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April 2014 Briefing - OBGYN & Women's Health

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for April 2014. 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.

J&J Halts Sales of Device Used in Uterine Fibroid Surgery

WEDNESDAY, April 30, 2014 (HealthDay News) -- Morcellator sales have been halted due to concerns that use of the device in fibroid removal may worsen undetected uterine sarcoma, Johnson & Johnson said Tuesday.

Health Highlights: April 30, 2014

Established Modifiable Factors Account for Half of Strokes

WEDNESDAY, April 30, 2014 (HealthDay News) -- Established causal and modifiable factors, including hypertension and smoking, account for about half of all strokes, according to a study published online April 29 in PLOS Medicine.

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Waist Circumference Linked to Breast Cancer Risk

WEDNESDAY, April 30, 2014 (HealthDay News) -- Larger waist circumference correlates with increased risk of postmenopausal breast cancer, but not beyond its contribution to body mass index (BMI), according to a study published online April 9 in Cancer Causes & Control.

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Limited Associations for Antiretroviral Tx, Birth Defects

WEDNESDAY, April 30, 2014 (HealthDay News) -- There is a specific association between in utero exposure to zidovudine and heart defects; however, most ART drugs are not linked to birth defects, according to a study published online April 29 in PLOS Medicine.

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Higher Dietary Fiber Intake Tied to Lower Mortality in MI Survivors

WEDNESDAY, April 30, 2014 (HealthDay News) -- Greater dietary fiber intake, particularly cereal fiber, is associated with lower all-cause mortality among patients who have survived a myocardial infarction (MI), according to a study published online April 29 in BMJ.

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FDA Proposes to Reclassify Mesh for Transvaginal Surgery

TUESDAY, April 29, 2014 (HealthDay News) -- Surgical mesh used for transvaginal repair of pelvic organ prolapse (POP) may get stricter oversight in the future due to safety concerns, the U.S. Food and Drug Administration announced Tuesday.

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Drinking More Coffee May Cut Risk of Type 2 Diabetes

TUESDAY, April 29, 2014 (HealthDay News) -- Increasing coffee consumption may lower the risk of developing type 2 diabetes, according to research published online April 24 in Diabetologia.

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ACOG Issues Guidelines for Routine HIV Testing for Women

TUESDAY, April 29, 2014 (HealthDay News) -- Females aged 13 to 64 years should undergo HIV testing at least once in their lifetime, with annual testing thereafter recommended based on risk factors, according to a Committee Opinion published in the May issue of Obstetrics & Gynecology.

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Winter's Polar Vortex Ushers in Spring's 'Pollen Vortex'

TUESDAY, April 29, 2014 (HealthDay News) -- Allergy experts say that the long, cold winter kept trees dormant for longer than usual, which means tree pollen season will overlap with grass pollen and mold seasons this year.

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Adjuvant Chemotherapy for Breast Cancer Linked to Job Loss

TUESDAY, April 29, 2014 (HealthDay News) -- Breast cancer survivors who received adjuvant chemotherapy during initial treatment appear to be at increased risk of undesired unemployment during the next four years, according to research published online April 28 in Cancer.

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Aspirin Use Cuts CRC Risk With High 15-PGDH Expression

TUESDAY, April 29, 2014 (HealthDay News) -- Regular aspirin use is associated with a reduced risk of colorectal cancer in association with high hydroxyprostaglandin dehydrogenase 15-(nicotinamide adenine dinucleotide) (15-PGDH) expression, according to a study published in the April 23 issue of Science Translational Medicine.

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Review: Induction of Labor Tied to Lower Risk of C-Section

MONDAY, April 28, 2014 (HealthDay News) -- Induction of labor is associated with a lower risk of cesarean delivery and with benefits for the fetus and no increase in maternal death, according to a review published online April 28 in CMAJ, the journal of the Canadian Medical Association.

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USPSTF Recommends Behavioral Counseling to Prevent STIs

MONDAY, April 28, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends intensive behavioral counseling for all sexually active adolescents and adults at increased risk of sexually transmitted infections (STIs). In a second recommendation, the Task Force also advises chlamydia and gonorrhea screening for women at risk of infection.

Summary of Recommendations and Evidence
Summary of Recommendations and Evidence

Initial Reproductive Health Visit Suggested at Age 13 to 15 Years

MONDAY, April 28, 2014 (HealthDay News) -- An initial visit for screening and provision of reproductive preventive health care services is recommended between the ages of 13 to 15 years, according to a Committee Opinion published in the May issue of Obstetrics & Gynecology.

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AHA Releases Statement on Fetal Cardiac Disease

MONDAY, April 28, 2014 (HealthDay News) -- A writing group appointed by the American Heart Association has released a scientific statement regarding fetal cardiac care; the statement has been published online April 24 in Circulation.

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Consistent Follow-Up Care for Cancer Survivors Found Lacking

MONDAY, April 28, 2014 (HealthDay News) -- More effort is needed to improve the follow-up care of cancer survivors, according to research published online April 21 in the Journal of Clinical Oncology.

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FDA Approves HPV Test for Cervical Cancer Screening

FRIDAY, April 25, 2014 (HealthDay News) -- -- The U.S. Food and Drug Administration has approved the first human papillomavirus (HPV) DNA test for women aged 25 years and older that can be used to assess the need for a woman to undergo additional diagnostic testing for cervical cancer. In addition, the test can provide information about a patient's future risk for developing cervical cancer.

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Physician Groups Find Fault With Medicare Payment Data Release

THURSDAY, April 24, 2014 (HealthDay News) -- Physician groups cite major problems associated with the release of Medicare payment data, according to an article published April 16 in Medical Economics.

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No Link Between Labor Induction, Augmentation and Autism

THURSDAY, April 24, 2014 (HealthDay News) -- Current evidence suggests no correlation between labor induction and augmentation and the risk of autism spectrum disorder (ASD), according to a Committee Opinion from the American College of Obstetricians and Gynecologists (ACOG) published in the May issue of Obstetrics & Gynecology.

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Educational Changes Suggested for Patient-Centered Medicine

THURSDAY, April 24, 2014 (HealthDay News) -- Changes in medical education and training are suggested to help new physicians address the needs of patients and their families, according to an ideas and opinions piece published in the April 22 issue of the Annals of Internal Medicine.

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Short-Term Anxiety Up With False-Positive Mammogram

WEDNESDAY, April 23, 2014 (HealthDay News) -- False-positive mammogram results are tied to increased short-term, but not long-term, anxiety, according to a study published online April 21 in JAMA Internal Medicine.

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Review: Sugar-Sweetened Drink Intake Tied to Elevated BP

WEDNESDAY, April 23, 2014 (HealthDay News) -- Sugar-sweetened beverage (SSB) intake is associated with elevated blood pressure (BP), according to a review published in the May 1 issue of The American Journal of Cardiology.

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Methylation-Specific Assay Can Detect Advanced Breast Cancer

WEDNESDAY, April 23, 2014 (HealthDay News) -- A methylation-specific 10-gene panel can detect advanced breast cancer and reflects chemotherapy response, according to a study published in the April 15 issue of Cancer Research.

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Vitamin D Levels Linked to Activity Level in Severely Obese

WEDNESDAY, April 23, 2014 (HealthDay News) -- Among the severely obese, vitamin D status is related to physical activity and physical function, according to research published online April 15 in the Journal of Clinical Endocrinology & Metabolism.

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FDA Proposes Accelerated Medical Device Approval Plan

WEDNESDAY, April 23, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has proposed a new program that would provide expedited access to high-risk medical devices intended for patients with serious conditions whose medical needs are not met by current technology.

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Majority of Americans Support ACA Birth Control Mandate

TUESDAY, April 22, 2014 (HealthDay News) -- Nearly 70 percent of Americans support the new health care law's mandated coverage of birth control, according to research published online April 22 in the Journal of the American Medical Association.

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Pre-HPV Vaccine, Most Oropharyngeal Cancers HPV+

TUESDAY, April 22, 2014 (HealthDay News) -- Most oropharyngeal cancers in the United States diagnosed between 1995 and 2005 were positive for human papillomavirus (HPV), specifically HPV 16 or 18, according to a study published in the May issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Cancer Patients Need Anxiety, Depression Screening

TUESDAY, April 22, 2014 (HealthDay News) -- It is important to recognize and treat anxiety or depression among cancer patients, according to a clinical guideline published online April 14 in the Journal of Clinical Oncology.

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Obstructive Sleep Apnea Linked to Osteoporosis

TUESDAY, April 22, 2014 (HealthDay News) -- Obstructive sleep apnea (OSA) is associated with an increased risk of osteoporosis, according to a study published online April 15 in the Journal of Clinical Endocrinology & Metabolism.

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Low Glucose Tied to Higher Aggressive Impulses, Behavior

TUESDAY, April 22, 2014 (HealthDay News) -- Glucose levels may be tied to aggressive impulses and behaviors in married couples, according to a study published online April 14 in the Proceedings of the National Academy of Sciences.

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Task Force Recommends Ways to Improve Price Transparency

MONDAY, April 21, 2014 (HealthDay News) -- Price transparency frameworks, which provide price information presented in the context of other relevant information, should be developed to meet patients' needs, according to recommendations presented in a report from the Healthcare Financial Management Association (HFMA).

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Primary Care Doctors Must Influence Lifestyle Changes

MONDAY, April 21, 2014 (HealthDay News) -- Primary care physicians (PCPs) are increasingly called upon to manage circulatory and circulatory-related diseases among their patients, according to an article published April 10 in Medical Economics.

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Review: Pregnancy Complications Up With Chronic HTN

MONDAY, April 21, 2014 (HealthDay News) -- Women with chronic hypertension have increased risks of adverse pregnancy outcomes, according to a review and meta-analysis published online April 15 in BMJ.

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AMA Examines Economic Impact of Physicians

FRIDAY, April 18, 2014 (HealthDay News) -- Physicians who mainly engage in patient care contribute a total of $1.6 trillion in economic output, according to the American Medical Association (AMA)'s Economic Impact Study.

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Int'l Medical Education Standards Not Equivalent to U.K. Standards

FRIDAY, April 18, 2014 (HealthDay News) -- International medical graduates passing the Professional and Linguistic Assessments Board (PLAB) of the General Medical Council (GMC) have lower performance on MRCP(UK) (Membership of the Royal Colleges of Physicians) and MRCGP (Membership of the Royal College of General Practitioners) and on annual review of competence progression (ARCP) examinations, according to two studies published online April 17 in BMJ.

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Gravity Does Not Hinder Placental Transfusion at Birth

FRIDAY, April 18, 2014 (HealthDay News) -- Position of the baby before the cord is clamped does not appear to influence the volume of placental transfusion, according to research published online April 17 in The Lancet.

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White House: 8 Million People Signed Up for Health Insurance

FRIDAY, April 18, 2014 (HealthDay News) -- Eight million Americans signed up for private health insurance during the just-concluded first enrollment period under the Affordable Care Act, the White House announced Thursday afternoon.

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FDA Warns Against Procedure for Uterine Fibroids

FRIDAY, April 18, 2014 (HealthDay News) -- Laparoscopic power morcellation for treatment of fibroids could increase a woman's risk of cancer, the U.S. Food and Drug Administration warned Thursday.

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One in 20 U.S. Adults a Victim of Diagnostic Errors

THURSDAY, April 17, 2014 (HealthDay News) -- Diagnostic errors affect at least one in 20 U.S. adults, according to research published online April 17 in BMJ Quality & Safety.

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Legal Claims Rising for Laser Surgery by Nonphysicians

THURSDAY, April 17, 2014 (HealthDay News) -- Legal claims related to cutaneous laser surgery performed by nonphysician operators (NPOs) are increasing, according to research published in the April issue of JAMA Dermatology.

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Patient-Clinician Relationship Impacts Health Care Outcomes

THURSDAY, April 17, 2014 (HealthDay News) -- The patient-clinician relationship has a small but significant effect on health care outcomes, according to a study published online April 9 in PLOS ONE.

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Educator Discusses Key Issues for Future Doctors to Consider

THURSDAY, April 17, 2014 (HealthDay News) -- The key issues for future physicians are discussed in an article published by the American Medical Association (AMA).

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CDC: Regional Trends Seen for Complementary Health Services

WEDNESDAY, April 16, 2014 (HealthDay News) -- Yoga and meditation are popular on the West Coast, Midwesterners often turn to chiropractors or osteopathic doctors, and nearly one in every five Americans use herbal supplements. These are among the findings of a new federal government report published in the U.S. Centers for Disease Control and Prevention's April edition of the National Center for Health Statistics Data Brief.

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Adverse Neonatal Outcomes Up With Increasing Maternal BMI

WEDNESDAY, April 16, 2014 (HealthDay News) -- Increases in maternal body mass index (BMI) are associated with increased risks of adverse perinatal and neonatal outcomes, according to research published in the April 16 issue of the Journal of the American Medical Association.

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Continued Reliance on Windows XP May Threaten Data Security

WEDNESDAY, April 16, 2014 (HealthDay News) -- Physicians who use Windows XP in their practices may be affected by Microsoft's recent discontinuation of support for the program, according to an article published April 8 in Medical Economics.

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Mom Gaining Too Much, Too Little May Up Child's Obesity Risk

TUESDAY, April 15, 2014 (HealthDay News) -- Children born to mothers who gain either too much or too little weight during their pregnancy are more likely to be overweight or obese, according to a study published online April 14 in the American Journal of Obstetrics & Gynecology.

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Patients Paying Much More for Specialty Drugs

TUESDAY, April 15, 2014 (HealthDay News) -- Many Americans are paying less for prescription drugs, but some are having to deal with sharp rises in the cost of specialty medicines for rare or serious diseases, according to a new report.

Health Highlights: April 15, 2014

iPLEDGE Isotretinoin Counseling May Need Updating

MONDAY, April 14, 2014 (HealthDay News) -- The iPLEDGE program needs to provide women with information about more contraceptive choices, including reversible contraceptives, according to research published in the April issue of JAMA Dermatology.

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High-Fat Diet Tied to Certain Subtypes of Breast Cancer

MONDAY, April 14, 2014 (HealthDay News) -- High intake of saturated fats is associated with increased risk of certain subtypes of breast cancer, according to research published online April 9 in the Journal of the National Cancer Institute.

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Prenatal SSRI Exposure May Up Odds of Autism in Boys

MONDAY, April 14, 2014 (HealthDay News) -- For boys, prenatal exposure to selective serotonin reuptake inhibitors (SSRIs) is associated with increased likelihood of autism spectrum disorder (ASD) and other developmental delays (DDs), according to a study published online April 14 in Pediatrics.

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New Health Secretary to Confront Health Care Reform Hurdles

MONDAY, April 14, 2014 (HealthDay News) -- With the resignation of U.S. Health and Human Services Secretary Kathleen Sebelius on Friday, the Affordable Care Act will get a fresh face. But turning around public perception of the controversial health care reform law in a politically charged mid-term election year poses an enormous challenge for the department's next leader, policy experts said.

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AAFP Provides Tips to Address Patients' Vaccine Concerns

MONDAY, April 14, 2014 (HealthDay News) -- Physicians remain the biggest influence on whether patients get vaccinated, and must be prepared to address patients' reservations, according to an article published in the March/April issue of Family Practice Management.

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Does Facebook Make Women Feel Bad About Their Bodies?

FRIDAY, April 11, 2014 (HealthDay News) -- Too much time on Facebook may take a toll on a young woman's sense of self-esteem, particularly how she feels about her body, a new study suggests. The research is to be presented at the annual meeting of the International Communication Association, held from May 22 to 26 in Seattle.

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$31.3B Spent on Development Assistance for Health in 2013

FRIDAY, April 11, 2014 (HealthDay News) -- Disease burden, income, and funding levels are not always aligned in the allocation of development assistance resources, according to a study published online April 8 in Health Affairs.

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Engineered Vaginal Organs Structurally, Functionally Good

FRIDAY, April 11, 2014 (HealthDay News) -- Engineered vaginal organs, derived from the patient's own cells, achieve normal structural and functional performance over eight years of follow-up, according to a study published online April 11 in The Lancet.

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Abuse Not Tied to Pain Severity in Chronic Pelvic Pain

FRIDAY, April 11, 2014 (HealthDay News) -- A history of adolescent or adult abuse is not associated with pain severity, but is linked to pain-related disability and depression in women with chronic pelvic pain (CPP), according to a study published in the April issue of the American Journal of Obstetrics & Gynecology.

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Sebelius Stepping Down As HHS Secretary

FRIDAY, April 11, 2014 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius is stepping down from her position, after overseeing the troubled rollout of the Affordable Care Act that remains unpopular with some Americans and virtually all Republican lawmakers.

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Quality Initiative Aids Adnexal Cystic Lesion Management

THURSDAY, April 10, 2014 (HealthDay News) -- Quality improvement interventions can improve the identification of adnexal cystic lesion characteristics as well as the appropriateness of follow-up recommendations for pelvic ultrasound exam findings, according to a study published in the April issue of the Journal of the American College of Radiology.

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Fewer Americans Overwhelmed by Medical Bills

WEDNESDAY, April 9, 2014 (HealthDay News) -- While millions of Americans still feel hamstrung by medical expenses, a new government report shows that some people are getting relief.

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More Justification Needed for Choosing Wisely Selections

WEDNESDAY, April 9, 2014 (HealthDay News) -- Most services included in specialty medical societies' Top 5 lists for the Choosing Wisely campaign are based on evidence demonstrating equivalent but not superior benefit, with higher risk or higher costs compared to other options, according to a research letter published in the April 9 issue of the Journal of the American Medical Association.

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Heat Waves May Up Risk of Early-Term Deliveries

WEDNESDAY, April 9, 2014 (HealthDay News) -- Exposure to increased temperatures and episodes of extreme heat may increase the risk of delivery among early-term pregnancies, according to research published in the May issue of Epidemiology.

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Some Doctors Paid at Least $3 Million Each by Medicare

WEDNESDAY, April 9, 2014 (HealthDay News) -- A small number of doctors received at least $3 million each in Medicare payments in 2012, for a total of nearly $1.5 billion, according to an analysis of Medicare claims data released Wednesday by the White House. In total, Medicare paid individual physicians nearly $64 billion in 2012. The median payment was just over $30,000, the Associated Press reported.

Health Highlights: April 9, 2014
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CDC: Too Many Younger Teens Still Getting Pregnant

TUESDAY, April 8, 2014 (HealthDay News) -- Despite a drop in teen birth rates in recent years, too many girls under 18 are still getting pregnant, U.S. health officials said Tuesday.

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Most PCPs Accepting New Patients, Insurance Still a Factor

TUESDAY, April 8, 2014 (HealthDay News) -- Although most primary care physicians are accepting new patients, access for new patients varies across states and with insurance status, according to a study published online April 7 in JAMA Internal Medicine.

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Inverse Link for Carotenoid Intake, Benign Breast Disease

TUESDAY, April 8, 2014 (HealthDay News) -- For adolescent girls, β-carotene intake is inversely associated with the risk of benign breast disease (BBD), according to a study published online April 7 in Pediatrics.

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NCQA Updates Recognition Standards for Medical Homes

TUESDAY, April 8, 2014 (HealthDay News) -- The National Committee for Quality Assurance (NCQA) has updated its guidelines for patient-centered medical homes, according to an article published March 27 in Medical Economics.

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USPSTF Recommends Low-Dose Aspirin to Prevent Preeclampsia

MONDAY, April 7, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) recommends low-dose aspirin after 12 weeks' gestation for women at high-risk of preeclampsia. This draft recommendation statement is based on an evidence review published online April 8 in the Annals of Internal Medicine.

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Newly Eligible for Expanded Medicaid Are Healthier

MONDAY, April 7, 2014 (HealthDay News) -- Persons newly eligible for expanded Medicaid coverage under the Affordable Care Act (ACA) are not sicker than pre-ACA enrollees, according to research published online March 26 in Health Affairs.

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Higher Risk of Adverse Perinatal Outcomes With Maternal IBD

MONDAY, April 7, 2014 (HealthDay News) -- Pregnant women with inflammatory bowel disease (IBD) may be at increased risk of adverse perinatal outcomes, with association between IBD and adverse perinatal outcome varying by IBD subtype, according to research published online March 20 in the Journal of Perinatology.

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Vitamin D Supplementation May Be Beneficial in Depression

MONDAY, April 7, 2014 (HealthDay News) -- Vitamin D supplementation has no overall effect on depressive symptoms, but may have a significant effect for those with clinically significant depression, according to a review published online March 14 in Psychosomatic Medicine.

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Patients Select Fewer New Docs at Bottom of Tiered Ranking

MONDAY, April 7, 2014 (HealthDay News) -- Patients are less likely to select a new physician ranked in the bottom of a tiered network, but often don't switch if their current physician is ranked at the bottom, according to research published online March 11 in Health Services Research.

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Sexual Coercion Commonly Experienced by Teen Males

FRIDAY, April 4, 2014 (HealthDay News) -- Adolescent males report frequent sexual coercion, according to a study published online March 17 in Psychology of Men & Masculinity.

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AMA Provides Resources to Aid Physicians' Collections

FRIDAY, April 4, 2014 (HealthDay News) -- The American Medical Association (AMA) has released resources to help doctors confront policy jumpers who may pose a financial risk to physicians during the Affordable Care Act's 90-day premium grace period, according to an article published March 25 in Medical Economics.

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Maternal Insulin Sensitivity Linked to Fetal Brain Activity

FRIDAY, April 4, 2014 (HealthDay News) -- Maternal insulin sensitivity is associated with fetal brain responses, according to a study published in the online March 25 in Diabetologia.

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Pending Malpractice Litigation May Bias Parents' Reports

FRIDAY, April 4, 2014 (HealthDay News) -- Following neonatal brachial plexus palsy, medical malpractice litigation is associated with worse parent reports of their child's function and pain, according to a study published in the March 5 issue of The Journal of Bone & Joint Surgery.

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Financial Burden of Breast Cancer Hits Minorities Harder

THURSDAY, April 3, 2014 (HealthDay News) -- Racial and ethnic minority patients seem to be more vulnerable to breast cancer-related privations and financial decline, according to a study published online March 24 in the Journal of Clinical Oncology.

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Emerging Drug Resistance May Up Gonorrhea Incidence

THURSDAY, April 3, 2014 (HealthDay News) -- Ciprofloxacin resistance may be tied to increased gonorrhea incidence, according to a report published in the April issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Ultrasound Can ID Pregnant Women With Respiratory Risk

THURSDAY, April 3, 2014 (HealthDay News) -- In parturients with severe preeclampsia, lung ultrasound can detect pulmonary edema and elevated left ventricular end-diastolic pressures, according to a study published in the April issue of Anesthesiology.

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Full-Field Digital Mammography Reduces Recall Rate

THURSDAY, April 3, 2014 (HealthDay News) -- Compared with screen-film mammography (SFM), full-field digital mammography (FFDM) is associated with reduced recall and biopsy rates, according to research published online April 1 in Radiology.

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Study Examines Fertility Drug Effect on Breast Cancer Risk

THURSDAY, April 3, 2014 (HealthDay News) -- Women with ever use of clomiphene have no increased breast cancer risk, although women undergoing multiple clomiphene cycles have an increased risk of invasive breast cancer, according to a study published online April 3 in Cancer Epidemiology, Biomarkers & Prevention.

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Root-Cause Analysis Advised for Neonatal Encephalopathy

WEDNESDAY, April 2, 2014 (HealthDay News) -- The importance of root-cause analysis for neonatal encephalopathy is emphasized in the second edition of the Task Force Report on Neonatal Encephalopathy and Neurologic Outcome, published jointly by the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics.

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Half of Uninsured Don't Intend to Sign Up for Health Coverage

WEDNESDAY, April 2, 2014 (HealthDay News) -- About 50 percent of uninsured adults do not intend to sign up for coverage through the Affordable Care Act's health care exchanges, according to an article published March 26 in Medical Economics.

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Lack of Clear Evidence for Health Benefits of Vitamin D

WEDNESDAY, April 2, 2014 (HealthDay News) -- Evidence is lacking for the associations between vitamin D and health outcomes, according to one review published April 1 in BMJ; however, lower levels of circulating 25-hydroxyvitamin D correlate with increased mortality, according to another review also published April 1 in BMJ.

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Attention to Postpartum Contraception Needed

WEDNESDAY, April 2, 2014 (HealthDay News) -- Women in the postpartum period should receive counseling and access to contraceptive methods to promote optimal birth spacing, according to research published in the April issue of the American Journal of Obstetrics & Gynecology.

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Individualized Risk Should Guide Mammography Screening

TUESDAY, April 1, 2014 (HealthDay News) -- Better decision aids that incorporate individualized risk could improve breast cancer screening, according to a review published in the April 2 issue of the Journal of the American Medical Association.

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CMS: Medicare Beneficiaries Saved $3.9B on Meds in 2013

TUESDAY, April 1, 2014 (HealthDay News) -- In 2013, 4.3 million seniors and people with disabilities saved an estimated $3.9 billion on prescription drugs, an increase from the 2012 savings, according to a report published by the U.S. Department of Health and Human Services.

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Next-Gen Sequencing May Soon Affect Breast Cancer Care

TUESDAY, April 1, 2014 (HealthDay News) -- Next-generation sequencing (NGS) could significantly impact breast cancer services in the near future, according to a review published online March 27 in the British Journal of Surgery.

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Hormones, Vaginal Flora Impact Cervicovaginal Lavage

TUESDAY, April 1, 2014 (HealthDay News) -- Hormonal contraception use and vaginal flora all impact the properties of cervicovaginal lavage, according to a study published online March 24 in the American Journal of Obstetrics & Gynecology.

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Nearly One-Third of Initial Prescriptions Remain Unfilled

TUESDAY, April 1, 2014 (HealthDay News) -- A sizable number of patients fail to fill their initial drug prescriptions, according to research published in the April 1 issue of the Annals of Internal Medicine.

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Smoke-Free Legislation Has Significant Health Benefits

TUESDAY, April 1, 2014 (HealthDay News) -- Introduction of smoke-free legislation is associated with reductions in preterm birth and hospital attendance for asthma, according to a review published online March 28 in The Lancet.

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Adverse Cardiometabolic Profile With Postpartum Weight Gain

TUESDAY, April 1, 2014 (HealthDay News) -- Women who do not lose weight between three and 12 months after pregnancy have an adverse cardiometabolic profile, according to a study published online March 25 in Diabetes Care.

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