August 2018 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 August 2018. 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.

Ground Chuck Products Recalled by Publix Super Markets

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Possible Escherichia coli contamination has triggered the recall of ground beef products made from chuck that were sold at Publix Super Markets in Florida.

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Excess Cardiac Risk Varies With Age of Onset of T1DM

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Excess cardiovascular risk varies with age at diagnosis of type 1 diabetes, according to a study published online Aug. 27 in The Lancet.

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Medicaid Expansion Ups Access to Family Planning Services

FRIDAY, Aug. 31, 2018 (HealthDay News) -- One-third of women of reproductive age report better ability to access birth control and family planning services with Medicaid expansion coverage, according to a study published online Aug. 31 in JAMA Network Open.

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Medical Bills in Collections Decrease With Patient Age

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs.

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FDA: Common Diabetes Meds Tied to Serious Genital Infection

THURSDAY, Aug. 30, 2018 (HealthDay News) -- A rare but serious genital infection known as necrotizing fasciitis of the perineum, also called Fournier's gangrene, has been reported in some patients taking a certain class of type 2 diabetes medicine, according to the U.S. Food and Drug Administration. As a result, the FDA has ordered a new warning about this risk to be added to the prescribing information and patient medication guide of all sodium-glucose cotransporter-2 (SGLT2) inhibitors.

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Oral High-Risk HPV Prevalence Appears to Be Low in England

THURSDAY, Aug. 30, 2018 (HealthDay News) -- The prevalence of oral high-risk human papillomavirus (HR-HPV) infection in adult men and women is low in England, according to a study published online Aug. 20 in BMJ Open.

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No Meaningful Increase in Physician Compensation Last Year

THURSDAY, Aug. 30, 2018 (HealthDay News) -- There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.

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Label Mix-Up Spurs Recall of Accord Blood Pressure Meds

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- One lot of high blood pressure medication is being recalled after a labeling mix-up, Accord Healthcare Inc. has announced.

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High-Quality Diet Linked to Lower Mortality in Cancer Survivors

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- For cancer survivors, a high-quality diet is associated with a reduced risk of overall and cancer-specific mortality, according to a study recently published in JNCI: Cancer Spectrum.

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Marketplace Premiums Increase More With Monopolist Insurers

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs.

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CDC: Most Babies Born in 2015 Started Out Breastfeeding

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Most infants born in 2015 started breastfeeding, but many stopped earlier than recommended, according to a report card published by the U.S. Centers for Disease Control and Prevention.

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Medical Practices Should Address Negative Online Reviews

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice.

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FDA: Hundreds of Human, Pet Homeopathy Products Recalled

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Hundreds of Dr. King's water-based homeopathic drugs for children, adults, and pets may be unsafe to use because of high levels of microbial contamination, according to the U.S. Food and Drug Administration.

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Artificial Intelligence Holds Promise in Medicine

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive.

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Skin Microbiota Differ for Obese, Non-Obese Undergoing C-Section

TUESDAY, Aug. 28, 2018 (HealthDay News) -- After cesarean delivery (CD), the incision site harbors a higher bacterial biomass in obese women than in non-obese women, according to a study recently published in Scientific Reports.

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Cannabinoid in Breast Milk Up to Six Days After Marijuana Use

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Most breast milk samples have measurable Δ-9-tetrahydrocannabinol (Δ9-THC) up to about six days after maternal use, according to a study published online Aug. 27 in Pediatrics.

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Alcohol Is Leading Risk Factor for Global Disease Burden

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet.

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Experts Address Loss of the National Guideline Clearinghouse

TUESDAY, Aug. 28, 2018 (HealthDay News) -- The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine.

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Prevalence of E-Cigarette Use 4.5 Percent in U.S. Adults

MONDAY, Aug. 27, 2018 (HealthDay News) -- The prevalence of electronic cigarette (e-cigarette) use among U.S. adults is 4.5 percent, with higher prevalence among those aged 18 to 24 years, according to a study published online Aug. 28 in the Annals of Internal Medicine.

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Pediatricians Advise Against Use of Marijuana in Pregnancy

MONDAY, Aug. 27, 2018 (HealthDay News) -- Due to the potential adverse effect of marijuana use during pregnancy and breastfeeding, pediatricians should recommend against marijuana use, according to a clinical report published online Aug. 27 in Pediatrics.

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Doctors Have Difficulty Finding Practices Offering Deliveries

MONDAY, Aug. 27, 2018 (HealthDay News) -- Finding a practice that provides opportunities to do deliveries is a considerable barrier to performing obstetric deliveries, according to a study published in the May-June issue the Journal of the American Board of Family Medicine.

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Most Research Participants Not Concerned About Data Sharing

MONDAY, Aug. 27, 2018 (HealthDay News) -- Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine.

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Smartphone App Can Help Improve Outcomes With HIV

MONDAY, Aug. 27, 2018 (HealthDay News) -- A smartphone app designed for people living with HIV increases users' consistency in doctor visits and improves their health outcomes, according to a study recently published in AIDS Patient Care and STDs.

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Odds of Marijuana Use Up With Nausea, Vomiting in Pregnancy

MONDAY, Aug. 27, 2018 (HealthDay News) -- Women with nausea and vomiting in pregnancy (NVP) have increased odds of marijuana use, according to a research letter published online Aug. 20 in JAMA Internal Medicine.

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Emergency Department Visits After Abortion Extremely Rare

MONDAY, Aug. 27, 2018 (HealthDay News) -- Abortion-related visits to the emergency department comprise a very small proportion of reproductive-aged women's visits, according to a study published June 14 in BMC Medicine.

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AMA Adopts Policy Promoting Health Equity As a Goal

FRIDAY, Aug. 24, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization's AMA Wire.

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Arkansas Law Restricting Abortion Pills Remains on Hold

FRIDAY, Aug. 24, 2018 (HealthDay News) -- An Arkansas law that would severely limit the use of abortion pills must remain on hold, a federal appeals court says.

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Broader Scope of Practice Linked to Lower Rates of Burnout

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Early-career family physicians who practice inpatient medicine or obstetrics have reduced odds of burnout, according to a study published in the May/June issue of the Annals of Family Medicine.

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Education RE: Herd Immunity Can Up Readiness to Be Vaccinated

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Educating adults about herd immunity can increase the proportion willing to be vaccinated for influenza, according to a study recently published in Vaccine.

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Breastfeeding Linked to Lower Risk of Stroke Post-Menopause

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Breastfeeding is associated with a lower risk of stroke among older women, with a stronger correlation for longer duration of breastfeeding, according to a study published online Aug. 22 in the Journal of the American Heart Association.

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Increased First-Trimester HbA1c Predicts Gestational Diabetes

THURSDAY, Aug. 23, 2018 (HealthDay News) -- First-trimester glycated hemoglobin (HbA1c) may aid in early identification of women at risk for gestational diabetes mellitus (GDM), according to a study published online Aug. 16 in Scientific Reports.

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Frailty in Middle-Aged With Multimorbidity Tied to Mortality

THURSDAY, Aug. 23, 2018 (HealthDay News) -- For middle-aged individuals with multimorbidity, frailty is significantly associated with mortality, according to a study published in the July issue of The Lancet Public Health.

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Most Surgical Residents Want Financial Education

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Surgical residents feel strongly that personal financial education should be offered during medical training, according to a study published in the August issue of the Journal of the American College of Surgeons.

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1997 to 2015 Saw Increase in HIV Viral Suppression Rates

THURSDAY, Aug. 23, 2018 (HealthDay News) -- From 1997 to 2015 there was a considerable increase in HIV viral suppression rates among people living with HIV (PLWH), according to a study published online Aug. 21 in the Annals of Internal Medicine.

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Information Lacking on Effect of Prenatal Use of Marijuana

THURSDAY, Aug. 23, 2018 (HealthDay News) -- More information is needed on marijuana use in pregnancy, according to an Ideas and Opinions piece published online Aug. 21 in the Annals of Internal Medicine.

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Time to Stop Cancer Screenings: What Do Patients Want to Hear?

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Older adults prefer explanations about stopping cancer screening that emphasize the shift to focus on other health issues, according to a research letter published in the August issue of JAMA Oncology.

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Prophylactic Tranexamic Acid Doesn't Cut Postpartum Bleeding

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Prophylactic administration of tranexamic acid does not reduce postpartum hemorrhage among women with vaginal delivery receiving prophylactic oxytocin, according to a study published in the Aug. 23 issue of the New England Journal of Medicine.

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Small Practices Also at Risk for Data Breaches

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics.

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Strategy Outlined for Shooter Incident in Health Care Facility

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Adhering to a "secure, preserve, fight" strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine.

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National Provider Identifiers Are Vulnerable to Theft

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice.

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Advantages for HDHP Enrollees in Large Versus Small Firms

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs.

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Catch-Up HPV Doses Effective to Age 21 Against Cervical Neoplasia

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Catch-up doses of quadrivalent human papillomavirus (HPV) vaccination are effective for girls and women aged 14 to 20 years at the time of first dose, according to a study published online Aug. 7 in The Lancet Child & Adolescent Health.

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Similar Outcomes for Rural, Urban Cancer Patients in SWOG Trials

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Rural and urban cancer patients with uniform care access through participation in a SWOG (formerly the Southwest Oncology Group) treatment trial have similar outcomes, according to a study published online Aug. 17 in JAMA Network Open.

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Patient Education Urged to Prevent Opioid OD After Sobriety

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The American Medical Association (AMA) encourages patient education to raise awareness of the risks associated with opioid use after a prolonged period of sobriety, according to a report in the organization's AMA Wire.

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USPSTF Updates Guidance for Cervical Cancer Screening

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has updated the recommendations for screening for cervical cancer; the final recommendation statement has been published in the Aug. 21 issue of the Journal of the American Medical Association.

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Doctors Often Not Discussing Risk Factors With Patients

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.

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Plan to Relax Coal-Fired Power Plant Rules Could Up Mortality

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Trump administration's plan to relax pollution rules for coal-fired power plants will increase carbon emissions and cause up to 1,400 premature deaths a year, according to details released Tuesday.

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Pennsylvania Case Could Affect Evidence for Malpractice Defense

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association's AMA Wire.

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WPSI Recommends Annual Urinary Incontinence Screening

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Women's Preventive Services Initiative (WPSI) recommends annual urinary incontinence screening for women and referral for further evaluation and treatment if indicated, according to a clinical guideline published online Aug. 14 in the Annals of Internal Medicine.

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Sentinel Lymph Node Mapping Most Cost-Effective for Uterine CA

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Sentinel lymph node mapping has the lowest costs and highest quality-adjusted survival compared to both routine and selective lymphadenectomy for managing low-risk endometrial carcinoma, according to a study published in the July issue of Obstetrics & Gynecology.

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Hypnosis Doesn't Cut Post-Op Pain in Breast Cancer Surgery

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Hypnosis before general anesthesia does not reduce postoperative breast pain among patients undergoing minor breast cancer surgery, according to a study published online Aug. 17 in JAMA Network Open.

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Interim Guidance Provided for Men With Possible Zika Infection

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Interim guidance recommends that men with possible Zika virus infection wait three months before trying to conceive or engaging in unprotected sex, according to research published in the Aug. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Experts Offer Tips for Provider Appeal of Denied Medical Claims

MONDAY, Aug.20, 2018 (HealthDay News) -- Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics.

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NYU Becomes First Medical School to Cover All Tuition

MONDAY, Aug. 20, 2018 (HealthDay News) -- The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.

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Tobacco Content Still Common on U.K. Prime-Time Television

MONDAY, Aug. 20, 2018 (HealthDay News) -- Audiovisual tobacco content remains common in prime-time U.K. television programs and is virtually unchanged from 2010, according to a study published online Aug. 13 in Tobacco Control.

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Declines in Life Expectancy in Many High-Income Countries

MONDAY, Aug. 20, 2018 (HealthDay News) -- Life expectancy has declined in recent years in some high-income countries, and in the United States, midlife mortality has increased due to several causes, according to two studies published online Aug. 15 in The BMJ.

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Review Addresses Cell-Free DNA Sequencing in Pregnancy

MONDAY, Aug. 20, 2018 (HealthDay News) -- Cell-free DNA (cfDNA) sequencing represents an advance in genomic medicine and has associated ethical challenges, according to a review article published in the Aug. 2 issue of the New England Journal of Medicine.

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Lumpectomy + Radiation May Cut Breast Cancer Mortality in DCIS

MONDAY, Aug. 20, 2018 (HealthDay News) -- Treatment with lumpectomy and radiotherapy is associated with a reduction in breast cancer mortality versus lumpectomy or mastectomy alone among patients with ductal carcinoma in situ (DCIS), according to a study published online Aug. 10 in JAMA Network Open.

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Little Global Development Assistance for Adolescent Health

MONDAY, Aug. 20, 2018 (HealthDay News) -- Development assistance for adolescent health (DAAH) makes up a small proportion of total development assistance for health, according to a study published online Aug. 10 in JAMA Network Open.

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EHR Review Can Measure Diagnostic Uncertainty

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Retrospective review of clinician documentation in the electronic health record (EHR) can help identify diagnostic uncertainty with moderate reliability, according to a study published in the June issue of the Journal of Evaluation in Clinical Practice.

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Comments Open on End of NIH Review for Gene Therapy Studies

FRIDAY, Aug. 17, 2018 (HealthDay News) -- A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.

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Residents' Sleep Deteriorates During Training

FRIDAY, Aug. 17, 2018 (HealthDay News) -- First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General Internal Medicine.

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Risk of Death Not Up in T2DM When Risk Factors Within Target

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Little excess risk of death is seen for patients with type 2 diabetes with five risk-factor variables within target ranges, according to a study published in the Aug. 16 issue of the New England Journal of Medicine.

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Practice Names, Logos Should Be Carefully Designed

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice.

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NIH Panel Will No Longer Review Gene Therapy Experiments

THURSDAY, Aug. 16, 2018 (HealthDay News) -- A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine.

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Weight Gain After Quitting Smoking May Up T2DM Risk

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Smoking cessation accompanied by weight gain is linked to increased risk of type 2 diabetes, according to a study published in the Aug. 16 issue of the New England Journal of Medicine.

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Ibalizumab Active in Multidrug Resistant HIV-1 Infection

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Ibalizumab has antiviral activity among patients with multidrug resistant (MDR) HIV-1 infection, according to a study published in the Aug. 16 issue of the New England Journal of Medicine.

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Steps Provided for Discharging Patient From Practice

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice.

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Counseling Needed for Pediatric Patients With Impaired Fertility

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Counseling about impaired fertility and sexual function for at-risk pediatric populations in developmentally appropriate ways is essential, according to a clinical report published in the August issue of Pediatrics.

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Patient Portals Don't Appear to Have Much Traction

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Patient portals have not taken off as expected, according to an article published in Medical Economics.

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Liposomal Bupivacaine Block No Aid for Cesarean Pain

THURSDAY, Aug. 16, 2018 (HealthDay News) -- A liposomal bupivacaine incisional block at the time of cesarean delivery does not improve pain scores in the first 48 hours postoperatively, according to a study published in the July issue of Obstetrics & Gynecology.

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Two Strategies for Preventing Diabetes in Minority Patients

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Recognizing the barriers to care for minority patients with type 2 diabetes could reduce the incidence of type 2 diabetes nationwide, according to an article published by the American Medical Association's AMA Wire.

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ACA Coverage Gains Include Workers Without Insurance

THURSDAY, Aug. 16, 2018 (HealthDay News) -- After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs.

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Talazoparib Beneficial in Patients With Advanced Breast Cancer

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Single-agent talazoparib provides significant benefit over standard chemotherapy for patients with advanced breast cancer and germline BRCA1/2 mutation, according to a study published online Aug. 15 in the New England Journal of Medicine.

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cfDNA Screening First for Trisomy 21 Doesn't Cut Miscarriage Rate

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Offering cell-free DNA (cfDNA) screening followed by invasive testing in the case of positive results does not result in a significant reduction in miscarriage among women with pregnancies at high risk of trisomy 21, according to a study published in the Aug. 14 issue of the Journal of the American Medical Association.

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Trends in HIV/AIDS Have Worsened in African-Americans

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Recommendations have been developed for addressing the HIV/AIDS epidemic in the African-American community; the recommendations are presented in an article published in the June issue of the Journal of Racial and Ethnic Health Disparities.

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HPV Legislation Doesn't Impact Teen Sexual Behaviors

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Implementation of state legislation relating to human papillomavirus (HPV) vaccination is not associated with changes in adolescent sexual behaviors, according to a study published online Aug. 13 in Pediatrics.

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Many Americans Not Being Assessed for Depression

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Many Americans aged 35 and older are not being assessed for depression, according to a study recently published in the Journal of the American Board of Family Medicine.

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Labetalol Use Up for Patients With Preeclampsia and Asthma

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Higher rates of β-blocker use are seen among women with preeclampsia and asthma, according to a study published in the July issue of Obstetrics & Gynecology.

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Integration of Opioid, Infectious Disease Treatment Needed

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Steps should be taken to integrate treatment at the intersection of opioid use disorder (OUD) and related HIV and hepatitis C virus (HCV) infectious disease epidemics, according to an Ideas and Opinion piece published online July 13 in the Annals of Internal Medicine. The article was published to coincide with the National Academies of Sciences, Engineering, and Medicine (NASEM) expert panel's recommendations for treating opioid abuse and its related infectious epidemics.

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Primary Care Provider Burnout Rate Low in Small Practices

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Provider-reported rates of burnout may be lower in small independent primary care practices than in larger practices, according to a study published in the July-August issue of the Journal of the American Board of Family Medicine.

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Most Postmenopausal Bleeding Not Associated With Cancer

TUESDAY, Aug. 14, 2018 (HealthDay News) -- Most women with postmenopausal bleeding (PMB) will not be diagnosed with endometrial cancer, according to a review published online Aug. 6 in JAMA Internal Medicine.

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Zika, West Nile Cases Reported in Alabama

TUESDAY, Aug. 14, 2018 (HealthDay News) -- Multiple reports of Zika virus and West Nile virus are being investigated by Alabama health officials.

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Many Sexual Assault Victims Don't Complete Evidence Kits

TUESDAY, Aug. 14, 2018 (HealthDay News) -- Even with access to specialized forensic evidence collection, many sexual assault survivors do not complete a Sexual Assault Evidence Kit (SAEK), and even fewer release the evidence to police for investigation, according to a study published online Aug. 8 in the Emergency Medicine Journal.

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Intervention Cuts Risk for HIV in Young Transgender Women

TUESDAY, Aug. 14, 2018 (HealthDay News) -- A culturally specific, empowerment-based, and group-delivered behavioral prevention intervention can reduce sexual risk for HIV acquisition and transmission in sexually active young transgender women (YTW), according to a study published online Aug. 13 in JAMA Pediatrics.

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6 Factors Related to Inclusion in Health Care Workplace ID'd

TUESDAY, Aug. 14, 2018 (HealthDay News) -- There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open.

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Four Pros to Integrating EHR, Practice Management Software

MONDAY, Aug. 13, 2018 (HealthDay News) -- Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice.

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Prenatal Tdap Vaccination Not Linked to Autism Risk

MONDAY, Aug. 13, 2018 (HealthDay News) -- Prenatal tetanus, diphtheria, acellular pertussis (Tdap) vaccination is not associated with increased risk of autism spectrum disorder (ASD) in offspring, according to a study published online Aug. 13 in Pediatrics.

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Neurodevelopmental Anomalies, Birth Defects Linked to Zika ID'd

MONDAY, Aug. 13, 2018 (HealthDay News) -- Many children of mothers with evidence of confirmed or possible Zika virus infection during pregnancy do not undergo all recommended evaluations, according to a Vital Signs report published in the Aug. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Male Underwear Choice Affects Sperm Counts

MONDAY, Aug. 13, 2018 (HealthDay News) -- Men who wear boxers have higher sperm counts then men who wear tighter underwear, according to a study published Aug. 8 in Human Reproduction.

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CDC: Rates of Opioid Use Disorder Seen at Time of Delivery Up

FRIDAY, Aug. 10, 2018 (HealthDay News) -- Opioid use disorder rates at delivery more than quadrupled nationally from 1999 to 2014, according to research published in the Aug. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Childbearing Surgical Residents Often Feel Career Dissatisfaction

FRIDAY, Aug. 10, 2018 (HealthDay News) -- More than half of women who have a baby during surgical residency express some type of career dissatisfaction, according to a study published online Aug. 1 in JAMA Surgery.

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Sexual Minorities Have Lower Health-Related Quality of Life

FRIDAY, Aug. 10, 2018 (HealthDay News) -- Sexual minority women and men are more likely to be unemployed and uninsured and have worse health-related quality of life (HRQL) than heterosexual individuals, according to a study published recently in BMJ Open.

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AMA Adopts Policy on Augmented Intelligence

FRIDAY, Aug. 10, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association's AMA Wire.

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Sufficient Preconception Vitamin D Tied to Lower Miscarriage Risk

FRIDAY, Aug. 10, 2018 (HealthDay News) -- Preconception vitamin D levels may play a role in maintaining pregnancy, according to a study published recently in The Lancet Diabetes & Endocrinology.

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AMA Adopts Policy to Advance Gender Equity in Medicine

THURSDAY, Aug. 9, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association's AMA Wire.

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AHA: A Diverse Diet May Not Promote a Healthy Weight

THURSDAY, Aug. 9, 2018 (HealthDay News) -- The long-standing recommendation to eat a variety of foods may not be a sound way to promote healthy eating patterns and a healthy body weight, according to an American Heart Association science advisory published online Aug. 9 in Circulation.

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Vit D Supplementation Doesn't Improve Fetal, Infant Growth

THURSDAY, Aug. 9, 2018 (HealthDay News) -- Maternal vitamin D supplementation from mid-pregnancy until birth or until six months postpartum does not improve fetal or infant growth, according to a study published in the Aug. 9 issue of the New England Journal of Medicine.

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Insurance Status Tied to Higher Self-Perceived Poor/Fair Health

THURSDAY, Aug. 9, 2018 (HealthDay News) -- Underinsured and never insured adults are more likely than adequately insured adults to report poor/fair health and frequent mental distress (FMD), according to a study published online July 19 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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High BP Seen at School Age for Extreme Preterm Infants

THURSDAY, Aug. 9, 2018 (HealthDay News) -- Both overweight and normal-weight children who were born as extreme preterm (EPT) infants are at risk for high blood pressure (BP) and hypertension, according to a study published in the August issue of Pediatrics.

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Cyber Insurance Recommended for All Physician Practices

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- The growing threat of hacking is increasing the number of physicians buying cyber insurance, according to an article published in Medical Economics.

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Inducing Labor at Term Appears to Reduce Cesarean Risk

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- Inducing labor at 39 weeks may decrease the risk of cesarean section, according to a study published in the Aug. 9 issue of the New England Journal of Medicine.

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Steps Taken to Increase Use of Electronic Tools in Medicine

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- Additional codes have been approved by the Current Procedural Terminology (CPT) Editorial Panel for chronic care remote physiologic monitoring and internet consultations, according to a report published by the American Medical Association (AMA).

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AMA Proposes Policy Opposing Medicaid 'Lockout' Provisions

TUESDAY, Aug. 7, 2018 (HealthDay News) -- A new policy opposing lockout provisions that block Medicaid patients from the program for lengthy periods and instead supporting allowing patients to reapply immediately for redetermination was adopted by the American Medical Association (AMA) House of Delegates during the AMA's annual meeting in Chicago, according to an article published in the association's AMA Wire.

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HIV, Syphilis Screening Low With ED-Diagnosed PID in Adolescents

TUESDAY, Aug. 7, 2018 (HealthDay News) -- HIV and syphilis screening rates are low among adolescents who are diagnosed with pelvic inflammatory disease (PID) in the emergency department, according to a study published in the August issue of Pediatrics.

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Thyroid Dysfunction Linked to Gestational Diabetes

TUESDAY, Aug. 7, 2018 (HealthDay News) -- Higher free triiodothyronine (fT3) levels, but not free thyroxine (fT4) or thyroid-stimulating hormone (TSH) levels, are associated with gestational diabetes mellitus (GDM), according to a study published in the July 1 issue of the Journal of Clinical Endocrinology & Metabolism.

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AMA Calls for Greater Electronic Cigarette Regulation

TUESDAY, Aug. 7, 2018 (HealthDay News) -- The American Medical Association (AMA) has adopted several policies to improve the regulation of tobacco products, including electronic cigarettes (e-cigarettes), according to an article published in the association's AMA Wire.

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'Good' Cholesterol May Not Be So in Postmenopausal Women

TUESDAY, Aug. 7, 2018 (HealthDay News) -- Elevated high-density lipoprotein cholesterol (HDL-C) may not always be cardioprotective in postmenopausal women, according to a study published online July 19 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Disparities Remain in Prevalence of Cancer Screening Tests

TUESDAY, Aug. 7, 2018 (HealthDay News) -- There are persistent disparities in recommended cancer screening tests among U.S. adults, particularly among the uninsured, according to a study published online July 26 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Combined Digital Screening Best for Detecting Breast Cancers

MONDAY, Aug. 6, 2018 (HealthDay News) -- The combination of digital mammography (DM) and digital breast tomosynthesis (DBT) detects 90 percent more breast cancers than digital mammography alone, according to a study published in the August issue of Radiology.

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CDC: Half of U.S. Adults Tried to Lose Weight From 2013 to 2016

MONDAY, Aug. 6, 2018 (HealthDay News) -- Nearly half of U.S. adults have tried to lose weight from 2013 to 2016, according to a July data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers

FRIDAY, Aug. 3, 2018 (HealthDay News) -- Some types of bacteria are developing tolerance of alcohol-based hand sanitizers used in hospitals, according to a study published in the Aug. 1 issue of Science Translational Medicine.

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Variation in Specialty Drug Coverage Across Health Plans

FRIDAY, Aug. 3, 2018 (HealthDay News) -- There is considerable variation in specialty drug coverage across commercial health plans, according to a study published in the July issue of Health Affairs.

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ASCO Endorses SIO Guideline for Integrative Tx in Breast Cancer

FRIDAY, Aug. 3, 2018 (HealthDay News) -- The American Society for Clinical Oncology (ASCO) has endorsed the Society for Integrative Oncology (SIO) guideline on the use of integrative therapies during and after breast cancer treatment, according to a special article published online June 11 in the Journal of Clinical Oncology.

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Groups Urge CMS to Reconsider Suspending Risk Adjustment

FRIDAY, Aug. 3, 2018 (HealthDay News) -- In a letter sent to Administrator Seema Verma of the Centers for Medicare & Medicaid Services (CMS), medical organizations are urging reconsideration of the decision to suspend payments to insurers as required under the Affordable Care Act's risk-adjustment program.

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Health Affairs Announces Launch of New Three-Year Initiative

THURSDAY, Aug. 2, 2018 (HealthDay News) -- A council on health care spending and value has been established by the journal Health Affairs.

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Three Financial Metrics Can Improve Practice Performance

THURSDAY, Aug. 2, 2018 (HealthDay News) -- By understanding three indices and metrics, physicians can change the financial outcome of their medical practice, according to a report published in Medical Economics.

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Single Threshold May Not Be Feasible for Gestational Diabetes

THURSDAY, Aug. 2, 2018 (HealthDay News) -- Uniform application of gestational diabetes mellitus diagnostic thresholds may not be appropriate in populations across the world, according to a study published in the July issue of Diabetes Care.

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TGFB1 Mutation Ups Radiation-Induced Breast Fibrosis Risk

THURSDAY, Aug. 2, 2018 (HealthDay News) -- The C-509T allele in the promoter region of transforming growth factor β (TGFB1) is associated with radiation-induced breast fibrosis risk among patients with early-stage breast cancer, according to study published online July 19 in JAMA Oncology.

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AMA Calls for Alleviating Racial Housing Segregation

THURSDAY, Aug. 2, 2018 (HealthDay News) -- The American Medical Association (AMA) opposes policies that enable racial housing segregation, according to an article published in the association's AMA Wire.

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E-Cigarettes Don't Seem to Aid Smoking Cessation Efforts

THURSDAY, Aug. 2, 2018 (HealthDay News) -- Electronic cigarette (e-cigarette) use is most common among current smokers, according to a study published online July 20 in JAMA Network Open.

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New Short-Term Health Plans Have Large Coverage Gaps

THURSDAY, Aug. 2, 2018 (HealthDay News) -- There are large coverage gaps in short-term health plans that were approved Wednesday by the Trump administration, and are described by critics as "junk insurance."

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How Doctors Receive Feedback Is Key for Antimicrobial Programs

THURSDAY, Aug. 2, 2018 (HealthDay News) -- Anticipation of how providers will receive feedback is important for antimicrobial stewardship programs to consider in informing educational messaging, according to a study published online June 7 in Infection Control & Hospital Epidemiology.

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Alcohol Exposure Via Breastmilk May Affect Infant Development

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- Exposing infants to alcohol through breastfeeding may reduce their cognitive ability at age 6 to 7 years, according to a study published online July 30 in Pediatrics.

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National Guideline Clearinghouse Offline Due to Funding Cuts

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- The National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC) websites were taken down on July 16 when funding for these federal databases ended, according to an announcement by the Agency for Healthcare Research and Quality (AHRQ).

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Protease Inhibitors May Worsen Outcomes for HIV + Heart Failure

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- Ritonavir-boosted protease inhibitor (PI) therapy is associated with worse outcomes, including death, in patients with HIV and heart failure, according to a study published in the July 31 issue of the Journal of the American College of Cardiology.

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Nut Intake Reduces HbA1c Among Adults With T2DM

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- Nut intake reduces hemoglobin A1c (HbA1c) among individuals with type 2 diabetes, according to a study published in the August issue of Diabetologia.

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Steps Can Be Taken by Doctors to Minimize Risk of Lawsuits

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- Targeted steps can be taken to minimize future risks of lawsuits, according to an article published in Physicians Practice.

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