October 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 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.

Black, Low-Income Women May Not Report Barriers to Care

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.

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Genetic Risk Score IDs Breast CA Risk in Female Child CA Survivors

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.

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USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy

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.

Draft Recommendation Statement
Evidence Review -- Children
Evidence Review -- Pregnant Women

AMA Announces Initiative to Reinvent Physician Training

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.

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Prenatal Exposure to Phthalates Linked to Language Delay

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.

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New Method Estimates Risk for Recurrence in Breast Cancer

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.

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Community Health Worker Intervention Beneficial

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.

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Many Hospitals Noncompliant With Record Request Regulations

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.

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Paid Family Leave Policies May Modestly Increase Breastfeeding

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.

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Trump Administration Announces Plan to Cut Drug Prices

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.

HHS Study
New York Times Article

Early Natural Menopause Linked to Shorter Life Expectancy

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.

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Infant HIV Infection Ups Risk for Congenital CMV Infection

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.

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Outcomes Studied for Surgical Tx of Stress Urinary Incontinence

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.

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Pace of Change Has Accelerated in Alternative Payment Models

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.

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Hispanics With HIV Face Higher Risk for HPV-Related Cancer

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.

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Midwifery Care Cuts Poor Birth Outcomes Versus Physician Care

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.

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Most Supplements Contain Prohibited Stimulants

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.

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Preeclampsia Tied to Increased Risk for Vascular Dementia

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.

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USPSTF Recommends Screening Women for Partner Violence

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.

Evidence Report
Final Recommendation Statement
Editorial
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White House Unveils New Insurance Option for Small Firms

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.

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Diagnostic Strategy Can Rule Out PE in Pregnant Women

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.

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Guidelines Outlined to Ease Peds Transition to Adult Health Care

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.

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Glucose Dysregulation Seen Years Before Diabetes Diagnosis

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.

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Variability in Geographic Availability of New Antibiotics

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.

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Limited Success for Changing Diet and Exercise Among Nurses

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.

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Light Use of Topical Skin Tx Before Radiotherapy Seems Safe

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.

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2014 to 2016 Saw 470 Percent Increase in HIV PrEP Use in U.S.

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.

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Mortality Due to Suicide, Alcohol, Accidents Up in Diabetes

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.

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HPV Vaccination Not Tied to Risky Sexual Behavior in Teen Girls

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, the journal of the Canadian Medical Association.

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Sharp Drop in U.S. Life Expectancy Rankings by 2040

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.

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Maternal Trauma Associated With Low Male Infant Birthweight

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.

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Limited Evidence for OTC Preps to Treat Nasal Symptoms of Colds

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.

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CDC: Many Pregnant Women Not Receiving Immunizations

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.

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Deep Learning Algorithm Can ID Mammographic Breast Density

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.

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Procurement Requirements Drive Interoperability in Health Care IT

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.

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Giving Flu Shots in Pharmacies Could Up Vaccination Coverage

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.

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Recreational Marijuana Now Legal in Canada

WEDNESDAY, Oct. 17, 2018 (HealthDay News) -- Recreational marijuana became legal in Canada today, and while many welcome the move, others have serious concerns.

The New York Times Article
CMAJ Editorial

Lung Cancer Deaths 28% Lower in California Than Rest of U.S.

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.

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Fertility Rates Down for Each Urbanization Level 2007 to 2017

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.

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Seven-Day Metronidazole Better for Trichomoniasis Tx in Women

WEDNESDAY, Oct. 17, 2018 (HealthDay News) -- A seven-day dose of metronidazole is associated with a reduced likelihood of being Trichomonas vaginalis-positive at test-of-cure compared with single-dose treatment, according to a study published online Oct. 5 in The Lancet Infectious Diseases.

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Positive HPV Status Tied to Better Cervical Cancer Prognosis

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.

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CHF in Pregnancy Up for Cancer Survivors With Cardiac Toxicity

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.

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High Risk for Readmission for Takotsubo Syndrome

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.

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β-Blockers in 1st Trimester Do Not Up Congenital Malformations

MONDAY, Oct. 15, 2018 (HealthDay News) -- Maternal use of β-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.

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Without Medicaid Expansion, Poor Patients Forgo Medical Care

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.

AP News Article

Active Pharmaceuticals ID'd in >700 Dietary Supplements

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.

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More Socioeconomic Challenges for Hispanic Women With HIV

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.

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Flu Vaccine Cuts Hospitalization Rates in Pregnant Women

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.

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Global Rates of Cesarean Section on the Rise Since 2000

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.

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High Circulating Prolactin Level Inversely Linked to T2DM Risk

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.

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Minority Women at Higher Risk for Severe Maternal Morbidity

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.

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Hormone Therapy Not Beneficial in Subclinical Hypothyroidism

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.

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Low-Dose Aspirin May Reduce Ovarian Cancer Risk

THURSDAY, Oct. 11, 2018 (HealthDay News) -- Low-dose aspirin use is associated with a reduced risk for ovarian cancer, according to a study published online Oct. 4 in JAMA Oncology.

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Higher Perceived Stress Linked to Lower Fecundability in Women

THURSDAY, Oct. 11, 2018 (HealthDay News) -- Higher levels of perceived stress are associated with slight decreases in fecundability among women but not men, according to a study recently published in the American Journal of Epidemiology.

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Accepted Manuscripts Meet More Criteria for Research Reporting

WEDNESDAY, Oct. 10, 2018 (HealthDay News) -- Accepted manuscripts for observational studies have better adherence to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist compared with rejected manuscripts, according to research published in the August issue of Obstetrics & Gynecology.

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Aetna-CVS Merger Approved

WEDNESDAY, Oct. 10, 2018 (HealthDay News) -- A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.

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ADA, EASD Issue New Recommendations for T2DM

WEDNESDAY, Oct. 10, 2018 (HealthDay News) -- Recommendations for the management of type 2 diabetes have been updated, according to a consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) published online Oct. 5 in Diabetes Care.

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Retention in HIV Care Drops Steadily After Prison Release

WEDNESDAY, Oct. 10, 2018 (HealthDay News) -- For criminal justice-involved persons living with HIV (PLWH), sustained retention in care decreases over time post-release, according to a study published online Oct. 9 in PLOS Medicine.

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Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

TUESDAY, Oct. 9, 2018 (HealthDay News) -- For nulliparous women receiving neuraxial analgesia, the timing of second-stage pushing does not impact the rate of spontaneous vaginal delivery, according to a study published in the Oct. 9 issue of the Journal of the American Medical Association.

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FDA Approves HPV Vaccine for People Through Age 45

TUESDAY, Oct. 9, 2018 (HealthDay News) -- U.S. Food and Drug Administration approval of the Gardasil 9 human papillomavirus (HPV) vaccine has been expanded to include people ages 27 through 45, the agency said in a news release.

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Weight Loss May Cut Breast CA Risk in Postmenopausal Women

TUESDAY, Oct. 9, 2018 (HealthDay News) -- Postmenopausal women with weight loss have a reduced risk for breast cancer, according to a study published online Oct. 8 in Cancer.

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Minority Residents Experience Burdens Linked to Race/Ethnicity

TUESDAY, Oct. 9 2018 (HealthDay News) -- Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.

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Congress Passes Bill to Fight Opioid Crisis

FRIDAY, Oct. 5, 2018 (HealthDay News) -- A bipartisan bill to fight the opioid addiction crisis in the United States has been passed by Congress. President Donald Trump said he would sign the bill into law.

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Stillbirth Reduction Strategy Unproven

FRIDAY, Oct, 5, 2018 (HealthDay News) -- A reduced fetal movement (RFM) care package does not reduce the risk for stillbirths, according to a study published online Sept. 27 in The Lancet.

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Industry-Funded Trials Often Involve Employees in Studies

FRIDAY, Oct. 5, 2018 (HealthDay News) -- Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.

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More Than 14 Million Preteens Need to Receive HPV Vaccine

FRIDAY, Oct. 5, 2018 (HealthDay News) -- More than 14 million additional 11- to 12-year-olds need to be vaccinated to reach the American Cancer Society goal of 80 percent of adolescents being up to date (UTD) with the human papillomavirus vaccination (HPVV) by their 13th birthday by 2026, according to a study published online Sept. 26 in Cancer.

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Sexual Harassment, Assault Tied to Women's Health Issues

FRIDAY, Oct. 5, 2018 (HealthDay News) -- Sexual harassment and sexual assault among midlife women are associated with poorer physical and mental health, according to a study published online Oct. 3 in JAMA Internal Medicine.

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Three-Quarters of Health Care Workers Got Flu Shot Last Year

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Price Hikes Noted in Small Subset of Generic Drugs

THURSDAY, Oct. 4, 2018 (HealthDay News) -- A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.

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Tips Provided for Budgeting in Medical Residency

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.

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Opioid Use Down With 'Enhanced Recovery After Surgery' Program

THURSDAY, Oct. 4, 2018 (HealthDay News) -- An "enhanced recovery after surgery" (ERAS) program is associated with a significant reduction in opioid consumption after gynecologic surgery with no increase in pain scores, according to a study published in the August issue of Obstetrics & Gynecology.

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Cancer Risk Varies for Hispanics, Including in Puerto Rico

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Hispanics have lower incidence and mortality than non-Hispanic whites for all cancers combined, although there is considerable variability in cancer risk within the U.S. Hispanic population, according to a report published online Oct. 4 in CA: A Cancer Journal for Clinicians.

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FDA Seizes Documents From E-Cigarette Maker JUUL

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Thousands of pages of documents were seized from the electronic cigarette (e-cigarette) maker JUUL by the U.S. Food and Drug Administration during a surprise inspection last week as part of the agency's investigation into the company's marketing practices.

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Genomic Screening Can ID Undetected BRCA1/2 Cancer Risk

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Exome sequencing-based screening may identify pathogenic and likely pathogenic (P/LP) BRCA1/2 variants that might otherwise remain undetected, according to a study published online Sept. 21 in JAMA Network Open.

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JUUL Laboratories Have Largest Market Share of E-Cigarettes

WEDNESDAY, Oct. 3, 2018 (HealthDay News) -- From 2016 to 2017, sales of electronic cigarettes (e-cigarettes) by JUUL Laboratories increased 641 percent, with their sales comprising 29 percent of total e-cigarette sales by December 2017, according to a research letter published in the Oct. 2 issue of the Journal of the American Medical Association.

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Treatment Linked to Cognitive Scores in Breast Cancer Survivors

WEDNESDAY, Oct. 3, 2018 (HealthDay News) -- For breast cancer survivors, treatment and age-related phenotypes and genotypes are associated with a longitudinal decrease in cognitive function, according to a study published online Oct. 3 in the Journal of Clinical Oncology.

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Increasing Water Intake Can Cut Cystitis Recurrence

WEDNESDAY, Oct. 3, 2018 (HealthDay News) -- For women at high risk for cystitis recurrence who drink low volumes of fluid daily, increasing water intake prevents recurrence, according to a study published online Oct. 1 in JAMA Internal Medicine.

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Uninsured Rate at 8.8 Percent in First Quarter of 2018

WEDNESDAY, Oct. 3, 2018 (HealthDay News) -- In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).

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Southern Dietary Pattern Mediates Racial Difference in HTN

TUESDAY, Oct. 2, 2018 (HealthDay News) -- For black men and women, the Southern dietary pattern is the largest mediating factor for differences in the incidence of hypertension, according to a study published in the Oct. 2 issue of the Journal of the American Medical Association.

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For Employer-Based Plans, Spending Across Services Steady

TUESDAY, Oct. 2, 2018 (HealthDay News) -- Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.

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Ondansetron in Pregnancy Not Linked to Most Birth Defects

TUESDAY, Oct. 2, 2018 (HealthDay News) -- Use of ondansetron for the treatment of nausea and vomiting in pregnancy does not appear to be associated with birth defects, according to research published in the August issue of Obstetrics & Gynecology.

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Second Opinion at NCI Center Valuable for Breast CA Patients

TUESDAY, Oct. 2, 2018 (HealthDay News) -- Almost 43 percent of patients diagnosed with breast cancer presenting to a National Cancer Institute (NCI)-designated cancer center for a second opinion have a change in diagnosis, according to a study published in the October issue of the Annals of Surgical Oncology.

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Interviews Can Help Ensure Physician Candidates Fit Culture

TUESDAY, Oct. 2, 2018 (HealthDay News) -- In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.

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Number of Health-Related Data Breaches Increasing

TUESDAY, Oct. 2, 2018 (HealthDay News) -- The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.

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Risk of Venous Thromboembolism Recurrence High

MONDAY, Oct. 1, 2018 (HealthDay News) -- The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism, according to a study published in the September issue of The American Journal of Medicine.

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More Non-Elderly Americans Uninsured in 2017 Versus 2016

MONDAY, Oct. 1, 2018 (HealthDay News) -- From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.

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