December 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 December 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.

Three Novel Loci Associated With Polycystic Ovary Syndrome ID'd

MONDAY, Dec. 31, 2018 (HealthDay News) -- Three novel loci have been identified for polycystic ovary syndrome (PCOS), according to research published online Dec. 19 in PLOS Genetics.

Abstract/Full Text

Second-Line Antidiabetic Meds May Impact Cardiovascular Risk

FRIDAY, Dec. 28, 2018 (HealthDay News) -- For adults with type 2 diabetes initiating second-line antidiabetic medications (ADM), cardiovascular risk is increased with use of sulfonylureas or basal insulin versus newer ADM classes, according to a study published online Dec. 21 in JAMA Network Open.

Abstract/Full Text
Editorial

ACOG Updates Guidelines for Gestational HTN, Preeclampsia

FRIDAY, Dec. 28, 2018 (HealthDay News) -- The American College of Obstetricians & Gynecologists (ACOG) has updated its guidance on the management of gestational hypertension and preeclampsia as well as chronic hypertension in pregnant women; the two practice bulletins were published in the January issue of Obstetrics & Gynecology.

Gestational Hypertension and Preeclampsia
Chronic Hypertension in Pregnancy

Toll on Health From Depression, Anxiety Akin to Smoking, Obesity

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Anxiety and depression predict poor future physical health as strongly as obesity and smoking in older adults, according to a study published online Dec. 17 in Health Psychology.

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Pregnancy Complications Up for Women Born at Low Birth Weight

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Women born with a low birth weight have an increased risk for pregnancy complications, according to a study published online Dec. 19 in Obesity.

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Having Children Tied to Higher Risk for Cardiovascular Disease

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Parity is associated with cardiovascular disease risk, with a nonlinear J-shaped dose-response relationship observed, according to a meta-analysis published online Dec. 19 in the European Journal of Preventive Cardiology.

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Risk for Breast Cancer Increased With False-Positive Screening Result

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Women with prior false-positive screening results have an increased risk for screen-detected and interval breast cancer for more than 10 years, according to a study published online Dec. 18 in the British Journal of Cancer.

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Dancing Tied to Lower Odds of Disability in Activities of Daily Living

THURSDAY, Dec. 27, 2018 (HealthDay News) -- For older women, participation in dancing is associated with a reduced likelihood of incident disability in activities of daily living (ADL), according to a study published online Dec. 18 in the Scandinavian Journal of Medicine & Science in Sports.

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Low-Priced Generic Drugs Most Likely to Have Shortages

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The lowest-priced generic drugs are more likely to experience shortages, according to a study published in the November issue of Value in Health.

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More Than Two-Thirds of Drug OD Deaths in 2017 Involved Opioids

THURSDAY, Dec. 27, 2018 (HealthDay News) -- More than two-thirds of drug overdose deaths in 2017 involved an opioid, with increases in overdose deaths from all opioids and synthetic opioids seen from 2016 to 2017, according to research published in the Dec. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Health Care Screening Practices Impact Skin Cancer Diagnosis

THURSDAY, Dec. 27, 2018 (HealthDay News) -- Undergoing health care screening practices is associated with an increased likelihood of being diagnosed with skin cancer, according to a study published online Dec. 26 in JAMA Dermatology.

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More Americans Reporting Less Than Six Hours Sleep Per Night

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The percentage of American adults reporting six hours of sleep or less per night increased from 29 to 33 percent from 2013 to 2017, according to a study recently published in Sleep.

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New BP Treatment Cutoffs May Not Yield Survival Benefit

THURSDAY, Dec. 27, 2018 (HealthDay News) -- New blood pressure treatment recommendations may not improve survival from cardiovascular disease (CVD), according to a study recently published in the European Heart Journal.

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ASH Develops Practice Guidelines for Venous Thromboembolism

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The American Society of Hematology (ASH) has developed new guidelines for the treatment of venous thromboembolism (VTE); the clinical practice guidelines were recently published in Blood Advances.

Prophylaxis for Hospitalized and Nonhospitalized Medical Patients
Diagnosis of Venous Thromboembolism
Heparin-Induced Thrombocytopenia
Treatment of Pediatric Venous Thromboembolism
Venous Thromboembolism in the Context of Pregnancy
Optimal Management of Anticoagulation Therapy

Updated Guidelines Developed for Diagnosing, Treating Influenza

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- The Infectious Diseases Society of America has updated their recommendations for the care of patients with suspected or diagnosed influenza; the clinical practice guidelines were published online Dec. 19 in Clinical Infectious Diseases.

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Initiative Can Cut Gender Gap in Medical School Faculty Salaries

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- An institutional gender equity initiative (GEI) can reduce gender-based salary gaps among medical school faculty, according to a study published online Dec. 21 in JAMA Network Open.

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ACOG: Interpregnancy Period Should Maximize Women's Health

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- Providers should maximize women's health during the interpregnancy period, continuing care beyond the immediate postpartum period, according to a consensus report published online Dec. 20 in the American Journal of Obstetrics & Gynecology.

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EMS Treatment for Possible Heart Attack Varies by Sex

MONDAY, Dec. 24, 2018 (HealthDay News) -- Disparities exist in the emergency medical services (EMS) treatment of women and men with chest pain (CP) or out-of-hospital cardiac arrest (OHCA), according to a study published online Dec. 10 in Women's Health Issues.

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HPV Ups Cervical Cancer Risk, Even With No Cellular Signs

MONDAY, Dec. 24, 2018 (HealthDay News) -- The presence of certain high-risk human papillomavirus (HPV) types predicts future risk for high-grade cervical cancer even among women with no cellular indications of cancer at baseline, according to a study published online Dec. 10 in Cancer.

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Vit C for Pregnant Smokers May Improve Newborn Lung Function

MONDAY, Dec. 24, 2018 (HealthDay News) -- For pregnant smokers, vitamin C supplementation may improve newborn lung function, according to a study published online Dec. 7 in the American Journal of Respiratory and Critical Care Medicine.

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FDA Announces Safety Monitoring Measures for the Essure Device

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The U.S. Food and Drug Administration is implementing a number of steps for long-term safety monitoring of the permanent birth control device Essure, which will no longer be sold or distributed in the United States after Dec. 31, 2018.

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FDA: Fluoroquinolones Tied to Heart Vessel Ruptures, Tears

FRIDAY, Dec. 21, 2016 (HealthDay News) -- Patients taking fluoroquinolones may be at higher risk for ruptures or tears in the aorta, the U.S. Food and Drug Administration warns.

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CDC: Weight, Waist Size, BMI Increased for Many U.S. Adults

FRIDAY, Dec. 21, 2018 (HealthDay News) -- From 1999-2000 to 2015-2016, there was an increase in mean weight, waist circumference, and body mass index (BMI) for many U.S. adults, according to the Dec. 20 issue of the National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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CDC: ~65 Percent of U.S. Women Currently Using Contraceptives

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Almost two-thirds of U.S. women aged 15 to 49 years were currently using contraception in 2015 to 2017, according to a December data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Affordable Care Act Sign-Ups Higher Than Expected

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Despite numerous difficulties, early figures show that sign-ups for health coverage next year under the Affordable Care Act are higher than expected.

AP News Article

Growth in Use of Telemedicine Seen From 2005 to 2017

THURSDAY, Dec. 20, 2018 (HealthDay News) -- From 2005 to 2017, there was a substantial increase in telemedicine use, although use was still uncommon in 2017, according to a research letter published online Nov. 27 in the Journal of the American Medical Association.

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ADA 2019 Standards of Care Emphasize Patient-Centered Care

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Patient-centered care is emphasized in updated clinical practice recommendations from the American Diabetes Association 2019 Standards of Care, published as a supplement to the January issue of Diabetes Care.

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Exercise Promotes Executive Functioning in Sedentary Adults

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- For sedentary adults at risk for cognitive decline, aerobic exercise (AE) is associated with significant improvement in executive functioning, according to a study published online Dec. 19 in Neurology.

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Postmenopausal Vaginal Estrogen Not Tied to Negative Health Outcomes

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- For postmenopausal women, vaginal estrogen use is not associated with negative health outcomes, according to a study published online Dec. 17 in Menopause.

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Cardiac Malformations Not Up With First-Trimester Ondansetron

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- First-trimester ondansetron use is associated with a small increased risk for oral cleft but no increased risk for congenital malformations or cardiac malformations, according to a study published in the Dec. 18 issue of the Journal of the American Medical Association.

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Editorial (subscription or payment may be required)

Edentulism Tied to Greater Risk for High BP After Menopause

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- Postmenopausal women with edentulism are at an increased risk for developing hypertension, according to a study published online Dec. 4 in the American Journal of Hypertension.

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Endocrine Tx Does Not Impair Neuropsychological Performance

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- For early-stage breast cancer survivors, endocrine therapy (ET) appears to have no effect on neuropsychological performance or impairment over six years of follow-up, according to a study published online Nov. 28 in Cancer.

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Delivery Mode Tied to Pelvic Floor Disorder Risk Post-Childbirth

TUESDAY, Dec. 18, 2018 (HealthDay News) -- After childbirth, the risk for pelvic floor disorders varies by delivery mode, according to a study published in the Dec. 18 issue of the Journal of the American Medical Association.

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Exclusion of Doctors From Public Health Insurance Up 2007 to 2017

TUESDAY, Dec. 18, 2018 (HealthDay News) -- From 2007 to 2017, the number of physicians excluded from Medicare and state public insurance programs increased, according to a study published online Dec. 14 in JAMA Network Open.

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Routine Supplements to Prevent Chronic Disease Not Advised

TUESDAY, Dec. 18, 2018 (HealthDay News) -- Routine use of vitamin and mineral supplements to prevent chronic disease is not recommended, according to an Academy of Nutrition and Dietetics position paper published in the November issue of the Journal of the Academy of Nutrition and Dietetics.

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EHR Data ID Differences in HTN Control Across Health Systems

TUESDAY, Dec. 18, 2018 (HealthDay News) -- An analysis of electronic health record data reveals considerable differences in hypertension control across health systems, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Type 2 Diabetes Risk Lower in Women With Active Migraine

MONDAY, Dec. 17, 2018 (HealthDay News) -- Women with active migraine have a lower risk for type 2 diabetes, according to a study published online Dec. 17 in JAMA Neurology.

Abstract/Full Text
Editorial (subscription or payment may be required)

Pediatricians Have Role in ID'ing Postpartum Depression

MONDAY, Dec. 17, 2018 (HealthDay News) -- Pediatric physicians should screen women for postpartum depression (PPD) at well-child visits and make use of community resources for treatment and referral, according to a policy statement and technical report published online Dec. 17 in Pediatrics.

Policy Statement
Technical Report

Some With Type 2 Diabetes Inappropriately Monitoring Blood Glucose

MONDAY, Dec. 17, 2018 (HealthDay News) -- A considerable proportion of patients with type 2 diabetes may be self-monitoring blood glucose inappropriately, according to a research letter published online Dec. 10 in JAMA Internal Medicine.

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Emotional Stress of Holidays Can Trigger Heart Attacks

FRIDAY, Dec. 14, 2018 (HealthDay News) -- The highest risk for myocardial infarction occurs around 10 p.m. on Christmas Eve, according to a study published online Dec. 12 in The BMJ.

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T2DM Linked to Decline in Verbal Memory, Fluency in Older Adults

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Type 2 diabetes is associated with declines in verbal memory and fluency among older community-dwelling adults, according to a study published online Dec. 13 in Diabetologia.

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Subfertility Linked to Increased Asthma Risk in Offspring

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Parental subfertility is associated with an increased asthma risk among offspring, according to a study published online Dec. 4 in Thorax.

Abstract/Full Text
Editorial (subscription or payment may be required)

Persistent Discrimination ID'd Among Physician Mothers

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Physician mothers experience discrimination in a range of ways, which can impact the medical profession, according to a study published online Dec. 12 in The BMJ.

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Editorial

Medication Beliefs Affect Uptake of Preventive Tx for Breast Cancer

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Beliefs about medication are associated with uptake of tamoxifen as a preventive therapy among women at increased risk for breast cancer, according to a study published online Dec. 2 in Clinical Breast Cancer.

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Guidelines Developed for Opioid Use in Vaginal Birth

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Guidelines have been developed for use of opioids for uncomplicated spontaneous vaginal birth; the draft consensus guidelines were published online Dec. 4 in Obstetrics & Gynecology.

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Novel Breast Imaging Technique Might Cut Unnecessary Biopsies

THURSDAY, Dec. 13, 2018 (HealthDay News) -- A novel technique, quantitative three-compartment breast (3CB) image analysis of dual-energy mammography combined with mammography radiomics, could reduce unnecessary breast biopsies, according to a study published online Dec. 11 in Radiology.

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Dementia Risk Up in Women With Military-Linked Risk Factors

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Women with military-related risk factors have an increased risk for developing dementia, according to a study published online Dec. 11 in Neurology.

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Pregnancy Losses Linked to Risk for Cardiovascular Disease

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Both pregnancy losses and a history of at least five live births are associated with an increased risk for cardiovascular disease, according to a study published online Nov. 27 in the Journal of Women's Health.

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Medication Errors Resulting in Death Most Common in Elderly

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Medication errors in acute care that result in death occur most often in patients older than 75 years, with the most common error category being omitted medicine or ingredient, according to a study published online Nov. 22 in Research in Social and Administrative Pharmacy.

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Negative Attitudes Reported Toward Weight-Loss Surgery

THURSDAY, Dec. 13, 2018 (HealthDay News) -- A large proportion of the U.S. population seems to have negative attitudes toward weight-loss surgery, according to a research letter published online Dec. 12 in JAMA Surgery.

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Recalled Kotex Tampons Can Unravel Inside Body

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Certain Kotex tampons are being recalled by Kimberly-Clark because they can unravel and leave pieces inside women's bodies.

CBS News Article
FDA Safety Alert

Enrollment Under the Affordable Care Act Down From Last Year

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up, according to the U.S. Centers for Medicare & Medicaid Services.

AP News Article

Sleep Length, Quality Linked to Risk for Falls, Fractures

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Both short and long sleep duration and poor sleep quality are associated with increased odds of recurrent falls in women, according to a study published online Nov. 21 in the Journal of Bone and Mineral Research.

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Continuity of Care Tied to Lower Expenditures, Hospitalization

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Continuity of care scores are significantly associated with lower expenditures and hospitalization rates, according to a study published in the November/December issue of the Annals of Family Medicine.

Abstract/Full Text
Editorial

Young Breast Cancer Patients Face Higher Risk for Osteoporosis

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- The risk for bone loss rises sharply in young breast cancer patients who received standard treatment, according to a study recently published in Breast Cancer Research.

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Greater Patient Delays for Women With STEMI Than Men

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Because of greater patient delays from symptom onset to first medical contact, female patients with ST-segment elevation myocardial infarction (STEMI) experience greater total ischemic time than male patients, according to a study recently published in the European Heart Journal: Acute Cardiovascular Care.

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Fasting-Evoked Hypoglycemia in Diabetes Is Prevalent

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- About 17 percent of patients with diabetes report experiencing hypoglycemia when fasting for lab tests, according to a study recently published in the International Journal of Endocrinology.

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CDC Identifies Drugs Frequently Involved in Drug Overdose Deaths

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- The drugs most commonly involved in drug overdose deaths during 2011 to 2016 include fentanyl, heroin, oxycodone, and cocaine, according to the Dec. 12 issue of the National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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2017 Saw Slowing in National Health Care Spending

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- National health care spending slowed in 2017, according to a report published online Dec. 6 in Health Affairs.

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Paid Childbearing Policies Lacking for Residents

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Policies for paid childbearing or family leave for residents are lacking at top-ranking medical schools and may be exacerbated by lack of direction from specialty boards, according to two research letters published in the Dec. 11 issue of the Journal of the American Medical Association.

Abstract/Full Text - Magudia (subscription or payment may be required)
Abstract/Full Text - Varda/Glover (subscription or payment may be required)

U.S. Medical Schools See Increase in Diversity

TUESDAY, Dec. 11, 2018 (HealthDay News) -- After implementation of the Liaison Committee on Medical Education (LCME) diversity accreditation standards, U.S. medical schools saw increasing percentages of female, black, and Hispanic matriculants, according to a research letter published in the Dec. 4 issue of the Journal of the American Medical Association.

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Mail-Based HPV Testing May Increase Access

TUESDAY, Dec. 11, 2018 (HealthDay News) -- A mail-based human papillomavirus (HPV) self-testing program appears to be a promising approach to screening women in Appalachia, according to a pilot study published online Nov. 19 in Sexually Transmitted Diseases.

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Free Flap Breast Reconstruction Safe in Elderly Patients

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Free flap breast reconstruction is a viable and safe procedure in elderly patients, according to a study published in the December issue of Plastic and Reconstructive Surgery.

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Consensus Decision Pathway Developed for Tobacco Cessation

TUESDAY, Dec. 11, 2018 (HealthDay News) -- An expert consensus decision pathway has been developed for tobacco cessation treatment; the report was published online Dec. 5 in the Journal of the American College of Cardiology.

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Breast CA Detection Rate Up With Digital Mammography in the U.K.

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Digital mammography (DM) has increased the overall cancer detection rate by 14 percent, with higher detection rates for grade 1 and 2 invasive cancers, according to research published online Dec. 11 in Radiology.

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Fetal Famine Exposure Tied to Early Menopause

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Fetal exposure to famine is associated with an increased risk for early menopause, according to a study published online Dec. 3 in Menopause.

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Higher Risk for Breast Cancer After Childbirth May Last 20+ Years

MONDAY, Dec. 10, 2018 (HealthDay News) -- The increased risk for breast cancer that occurs after childbirth can last more than 20 years, according to research published online Dec. 11 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

HIT-Related Stress Linked to Burnout Among Physicians

MONDAY, Dec. 10, 2018 (HealthDay News) -- Stress related to use of health information technology (HIT) is common and predictive of burnout among physicians, according to a study published online Dec. 5 in the Journal of the American Medical Informatics Association.

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2012 to 2016 Saw Increase in Syphilis Among Pregnant Women

MONDAY, Dec. 10, 2018 (HealthDay News) -- From 2012 to 2016, there was a 61 percent increase in syphilis cases among pregnant women, with no traditional behavioral risk factors reported among half of these women, according to a study published online Dec. 4 in Obstetrics & Gynecology.

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Women Face Less Kidney Disease Morbidity and Mortality Than Men

MONDAY, Dec. 10, 2018 (HealthDay News) -- Women may have a lower risk for chronic kidney disease (CKD) progression and death compared with men, according to a study published online Dec. 3 in the Journal of the American Society of Nephrology.

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AHA Scientific Statement: Low Risk of Side Effects for Statins

MONDAY, Dec. 10, 2018 (HealthDay News) -- Statins are associated with a low risk for side effects, according to a scientific statement from the American Heart Association (AHA) published online Dec. 10 in Arteriosclerosis, Thrombosis and Vascular Biology.

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Smaller Heads Related to Opioid-Related Neonatal Abstinence Syndrome

MONDAY, Dec. 10, 2018 (HealthDay News) -- Chronic opioid use during pregnancy that causes neonatal abstinence syndrome (NAS) is associated with smaller neonatal head circumference (HC), according to a study published online Dec. 10 in Pediatrics.

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Editorial (subscription or payment may be required)

Ultrarestrictive Opioid Rx Protocol Cuts Postoperative Opioid Use

FRIDAY, Dec. 7, 2018 (HealthDay News) -- An ultrarestrictive opioid prescription protocol (UROPP) can reduce the number of opioids prescribed to patients after gynecologic and abdominal surgery without negative health consequences, according to a study published online Dec. 7 in JAMA Network Open.

Abstract/Full Text
Editorial

Most Insured Patients Not Using Online Portals

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017, according to a study published in the December issue of Health Affairs.

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Fear Impacts Quality of Life for Young Adults With Type 1 Diabetes

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Fear of complications and frustration at the amount of time required to manage type 1 diabetes impact the quality of life of young adults with the disease, according to a study published in the December issue of The Diabetes Educator.

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Breast Screening Linked to Lower Risk for Breast Cancer Death

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Women who have participated in mammography screening have a lower risk for dying from breast cancer within 10 and 20 years after diagnosis, according to a study recently published in Cancer.

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Secondhand Smoke Exposure Saw Big Drop From 1988 to 2014

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Secondhand smoke exposure declined substantially among U.S. nonsmokers from 1988 through 2014, according to research published in the Dec. 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Pregnant Women Commonly Refuse Vaccines

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Pregnant women commonly refuse vaccines, including influenza vaccine and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine, according to research published online Dec. 4 in Obstetrics & Gynecology.

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Since 1999, Uterine Cancer Incidence, Mortality Up

THURSDAY, Dec. 6, 2018 (HealthDay News) -- The incidence of uterine cancer and uterine cancer deaths has increased since 1999, according to research published in the Dec. 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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New Guidance Addresses Early Dx of Dysmenorrhea in Adolescents

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Early diagnosis of dysmenorrhea is key to ensuring that adolescents and women can maintain their quality of life, according to a Committee Opinion published in the December issue of Obstetrics & Gynecology.

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High Sensitivity, Specificity for Chlamydia Point-of-Care Test

THURSDAY, Dec. 6, 2018 (HealthDay News) -- A point-of-care (POC) polymerase chain reaction test (Atlas io) has high sensitivity and specificity for Chlamydia trachomatis (CT), according to a study published in the November issue of Sexually Transmitted Diseases.

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History of Partner Violence Tied to Menopause Symptoms

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- A history of intimate partner violence (IPV) or sexual assault and current symptoms of posttraumatic stress disorder (PTSD) are associated with an increased risk for menopause symptoms, according to a study published online Nov. 19 in JAMA Internal Medicine.

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Editorial (subscription or payment may be required)

Few Physicians Work in Practices That Use Telemedicine

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Only 15.4 percent of physicians work in practices that use telemedicine for a wide spectrum of patient interactions, with larger practice size being an important correlate of telemedicine use, according to a study published in the December issue of Health Affairs.

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Imaging, Biopsy Often Still Needed After Mastectomy

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Subsequent imaging is required for 10 to 15.5 percent of women who undergo mastectomy, according to a study published in the December issue of the Annals of Surgical Oncology.

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Exposure to Phthalates May Impact Timing of Puberty in Girls

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Exposure to certain endocrine-disrupting chemicals may impact the timing of puberty in children, according to a study published online Dec. 4 in Human Reproduction.

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HHS Issues Draft Strategy for Reducing Health IT Burden

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The U.S. Department of Health and Human Services has developed a draft strategy to reduce the health information technology (IT) burden, and the strategy is open for public comment through Jan. 28, 2019.

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Many Patients Withhold Information From Clinicians

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Many patients intentionally withhold information from clinicians, according to a study published online Nov. 30 in JAMA Network Open.

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Editorial

Mean Cumulative Lifetime Prevalence of Eczema 9.9 Percent

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The mean cumulative lifetime prevalence of atopic eczema is 9.9 percent, according to a research letter published online Dec. 4 in the Annals of Internal Medicine.

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At-Home Self-Collected Samples Valid for Detecting High-Risk HPV

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Mail-based, at-home self-collection of cervicovaginal samples is valid for detecting high-risk human papillomavirus (HPV) among infrequently screened women, according to a study published online Nov. 5 in Obstetrics & Gynecology.

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Rare Variants Associated With Interval Breast Cancers

MONDAY, Dec. 3, 2018 (HealthDay News) -- Though common breast cancer variants indicate increased breast cancer risk, certain rare variants are associated with an increased risk for interval breast cancers and death, according to a study published in the Nov. 1 issue of Cancer Research.

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Cost-Related Insulin Underuse May Affect One in Four Patients

MONDAY, Dec. 3, 2018 (HealthDay News) -- About one in four patients report cost-related insulin underuse, which is associated with poor glycemic control, according to a research letter published online Dec. 3 in JAMA Internal Medicine.

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Editorial

Higher Staffing Linked to Lower C-Section Rates

MONDAY, Dec. 3, 2018 (HealthDay News) -- Higher staffing levels in maternity units reduce the rate of cesarean deliveries, according to a study published online Nov. 28 in PLOS ONE.

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Shifting Pattern Seen for Primary Care Office Visits

MONDAY, Dec. 3, 2018 (HealthDay News) -- Among patients with employer-sponsored insurance, there was a decline in visits to primary care physicians (PCPs) from 2012 to 2016, according to a brief released Nov. 15 by the Health Care Cost Institute (HCCI).

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Targeted Hep C Testing Misses High Number of Cases in Prisons

MONDAY, Dec. 3, 2018 (HealthDay News) -- Targeted hepatitis C virus (HCV) testing misses a substantial number of cases among individuals in correctional facilities, according to a study published online Nov. 19 in the American Journal of Preventive Medicine.

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Medication Treatment for Substance Abuse Up in Facilities

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2007 to 2016 saw increase in use of medication treatment, reaching 36.1 percent in 2016

Mindfulness, Stress Linked to Menopausal Symptoms

Mindfulness, Stress Linked to Menopausal Symptoms

Link between mindfulness and symptoms more robust in women experiencing higher stress

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