November 2015 Briefing - OBGYN & Women's Health

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Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for November 2015. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Air Pollution Raises CVD Risks in Women With Diabetes

MONDAY, Nov. 30, 2015 (HealthDay News) -- Long periods of exposure to air pollution -- including dust and car exhaust -- heightens cardiovascular risks for women with diabetes, according to a study published online Nov. 25 in the Journal of the American Heart Association.

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Progesterone May Not Help Prevent Repeat Miscarriage

MONDAY, Nov. 30, 2015 (HealthDay News) -- Taking progesterone supplements in the first trimester of pregnancy may not improve pregnancy outcomes for women with a history of miscarriage, according to a report published in the Nov. 26 issue of the New England Journal of Medicine.

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FDA Approves First Flu Vaccine Containing an Adjuvant

MONDAY, Nov. 30, 2015 (HealthDay News) -- The first seasonal influenza vaccine with an adjuvant has been approved for use in seniors, according to the U.S. Food and Drug Administration.

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Review: Changes in Vending Machines Can Promote Health

MONDAY, Nov. 30, 2015 (HealthDay News) -- Pricing and availability strategies can improve nutritional quality of purchases from vending machines, according to a review published in the December issue of Obesity Reviews.

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Telephone Counseling Benefits Overweight Breast CA Survivors

MONDAY, Nov. 30, 2015 (HealthDay News) -- Telephone weight-loss counseling is similarly effective to in-person counseling for breast cancer survivors with a body mass index ≥25 kg/m², according to a study published online Nov. 23 in the Journal of Clinical Oncology.

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AAFP Recommends Doctors Explore Use of Social Media

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- The use of social media channels and associated benefits for physicians are highlighted in a recent article published by the American Academy of Family Physicians (AAFP). And guidelines are provided for physicians wishing to become active in social media.

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C. Difficile Infection Tied to Higher Risk of Post-Op Mortality

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- Patients at VA hospitals who contracted Clostridium difficile following surgery were five times more likely to die and 12 times more likely to suffer postoperative morbidity, according to findings published online Nov. 25 in JAMA Surgery.

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No Direct Survival Effect for Moderate Drinking in Seniors

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- For older adults, light-to-moderate drinking does not have a protective effect on mortality after adjustment for health status and physical activity, according to a study published online Nov. 23 in the Journal of the American Geriatrics Society.

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Early-Stage Cervical CA Diagnoses in Young Women Up Since ACA

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- More early-stage cervical cancers have been diagnosed among young U.S. women since a key provision of the Affordable Care Act went into effect, according to a research letter published in the Nov. 24 issue of the Journal of the American Medical Association.

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CDC: PrEP Rx Needs to Increase for Optimal HIV Prevention

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- Too few Americans who are at risk for HIV infection are taking Truvada (emtricitabine and tenofovir disoproxil fumarate) -- a daily pill that could protect them against the virus, and health care providers must help boost patient awareness and use of the drug, federal health officials report.

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Impact of Recurrence Score Assay Varies With Patient Age

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- For women with early-stage breast cancer, the impact of receipt of the 21-gene recurrence score (RS) assay varies with patient age, according to a study published online Nov. 23 in the Journal of Clinical Oncology.

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Animal-Source, Low-Carb Diet Ups T2DM Risk With Past GDM

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- For women with a history of gestational diabetes mellitus (GDM), a low-carbohydrate diet (LCD), particularly one from animal-source foods, is associated with increased risk of type 2 diabetes mellitus (T2DM), according to a study published online Nov. 17 in Diabetes Care.

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Breastfeeding May Reduce Risk of T2DM for Women With GDM

TUESDAY, Nov. 24, 2015 (HealthDay News) -- Breastfeeding for two months or more may reduce the odds of developing type 2 diabetes for mothers who had already experienced gestational diabetes in the past; and the longer a woman breastfeeds, the lower the odds of type 2 diabetes, according to research published online Nov. 24 in the Annals of Internal Medicine.

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Crib Bumpers Tied to Increasing Number of Infant Fatalities

TUESDAY, Nov. 24, 2015 (HealthDay News) -- Infant deaths linked to crib bumpers have spiked in recent years in the United States, leading researchers to urge a ban on the padded bedding accessories. These findings appear online Nov. 24 in The Journal of Pediatrics.

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CBT, Exercise Show Benefit in Chronic Fatigue Syndrome

TUESDAY, Nov. 24, 2015 (HealthDay News) -- Cognitive behavioral therapy, and graded exercise therapy are among the best available treatments for extended relief of chronic fatigue syndrome. The new findings were published online recently in The Lancet Psychiatry.

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Exposure to Maternal Diabetes Impacts Youth Glycemic Control

TUESDAY, Nov. 24, 2015 (HealthDay News) -- Young people exposed to maternal diabetes during pregnancy have poorer glycemic control and β-cell function, particularly non-Hispanic blacks and Hispanics, according to a study published online Nov. 17 in Diabetes Care.

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Music Can Help Doctors Develop Relationships With Patients

TUESDAY, Nov. 24 2015 (HealthDay News) -- For one physician, writing songs has improved her self-awareness and strengthened her relationships with patients, according to an article published by the American Medical Association.

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ACP: Physicians Should Prescribe Generic Meds If Possible

TUESDAY, Nov. 24, 2015 (HealthDay News) -- Physicians should prescribe generic medications whenever possible, keeping in mind that generics have comparable effectiveness to brand name medications and are associated with reduced costs and increased adherence, according to new guidelines published online Nov. 24 in the Annals of Internal Medicine.

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Many First-Time Mothers Need More Accurate Vaccine Info

MONDAY, Nov. 23, 2015 (HealthDay News) -- Three-quarters of first-time expectant mothers plan to follow the recommended vaccination schedule for their children, according to survey results published recently in the American Journal of Preventive Medicine.

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Two States to Allow Pharmacists to Prescribe Birth Control

MONDAY, Nov. 23, 2015 (HealthDay News) -- California and Oregon will soon implement groundbreaking laws that enable women to get contraceptives from pharmacists without a doctor's prescription.

Health Highlights: Nov. 23, 2015

Higher Resting Heart Rate Tied to Higher Risk of Mortality

MONDAY, Nov. 23, 2015 (HealthDay News) -- A higher resting heart rate may indicate higher risk of premature mortality, researchers suggest. The report was published online Nov. 23 in CMAJ, the journal of the Canadian Medical Association.

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Risk of Second Event High for Young Women After MI, Stroke

MONDAY, Nov. 23, 2015 (HealthDay News) -- Young women who survive a myocardial infarction (MI) or ischemic stroke continue to face an increased mortality risk -- or another MI or stroke, according to a study published online Nov. 23 in JAMA Internal Medicine.

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Review Addresses Diagnosis of PCOS in Adolescents

MONDAY, Nov. 23, 2015 (HealthDay News) -- Unexplained persistent hyperandrogenic anovulation can be used to diagnose polycystic ovary syndrome (PCOS) in adolescents, according to a review article published online Nov. 23 in Pediatrics.

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HIV Prophylaxis to 12 Months Protects Breastfeeding Infants

FRIDAY, Nov. 20, 2015 (HealthDay News) -- Infants being breastfed by HIV-positive mothers can effectively be protected from the infection in the six- to 12-month period after birth by receiving up to 12 months of liquid formula HIV drugs, according to a report published online Nov. 18 in The Lancet.

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Slow Uptake of Women's Libido-Boosting Pill

FRIDAY, Nov. 20, 2015 (HealthDay News) -- Uptake of the women's libido-boosting pill flibanserin (Addyi) has been slow since its approval, according to a report published by Bloomberg Business.

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E-Portfolio Developed to Assess Millennial Med Students

THURSDAY, Nov. 19, 2015 (HealthDay News) -- Electronic portfolios are being used to transform medical students' assessments and track progress as students advance through medical training, according to a report published by the American Medical Association (AMA).

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Relative Survival Up Over Time for Stage I to III Cervical Cancer

THURSDAY, Nov. 19, 2015 (HealthDay News) -- For women with stage I to III cervical cancer, relative survival has improved over time, although no significant improvements have been seen for women with stage IV tumors, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology.

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Social Jetlag Tied to Prediabetes, Cardiovascular Disease Risk

THURSDAY, Nov. 19, 2015 (HealthDay News) -- Social jetlag due to a habitual discrepancy between endogenous circadian rhythm and actual sleep times, imposed by social obligations, is associated with metabolic risk factors that are linked to cardiovascular disease and prediabetes, according to a study published online Nov. 18 in the Journal of Clinical Endocrinology & Metabolism.

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Bright Light Therapy Might Also Treat Nonseasonal Depression

THURSDAY, Nov. 19, 2015 (HealthDay News) -- Light therapy, a treatment for seasonal affective disorder, may also benefit nonseasonal depression, according to research published online Nov. 18 in JAMA Psychiatry.

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Successful Pregnancies Seen With Transfer of Mosaic Embryos

THURSDAY, Nov. 19, 2015 (HealthDay News) -- Embryos with a mix of normal and abnormal chromosomes implanted during in vitro fertilization (IVF) can develop into healthy newborns, a small new study suggests. The research was published in the Nov. 19 issue of the New England Journal of Medicine.

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Burnout Reduces Readiness to Change Teaching Approaches

WEDNESDAY, Nov. 18, 2015 (HealthDay News) -- Occupational burnout appears to reduce clinical faculty members' readiness to change teaching approaches, according to a study published online Nov. 13 in the Journal of Evaluation in Clinical Practice.

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Robotic Surgery May Be Superior to Laparoscopic for Uterine CA

WEDNESDAY, Nov. 18, 2015 (HealthDay News) -- For women with uterine cancer, robotic surgery is more costly but is associated with decreased length of hospital stay and higher rate of lymph node dissection, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology.

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AAFP: Expected 0.5 Percent Pay Increase Reduced to Zero

WEDNESDAY, Nov. 18, 2015 (HealthDay News) -- A small but promised Medicare pay increase has effectively been reduced to zero for all physician specialties, according to the final 2016 Medicare physician fee schedule and a report published by the American Academy of Family Physicians.

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CDC: Rates of Chlamydia, Gonorrhea, Syphilis Up

TUESDAY, Nov. 17, 2015 (HealthDay News) -- In 2014, 1.4 million cases of chlamydia were reported to the U.S. Centers for Disease Control and Prevention -- a 2.8 percent increase since 2013. This is the highest number of cases of any sexually transmitted disease (STD) ever reported to the CDC, the government researchers said in their annual report.

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Reduced Mortality Risk Seen for Coffee Drinkers

TUESDAY, Nov. 17, 2015 (HealthDay News) -- People who drink coffee may live longer than those who don't -- with lower risks of early mortality from cardiovascular disease and neurological conditions such as Parkinson's disease, according to research published online Nov. 16 in Circulation.

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Continuation of Antibiotics for UTI Often Inappropriate

TUESDAY, Nov. 17, 2015 (HealthDay News) -- For patients with urinary tract infections (UTIs), initiation of antibiotics in the emergency department is frequently inappropriate, as is continuation of antibiotics after admission, according to a study published online Nov. 12 in the Journal of Hospital Medicine.

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Head Lice infestation Could Cause Iron Deficiency Anemia

TUESDAY, Nov. 17, 2015 (HealthDay News) -- Head lice infestation could cause iron deficiency anemia in the absence of any other cause, according to a case report published online Nov. 5 in BMJ Case Reports.

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Approaches Compared for Aspirin Prophylaxis for Preeclampsia

TUESDAY, Nov. 17, 2015 (HealthDay News) -- The best approaches to low-dose aspirin prophylaxis for the prevention of preeclampsia seem to be the U.S. Preventive Services Task Force (USPSTF) recommendations and universal prophylaxis, according to a study published online Nov. 5 in Obstetrics & Gynecology.

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Breastfeeding Tied to Lower Risk of Retinopathy of Prematurity

MONDAY, Nov. 16, 2015 (HealthDay News) -- Breastfeeding a premature infant may help reduce the risk of retinopathy of prematurity (ROP), according to research published online Nov. 16 in Pediatrics.

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Accessory Breast Described in Left Inframammary Fold

MONDAY, Nov. 16, 2015 (HealthDay News) -- A case of a woman with an accessory breast in the inframammary fold is described online Nov. 5 in BMJ Case Reports.

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Risk of Fractures Reduced in Polycystic Ovary Syndrome

MONDAY, Nov. 16, 2015 (HealthDay News) -- The risk of fractures is reduced in women with polycystic ovary syndrome (PCOS), according to a study published online Nov. 6 in the Journal of Bone and Mineral Research.

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Pre-Op Blood Tests May Predict Post-Op Morbidity in Ovarian CA

MONDAY, Nov. 16, 2015 (HealthDay News) -- For patients with ovarian cancer, preoperative thrombocytosis and leukocytosis are associated with increased postoperative morbidity, according to a study published online Nov. 5 in Obstetrics & Gynecology.

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White-Coat, Masked HTN Tied to Target Organ Complications

MONDAY, Nov. 16, 2015 (HealthDay News) -- Both white-coat hypertension (WCH) and masked hypertension (MH) are associated with target organ complications and cardiovascular event risk, according to a study published in the Nov. 17 issue of the Journal of the American College of Cardiology.

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Cesarean Rate Not Significantly Impacted in Induction Study

FRIDAY, Nov. 13, 2015 (HealthDay News) -- For healthy nulliparous women with a Bishop score of 5 or less, elective induction did not significantly impact the rate of cesarean delivery compared with expectant management, according to a study published online Nov. 5 in Obstetrics & Gynecology.

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Hormonal Status Impacts Genetic Variation, CIMT Link

FRIDAY, Nov. 13, 2015 (HealthDay News) -- Hormonal status seems to interact with genetic variants to influence cardiovascular phenotypes, especially those within the innate immunity pathway related to carotid artery intima-medial thickness (CIMT), according to a study published online Oct. 27 in Physiological Genomics.

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Facilitating Shared Decision-Making Can Cut Antibiotic Use

FRIDAY, Nov. 13, 2015 (HealthDay News) -- For patients with acute respiratory infections (ARIs), interventions that aim to facilitate shared decision-making reduce antibiotic use in primary care, according to a review published online Nov. 12 in The Cochrane Library.

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CDC: Adult Smoking Rate Falls to New Low in the United States

FRIDAY, Nov. 13, 2015 (HealthDay News) -- Under 17 percent of adults said they smoked in 2014, down from nearly 21 percent in 2005. And the average number of cigarettes smoked daily fell from nearly 17 to fewer than 14 by 2014. The latest numbers are published in the Nov. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Sharp Increase in U.S. Babies Born With Syphilis

FRIDAY, Nov. 13, 2015 (HealthDay News) -- Congenital syphilis cases increased 38 percent between 2012 and 2014, according to research published in the Nov. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Adult Obesity Still Rising in U.S., Youth Rates Hold Steady

THURSDAY, Nov. 12, 2015 (HealthDay News) -- Although obesity rates continued to climb among U.S. adults over the past decade, they stabilized for children and teens, according to a November data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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CDC: Half of Americans With HTN Don't Have BP Under Control

THURSDAY, Nov. 12, 2015 (HealthDay News) -- About 47 percent of individuals with hypertension do not have the condition under control, through either lifestyle changes or medications, according to a November data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Prenatal PFOA Exposure Linked to Excess Weight in Children

THURSDAY, Nov. 12, 2015 (HealthDay News) -- Children whose mothers were exposed to relatively high levels of perfluorooctanoic (PFOA) during pregnancy have more rapid accumulation of body fat, according to findings published online Nov. 11 in Obesity.

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Noon Best Time to Get Vitamin D From Sun for Minimal Cancer Risk

THURSDAY, Nov. 12, 2015 (HealthDay News) -- Variations in ultraviolet (UV) A and B radiation with increasing latitude and during the day impact skin cancer risk, according to a study published online Nov. 6 in the International Journal of Dermatology.

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Lower Costs for Hypofractionated Post-Mastectomy Radiotherapy

WEDNESDAY, Nov. 11, 2015 (HealthDay News) -- For patients undergoing post-mastectomy radiotherapy (PMRT), hypofractionated (Hf)-PMRT is associated with reduced health care costs compared with conventionally fractionated (Cf)-PMRT, according to a study published online Oct. 29 in the Journal of Medical Imaging and Radiation Oncology.

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Leg Strength Linked to Healthier Brain Aging

WEDNESDAY, Nov. 11, 2015 (HealthDay News) -- Leg strength is strongly linked with healthier brain aging, according to research published online Nov. 10 in Gerontology.

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Gentle Yoga Found to Be Safe in Late Pregnancy

WEDNESDAY, Nov. 11, 2015 (HealthDay News) -- Yoga, even late into pregnancy, appears to be safe for expectant mothers, according to a small study published online Nov. 5 in Obstetrics & Gynecology.

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ACP Issues Guidance on 'Concierge' Practices

TUESDAY, Nov. 10, 2015 (HealthDay News) -- Direct patient contracting practices (DPCPs), in which patients pay out of pocket for some or all services provided by the practice, are growing in popularity, according to a position paper published online Nov. 10 in the Annals of Internal Medicine.

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Central Obesity Is Hazardous, Even at a Normal Weight

WEDNESDAY, Nov. 11, 2015 (HealthDay News) -- Individuals with central obesity but of normal weight according to body mass index (BMI) have a higher risk of premature mortality than overweight or obese people, according to research published online Nov. 10 in the Annals of Internal Medicine.

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Few Adults With Severe Mental Illness Screened for Diabetes

WEDNESDAY, Nov. 11, 2015 (HealthDay News) -- About 30 percent of adults with severe mental illness (SMI) taking antipsychotic medications undergo diabetes-specific screening using validated screening measures, according to a study published online Nov. 9 in JAMA Internal Medicine.

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Insufficient Evidence on Silicone Breast Implant Safety

TUESDAY, Nov. 10, 2015 (HealthDay News) -- After years of study, a new analysis finds there is still insufficient evidence on whether silicone breast implants are linked to any long-term health effects. The report, published online Nov. 10 in the Annals of Internal Medicine, is the latest round in the long debate over silicone breast implant safety.

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Study Explores Comfort With Non In-Person Test Results

MONDAY, Nov. 9, 2015 (HealthDay News) -- Patients have different preferences for non in-person receipt of test results, with preferences varying by test, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Expanding Rooming, Discharge Office Protocols Can Save Time

MONDAY, Nov. 9, 2015 (HealthDay News) -- Expanding protocols for rooming and discharge can allow physicians to free up an hour or more of time per day, according to the American Medical Association (AMA).

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Web-Based CBT Program Cuts Suicidal Ideation in Interns

MONDAY, Nov. 9, 2015 (HealthDay News) -- A web-based cognitive behavioral therapy (wCBT) program is effective for preventing suicidal ideation among medical interns, according to a study published online Nov. 4 in JAMA Psychiatry.

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Add-On Ultrasonography Ups Mammogram Sensitivity

FRIDAY, Nov. 6, 2015 (HealthDay News) -- For young women aged 40 to 49 years, the addition of ultrasonography to mammography increases sensitivity and the detection rate of early breast cancers, according to a study published online Nov. 4 in The Lancet.

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Updated Checklist for Reporting Diagnostic Accuracy Studies

FRIDAY, Nov. 6, 2015 (HealthDay News) -- An updated list of 30 essential items should be included in every report of a diagnostic accuracy study, according to the Standards for Reporting Diagnostic Accuracy Studies (STARD) 2015. These new guidelines have been published in several journals, including Radiology, Clinical Chemistry, and The BMJ.

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FDA Approves Genvoya to Treat HIV-1 Infection

THURSDAY, Nov. 5, 2015 (HealthDay News) -- A new treatment for HIV has been approved by the U.S. Food and Drug Administration. Genvoya -- a tablet containing elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide -- can be used to treat HIV-1 infection in adults and children 12 and older weighing at least 77 pounds.

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Doctors Who Order More Tests Have Fewer Malpractice Claims

THURSDAY, Nov. 5, 2015 (HealthDay News) --The more tests and treatments U.S. doctors order for patients, the less likely they are to be sued for malpractice, according to a study published online Nov. 4 in The BMJ.

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Poll: Americans Want Health Care Costs Kept in Check

THURSDAY, Nov. 5, 2015 (HealthDay News) -- Most Americans now support aggressive regulation to keep health care costs in check -- including price caps on drugs, medical devices, and payments to doctors and hospitals, a new HealthDay/Harris Poll has found.

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Raloxifene Does Not Appear to Boost Cognition in Alzheimer's

THURSDAY, Nov. 5, 2015 (HealthDay News) -- Raloxifene doesn't benefit cognition in women who have mild to moderate dementia due to Alzheimer's disease, according to a small study published online Nov. 4 in Neurology.

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ACP Joins Amicus Curiae Brief to Supreme Court

THURSDAY, Nov. 5, 2015 (HealthDay News) -- The American College of Physicians (ACP) has joined other organizations in an amicus curiae brief to the Supreme Court, urging the court to uphold considerations of race and ethnicity in the medical school admissions process.

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Sleep Patterns May Affect a Woman's Diabetes Risk

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- Women who experience a big increase in hours of sleep each night may face an increased risk of type 2 diabetes, new research suggests. The study appeared online Nov. 2 in Diabetologia.

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Adherence, Not Diet Type, Predicts Long-Term Weight Loss

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- Low-fat diets are no more effective than other types of diets for long-term weight loss, according to a review published online Oct. 29 in The Lancet Diabetes & Endocrinology.

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AMA: 6 Steps to Help Ensure Patients Get Preventive Care

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- Panel management, or population health management, can help physicians provide necessary preventive and chronic care to all patients regardless of their visit frequency, according to a report published by the American Medical Association (AMA).

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Doctors Should Consider Financial Factors Before Career Change

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- Financial and other factors should be considered before physicians change career direction, according to a report published in Medical Economics.

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CDC: Gonorrhea Showing More Resistance to Cefixime

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention's latest tracking suggests that although gonorrhea resistance to the antibiotic treatment cefixime declined between 2011 and 2013, it started to rise again in 2014. The study findings are published as a research letter in the Nov. 3 issue of the Journal of the American Medical Association.

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Prescription Medication Use on the Rise in the United States

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- More Americans than ever are taking prescription drugs, as well as using more of them, according to research published in the Nov. 3 issue of the Journal of the American Medical Association.

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GDM Risk Higher With More Abdominal Fat in First Trimester

TUESDAY, Nov. 3, 2015 (HealthDay News) -- Women with high levels of abdominal fat in their first trimester are at increased risk for diabetes later in pregnancy, according to research published online Nov. 2 in Diabetes Care.

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New Electronic Health Record Regulations Released

TUESDAY, Nov. 3, 2015 (HealthDay News) -- New electronic health record (EHR) regulations modify Stage 2 of the meaningful use program and finalize requirements for Stage 3, according to a report published by the American Medical Association (AMA).

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Bemiparin Deemed Effective After Gynecological Operations

TUESDAY, Nov. 3, 2015 (HealthDay News) -- Bemiparin is effective for preventing venous thromboembolism (VTE) after benign gynecological surgery, according to a study published online Oct. 31 in the Journal of Thrombosis and Haemostasis.

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Benefits, Harms of HTN Drugs Should be Considered for Elderly

TUESDAY, Nov. 3, 2015 (HealthDay News) -- For elderly patients with hypertension, the benefits and risks associated with use of antihypertensive medications should be carefully considered, according to a review published online Oct. 26 in the Journal of Internal Medicine.

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Severe Obesity in Adults Costs Medicaid $8 Billion Annually

TUESDAY, Nov. 3, 2015 (HealthDay News) -- Severe obesity is putting a huge financial strain on both the U.S. Medicaid system and severely obese patients themselves, according to a report published in the November issue of Health Affairs.

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HPV Tied to Pyogenic Granuloma in Patients Without Warts

TUESDAY, Nov. 3, 2015 (HealthDay News) -- In patients without clinical evidence of warts, human papillomavirus type 2 (HPV-2) is associated with pyogenic granuloma, according to a study published online Oct. 22 in the International Journal of Dermatology.

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Age at Menopause, Hormone Therapy Linked to BCC Risk

TUESDAY, Nov. 3, 2015 (HealthDay News) -- Late age at natural menopause and menopausal hormone therapy (MHT) use are associated with increased risk of basal cell carcinoma (BCC), according to a study published online Nov. 2 in the Journal of Clinical Oncology.

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Prescribing Drugs 'Off-Label' Can Pose Serious Safety Risks

MONDAY, Nov. 2, 2015 (HealthDay News) -- Off-label drug use puts patients at risk for serious side effects, especially when scientific evidence is lacking, according to a study published online Nov. 2 in JAMA Internal Medicine.

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Competition for Fellowships Broke Records in 2015

MONDAY, Nov. 2, 2015 (HealthDay News) -- According to the American Medical Association (AMA), 2015 was a record-breaking year for fellowship applications.

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Displaying Prices to Providers Seems to Reduce Order Costs

MONDAY, Nov. 2, 2015 (HealthDay News) -- Displaying order prices to physicians seems to reduce order costs, according to a review published online Oct. 23 in the Journal of Hospital Medicine.

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Case Study: Bisphosphonate-Linked Osteonecrosis in Diabetes

MONDAY, Nov. 2, 2015 (HealthDay News) -- A case of bisphosphonate-related osteonecrosis of the jaw is described in an elderly patient with diabetes mellitus. The report is published in the October issue of the Journal of the American Geriatrics Society.

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Vitiligo Can Mask Symptoms of Acanthosis Nigricans

MONDAY, Nov. 2, 2015 (HealthDay News) -- Vitiligo can mask symptoms of acanthosis nigricans (AN), according to a case report published in the November issue of the International Journal of Dermatology.

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Fish Oil Supplementation Doesn't Cut Inflammatory Markers

MONDAY, Nov. 2, 2015 (HealthDay News) -- For healthy adults, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) supplementation does not reduce common markers of systemic inflammation, according to a study published online Oct. 26 in the Journal of Internal Medicine.

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Prediabetes Linked to Incident Cardiovascular Disease

MONDAY, Nov. 2, 2015 (HealthDay News) -- Prediabetes is associated with incident cardiovascular disease (CVD), although correlations vary with ethnicity and prediabetes definition, according to a study published online Oct. 20 in Diabetes Care.

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