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October 2009 Briefing - OBGYN & Women's Health

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for October 2009. 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.

Self-Reports Underestimate Number of Pregnant Smokers

FRIDAY, Oct. 30 (HealthDay News) -- Relying on women to self-report whether they smoke results in many pregnant smokers going undetected each year, according to a study published online Oct. 29 in BMJ.

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Immobilization After Intrauterine Insemination May Boost Success

FRIDAY, Oct. 30 (HealthDay News) -- A brief period of immobilization after intrauterine insemination improves ongoing pregnancy rates, according to a study published online Oct. 29 in BMJ.

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Maternal Ethnicity and Weight Can Affect Pain and Labor

FRIDAY, Oct. 30 (HealthDay News) -- Asian women and heavier women have slower labor and report less pain, but ethnicity and weight do not explain the substantial differences observed between women, according to a study in the November issue of Anesthesiology.

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Swine Flu Radiographic and CT Imaging Patterns Studied

FRIDAY, Oct. 30 (HealthDay News) -- Ground-glass opacities (GGOs) in one or both lungs with consolidation are the most common computed radiographic (CR) and computed tomography (CT) images of patients with swine-origin influenza A (S-OIV), according to a study to be published in the December issue of the American Journal of Roentgenology.

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Study Finds Benefits With Full-Field Digital Mammography

THURSDAY, Oct. 29 (HealthDay News) -- Full-field digital mammography (FFDM), along with computer-aided diagnosis (CAD), may provide improved detection of microcalcifications and ductal carcinoma in situ, according to research published in the November issue of Radiology.

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Additional Recommendations for Imaging on the Rise

THURSDAY, Oct. 29 (HealthDay News) -- Recommendations for additional imaging in radiology reports at one institution increased steeply in recent years, and from 1980 to 2006, radiologic and nuclear medicine procedures increased roughly 10-fold and 2.5 fold, respectively, according to two studies the November issue of Radiology.

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Sex Hormones Link to Diabetes in Older Women Examined

THURSDAY, Oct. 29 (HealthDay News) -- Adiposity and insulin resistance to varying degrees may explain the association of endogenous bioavailable testosterone (T) with type 2 diabetes (T2DM) in postmenopausal women, but these factors do not completely explain the associations of estradiol (E2) and sex hormone binding globulin (SHBG) with the condition, according to the Multi-Ethnic Study of Atherosclerosis published in the November issue of the Journal of Clinical Endocrinology & Metabolism.

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Pain Among Men and Women War Veterans Evaluated

THURSDAY, Oct. 29 (HealthDay News) -- Among veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF), women have a lower prevalence of overall pain, moderate-severe pain, and persistent pain compared to men, according to a study in the October issue of Pain Medicine.

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Overweight Patients May Have Effect on Doctor's Attitude

THURSDAY, Oct. 29 (HealthDay News) -- Physicians have lower respect for patients with high body mass index (BMI), which may have an impact on patient care and outcomes, according to a study published online Sept. 18 in the Journal of General Internal Medicine.

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Cognitive Behavioral Therapy Helps Overcome Winter Blues

THURSDAY, Oct. 16 (HealthDay News) -- Patients with seasonal affective disorder who undergo a one-year course of cognitive behavioral therapy, either on its own or in combination with light therapy, are less likely to have a recurrence of winter depression than their counterparts who undergo light therapy alone, according to a study in the September issue of Behavior Therapy.

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Link Between Nicotinic Acid and Atherosclerosis Examined

WEDNESDAY, Oct. 28 (HealthDay News) -- In patients with low high-density lipoprotein cholesterol (HDL-C) and atherosclerotic disease, daily use of high-dose nicotinic acid may help reduce atherosclerosis, according to research completed in the United Kingdom and published in the Nov. 3 Journal of the American College of Cardiology.

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Racial Disparities Found in Breast Cancer Screening

WEDNESDAY, Oct. 28 (HealthDay News) -- In a statewide screening program for low-income women in South Carolina, race appeared to affect the time to completion of diagnostic workup following suspicious breast abnormalities, according to research published online Oct. 26 in Cancer.

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Migraine With Aura Linked to Risk of Ischemic Stroke

WEDNESDAY, Oct. 28 (HealthDay News) -- People who have migraine headache with aura are at increased risk for ischemic stroke, particularly women, according to a meta-analysis of research on the links between migraines and cardiovascular disease published online Oct. 27 in BMJ.

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Radiologists May Be Reluctant to Disclose Mammography Errors

WEDNESDAY, Oct. 28 (HealthDay News) -- Few radiologists say they would definitely disclose an error affecting the diagnosis of a patient with breast cancer, according to a study in the Oct. 28 issue of Radiology.

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Contralateral Breast Cancer Risk High With Gene Mutation

WEDNESDAY, Oct. 28 (HealthDay News) -- Women with cancer in one breast who come from families with a hereditary breast cancer mutation have a nearly 50 percent long-term risk of developing cancer in the opposite breast, particularly if they are younger at first diagnosis, according to a study published online Oct. 26 in the Journal of Clinical Oncology.

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Liquid-Based Cytology Found No Better Than Pap Smear

TUESDAY, Oct. 27 (HealthDay News) -- Liquid-based cytology has no better sensitivity or specificity than conventional cytology for detection of cervical cancer precursors, according to a study in the Oct. 28 issue of Journal of the American Medical Association.

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Rising Down's Syndrome Trend as Maternal Age Increases

TUESDAY, Oct. 27 (HealthDay News) -- Although there has been an increase in the incidence of Down's syndrome in the United Kingdom since 1989, improved screening has offset the rise and the number of Down's syndrome births has slightly declined, according to a study published Oct. 26 in BMJ.

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Rate of Cognitive Decline in Alzheimer's Disease Evaluated

TUESDAY, Oct. 27 (HealthDay News) -- In patients with diabetes mellitus (DM) and Alzheimer's disease, the presence of DM slows the rate of cognitive decline associated with Alzheimer's disease, according to a prospective, multi-center study in the Oct. 27 issue of Neurology.

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Gender Gap in Midlife Heart Disease Risk Is Narrowing

TUESDAY, Oct. 27 (HealthDay News) -- The risk of midlife myocardial infarction is increasing for women, and vascular risk factor prevention should be given a higher priority, according to a study in the Oct. 26 issue of the Archives of Internal Medicine.

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Neonatal Aluminum Exposure May Affect Later Bone Health

TUESDAY, Oct. 27 (HealthDay News) -- Preterm infants who are exposed to parenteral aluminum may have an increased risk of reduced lumbar spine and hip bone mass during adolescence, according to a study in the November issue of Pediatrics.

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Vaginal Hysterectomy Found to Be Ideal for Benign Issues

MONDAY, Oct. 26 (HealthDay News) -- Hysterectomies for benign disease should be performed via the vaginal route when possible, according to an opinion statement from the American College of Obstetricians and Gynecologists published in the November issue of Obstetrics & Gynecology.

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Medical School Enrollment Continues to Expand

MONDAY, Oct. 26 (HealthDay News) -- Almost 18,400 students enrolled in medical school in the United States in 2009, a 2 percent increase over the previous year, but even more expansion is needed to meet future demand, according to an Oct. 20 report from the Association of American Medical Colleges (AAMC).

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Two Studies Focus on Factors Related to Colposcopy

MONDAY, Oct. 26 (HealthDay News) -- Younger women in an underserved population had a particularly high likelihood of colposcopic biopsy after cervical cancer screening compared to a repeat Pap test, and multiple biopsies during colposcopy were not associated with a higher risk of new human papillomavirus (HPV) infections, according to the results of two studies published in the November Obstetrics & Gynecology.

Abstract - Trivers
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Cortisol Linked to Bone Loss in Women With Anorexia

MONDAY, Oct. 26 (HealthDay News) -- Cortisol levels are higher in women with anorexia nervosa and hypothalamic amenorrhea than healthy women, and are strongly associated with depression, anxiety and bone loss, according to a study published online Oct. 16 in the Journal of Clinical Endocrinology & Metabolism.

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Far Fewer H1N1 Vaccine Doses Than Expected Are Available

MONDAY, Oct. 26 (HealthDay News) -- Because of production delays, far fewer than the goal of 40 million doses of H1N1 influenza vaccine will be available in the United States by the end of October, according to the U.S. Centers for Disease Control and Prevention. In addition, the U.S. Food and Drug Administration has issued an emergency use authorization for the investigational antiviral drug peramivir intravenous in certain patients with suspected or confirmed H1N1 infection.

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South Asians Show Higher Fat Mass Than Other Ethnicities

FRIDAY, Oct. 23 (HealthDay News) -- South Asians may have higher fat mass and lower lean mass than some other ethnic groups, which may be associated with increased Homeostasis Model Assessment (HOMA) and insulin levels, according to a study published online Oct. 9 in the Journal of Clinical Endocrinology & Metabolism.

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Cocoa Can Reduce Levels of Inflammatory Biomarkers

FRIDAY, Oct. 23 (HealthDay News) -- In patients at high risk of cardiovascular disease, cocoa may significantly decrease levels of some inflammatory biomarkers, suggesting that the flavonoids in cocoa may help protect against atherosclerosis, according to a study in the Nov. 1 issue of the American Journal of Clinical Nutrition.

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Hypertension and Cardiac Link During Pregnancy Analyzed

FRIDAY, Oct. 23 (HealthDay News) -- Women with a history of hypertensive disorders during pregnancy are at higher risk of cardiovascular and metabolic disorders, particularly if the hypertension is recurrent, according to a Norwegian study in the November issue of Obstetrics & Gynecology.

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Effect of Male Fetus on Twin Pregnancy Outcomes Studied

FRIDAY, Oct. 23 (HealthDay News) -- Among twin pregnancies, the presence of a male fetus is associated with worse pregnancy outcomes such as prematurity and low birth weight, according to a study in the November issue of Obstetrics & Gynecology.

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Risks Associated With Thyroid Surgery in the Elderly Explored

FRIDAY, Oct. 23 (HealthDay News) -- Compared with more youthful patients, thyroid surgery presents few additional risks when performed in elderly patients, according to a study in the October issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Neonatal Outcomes Examined in Cancer Pregnancies

FRIDAY, Oct. 23 (HealthDay News) -- Pregnancies in women with cancer tend to have good outcomes overall, but have been associated with high rates of induced labor and newborn admission to a neonatal intensive care unit (NICU), according to a study published online Oct. 19 in the Journal of Clinical Oncology.

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Some Hospital Staff Predicted to Be Infection Superspreaders

THURSDAY, Oct. 22 (HealthDay News) -- Hospital staff such as therapists and radiologists who are in contact with all patients have the potential to be superspreaders of infection if they fail to wash their hands regularly, according to a study published online Oct. 19 in the Proceedings of the National Academy of Sciences.

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Pregnancy Weight Gain Can Affect Subsequent Retention

THURSDAY, Oct. 22 (HealthDay News) -- Obese women who gain excessive amounts of weight during pregnancy are at increased risk of retaining weight at one-year postpartum, according to a study in the November issue of Obstetrics & Gynecology.

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Obstetric Health Workers May Discourage Flu Vaccine

THURSDAY, Oct. 22 (HealthDay News) -- Many obstetric health care workers may have negative attitudes toward flu vaccinations during pregnancy, and the prophylactic use of influenza antivirals in pregnant women after exposure to an infected individual appears cost-effective during a pandemic, according to two studies in the November Obstetrics & Gynecology.

Abstract - Broughton
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Benefit of BRCA Testing in Ovarian Cancer Examined

THURSDAY, Oct. 22 (HealthDay News) -- Testing women with ovarian cancer for the BRCA mutation if they have a personal history of breast cancer, a family history of breast or ovarian cancer, or are of Ashkenazi Jewish ancestry, is a cost-effective strategy that may prevent cancers in first degree relatives (FDR), according to a study published online Oct. 19 in the Journal of Clinical Oncology.

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Psychiatric Problems Affect Impact of Urinary Infections

WEDNESDAY, Oct. 21 (HealthDay News) -- Psychiatric health problems and sexual trauma are common among women who present with lower urinary tract infections, and these issues have an effect on the impact of such infections, according to a study published online Oct. 20 in advance of the December print issue of The Journal of Urology.

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Most H1N1 Hospitalizations Are in Young Patients

WEDNESDAY, Oct. 21 (HealthDay News) -- More than half of hospitalizations for H1N1 influenza are occurring in people younger than 25 years of age, and very few are occurring in the elderly, according to information presented at the Oct. 20 press briefing by the U.S. Centers for Disease Control and Prevention.

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Cost, Efficacy of HPV Vaccine in Older Women Explored

WEDNESDAY, Oct. 21 (HealthDay News) -- Giving human papillomavirus (HPV) vaccinations to older women may provide little absolute risk reduction at a high cost, according to a study in the Oct. 20 issue of the Annals of Internal Medicine.

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Factors Contributing to Autism in Preterm Children Assessed

WEDNESDAY, Oct. 21 (HealthDay News) -- The higher risk of autistic disorders related to premature birth may be largely due to higher rates of prenatal and neonatal complications, according to research completed in Sweden and published online Oct. 19 in Pediatrics.

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Medical Resident Skin Cancer Exam Training Evaluated

WEDNESDAY, Oct. 21 (HealthDay News) -- Medical students and residents do not get consistent access to training in how to conduct a skin cancer examination, and need more education on how to look for skin cancer during routine medical examinations, according to a study published in the October issue of the Archives of Dermatology.

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Sources Find Different Numbers of Active Physicians

WEDNESDAY, Oct. 21 (HealthDay News) -- Estimates from U.S. Census Bureau surveys find fewer older physicians remaining active compared with the American Medical Association Physician Masterfile data, according to research published in the Oct. 21 issue of the Journal of the American Medical Association.

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Cardiovascular Disease Linked to Hip Fracture Risk

TUESDAY, Oct. 20 (HealthDay News) -- The risk of hip fracture is much higher for people who have a diagnosis of cardiovascular disease (CVD), according to a study among Swedish twins reported in the Oct. 21 issue of the Journal of the American Medical Association.

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Effect of Microbicidal Wipes on Neonatal Sepsis Assessed

TUESDAY, Oct. 20 (HealthDay News) -- Chlorhexidine vaginal and neonatal wipes are ineffective in preventing sepsis and bacterial colonization of newborns, according to a study published online Oct. 20 in The Lancet.

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Role of Antihypertensives in Stable Heart Disease Studied

TUESDAY, Oct. 20 (HealthDay News) -- Patients with stable ischemic heart disease and preserved ventricular function may benefit from angiotensin-converting enzyme (ACE) inhibitors, according to a review published online Oct. 20 in the Annals of Internal Medicine.

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CDC Says New Child Deaths Raise H1N1 Beyond Epidemic

MONDAY, Oct. 19 (HealthDay News) -- As of Oct.16, 11 more children in the United States had died of H1N1 influenza in the past week, elevating the disease above epidemic proportions, the U.S. Centers for Disease Control and Prevention announced at an Oct. 16 news conference.

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FDA Approves Vaccines for HPV-Related Disease

MONDAY, Oct. 19 (HealthDay News) -- On Oct. 16, the U.S. Food and Drug Administration approved two vaccines to prevent diseases related to human papillomavirus (HPV) in males and females.

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Partner's Education Linked to Death Risk of Both in Couple

FRIDAY, Oct. 16 (HealthDay News) -- Among married or cohabiting couples, women's education and men's social class appear to have an important effect on the mortality risk of both partners, according to research published online Oct. 6 in the Journal of Epidemiology and Community Health.

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HPV Vaccine's Effect on Genital Wart Rates Studied

FRIDAY, Oct. 16 (HealthDay News) -- There has been a significant decline in the number of cases of genital warts since 2007 when Australia introduced vaccination against four strains of the human papillomavirus (HPV) for girls aged 12 to 18 years and young women under the age of 26, according to a study published online Oct. 16 in Sexually Transmitted Infections.

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Role of Blood Transfusions for Bleed Complications Studied

FRIDAY, Oct. 16 (HealthDay News) -- Blood transfusions used for the treatment of hematocrit level drops due to bleeding after percutaneous coronary intervention (PCI) do not result in improved mortality or myocardial infarction outcomes, according to a study in the Oct. 15 issue of the American Journal of Cardiology.

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FDA Launches Drug Disposal Advice Web Page

FRIDAY, Oct. 16 (HealthDay News) -- The U.S. Food and Drug Administration has launched a new Web page for consumers to educate them on the safe disposal of certain medicines that can be dangerous or even fatal if they end up in the wrong hands.

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Oncologists May Often Fail to Refer for Fertility Counseling

FRIDAY, Oct. 16 (HealthDay News) -- Less than half of U.S. oncologists refer their cancer patients of childbearing age for counseling on fertility preservation, according to a study published online Oct. 13 in the Journal of Clinical Oncology.

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Corticosteroid Shot Helpful in Post-Pregnancy Back Pain

THURSDAY, Oct. 15 (HealthDay News) -- Corticosteroid injections in the ischial spine can help relieve long-standing sacral low back pain that begins during pregnancy, according to research published in the Oct. 1 issue of Spine.

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Smoking Bans May Reduce Heart Attacks in Nonsmokers

THURSDAY, Oct. 15 (HealthDay News) -- Smoking bans may effectively reduce the risk of heart disease and heart attacks attributable to secondhand smoke, according to a report released Oct. 15 by the Institute of Medicine.

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Study Links Text Messages and E-mails to Smoking Cessation

THURSDAY, Oct. 15 (HealthDay News) -- While short-term text message mobile phone interventions have been effective, further research needs to be completed to determine whether messages sent over mobile phones can help individuals with smoking cessation over the long term, according to research published online Oct. 7 in the Cochrane Database of Systematic Reviews.

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Podcasts May Help in Weight Loss Battle

THURSDAY, Oct. 15 (HealthDay News) -- Using a social cognitive theory-based podcast can help overweight people lose weight, according to a study published in the October issue of the American Journal of Preventive Medicine.

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Interferon Beta Effects Explored in Multiple Sclerosis

THURSDAY, Oct. 15 (HealthDay News) -- The effects of interferon beta on chemokine receptor genes and chemokine expression in peripheral immune cells may provide the therapeutic effect seen in multiple sclerosis treatment, according to a German study in the October issue of the Archives of Neurology.

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Second-Line Diuretics in Hypertension Reviewed

WEDNESDAY, Oct. 14 (HealthDay News) -- The addition of diuretics as a second-line approach to another anti-hypertensive agent further lowers systolic and diastolic blood pressure, providing the same effect as when used as first-line monotherapy, according to a review published online Oct. 7 in the Cochrane Database of Systematic Reviews.

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Folic Acid Blockers May Increase Risk of Birth Defects

WEDNESDAY, Oct. 14 (HealthDay News) -- Drugs such as methotrexate and anti-epileptics that reduce folic acid levels during the first trimester of pregnancy more than double the risk of congenital abnormalities in the developing fetus, according to a study published online Oct. 14 in the British Journal of Clinical Pharmacology.

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Study Links Sleep Environment to Sudden Infant Deaths

WEDNESDAY, Oct. 14 (HealthDay News) -- In England, sudden infant death syndrome (SIDS) is associated with potentially hazardous co-sleeping environments, including sharing a bed or sofa with a parent who has recently consumed alcohol or narcotics, according to a study published online Oct. 13 in BMJ.

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Study Finds Exercise Reduces Bone Loss During Lactation

WEDNESDAY, Oct. 14 (HealthDay News) -- Lactating women who participate in a resistance and aerobic exercise program may experience less bone loss, according to a study published in the October issue of Medicine & Science in Sports & Exercise.

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Breast-Conserving Surgery, Mastectomy Rates Surveyed

TUESDAY, Oct. 13 (HealthDay News) -- Breast-conserving surgery (BCS) is attempted in the majority of patients, with factors linked to mastectomy including surgeon recommendation, personal decision and failure of BCS, according to results of a survey published in the Oct. 14 issue of the Journal of the American Medical Association.

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Physician Complication Rate Higher After Limited Sleep

TUESDAY, Oct. 13 (HealthDay News) -- Complication rates are higher for attending physicians who have to work again less than six hours after the end of their shift the night before, according to a study in the Oct. 14 issue of Journal of the American Medical Association.

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Standards of Care Evolving for Uncommon Uterine Cancer

TUESDAY, Oct. 13 (HealthDay News) -- Uterine papillary serous carcinoma (UPSC), the less common form of endometrial cancer, causes a disproportionate number of deaths, and more clinical trials are needed to develop evidence-based management strategies, according to a literature review in the October issue of Gynecologic Oncology.

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Prenatal Drug Exposure Linked to Children's Later Behaviors

TUESDAY, Oct. 13 (HealthDay News) -- Prenatal substance exposure could lead to later behavioral problems in children through multiple pathways, according to research published online Oct. 12 in Pediatrics.

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Study Evaluates Hospital Quality and Mortality Rates

TUESDAY, Oct. 13 (HealthDay News) -- Hospital mortality rates in the United States have improved, although major differences in quality still exist between the best and worst hospitals, according to a report published Oct. 13 by HealthGrades.

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Lifestyle Counseling May Help Obese With Weight Loss

TUESDAY, Oct. 13 (HealthDay News) -- Lifestyle counseling from a clinical practitioner targeting prevention of weight gain may help overweight and obese individuals lose or maintain their weight, according to the results of a Dutch randomized control trial published in the October issue of the American Journal of Preventive Medicine.

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Preoperative Biomarker Levels May Predict Cardiac Events

TUESDAY, Oct. 13 (HealthDay News) -- Patients with high preoperative levels of brain natriuretic peptide (BNP) or N-terminal pro-B-type natriuretic peptide (NT-proBNP) may be at a higher risk of adverse cardiovascular outcomes within 30 days of non-cardiac surgery, according to a systematic review published in the Oct. 20 issue of the Journal of the American College of Cardiology.

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Racial Disparities Persist in Prevalence of HIV Infection

MONDAY, Oct. 12 (HealthDay News) -- More than 20 years after the identification of HIV, the racial disparity between African-Americans and Caucasians in HIV prevalence has persisted despite massive governmental and private efforts to contain the AIDS epidemic, according to a study published online Oct. 6 in the American Journal of Preventive Medicine.

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Health Care Disparities Among States Found to Be Widening

FRIDAY, Oct. 9 (HealthDay News) -- Increasing health care costs and growing disparities in coverage among U.S. states point to the urgent need for national health care reform, according to an Oct. 8 state-by-state report card from the Commonwealth Fund Commission, a private foundation supporting research on the health care system.

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Impact of Maternal Depression and Abuse on Children Studied

FRIDAY, Oct. 9 (HealthDay News) -- When mothers have mental health problems or are victims of family abuse, it negatively impacts the care and health of their children, according to a pair of studies in the October issue of the Archives of Pediatrics & Adolescent Medicine.

Abstract - Conron
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Miscarriage Management Type Not Found to Affect Fertility

FRIDAY, Oct. 9 (HealthDay News) -- Women who have a miscarriage can be reassured that the type of miscarriage management they choose will not have an impact on their future fertility, according to a study published Oct. 8 in BMJ.

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Chemical in Plastics Linked to Behaviors in Young Girls

FRIDAY, Oct. 9 (HealthDay News) -- Daughters born to women who were exposed in pregnancy to bisphenol A (BPA), a chemical found in polycarbonate plastic and epoxy resin, are more likely to exhibit aggressive and hyperactive behaviors as 2-year-olds, according to a study published online Oct. 6 in Environmental Health Perspectives.

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Vaccinating Boys for HPV Is Not Found to Be Cost Effective

FRIDAY, Oct. 9 (HealthDay News) -- Vaccinating boys against human papillomavirus (HPV) exceeds value for money thresholds based on the information currently available, according to a study published online Oct. 8 in BMJ.

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Cancer Survivorship Has Little Effect on Birth Outcomes

FRIDAY, Oct. 9 (HealthDay News) -- Most infants born to female and male survivors of childhood and adolescent cancer are not at increased risk of overall complications, but may be at increased risk of preterm delivery or low birth weight, according to two studies published in the October issue of the Archives of Pediatrics & Adolescent Medicine.

Abstract - Mueller
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Abstract - Chow
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Cancer Patients at Risk of Jaw Necrosis After Treatment

THURSDAY, Oct. 8 (HealthDay News) -- Cancer patients treated with bisphosphonates have a higher risk of developing osteonecrosis of the jaw (ONJ) if they have had dental extractions or dentures, according to a study published online Oct. 5 in the Journal of Clinical Oncology.

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Seasonal Flu Vaccine Protects Somewhat Against A/H1N1

THURSDAY, Oct. 8 (HealthDay News) -- There are early signs that the 2008/2009 trivalent inactivated seasonal flu vaccination offers some protection against influenza A/H1N1, particularly in its most severe forms, but this should not be taken to mean that vaccination against swine flu is superfluous, according to a study published online Oct. 6 in BMJ.

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H2-Blockers Deemed Safe to Treat Pregnant Women

THURSDAY, Oct. 8 (HealthDay News) -- H2-blockers such as famotidine, ranitidine and cimetidine are safe to treat pregnant women for peptic ulcers or gastroesophageal reflux, according to a study published online Sept. 29 in the Journal of Clinical Pharmacology.

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Doctor Attitude Affects Counsel on Emergency Contraception

THURSDAY, Oct. 8 (HealthDay News) -- Pediatricians who have less favorable attitudes toward abortion and teen sex are less likely to counsel their patients on emergency contraception and prescribe it in accordance with pediatric practice guidelines, according to a study in the October issue of the Archives of Pediatrics & Adolescent Medicine.

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Autoantibodies Against Osteoprotegerin Examined

WEDNESDAY, Oct. 7 (HealthDay News) -- A case of osteoporosis with high bone turnover in a relatively young man with celiac disease suggests a possible role for autoantibodies against osteoprotegerin in osteoporosis in patients with this condition, according to research published in the Oct. 8 issue of the New England Journal of Medicine.

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Roundtable Discussion Tackles Health Care Reform

WEDNESDAY, Oct. 7 (HealthDay News) -- The health care payment system, the role of consumers in responsible health care spending, and the use of comparative-effectiveness research were topics covered in a roundtable discussion with several health economics experts published in the Oct. 8 issue of the New England Journal of Medicine.

Roundtable
Perspective - Cutler

Medical Students Want More Practice of Medicine Training

WEDNESDAY, Oct. 7 (HealthDay News) -- Medical students in the United States perceive that they are not getting enough training in the practice of medicine, particularly in medical economics, according to a study in the September issue of Academic Medicine.

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Mother's Use of Antidepressant May Carry Risks for Newborn

WEDNESDAY, Oct. 7 (HealthDay News) -- Newborns who have been exposed in utero to selective serotonin reuptake inhibitors (SSRIs) taken by their mothers are at higher risk for shorter gestational age, preterm delivery and admission to a neonatal intensive care unit, according to a study in the October Archives of Pediatrics & Adolescent Medicine.

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Wrist Fractures Less Likely Evaluated for Osteoporosis

WEDNESDAY, Oct. 7 (HealthDay News) -- Osteoporosis evaluation and management is less common in patients with wrist fractures than in those with hip and spine fractures, according to a national Korean cohort study published in the Oct. 1 issue of the Journal of Bone & Joint Surgery.

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Effectiveness and Cost Help to Make Coverage Decisions

TUESDAY, Oct. 6 (HealthDay News) -- Countries using evidence-based cost-effectiveness and effectiveness to help make drug coverage decisions show how these factors can successfully support decision making and can also be adapted to the specific conditions of other countries, according to a study in the Oct. 7 issue of the Journal of the American Medical Association.

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CYP2D6 Variants Linked With Tamoxifen Response

TUESDAY, Oct. 6 (HealthDay News) -- In patients with early-stage breast cancer undergoing adjuvant tamoxifen treatment, an association may exist between the polymorphic cytochrome P450 2D6 (CYP2D6) enzyme and clinical outcomes, according to a retrospective analysis published in the Oct. 7 issue of the Journal of the American Medical Association.

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Premature Death in China Linked to Hypertension

TUESDAY, Oct. 6 (HealthDay News) -- Elevated blood pressure is one of the leading preventable risk factors for premature death in China, according to a study published online Oct. 6 in The Lancet.

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Novel Features of Breast Tissue May Predict Cancer Risk

TUESDAY, Oct. 6 (HealthDay News) -- Assessing the features of a woman's normal breast tissue can help to identify those at increased risk of breast cancer, according to a study published online Oct. 5 in the Journal of Clinical Oncology.

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Augmentation of Antiemetic Drug Regimen Explored

TUESDAY, Oct. 6 (HealthDay News) -- The addition of casopitant, a neurokinin (NK)-1 receptor antagonist, to an antiemetic regimen of dexamethasone and ondansetron reduced vomiting and use of rescue medications in breast cancer patients undergoing their first cycle of chemotherapy, according to a study published online Oct. 5 in the Journal of Clinical Oncology.

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Latinas Found Less Likely to Receive Breast Reconstruction

TUESDAY, Oct. 6 (HealthDay News) -- Less acculturated Latinas with breast cancer are less likely to receive breast reconstruction than Caucasian women but are most likely to want more information about it, and underweight Korean breast cancer patients are at higher risk of death and breast cancer recurrence, according to two studies published online Oct. 5 in the Journal of Clinical Oncology.

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Nicotine Replacement in Pregnant Smokers Likely Safe

MONDAY, Oct. 5 (HealthDay News) -- Nicotine replacement therapy does not increase the risk of adverse events in pregnant smokers, according to a study in the October issue of the American Journal of Obstetrics & Gynecology.

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HELLP Syndrome Associated With Long-Term Risks

MONDAY, Oct. 5 (HealthDay News) -- Pregnant women who develop hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome have an increased long-term risk of subsequent pregnancy complications and other comorbidities, according to a study published in the October issue of the American Journal of Obstetrics & Gynecology.

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MRI Deemed Accurate for Diagnosing Endometriosis

MONDAY, Oct. 5 (HealthDay News) -- Pelvic MRI is a highly accurate and noninvasive way to diagnose and map endometriosis preoperatively in women suspected of having the condition, according to a study in the October issue of Radiology.

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Rising Numbers of Elderly Will Pose Issues for Nations

FRIDAY, Oct. 2 (HealthDay News) -- An anticipated rise in life expectancy, involving more than half of babies born in wealthy nations living to 100, will cause societal and economic challenges in coming decades, according to research published in the Oct. 3 issue of The Lancet.

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Smoking Adds to Social Inequalities in Stillbirth Rates

FRIDAY, Oct. 2 (HealthDay News) -- Smoking during pregnancy accounts for 38 percent of the social inequality in the rate of stillbirths, and 31 percent of infant death inequality, according to a study published online on Oct. 1 in BMJ.

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Exercise Can Slow Bone Loss in Breast-Feeding Mothers

THURSDAY, Oct. 1 (HealthDay News) -- Breast-feeding mothers who engage in resistance and aerobic exercise lose less bone mineral density than their sedentary counterparts, according to a study in the October issue of Medicine & Science in Sports & Exercise.

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Surgical Masks Found to Be Non-Inferior to Respirators

THURSDAY, Oct. 1 (HealthDay News) -- Surgical masks may be no less effective than N95 respirators in preventing influenza in health care workers, according to a study published online Oct. 1 in the Journal of the American Medical Association.

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Intrauterine Device Linked to Adverse Pregnancy Outcomes

THURSDAY, Oct. 1 (HealthDay News) -- The risk of adverse obstetric outcomes is elevated in women who conceive while using an intrauterine device (IUD), especially in women who retain the device throughout pregnancy, according to a study in the October issue of the American Journal of Obstetrics & Gynecology.

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Sleep Deprivation May Be Associated With Alzheimer's

THURSDAY, Oct. 1 (HealthDay News) -- Sleep deprivation may play a role in the development of Alzheimer's disease, according to research published online Sept. 24 in Science.

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CDC Says States Not Meeting Fruit and Veggie Objectives

THURSDAY, Oct. 1 (HealthDay News) -- In a Sept. 29 press release, the U.S. Centers for Disease Control and Prevention says no U.S. state is currently meeting the national Healthy People 2010 objectives for fruit and vegetable consumption.

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Prenatal Pandemic Flu May Increase Cardiovascular Risk

THURSDAY, Oct. 1 (HealthDay News) -- Prenatal exposure to the notoriously virulent 1918 pandemic flu increased the risk of cardiovascular disease and growth retardation later in life, according to a study published online Oct. 1 in the Journal of Developmental Origins of Health and Disease.

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Physicians May Fail to Act on Electronic Alerts Quickly

THURSDAY, Oct. 1 (HealthDay News) -- Physicians using a system with electronic medical records and computerized alerts may not acknowledge or act upon critical imaging results in a timely manner, according to research published in the Sept. 28 Archives of Internal Medicine.

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