -- Forty percent of people will be affected by symptomatic osteoarthritis in at least one hand, according to research published online May 4 in Arthritis & Rheumatology.

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E-Health-Based Management of Oral Anticoagulation Tx Beneficial

FRIDAY, May 5, 2017 (HealthDay News) -- Electronic-health-based management of oral anticoagulation (OAC) therapy is associated with fewer adverse events, according to a study published online April 29 in the Journal of Thrombosis and Haemostasis.

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Case Report Describes Insulin Autoimmune Syndrome

FRIDAY, May 5, 2017 (HealthDay News) -- In a case report published online May 1 in Diabetes Care, resolution of hypoglycemia and cardiovascular dysfunction after rituximab treatment of insulin autoimmune syndrome is described.

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Nocebo Effect Reported for Statin Therapy Use

FRIDAY, May 5, 2017 (HealthDay News) -- The rate of muscle-related adverse event (AE) reports is increased when patients and their doctors are aware that statins are being used, according to a study published online May 2 in The Lancet.

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Poll: Many Americans Concerned About ACA Repeal

THURSDAY, May 4, 2017 (HealthDay News) -- Only one in five Americans support a repeal of the Affordable Care Act (ACA), a new HealthDay/Harris Poll reveals.

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Stair Walking Combats Fatigue Better Than Caffeine

THURSDAY, May 4, 2017 (HealthDay News) -- Easy stair walking may boost energy more effectively than drinking caffeine, according to research published online recently in Physiology & Behavior.

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CMS Releases Resources to Help With Payment System

THURSDAY, May 4, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) recently added three new online resources to assist physicians already participating in the Merit-based Incentive Payment System (MIPS) and those exploring the opportunities available.

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Obesity, Sex Predict Remission for Antidepressant Medications

THURSDAY, May 4, 2017 (HealthDay News) -- Obesity and sex are differential predictors of acute remission for commonly used antidepressant medications, according to a study published in the March-April issue of Personalized Medicine in Psychiatry.

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Cost of Zika Virus Outbreak in U.S. Could Be Very High

THURSDAY, May 4, 2017 (HealthDay News) -- An outbreak of Zika virus infection in the United States could be very costly, according to a study published online April 27 in PLOS Neglected Tropical Diseases.

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Ischemic Outcomes Don't Vary With Gender in ACS Patients

THURSDAY, May 4, 2017 (HealthDay News) -- For acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) and receiving clopidogrel, prasugrel, or ticagrelor, ischemic outcome does not differ by gender, according to a study published online April 29 in Cardiovascular Therapeutics.

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Cardiometabolic Disease Staging Score Quantifies Diabetes Risk

THURSDAY, May 4, 2017 (HealthDay News) -- For overweight and obese individuals, the Cardiometabolic Disease Staging (CMDS) score can quantify the risk of diabetes and predict the effectiveness of weight-loss therapy for preventing diabetes, according to research published online April 28 in Diabetes Care.

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Even Low Level of Physical Activity May Cut Fracture Risk

THURSDAY, May 4, 2017 (HealthDay News) -- Short daily bouts of walking/bicycling and a few weekly exercise sessions are both associated with a lower rate of hip fracture and any fracture, according to a study published online April 29 in the Journal of Bone and Mineral Research.

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Gluten-Free Diet Not Healthy for Patients Without Celiac Disease

WEDNESDAY, May 3, 2017 (HealthDay News) -- Going gluten-free when there's no medical need to do so won't boost cardiovascular health -- and might even harm it, according to a study published online May 2 in The BMJ.

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Gender Differences in Depression Tend to Appear About Age 12

WEDNESDAY, May 3, 2017 (HealthDay News) -- Gender differences in depression diagnosis and symptoms start to appear around the age of 12, according to research published online April 27 in the Psychological Bulletin.

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New Rx for Sleeping Pills Can Up Risk of Hip Fracture

WEDNESDAY, May 3, 2017 (HealthDay News) -- Older patients are at greater risk for hip fractures for two weeks after they start taking prescription sleeping pills, according to a review published online April 27 in PLOS ONE.

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CDC: Mortality Rate for Black Americans Drops 25 Percent

WEDNESDAY, May 3, 2017 (HealthDay News) -- While the overall mortality rate among black Americans dropped 25 percent between 1999 and 2015, the average life expectancy still lags behind whites by almost four years, according to research published in the May 2 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Half of U.S. Doctors Receive Payments From Industry

WEDNESDAY, May 3, 2017 (HealthDay News) -- About half of U.S. doctors received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, and any form or amount of compensation can influence prescribing behavior, according to research published in the May 2 issue of the Journal of the American Medical Association, a theme issue on conflict of interest.

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Weight Loss Can Decelerate Knee Joint Degeneration

TUESDAY, May 2, 2017 (HealthDay News) -- Weight loss of 5 percent or more can significantly lower cartilage degeneration in overweight/obese patients, according to a study published online May 2 in Radiology.

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Optimal Cardiovascular Health in Middle Age Adds Years to Life

TUESDAY, May 2, 2017 (HealthDay News) -- Individuals with optimal cardiovascular health in middle age live an average of four years longer than their peers who have at least two risk factors for cardiovascular disease, and almost five years longer free of chronic disease, according to a study published in the May 2 issue of Circulation.

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Alcohol Linked to Higher Risk of Breast Cancer in Black Women

TUESDAY, May 2, 2017 (HealthDay News) -- Consuming seven or more alcoholic drinks a week appears to raise a black woman's risk of breast cancer, according to a study published in the May issue of Cancer Epidemiology, Biomarkers & Prevention.

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Too Few Americans Know the Warning Signs of Stroke

TUESDAY, May 2, 2017 (HealthDay News) -- About 35 percent of Americans experience symptoms of a transient ischemic attack (TIA), yet only 3 percent get immediate medical attention, according to findings from the American Heart Association/American Stroke Association.

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Low-Dose Aspirin Linked to Reduced Risk of Breast Cancer

TUESDAY, May 2, 2017 (HealthDay News) -- Regularly taking low-dose aspirin appears to protect women from hormone receptor-positive/human epidermal growth factor receptor 2 (HER2)-negative breast cancer, according to a study published online May 1 in Breast Cancer Research.

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Thunderstorms Can Trigger Asthma Attacks

TUESDAY, May 2, 2017 (HealthDay News) -- Thunderstorms can trigger asthma outbreaks, according to a study published online April 13 in the Journal of Applied Meteorology and Climatology.

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Alternate-Day Fasting Not More Effective for Weight Loss

TUESDAY, May 2, 2017 (HealthDay News) -- Alternate-day fasting does not produce superior weight loss or weight maintenance compared with daily calorie restriction, according to a study published online May 1 in JAMA Internal Medicine.

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Combo of Exercise, Vitamin D May Boost Effects on Heart Health

TUESDAY, May 2, 2017 (HealthDay News) -- Physical activity and vitamin D appear to have synergistic beneficial effects on the risk of atherosclerotic cardiovascular disease, according to a study published in the April 1 issue of the Journal of Clinical Endocrinology & Metabolism.

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Pictorial Messages Better for Discouraging Indoor Tanning

TUESDAY, May 2, 2017 (HealthDay News) -- Pictorial messages discouraging indoor tanning produce greater negative emotional reactions than text-only messages, according to a study published online recently in the Journal of Health Communication.

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Drug-Impaired Driving Continuing to Rise in the United States

MONDAY, May 1, 2017 (HealthDay News) -- In fatal vehicle crashes, illicit drugs are now more likely to have played a role than the use of alcohol on its own, according to a new report from the Governors Highway Safety Association (GHSA) and the Foundation for Advancing Alcohol Responsibility.

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Common Antibiotics May Increase Risk of Miscarriage

MONDAY, May 1, 2017 (HealthDay News) -- Use of macrolides, quinolones, tetracyclines, sulfonamides, and metronidazole during pregnancy may increase the risk of miscarriage, according to a study published in the May 1 issue of CMAJ, the journal of the Canadian Medical Association.

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CDC: United States Still Faces Too Many Repeat Teen Births

MONDAY, May 1, 2017 (HealthDay News) -- Although rates of repeat births among teens are on the decline, tens of thousands of American teens are still getting pregnant for a second time, according to research published in the April 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Screen Size, Shape Affect User Perception of Smartwatches

MONDAY, May 1, 2017 (HealthDay News) -- Large screens are more effective for promoting the hedonic (perceived attractiveness) and pragmatic (perceived control) qualities of smartwatches, while round and square screens are associated with hedonic and pragmatic quality, respectively, according to a study published online April 21 in the Journal of Computer Mediated Communication.

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Cold Application Decreases Fibromyalgia Pain

MONDAY, May 1, 2017 (HealthDay News) -- Local cold applications on the trapezius muscles significantly decreases the pain of patients with fibromyalgia, according to a study published online April 17 in the International Journal of Rheumatic Diseases.

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Less Morbidity Seen for High-Intensity Focused U/S of Fibroids

MONDAY, May 1, 2017 (HealthDay News) -- High-intensity focused ultrasound (HIFU) causes substantially less morbidity than surgery for treatment of uterine fibroids, with similar long-term quality of life (QoL), according to a study published online April 19 in BJOG.

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