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January 2018 Briefing – OBGYN & Women’s Health

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health for January 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.

History of Childhood Kidney Disease Linked to Risk of ESRD

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — A history of childhood kidney disease is associated with increased risk for end-stage renal disease (ESRD) in adulthood, according to a study published in the Feb. 1 issue of the New England Journal of Medicine.

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Survival Trends for Cancer Generally Increasing Worldwide

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Worldwide, survival trends for cancer are generally increasing, although there is considerable global variation in survival rates, according to a study published online Jan. 30 in The Lancet.

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Glecaprevir-Pibrentasvir Effective Treatment for HCV Genotypes 1, 3

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Once-daily treatment with glecaprevir-pibrentasvir appears safe and effective for the treatment of hepatitis C virus (HCV) genotype 1 or 3, according to a study published in the Jan. 25 issue of the New England Journal of Medicine.

Disordered Eating Associated With Higher HbA1c in Teens

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — For youth with type 1 diabetes, disordered eating behaviors (DEBs) are associated with higher hemoglobin A1c but not with measures of glycemic variability, according to a study published online Jan. 25 in Diabetes Care.

Air Pollution May Up Likelihood of Menstrual Irregularity

WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Exposure to air pollution during high school is associated with a slightly higher likelihood of menstrual irregularity and longer time to regularity, according to a study published online Jan. 25 in Human Reproduction.

Mediterranean Diet Adherence Linked to Better IVF Performance

TUESDAY, Jan. 30, 2018 (HealthDay News) — For non-obese women undergoing in vitro fertilization (IVF), adherence to the Mediterranean diet (MedDiet) is associated with increased likelihood of achieving clinical pregnancy and live birth, according to a study published online Jan. 30 in Human Reproduction.

Diet Soda Associated With Higher Odds of Diabetic Retinopathy

TUESDAY, Jan. 30, 2018 (HealthDay News) — Diet soda consumption may up the odds of diabetic retinopathy (DR), according to a study published online Jan. 23 in Clinical & Experimental Ophthalmology.

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Mortality, CVD, T2DM Risks Not Up for Living Kidney Donors

MONDAY, Jan. 29, 2018 (HealthDay News) — Living kidney donors have no increased risks for all-cause mortality, cardiovascular disease, hypertension, type 2 diabetes, or adverse psychological health outcomes, according to a review published online Jan. 30 in the Annals of Internal Medicine.

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Regulators Trying to Reduce Physician Burden Linked to EHR

MONDAY, Jan. 29, 2018 (HealthDay News) — The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics.

2016 Saw Increase in Birth Defects Potentially Linked to Zika

MONDAY, Jan. 29, 2018 (HealthDay News) — From the first half of 2016 to the second half of 2016, there was an increase in the number of birth defects potentially related to Zika virus infection, according to research published in the Jan. 26 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Health Care Spending Up, Mainly Due to Rising Prices

MONDAY, Jan. 29, 2018 (HealthDay News) — Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)’s annual Health Care Cost and Utilization Report.

Smokers Have Distorted View of Onset of Adverse Consequences

FRIDAY, Jan. 26, 2018 (HealthDay News) — Compared with nonsmokers, smokers believe the mild and severe adverse consequences of smoking will take a longer time to develop, according to a study published recently in the Journal of Cognitive Psychology.

Odds of Post-Op Mortality Increase As Weekend Approaches

FRIDAY, Jan. 26, 2018 (HealthDay News) — Following elective surgery, the odds of mortality rise in a graded manner as the day of the week of surgery approaches the weekend, according to research published in the February issue of Medical Care.

High Within-Country Economic Inequality in C-Section Rates

FRIDAY, Jan. 26, 2018 (HealthDay News) — In low- and middle-income countries, there is considerable within-country economic inequality in the rates of cesarean section, according to a study published online Jan. 24 in The BMJ.

Diabetes Impacts Mortality in Breast Cancer Patients

FRIDAY, Jan. 26, 2018 (HealthDay News) — Breast cancer-specific mortality remains higher among women with diabetes who have longer diabetes duration or preexisting cardiovascular disease, according to a study published online Jan. 19 in Diabetes Care.

Occupational Therapy Program Benefits Young Adults With DM

THURSDAY, Jan. 25, 2018 (HealthDay News) — A manualized occupational therapy (OT) intervention (Resilient, Empowered, Active Living with Diabetes [REAL Diabetes]) improves hemoglobin A1c in young adults with low socioeconomic status and type 1 or type 2 diabetes, according to a study published online Jan. 19 in Diabetes Care.

CDC: Many U.S. Adults Have Never Been Tested for HIV

THURSDAY, Jan. 25, 2018 (HealthDay News) — Almost 40 percent of women and more than 50 percent of men aged 15 to 44 years had never been tested for HIV between 2011 and 2015, according to a report published Jan. 25 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

Significant Increase in Sleep Duration Reported for 2003-2016

THURSDAY, Jan. 25, 2018 (HealthDay News) — From 2003 to 2016 there was a significant increase in sleep duration on weekdays and weekends, according to a study published online Jan. 8 in SLEEP.

Heart Disease, Stroke Risk Up Even Smoking 1 Cigarette/Day

THURSDAY, Jan. 25, 2018 (HealthDay News) — Smoking one cigarette per day is still associated with a significant increased risk of coronary heart disease and stroke, according to research published online Jan. 24 in The BMJ.

Cloning by Somatic Cell Nuclear Transfer Feasible in Monkeys

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Cloning cynomolgus monkeys (Macaca fascicularis) is feasible by somatic cell nuclear transfer (SCNT) using fetal fibroblasts, according to a study published online Jan. 24 in Cell.

Hyperandrogenism May Affect Gut Microbiome in PCOS

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Hyperandrogenism may play a role in changing the gut microbiome in women with polycystic ovary syndrome (PCOS), according to a study published online Jan. 23 in the Journal of Clinical Endocrinology & Metabolism.

Probiotics Tied to Lower Preterm Delivery, Preeclampsia Risk

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Probiotic milk consumption during pregnancy may be tied to a reduced incidence of preeclampsia and preterm delivery, according to a study published online Jan. 23 in BMJ Open.

CV Risks, Breast CA Recurrence Down With Exercise in Survivors

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Supervised aerobic and resistance exercise may improve metabolic syndrome, sarcopenic obesity, and serum biomarkers in overweight and obese survivors of breast cancer, according to a study published online Jan. 22 in the Journal of Clinical Oncology.

Prescribing of Opioids Adds to Patient Satisfaction With Care

WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Patients with musculoskeletal conditions who are using prescribed opioids are more likely to be highly satisfied with their care, according to a study published in the January/February issue of the Annals of Family Medicine.

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Public Health Workforce to See Large Turnover

TUESDAY, Jan. 23, 2018 (HealthDay News) — The public health workforce at the local and state levels will experience a significant loss of employees through 2020, due to retirement as well as other reasons for turnover, according to a study published online Jan. 11 in the American Journal of Preventive Medicine.

No Maintenance Period Seen After Weight Loss Plan Completed

TUESDAY, Jan. 23, 2018 (HealthDay News) — Patients may begin to regain weight immediately after completing a weight management program, according to a study published recently in Obesity.

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Periodontitis in Older Adults Tied to Higher Total Cancer Risk

TUESDAY, Jan. 23, 2018 (HealthDay News) — Individuals with periodontitis have an increased total cancer risk, according to a study published online Jan. 12 in the Journal of the National Cancer Institute.

Housing Instability Linked to Poor Caregiver, Child Health

TUESDAY, Jan. 23, 2018 (HealthDay News) — Housing instability is associated with adverse caregiver and child health among low-income renter households, according to a study published online Jan. 22 in Pediatrics.

Available Evidence on Marijuana’s Cardiovascular Effects Is Scant

TUESDAY, Jan. 23, 2018 (HealthDay News) — The evidence examining associations between marijuana use and cardiovascular risk factors and outcomes is limited, according to a review published online Jan. 23 in the Annals of Internal Medicine.

Anti-Thyroid Rx Exposure Ups Risk of Congenital Malformations

TUESDAY, Jan. 23, 2018 (HealthDay News) — Exposure to anti-thyroid drugs (ATDs) during the first trimester of pregnancy is associated with increased risk of congenital malformations, according to a study published online Jan. 23 in the Annals of Internal Medicine.

Out-of-Pocket Expenditures Down With ACA Implementation

TUESDAY, Jan. 23, 2018 (HealthDay News) — Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine.

Gynecologic Complications Up With Hysteroscopic Sterilization

TUESDAY, Jan. 23, 2018 (HealthDay News) — Hysteroscopic sterilization is associated with an increased risk of gynecologic complications compared with laparoscopic sterilization, according to a study published in the Jan. 23/30 issue of the Journal of the American Medical Association.

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Diabetes Tied to Higher Rates of Serious Infection

TUESDAY, Jan. 23, 2018 (HealthDay News) — Patients with diabetes, particularly type 1 diabetes mellitus (T1DM), are at increased risk of serious infection, according to a study published online Jan. 12 in Diabetes Care.

ADHD Meds Increasingly Prescribed to Reproductive-Aged Women

MONDAY, Jan. 22, 2018 (HealthDay News) — Reproductive-aged women are increasingly being prescribed attention-deficit/hyperactivity disorder (ADHD) medications, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Walmart Launches Disposal Solution for Opioids, Rx Meds

MONDAY, Jan. 22, 2018 (HealthDay News) — Walmart is launching a first-of-its-kind opioid disposal solution in all company pharmacies, which is available at no cost, according to a press release from the company.

New ACC/AHA Recs Developed for BP Evaluation, Management

MONDAY, Jan. 22, 2018 (HealthDay News) — New recommendations have been developed for the prevention, detection, evaluation, and management of high blood pressure (BP). The recommendations are summarized in an article published online Jan. 23 in the Annals of Internal Medicine.

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Bikram Yoga Improves Vascular Health With or Without Heat

MONDAY, Jan. 22, 2018 (HealthDay News) — Bikram yoga is associated with endothelium-dependent vasodilation (as measured using brachial artery flow-mediated dilation) in a heated or thermoneutral environment, according to a study published online Jan. 18 in Experimental Physiology.

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Nutrients in Child’s First 1,000 Days Key for Neurodevelopment

MONDAY, Jan. 22, 2018 (HealthDay News) — The provision of adequate nutrients and healthy eating during a child’s first 1,000 days is important for optimal neurodevelopment, according to an American Academy of Pediatrics policy statement published online Jan. 22 in Pediatrics.

Older Adults Less Likely to Have Provider-Ordered Flu Testing

MONDAY, Jan. 22, 2018 (HealthDay News) — Older adults are less likely than younger adults to have provider-ordered influenza testing, according to a study published online Jan. 17 in the Journal of the American Geriatrics Society.

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Sleep Extension Can Lead to Reduced Free Sugar Intake

FRIDAY, Jan. 19, 2018 (HealthDay News) — For adults who are habitually short sleepers, a personalized sleep extension protocol is feasible and may improve diet by reducing sugar intake, according to a study published online Jan. 10 in the American Journal of Clinical Nutrition.

Brochure Can Improve Opioid Disposal Rates After Surgery

FRIDAY, Jan. 19, 2018 (HealthDay News) — Disseminating an educational brochure improves disposal of unused opioids after surgery, according to a study published online Jan. 10 in the Journal of the American College of Surgeons.

Interactive Simulation Can Affect Activity Intentions in T2DM

FRIDAY, Jan. 19, 2018 (HealthDay News) — An interactive, personalized simulation can change behavioral intentions among individuals with type 2 diabetes mellitus (T2DM), according to a study published in the January to June issue of JMIR Diabetes.

Blood Test Found to Detect Eight Common Cancer Types

FRIDAY, Jan. 19, 2018 (HealthDay News) — A multi-analyte blood test, CancerSEEK, can detect eight common cancer types, with high sensitivity and specificity, according to a study published online Jan. 18 in Science.

Almost One in Four Stillbirths Potentially Preventable

FRIDAY, Jan. 19, 2018 (HealthDay News) — Almost one in four stillbirths are potentially preventable, according to a study published online Jan. 9 in Obstetrics & Gynecology.

Breast Cancer Genetic Test Less Cost-Effective in Actual Practice

FRIDAY, Jan. 19, 2018 (HealthDay News) — A gene expression profile test to predict risk of breast cancer recurrence is less cost-effective in real-world practice as compared to ideal conditions, according to a study published online Jan. 8 in the Journal of Clinical Oncology.

Reminder, Recall Systems Improve Immunization Uptake

FRIDAY, Jan. 19, 2018 (HealthDay News) — Patient reminder and recall systems seem to be effective for improving receipt of immunizations, according to a review published online Jan. 18 in the Cochrane Library.

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Longer Duration of Post-Op Opioid Use Associated With Misuse

THURSDAY, Jan. 18, 2018 (HealthDay News) — Each refill and week of opioid prescription following surgery is associated with an increasing risk of opioid misuse among opioid naive patients, according to a study published online Jan. 17 in The BMJ.

Proinflammatory Diet Linked to Increased Colorectal Cancer Risk

THURSDAY, Jan. 18, 2018 (HealthDay News) — Proinflammatory diets are associated with increased colorectal cancer risk for men and women, according to a study published online Jan. 18 in JAMA Oncology.

Screening Mammography Up After Cost Sharing Eliminated

THURSDAY, Jan. 18, 2018 (HealthDay News) — The elimination of cost sharing for screening mammography is associated with increased rates of use of the service, according to a study published in the Jan. 18 issue of the New England Journal of Medicine.

Overall Incidence of Obstetric Anal Sphincter Injury 4.9 Percent

THURSDAY, Jan. 18, 2018 (HealthDay News) — The incidence of obstetric anal sphincter injury is 4.9 percent, and risk factors include vacuum-assisted vaginal delivery and prolonged duration of second stage of labor, according to a study published online Jan. 9 in Obstetrics & Gynecology.

Acute Kidney Injury Ups Risk for Post-Discharge Hypoglycemia

THURSDAY, Jan. 18, 2018 (HealthDay News) — For hospitalized patients with diabetes, acute kidney injury (AKI) is a risk factor for post-discharge hypoglycemia, according to a study published online Jan. 11 in Diabetes Care.

Professionals Disagree About Asking Patients About Sexuality

THURSDAY, Jan. 18, 2018 (HealthDay News) — National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ.

Value of Doxylamine-Pyridoxine Questioned in Early Pregnancy

THURSDAY, Jan. 18, 2018 (HealthDay News) — Doxylamine-pyridoxine may be beneficial for nausea and vomiting symptoms in early pregnancy, but the magnitude of the difference is very small and may indicate no clinically important benefit, according to a study published online Jan. 17 in PLOS ONE.

Adding HIPEC to Cytoreductive Surgery Beneficial in Ovarian CA

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — The addition of hyperthermic intraperitoneal chemotherapy (HIPEC) to interval cytoreductive surgery is associated with improved outcomes in patients with stage III epithelial ovarian cancer, according to a study published in the Jan. 18 issue of the New England Journal of Medicine.

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Satisfaction Higher in Providers Who E-Mail Patients

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Providers who give patients their e-mail addresses have higher satisfaction, but this does not appear to impact patient satisfaction, according to a study published recently in the European Journal for Person Centered Healthcare.

Sulfonamides, Nitrofurantoin Being Given for UTI in Pregnancy

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For women with urinary tract infections (UTIs), the most frequently prescribed antibiotics during the first trimester are nitrofurantoin, ciprofloxacin, cephalexin, and trimethoprim-sulfamethoxazole, according to research published in the Jan. 12 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Psoriasis Remission Described After Hepatitis C Virus Treatment

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — A case of remission of psoriasis after treatment of chronic hepatitis C virus (HCV) has been described in a research letter published online Jan. 16 in the Annals of Internal Medicine.

Nearly 30 Percent of Veterans Report Current Tobacco Use

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Overall, 29.2 percent of veterans report current use of one of five tobacco products, according to research published in the Jan. 12 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Lap Sleeve Gastrectomy, RYGB Equally Effective in Weight Loss

WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For patients with morbid obesity, there is no statistically significant difference in terms of weight loss at five years after laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.

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Lactation Duration Linked to Reduced Incidence of Diabetes

TUESDAY, Jan. 16, 2018 (HealthDay News) — Lactation duration is associated with reduced incidence of diabetes, according to a study published online Jan. 16 in JAMA Internal Medicine.

Reduced All-Cause Mortality for Obese Patients After Bariatric Sx

TUESDAY, Jan. 16, 2018 (HealthDay News) — Obese patients who undergo bariatric surgery have reduced all-cause mortality; and obese adults with type 2 diabetes who undergo gastric bypass have improved outcomes compared with lifestyle and intensive medical management alone, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.

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Rising BMI Has Slowed Improvement in U.S. Mortality

TUESDAY, Jan. 16, 2018 (HealthDay News) — The rate of improvement in mortality in the United States has been slowed by rising body mass index (BMI), according to a study published online Jan. 15 in the Proceedings of the National Academy of Sciences.

Iodine Deficiency Linked to Lower Odds of Pregnancy

TUESDAY, Jan. 16, 2018 (HealthDay News) — Moderate-to-severe iodine deficiency is associated with a reduction in fecundity in women of childbearing age, according to a study published online Jan. 11 in Human Reproduction.

Higher CVD Risk With Early Menarche, Menopause

TUESDAY, Jan. 16, 2018 (HealthDay News) — Reproductive factors, including early menarche and menopause, are associated with increased cardiovascular disease (CVD) risk, according to a study published online Jan. 15 in Heart.

BRCA1 Promoter Methylation Tied to High-Grade Serous Ovarian CA

TUESDAY, Jan. 16, 2018 (HealthDay News) — Elevation in white blood cell BRCA1 promoter methylation is associated with high-grade serous ovarian cancer (HGSOC), according to a study published online Jan. 16 in the Annals of Internal Medicine.

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Sauna Exposure Improves Cardiovascular Function

TUESDAY, Jan. 16, 2018 (HealthDay News) — Sauna exposure is associated with improvements in cardiovascular function and arterial compliance, according to a study published online Dec. 21 in the Journal of Human Hypertension.

AMA Offering New Nutrition Science Course for Physicians

FRIDAY, Jan. 12, 2018 (HealthDay News) — The American Medical Association (AMA) is offering a three-hour online nutrition course for physicians to help patients make the nutritional changes they need to prevent and help treat heart disease, diabetes, and high blood pressure.

FDA OKs Lynparza to Treat Breast Cancer With BRCA Mutation

FRIDAY, Jan. 12, 2018 (HealthDay News) — Lynparza (olaparib) has been approved by the U.S. Food and Drug Administration to treat metastatic breast cancer caused by a BRCA gene mutation.

BRCA May Not Impact Survival in Young-Onset Breast Cancer

FRIDAY, Jan. 12, 2018 (HealthDay News) — Survival appears to be similar for patients with young-onset breast cancer who carry a BRCA mutation and noncarriers, according to a study published online Jan. 11 in The Lancet Oncology.

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Worry About Deportation May Increase CV Risk Factors

FRIDAY, Jan. 12, 2018 (HealthDay News) — Worry about deportation is significantly tied to higher levels of known cardiovascular risk factors, according to a study published online Jan. 8 in the Annals of Behavioral Medicine.

Tamper-Resistant Oxycodone Misused Less Often in Australia

FRIDAY, Jan. 12, 2018 (HealthDay News) — The tamper-resistant formulation of controlled-release oxycodone in Australia reduced tampering among high-risk populations, according to a study published online Jan. 10 in The Lancet Psychiatry.

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Treatment of Urgency Urinary Incontinence Aids Sleep Quality

FRIDAY, Jan. 12, 2018 (HealthDay News) — Pharmacologic treatment of urgency urinary incontinence (UUI) improves sleep quality, according to research published online Jan. 9 in Obstetrics & Gynecology.

AMA Online Tools Address Systems-Level Physician Burnout

THURSDAY, Jan. 11, 2018 (HealthDay News) — Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).

Progress in Fighting Antibiotic Resistance Shown in CDC Map

THURSDAY, Jan. 11, 2018 (HealthDay News) — The U.S. Centers for Disease Control and Prevention has released new data in its Antibiotic Resistance Investment Map, which shows states’ progress in combating antibiotic resistance.

More Sought Mental Health Specialty Care in 2008 to 2015

THURSDAY, Jan. 11, 2018 (HealthDay News) — Between 2008 and 2015 there was an increase in the number of U.S. adults who received outpatient mental health care in the specialty sector, according to a study published in the December issue of Health Affairs.

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Prenatal PPI, H2 Blocker Use Linked to Asthma Risk in Child

THURSDAY, Jan. 11, 2018 (HealthDay News) — Prenatal, maternal, acid-suppressive drug use is associated with an increased risk of childhood asthma, according to a review published online Jan. 11 in Pediatrics.

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Acetaminophen Use in Pregnancy Linked to Language Delay

THURSDAY, Jan. 11, 2018 (HealthDay News) — Acetaminophen (acetyl-para-aminophenol [APAP]) use in pregnancy is associated with language delay among girls, according to a study published online Jan. 10 in European Psychiatry.

Adherence to Healthy Diet May Cut Effects of Genetics on Obesity

THURSDAY, Jan. 11, 2018 (HealthDay News) — Improving adherence to healthy dietary patterns may help reduce the genetic association with weight gain, according to a study published online Jan. 10 in The BMJ.

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Transdermal Estradiol May Help Prevent Depressive Symptoms

THURSDAY, Jan. 11, 2018 (HealthDay News) — Transdermal estradiol (TE) plus intermittent micronized progesterone (IMP) can prevent clinically significant depressive symptoms among euthymic perimenopausal and early postmenopausal women, according to a study published online Jan. 10 in JAMA Psychiatry.

Psoriasis Is Independent Risk Factor for Comorbidity in Children

THURSDAY, Jan. 11, 2018 (HealthDay News) — Children with psoriasis have an increased risk of comorbidities compared to children without psoriasis, independent of obesity, according to a study published online Jan. 10 in JAMA Dermatology.

Transfer of Frozen Embryos Doesn’t Raise Live-Birth Rate

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Transfer of frozen embryos does not increase the live-birth rate for ovulatory women with infertility or for women without polycystic ovary syndrome who are undergoing in vitro fertilization (IVF), according to two studies published online Jan. 10 in the New England Journal of Medicine.

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Economic Impact of Physicians Quantified for 2015

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.

CDC: Unsafe Infant Sleep Practices Still Prevalent in U.S.

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Unsafe sleep practices, including placing infants in a non-supine sleep position, are still prevalent in the United States, according to research published in the Jan. 9 early-release issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Vitamin D3 Improves Arterial Stiffness in Dose-Response Way

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — For overweight African-Americans with vitamin D deficiency, arterial stiffness is improved by vitamin D3 supplementation in a dose-response manner, according to a study published online Dec. 7 in PLOS ONE.

Provider Counseling of Exercise for Arthritis Patients Improved

WEDNESDAY, Jan. 10, 2018 (HealthDay News) — For adults with arthritis, there was an increase in the age-adjusted prevalence of reporting health care provider counseling for exercise from 2002 to 2014, according to research published in the Jan. 5 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Screening, Therapy Effect Varies by Breast CA Molecular Subtype

TUESDAY, Jan. 9, 2018 (HealthDay News) — The contributions of screening and treatment to decreases in breast cancer mortality vary by molecular subtype, according to a study published in the Jan. 9 issue of the Journal of the American Medical Association.

Long-Term Night Shift Work Linked to Cancer Risk in Women

TUESDAY, Jan. 9, 2018 (HealthDay News) — There is a positive association between long-term night shift work and the risk of several common cancers for women, with evidence of a dose-response correlation, according to a study published online Jan. 8 in Cancer Epidemiology, Biomarkers & Prevention.

HIV Screening Most Optimal at 25 Years of Age If No Risk Factors

TUESDAY, Jan. 9, 2018 (HealthDay News) — For young adults without known risk factors, a one-time routine HIV screen at 25 years would optimize clinical outcomes and be cost-effective, according to a study published in the January issue of the Journal of Adolescent Health.

Urban, Rural Variation in Fertility-Related Behaviors for U.S. Women

TUESDAY, Jan. 9, 2018 (HealthDay News) — There is urban and rural variation in fertility-related behavior among U.S. women, according to a January data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

Idiopathic Thrombocytopenic Purpura Tied to Higher CVD Risk

MONDAY, Jan. 8, 2018 (HealthDay News) — There is an increased risk of developing cardiovascular disease (CVD) among patients with idiopathic thrombocytopenic purpura (ITP), especially those who undergo splenectomy, according to a study published online Jan. 3 in the Journal of Thrombosis and Haemostasis.

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CV Exercise Betters Cardiac Aging in Sedentary Middle-Aged Adults

MONDAY, Jan. 8, 2018 (HealthDay News) — Two years of high-intensity exercise training (ExT) is associated with improved maximal oxygen uptake and reduced cardiac stiffness in previously sedentary healthy middle-aged adults, according to a study published online Jan. 8 in Circulation.

Increased Long-Term Mortality for All Weight Categories in T2DM

MONDAY, Jan. 8, 2018 (HealthDay News) — For patients with type 2 diabetes, all weight categories show increased long-term mortality, with a nadir at a body mass index (BMI) of 25 to <30 kg/m², according to a study published online Jan. 3 in Diabetes Care.

2005 to 2015 Saw Fewer High School Students Having Sex

MONDAY, Jan. 8, 2018 (HealthDay News) — For high school students, the prevalence of ever having had sexual intercourse decreased from 2005 to 2015, according to research published in the Jan. 5 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Maternal Folic Acid, Multivitamin Use May Cut ASD Risk in Offspring

MONDAY, Jan. 8, 2018 (HealthDay News) — The risk of autism spectrum disorder (ASD) is reduced in offspring with maternal exposure to folic acid and multivitamin supplementation before and during pregnancy, according to a study published online Jan. 3 in JAMA Psychiatry.

Type 1 IFNs May Mediate Zika Pregnancy Complications

MONDAY, Jan. 8, 2018 (HealthDay News) — Type 1 interferons (IFNs) may mediate pregnancy complications in the context of congenital Zika virus (ZIKV) infection, according to a study published in the Jan. 5 issue of Science Immunology.

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Repeated Flu Vaccinations Help Prevent Severe Infection

MONDAY, Jan. 8, 2018 (HealthDay News) — Vaccination for influenza for multiple seasons is twice as effective in preventing severe influenza — compared with non-severe influenza — in older patients admitted to hospital, according to a study published in the Jan. 8 issue of CMAJ, the journal of the Canadian Medical Association.

Physicians Frequently Continue to Work While Ill

FRIDAY, Jan. 5, 2018 (HealthDay News) — Many physicians continue working and caring for patients while they are sick, according to an article published in Medical Economics.

Breast Implants Slightly Increase Risk of Breast ALCL

FRIDAY, Jan. 5, 2018 (HealthDay News) — Breast implants are associated with an increased risk of anaplastic large-cell lymphoma in the breast (breast-ALCL), though the absolute risk is small, according to a study published online Jan. 4 in JAMA Oncology.

For Hospitals, No Benefit for Early Adoption of Financial Incentives

FRIDAY, Jan. 5, 2018 (HealthDay News) — Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters), according to a study published online Jan. 4 in The BMJ.

Cancer Death Rate Continuing to Decline in United States

FRIDAY, Jan. 5, 2018 (HealthDay News) — In both men and women in the United States, the cancer death rate declined by about 1.5 percent annually from 2006 to 2015, according to a study published online Jan. 4 in CA: A Cancer Journal for Clinicians.

CV Morbidity With Hysterectomy Despite Ovarian Conservation

THURSDAY, Jan. 4, 2018 (HealthDay News) — Hysterectomy with ovarian conservation for benign indications is associated with increased risk of cardiovascular and metabolic conditions, according to a study published online Jan. 3 in Menopause.

Certain Stresses, Burnout Causing Some Women to Leave Medicine

THURSDAY, Jan. 4, 2018 (HealthDay News) — Though equal numbers of men and women are now entering medical schools, the majority of physicians are still male, and female physicians face several unique stressors, according to a report published online in Medical Economics.

2013 to 2015 Infant Mortality Rate Varied by State and Race

THURSDAY, Jan. 4, 2018 (HealthDay News) — The infant mortality rate varied by state, from 4.28 to 9.08 per 1,000 live births in Massachusetts and Mississippi, respectively, in 2013 through 2015, according to a January data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

Improvement Needed in Ob-Gyn Opioid Prescribing Practices

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — Improvement in obstetrician-gynecologists’ knowledge and prescribing practices regarding opioids is needed, according to a study published online Dec. 4 in Obstetrics & Gynecology.

Uterine Leiomyomas, Centrifugal Cicatricial Alopecia May Be Linked

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — Black women with central centrifugal cicatricial alopecia (CCCA) have increased likelihood of uterine leiomyomas (ULs), according to a research letter published online Dec. 27 in JAMA Dermatology.

Higher Risk of Musculoskeletal Disorders in Some Physicians

WEDNESDAY, Jan. 3, 2018 (HealthDay News) — The prevalence of work-related musculoskeletal disorders (MSDs) appears to be high for at-risk physicians, according to a review published online Dec. 27 in JAMA Surgery.

Broader Statin Use Improves Atherosclerotic CVD Prevention

TUESDAY, Jan. 2, 2018 (HealthDay News) — Guidelines that recommend statins for more people for primary prevention of atherosclerosis are likely to prevent more atherosclerotic cardiovascular disease (ASCVD) events than guidelines that recommend fewer people take statins, according to a study published online Jan. 1 in the Annals of Internal Medicine.

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In Utero Exposure to Topiramate Linked to Risk of Oral Clefts

TUESDAY, Jan. 2, 2018 (HealthDay News) — Infants born to women exposed to topiramate, especially women with epilepsy taking higher doses, have an increased risk of oral clefts at birth, according to a study published online Dec. 27 in Neurology.

Pharmaceutical Aids Not Found to Be Helpful for Smoking Cessation

TUESDAY, Jan. 2, 2018 (HealthDay News) — Pharmaceutical aids are not effective for increasing long-term smoking cessation, according to a study published online Dec. 21 in the Journal of the National Cancer Institute.

Folic Acid Lessens Autism Risk for Fetal Anti-Epileptic Exposure

TUESDAY, Jan. 2, 2018 (HealthDay News) — For children exposed to antiepileptic drugs (AEDs) in utero, the risk of autistic traits may be mitigated by use of periconceptional folic acid supplementation, according to a study published online Dec. 26 in JAMA Neurology.

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Pre-Op Accelerometry Can Assess Cardiopulmonary Fitness

TUESDAY, Jan. 2, 2018 (HealthDay News) — For patients scheduled for major surgery, preoperative accelerometry can assess cardiopulmonary fitness and act as a supplement to formal cardiopulmonary exercise tests, according to a study published online Dec. 12 in Anaesthesia.

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Laser Improves QOL for Breast Telangiectasia Due to Radiation

TUESDAY, Jan. 2, 2018 (HealthDay News) — Laser monotherapy improves health-related quality of life (HR-QOL) in female patients with radiation-induced breast telangiectasias (RIBT), according to a study published online Dec. 20 in Lasers in Surgery and Medicine.

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ACOG Advocates Cascade Testing for Hereditary Gene Mutations

TUESDAY, Jan. 2, 2018 (HealthDay News) — Obstetrician-gynecologists should be aware of who is eligible for cascade testing, use resources to ensure testing is offered, and know which options can help patients overcome potential barriers to testing, according to a Committee Opinion published online Dec. 21 in Obstetrics & Gynecology.

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