December 2014 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 December 2014. 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.

Risks, Management of Atypical Hyperplasia of Breast Discussed

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Atypical hyperplasia is associated with increased breast cancer risk, and consequently, women should be educated regarding their risk of developing breast cancer and the potential risk reduction associated with chemoprevention, according to a special report published in the Jan. 1 issue of the New England Journal of Medicine.

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Ebola, ACA, VA Scandal Top U.S. Health News for 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- It started as a deadly but little-known outbreak in West Africa, but the lethal and unchecked spread of the Ebola virus dominated U.S. headlines for much of 2014, making it one of the year's top health news features.

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AMA Identifies Top 10 Issues That Affected Docs in 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- The top 10 issues that affected physicians in 2014 include many regulatory issues relating to Medicare and data release, as well as health issues such as overprescribing of antibiotics and the Ebola crisis, according to a report published by the American Medical Association (AMA).

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Docs Making Changes to Improve Blood Pressure Control

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Physicians have been discussing how minor, easy changes in the way they measure blood pressure have had a positive impact on hypertension control, according to a report published by the American Medical Association (AMA).

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Surgeon General Still Has Important Role to Play

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The Surgeon General has an important role in educating and mobilizing the public and shaping policy on public health issues, according to an ideas and opinions piece published online Dec. 30 in the Annals of Internal Medicine.

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Fiber Intake Tied to Reduced Risk of Kidney Stones

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Greater dietary intake of fiber, fruits, and vegetables is associated with a reduced risk of incident kidney stones in postmenopausal women, according to research published in the December issue of The Journal of Urology.

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Risk of Leukemia Tied to Breast Cancer Rx Higher Than Thought

MONDAY, Dec. 29, 2014 (HealthDay News) -- Among early-stage breast cancer patients who undergo chemotherapy and/or radiation treatment, the risk for developing treatment-related leukemia, though low, is still double what experts had previously thought, a new analysis reveals. Reporting online Dec. 22 in the Journal of Clinical Oncology, the researchers said the findings should give pause to doctors and breast cancer patients who are considering post-surgical treatment options.

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2015 Medicare Fee Schedule Offers Payment for Chronic Care

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- The 2015 Medicare Fee Schedule includes a Current Procedural Terminology Code that pays for clinical staff time for developing and implementing a care plan for patients with two or more chronic conditions, according to an article published Dec. 18 in Medical Economics.

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Nerve-Sparing Surgery for Cervical CA May Protect Sex Life

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- Nerve-sparing (NS) laparoscopic radical hysterectomy (LRH) impairs sexual function less than conventional LRH in cervical cancer patients, according to a study published in the December issue of the Journal of Sexual Medicine.

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ACOG Issues Recs to Improve Access to Contraception

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- All women should have unhindered and affordable access to contraceptives, although there are many barriers to access, according to a Committee Opinion published in the January issue of Obstetrics & Gynecology.

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No Increased Risk of Second Cancers With Radiotx in Pelvic CA

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- For patients with pelvic cancers, the risk of developing a second cancer is not increased with radiotherapy (RT), according to a study published online Dec. 22 in the Journal of Clinical Oncology.

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Antenatal Micronutrient Supplements Don't Reduce Mortality

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- In Bangladesh, antenatal multiple micronutrient supplementation is not associated with a reduction in all-cause mortality to age 6 months compared with iron-folic acid supplementation, according to a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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Goal in Stage Ia1 Cervical Cancer Is Complete Excision

MONDAY, Dec. 22, 2014 (HealthDay News) -- Clear excision margins are important in the management of stage Ia1 squamous cervical cancer, according to research published in the December issue of the American Journal of Obstetrics & Gynecology.

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Certain Bisphosphonates Tied to Lower Risk of Endometrial CA

MONDAY, Dec. 22, 2014 (HealthDay News) -- Bisphosphonates may lower the risk of endometrial cancer, new research suggests. The study appears online Dec. 22 in Cancer.

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Many States Slow to Update Preparticipation Physical Exams

MONDAY, Dec. 22, 2014 (HealthDay News) -- Many states have been slow to adopt preparticipation physical evaluation-fourth edition (PPE-4) recommendations, according to a study published online Dec. 22 in Pediatrics.

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FDA Approves Lynparza for Advanced Ovarian Cancer

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Lynparza (olaparib) has been approved by the U.S. Food and Drug Administration to treat advanced ovarian cancer associated with defective BRCA genes, the agency said Friday in a news release.

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Tips Offered to Docs, Spouses for Maintaining Happy Marriage

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Simple tips can help physicians and their spouses maintain marital happiness, according to an article published in the American Medical Association (AMA) Alliance magazine Physician Family.

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CDC: Not Too Late, or Too Futile, to Get Flu Vaccine

FRIDAY, Dec. 19, 2014 (HealthDay News) -- The flu is starting to tighten its grip on much of the United States, particularly in the South and Midwest, according to a report published in the Dec. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. And more than half of the flu infections examined so far have been caused by influenza A H3N2, which appears to have mutated from the H3N2 strain included in this year's flu vaccine.

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Viewpoint: Strong Mentorship 'Paramount' in Surgical Training

THURSDAY, Dec. 18, 2014 (HealthDay News) -- The role of mentorship is explored through the career of Alfred Blalock, M.D., in a viewpoint piece published online Dec. 17 in JAMA Surgery.

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Invasive Procedures Down With Noninvasive Prenatal Testing

THURSDAY, Dec. 18, 2014 (HealthDay News) -- The number of invasive diagnostic procedures, including amniocentesis, is down significantly after the introduction of noninvasive prenatal testing (NIPT), according to a study published in the January issue of the Journal of Clinical Ultrasound.

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Low-Glycemic Index Diet Does Not Improve CV Risk Factors

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Low-glycemic index (GI) diets may not improve cardiovascular risk factors such as insulin sensitivity, lipid levels, and systolic blood pressure, according to research reported in the Dec. 17 issue of the Journal of the American Medical Association.

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Fatal Case of Legionnaires' in Infant Following Water Birth

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- A Texas infant has died from Legionnaires' disease after being born in a whirlpool tub. The report of the infant's death appears in the January 2015 issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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CDC: Syphilis Cases Rising Among Gay, Bisexual Men

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- The number of cases of syphilis in the United States jumped 10 percent from 2012 to 2013, with gay and bisexual men accounting for 75 percent of the increase, U.S. health officials reported Tuesday.

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Low Risk of Malignancy for Small Complex Adnexal Masses

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- For older women with small complex adnexal masses, the overall risk of malignancy is low, according to a study published in the December issue of the American Journal of Obstetrics & Gynecology.

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Digital Self-Scheduling Set to Increase Considerably by 2019

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Digital self-scheduling is set to increase considerably in the next five years, according to a report published by Accenture.

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Preeclampsia Prediction Similar, Modest With Two Algorithms

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Two algorithms offer similar and modest performance for predicting preeclampsia in nulliparous women at 11 to 13 weeks of gestation, according to a study published online Dec. 4 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Challenges ID'd in Development of the Physician Compare Website

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Under the Affordable Care Act (ACA), information must be made available to allow the public to compare physicians, although there are considerable challenges surrounding the development of the physician performance website, Physician Compare. These challenges are addressed in a health policy brief published online Dec. 11 in Health Affairs.

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An Estimated 2,000 ER Visits Due to Indoor Tanning in 2012

TUESDAY, Dec. 16, 2014 (HealthDay News) -- The first national estimates of indoor tanning-related injuries treated in U.S. hospital emergency departments have been calculated, according to the authors of a research letter published online Dec. 15 in JAMA Internal Medicine.

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Yoga Heart Health Benefits Similar to Brisk Walking

TUESDAY, Dec. 16, 2014 (HealthDay News) -- People randomly assigned to yoga classes saw improvements in their weight, blood pressure, and cholesterol, similar to the health benefits of conventional exercise such as brisk walking. These research findings, the result of a review of trials, were reported online Dec. 15 in the European Journal of Preventive Cardiology.

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Doctors Not Providing Sexual Counseling for Heart Patients

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Fewer than one out of five acute myocardial infarction (AMI) patients get advice from their doctor on whether they can resume sexual activity, and what information they do get often is wrong. These findings were published online Dec. 15 in Circulation.

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Physicians Reminded of Ethical Obligations Regarding Torture

TUESDAY, Dec. 16, 2014 (HealthDay News) -- With the issuing of the new U.S. Senate report on interrogations, the American Medical Association (AMA) is reminding physicians of their ethical obligations relating to torture and interrogation.

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Support for Electronic Health Information Varies With Use

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Consent and purpose are important for public support of secondary uses of electronic health information, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

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Physicians Should Scrutinize Job Offers Before Accepting

MONDAY, Dec. 15, 2014 (HealthDay News) -- Physicians should scrutinize job offers and pay attention to specific issues before accepting a job, according to an article published Dec. 3 in Medical Economics.

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Webcast Scheduled to Discuss Maintenance of Certification

MONDAY, Dec. 15, 2014 (HealthDay News) -- New data relating to Maintenance of Certification (MOC) will be discussed in a free webcast to be held Dec. 17 by the Journal of the American Medical Association (JAMA).

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No Higher Risk of Breast Cancer for Women With Migraines

MONDAY, Dec. 15, 2014 (HealthDay News) -- Migraine headaches do not raise the risk for breast cancer, according to research published online Dec. 12 in the Journal of the National Cancer Institute.

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More Young Adults Getting Preventive Care Since ACA

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Significantly more 19- to 25-year-olds are getting preventive care, including routine checkups, blood pressure measurement, and dental care since the Affordable Care Act went into effect in the United States, according to a research letter published in the Dec. 11 issue of the New England Journal of Medicine.

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Tips Offered for Docs to Manage Their Online Reputation

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Physicians can manage their online reputation, according to a report from the American Medical Association (AMA).

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CDC: PCPs to Inform Families of Sickle Cell Trait in Newborns

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Primary care providers should offer educational materials and provide genetic counseling to families when they receive positive results for sickle cell trait (SCT) at the time of newborn screening, according to a report published in the Dec. 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Mortality Not Up With Pregnancy-Associated Malignant Melanoma

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Cause-specific mortality does not differ significantly for women and girls with malignant melanoma (MM) diagnosed during pregnancy and up to two years postpartum (pregnancy-associated MM [PAMM]) and with non-PAMM, according to a study published in the December issue of the Journal of the American Academy of Dermatology.

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IUD Gaining in Popularity for Contraception Choice in U.S.

THURSDAY, Dec. 11, 2014 (HealthDay News) -- The pill remains one of the most popular methods of birth control for women, along with female sterilization and condoms, but intrauterine devices (IUDs) and implants are gaining in popularity, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Many Breast Cancer Patients Receive Too Much Radiation Tx

THURSDAY, Dec. 11, 2014 (HealthDay News) -- Many U.S. patients with breast cancer still get radiation therapy for much longer than they need to, according to research published online Dec. 10 in the Journal of the American Medical Association.

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Adverse Outcomes Up With Elevated HbA1c in Late Pregnancy

THURSDAY, Dec. 11, 2014 (HealthDay News) -- Elevated hemoglobin A1c (HbA1c) during the second and third trimesters correlates with increased risk of adverse pregnancy outcomes, according to a study published online Nov. 3 in Diabetes Care.

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Racial/Ethnic Disparities in Medical Advantage Plan Enrollees

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- Racial and ethnic disparities exist among Medicare Advantage Plan enrollees, and improved performance on quality measures is accompanied by increased racial/ethnic equity, according to two studies published in the Dec. 11 issue of the New England Journal of Medicine.

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More Students Enrolling in U.S. Medical Schools

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- More students are enrolling in medical schools, and enrollees are more diverse than before, according to a report from the Association of American Medical Colleges (AAMC) published by the American Medical Association (AMA).

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FDA Approves Gardasil for Additional Types of HPV

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- The Gardasil 9 vaccine has been approved by the U.S. Food and Drug Administration to treat five additional types of human papillomavirus (HPV), the FDA said Wednesday.

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Number of Free Clinics Run by Medical Students Has Doubled

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- The number of medical student-run free clinics at U.S. medical schools has doubled in the last decade, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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More Docs, Patients Not Speaking Same Language

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- People applying to become medical residents in the United States speak a wide range of non-English languages, but many aren't the languages spoken by patients with limited English skills, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Higher Paid Docs Earn More Money From More Procedures

TUESDAY, Dec. 9, 2014 (HealthDay News) -- High-income doctors make more money by ordering more procedures for each patient rather than by seeing more patients, according to an analysis of 2012 Medicare data published in a research letter Dec. 8 in JAMA Internal Medicine.

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Work-Hour Restrictions Have Not Improved Outcomes

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Reducing medical residents' work hours hasn't improved mortality rates, hospital readmission rates, or outcomes of surgery, according to two new studies published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Docs Trained in High-Cost Areas Practice More Costly Medicine

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Doctors who were trained in high-cost areas of the United States may be more likely to practice expensive medicine, a new study suggests; however, that effect gradually decreases over time. The study was published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Inherited Mutations Common in Triple-Negative Breast Cancer

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Almost 15 percent of patients with triple-negative breast cancer unselected for family history have deleterious mutations in breast cancer susceptibility genes, according to a study published online Dec. 1 in the Journal of Clinical Oncology.

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Routine U/S for Dense Breasts May Not Be Worth Cost

TUESDAY, Dec. 9, 2014 (HealthDay News) -- New research questions the value of ultrasound screening for women with dense breasts who've had a normal mammogram. The study was published in the Dec. 9 issue of the Annals of Internal Medicine.

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AMA: Starting Small Can Lead to Big Changes in Patient Lives

MONDAY, Dec. 8, 2014 (HealthDay News) -- A patient and her physician shared her story of health transformation during a special session at the 2014 American Medical Association (AMA) Interim Meeting in Dallas.

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Meta-Analysis: Oral Contraceptive Use Not Linked to RA Onset

MONDAY, Dec. 8, 2014 (HealthDay News) -- Oral contraceptive (OC) use does not appear to be associated with the risk of rheumatoid arthritis (RA), although there is an inverse association between OC use and RA severity, according to a meta-analysis published in the International Journal of Rheumatic Diseases.

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Long-Term Effect of Gestational Diabetes Treatment Uncertain

MONDAY, Dec. 8, 2014 (HealthDay News) -- The effects of treatment of mild gestational diabetes mellitus (GDM) on long-term child health are unclear, according to research published online Nov. 20 in Diabetes Care.

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Low-Dose ASA Risks Outweigh Benefits in Younger Women

FRIDAY, Dec. 5, 2014 (HealthDay News) -- For women younger than 65, taking low-dose aspirin for years lowers the risks of heart attack, stroke, and colorectal cancer by a small amount, but the benefit is countered by an increase in the risk of major gastrointestinal bleeding, according to a study published online Dec. 4 in Heart.

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CDC: California Infants Hit Hard by Pertussis Epidemic

FRIDAY, Dec. 5, 2014 (HealthDay News) -- In what state health officials are calling the worst outbreak in 70 years, 9,935 cases of pertussis were diagnosed between Jan. 1 and Nov. 26. That translated into 26 cases per 100,000 people, according to research published in the Dec. 5 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Flu Vaccine May Offer Less Protection This Winter

FRIDAY, Dec. 5, 2014 (HealthDay News) -- The H3N2 strain of influenza appears to be circulating most widely this season, and in the past, death rates from H3N2 have been more than double that of other flu strains, according to officials from the U.S. Centers for Disease Control and Prevention. In addition, about half of the H3N2 viruses detected by CDC researchers so far appear to have mutated, and have genetically "drifted" away from the virus strain included in this year's flu vaccine.

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AMA: Social Determinants of Health to Be Taught in Med School

THURSDAY, Dec. 4, 2014 (HealthDay News) -- A new policy implemented by the American Medical Association (AMA) supports integrating more training on the social determinants of health into undergraduate medical education, according to a report published by the AMA.

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Cognitive Behavioral Tx for Insomnia Assists CA Survivors

THURSDAY, Dec. 4, 2014 (HealthDay News) -- For cancer survivors, cognitive behavioral therapy for insomnia (CBT-I) with and without armodafinil is associated with decreases in insomnia severity and improvements in sleep quality, according to a study published online Dec. 1 in the Journal of Clinical Oncology.

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Mediterranean Diet May Help Boost Longevity

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Adhering to the Mediterranean diet appears to be associated with longer telomere length, an indicator of slower aging, according to research published Dec. 2 in The BMJ.

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Longer Sugeries May Increase Risk of DVT, PE

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Longer surgery times appear to increase a patient's risk of deep vein thrombosis and pulmonary embolism, according to a new study published online Dec. 3 in JAMA Surgery.

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FDA: New Rx Label Rules to Better Inform Pregnant Women

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- A new labeling system should give women and their doctors clearer information on the risks and benefits of prescription medicines when taken during pregnancy and breastfeeding, the U.S. Food and Drug Administration said Wednesday.

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Patients May Be Ignoring Cancer's Warning Signs

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Many people ignore potential warning signs of cancer, according to the results of a British survey published online Dec. 2 in PLOS ONE.

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CDC: Nearly 1 in 12 Americans Struggle With Depression

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Almost 8 percent of Americans aged 12 and older experienced moderate to severe symptoms of depression during 2009 to 2012, U.S. health officials reported Wednesday, with only about one-third of those suffering from severe depressive symptoms seeking help from a mental health professional in the previous year.

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Preconception Care Could Cut Pregestational Diabetes Burden

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Universal preconception care (PCC) could reduce the health and cost burden associated with diagnosed and undiagnosed pregestational diabetes mellitus (PGDM), according to a study published online Oct. 28 in the American Journal of Obstetrics & Gynecology.

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Breast Cancer Vaccine Shows Promise in Preliminary Trial

TUESDAY, Dec. 2, 2014 (HealthDay News) -- An experimental vaccine for breast cancer appears to be safe in a preliminary trial. The findings were published in the Dec. 1 issue of Clinical Cancer Research.

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Statin Tx Not Found to Protect Bones Amidst Inflammation

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Although research has suggested that statins used to treat cardiovascular disease may also reduce the risk of fracture, treatment with rosuvastatin does not reduce the risk of fracture among men and women with evidence of inflammation, according to a new study published online Dec. 1 in JAMA Internal Medicine.

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Too Much Patient Care Tied to Faculty Members' Intent to Leave

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Spending "far too much/too much" time/effort on patient care is associated with increased intent to leave the institution, according to research published in Academic Medicine.

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AMA: Address Patient Misconceptions for Evidence-Based Care

MONDAY, Dec. 1, 2014 (HealthDay News) -- Patient misconceptions should be addressed in order to practice evidence-based medicine and leave patients feeling satisfied, according to a report published by the American Medical Association (AMA).

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Doctor Discusses Ways to Keep Morale in Medicine High

MONDAY, Dec. 1, 2014 (HealthDay News) -- Despite the many frustrations for doctors in medical practice, there are ways to keep morale high, according to an article published Nov. 20 in Medical Economics.

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Many Physicians Report Their Incomes Have Plateaued

MONDAY, Dec. 1, 2014 (HealthDay News) -- Many physicians report that their personal income has not changed since last year, according to the results of the Physicians Practice 2014 Physicians Compensation Survey.

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