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March 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 March 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.

Lower Energy Consumption for South Asian Migrants With T2DM

FRIDAY, March 30, 2018 (HealthDay News) — Among South Asian (SA) migrants in the United States, those with type 2 diabetes mellitus (T2DM) consume less total energy and have lower consumption of many nutrients than those without T2DM, according to a study published in the April issue of Diabetes Research and Clinical Practice.

ACA Has Provided Better Access to Care for Cancer Survivors

FRIDAY, March 30, 2018 (HealthDay News) — Cancer survivors are more likely to have difficulty accessing and affording health care, but the proportion reporting these issues is decreasing, according to a study published online March 29 in JAMA Oncology.

Lag in Progress Against Lung CA Mortality in Midwest, Appalachia

FRIDAY, March 30, 2018 (HealthDay News) — In the Midwest and Appalachia there are areas where progress against lung cancer mortality among women is lagging compared with the rest of the nation, according to a study published March 30 in Cancer Epidemiology, Biomarkers & Prevention.

Scale of Online Marketplace for Marijuana Increasing

THURSDAY, March 29, 2018 (HealthDay News) — The scale of the online marketplace for marijuana increased from 2005 to 2017, according to a study published online March 22 in the American Journal of Preventive Medicine.

Dining Out Linked to Phthalates Exposure in U.S. Population

THURSDAY, March 29, 2018 (HealthDay News) — Among the U.S. population, dining out is associated with exposure to phthalates, according to a study published online March 28 in Environment International.

CDC: Many Adults Not Receiving Sexual Risk Assessments

THURSDAY, March 29, 2018 (HealthDay News) — Less than half of women and a quarter of men with recent sexual activity receive sexual risk assessment, according to a March data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

Duration of Antibiotics Often Exceeds Guidelines for Sinusitis

THURSDAY, March 29, 2018 (HealthDay News) — The durations of most courses of antibiotic therapy for adult outpatients with sinusitis exceed guideline recommendations, according to a research letter published online March 26 in JAMA Internal Medicine.

Novel Interstitium Has Been Identified in Human Tissues

THURSDAY, March 29, 2018 (HealthDay News) — A previously unrecognized interstitium has been identified in human tissues, according to a study published online March 27 in Scientific Reports.

Heart Disease, Stroke Less Prevalent Among Foreign-Born

WEDNESDAY, March 28, 2018 (HealthDay News) — Foreign-born adults living in the United States have a lower prevalence of coronary heart disease (CHD) and stroke than adults born in the United States, according to a study published online March 28 in the Journal of the American Heart Association.

Menopausal Hormone Therapy Linked to Reduced Abdominal Fat

WEDNESDAY, March 28, 2018 (HealthDay News) — Women who receive menopausal hormone therapy (MHT) have reduced age-adjusted visceral adipose tissue (VAT), according to a study published online March 27 in the Journal of Clinical Endocrinology & Metabolism.

Use of E-Cigarettes May Hurt Efforts to Quit Smoking

WEDNESDAY, March 28, 2018 (HealthDay News) — Among smokers who plan to quit after being discharged from the hospital, electronic cigarette (e-cigarette) users are less likely to abstain from tobacco at six months, compared to nonusers, according to a study published online March 27 in the Annals of Internal Medicine.

Total Estimated Cost of Diagnosed Diabetes $327 Billion in 2017

WEDNESDAY, March 28, 2018 (HealthDay News) — The total estimated cost of diagnosed diabetes in 2017 was $327 billion, including $237 billion in direct medical costs, according to a study published online March 22 in Diabetes Care.

Recent Years Have Seen Obesity Prevalence Increasing for Adults

WEDNESDAY, March 28, 2018 (HealthDay News) — For adults, but not youth, there was an increase in the prevalence of obesity in decade between 2007-2008 and 2015-2016, according to a research letter published online March 23 in the Journal of the American Medical Association.

EHR Usability Contributes to Possible Patient Harm Events

TUESDAY, March 27, 2018 (HealthDay News) — Electronic health record (EHR) usability may contribute to possible patient harm events, according to a research letter published in the March 27 issue of the Journal of the American Medical Association.

Educational Attainment Down With In Utero Exposure to AEDs

TUESDAY, March 27, 2018 (HealthDay News) — Exposure to sodium valproate or a combination of antiepileptic drugs (AEDs) in utero is associated with worse attainment on national educational tests for 7-year-olds, according to a study published online March 26 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Geographic, Social Variances Tied to Higher Drug-Related Mortality

TUESDAY, March 27, 2018 (HealthDay News) — County-level economic and other social conditions explain the geographic disparities in overdose rates across the country, according to a study published online March 26 in the American Journal of Preventive Medicine.

Vigil Immunotherapy Tolerated Well for Recurrent Ovarian CA Tx

MONDAY, March 26, 2018 (HealthDay News) — Vigil immunotherapy shows good tolerability for recurrent ovarian cancer patients, and PARP 7, a poly(ADP-ribose) polymerase protein, may play a significant role in survival for ovarian cancer, according to two studies presented at the Society of Gynecologic Oncology’s Annual Meeting on Women’s Cancer, held from March 24 to 27 in New Orleans.

Abstracts

Early Social Media Use May Harm Teen Girls’ Well-Being

MONDAY, March 26, 2018 (HealthDay News) — High levels of social media interaction in early adolescence may have negative implications for later well-being and happiness in girls, according to a study published online March 20 in BMC Public Health.

Ethical Duties ID’d for Short-Term Global Health Experiences

MONDAY, March 26, 2018 (HealthDay News) — In a position paper published online March 27 in the Annals of Internal Medicine, ethical obligations have been detailed for physicians participating in short-term global health experiences (STEGHs).

2011 to 2015 Saw Increase in Suicide Rate for Youth in Utah

MONDAY, March 26, 2018 (HealthDay News) — From 2011 to 2015, the unadjusted suicide rate among youth in Utah increased 136.2 percent, according to research published in the March 23 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Challenges ID’d for Childbearing During Surgical Residency

MONDAY, March 26, 2018 (HealthDay News) — The challenges associated with having children during surgical residency may have considerable impact on the workforce, according to a study published online March 21 in JAMA Surgery.

Intensive Lifestyle Interventions Cut Long-Term Disability in T2DM

MONDAY, March 26, 2018 (HealthDay News) — For overweight or obese adults with type 2 diabetes, a long-term weight loss intervention is associated with a reduction in long-term disability, according to a study published online March 15 in Diabetes Care.

Genetic Assay of PAP Tests May Help Dx Endometrial, Ovarian CA

MONDAY, March 26, 2018 (HealthDay News) — PapSEEK, which incorporates assays for mutations in 18 genes and for aneuploidy in DNA recovered from fluids obtained during a routine Pap test, may aid in detection of endometrial and ovarian cancers, according to a study published online March 21 in Science Translational Medicine.

For Those With HIV, Symptom Burden Higher in Women

MONDAY, March 26, 2018 (HealthDay News) — The burden of two of the most common symptoms in patients living with HIV — fatigue and muscle aches/joint pains — is higher in women, according to a study published online March 5 in Menopause.

MVPA Mortality Risk Reduction Not Tied to Exercise in Bouts

FRIDAY, March 23, 2018 (HealthDay News) — Moderate-to-vigorous physical activity (MVPA) is associated with reduced mortality risk, regardless of whether it is accumulated in bouts, according to a study published online March 22 in the Journal of the American Heart Association.

History of Cancer Tied to Lower Endurance, Higher Fatigability

FRIDAY, March 23, 2018 (HealthDay News) — A history of cancer is associated with fatigability and poor endurance, particularly in older adults, according to a study published recently in Cancer.

Lean Approach May Help Tackle Burnout in Health Care Providers

FRIDAY, March 23, 2018 (HealthDay News) — The Lean approach, which emphasizes reducing waste and improving customer value by focusing on the big picture, can be used to address physician burnout, according to a report published in Medical Economics.

Intrauterine Adhesions Rarely Occur Post Induced Abortion

FRIDAY, March 23, 2018 (HealthDay News) — Intrauterine adhesions (IUA) following an induced abortion are rare, but risk increases when surgical evacuation is involved, according to a study published online March 13 in BJOG: An International Journal of Obstetrics & Gynaecology.

Calorie Restriction Linked to Sustained Metabolic Adaptation

THURSDAY, March 22, 2018 (HealthDay News) — Calorie restriction (CR) over two years is associated with considerable weight loss, and with lower than expected energy expenditure (EE) relative to the weight loss, according to a study published online March 22 in Cell Metabolism.

Unique Risks Associated With Texting Medical Orders

THURSDAY, March 22, 2018 (HealthDay News) — Despite the popularity, convenience, and speed of texting medical orders, there are unique and alarming risks associated with the practice, according to a report published in Drug Topics.

CDC: Low Birthweight Rate Increased From 2014 to 2016

THURSDAY, March 22, 2018 (HealthDay News) — From 2014 to 2016 there was an increase in the singleton low birthweight rate, which was mainly due to increases in the rate of moderately low birthweight, according to a March data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

Hormone Therapy May Impact Brain Structure, Cognition

WEDNESDAY, March 21, 2018 (HealthDay News) — Taking menopausal hormone therapy may have long-term effects on the brain, according to a study published online March 21 in Neurology.

Report Presents U.S. Trends in Abortion Methods, Care

WEDNESDAY, March 21, 2018 (HealthDay News) — The percentage of abortions performed by the medication method is increasing, and most abortions are performed in a non-hospital setting, according to a report published by the National Academy of Sciences, Engineering, and Medicine.

Cardiovascular Health Declining in the United States

WEDNESDAY, March 21, 2018 (HealthDay News) — Trends in racial/ethnic and nativity disparities in cardiovascular health decreased from 1988 to 2014, with the decrease attributed to worsening cardiovascular health among whites, according to a study published online March 20 in the Annals of Internal Medicine.

Editorial (subscription or payment may be required)

HIV Incidence Down in All Except Men Who Have Sex With Men

WEDNESDAY, March 21, 2018 (HealthDay News) — From 2008 to 2015, there was a decrease in modeled HIV incidence in all transmission risk groups except men who have sex with men (MSM), according to research published online March 20 in the Annals of Internal Medicine.

Blueprint Being Developed to Address Physician Burnout

WEDNESDAY, March 21, 2018 (HealthDay News) — A new, three-pronged approach is being applied to develop a blueprint for addressing physician burnout, according to a report published in Medical Economics.

Personal Health Info Found in Recycling at Five Hospitals

TUESDAY, March 20, 2018 (HealthDay News) — A considerable amount of personal health information (PHI) and personally identifiable information (PII) was found in the recycling at five Canadian teaching hospitals, according to a research letter published in the March 20 issue of the Journal of the American Medical Association.

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In 2015, Each U.S. Binge Drinker Consumed About 470 Drinks

TUESDAY, March 20, 2018 (HealthDay News) — U.S. binge drinkers consumed about 470 binge drinks per binge drinker in 2015, according to a study published in the April issue of the American Journal of Preventive Medicine.

Waist-to-Height Ratio Tied to Anxiety in Middle-Aged Women

TUESDAY, March 20, 2018 (HealthDay News) — Waist-to-height ratio (WHtR) is associated with anxiety in middle-aged women, according to a study published online March 5 in Menopause.

In-Flight Transmission of Respiratory Diseases Low

TUESDAY, March 20, 2018 (HealthDay News) — The probability of direct transmission of respiratory diseases is low for passengers on transcontinental U.S. flights not seated in close proximity to an infectious passenger, according to a study published online March 19 in the Proceedings of the National Academy of Sciences.

Vaginal Moisturizer, Estradiol Tablet No Better Than Placebo

TUESDAY, March 20, 2018 (HealthDay News) — Neither low-dose vaginal estradiol tablets nor a vaginal moisturizer reduces postmenopausal vulvovaginal symptoms more than placebo vaginal tablets and gel, according to a study published online March 19 in JAMA Internal Medicine.

ACO Enrollment Ups Appropriateness of CA Screening

MONDAY, March 19, 2018 (HealthDay News) — Enrollment in the Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) is associated with a reduction in breast cancer screening and an increase in colorectal cancer screening, according to a study published online March 19 in JAMA Internal Medicine.

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Prior Authorization Negatively Impacts Clinical Outcomes

MONDAY, March 19, 2018 (HealthDay News) — The burdens associated with prior authorization (PA) are high and include a negative impact on clinical outcomes, reported by 92 percent of physicians, according to the results of a survey conducted for the American Medical Association (AMA).

Survey

Reproductive Goals Vary After Spontaneous Abortion

MONDAY, March 19, 2018 (HealthDay News) — Women have varying reproductive goals after spontaneous abortion but are generally receptive to contraceptive counseling, according to a study published online March 8 in Obstetrics & Gynecology.

2013 to 2016 Saw No Change in Antibiotic Prescribing Practices

FRIDAY, March 16, 2018 (HealthDay News) — From 2013 to 2016, annual national outpatient antibiotic prescribing practices remained unchanged, according to a study published online Feb. 27 in Infection Control & Hospital Epidemiology.

Maternal Factors, Biomarkers Improve Preeclampsia Screening

FRIDAY, March 16, 2018 (HealthDay News) — First trimester screening for pre-eclampsia (PE) can be improved using a combination of maternal factors and biomarkers, according to a study published online March 14 in Ultrasound in Obstetrics & Gynecology.

Closed-Loop Insulin Delivery Promising in T1DM Pregnancy

FRIDAY, March 16, 2018 (HealthDay News) — For pregnant women with type 1 diabetes, a closed-loop system is associated with comparable glucose control and significantly less hypoglycemia than sensor-augmented pump (SAP) therapy, according to a study published online March 13 in Diabetes Care.

Higher Burden of Trichomonas vaginalis Infection in U.S. Blacks

FRIDAY, March 16, 2018 (HealthDay News) — The burden of Trichomonas vaginalis (TV) infection is disproportionately high among blacks in the United States, according to a study published online March 15 in Clinical Infectious Diseases.

Editorial (subscription or payment may be required)

BMI As Predictor of CVD Risk May Be More Susceptible to Bias

FRIDAY, March 16, 2018 (HealthDay News) — The J-shaped correlation seen for body mass index (BMI) with cardiovascular disease (CVD) risk is susceptible to confounding due to pre-existing comorbidities, according to a study published online March 15 in the European Heart Journal.

Risk of Breast CA May Be Higher in Women With Schizophrenia

THURSDAY, March 15, 2018 (HealthDay News) — The incidence of breast cancer in women with schizophrenia may be higher than that of the general female population, according to a review and meta-analysis published online March 7 in JAMA Psychiatry.

Grilled Meat, Chicken Ups Risk of Type 2 Diabetes in U.S. Adults

THURSDAY, March 15, 2018 (HealthDay News) — Open-flame and/or high-temperature cooking methods (such as grilling/barbecuing, broiling, or roasting) to prepare chicken and red meat are associated with an increased risk of type 2 diabetes (T2D), according to a study published online March 12 in Diabetes Care.

Fewer SIDS Cases Result From Genetic Heart Disease Causes

THURSDAY, March 15, 2018 (HealthDay News) — Genetic heart diseases (GHDs) cause fewer cases of sudden infant death syndrome (SIDS) than previously thought, according to a study published in the March 20 issue of the Journal of the American College of Cardiology.

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Guidelines Updated for Evaluating, Treating Hirsutism

THURSDAY, March 15, 2018 (HealthDay News) — As an update to an earlier clinical practice guideline, recommendations for evaluating and treating hirsutism in premenopausal women have been issued and published online March 7 in the Journal of Clinical Endocrinology & Metabolism.

Zika-Tied Birth Defects in 7 Percent of Infected Pregnant Women

WEDNESDAY, March 14, 2018 (HealthDay News) — Seven percent of pregnant women with symptomatic Zika virus (ZIKV) infection have birth defects possibly associated with ZIKV infection, according to a study published in the March 15 issue of the New England Journal of Medicine.

High Midlife Cardio Fitness May Ward Off Dementia in Women

WEDNESDAY, March 14, 2018 (HealthDay News) — High cardiovascular fitness at midlife is associated with a reduced risk of subsequent dementia in women, according to a study published online March 14 in Neurology.

Editorial (subscription or payment may be required)

Too Few Early Breast CA Patients Given Formal Genetic Counseling

WEDNESDAY, March 14, 2018 (HealthDay News) — Many women with early-stage breast cancer with indications for formal genetic risk evaluation do not receive formal counseling, according to a study published online March 12 in the Journal of Clinical Oncology.

Vaginal Birth Tied to Later Lack of Pelvic Organ Support

WEDNESDAY, March 14, 2018 (HealthDay News) — Vaginal birth is associated with worse pelvic organ support five years after a woman’s first delivery, and genital hiatus size is an independent predictor of worse support, according to a study published in the March issue of the American Journal of Obstetrics & Gynecology.

Depression Seen in One in 20 Childbearing-Aged Women

WEDNESDAY, March 14, 2018 (HealthDay News) — A substantial proportion of non-pregnant women of childbearing age have untreated depression, according to a study published online March 8 in Obstetrics & Gynecology.

Bundled Intervention May Improve HPV Vaccination Rates

WEDNESDAY, March 14, 2018 (HealthDay News) — A bundled intervention comprising quality improvement (QI) training plus provider prompts, communication skills training, and performance feedback may improve human papillomavirus (HPV) vaccination rates in pediatric clinics, according to a study published online March 14 in Pediatrics.

Drug Copayments Often Exceed Prescription Drug Costs

WEDNESDAY, March 14, 2018 (HealthDay News) — Drug copayments frequently exceed prescription drug costs, with overpayments affecting 23 percent of all prescriptions, according to a research letter published in the March 13 issue of the Journal of the American Medical Association.

Substance Use Mortality Varies Widely Across U.S. Counties

TUESDAY, March 13, 2018 (HealthDay News) — Across U.S. counties there is considerable variation in mortality due to alcohol use disorders, drug use disorders, self-harm, and interpersonal violence, according to a study published in the March 13 issue of the Journal of the American Medical Association.

Digital Intervention Can Increase Colorectal Cancer Screenings

TUESDAY, March 13, 2018 (HealthDay News) — Mobile Patient Technology for Health-Colorectal Cancer (mPATH-CRC), a digital health intervention which allows patients to self-order tests, can increase rates of screening, according to a study published online March 13 in the Annals of Internal Medicine.

Editorial (subscription or payment may be required)

U.S. Spends Twice As Much for Similar Health Care Utilization

TUESDAY, March 13, 2018 (HealthDay News) — Spending on health care is much higher in the United States than other high-income countries, but utilization rates are similar, according to a study published in the March 13 issue of the Journal of the American Medical Association.

Editorial 1 (subscription or payment may be required)

Editorial 2 (subscription or payment may be required)

Editorial 3 (subscription or payment may be required)

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Most Patients Fine With Providers Asking About Sexual Orientation

TUESDAY, March 13, 2018 (HealthDay News) — The vast majority of patients (97 percent) are comfortable with health providers asking sexual orientation and gender identity (SOGI) questions, according to a study published online March 9 in Health Services Research.

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Three-Pronged Approach Can Improve Physician Engagement

MONDAY, March 12, 2018 (HealthDay News) — The three-pronged approach implemented by one practice successfully improved physician engagement, according to an article published in Medical Economics.

Racial Variation in Median Age of Female Breast Cancer Diagnosis

MONDAY, March 12, 2018 (HealthDay News) — The median age of diagnosis of female breast cancer is higher for white patients than for black, Hispanic, and Asian patients, according to a research letter published online March 7 in JAMA Surgery.

Over 5,100 Noncongenital Zika Cases Reported in U.S. in 2016

MONDAY, March 12, 2018 (HealthDay News) — A total of 5,168 noncongenital Zika virus disease cases were reported from U.S. states and the District of Columbia in 2016, with 95 percent of cases identified in travelers returning from Zika virus-affected areas, according to research published in the March 9 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

No Safety Concerns Noted in Study of Intranasal Insulin Use

MONDAY, March 12, 2018 (HealthDay News) — Intranasal insulin application appears to be safe, according to a review published online March 6 in Diabetes, Obesity and Metabolism.

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Doctors Facing Challenge to Help Needy While Protecting Practices

FRIDAY, March 9, 2018 (HealthDay News) — Physicians are increasingly being challenged to protect their practice finances while helping patients without insurance, according to an article published in Medical Economics.

Warm Showers, Perineal Exercises Can Ease Birth Pain

FRIDAY, March 9, 2018 (HealthDay News) — Warm showers and perineal exercises may be effective for reducing the pain associated with childbirth, according to a study published online March 7 in the International Journal of Nursing Practice.

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Increase in Acetaminophen Use, Overuse in Cold/Flu Season

FRIDAY, March 9, 2018 (HealthDay News) — During cold/flu season (CFS) there is an increase in acetaminophen use and overdosing, according to a study published online March 7 in the British Journal of Clinical Pharmacology.

Vascular Risk Factors Tied to Increased Incontinence Risk

THURSDAY, March 8, 2018 (HealthDay News) — Many factors, including vascular risk factors, may play a role in the development of urgency urinary incontinence (UUI) in older men and women, according to a study published online March 7 in the BJU International.

Current Tobacco Smoke Exposure Doesn’t Obstruct Peds Airflow

THURSDAY, March 8, 2018 (HealthDay News) — Current tobacco smoke exposure (TSE) is not associated with airflow obstruction among school-aged children, while prenatal smoking is associated with airflow obstruction in children with asthma, according to a study published in the March issue of CHEST.

Progression of Obesity Influences Risk of Diabetes Over Life Course

THURSDAY, March 8, 2018 (HealthDay News) — Changes in weight influence the risk of diabetes, with lower risk of diabetes for obese individuals who lose weight versus stable obesity, according to a study published online March 5 in Diabetes Care.

Maternal Use of TDF Doesn’t Further Reduce HBV Transmission

THURSDAY, March 8, 2018 (HealthDay News) — Maternal use of tenofovir disoproxil fumarate (TDF) in addition to administration of hepatitis B immune globulin and hepatitis B vaccine to infants born to hepatitis B e antigen (HBeAg)-positive pregnant women does not further lower the rate of hepatitis B virus transmission, according to a study published in the March 8 issue of the New England Journal of Medicine.

Editorial (subscription or payment may be required)

Postpartum Abdominoplasty Improves Back Pain, Incontinence

THURSDAY, March 8, 2018 (HealthDay News) — Abdominoplasty in the postpartum population improves low back pain and urinary incontinence, according to a study published online Feb. 28 in Plastic and Reconstructive Surgery.

Most Women Willing to Trade Off Benefits, Risks of Breast Screening

THURSDAY, March 8, 2018 (HealthDay News) — On average, women are willing to accept some additional unnecessary follow-ups and costs for additional cancer detection, although there is considerable heterogeneity in preferences for screening, according to a study published in the February issue of Value in Health.

Poor Sleep in Menopause Tied to Vasomotor Symptoms, Depression

WEDNESDAY, March 7, 2018 (HealthDay News) — Consistent risk factors for poor sleep in menopause include depression and vasomotor symptoms, according to a study published online Feb. 9 in Sleep Medicine.

Few U.S. Adults Meet Most T2DM Risk Reduction Goals

WEDNESDAY, March 7, 2018 (HealthDay News) — A small proportion of U.S. adults engage in lifestyle behaviors known to reduce the risk of type 2 diabetes, according to a study published in the March issue of Diabetes Care.

FDA Approves New Medication for Drug-Resistant HIV

TUESDAY, March 6, 2018 (HealthDay News) — Trogarzo (ibalizumab-uiyk) has been approved by the U.S. Food and Drug Administration to treat adult patients living with HIV who have not responded to other antiretroviral medications.

Minorities Face Worse Prognosis and Complications in T1DM

TUESDAY, March 6, 2018 (HealthDay News) — Compared to whites, blacks and Hispanics have increased markers of poor prognosis of type 1 diabetes at diagnosis and three years afterward, according to a study published online March 1 in Diabetes Care.

Increase in Other Flavored Tobacco Use After Menthol Ban

MONDAY, March 5, 2018 (HealthDay News) — Implementation of a ban on menthol cigarettes results in an increase in those attempting to quit, and an increase in use of other flavored tobacco or electronic-cigarette use, according to a study published online March 5 in JAMA Internal Medicine.

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Strong State Firearm Policies, Lower Firearm Suicide Rate Tied

MONDAY, March 5, 2018 (HealthDay News) — Strong state firearm policies are associated with lower firearm suicide rates and lower homicide rates, according to a study published online March 5 in JAMA Internal Medicine.

ACP Updates Guidance for HbA1c Targets for Adults With T2DM

MONDAY, March 5, 2018 (HealthDay News) — Guidance has been developed for hemoglobin A1c (HbA1c) targets for glycemic control among nonpregnant adults with type 2 diabetes; the guidance statement was published online March 6 in the Annals of Internal Medicine.

Domperidone Tied to Modest Increase in Breast Milk Supply

MONDAY, March 5, 2018 (HealthDay News) — Domperidone is well tolerated and effective in producing a moderate short-term increase in expressed breast milk volume among mothers of preterm infants, according to a review published online Feb. 22 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Global Costs of Diabetes Will Continue Rising Through 2030

MONDAY, March 5, 2018 (HealthDay News) — The global costs of diabetes are high and will increase substantially by 2030, according to a study published online Feb. 23 in Diabetes Care.

Excretion of Volatile Organic Compounds Up in Teen E-Smokers

MONDAY, March 5, 2018 (HealthDay News) — Adolescents smoking electronic-cigarettes (e-cigarettes) only have significantly higher excretion of volatile organic chemical compounds than non-smokers, although the levels are lower than among those using cigarettes in addition to e-cigarettes, according to a study published online March 5 in Pediatrics.

New Screening Tool Developed to Assess Tanning Addiction

FRIDAY, March 2, 2018 (HealthDay News) — A newly developed scale may identify patients addicted to tanning, according to a study published online Feb. 25 in the British Journal of Dermatology.

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Researchers ID Five Distinct Adult-Onset Diabetes Subgroups

FRIDAY, March 2, 2018 (HealthDay News) — Reclassification of diabetes into subgroups shows differing courses of disease progression and risk of diabetic complications, according to a study published online March 1 in The Lancet Diabetes & Endocrinology.

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Pregnant Women May Engage in Warm Exercise for Short Times

FRIDAY, March 2, 2018 (HealthDay News) — Pregnant women can safely exercise in warm weather or sit in hot baths or saunas for a short period of time without risking critical elevations in core temperature, according to a review published online March 1 in the British Journal of Sports Medicine.

Calcium ± Vit D Supplements Up Risk of Colon Adenomas, Polyps

FRIDAY, March 2, 2018 (HealthDay News) — Calcium supplements, taken with or without vitamin D, may increase the risk of sessile serrated adenomas or polyps (SSA/Ps), according to a study published online March 1 in Gut.

Deployment Timing Linked to Spontaneous Preterm Birth

THURSDAY, March 1, 2018 (HealthDay News) — For female soldiers, delivery within six months of return from deployment is associated with increased risk of spontaneous preterm birth (SPB), according to a study published recently in the American Journal of Epidemiology.

U.S. Trends in Gender-Affirming Surgery Explored

THURSDAY, March 1, 2018 (HealthDay News) — About 11 percent of patient encounters with a diagnosis code of transsexualism or gender identity disorder involve gender-affirming surgery, and more than half are not covered by an insurance plan, according to a study published online Feb. 28 in JAMA Surgery.

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Coverage Increased After ACA for Patients With Diabetes

THURSDAY, March 1, 2018 (HealthDay News) — For adults aged 18 to 64 years with diabetes, there was an increase in health insurance coverage after implementation of the Affordable Care Act (ACA), according to a study published online Feb. 23 in Diabetes Care.

Exposure to Metformin In Utero Ups Risk of Being Overweight

THURSDAY, March 1, 2018 (HealthDay News) — Children exposed to metformin in utero have an increased risk of being overweight at age 4 years, according to research published online Feb. 27 in the Journal of Clinical Endocrinology and Metabolism.

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