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April 2020 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 April 2020. 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.

Symptomatic Health Care Staff in U.K. Screened for COVID-19

THURSDAY, April 30, 2020 (HealthDay News) -- Screening symptomatic health care workers for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is feasible during the pandemic, according to a research letter published online April 22 in The Lancet.

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Medicaid Expansion Tied to Higher Mammography Rates

THURSDAY, April 30, 2020 (HealthDay News) -- Total insurance coverage, Medicaid coverage, and mammogram rates are higher among lower-income women living in Medicaid expansion states versus nonexpansion states, according to a study published online April 6 in the Journal of the American College of Surgeons.

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David Shulkin, M.D., on COVID-19 Financial Consequences for Health Care System

MONDAY, April 27, 2020 (HealthDay News) -- Health care organizations are facing hard financial decisions amid the COVID-19 pandemic, but an end is in sight as some are beginning to slowly open back up around the country, according to David Shulkin, M.D. Shulkin, who served as ninth secretary for Veterans Affairs and is former president and CEO of Beth Israel Medical Center in New York, spoke with HealthDay during a live stream on the HealthDay YouTube channel and live blog.

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Rheumatoid Arthritis Patients Remain Unaware of CV Risk

WEDNESDAY, April 29, 2020 (HealthDay News) -- Patients with rheumatoid arthritis (RA) have low awareness about associated cardiovascular (CV) risk, according to a study published online April 20 in ACR Open Rheumatology.

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Multicancer Blood Test, PET-CT Combo Feasible for Cancer Screen

WEDNESDAY, April 29, 2020 (HealthDay News) -- Multicancer blood testing combined with positron emission tomography-computed tomography (PET-CT) imaging can detect cancers, according to a study published online April 28 in Science to coincide with the virtual annual meeting of the American Association for Cancer Research.

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Most SARS-CoV-2-Positive Pregnant Women Asymptomatic at Screening

TUESDAY, April 28, 2020 (HealthDay News) -- Universal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing of pregnant women presenting for delivery in New York City revealed that most positive patients were asymptomatic, according to a research letter published online April 13 in the New England Journal of Medicine.

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Social Inequality May Contribute to Poor Metabolic, Bone Health

TUESDAY, April 28, 2020 (HealthDay News) -- Social factors might be significant contributors to coexisting metabolic syndrome (MetS) and osteoporosis (OP) in postmenopausal women, according to a study published online April 20 in Menopause.

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Roadmap Developed for Resuming Elective Surgery During COVID-19

MONDAY, April 27, 2020 (HealthDay News) -- A roadmap for resuming elective surgery after new cases of COVID-19 begin to wane is presented in a joint statement published by the American College of Surgeons and other societies.

Joint Statement

Hearing Loss Linked to Postural Instability in Older Adults

MONDAY, April 27, 2020 (HealthDay News) -- The odds of postural instability are increased in older adults with moderate or worse hearing loss, even when hearing loss is present on only one side, according to a study published online April 23 in JAMA Otolaryngology-Head & Neck Surgery.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of April 20 to 24, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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COVID-19 Pandemic Delays FDA Review of Vaping Products

FRIDAY, April 24, 2020 (HealthDay News) -- A review of vaping products has been delayed by the COVID-19 outbreak, the U.S. Food and Drug Administration announced Thursday.

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Vegetable Intake Before Pregnancy Tied to Birth Outcomes

FRIDAY, April 24, 2020 (HealthDay News) -- Greater vegetable intake before pregnancy is associated with better birth outcomes, according to a study published online April 13 in The American Journal of Clinical Nutrition.

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Higher Manganese Intake May Be Tied to Lower Type 2 Diabetes Risk

THURSDAY, April 23, 2020 (HealthDay News) -- Higher intake of manganese is associated with a lower type 2 diabetes risk among postmenopausal women, independent of known risk factors, according to a study published online April 15 in Diabetes Care.

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Yoga Cuts Testosterone in Women With Polycystic Ovary Syndrome

THURSDAY, April 23, 2020 (HealthDay News) -- A mindful yoga intervention reduces testosterone levels in women with polycystic ovary syndrome (PCOS), according to a study published online April 14 in the Journal of the American Osteopathic Association.

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Visual Impairment May Up Risk for Dementia in Older Women

THURSDAY, April 23, 2020 (HealthDay News) -- In older women, objectively measured visual impairment is associated with a twofold to more than fivefold increased risk for dementia, according to a study published online April 16 in JAMA Ophthalmology.

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Scoring System Helps Guide Surgical Care During COVID-19

WEDNESDAY, April 22, 2020 (HealthDay News) -- A scoring system for medically necessary time-sensitive (MeNTS) procedures can facilitate decision making and triage in the setting of COVID-19, according to a study published online April 9 in the Journal of the American College of Surgeons.

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Premature Mortality Rates Up for CAD in Women From Rural U.S.

WEDNESDAY, April 22, 2020 (HealthDay News) -- According to the findings of two studies published online April 20 in the Journal of the American Heart Association, coronary artery disease (CAD) mortality rates have increased among women from rural areas, while social determinants of health (SDOH) increase the risk for 90-day mortality after heart failure hospitalization.

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IBD Symptoms in Pregnancy Tied to Higher C-Section Rate, IUGR

WEDNESDAY, April 22, 2020 (HealthDay News) -- Women with inflammatory bowel disease (IBD) have lower pregnancy rates, and those with uncontrolled disease are at increased risk for adverse outcomes, according to a study published online April 7 in Alimentary Pharmacology and Therapeutics.

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Alone, Low Vitamin D Does Not Cause Osteoporotic Fractures

WEDNESDAY, April 22, 2020 (HealthDay News) -- While low blood levels of vitamin D are associated with osteoporotic fractures, the link is not causative, according to the results of an analysis published online April 7 in Clinical Chemistry.

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Smoking Only in Early Pregnancy Still Puts Baby at Risk

TUESDAY, April 21, 2020 (HealthDay News) -- While quitting smoking during the first trimester slightly decreases the risk for low birth weight in newborns, any duration of maternal smoking during pregnancy is associated with low birth weight and abnormal body proportions, according to a study recently published in BMJ Open.

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Cervical Cancer Screening Rates May Be Impacted by Disasters

MONDAY, April 20, 2020 (HealthDay News) -- Cervical cancer screening rates (CCS-Rs) in Japan were significantly lower in the years following the devastating Great East Japan Earthquake of 2011, according to a study recently published online in PLOS ONE.

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AAP Updates Guidance for Care of Infants Born at Home

MONDAY, April 20, 2020 (HealthDay News) -- In an American Academy of Pediatrics (AAP) policy statement, published online April 20 in Pediatrics, recommendations are presented for the care of newborn infants immediately after birth and in the transition and subsequent period after home birth.

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Hypertension in Pregnancy Ups Risk for Mental Disorder in Child

MONDAY, April 20, 2020 (HealthDay News) -- Maternal hypertensive pregnancy disorders are associated with increased risk in offspring for any childhood mental disorder, according to a study published online April 20 in Hypertension.

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Benefit of Social Distancing Outweighs Economic Impact

MONDAY, April 20, 2020 (HealthDay News) -- The economic benefits of lives saved through social distancing substantially outweigh the value of the projected losses to the U.S. economy, according to a study to be published in a forthcoming issue of the Journal of Benefit-Cost Analysis.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of April 13 to 17, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Higher Vitamin D From Food May Protect Against Heart Disease

FRIDAY, April 17, 2020 (HealthDay News) -- Consuming foods high in vitamin D may have heart-protective effects, according to a Greek study published online April 7 in the Journal of Human Nutrition and Dietetics.

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Ovarian Insufficiency Not Tied to Higher Risks for Obesity, Diabetes

FRIDAY, April 17, 2020 (HealthDay News) -- Women with lower ovarian reserve do not experience differences in adiposity and glucose metabolism during their reproductive life span compared with women with high ovarian reserve, according to a study published online April 13 in Menopause.

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Regardless of Genetics, Obesity Ups Risk for Type 2 Diabetes

THURSDAY, April 16, 2020 (HealthDay News) -- Having normal body weight is crucial in the prevention of type 2 diabetes, regardless of genetic predisposition, according to a study published online April 15 in Diabetologia.

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Guidance Issued for Breast Cancer Care During COVID-19

THURSDAY, April 16, 2020 (HealthDay News) -- In guidance issued by the COVID-19 Pandemic Breast Cancer Consortium, recently accepted for publication in an upcoming issue of Breast Cancer Research and Treatment, recommendations are presented for prioritizing care for breast cancer patients during the coronavirus disease 2019 (COVID-19) pandemic.

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Uninsurance for Poor New Moms Down With ACA Medicaid Expansion

THURSDAY, April 16, 2020 (HealthDay News) -- Among new mothers living in poverty, the Affordable Care Act (ACA) Medicaid expansion was associated with a reduction in uninsurance and increased Medicaid coverage, according to a study published online April 15 in Pediatrics.

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CDC: Five Causes Account for ~90 Percent of Fetal Deaths

WEDNESDAY, April 15, 2020 (HealthDay News) -- Five causes of death accounted for 89.5 percent of fetal deaths reported during 2015 to 2017, according to a report published April 15 in the U.S. Centers for Disease Control and Prevention National Vital Statistics Report.

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SARS-CoV-2 Contamination of Air, Surfaces Examined in ICU, Wards

WEDNESDAY, April 15, 2020 (HealthDay News) -- Considerable severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) contamination of air and object surfaces is reported in intensive care units (ICUs) and general coronavirus disease 2019 (COVID-19) wards (GW), according to a study published online April 10 in Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Kidney Injury Up During Pregnancy-Related Hospitalizations

WEDNESDAY, April 15, 2020 (HealthDay News) -- The rates of pregnancy-related acute kidney injury (AKI) hospitalizations increased during the last decade, according to a study published in the March issue of the American Journal of Nephrology.

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Hep C Screening Recommended for Adults, Pregnant Women

TUESDAY, April 14, 2020 (HealthDay News) -- Hepatitis C screening is recommended for all adults and for all pregnant women, except where the prevalence is below 0.1 percent; meanwhile, the annual rate of reported acute hepatitis C cases increased to 1.2 per 100,000 population in 2018, according to recommendations and a report published in the April 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Being Born Via C-Section May Up Risk for T2DM in Adulthood

TUESDAY, April 14, 2020 (HealthDay News) -- Women born by cesarean delivery may have a higher risk for being obese and developing type 2 diabetes during adult life than women born by vaginal delivery, according to a study published online April 13 in JAMA Network Open.

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Medical Masks May Be Sufficient During COVID-19 Routine Care

TUESDAY, April 14, 2020 (HealthDay News) -- Use of medical masks, such as surgical or procedural masks, does not increase the risk for viral infection or respiratory illness, and their use may serve as a protective measure in instances of N95 respirator shortages, according to the results of a meta-analysis published online April 4 in Influenza and Other Respiratory Viruses.

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High Rates of Appropriate E-Consults Seen Across Specialties

MONDAY, April 13, 2020 (HealthDay News) -- The rates of appropriate electronic consultations (e-consults) are high across specialties, according to a study published online April 14 in the Annals of Internal Medicine.

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Digital Breast Tomosynthesis Cuts Recall Rates

MONDAY, April 13, 2020 (HealthDay News) -- Digital breast tomosynthesis (DBT) is associated with an overall decrease in recall rate and an increase in cancer detection rate, according to a study published online March 30 in JAMA Network Open.

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Guidance Issued for Infants Born to Mothers With COVID-19

MONDAY, April 13, 2020 (HealthDay News) -- In an initial guidance document issued by the American Academy of Pediatrics, recommendations are presented for the management of infants born to mothers with suspected or confirmed coronavirus disease 2019 (COVID-19).

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of April 6 to 10, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Doctors Report on Four COVID-19 Infections in Newborns in China

FRIDAY, April 10, 2020 (HealthDay News) -- Compared with adults, symptoms of COVID-19 in newborn babies are milder and outcomes are less severe, according to a research letter published online April 8 in the European Respiratory Journal.

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Middle-Age Lifestyle Changes Can Cut Women's Stroke Risk

FRIDAY, April 10, 2020 (HealthDay News) -- Even in middle age, women can make lifestyle modifications that can substantially lower their stroke risk, according to a study published online April 9 in Stroke.

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Parents' Mental Illness Tied to Higher Injury Rate in Offspring

THURSDAY, April 9, 2020 (HealthDay News) -- Parental mental illness is associated with an increased risk for injuries among offspring, especially during the first year of the child's life, according to a study published online April 8 in The BMJ.

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Racial Differences Seen for Cancer Diagnosis, Treatment, Survival

THURSDAY, April 9, 2020 (HealthDay News) -- Stage at diagnosis, treatment, and survival differ by race and ethnicity for patients with one of the nine leading cancers, according to a study published online April 8 in JAMA Network Open.

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'Dead' Probiotic Treatment May Help Reduce Irritable Bowel Symptoms

THURSDAY, April 9, 2020 (HealthDay News) -- Probiotic treatment with dead bacteria is better than placebo at alleviating symptoms of irritable bowel syndrome (IBS), according to a study published online April 8 in The Lancet Gastroenterology & Hepatology.

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COVID-19 Killing Two Times More Men Than Women in NYC

WEDNESDAY, April 8, 2020 (HealthDay News) -- The novel coronavirus (COVID-19) death rate in New York City is two times higher among men than among women, and men also have higher rates of infection and hospitalization, new data show.

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Physical Activity Tied to Mental Well-Being in Menopause

WEDNESDAY, April 8, 2020 (HealthDay News) -- Physical activity is linked to fewer depressive symptoms, higher satisfaction with life, and higher positive affectivity in menopausal women, according to a study published in the April issue of Menopause.

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Review Explores Use of Menstruation, Fertility Apps

WEDNESDAY, April 8, 2020 (HealthDay News) -- Women mainly use fertility apps for fertility and reproductive health tracking, pregnancy planning, and pregnancy prevention, according to a review published online April 6 in BMJ Sexual & Reproductive Health.

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Maternal Obesity May Be Related to Risk for ADHD in Children

WEDNESDAY, April 8, 2020 (HealthDay News) -- Mothers with a body mass index (BMI) of 25 kg/m² and greater are more likely to see behavioral problems and psychiatric symptoms in their children, according to a study recently published in The Journal of Pediatrics.

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CDC: 1999 to 2018 Saw 35 Percent Increase in Suicide Rates

WEDNESDAY, April 8, 2020 (HealthDay News) -- Suicide rates increased 35 percent from 1999 through 2018, according to an April data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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USPSTF Against Bacterial Vaginosis Screening to Prevent Preterm Delivery

TUESDAY, April 7, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening for bacterial vaginosis in pregnant women not at increased preterm delivery risk, and more research is needed for those at increased risk. These findings form the basis of a final recommendation statement published in the April 7 issue of the Journal of the American Medical Association.

Evidence Report
Final Recommendation Statement
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Early-Life Mortality Risk Higher in ART-Conceived Children

TUESDAY, April 7, 2020 (HealthDay News) -- Compared with children who are naturally conceived, children who are conceived via assisted reproductive techniques (ART) may be at increased risk for mortality during their first year of life, according to a study published in the March issue of Fertility and Sterility.

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'Mod' E-Cigarette Users Smoke More Cigarettes One Year Later

TUESDAY, April 7, 2020 (HealthDay News) -- Baseline modifiable (mod) electronic cigarette device users smoke more cigarettes at one-year follow-up than vape pen users, according to a study published online April 6 in Pediatrics.

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Majority of Physicians Report Serious Concerns About COVID-19

MONDAY, April 6, 2020 (HealthDay News) -- According to a national survey conducted by Harvard Medical School, the RAND Corporation, and Doximity, practicing physicians currently report substantial concerns about supplies, the government response, and availability of testing amid the COVID-19 pandemic.

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High Fiber Consumption Linked to Reduced Risk for Breast Cancer

MONDAY, April 6, 2020 (HealthDay News) -- High total fiber consumption is associated with a reduced risk for breast cancer, according to a review and meta-analysis published online April 6 in Cancer.

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Recent Decline in Heart Attacks Greater in Men Than Women

MONDAY, April 6, 2020 (HealthDay News) -- The incidence of heart attacks is decreasing, but the trend seems to have slowed in women, according to a study recently published in Circulation.

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Heart Disease Risk Up for First-Time Mothers With Preeclampsia

MONDAY, April 6, 2020 (HealthDay News) -- First-time mothers with preeclampsia are at a higher risk for adverse cardiovascular outcomes, including myocardial infarction, stroke, and cardiovascular death, according to a study recently published in the Journal of Women's Health.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of March 30 to April 3, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Unemployed Workers Less Likely to Be Uninsured Post-ACA

THURSDAY, April 2, 2020 (HealthDay News) -- Following implementation of the Affordable Care Act (ACA), unemployed workers were less likely to be uninsured, and uninsurance rates decreased more in states with Medicaid expansion, according to a report from the Urban Institute and the Robert Wood Johnson Foundation.

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Racial Disparities Seen for Insurance Coverage Around Time of Pregnancy

THURSDAY, April 2, 2020 (HealthDay News) -- Disruptions in insurance coverage around the time of pregnancy disproportionately affect indigenous, Hispanic, and black non-Hispanic women, according to a study published in the April issue of Obstetrics & Gynecology.

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Polypharmacy Ups Postchemo Hospitalization Risk in Seniors

WEDNESDAY, April 1, 2020 (HealthDay News) -- Older patients taking five or more medications in the six months before intravenous (IV) chemotherapy are at higher risk for postchemotherapy inpatient hospitalizations, according to a study published online March 18 in the Journal of Geriatric Oncology.

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Low Vitamin D May Reduce Mobility After Hip Fracture Surgery

WEDNESDAY, April 1, 2020 (HealthDay News) -- Vitamin D deficiencies are associated with a lower likelihood of older patients regaining independent walking ability following hip fracture surgery, according to a study recently published in the American Journal of Clinical Nutrition.

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