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May 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 May 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.

Variables ID'd to Predict Height Loss in Postmenopausal Women

THURSDAY, May 31, 2018 -- A set of commonly available variables may be useful in predicting the five-year risk of height loss ≥1 inch in postmenopausal women, according to a study published online May 7 in Menopause.

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Prenatal Care in First Trimester for Majority of 2016 U.S. Births

THURSDAY, May 31, 2018 -- Overall, 77.1 percent of women who gave birth in 2016 initiated prenatal care in the first trimester of pregnancy, according to a report published in the U.S. Centers for Disease Control and Prevention's May 30 National Vital Statistics Report.

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CVD Risk Up Even in Metabolically Healthy Obese Women

THURSDAY, May 31, 2018 -- Obesity is associated with increased risk of cardiovascular disease risk even among metabolically healthy women, according to a study published online May 30 in The Lancet Diabetes & Endocrinology.

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ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care

THURSDAY, May 31, 2018 -- The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP).

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Older Adults Often Reluctant to Set Up Secure Patient Portal

WEDNESDAY, May 30, 2018 -- About half of older adults report having set up a patient portal, according to survey results from the National Poll on Healthy Aging.

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Birth Control Pills Recalled Over Potential Pregnancy Risk

WEDNESDAY, May 30, 2018 -- Almost 170,000 birth control pill packs are being recalled over a manufacturing error that could lead to unplanned pregnancy, maker Allergan says.

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Recommendations Developed for Improving Women's Health Care

WEDNESDAY, May 30, 2018 -- Women face unique health challenges across their lifetimes, and policies should be implemented to improve their health outcomes, according to a position paper published online May 29 in the Annals of Internal Medicine.

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Teens' Self-Esteem, Peer Status Tied to Later Eating Disorders

TUESDAY, May 29, 2018 -- Self-perception of attractiveness and peer status in early adolescence are significant predictors of eating disorders in young adults, according to a study published online April 27 in the International Journal of Eating Disorders.

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One in Six Women Regret Freezing Their Eggs

TUESDAY, May 29, 2018 -- Certain identifiable factors are associated with decision regret following elective oocyte cryopreservation (EOC), according to a study published online May 25 in Fertility and Sterility.

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CDC IDs Outbreak Trends Tied to Treated Recreational Water

FRIDAY, May 25, 2018 -- Outbreaks associated with treated recreational water with confirmed infectious etiology are usually caused by Cryptosporidium, Legionella, or Pseudomonas, according to research published in the May 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA Approves Palynziq for Phenylketonuria

FRIDAY, May 25, 2018 -- Palynziq (pegvaliase-pqpz) has been approved by the U.S. Food and Drug Administration to treat phenylketonuria, or PKU.

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Increase in Tx Candidates With 2017 Hypertension Guidelines

FRIDAY, May 25, 2018 -- The 2017 American College of Cardiology/American Heart Association hypertension guideline is associated with an increase in the proportion of adults recommended for antihypertensive treatment compared with the 2014 guideline, according to a study published online May 23 in JAMA Cardiology.

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CPAP Use May Improve Sexual QOL in Those With Sleep Apnea

FRIDAY, May 25, 2018 -- Successful continuous positive airway pressure (CPAP) use for obstructive sleep apnea may be associated with improved sexual quality of life (QOL), according to a study published online May 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Higher Seafood Intake May Shorten Time to Pregnancy

FRIDAY, May 25, 2018 -- Higher seafood intake is tied to a shorter time to pregnancy (TTP), according to a study published online May 23 in the Journal of Clinical Endocrinology & Metabolism.

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Congress Approves Bill Expanding Private Care for VA Patients

THURSDAY, May 24, 2018 -- Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.

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Global Variation in Personal Health Care Access and Quality

THURSDAY, May 24, 2018 -- There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet.

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Major Depression in Males May Lower Chances of Conception

THURSDAY, May 24, 2018 -- Active major depression (MD) in the male partner may lower the likelihood of pregnancy, according to a study published in the May issue of Fertility & Sterility.

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Lung Cancer Incidence Higher for Young Women Than Young Men

WEDNESDAY, May 23, 2018 -- Lung cancer incidence is higher among young women than young men, according to a study published in the May 24 issue of the New England Journal of Medicine.

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12 County-Level Factors Affect Individual Well-Being in U.S.

WEDNESDAY, May 23, 2018 -- Twelve county-level factors, including social and economic, clinical care, and physical environment, explain the majority of variation in resident well-being in the United States, according to a study published online May 23 in PLOS ONE.

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Recommendations Developed for Managing Postpartum Pain

WEDNESDAY, May 23, 2018 -- Recommendations for managing postpartum pain have been developed and published in a Committee Opinion online May 17 in Obstetrics & Gynecology.

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Inverse Link for Plasma 25(OH)D Concentration, Risk of T2DM

WEDNESDAY, May 23, 2018 -- There is an inverse association for plasma 25-hydroxyvitamin D (25[OH]D) concentration with diabetes risk, according to a study published online April 19 in PLOS ONE.

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Morbidity in Pregnancy Common for Women With Heart Disease

WEDNESDAY, May 23, 2018 -- For women with heart disease, cardiac complications occur in 16 percent of pregnancies and are mainly linked to arrhythmias and heart failure, according to a study published in the May 29 issue of the Journal of the American College of Cardiology.

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TNFi Exposure In Utero Does Not Up Serious Infection Risk

TUESDAY, May 22, 2018 -- Offspring born to mothers with rheumatoid arthritis (RA) who are exposed to tumor necrosis factor α inhibitors (TNFi) in the gestational period do not have a significantly increased risk of serious infections, according to a study published online May 17 in Arthritis & Rheumatology.

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CDC: No Change in Level of Uninsured in U.S. in 2017

TUESDAY, May 22, 2018 -- Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention's National Centers for Health Statistics.

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Exercise Modifies Predisposition to Obesity After Menopause

TUESDAY, May 22, 2018 -- Physical activity modifies the association between the body mass index (BMI) genetic risk score (GRS) and BMI, according to a study published online May 16 in Menopause.

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Addressing Parents' HPV Vaccine Hesitancy Ups Vaccination Rates

TUESDAY, May 22, 2018 -- Providers engaging parents hesitant about human papillomavirus (HPV) vaccination and addressing their concerns can lead to same-day vaccinations, according to a study published online May 15 in Pediatrics.

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Surgical Site Infection Rate Can Be Reduced in Hysterectomy

MONDAY, May 21, 2018 -- Implementation of a perioperative surgical site infection prevention bundle may reduce the rate of surgical site infection among patients undergoing hysterectomy, according to a study published online May 7 in Obstetrics & Gynecology.

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Rivaroxaban Linked to Low VTE Recurrence in Active Cancer

MONDAY, May 21, 2018 -- For patients with active cancer and venous thromboembolism (VTE), rivaroxaban is associated with lower VTE recurrence compared with dalteparin, but with elevated clinically relevant non-major bleeding (CRNMB), according to a study published online May 10 in the Journal of Clinical Oncology.

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Starting Exercise Even in Older Age Cuts Heart Failure Risk

MONDAY, May 21, 2018 -- Increasing patients' physical activity is an effective strategy to lower future risk of heart failure, according to a study published in the May issue of Circulation.

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Pharmacists Should Counsel Patients Fasting for Ramadan

FRIDAY, May 18, 2018 -- Pharmacists should counsel Muslim patients who fast during Ramadan with respect to their medications and adjusting their medication regimen, according to an article published in Drug Topics.

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Various Clinical Disturbances Precede MS Diagnosis

FRIDAY, May 18, 2018 -- Various clinical symptoms precede the diagnosis of multiple sclerosis (MS) by several years, according to a study published online May 8 in the Annals of Neurology.

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Language Used in Medical Record Can Affect Patient Care

FRIDAY, May 18, 2018 -- Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine.

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Higher Adiposity Increases Odds of Smoking

FRIDAY, May 18, 2018 -- Obesity is linked to an increased risk of smoking and an increase in the number of cigarettes smoked daily, according to a study published online May 16 in The BMJ.

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Most Teens, Young Women Satisfied With IUD Insertion

FRIDAY, May 18, 2018 -- Most adolescent and young adult women report high satisfaction with intrauterine device (IUD) insertion, according to a study published online May 7 in Obstetrics & Gynecology.

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Chemicals in Hair Products for Black Women Raise Concerns

FRIDAY, May 18, 2018 -- Multiple chemicals associated with endocrine disruption and asthma are contained in hair products used by black women and children, according to a study published online April 25 in Environmental Research.

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Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure

THURSDAY, May 17, 2018 -- Acute kidney injury (AKI) is independently associated with a higher risk of cardiovascular events, especially heart failure, after hospital discharge, according to a study published online May 17 in the Clinical Journal of the American Society of Nephrology.

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Good Evidence That HPV Vaccines Protect Against Cervical Precancer

THURSDAY, May 17, 2018 -- Human papillomavirus (HPV) vaccines protect against cervical precancer in adolescent girls and young women, according to a review published online May 9 in the Cochrane Library.

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Healthful Diet Linked to Reduced Risk of Hearing Loss in Women

THURSDAY, May 17, 2018 -- For women, adherence to healthful dietary patterns is associated with reduced risk of hearing loss, according to a study published online May 11 in the Journal of Nutrition.

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CDC: Number of U.S. Births Dropped to 30-Year Low in 2017

THURSDAY, May 17, 2018 -- The number of U.S. births decreased in 2017, reaching a 30-year low, according to a report published online May 17 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Seafood Recommended 1 to 2 Times/Week for Cardiac Benefit

THURSDAY, May 17, 2018 -- One to two servings of seafood per week is recommended for cardiovascular benefits, according to an American Heart Association science advisory published online May 17 in Circulation.

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Nonprofit Manufacturer Could Keep Generic Drug Costs Down

WEDNESDAY, May 16, 2018 -- A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine.

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Fetal Growth, Maternal Anger Impact Infant Regulation

WEDNESDAY, May 16, 2018 -- Poor prenatal growth and higher postnatal anger have indirect effects on infant reactivity and regulation (RR), according to a study published in the March/April issue of Child Development.

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Hepatitis C-Exposed Infants Not Adequately Screened

WEDNESDAY, May 16, 2018 -- Many infants who are exposed to hepatitis C virus (HCV) during pregnancy are not screened for HCV infection, according to a study published online May 2 in Pediatrics.

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Best Practices Developed for Use of EHR to Enhance Patient Care

WEDNESDAY, May 16, 2018 -- Best practices have been developed for using electronic health records (EHRs) to enhance patient-centered care, according to an article published online in Medical Economics.

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Prescription Med Use in Children Down Overall From 1999 to 2014

TUESDAY, May 15, 2018 -- From 1999 to 2014 there was a decrease in prescription medication use overall among children and adolescents, according to a study published in the May 15 issue of the Journal of the American Medical Association.

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Acupuncture Doesn't Up Live Birth Rate for Women Having IVF

TUESDAY, May 15, 2018 -- For women undergoing in vitro fertilization (IVF), acupuncture at the time of ovarian stimulation and embryo transfer is not associated with a significant difference in live birth rate compared with sham acupuncture, according to a study published in the May 15 issue of the Journal of the American Medical Association.

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Shower Cream, Body Lotion Combo Improves Atopic Dry Skin

TUESDAY, May 15, 2018 -- A shower cream and a body lotion with physiological lipids are effective in improving skin hydration in patients with dry skin, according to a study published online May 10 in the Journal of Cosmetic Dermatology.

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Assisted Reproduction May Up Risk of Placental Anomalies

TUESDAY, May 15, 2018 -- Among singleton pregnancies, assisted reproductive technology (ART) is associated with an increased risk of placental anomalies, according to a review published online May 8 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Increase in Proportion of Births at Gestational Age 39 to 40 Weeks

MONDAY, May 14, 2018 -- From 2007 to 2015 there was an increase in the proportion of births at gestational age 39 to 40 weeks, and perinatal mortality at this gestational age decreased, according to a study published online May 14 in JAMA Pediatrics.

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Anxiety Levels Tied to Bone Mineral Density Post-Menopause

MONDAY, May 14, 2018 -- Anxiety levels are associated with bone mineral density (BMD) and fracture risk in the lumbar spine and femoral neck among postmenopausal women, according to a study published online May 7 in Menopause.

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Rates of Major Depression Up Among U.S. Insured, Esp. Youth

MONDAY, May 14, 2018 -- Diagnoses of major depression have increased since 2013, particularly among adolescents and millennials, according to a report published May 10 by Blue Cross Blue Shield (BCBS).

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Reported Cannabis Use Up in Parents With Children in Home

MONDAY, May 14, 2018 -- From 2002 to 2015 there was an increase in reported cannabis use among parents with children in the home, according to a study published online May 14 in Pediatrics.

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Maternal Exposure to Polluted Air Tied to Elevated Child BP

MONDAY, May 14, 2018 -- Exposure to ambient air pollution in the third trimester of pregnancy is associated with increased risk of elevated blood pressure (BP) among offspring, according to a study published online May 14 in Hypertension.

Rate of Deaths From Falls in Seniors Up From 2007 to 2016

MONDAY, May 14, 2018 -- From 2007 to 2016, the rate of deaths from falls among older adults increased by an average of 3.0 percent per year, according to research published in the May 11 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Midstream Urine Microbiome Diverse in Seniors With CKD

FRIDAY, May 11, 2018 -- Older adults with non-dialysis-dependent chronic kidney disease (CKD) have a diverse midstream voided urine microbiome, according to a study published online April 12 in International Urology and Nephrology.

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Emotion Regulation Program Cuts Risky Sex Behaviors in Youth

FRIDAY, May 11, 2018 -- An emotion regulation intervention reduced sexual risk behaviors among at-risk middle school students, according to a study published online May 10 in Pediatrics.

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Fx Risk Should Be Monitored in Bisphosphonate Drug Holiday

FRIDAY, May 11, 2018 -- For patients with osteopenia or osteoporosis, taking a bisphosphonate (BP) drug holiday is associated with increased risk of fracture for patients with lower femoral neck bone mineral density (BMD) or T scores, according to a recent study published in Endocrine Practice.

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Many Dispensaries in CO Proffer Marijuana for Morning Sickness

FRIDAY, May 11, 2018 -- More than two-thirds of Colorado cannabis dispensaries recommend cannabis products to treat nausea during the first trimester of pregnancy, according to a study published online May 7 in Obstetrics & Gynecology.

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Ob-Gyns Should Play Role in Reducing CVD Risk for Women

THURSDAY, May 10, 2018 -- Obstetrician-gynecologists (ob-gyns) can help promote risk identification and reduction of cardiovascular disease among women at well-women visits, according to an American Heart Association/American College of Obstetrics and Gynecology presidential advisory published online May 10 in Circulation.

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Low-Dose Vaginal Estradiol Improves Menopause-Linked QOL

THURSDAY, May 10, 2018 -- For menopausal women with moderate-severe vulvovaginal symptoms, treatment with low-dose vaginal estradiol is associated with improved menopause-related quality of life, according to a study published online May 7 in Menopause.

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Gestational Diabetes May Indicate Future Subclinical Renal Issues

THURSDAY, May 10, 2018 -- Gestational diabetes mellitus (GDM) may be an early indicator of subsequent subclinical renal dysfunction, according to a study published online May 4 in Diabetes Care.

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Low Procedure Volume for Many Surgeons Doing Hysterectomies

WEDNESDAY, May 9, 2018 -- A substantial number of surgeons performing hysterectomies have low procedural volumes, according to a study published online May 9 in Obstetrics & Gynecology.

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Birth Factors Mostly Explain England's Child Mortality Rate

WEDNESDAY, May 9, 2018 -- Birth characteristics largely explain the higher child mortality in England versus Sweden, according to a study published online May 3 in The Lancet.

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Lesbian, Bi Women More Likely to Develop T2DM at Younger Age

WEDNESDAY, May 9, 2018 -- Lesbian and bisexual (LB) women are more likely to develop type 2 diabetes at a younger age than heterosexual women, with the difference mediated by body mass index (BMI), according to a study published online May 2 in Diabetes Care.

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Regulatory Requirements Drive Dissatisfaction With EHRs

TUESDAY, May 8, 2018 -- Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine.

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Long-Term Cardiovascular Risk for Endometrial Cancer Survivors

TUESDAY, May 8, 2018 -- Endometrial cancer survivors have an elevated risk of various adverse long-term cardiovascular outcomes, according to a study published online May 8 in the Journal of the National Cancer Institute.

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Cancer Incidences and Burden Expected to Shift in HIV-Positive

MONDAY, May 7, 2018 -- The cancer burden among persons living with HIV (PLWH) is projected to shift by 2030, according to a study published online May 8 in the Annals of Internal Medicine.

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Adverse Outcomes Up for Vaginal Birth After Previous C-Section

MONDAY, May 7, 2018 -- The rates of severe maternal and neonatal morbidity and mortality are elevated with attempted vaginal delivery after single prior cesarean delivery, according to a study published in the May 7 issue of CMAJ, the journal of the Canadian Medical Association.

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Parenting Fears Harm Well-Being of Women With Metastatic Cancer

MONDAY, May 7, 2018 -- Among women with metastatic cancer and dependent children, parenting concerns negatively impact health-related quality of life (HRQOL), according to a study published online May 7 in Cancer.

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Provider Counseling for Weight Loss Up for Arthritis, Overweight

MONDAY, May 7, 2018 -- In 2014, health care provider counseling for weight loss for adults with arthritis and overweight or obesity was 45.5 percent, up 10.4 percent from 2002, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Poor Prognosis for Interval Breast Cancer After Negative Mammo

MONDAY, May 7, 2018 -- The likelihood of having breast cancer with a poor prognosis is increased for cancer diagnosed after a screening mammography with negative results, according to a research letter published online May 3 in JAMA Oncology.

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Pharmacists Can Play Role in Identifying Frailty

FRIDAY, May 4, 2018 -- As the number of older people in the United States continues to increase, pharmacists and health care professionals need to recognize and address the health care challenges associated with age, including frailty, according to an article published in Drug Topics.

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Many Organizations Not Meeting Trial Reporting Requirements

FRIDAY, May 4, 2018 -- Many organizations are not meeting the trial registration and results reporting requirements clarified by "The Final Rule," which had a compliance date of April 18, 2017, according to a study published online May 1 in BMC Medicine.

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CTC Status Predicts RT Benefit in Early-Stage Breast Cancer

THURSDAY, May 3, 2018 -- Circulating tumor cell status is predictive of radiotherapy (RT) benefit in early-stage breast cancer, according to a study published online May 3 in JAMA Oncology.

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Midlife Transition Tied to Decreasing Stress in Women

THURSDAY, May 3, 2018 -- Self-reported stress decreases for most women as they transition through midlife, according to a recent study published in Women's Midlife Health.

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Mortality Risk Persists for Cancer Tied to Prenatal DES Exposure

THURSDAY, May 3, 2018 -- Diethylstilbestrol (DES)-related clear-cell adenocarcinoma of the vagina and cervix is associated with increased risk of death, even in older women, according to a letter to the editor published in the May 3 issue of the New England Journal of Medicine.

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Reproductive Markers Associated With Risk of Diabetes

THURSDAY, May 3, 2018 -- Markers of reproductive history, including age of menarche and parity, may be tied to future diabetes risk in women with a body mass index (BMI) ≥25 kg/m², according to a study published in Diabetes, Obesity and Metabolism.

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Gender Disparity Observed in Cancer Genetic Testing in the U.S.

THURSDAY, May 3, 2018 -- Specific demographic groups have lower cancer genetic testing, including unaffected men compared with unaffected women, according to a research letter published online April 26 in JAMA Oncology.

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Older Adults Agree Sex Is Important Part of Relationships

THURSDAY, May 3, 2018 -- Most older adults agree that sex is an important part of a romantic relationship at any age, according to the National Poll on Healthy Aging.

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Health Care for Undocumented Immigrants Is Complex

WEDNESDAY, May 2, 2018 -- In a perspective piece published in the May 2 issue of the New England Journal of Medicine, health care for undocumented immigrants is addressed in the context of an anti-immigration federal policy environment.

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Vectorborne Diseases Up More Than Two-Fold From 2004 to 2016

WEDNESDAY, May 2, 2018 -- Vectorborne diseases represent an increasing problem in the United States, with a more than two-fold increase in the number of annual reports from 2004 to 2016, according to research published in the May 1 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Epilepsy Does Not Appear to Affect Likelihood of Pregnancy

WEDNESDAY, May 2, 2018 -- Women with epilepsy and no history of infertility have a similar likelihood of achieving pregnancy as peers without epilepsy, according to a study published online April 30 in JAMA Neurology.

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Knowledge of Causes of Cancer Low in General Population

TUESDAY, May 1, 2018 -- Among the general population, awareness of actual and mythical causes of cancer is poor, according to a study published online April 25 in the European Journal of Cancer.

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Glyburide Not Noninferior to Insulin for Gestational Diabetes

TUESDAY, May 1, 2018 -- For women with gestational diabetes, glyburide is not noninferior to insulin, according to a study published in the May 1 issue of the Journal of the American Medical Association.

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Practices Should Be Aware of Correct Way to Fire Employees

TUESDAY, May 1, 2018 -- Physicians should be aware of the correct protocol for, as well as the laws involved in, firing employees, according to a report published in Medical Economics.

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Certain Foods May Impact Timing of Menopause

TUESDAY, May 1, 2018 -- Intake of some food groups and nutrients may affect the timing of menopause, according to a study published online April 30 in the Journal of Epidemiology & Community Health.

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Maternal, Child Sugar Intake Could Impact Child Cognition

TUESDAY, May 1, 2018 -- Greater sugar consumption during pregnancy and early childhood may adversely impact child cognition, according to a study published online April 16 in the American Journal of Preventive Medicine.

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Posted: June 2018


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