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June 2018 Briefing - OBGYN & Women's Health

Mon, Jul 2, 2018

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

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) -- Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) -- The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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Data Needed on New Type 2 Diabetes Therapies in Pregnancy

FRIDAY, June 29, 2018 (HealthDay News) -- Evidence is lacking on pregnancy outcomes with new glucose-lowering agents used for treating type 2 diabetes (T2DM), according to a study published online May 28 in Diabetes, Obesity and Metabolism.

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Prenatal Pediatric Visit Recommended for Expectant Families

THURSDAY, June 28, 2018 (HealthDay News) -- All expectant families should have a pediatric prenatal visit, according to a clinical report published online June 25 in Pediatrics.

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USPSTF Favors Osteoporosis Screening to Prevent Fracture

THURSDAY, June 28, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis to prevent fractures for women aged ≥65 years and for postmenopausal women aged <65 years at increased risk of osteoporosis. These findings form the basis of a final recommendation statement published online June 26 in the Journal of the American Medical Association.

Final Recommendation
Evidence Review
Editorial

Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) -- Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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National HIV Testing Day Is on June 27

WEDNESDAY, June 27, 2018 (HealthDay News) -- In honor of National HIV Testing Day, health care providers should encourage people to get an HIV test.

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Missed Opportunities for HIV Diagnosis Among Those at Risk

WEDNESDAY, June 27, 2018 (HealthDay News) -- Considerable numbers of men who have sex with men (MSM) and persons who inject drugs (PWID) who are unaware of their HIV infection report missed opportunities for diagnosis, according to a research letter published online June 26 in the Journal of the American Medical Association.

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Higher Rates of Cancers Observed Among Flight Attendants

WEDNESDAY, June 27, 2018 (HealthDay News) -- Flight attendants have higher rates of specific cancers compared with the general population, according to a study published online June 25 in Environmental Health.

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Abortion Complication Rates Similar Between Facility Type

WEDNESDAY, June 27, 2018 (HealthDay News) There is no significant difference in abortion-related morbidities and adverse events following induced abortions, whether the procedure is performed in an ambulatory surgical center (ASC) or an office-based setting, according to a study published online June 26 in the Journal of the American Medical Association.

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CDC, APhA Create Guide for Community-Clinical Linkages

TUESDAY, June 26, 2018 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention and the American Pharmacists Association have created a guide that describes community-clinical linkages, which are connections among the community, clinics, and other settings where primary care is provided, according to an article published in Drug Topics.

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Higher Cancer Rates Confirmed in Women With Dense Breasts

TUESDAY, June 26, 2018 (HealthDay News) -- Women with dense breasts have a higher rate of recall, higher rates of screen-detected and interval breast cancers, and more lymph node-positive disease, according to a study published online June 26 in Radiology.

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Authors Explore Overdiagnosis in Cancer Screening

TUESDAY, June 26, 2018 (HealthDay News) -- Recommendations for defining, estimating, and communicating overdiagnosis in cancer screening are discussed in a special article published online June 25 in the Annals of Internal Medicine.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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In Cancer Patients, PTSD May Increase Symptom Burden

TUESDAY, June 26, 2018 (HealthDay News) -- Post-traumatic stress disorder (PTSD) symptoms among hospitalized patients with cancer are associated with a greater psychological and physical symptom burden as well as a decreased risk of hospital readmissions, according to a study published online June 15 in Cancer.

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Percentage of Teens Trying to Lose Weight Decreasing

MONDAY, June 25, 2018 (HealthDay News) -- From 1988-1994 to 2009-2014 there was an increase in the prevalence of overweight and obesity among U.S. adolescents and a decrease in the percentage who tried to lose weight, according to a research letter published online June 25 in JAMA Pediatrics.

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Efavirenz Doesn't Up Depression, Suicidal Ideation in HIV-Infected

MONDAY, June 25, 2018 (HealthDay News) -- For persons living with HIV (PLHIV) in Uganda, use of efavirenz is not associated with increased risk of depression or suicidal ideation, according to a study published online June 26 in the Annals of Internal Medicine.

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AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) -- At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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Increased Adiposity Tied to Lower Premenopausal Breast CA Risk

MONDAY, June 25, 2018 (HealthDay News) -- Across body mass index (BMI) distribution, increased BMI is associated with reduced risk of premenopausal breast cancer, according to a study published online June 21 in JAMA Oncology.

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Some California Mosquitoes Can Carry Zika Virus

FRIDAY, June 22, 2018 (HealthDay News) -- Aedes mosquitoes in California can spread the Zika virus, according to a study published online June 21 in PLOS Neglected Tropical Diseases.

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E-Cigarettes May Help Some Quit Tobacco Smoking

FRIDAY, June 22, 2018 (HealthDay News) -- Some individuals self-report that electronic cigarettes (e-cigarettes) help them quit smoking conventional cigarettes, according to a small study published online June 20 in the Harm Reduction Journal.

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Presence of Nurse Practitioners Growing in Primary Care

FRIDAY, June 22, 2018 (HealthDay News) -- Nurse practitioners (NPs) are a growing segment of the primary care workforce, according to a study published in the June issue of Health Affairs.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) -- More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

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Few Receive All High-Priority Clinical Preventive Services

THURSDAY, June 21, 2018 (HealthDay News) -- Only 8 percent of U.S. adults aged 35 years and older receive all high-priority clinical preventive services, according to a report published in the June issue of Health Affairs.

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Greater Satisfaction With Autologous Breast Reconstruction

THURSDAY, June 21, 2018 (HealthDay News) -- Patients undergoing autologous post-mastectomy breast reconstruction have greater satisfaction than those undergoing implant reconstruction, and the odds of developing complications are significantly higher for autologous reconstruction types versus expander-implant techniques, according to two studies published online June 20 in JAMA Surgery.

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Editorial (subscription or payment may be required)

No Causal Effect of 25(OH)D on Gestational HTN, Preeclampsia

THURSDAY, June 21, 2018 (HealthDay News) -- Vitamin D status does not have a causal effect on gestational hypertension or preeclampsia, according to research published online June 20 in The BMJ.

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Parents Say Cancer Prevention Best Reason for HPV Vaccination

THURSDAY, June 21, 2018 (HealthDay News) -- Parents view cancer prevention as the best reason for guideline-consistent human papillomavirus (HPV) vaccination, according to a study published online June 14 in Cancer Epidemiology, Biomarkers & Prevention.

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Gender Difference in Survival Seen After Radical Cystectomy

WEDNESDAY, June 20, 2018 (HealthDay News) -- Compared with males, females who undergo radical cystectomy for bladder cancer have worse disease-free, cancer-specific, and overall survival, according to a review published in the July issue of The Journal of Urology.

Abstract/Full Text
Editorial (subscription or payment may be required)

Attitudes Among Obese Are Not Aligned With Healthy Living

WEDNESDAY, June 20, 2018 (HealthDay News) -- Food-related policies differently impact consumers with obesity and healthy weight, according to a report published by the Hudson Institute.

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Some Neonatal Risks for Lithium Exposure in Pregnancy

WEDNESDAY, June 20, 2018 (HealthDay News) -- In utero lithium exposure is associated with an increased risk for neonatal readmission and major malformations, according to a meta-analysis published online June 18 in The Lancet Psychiatry.

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J-Shaped Association for Alcohol, Mortality in Older Adults

TUESDAY, June 19, 2018 (HealthDay News) -- In older adults there is a J-shaped association between alcohol and mortality, according to a study published online June 19 in PLOS Medicine.

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Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) -- Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

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Many Women Report Vasomotor Symptoms in Their 60s

TUESDAY, June 19, 2018 (HealthDay News) -- A substantial proportion of women older than 60 years may experience moderate-to-severe vasomotor symptoms (msVMS), according to a study published online May 7 in Menopause.

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Pharmacists Are Well Placed to Improve Adult Vaccination Rates

MONDAY, June 18, 2018 (HealthDay News) -- Pharmacists can help increase adult vaccination rates by offering vaccination at lower cost and greater convenience, according to a study published by the Pacific Research Institute.

Press Release
Report

AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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CDC: Many High School Students Engage in Health-Risk Behaviors

MONDAY, June 18, 2018 (HealthDay News) -- Many high school students are engaged in health-risk behaviors, according to research published June 15 in the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Obesity Prevalence Higher in Non-Metropolitan Counties

MONDAY, June 18, 2018 (HealthDay News) -- The prevalence of obesity is higher among those living in non-metropolitan counties versus metropolitan counties, according to research published in the June 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Doctors Want Substantial Improvements in EHRs

FRIDAY, June 15, 2018 (HealthDay News) -- Although primary care physicians (PCPs) see value in electronic health records (EHRs), they want substantial improvements, and generally agree on what these improvements should be, according to research from Stanford Medicine, conducted with The Harris Poll.

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VTE Linked to Acute Decline in Physical Function in Women

FRIDAY, June 15, 2018 (HealthDay News) -- For women, venous thromboembolism (VTE) is associated with acute decline in physical function, according to a study published online June 8 in the Journal of Thrombosis and Haemostasis.

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Binge Drinking Tied to Poorer Bone Health in Young Females

FRIDAY, June 15, 2018 (HealthDay News) -- Binge drinking in adolescence may prevent girls from reaching their peak bone mass (PBM), according to a study published online June 13 in the Journal of Studies on Alcohol and Drugs.

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T2DM Risk in Offspring Greater With T2DM Versus GDM Exposure

THURSDAY, June 14, 2018 (HealthDay News) -- In utero exposure to type 2 diabetes is associated with increased risk of type 2 diabetes in offspring versus exposure to gestational diabetes, according to a study published online June 11 in JAMA Pediatrics.

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Fluconazole Use Doesn't Up Risk of Stillbirth, Neonatal Death

THURSDAY, June 14, 2018 (HealthDay News) -- Fluconazole use in pregnancy seems not to be associated with significantly increased risks of stillbirth or neonatal death, according to a research letter published in the June 12 issue of the Journal of the American Medical Association.

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APA: Suicide Prevention Should Be a Public Health Priority

WEDNESDAY, June 13, 2018 (HealthDay News) -- Suicide prevention needs to be a public health priority, according to the American Psychological Association (APA).

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CDC: Preterm Births Increased in United States During 2014-2016

WEDNESDAY, June 13, 2018 (HealthDay News) -- During 2014 to 2016, the rate of preterm births in the United States increased, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Exposure to Maternal HTN May Up Risk of ASD, ADHD in Child

WEDNESDAY, June 13, 2018 (HealthDay News) -- Exposure to hypertensive disorders of pregnancy (HDP) may be associated with an increase in the risk of autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) in offspring, according to a review published online June 6 in JAMA Psychiatry.

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USPSTF: No to ECG Screening to Prevent CVD in Low-Risk Adults

TUESDAY, June 12, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in low-risk asymptomatic adults. This final recommendation statement has been published in the June 12 issue of the Journal of the American Medical Association.

Evidence Review
Final Recommendation Statement
Editorial

How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) -- Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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Female Teens, Young Adults Not Getting Enough Exercise

TUESDAY, June 12, 2018 (HealthDay News) -- Female adolescents and young adults are not meeting the recommended guidelines for physical activity, according to a study published online June 11 in JAMA Pediatrics.

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Certification Status Tied to Physician Performance Measures

MONDAY, June 11, 2018 (HealthDay News) -- Maintenance of certification (MOC) among physicians is associated with performance on selected Healthcare Effectiveness Data and Information Set (HEDIS) process measures, according to a study published online June 12 in the Annals of Internal Medicine.

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Cancer Development Linked to Increased Diabetes Risk

MONDAY, June 11, 2018 (HealthDay News) -- Cancer development is associated with increased risk of subsequent type 2 diabetes mellitus, according to a study published online June 7 in JAMA Oncology.

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2011 to 2017 Saw Drop in Youth Use of Any Tobacco Products

MONDAY, June 11, 2018 (HealthDay News) -- From 2011 to 2017 there were decreases in current use of any tobacco products among high and middle school students, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Noninvasive Blood Test Can Predict Gestational Age

FRIDAY, June 8, 2018 (HealthDay News) -- Noninvasive blood tests can predict gestational age and can identify women at risk for preterm delivery using cell-free RNA, according to a study published in the June 8 issue of Science.

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1999 to 2016 Saw Increase in Suicide Rates Across Most States

THURSDAY, June 7, 2018 (HealthDay News) -- From 1999 to 2016 there was a significant increase in suicide rates across 44 states, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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NCI Cancer Centers Endorse Goal of Eliminating HPV Cancers

THURSDAY, June 7, 2018 (HealthDay News) -- National Cancer Institute (NCI)-designated cancer centers are endorsing the goal of eliminating cancers caused by the human papillomavirus (HPV) through HPV vaccination and evidence-based cancer screening, according to a statement from the American Cancer Society and other organizations.

Press Release
Statement

Online Consumer Ratings of Physicians Tend to Be Skewed

WEDNESDAY, June 6, 2018 (HealthDay News) -- Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.

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Mifepristone Pre-Tx Improves Management of Early Miscarriage

WEDNESDAY, June 6, 2018 (HealthDay News) -- Mifepristone pretreatment improves medical management of early pregnancy loss, according to a study published in the June 7 issue of the New England Journal of Medicine.

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Editorial (subscription or payment may be required)

AMA Guide Highlights Importance of Caring for Caregivers

WEDNESDAY, June 6, 2018 (HealthDay News) -- Physicians have a role to play in caring for caregivers to help prevent burnout, according to a guide for physicians published by the American Medical Association (AMA).

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AAFP Joins Call on FDA to Reduce Nicotine Content in Cigarettes

WEDNESDAY, June 6, 2018 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has joined 40 public health and medical associations in favor of a proposed update to the U.S. Food and Drug Administration's cigarette product standards to reduce the nicotine content in cigarettes.

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CDC: Prevalence of No Insurance Varies by Occupational Groups

WEDNESDAY, June 6, 2018 (HealthDay News) -- The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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USPSTF Advises PCPs to Screen Adults for Unhealthy Alcohol Use

TUESDAY, June 5, 2018 (HealthDay News) -- Screening adults, including pregnant women, and providing brief counseling in primary care settings can reduce unhealthy alcohol use, although inadequate evidence is found to weigh the balance of benefits and harms of screening adolescents. These findings form the basis of a draft recommendation statement published online June 5 by the U.S. Preventive Services Task Force (USPSTF).

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation

CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

TUESDAY, June 5, 2018 (HealthDay News) -- There is considerable variation in office-based physician visit rates by patient age and sex, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Personalized Therapy Promising in Metastatic Breast Cancer

MONDAY, June 4, 2018 (HealthDay News) -- A highly personalized therapy targeting multiple tumor antigens shows promise for metastatic breast cancer, according to a research letter published online June 4 in Nature Medicine.

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Case Shows Biotin Can Interfere With Multiple Endocrine Tests

MONDAY, June 4, 2018 (HealthDay News) -- Biotin, which is included in many hair, skin, and nail growth over-the-counter products, can affect multiple hormone levels, according to a case study published online May 10 in the Journal of the Endocrine Society.

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Many Breast Cancer Survivors Do Not Undergo Annual Surveillance

MONDAY, June 4, 2018 (HealthDay News) -- A considerable proportion of breast cancer survivors do not undergo annual surveillance breast imaging, according to a study published in the May issue of the Journal of the National Comprehensive Cancer Network.

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Few High-Risk Mothers in Boston Took Folic Acid Before Pregnancy

MONDAY, June 4, 2018 (HealthDay News) -- Among an urban, low-income minority population, few women started folic acid supplementation before pregnancy, according to a study published in the June issue of the American Journal of Public Health.

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CDC Says E. Coli Outbreak Tied to Romaine Lettuce Is Over

FRIDAY, June 1, 2018 (HealthDay News) -- This spring's outbreak of Escherichia coli illness tied to tainted Arizona romaine lettuce is likely over, U.S. health officials say, but not before claiming five lives.

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Studies ID Impact of U.S. Opioid-Related Mortality, Rx Patterns

FRIDAY, June 1, 2018 (HealthDay News) -- From 2001 to 2016 there was an increase in the number and percentage of opioid-related deaths; in addition, most patients receiving opioids receive immediate-release (IR) formulations, according to two studies published online June 1 in JAMA Network Open.

Abstract/Full Text - Gomes
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Editorial

Ob-Gyns Should ID Gynecologic Symptoms of Eating Disorders

FRIDAY, June 1, 2018 (HealthDay News) -- Obstetrician-gynecologists should be aware of the gynecologic concerns and symptoms of eating disorders, according to a committee opinion published in the June issue of Obstetrics & Gynecology.

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Postmenopausal Sex Hormone Levels Associated With Later CVD

FRIDAY, June 1, 2018 (HealthDay News) -- In postmenopausal women, higher testosterone/estradiol ratios are associated with increased risks for incident cardiovascular disease (CVD), coronary heart disease (CHD), and heart failure events, according to a study published in the June 5 issue of the Journal of the American College of Cardiology.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Abortion Not Tied to Significantly Higher Antidepressant Use

FRIDAY, June 1, 2018 (HealthDay News) -- The likelihood of using antidepressants may be increased for women who have abortions, but the increased use is not attributable to having had an abortion but to differences in risk factors for depression, according to a study published online May 30 in JAMA Psychiatry.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)