<\/b><\/p>\n
<\/b><\/p>\n
Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health for October 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.<\/p>\n
Black, Low-Income Women May Not Report Barriers to Care<\/font><\/p>\n WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Black women, women living in poverty, and those with higher levels of distrust are less likely to report barriers to timely screening mammography, according to a study published online Sept. 24 in Cancer<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Genetic Risk Score IDs Breast CA Risk in Female Child CA Survivors<\/font><\/p>\n WEDNESDAY, Oct. 31, 2018 (HealthDay News) — A polygenic risk score (PRS) can identify subsequent breast cancer risk among childhood survivors of cancer, according to a study published online Oct. 26 in Clinical Cancer Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy<\/font><\/p>\n WEDNESDAY, Oct. 31, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient for assessing the balance of harms and benefits of screening for elevated blood lead levels in asymptomatic children and pregnant women. These findings form the basis of a draft recommendation statement published online Oct. 30.<\/p>\n Draft Recommendation Statement<\/a><\/p>\n Evidence Review — Children<\/a><\/p>\n Evidence Review — Pregnant Women<\/a><\/p>\n AMA Announces Initiative to Reinvent Physician Training<\/font><\/p>\n TUESDAY, Oct. 30, 2018 (HealthDay News) — The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the “Reimagining Residency” initiative, aimed at improving residency training.<\/p>\n More Information<\/a><\/p>\n Prenatal Exposure to Phthalates Linked to Language Delay<\/font><\/p>\n TUESDAY, Oct. 30, 2018 (HealthDay News) — Prenatal exposure to phthalates is associated with language delay in children, according to a study published online Oct. 29 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n New Method Estimates Risk for Recurrence in Breast Cancer<\/font><\/p>\n TUESDAY, Oct. 30, 2018 (HealthDay News) — The risk for breast cancer recurrence can be extracted using disease-specific survival data, according to a study published online Oct. 18 in Cancer Epidemiology, Biomarkers & Prevention<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Community Health Worker Intervention Beneficial<\/font><\/p>\n TUESDAY, Oct. 30, 2018 (HealthDay News) — A standardized community health worker (CHW)-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases, according to a study published online Oct. 22 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Many Hospitals Noncompliant With Record Request Regulations<\/font><\/p>\n MONDAY, Oct. 29, 2018 (HealthDay News) — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Paid Family Leave Policies May Modestly Increase Breastfeeding<\/font><\/p>\n MONDAY, Oct. 29, 2018 (HealthDay News) — Women in states with paid family leave (PFL) policies have a modestly greater likelihood of exclusively breastfeeding at six months, according to a study published online Oct. 25 in the American Journal of Public Health<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Trump Administration Announces Plan to Cut Drug Prices<\/font><\/p>\n FRIDAY, Oct. 26, 2018 (HealthDay News) — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.<\/p>\n HHS Study<\/a><\/p>\n New York Times<\/i> Article<\/a><\/p>\n Early Natural Menopause Linked to Shorter Life Expectancy<\/font><\/p>\n FRIDAY, Oct. 26, 2018 (HealthDay News) — Compared with women who experience normal or late menopause, women who experience early natural menopause have a shorter life expectancy and spend fewer years without type 2 diabetes (T2D), according to a study published online Oct. 8 in Menopause<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Infant HIV Infection Ups Risk for Congenital CMV Infection<\/font><\/p>\n THURSDAY, Oct. 25, 2018 (HealthDay News) — HIV-exposed infants have high rates of congenital cytomegalovirus (cCMV) infection, and in utero HIV infection seems to be a major risk factor for cCMV, according to a study published in the October issue of The Pediatric Infectious Disease Journal<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Outcomes Studied for Surgical Tx of Stress Urinary Incontinence<\/font><\/p>\n THURSDAY, Oct. 25, 2018 (HealthDay News) — Among women undergoing midurethral mesh sling insertion, the rate of mesh sling removal at nine years is estimated to be 3.3 percent, according to a study published online Oct. 23 in the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Pace of Change Has Accelerated in Alternative Payment Models<\/font><\/p>\n THURSDAY, Oct. 25, 2018 (HealthDay News) — The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.<\/p>\n More Information<\/a><\/p>\n Hispanics With HIV Face Higher Risk for HPV-Related Cancer<\/font><\/p>\n WEDNESDAY, Oct. 24, 2018 (HealthDay News) — HIV-infected Hispanics have an increased risk for human papillomavirus (HPV)-related cancers than Hispanics in the general population, according to a study published online Oct. 22 in Cancer<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Midwifery Care Cuts Poor Birth Outcomes Versus Physician Care<\/font><\/p>\n WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Compared with physician models of care, midwifery care is associated with lower odds of poor birth outcomes for low-income women, according to a study published in the October issue of BMJ Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Most Supplements Contain Prohibited Stimulants<\/font><\/p>\n WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editor’s Note (subscription or payment may be required)<\/a><\/p>\n Preeclampsia Tied to Increased Risk for Vascular Dementia<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Preeclampsia seems to be associated with an increased risk for dementia, especially vascular dementia, with a stronger correlation for late-onset disease, according to a study published online Oct. 17 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n USPSTF Recommends Screening Women for Partner Violence<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Clinicians should screen women of reproductive age for intimate partner violence (IPV) and refer women to ongoing support services if necessary, according to a U.S. Preventive Services Task Force (USPSTF) final recommendation statement published in the Oct. 23\/30 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Evidence Report<\/a><\/p>\n Final Recommendation Statement<\/a><\/p>\n Editorial<\/a><\/p>\n Editorial<\/a><\/p>\n White House Unveils New Insurance Option for Small Firms<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.<\/p>\n AP News<\/i> Article<\/a><\/p>\n More Information<\/a><\/p>\n Diagnostic Strategy Can Rule Out PE in Pregnant Women<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — A diagnostic strategy based on pretest clinical probability assessment, high-sensitivity D-dimer testing, bilateral lower-limb compression ultrasonography (CUS), and computed tomography pulmonary angiography (CTPA) can safely rule out pulmonary embolism (PE) in pregnant women, according to a study published online Oct. 23 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Guidelines Outlined to Ease Peds Transition to Adult Health Care<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — Guidelines have been updated to support the health care transition from adolescence to adulthood, according to a clinical report published online Oct. 22 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Glucose Dysregulation Seen Years Before Diabetes Diagnosis<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — Individuals who develop diabetes or prediabetes have elevated fasting plasma glucose (FPG) at least 10 years before diagnosis, according to an observational study recently published in the Journal of the Endocrine Society<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Variability in Geographic Availability of New Antibiotics<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — There is considerable variability in the geographic availability of antibiotics, according to a study published online Oct. 16 in PLOS ONE<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Limited Success for Changing Diet and Exercise Among Nurses<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — Implementation of a workplace intervention to change diet and physical activity (PA) behavior was partially successful among nurses, with the ability to change both diet and PA at the same time described as challenging, according to a study recently published in the Journal of Nutrition Education and Behavior<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Light Use of Topical Skin Tx Before Radiotherapy Seems Safe<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — Contrary to the advice most cancer patients receive, light or moderate use of topical agents before radiation treatment does not appear to increase the radiation dose to the skin, according to a study published online Oct. 18 in JAMA Oncology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n 2014 to 2016 Saw 470 Percent Increase in HIV PrEP Use in U.S.<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — From 2014 to 2016 there was an increase in the annual number of HIV preexposure prophylaxis (PrEP) users in the United States, although only about 7 percent of those with indications for PrEP were prescribed PrEP in 2016, according to research published in the Oct. 18 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Mortality Due to Suicide, Alcohol, Accidents Up in Diabetes<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — Patients with diabetes have increased mortality due to suicide, alcohol-related causes, and accidents than those without diabetes, according to a study published in the November issue of the European Journal of Endocrinology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n HPV Vaccination Not Tied to Risky Sexual Behavior in Teen Girls<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — Implementation of a school-based human papillomavirus (HPV) vaccination program in Canada did not lead to an increase in sexual risk-taking behaviors among adolescent girls, according to a study published in the Oct. 15 issue of CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Sharp Drop in U.S. Life Expectancy Rankings by 2040<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — The United States will have the largest drop in life expectancy rankings of all high-income countries by 2040, a new study says.<\/p>\n CNN<\/i> Article<\/a><\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Maternal Trauma Associated With Low Male Infant Birthweight<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — Higher lifetime trauma among women is associated with decreased birthweight among male offspring, according to a study published Sept. 6 in The Journal of Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Limited Evidence for OTC Preps to Treat Nasal Symptoms of Colds<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — Limited evidence is available for over-the-counter (OTC) treatments for nasal symptoms of the common cold, according to a report published online Oct. 10 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: Many Pregnant Women Not Receiving Immunizations<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — Many pregnant women are not getting recommended vaccinations, with less than half of those pregnant during the peak influenza vaccination period in 2017 to 2018 reporting being vaccinated before or during their pregnancy, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Deep Learning Algorithm Can ID Mammographic Breast Density<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — A deep learning (DL) algorithm can successfully assess mammographic breast density, according to a study published online Oct. 16 in Radiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Procurement Requirements Drive Interoperability in Health Care IT<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.<\/p>\n More Information<\/a><\/p>\n Giving Flu Shots in Pharmacies Could Up Vaccination Coverage<\/font><\/p>\n WEDNESDAY, Oct. 16, 2018 (HealthDay News) — Administering influenza vaccines through pharmacies in addition to traditional locations can increase vaccination coverage in the event of an epidemic, according to a study published online Oct. 16 in Vaccine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Recreational Marijuana Now Legal in Canada<\/font><\/p>\n WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Recreational marijuana became legal in Canada today, and while many welcome the move, others have serious concerns.<\/p>\n The New York Times<\/i> Article<\/a><\/p>\n CMAJ<\/i> Editorial<\/a><\/p>\n Lung Cancer Deaths 28% Lower in California Than Rest of U.S.<\/font><\/p>\n WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Annual lung cancer mortality was 28 percent lower in California than in the rest of the United States in 2013, according to a study published online Oct. 10 in Cancer Prevention Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Fertility Rates Down for Each Urbanization Level 2007 to 2017<\/font><\/p>\n WEDNESDAY, Oct. 17, 2018 (HealthDay News) — During 2007 to 2017, fertility rates decreased in the United States for each urbanization level, according to an October data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Seven-Day Metronidazole Better for Trichomoniasis Tx in Women<\/font><\/p>\n WEDNESDAY, Oct. 17, 2018 (HealthDay News) — A seven-day dose of metronidazole is associated with a reduced likelihood of being Trichomonas vaginalis<\/i>-positive at test-of-cure compared with single-dose treatment, according to a study published online Oct. 5 in The Lancet Infectious Diseases<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Positive HPV Status Tied to Better Cervical Cancer Prognosis<\/font><\/p>\n TUESDAY, Oct. 16, 2018 (HealthDay News) — Women with high-risk human papillomavirus (hrHPV)-positive cervical tumors have a substantially better prognosis than women with hrHPV-negative tumors, according to a study published online Oct. 1 in PLOS Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CHF in Pregnancy Up for Cancer Survivors With Cardiac Toxicity<\/font><\/p>\n TUESDAY, Oct. 16, 2018 (HealthDay News) — The incidence of congestive heart failure (CHF) during pregnancy is 31 percent among women with a history of cardiotoxicity associated with cancer treatment, according to a study published in the Oct. 23 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n High Risk for Readmission for Takotsubo Syndrome<\/font><\/p>\n TUESDAY, Oct. 16, 2018 (HealthDay News) — Patients with Takotsubo syndrome (TTS), which is characterized by transient left ventricular dysfunction with symptoms and electrocardiogram changes mimicking acute myocardial infarction (AMI), have lower mortality during the index admission than AMI patients but are frequently readmitted within 30 days, according to a study published online Sept. 28 in the European Heart Journal – Quality of Care & Clinical Outcomes<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n \u03b2-Blockers in 1st Trimester Do Not Up Congenital Malformations<\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Maternal use of \u03b2-blockers in the first trimester of pregnancy is not associated with a large increase in the risk for overall or cardiac congenital malformations, according to a study published online Oct. 16 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Without Medicaid Expansion, Poor Patients Forgo Medical Care<\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.<\/p>\n AP News<\/i> Article<\/a><\/p>\n Active Pharmaceuticals ID’d in >700 Dietary Supplements <\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n More Socioeconomic Challenges for Hispanic Women With HIV<\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Hispanic\/Latino women with HIV infection face more socioeconomic and language challenges than men, but the clinical outcomes are similar, according to research published in the Oct. 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Flu Vaccine Cuts Hospitalization Rates in Pregnant Women<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — Among pregnant women, the flu vaccination is effective at reducing the risk for flu-related hospitalizations, according to a study published online Oct. 11 in Clinical Infectious Disease<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Global Rates of Cesarean Section on the Rise Since 2000<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — Global cesarean section (CS) rates are increasing, according to one in a series of three papers published online Oct. 11 in The Lancet<\/i>.<\/p>\n Abstract\/Full Text – Boerma (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Sandall (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Betr\u00e1n (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n High Circulating Prolactin Level Inversely Linked to T2DM Risk<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — Among U.S. women, a normally high circulating prolactin concentration is associated with a reduced risk for type 2 diabetes, according to a study published online Oct. 11 in Diabetologia<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Minority Women at Higher Risk for Severe Maternal Morbidity<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — Women of color have higher rates of severe birth-related health issues compared with non-Hispanic white women, according to a study published online Oct. 10 in Obstetrics & Gynecology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Hormone Therapy Not Beneficial in Subclinical Hypothyroidism<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — Thyroid hormone therapy is not associated with improvements in general quality of life or thyroid-related symptoms in non-pregnant adults with subclinical hypothyroidism, according to a review published in the Oct. 2 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n