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February 2018 Briefing - OBGYN & Women's Health

Thu, Mar 1, 2018

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

Patients' Breast Radiotherapy Experiences Beat Expectations

WEDNESDAY, Feb. 28, 2018 (HealthDay News) -- Most patients report having little to no knowledge about breast radiotherapy (RT), and patients' experiences are generally better than their expectations, according to a study published online Feb. 26 in Cancer.

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Oral Intake During Labor Shows No Increase in Adverse Outcomes

WEDNESDAY, Feb. 28, 2018 (HealthDay News) -- Ad lib oral intake during labor does not increase maternal or neonatal adverse outcomes compared with allowing women nothing by mouth during labor, according to a study published in the March issue of the American Journal of Nursing.

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Subthreshold Phototherapy After Birth Cuts Later Phototherapy

WEDNESDAY, Feb. 28, 2018 (HealthDay News) -- Subthreshold phototherapy during birth hospitalization is associated with reduced readmission for phototherapy, according to a study published online Feb. 26 in JAMA Pediatrics.

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Many Untreated CIN2 Lesions Regress Spontaneously

WEDNESDAY, Feb. 28, 2018 (HealthDay News) -- Most untreated cervical intraepithelial neoplasia grade 2 (CIN2) lesions regress, especially among women younger than 30 years, according to a review published online Feb. 27 in The BMJ.

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Prevalence of Smoking While Pregnant 7.2 Percent in 2016

WEDNESDAY, Feb. 28, 2018 (HealthDay News) -- Overall, 7.2 percent of women who gave birth in 2016 smoked cigarettes during pregnancy, with prevalence varying by age, maternal race and Hispanic origin, and educational attainment, according to a February data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Increased Adiposity Measures Affect MI Risk More in Women

WEDNESDAY, Feb. 28, 2018 (HealthDay News) -- Increases in waist circumference and waist-to-hip ratio are associated with a greater excess risk of myocardial infarction (MI) in women than men, according to a study published online Feb. 28 in the Journal of the American Heart Association.

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Early Studies Often Show Exaggerated Treatment Effect

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials, according to research published online Feb. 21 in the Mayo Clinical Proceedings.

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Chromosomal Abnormalities, Miscarriage More Likely After 40

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Pregnant women older than 40 years have a higher risk of chromosomal abnormalities, miscarriage, and preterm birth compared to younger women but not congenital malformations or stillbirth, according to a study published online Feb. 5 in Obstetrics & Gynecology.

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Race, Insurance Status Affects Job Status After Breast Cancer

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Diminished employment two years after early-stage breast cancer diagnosis is associated with African-American race and uninsured or publicly insured status, according to a study published online Feb. 13 in Cancer.

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Women With Non-Obstructive CAD May Suffer From Myocardial Scars

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Among women with suspected ischemia and no obstructive coronary artery disease (INOCA), the prevalence of baseline late gadolinium enhancement (LGE) indicating presence of myocardial scars is 8 percent, according to a research letter published in the Feb. 20 issue of Circulation, a Go Red For Women issue focused on women's heart health.

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Sleeve Gastrectomy Tied to Drop in GDM, Excessive Fetal Growth

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Laparoscopic sleeve gastrectomy is associated with a lower rate of gestational diabetes mellitus and excessive fetal growth, according to a study published online Feb. 5 in Obstetrics & Gynecology.

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Female Infertility Tied to Asthma Managed With Rescue Inhalers

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Women with current asthma who use intermittent reliever treatment with short-acting beta-agonists have reduced fertility, according to a study published online Feb. 14 in the European Respiratory Journal.

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Lead, Other Toxic Metals Found in E-Cigarette Vapors

MONDAY, Feb. 26, 2018 (HealthDay News) -- Toxic metals, including lead, leak from some Electronic cigarettes (e-cigarettes) heating coils and are present in the aerosols inhaled by users, according to a study published in the February issue of Environmental Health Perspectives.

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Understanding Rx Nonadherence Can Improve Adherence

MONDAY, Feb. 26, 2018 (HealthDay News) -- Understanding nonadherence in patients and encouraging a change in attitude toward patients and their medication can improve medication adherence, according to a report published by the American Medical Association (AMA).

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Recommendations for Optimizing Hidden Curriculum in Medicine

MONDAY, Feb. 26, 2018 (HealthDay News) -- In a position paper published online Feb. 27 in the Annals of Internal Medicine, the American College of Physicians (ACP) presents recommendations for optimizing clinical learning environments by fostering a positive hidden curriculum in medicine.

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No Link Found for Metformin or Statins and Ovarian Cancer

MONDAY, Feb. 26, 2018 (HealthDay News) -- In women with type 2 diabetes, no evidence was found of an association between the use of metformin or statins and the incidence of ovarian cancer, according to a study published online Feb. 7 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Vegetarian, Med Diets Similarly Effective for Body Weight

MONDAY, Feb. 26, 2018 (HealthDay News) -- A low-calorie lacto-ovo vegetarian diet (VD) and a low-calorie Mediterranean diet (MedD) are similarly effective for reducing body weight, body mass index, and fat mass for overweight omnivores, according to a study published online Feb. 26 in Circulation.

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FDA Warns of Possible Heart Risks Linked to Clarithromycin

FRIDAY, Feb. 23, 2018 (HealthDay News) -- The antibiotic clarithromycin (brand name: Biaxin) may increase the long-term risk of heart problems and death in patients with heart disease, according to U.S. health officials.

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Artificial Intelligence May Help Prevent Physician Burnout

FRIDAY, Feb. 23, 2018 (HealthDay News) -- Artificial intelligence (AI), in which computers can be trained to recognize patterns in large quantities of data, may be able to reduce physicians' burdens, saving them time and energy, according to a report published in Medical Economics.

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Menopausal Hormone Therapy Tied to Less Pronounced Kyphosis

FRIDAY, Feb. 23, 2018 (HealthDay News) -- Menopausal hormone therapy (HT) use is associated with less pronounced kyphosis compared with never-use, according to a study published online Feb. 16 in Menopause.

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Younger Onset of T2DM Linked to Increased Mortality Risk

FRIDAY, Feb. 23, 2018 (HealthDay News) -- Younger onset of type 2 diabetes is associated with increased mortality risk, mainly due to cardiovascular disease (CVD) mortality, according to a study published online Feb. 22 in Diabetologia.

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Risk Factors for Recurrence of Acute Diverticulitis Identified

THURSDAY, Feb. 22, 2018 (HealthDay News) -- Certain patient factors increase the risk of recurrent acute diverticulitis, according to a study published in the March issue of Diseases of the Colon & Rectum.

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FDA Cracks Down on Kratom Products

THURSDAY, Feb. 22, 2018 (HealthDay News) -- A number of kratom-containing dietary supplements are being recalled and destroyed by the manufacturer, the U.S. Food and Drug Administration announced Wednesday.

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Kurtosis Diffusion-Weighted Imaging Helps ID Breast Lesions

THURSDAY, Feb. 22, 2018 (HealthDay News) -- A radiomics model based on kurtosis diffusion-weighted imaging reduces false positives in women with suspicious findings on mammography, according to a study published online Feb. 20 in Radiology.

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Regardless of CV Risks, Cancer History Impacts Mortality

THURSDAY, Feb. 22, 2018 (HealthDay News) -- Cancer history has an important impact on mortality independent of cardiovascular risk factors (CVRFs), according to a study published online Feb. 12 in the Journal of Thrombosis and Haemostasis.

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CDC: No Change in Percentage of Uninsured in U.S. From '16 to '17

THURSDAY, Feb. 22, 2018 (HealthDay News) -- The percentage of uninsured U.S. persons of all ages did not change significantly from 2016 to the first nine months of 2017, according to a report published online Feb. 22 by the National Center for Health Statistics.

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Worse Prognosis for Prediabetes Defined by HbA1c

THURSDAY, Feb. 22, 2018 (HealthDay News) -- Prediabetes defined by hemoglobin A1c (HbA1c) is associated with worse prognosis than definition by fasting plasma glucose (FPG) or two-hour plasma glucose (2hPG), according to a study published online Feb. 16 in Diabetes Care.

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Gut Microbiota May Affect Vertical Transmission of Being Overweight

THURSDAY, Feb. 22, 2018 (HealthDay News) -- The correlation between maternal pre-pregnancy overweight and childhood overweight at ages 1 and 3 years may be mediated by birth mode and infant gut microbiota, according to a study published online Feb. 19 in JAMA Pediatrics.

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21 Reviewed Antidepressants Top Placebo for Major Depression

THURSDAY, Feb. 22, 2018 (HealthDay News) -- For adults with major depressive disorder, all antidepressants are more efficacious than placebo, according to research published online Feb. 21 in The Lancet.

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Chronicity of Depression Ups Failure Along Continuum of HIV Care

THURSDAY, Feb. 22, 2018 (HealthDay News) -- Chronicity of depression is associated with increased likelihood of failure along the continuum of HIV care, according to a study published online Feb. 21 in JAMA Psychiatry.

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Prenatal Valproate Exposure May Impact School Performance

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- School performance is significantly lower for children with prenatal exposure to valproate, according to a study published online Feb. 19 in JAMA Neurology.

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Online Tool Aids Decision Making About Breast Cancer Treatment

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- The interactive iCanDecide breast cancer treatment decision tool can improve high-quality decision making about breast cancer surgical treatment, according to a study published online Jan. 24 in the Journal of Clinical Oncology.

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Perioperative Glucose but Not A1C Predicts Surgical Outcomes

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- Perioperative glucose predicts 30-day mortality linearly in noncardiac surgical patients and nonlinearly in cardiac surgical patients, according to a study published online Feb. 13 in Diabetes Care.

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12-Month Weight Loss Doesn't Differ With Low-Fat, Carb Diets

TUESDAY, Feb. 20, 2018 (HealthDay News) -- Weight change over 12 months does not differ for a healthy low-fat (HLF) diet or a healthy low-carbohydrate (HLC) diet, according to a study published in the Feb. 20 issue of the Journal of the American Medical Association.

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USPSTF Urges Multicomponent Behavioral Interventions for Obesity

TUESDAY, Feb. 20, 2018 (HealthDay News) -- The U.S Preventive Services Task Force (USPSTF) recommends that clinicians provide adults with a body mass index of 30 kg/m² or higher to intensive, multicomponent behavioral interventions. These findings form the basis of a draft recommendations statement, published online Feb. 20 by the USPSTF.

Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendation

Maternal Vaccination Not Tied to Infant Hospitalization, Death

TUESDAY, Feb. 20, 2018 (HealthDay News) -- Maternal receipt of influenza and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines is not associated with infant hospitalization or death in the first six months of life, according to a study published online Feb. 20 in Pediatrics.

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Mortality Risks of Exclusive Cigar, Cigarette, Pipe Use ID'd

TUESDAY, Feb. 20, 2018 (HealthDay News) -- Exclusive current cigarette and cigar use is associated with increased risk of all-cause mortality, according to a study published online Feb. 19 in JAMA Internal Medicine.

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Burnout Found Prevalent Among Doctors in Single Health System

TUESDAY, Feb. 20, 2018 (HealthDay News) -- Burnout is prevalent among physicians, affecting over one-third of physicians in a single health system, and is associated with health care delivery, according to a research letter published online Feb. 19 in JAMA Internal Medicine.

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Ertugliflozin Tied to Improved Glycemic Control in T2DM

TUESDAY, Feb. 20, 2018 (HealthDay News) -- For adults with inadequately controlled type 2 diabetes, ertugliflozin treatment is associated with improved glycemic control over 52 weeks, according to a study published online Feb. 8 in Diabetes, Obesity and Metabolism.

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Prognostic Signatures Compared for ER-Positive Breast Cancer

TUESDAY, Feb. 20, 2018 (HealthDay News) -- For women with node-negative early endocrine receptor (ER)-positive breast cancer, the PAM50-based Prosigna risk of recurrence (ROR), Breast Cancer Index (BCI), and EndoPredict (EPclin) provide the most prognostic information, according to a study published online Feb. 15 in JAMA Oncology.

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Ulipristal Achieves Amenorrhea for Symptomatic Leiomyomas

TUESDAY, Feb. 20, 2018 (HealthDay News) -- For women with symptomatic uterine leiomyomas, ulipristal is well tolerated and superior to placebo for the rate of and time to amenorrhea, according to a study published online Feb. 5 in Obstetrics & Gynecology.

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Influenza A(H3N2) Viruses Predominate 2017-2018 Season

FRIDAY, Feb. 16, 2018 (HealthDay News) -- Most influenza viruses identified in the 2017 to 2018 season are influenza A, with A(H3N2) viruses predominating, according to research published in the Feb. 16 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Patients Want Physicians to Have Greater Connectivity

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Most patients want greater connectivity, online tools and text messaging, as well as more time with their physicians, according to a report published in Medical Economics.

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Patients Often Mispredict Well-Being After Mastectomy

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Adult women undergoing mastectomy underestimate future well-being after mastectomy alone and overestimate well-being after reconstruction, according to a study published online Feb. 7 in JAMA Surgery.

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Rise in Use of Antihypertensives in Delivery With Preeclampsia

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Use of antihypertensive treatments during delivery hospitalizations in women with preeclampsia has increased since 2006, according to a study published online Feb. 5 in Obstetrics & Gynecology.

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Ultra-Processed Food Linked to Increased Overall Cancer Risk

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Consumption of ultra-processed food is associated with increased risk of overall and breast cancer, according to a study published online Feb. 14 in The BMJ.

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Mean Depth of Ultrasonographic Penetration Greater in Autism

WEDNESDAY, Feb. 14, 2018 (HealthDay News) -- Children with autism spectrum disorder (ASD) have a significantly greater mean depth of ultrasonographic penetration, according to a study published online Feb. 12 in JAMA Pediatrics.

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Higher Biopsy Rates for Women Undergoing Screening Breast MRI

WEDNESDAY, Feb. 14, 2018 (HealthDay News) -- Women undergoing screening breast magnetic resonance imaging (MRI) have higher biopsy rates and significantly lower cancer yield findings compared with screening mammography alone, regardless of personal history of breast cancer (PHBC), according to a study published online Feb. 12 in JAMA Internal Medicine.

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During 2013 to 2016, 8.1 Percent of U.S. Adults Had Depression

TUESDAY, Feb. 13, 2018 (HealthDay News) -- During 2013 to 2016, 8.1 percent of American adults aged 20 years and older had depression in a given two-week period, according to a February data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Perfluoroalkyl Substances Linked to Greater Weight Regain

TUESDAY, Feb. 13, 2018 (HealthDay News) -- Higher concentrations of perfluoroalkyl substances (PFASs) are associated with greater weight regain in a diet-induced weight-loss setting, according to a study published online Feb. 13 in PLOS Medicine.

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ACA Dependent Coverage Tied to Increased Prenatal Care

TUESDAY, Feb. 13, 2018 (HealthDay News) -- The Affordable Care Act dependent coverage provision is associated with increased early and adequate prenatal care and decreased preterm births, according to a study published in the Feb. 13 issue of the Journal of the American Medical Association.

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Four Best Practices Outlined to Prevent Health Care Cyberattacks

TUESDAY, Feb. 13, 2018 (HealthDay News) -- Four best practices outlined that can help prevent health care cyberattacks, which increased from 2016 to 2017, according to a report published in Managed Healthcare Executive.

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USPSTF Recommends Against Ovarian Cancer Screening

TUESDAY, Feb. 13, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening for ovarian cancer in asymptomatic women. These findings form the basis of a final recommendation statement published in the Feb. 13 issue of the Journal of the American Medical Association.

Evidence Report
Final Recommendation Statement
Editorial

Education About Imaging Most Often Given by Ordering Provider

TUESDAY, Feb. 13, 2018 (HealthDay News) -- For patients undergoing imaging examinations, 78 percent reported receiving some form of pre-examination information, while 52 percent sought information themselves, according to a study published online Feb. 13 in Radiology.

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Opioid Use Linked to Risk of Invasive Pneumococcal Disease

MONDAY, Feb. 12, 2018 (HealthDay News) -- Opioid use is associated with elevated risk of invasive pneumococcal disease (IPD), especially for long-acting, high-potency, and high-dose opioids, according to a study published online Feb. 13 in the Annals of Internal Medicine.

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EHRs Not Sufficient to Ensure Success in Value-Based Care

MONDAY, Feb. 12, 2018 (HealthDay News) -- Electronic health records (EHRs) are not sufficient to ensure success in value-based care, according to an article published in Medical Economics.

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Mortality Up in Diabetes With Low eGFR, No Albuminuria

MONDAY, Feb. 12, 2018 (HealthDay News) -- Among U.S. adults with diabetes, albumin-to-creatinine ratio (ACR) values are decreasing, but mortality rates are increasing among those with ACR <30 mg/g and low estimated glomerular filtration rates (eGFRs), according to a study published online Feb. 7 in Diabetes Care.

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Diabetes Signs May Be Present 20 Years Before Diagnosis

FRIDAY, Feb. 9, 2018 (HealthDay News) -- Risk of developing type 2 diabetes (T2D) is associated with subtle elevations of glucose and lipids more than 20 years before diagnosis, according to a study published online Feb. 5 in Diabetes, Obesity and Metabolism.

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Top Consumer Concerns Reported About Physicians

FRIDAY, Feb. 9, 2018 (HealthDay News) -- Health care consumers have four major concerns regarding their physicians, according to a report published by Managed Healthcare Executive.

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Prenatal, Early Life Fructose Intake Associated With Asthma

FRIDAY, Feb. 9, 2018 (HealthDay News) -- Maternal prenatal and early childhood intake of sugar-sweetened beverages and fructose is associated with current asthma in midchildhood, regardless of adiposity, according to a study published in the Annals of the American Thoracic Society.

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Rooming-In May Up Outcomes in Neonatal Abstinence Syndrome

FRIDAY, Feb. 9, 2018 (HealthDay News) -- For newborns with neonatal abstinence syndrome (NAS), rooming-in with the mother or other family members is associated with improved outcomes, according to a review published online Feb. 5 in JAMA Pediatrics.

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Breastfeeding Found to Be Protective Against Hypertension

THURSDAY, Feb. 8, 2018 (HealthDay News) -- Postmenopausal women who breastfed more children, or breastfed for a longer duration, have a lower risk of hypertension, according to a study published online Jan. 30 in the American Journal of Hypertension.

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FDA Says U.S. Will Now Produce Critical MRI Component

THURSDAY, Feb. 8, 2018 (HealthDay News) -- A long-feared shortage of a substance used in millions of medical imaging procedures each year in the United States appears to have been avoided, federal officials report.

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Poll: Personal Beliefs Shouldn't Allow Doctors to Refuse to Treat

THURSDAY, Feb. 8, 2018 (HealthDay News) -- Most people do not believe that professionals including health care providers should be allowed to refuse to provide services based on their conscience or beliefs, according to a recent HealthDay/The Harris Poll.

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ER Visit Rate 92 Per 1,000 for Diabetes Patients 45 and Older

THURSDAY, Feb. 8, 2018 (HealthDay News) -- In 2015, the rate of diabetes-related visits to the emergency department was 92 per 1,000 persons for those aged 45 and older, according to a February data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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FDA Says Herbal Drug Kratom Contains Opioids

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- The popular botanical drug kratom essentially is an opioid, the U.S. Food and Drug Administration declared Tuesday.

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Prenatal Natalizumab Exposure Linked to Miscarriage Risk in MS

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- For pregnant women with multiple sclerosis (MS), natalizumab exposure is associated with an increased risk of spontaneous abortion (SA), and longer periods of natalizumab washout predict relapse during pregnancy, according to two studies published online Feb. 7 in Neurology.

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Ridesharing Services Don't Reduce Missed Appointments

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- For Medicaid patients, the uptake of rideshare-based transportation is low and is not associated with a reduction in missed primary care appointments, according to a study published online Feb. 5 in JAMA Internal Medicine.

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HSV-1 Prevalence 47.8 Percent in 14- to 49-Year-Olds

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- The prevalence of herpes simplex virus type 1 (HSV-1) and HSV-2 is 47.8 and 11.9 percent, respectively, for individuals aged 14 to 49 years, according to a February data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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High Detection Rates of High-Grade DCIS Persist

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- High detection rates of high-grade ductal carcinoma in situ (DCIS) persist in consecutive subsequent screening rounds versus the prevalence round, while there are decreases in detection rates of low- and intermediate-grade DCIS, according to a study published in the February issue of Radiology.

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Expenditures Rising for Treating Obesity-Related Illness in U.S.

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- The amount of U.S. health care resources devoted to treating obesity-related illness in U.S. adults rose 29 percent from 2001 to 2015, according to a review published in the January issue of Clinical Chemistry.

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HPV Prevalence 4.9 Percent in Tonsil Tissue of Healthy Adults

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- The prevalence of human papillomavirus (HPV) and of high-risk HPV type 16 or 18 is 4.9 and 3.9 percent, respectively, in the tonsil tissue of healthy adults, according to a study published online Jan. 25 in JAMA Otolaryngology-Head & Neck Surgery.

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Anti-Vaccination Attitudes Linked to Belief in Conspiracies

TUESDAY, Feb. 6, 2018 (HealthDay News) -- Those with anti-vaccination beliefs are more likely to believe in conspiracy theories and hold strong individualistic/hierarchical worldviews, according to a study published online Feb. 1 in Health Psychology.

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USPSTF Recommends Screening for Syphilis in Pregnancy

TUESDAY, Feb. 6, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that there is considerable net benefit to screening for syphilis infection in pregnant women. These findings form the basis of a draft recommendation statement, published Feb. 6 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation

Mutations Common in Pancreatic CA, History of Other Cancers

TUESDAY, Feb. 6, 2018 (HealthDay News) -- A substantial proportion of individuals with pancreatic cancer and a history of other hereditary breast and ovarian cancer (HBOC)- or Lynch syndrome (LS)-related cancers have mutations in a prostate cancer susceptibility gene, according to a study published online Jan. 23 in Cancer.

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Prevalence of Fetal Alcohol Syndrome Disorders Estimated

TUESDAY, Feb. 6, 2018 (HealthDay News) -- The estimated prevalence of fetal alcohol syndrome varies from 1.1 to 5.0 percent among first graders in four U.S. communities, according to a study published in the Feb. 6 issue of the Journal of the American Medical Association.

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Hot Tea + Alcohol or Smoking May Up Esophageal Cancer Risk

MONDAY, Feb. 5, 2018 (HealthDay News) -- Consumption of tea at high temperatures in combination with alcohol and tobacco exposure is associated with increased risk of esophageal cancer, according to a study published online Feb. 6 in the Annals of Internal Medicine.

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Opioid Prescribing Trends in the VA Similar to Other Settings

MONDAY, Feb. 5, 2018 (HealthDay News) -- Opioid prescribing trends in the Veterans Health Administration (VHA) from 2010 to 2016 followed similar trajectories as non-VHA settings, peaking around 2012 then declining, according to a study published online Jan. 29 in the Journal of General Internal Medicine.

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2018 Immunization Schedule Issued for U.S. Adults

MONDAY, Feb. 5, 2018 (HealthDay News) -- The recommended immunization schedule for U.S. adults aged 19 years and older has been issued for 2018 and published online Feb. 6 in the Annals of Internal Medicine.

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Direct-to-Implant Reconstruction Feasible in Older Women

MONDAY, Feb. 5, 2018 (HealthDay News) -- For women aged older than 65 years, direct-to-implant breast reconstruction is associated with a reduced number of drain days and fewer readmissions, hospital stays, and postoperative visits, with no impact on complication and failure rates compared with tissue expander/implant reconstruction, according to a study published in the February issue of Plastic and Reconstructive Surgery.

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Hypertension Common One Year After Severe Preeclampsia

MONDAY, Feb. 5, 2018 (HealthDay News) -- More than 40 percent of women with severe preeclampsia have hypertension one year after delivery, according to a study published online Feb. 5 in Hypertension.

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Humanities Exposure Positively Impacts Medical Students

MONDAY, Feb. 5, 2018 (HealthDay News) -- Exposure to the humanities correlates with less burnout and higher levels of positive personal qualities among medical students, according to a study published online Jan. 29 in the Journal of General Internal Medicine.

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Zika Virus Infection Linked to Uteroplacental Pathology

MONDAY, Feb. 5, 2018 (HealthDay News) -- Zika virus (ZIKV) infection seems to be associated with uteroplacental pathology and may affect oxygen transport within the placenta in pregnant rhesus macaques, according to a study published online Jan. 17 in Nature Communications.

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Low-Carb Diets May Raise the Risk of Neural Tube Defects

MONDAY, Feb. 5, 2018 (HealthDay News) -- Low-carbohydrate diets may increase the risk of neural tube defects in offspring, according to a study published online Jan. 25 in Birth Defects Research.

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2010 to 2013 Saw Increase in Laparoscopic Hysterectomies

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Laparoscopy became the most common surgical approach for hysterectomy between 2010 and 2013, with associated changes in payments statistics for hysterectomy, according to a study published recently in the American Journal of Obstetrics and Gynecology.

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Factors Identified That Impact Physicians IT Adoption

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Physicians have considerable concerns about the efficacy and evidence base of health information technology (IT), according to a report published by the American Medical Association (AMA).

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Parental Type 1 Diabetes May Increase Offspring Risk for ADHD

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Children whose parents have type 1 diabetes (T1D) have a higher risk of being diagnosed with attention-deficit/hyperactivity disorder (ADHD), according to a study published online Jan. 26 in Diabetes Care.

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Review Outlines Nutritional Differences in Plant-Based Milks

FRIDAY, Feb. 2, 2018 (HealthDay News) -- The nutritional differences and health benefits among various plant-based alternative milks are discussed in a review published in the January issue of the Journal of Food Science and Technology.

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Ibuprofen May Harm Fetal Ovaries During First Trimester

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Exposure to ibuprofen is harmful to developing human fetal ovaries ex vivo in the first trimester, according to a study published online Feb. 2 in Human Reproduction.

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Chronic Disease Major Risk Factor for Cancer, Cancer Mortality

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Chronic disease is associated with a substantial proportion of the risk of incident cancer and cancer mortality, according to a study published online Jan. 31 in The BMJ.

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Estimated Biopsy Rate Varies After Breast Cancer Treatment

FRIDAY, Feb. 2, 2018 (HealthDay News) -- The estimated biopsy rate after breast cancer treatment varies, according to a study published online Jan. 31 in JAMA Surgery.

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Using Hands Is Best Method for Splitting Aspirin Tablets

THURSDAY, Feb. 1, 2018 (HealthDay News) -- Using your hands may be best for splitting an aspirin tablet, according to a study published online Jan. 24 in the Journal of Pharmacy Practice and Research.

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Overvaluation, Binge Eating Linked to Functional Impairment

THURSDAY, Feb. 1, 2017 (HealthDay News) -- Overvaluation and binge eating are strong and unique predictors of distress and impairment among women with binge-eating disorder (BED), according to a study published recently in the International Journal of Eating Disorders.

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Medicaid Expansion Cuts Out-of-Pocket Spending

THURSDAY, Feb. 1, 2018 (HealthDay News) -- States that expanded Medicaid cut the probability of non-elderly near-poor adults being uninsured and lowered average out-of-pocket spending, according to a study published online Jan. 24 in Health Affairs.

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NSAID Users Commonly Exceed Daily Limit

THURSDAY, Feb. 1, 2018 (HealthDay News) -- The number of users who exceed the daily limit of nonsteroidal anti-inflammatory drugs (NSAIDs) is "nontrivial," according to a study published online Jan. 26 in Pharmacoepidemiology and Drug Safety.

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AHA: Breast Cancer Patients at Increased Risk for CV Disease

THURSDAY, Feb. 1, 2018 (HealthDay News) -- Due to shared risk factors and impact on heart health from cancer treatment, comprehensive care is necessary for breast cancer patients to optimize both cancer treatment and cardiovascular health, according to a scientific statement from the American Heart Association published online Feb. 1 in Circulation.

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Zika-Related Flaviviruses May Cause Congenital Infection

THURSDAY, Feb. 1, 2018 (HealthDay News) -- Emerging neurotropic flaviviruses related to Zika virus (ZIKV) may share ZIKV's capacity for transplacental transmission, according to a study published online Jan. 31 in Science Translational Medicine.

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Postnatal Depression Tied to Child Behavioral Problems

THURSDAY, Feb. 1, 2018 (HealthDay News) -- Persistent and severe maternal postnatal depression (PND) is associated with increased likelihood of multiple adverse child outcomes, including behavioral disturbance, according to a study published online Jan. 31 in JAMA Psychiatry.

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