Home OBGYN and Women's Health April 2017 Briefing – OBGYN & Women’s Health

April 2017 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 2017. 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.

Meeting Organizers Overlooking Qualified Female Scientists

FRIDAY, April 28, 2017 (HealthDay News) — Invited speakers at medical conferences tend to be disproportionately male, a disparity that can be addressed by actively preparing lists of potential speakers, according to a study published online April 18 in Nature Immunology.

AMA Urges Doctors to Talk About Safe Opioid Storage, Disposal

FRIDAY, April 28, 2017 (HealthDay News) — Physicians should take three essential steps to reduce the amount of unwanted, unused, and expired medications in an effort to avoid non-medical uses of the drugs, according to a new recommendation from the American Medical Association (AMA) Task Force to Reduce Opioid Abuse.

Routine Blood Tests Can Harm Patient Care

FRIDAY, April 28, 2017 (HealthDay News) — Routine blood tests waste money and can damage patient care, according to an opinion piece published online April 27 in the BMJ.

Algorithm Integrated Into App Forecasts Glucose Levels

FRIDAY, April 28, 2017 (HealthDay News) — A mechanistic model based on Gaussian process models and data assimilation can produce a personalized, nutrition-based glucose forecast for individuals with type 2 diabetes, according to a study published online April 27 in PLOS Computational Biology.

Exercise Reduces Weight Gain Effects in Those With FTO Gene

FRIDAY, April 28, 2017 (HealthDay News) — Eleven novel adiposity variants have been identified after adjustment for physical activity (PA), and PA can reduce the weight-gaining effects of the FTO gene by about 30 percent, according to a meta-analysis published online April 27 in PLOS Genetics.

Older Women Show Limited Understanding of Osteoporosis

FRIDAY, April 28, 2017 (HealthDay News) — Many older women have low awareness about osteoporosis and its contribution to fracture risk and a lack of understanding about the benefits of osteoporosis pharmacotherapy, according to a study published April 19 in the Journal of the American Geriatrics Society.

Single-Payer Health System Bill Moves Forward in California

THURSDAY, April 27, 2017 (HealthDay News) — A proposal to replace private insurance with government-funded health care for all moved forward in California on Wednesday as Democrats on the Senate Health Committee voted to advance the measure.

Risk Factors in Six Areas Tied to Physician Burnout

THURSDAY, April 27, 2017 (HealthDay News) — Physician burnout factors include control, whether there is time to deliver excellent care, and whether the workplace is fair, according to a presentation at the Medical Group Management Association/American Medical Association 2017 Collaborate in Practice Conference, held April 9 to 11 in Chicago.

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Clinician Awareness of Exercise Addiction May Be Lacking

THURSDAY, April 27, 2017 (HealthDay News) — Health care professionals need to recognize exercise addiction and understand its risks, according to a practice pointer published online April 19 in the BMJ.

Metal Sensitization More Likely for Women After Arthroplasty

THURSDAY, April 27, 2017 (HealthDay News) — Among patients reporting pain but no infection after total joint arthroplasty (TJA), women have a higher rate and greater severity of metal sensitization than men, according to a study published April 19 in the Journal of Bone & Joint Surgery.

FDA Warns Companies Selling Fraudulent Cancer Treatments

WEDNESDAY, April 26, 2017 (HealthDay News) — The U.S. Food and Drug Administration (FDA) on Tuesday posted warning letters to 14 companies that are illegally selling more than 65 unproven cancer treatments.

USPSTF Urges BP Screening for Pre-eclampsia During Pregnancy

TUESDAY, April 25, 2017 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends pre-eclampsia screening with blood pressure measurements during pregnancy. These findings form the basis of a final recommendation statement, published online April 25 in the Journal of the American Medical Association.

Post-Op hsTnT Linked to 30-Day Mortality After Noncardiac Sx

TUESDAY, April 25, 2017 (HealthDay News) — Peak postoperative high-sensitivity troponin T (hsTnT) is associated with increased risk of 30-day mortality among patients undergoing noncardiac surgery, according to a study published online April 25 in the Journal of the American Medical Association.

Exercise Improves Cognitive Function in Those Over 50

TUESDAY, April 25, 2017 (HealthDay News) — Physical exercise improves cognitive function in people over 50 years of age, according to a review published online April 24 in the British Journal of Sports Medicine.

Central Obesity Ups Mortality Across BMI Range

TUESDAY, April 25, 2017 (HealthDay News) — Central obesity is associated with increased risk of mortality even in normal-weight individuals, according to a study published online April 24 in the Annals of Internal Medicine.

Mindfulness-Based Stress Reduction May Ease Back Pain

TUESDAY, April 25, 2017 (HealthDay News) — For patients with low back pain, mindfulness-based stress reduction (MBSR) may be associated with short-term improvements in pain intensity and physical functioning, according to a review published online April 24 in the Annals of Internal Medicine.

Cycling To and From Work Linked Lower CVD, Mortality Risk

MONDAY, April 24, 2017 (HealthDay News) — Biking to work may help lengthen lifespan, according to a study published online April 19 in The BMJ.

NYC to Raise Cigarette Prices to Highest in the United States

FRIDAY, April 21, 2017 (HealthDay News) — A proposal to boost the base price of a pack of cigarettes from $10.50 to $13.00 would make cigarettes in New York City the most expensive in the country.

Wearable Devices Increasingly Being Used to Record Health Data

FRIDAY, April 21, 2017 (HealthDay News) — Wearable devices are increasingly being used by patients to record health care data, and the number is expected to grow, according to an article published in Medical Economics.

First-Void Morning Urine Not Necessary for CIN2+ Detection

THURSDAY, April 20, 2017 (HealthDay News) — There is no advantage in testing morning first-void urine over later samples for cervical intraepithelial neoplasia grade 2+ (CIN2+) detection using human papillomavirus (HPV) testing, according to a study published online April 9 in BJOG: An International Journal of Obstetrics and Gynaecology.

Nurse-Led Intervention Helps With Diabetes Control

THURSDAY, April 20, 2017 (HealthDay News) — Nurse-led interventions including education and cognitive behavioral therapy can improve hemoglobin A1c (HbA1c) control, according to a study published online April 11 in the Journal of Evaluation in Clinical Practice.

Just Over Half of MI Patients Taking Statins As Recommended

THURSDAY, April 20, 2017 (HealthDay News) — Many myocardial infarction patients aren’t taking statins as recommended, according to a brief report published online April 19 in JAMA Cardiology.

Electronic Drug Administration Record App Cuts Errors

THURSDAY, April 20, 2017 (HealthDay News) — Use of an electronic medication administration record (eMAR) application can reduce the rate of medication errors in medication administration recording (ME-MAR), according to a study published online April 18 in the Journal of Evaluation in Clinical Practice.

Hypertension May Positively Affect Ovarian Cancer Prognosis

WEDNESDAY, April 19, 2017 (HealthDay News) — A woman’s prognosis after an ovarian cancer diagnosis may be affected by a number of unexpected factors, according to a review published recently in Cancer Causes & Control.

Potential Benefits, Risks of OpenNotes Discussed

WEDNESDAY, April 19, 2017 (HealthDay News) — The benefits of sharing notes with patients include improved patient engagement and empowerment, while potential risks may include more phone calls, questions, and increased documentation time, according to a report published in Medical Economics.

Iliac Artery Balloon Catheter Little Benefit in Placenta Accreta

WEDNESDAY, April 19, 2017 (HealthDay News) — Prophylactic placement of internal iliac artery balloon catheters does not impact outcomes for women with placenta accreta, according to a study published online April 12 in Anaesthesia.

Evaluation Strategies Compared in Microscopic Hematuria

WEDNESDAY, April 19, 2017 (HealthDay News) — The combination of renal ultrasound and cystoscopy is the most cost-effective of four diagnostic approaches for the initial evaluation of asymptomatic microscopic hematuria (AMH), according to a study published online April 17 in JAMA Internal Medicine.

U-Shaped Correlation Between Body Mass Index, Mortality

WEDNESDAY, April 19, 2017 (HealthDay News) — The correlation between body mass index (BMI) and mortality is U-shaped, with the optimal BMI for lowest mortality increasing with worsening diabetes status, according to a study published online April 11 in Diabetes Care.

Menopause Linked to Accelerated Decline in Lung Function

WEDNESDAY, April 19, 2017 (HealthDay News) — Menopause is associated with accelerated decline in lung function, according to a study published in the April 15 issue of the American Journal of Respiratory and Critical Care Medicine.

Researchers Warn of Epilepsy in Zika-Infected Infants

WEDNESDAY, April 19, 2017 (HealthDay News) — Beyond its known links to birth defects and other issues, the Zika virus may also trigger cases of epilepsy in infants, according to a viewpoint piece published online April 17 in JAMA Neurology.

Long-Term Eye Health at Risk in Infants Born With Zika Infection

TUESDAY, April 18, 2017 (HealthDay News) — Zika virus may lead to lifelong vision impairment in affected infants, according to research published online April 13 in JAMA Ophthalmology.

Differing Statin Guidelines Leave Many Clinicians Uncertain

TUESDAY, April 18, 2017 (HealthDay News) — If all clinicians followed U.S. Preventive Services Task Force (USPSTF) guidelines for prescription of a statin, nine million fewer adults would be taking such medication versus adherence to the American College of Cardiology/American Heart Association recommendations, according to a study published in the April 18 issue of the Journal of the American Medical Association.

No Proof Azithromycin Ups Odds of Ventricular Arrhythmia

TUESDAY, April 18, 2017 (HealthDay News) — Azithromycin doesn’t appear to increase the risk of ventricular arrhythmia, according to a study published online April 18 in CMAJ, the journal of the Canadian Medical Association.

Link Between Antidepressant Use in Pregnancy, Autism Challenged

TUESDAY, April 18, 2017 (HealthDay News) — Taking antidepressants during pregnancy doesn’t appear to raise a child’s risk of autism, once other factors that could influence the risk are taken into account, according to two studies published in the April 18 issue of the Journal of the American Medical Association.

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Pre-Pregnancy Bariatric Surgery Ups Risk of Abdominal Surgery

TUESDAY, April 18, 2017 (HealthDay News) — Bariatric surgery is associated with an increased risk of abdominal surgery during subsequent pregnancy, according to a study published in the May issue of Obstetrics & Gynecology.

Marijuana Use Higher in Pregnant Teens Than Nonpregnant Peers

TUESDAY, April 18, 2017 (HealthDay News) — More than twice as many pregnant 12- to 17-year-olds use marijuana as their nonpregnant peers, and significantly more use the drug than pregnant women in their 20s, according to a letter published online April 17 in the Annals of Internal Medicine.

Over 20 Percent of Maternal Mortality in Illinois Due to CVD

TUESDAY, April 18, 2017 (HealthDay News) — More than one in five maternal deaths in Illinois in 2002 to 2011 were attributable to cardiovascular disease, according to a study published in the May issue of Obstetrics & Gynecology.

Retail Medical Sites Expanding to Provide Primary Care

MONDAY, April 17, 2017 (HealthDay News) — Pharmacy chains are continuing to develop primary care venues within their stores, according to an article published in Medical Economics.

Cervical Cancer Screen Rates Low for Women With Mental Illness

MONDAY, April 17, 2017 (HealthDay News) — Cervical cancer screening rates are much lower among women with severe mental illness than among other women, according to a study published online April 17 in Psychiatric Services.

Care Access Worsening for Adults With Psychological Distress

MONDAY, April 17, 2017 (HealthDay News) — An estimated 8.3 million American adults — about 3.4 percent of the U.S. population — suffer from serious psychological distress, with barriers to care on the rise, according to research published online April 17 in Psychiatric Services.

Doctors Need to Be Mindful of What They Post on Social Media

MONDAY, April 17, 2017 (HealthDay News) — Young doctors often have unprofessional or offensive content on their Facebook profiles, according to a study published online April 9 in BJU International.

Moderate, High-Intensity Exercise Programs Show Similar Results

MONDAY, April 17, 2017 (HealthDay News) — Short-term moderate-intensity to high-intensity interval training (HIIT) leads to modest body composition improvements in overweight and obese individuals, according to research published online April 11 in Obesity Reviews.

Intervention Fosters Resilience to Stress, Burnout for Mothers

MONDAY, April 17, 2017 (HealthDay News) — An intervention to foster resilience among professional women at high risk for stress and burnout is beneficial, according to a study published online April 12 in Women’s Health Issues.

One in Five Post-Op Patients Need Unscheduled Help

MONDAY, April 17, 2017 (HealthDay News) — A sizable minority of patients need to make contact with health services after outpatient surgery, most often due to inadequate pain management, according to a study published online April 10 in Anesthesiology.

Breast Cancer Rates Increasing Among Asian-American Women

FRIDAY, April 14, 2017 (HealthDay News) — Breast cancer rates among Asian-Americans are steadily rising in contrast to other racial/ethnic groups, according to a study published online April 1 in Breast Cancer Research and Treatment.

Hot Flashes in Early Menopause May Indicate Elevated CVD Risk

FRIDAY, April 14, 2017 (HealthDay News) — Hot flashes may signal increased risk of vascular dysfunction that can lead to cardiovascular disease, according to a study published online April 12 in Menopause.

Geographic Variation in Costs Associated With Hysterectomy

FRIDAY, April 14, 2017 (HealthDay News) — There is considerable geographic variation in the cost of hysterectomy, according to a study published in the May issue of Obstetrics & Gynecology.

Reduced Glomerular Filtration Rate Major Cause of CV Deaths

FRIDAY, April 14, 2017 (HealthDay News) — Kidney disease is a major cause of cardiovascular deaths worldwide, according to a study published online April 13 in the Journal of the American Society of Nephrology.

Accurate Diagnosis of Endocrine Hypertension Important

THURSDAY, April 13, 2017 (HealthDay News) — An accurate diagnosis of endocrine hypertension allows clinicians to provide effective treatment, including a surgical cure or to achieve an optimal response with specific pharmacologic therapy, according to a scientific statement published online April 5 in Endocrine Reviews.

AMA: Two Internet Tools Can Help Educate Patients

THURSDAY, April 13, 2017 (HealthDay News) — Internet resources can be helpful for educating patients and include myhealthfinder, which offers personalized recommendations for preventive services and a diabetes prevention tool, according to a report from the American Medical Association.

Physicians Resist Requests From Immigrants for Female Ob-Gyns

THURSDAY, April 13, 2017 (HealthDay News) — While health care providers are sympathetic to immigrant women’s requests for female obstetricians, they resist accommodating these requests and place greater value on maintaining gender equity, according to a study published in the May issue of Obstetrics & Gynecology.

Cancer Occurrence Differs Among African-Born, U.S.-Born Blacks

THURSDAY, April 13, 2017 (HealthDay News) — Cancer rates differ between African- and U.S.-born black Americans, with cancer rates varying by region of birth in Africa, according to a study published online April 13 in Cancer.

Diabetes Continues to Be a Significant Public Health Burden

THURSDAY, April 13, 2017 (HealthDay News) — The incidence of diabetes is increasing among young persons, although some progress is seen with mortality and incidence of cardiovascular outcomes among patients with the disease, according to research published in the April 13 issue of the New England Journal of Medicine.

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Misunderstanding of BRCA Test Results Affects Mastectomy Rates

THURSDAY, April 13, 2017 (HealthDay News) — Close to half of breast cancer patients who choose to have a double mastectomy after genetic testing may not have the gene mutations known to raise the risk of additional cancers, according to a study published online April 12 in the Journal of Clinical Oncology.

Surgery Often the Starting Point for Opioid Addiction

THURSDAY, April 13, 2017 (HealthDay News) — Certain surgery patients prescribed opioids for postoperative pain relief may face a higher risk for developing a persistent opioid addiction, according to research published online April 12 in JAMA Surgery.

Mortality Up With Depression Just Before Breast Cancer Diagnosis

THURSDAY, April 13, 2017 (HealthDay News) — Women with newly-developed depression before a breast cancer diagnosis have a modestly, but significantly, increased risk for death, according to a study published online April 7 in Cancer.

Overweight, Underweight Both Tied to Migraines

THURSDAY, April 13, 2017 (HealthDay News) — Weight — both overweight and underweight — may influence risk of migraine headaches, according to a review published online April 12 in Neurology.

Depressive Disorders Up With Antimuscarinics for OAB

WEDNESDAY, April 12, 2017 (HealthDay News) — Women with overactive bladder (OAB) syndrome treated with antimuscarinics have increased subsequent risk of depressive disorder, according to a study published online April 5 in the Journal of Clinical Pharmacology.

$16 Billion Spent on Cosmetic Surgery by Americans in 2016

WEDNESDAY, April 12, 2017 (HealthDay News) — Americans spent $16 billion on cosmetic plastic surgery and minimally invasive procedures in 2016, according to a new report from the American Society of Plastic Surgeons.

Physicians Are Spending Half Their Time on Computer Tasks

WEDNESDAY, April 12, 2017 (HealthDay News) — Physicians spend roughly as many hours on computer work as they do meeting with patients, according to a study published in the April issue of Health Affairs.

Midlife Vascular Risk Factors Associated With Elevated Amyloid

WEDNESDAY, April 12, 2017 (HealthDay News) — Individuals with risk factors for cardiovascular disease and stroke in middle age are more likely to have elevated levels of amyloid, according to a study published in the April 11 issue of the Journal of the American Medical Association.

Doctor Communication Style Key During Bad-News Encounters

TUESDAY, April 11, 2017 (HealthDay News) — Enhanced patient-centered communication (E-PCC) positively impacts patients’ psychological state during bad-news encounters, according to a study published online April 5 in Cancer.

AHA: Patients Lack Confidence in Managing Their Cholesterol

TUESDAY, April 11, 2017 (HealthDay News) — Many patients report lack of confidence or knowledge in keeping cholesterol under control, a new American Heart Association survey shows.

Overall Favorable Outcomes for Twin Pregnancies in Moms 45+

TUESDAY, April 11, 2017 (HealthDay News) — Twin pregnancies in older women (at least 45 years of age) overall have favorable outcomes but are associated with high rates of some complications, according to a study published in the May issue of Obstetrics & Gynecology.

Most Physicians Suggest Annual Mammograms for Women 40-44

MONDAY, April 10, 2017 (HealthDay News) — Four out of five doctors still recommend annual mammograms for women in their early 40s, despite guideline changes that have pushed back the age for yearly breast cancer screening, according to the results of a survey published online April 10 in JAMA Internal Medicine.

Integrated E-Prescribing Can Cut Prescribing, Dispensing Errors

MONDAY, April 10, 2017 (HealthDay News) — An integrated electronic medication prescribing (e-prescribing) and dispensing system can reduce prescribing and dispensing errors, according to a study published online March 30 in the Journal of Pharmacy Practice and Research.

Review Explores Botulinum Toxin in Overactive Bladder Treatment

MONDAY, April 10, 2017 (HealthDay News) — Intradetrusor injection of onabotulinumtoxin A is safe and effective for bladder chemodenervation in overactive bladder, with new approaches being developed to increase toxin permeability and avoid intradetrusor injections, according to a review published in the April issue of The Journal of Urology.

Mask With Myoinositol/Trehalose Aids Adult Female Acne

MONDAY, April 10, 2017 (HealthDay News) — A ready-to-use peel-off facial mask containing myoinositol and trehalose-loaded liposomes results in clinically detectable improvements in adult female acne (AFA), according to a study published online March 25 in the Journal of Cosmetic Dermatology.

Survival Similar With Debulking by Laparotomy, Laparoscopy

MONDAY, April 10, 2017 (HealthDay News) — For women with epithelial ovarian cancer, three-year survival rates are similar for women undergoing debulking by laparotomy or laparoscopy, according to a study published in the May issue of Obstetrics & Gynecology.

U.S. Blood Banks Can Protect Blood Supply From Zika Virus

FRIDAY, April 7, 2017 (HealthDay News) — U.S. blood banks are confident they have the tools to protect America’s blood supply from possible new Zika virus outbreaks during the upcoming mosquito season, according to research published in the March issue of Transfusion, a theme issue on Zika and other transfusion transmitted viruses.

pH-Balanced Vaginal Gel Doesn’t Improve Dyspareunia

FRIDAY, April 7, 2017 (HealthDay News) — For breast cancer survivors who are premenopausal at diagnosis, a pH-balanced vaginal gel is no better than placebo for improving dyspareunia and overall sexual function, according to a study published in the May issue of Obstetrics & Gynecology.

Air Pollution, Ozone Exposure Linked to Breast Density

FRIDAY, April 7, 2017 (HealthDay News) — Air pollution and ozone exposure may in part explain geographical variation in mammographic density, according to a study published online April 6 in Breast Cancer Research.

MACRA Changes Government Approach to Doctor Payment

FRIDAY, April 7, 2017 (HealthDay News) — Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) has made fundamental changes to the government’s approach to physician payment, according to a March 27 policy brief published in Health Affairs.

Antenatal Betamethasone Doesn’t Impact Pediatric Bone Mass

FRIDAY, April 7, 2017 (HealthDay News) — Exposure to repeat doses of antenatal betamethasone is not associated with alterations in bone mass in mid-childhood compared with a single course of glucocorticoids, according to a study published online April 7 in Pediatrics.

FDA OKs Marketing of Direct-to-Consumer Genetic Risk Tests

FRIDAY, April 7, 2017 (HealthDay News) — The U.S. Food and Drug Administration has approved the first home genetic tests for 10 diseases or conditions, including Parkinson’s disease and late-onset Alzheimer’s.

Prevalence of Metformin Use 0.7 Percent in Prediabetes

THURSDAY, April 6, 2017 (HealthDay News) — For U.S. adults with prediabetes, the prevalence of metformin use is 0.7 percent, according to a study published online April 3 in Diabetes Care.

CDC: Almost Half of U.S. Men, Women <60 Infected With HPV

THURSDAY, April 6, 2017 (HealthDay News) — Nearly half of American men and women under 60 have a genital human papillomavirus (HPV) infection, according to an April data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

Risk Adjustment, Reinsurance Transfer Offer Financial Benefit

THURSDAY, April 6, 2017 (HealthDay News) — Risk adjustment and reinsurance transfer programs seem to have been effective for increasing revenues at the expense of claims costs, according to research published in the March issue of Health Affairs.

Denying Payment Reduces Rate of Early Elective Deliveries

THURSDAY, April 6, 2017 (HealthDay News) — Implementation of a program denying payment to providers for unnecessary early elective delivery is associated with a reduction in the rate of early elective deliveries, according to a study published in the March issue of Health Affairs.

Higher Risk of Cardiovascular Events With Weight Fluctuations

THURSDAY, April 6, 2017 (HealthDay News) — Fluctuation in body weight is associated with higher mortality and a higher rate of cardiovascular events — independent of traditional cardiovascular risk factors — in patients with coronary artery disease, according to a study published in the April 6 issue of the New England Journal of Medicine.

No CVD Protection Seen With Monthly High-Dose Vitamin D

THURSDAY, April 6, 2017 (HealthDay News) — Taking high doses of vitamin D once a month won’t lower the risk for cardiovascular disease, according to a study published online April 5 in JAMA Cardiology.

Bone, Basal Metabolism Link Depends on Vitamin D Level

WEDNESDAY, April 5, 2017 (HealthDay News) — For postmenopausal women with type 2 diabetes mellitus (T2DMPW), the correlation between bone metabolism and basal metabolism seems to be dependent on serum 25-hydroxyvitamin D (25[OH]D) levels, according to a study published online March 31 in the Journal of Diabetes Investigation.

Small Dietary Changes Cut Water Use, Can Improve Health

WEDNESDAY, April 5, 2017 (HealthDay News) — Modest changes in diet can address the projected reduction in the availability of freshwater for irrigation in India, and can improve diet-linked health outcomes, according to a study published in the April issue of The Lancet Planetary Health.

More Metabolic Abnormality Among Normal-Weight Minorities

WEDNESDAY, April 5, 2017 (HealthDay News) — Racial/ethnic minority groups have a significantly higher prevalence of metabolic abnormality but normal weight (MAN) than whites, according to a study published online April 4 in the Annals of Internal Medicine.

Increased Cancer Risk for Childhood Kidney Recipients

WEDNESDAY, April 5, 2017 (HealthDay News) — Childhood kidney recipients have increased cancer risk, according to a study published online March 29 in the American Journal of Transplantation.

CDC: Birth Defects Seen in 1 in 10 U.S. Pregnancies Affected by Zika

WEDNESDAY, April 5, 2017 (HealthDay News) — One in 10 pregnant U.S. women with confirmed Zika infection in 2016 had a baby with virus-related birth defects, according to research published in the April 4 early-release issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Second Opinion Yields Different Diagnosis for 1 in 5 Patients

WEDNESDAY, April 5, 2017 (HealthDay News) — One-fifth of patients who sought a second opinion recently at a single academic medical center had received a different diagnosis from their primary care providers, according to a study published online April 4 in the Journal of Evaluation in Clinical Practice.

Doctors Must Be Wary of HIPAA Violations With Online Reviews

TUESDAY, April 4, 2017 (HealthDay News) — Physicians should be aware that responding to a negative health care review could potentially expose personal medical information, resulting in a Health Insurance Portability and Accountability Act (HIPAA) violation, according to an article published in Medical Economics.

Maternal Pertussis Vaccination Reduces Risk for Newborns

TUESDAY, April 4, 2017 (HealthDay News) — Infants are far less likely to develop pertussis if their mother received a tetanus toxoid, reduced diphtheria toxoid, acellular pertussis (Tdap) booster vaccination while pregnant, according to research published online April 3 in Pediatrics.

Maternal Overweight, Obesity May Increase Childhood Epilepsy

TUESDAY, April 4, 2017 (HealthDay News) — The rates of childhood epilepsy increase with maternal overweight and obesity, according to a study published online April 3 in JAMA Neurology.

Maximum BMI Over 16 Years Ups Risk of All-Cause Death

TUESDAY, April 4, 2017 (HealthDay News) — Maximum body mass index (BMI) over 16 years of weight history is associated with increased risk of all-cause death, according to a study published online April 4 in the Annals of Internal Medicine.

Variation in Occupational Influenza Vaccination Coverage

TUESDAY, April 4, 2017 (HealthDay News) — There is variation in influenza vaccination coverage by industry and occupation, including among health care personnel and other occupational groups who may have first priority to receive influenza vaccination during a pandemic (tier 1), according to a study published in the April 1 issue of the American Journal of Infection Control.

Mylan Issues Voluntary Recall of Some EpiPen Auto-Injectors

MONDAY, April 3, 2017 (HealthDay News) — Mylan, the maker of EpiPen, says it is recalling select lots of EpiPen and EpiPen Jr. due to a defect that might render it difficult to activate in an emergency.

Use of Health Literacy Tools Can Promote Shared Decision Making

MONDAY, April 3, 2017 (HealthDay News) — Use of health literacy tools is encouraged for facilitating shared decision making (SDM), according to an article published in the March issue of the AMA Journal of Ethics.

Bidirectional Link for Anorexia Nervosa, Celiac Disease

MONDAY, April 3, 2017 (HealthDay News) — There is a bidirectional association between anorexia nervosa (AN) diagnosis and celiac disease (CD) in women, according to a study published online April 3 in Pediatrics.

Twenty-Five Food Categories Explain 70 Percent of Salt Intake

MONDAY, April 3, 2017 (HealthDay News) — For U.S. persons, 70 percent of dietary sodium comes from 25 food categories, with bread the top contributor, according to research published in the March 31 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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