November 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 November 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.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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Breast Cancer Treatments More Effective Now Than in the Past

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Comparison of recurrence and outcome patterns shows that current treatments for breast cancer are more effective than previous therapies, according to research published online Nov. 24 in the Journal of Clinical Oncology.

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Statins Not Tied to Women's Gonado-Sexual Dysfunction

TUESDAY, Nov. 25, 2014 (HealthDay News) -- Statin use is not associated with higher risk of gonado-sexual dysfunction in women, according to a study published online Nov. 10 in the Journal of Sexual Medicine.

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FDA Adds Boxed Warning to Laparoscopic Power Morcellators

MONDAY, Nov. 24, 2014 (HealthDay News) -- The U.S. Food and Drug Administration on Monday announced that new boxed warning labels will be added to laparoscopic power morcellators used in hysterectomy or uterine fibroid removal.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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Strategies Needed to Encourage Appropriate Antibiotic Selection

MONDAY, Nov. 24, 2014 (HealthDay News) -- Although primary care providers are generally familiar with guideline recommendations for antibiotic drug selection, they do not always comply with these guidelines, according to research published in the December issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Being the Boss Tied to Depression Risk for Women

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Being the boss at work seems to raise the odds for symptoms of depression among women, but not men, according to new research published in the December issue of the Journal of Health and Social Behavior.

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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Prosocial Internet Support Group Not Beneficial for Breast Cancer

FRIDAY, Nov. 21, 2014 (HealthDay News) -- A prosocial Internet support group (ISG) that encourages breast cancer survivors with elevated anxiety or depression to help others may not be beneficial, according to a study published online Nov. 17 in the Journal of Clinical Oncology.

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Mastectomy Rates Rising Among Women Eligible for Lumpectomy

THURSDAY, Nov. 20, 2014 (HealthDay News) -- A rising number of early-stage breast cancer patients who are eligible for lumpectomy are nonetheless undergoing mastectomy, according to a study published online Nov. 19 in JAMA Surgery.

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Transcutaneous Electrical Nerve Stimulation Eases Vestibulodynia

THURSDAY, Nov. 20, 2014 (HealthDay News) -- Transcutaneous electrical nerve stimulation (TENS) may be useful as an additional treatment in the management of therapy-resistant provoked vestibulodynia (PVD), according to research published online Nov. 12 in the Journal of Sexual Medicine.

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Malpractice Premiums Vary With Work Hours, Practice Size

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- There have been significant fluctuations in medical malpractice premiums, based on doctor's age, location, workload, and practice size, according to a report published Nov. 6 in Medical Economics.

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CDC: Fewer Infants Dying Than Before

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- More babies are being born at full term, resulting in fewer infant deaths, according to a November data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). However, the number of fetal deaths -- defined in this report as deaths of fetuses at 20 weeks' gestation or later -- stayed about the same from 2006 through 2012.

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Variation in Proportion of Cancer Survivors Undergoing HIV Testing

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- The proportion of cancer survivors undergoing HIV testing varies by state and demographic and health-related factors, according to a study published Nov. 13 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Number of Pregnant Women on Opioids Doubles

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- The proportion of women dependent on drugs such as narcotic painkillers or heroin during pregnancy has more than doubled in the past decade and a half, though it still remains below a half-percent of all pregnancies, according to a study published in the December issue of Anesthesiology.

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Low Levels of Vitamin D May Raise Early Death Risk

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- Having genetically low levels of vitamin D may raise the risk of early death, but the risk is not linked with early death due to cardiovascular-related causes, according to new research published online Nov. 18 in The BMJ.

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Patient-Doc Relationship Affects Alternative Med Use Disclosure

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- Patient-centered communication with a physician can improve the likelihood of cancer patients disclosing the use of complementary health approaches (CHAs), according to a study published online Nov. 11 in Cancer.

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Telephone Support Intervention Beneficial for BRCA Carriers

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- A telephone-based, peer-support program can reduce distress and unmet information needs among women with a BRCA1 or BRCA2 mutation, according to a study published online Nov. 17 in the Journal of Clinical Oncology.

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Nearly 3 in 10 Americans With Diabetes Don't Know It

TUESDAY, Nov. 18, 2014 (HealthDay News) -- Almost eight million Americans have diabetes but don't know it, and that's despite the fact that about two-thirds of those with undiagnosed diabetes have seen a doctor two or more times in the past year, according to a study published in the Nov. 18 issue of the Annals of Internal Medicine.

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NICU Infants Exposed to High Levels of DEHP in Medical Care

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Premature infants in the neonatal intensive care unit (NICU) may be exposed to levels of di(2-ethylhexyl)phthalate (DEHP) that are 4,000 to 160,000 times higher than what is considered safe, according to a study published online Nov. 13 in the Journal of Perinatology.

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Probable/Possible Carcinogenic HPV Types Are Biologically Active

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Molecular evidence indicates that eight probable/possible high-risk human papillomavirus (pHR-HPV) types are biologically active, according to a study published in the December issue of The Journal of Pathology.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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Peripheral Nerve Blocks OK for Migraines in Pregnancy

FRIDAY, Nov. 14, 2014 (HealthDay News) -- For migraines that do not respond to medications, peripheral nerve blocks may be a treatment option in pregnant women, according to research published online Nov. 5 in Obstetrics & Gynecology.

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Multidisciplinary Approach Benefits Provoked Vestibulodynia

FRIDAY, Nov. 14, 2014 (HealthDay News) -- For women with provoked vestibulodynia (PVD), a multidisciplinary vulvodynia program (MVP) integrating psychological skills training, pelvic floor therapy, and medical management is associated with improvements in dyspareunia and sexual functioning, according to a study published online Oct. 30 in the Journal of Sexual Medicine.

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Detection Up With One-Step Gestational Diabetes Screening

THURSDAY, Nov. 13, 2014 (HealthDay News) -- A two-hour, one-step screening process increases gestational diabetes mellitus (GDM) detection, but has no impact on maternal or neonatal outcomes, according to research published in the October issue of Clinical Diabetes.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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Many U.S. Doctors Wary of Genetic Testing

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Many American doctors may not support genetic testing in patients without a major family history of certain illnesses, suggests a new survey of physicians. The report appears in the Nov. 13 issue of the New England Journal of Medicine.

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Guidelines Aim to Reduce 2nd Surgeries Post-Lumpectomy

THURSDAY, Nov. 13, 2014 (HealthDay News) -- In a study of 241 ,597 women who had breast conservation surgery for breast cancer, 23.6 percent needed a second operation. The report was published online Nov. 12 in JAMA Surgery.

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B Vitamins May Not Boost Cognitive Performance

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Taking vitamin B12 or folic acid supplements may not reduce seniors' risk of memory loss, according to a study published online Nov. 12 in Neurology.

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Acupuncture, Exercise May Ease Pain for Breast Cancer Patients

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Breast cancer patients who experience pain and swelling related to their treatment may find relief in acupuncture and exercise, new research suggests. The two studies have been published in the November issue of the Journal of the National Cancer Institute Monographs.

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Research Shows Men Can Get Oral HPV Infection From Women

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Men are at increased risk for oral human papillomavirus (HPV) infection if their female sex partners have oral and/or genital HPV infections, according to a study published online Nov. 12 in Cancer Epidemiology, Biomarkers & Prevention.

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Tubouterine Implantation Can Undo Hysteroscopic Sterilization

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Tubouterine implantation is feasible for hysteroscopic sterilization reversal and results in promising rates of pregnancy and live birth, according to a study published online Nov. 5 in Obstetrics & Gynecology.

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Researchers Put Commercial Diet Plans to the Test

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- There are plenty of famous-name diets for weight loss, but none stands out from the pack when it comes to lasting results, according to a review published online Nov. 11 in Circulation: Cardiovascular Quality and Outcomes.

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Tdap Vaccine Seems Safe in Pregnancy

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Getting a tetanus-diphtheria-pertussis (Tdap) vaccine during pregnancy appears safe for the fetus, according to a study published in the Nov. 12 issue of the Journal of the American Medical Association.

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All Vaginal Estrogens Effective for Genitourinary Sx of Menopause

TUESDAY, Nov. 11, 2014 (HealthDay News) -- All vaginal estrogens are effective for women with genitourinary syndrome of menopause, according to a review published online Nov. 5 in Obstetrics & Gynecology.

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IUI Outcomes Deemed Independent of Provider Type

TUESDAY, Nov. 11, 2014 (HealthDay News) -- For women undergoing intrauterine insemination (IUI), outcomes are similar regardless of the type of health care provider performing the procedure, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology.

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Education Level, BMI Linked to Postpartum GDM Follow-Up

MONDAY, Nov. 10, 2014 (HealthDay News) -- Among women with gestational diabetes mellitus (GDM), lower education level and higher body mass index (BMI) at diagnosis are associated with reduced likelihood of postpartum follow-up, according to research published in the October issue of Clinical Diabetes.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Resident Trainees Up Operative Times for Hysterectomy

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Resident participation in laparoscopic hysterectomy procedures for benign disease is associated with longer surgical time and small increases in the rates of postoperative reoperation and readmission, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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Premature Births Down in U.S., but Rates Still High

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Preterm births in the United States fell to 11.4 percent in 2013, the lowest rate in 17 years, the March of Dimes reported Thursday. And since 2005, the rate of preterm deliveries has declined consistently each year for the first time in more than two decades, according to an unrelated study published online Nov. 5 in Obstetrics & Gynecology.

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March of Dimes Report Card

Sexual Function, Mental Health Linked in Rheumatic Disease

FRIDAY, Nov. 7, 2014 (HealthDay News) -- The presence of anxiety and depression in people with rheumatic diseases may be an independent predictor of sexual dysfunction, according to a study published in the November issue of the Journal of Sexual Medicine.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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ACOG Issues Guidance for Care of Pregnant Women With Ebola

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Guidelines have been developed for the care of pregnant women at risk of or with suspected Ebola virus disease (EVD), according to a practice advisory published online Nov. 3 by the American College of Obstetricians and Gynecologists (ACOG).

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ADHD Linked to Expectant Mothers' Pollution Exposure

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Pregnant women exposed to air pollution are five times more likely to have children who develop behavior problems related to attention-deficit/hyperactivity disorder (ADHD), according to a study published online Nov. 5 in PLOS ONE.

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Too Many Women Not Being Screened for Cervical Cancer

THURSDAY, Nov. 6, 2014 (HealthDay News) -- An estimated eight million American women ages 21 to 65 haven't been screened for cervical cancer in the past five years. That's the finding of a Vital Signs report from the U.S. Centers for Disease Control and Prevention that noted that more than half of cervical cancer cases occur among women who've never or rarely been screened.

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Walking Program Feasible, Safe for Older Adults in Hospital

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A clinical demonstration program of supervised walking for older adults admitted to the hospital is feasible and safe, and its participants are more often discharged directly to home, according to a study published online Oct. 30 in the Journal of the American Geriatrics Society.

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Even Early Signs of Plaque in Arteries Signal Heart Risk

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Even the earlier signs of coronary artery disease significantly increase the risk of myocardial infarction (MI) and early death, according to a new study published in the Nov. 5 issue of the Journal of the American Medical Association.

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Psychosocial Interventions Tied to Telomere Length Maintenance

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- For distressed breast cancer survivors, psychosocial interventions such as mindfulness-based cancer recovery (MBCR) and supportive-expressive group therapy (SET) result in a trend toward telomere length (TL) maintenance, according to a study published online Nov. 3 in Cancer.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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Nearly 75% of Patients With No CAD Have Persistent Symptoms

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Nearly three-quarters of people whose hearts are found to be healthy after being checked for coronary artery disease continue to have persistent symptoms such as chest pain, according to research published online Nov. 3 in Open Heart.

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Optimal Screening Cut-Off ID'd for GDM in Twin Pregnancies

TUESDAY, Nov. 4, 2014 (HealthDay News) -- The optimal one-hour 50-g glucose challenge test (GCT) screening cut-off for gestational diabetes mellitus (GDM) is ≥135 mg/dL in twin pregnancies, according to a study published online Oct. 14 in the American Journal of Obstetrics & Gynecology.

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Opening Visitation Access Boosts Patient, Family Experience

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Opening visitation access across all facilities can improve patient and family experience, according to research published in the July/August issue of the Journal of Nursing Administration.

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Training Model Protects Embryo Transfer Success Rates

TUESDAY, Nov. 4, 2014 (HealthDay News) -- In an academic practice, a training model using ultrasound-guided embryo transfer (ET) results in similar live birth rates for reproductive endocrinology and infertility (REI) fellows and attending physicians, according to research published in the November issue of the American Journal of Obstetrics & Gynecology.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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Ebola Elimination Possible With Early Patient Isolation

MONDAY, Nov. 3, 2014 (HealthDay News) -- Isolation of patients with Ebola in critical condition within days of symptom onset is likely to have a high chance of eliminating the disease, according to a study published online Oct. 28 in the Annals of Internal Medicine.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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