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July 2014 Briefing - OBGYN & Women’s Health

Last Updated: August 01, 2014.

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for July 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 Pulls Morcellator Devices From Market

THURSDAY, July 31, 2014 (HealthDay News) -- In a letter that was to be sent to all of its customers Thursday, Johnson & Johnson asked that its laparoscopic power morcellators be returned to the company, the Wall Street Journal reported.

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Benefits of E-Cigarettes May Outweigh Harms

THURSDAY, July 31, 2014 (HealthDay News) -- Allowing e-cigarettes to compete with regular cigarettes might cut tobacco-related deaths and illness, according to a new study, partly funded by the U.S. National Institutes of Health, published online July 31 in Addiction.

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Nighttime Light Exposure May Spur Tamoxifen Resistance

THURSDAY, July 31, 2014 (HealthDay News) -- An animal study suggests that exposure to light at night, which disrupts circadian rhythm and melatonin production, may drive intrinsic resistance to tamoxifen therapy in breast cancer. The study was published online July 25 in Cancer Research.

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Slow Progress Toward Meaningful Use Stage 2

WEDNESDAY, July 30, 2014 (HealthDay News) -- Providers and hospitals are making slow progress toward achieving meaningful use stage 2, according to an article published July 10 in Medical Economics.

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Parents Want Docs to Stay Out of Circumcision Decision

WEDNESDAY, July 30, 2014 (HealthDay News) -- Most parents want the doctor to answer their questions about circumcision, but they do not want a specific recommendation for their baby, according to a report published July 21 by the C.S. Mott Children's Hospital.

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HPV-Related Noncervical Cancers on the Rise in Canada

WEDNESDAY, July 30, 2014 (HealthDay News) -- Over the past several decades, the incidence of human papillomavirus (HPV)-related noncervical cancers has increased in Canada, according to research published online July 22 in CMAJ Open.

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IOM Recommends Restructuring GME Financing

TUESDAY, July 29, 2014 (HealthDay News) -- Medicare support for graduate medical education (GME) should be restructured and based on its value and contribution to the nation's health needs, according to a report published July 29 by the Institute of Medicine (IOM).

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Low Trust in Physician Tied to Distress in Cancer Patients

TUESDAY, July 29, 2014 (HealthDay News) -- Having a lower level of trust in one's physician is associated with more emotional distress and more physical limitations within the first 15 months after cancer diagnosis in more anxiously attached patients, according to a study published in the July issue of General Hospital Psychiatry.

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Caffeine Intake Tied to Menopausal Symptoms

TUESDAY, July 29, 2014 (HealthDay News) -- Menopausal symptoms, including hot flashes, are worse in women reporting caffeine consumption, according to a study published online July 21 in Menopause.

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Menopausal Hormone Therapy Does Not Affect Atherosclerosis

TUESDAY, July 29, 2014 (HealthDay News) -- For menopausal women, hormone therapy does not affect progression of atherosclerosis, according to a study published online July 29 in the Annals of Internal Medicine.

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Preterm Birth Tied to Lasting Venous Thromboembolism Risk

TUESDAY, July 29, 2014 (HealthDay News) -- Preterm birth is associated with increased long-term risk of venous thromboembolism (VTE), according to a study published online July 28 in Pediatrics.

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Access for Pharmaceutical Sales Reps Continuing to Decline

MONDAY, July 28, 2014 (HealthDay News) -- Pharmaceutical sales representatives' access to physicians is continuing to decrease, even in previously rep-friendly specialties, according to a report published by ZS Associates.

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Teen Vaccinations Up But HPV Coverage Remains Low Overall

MONDAY, July 28, 2014 (HealthDay News) -- From 2012 to 2013, coverage for adolescents aged 13 to 17 years increased for all routinely recommended vaccinations. Increases ranged from 1.4 percentage points for at least one tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) dose to 13.8 percentage points for at least one human papillomavirus (HPV) dose in males. These findings were published in the July 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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HPV Testing Every Three Years As Safe As Other Strategies

MONDAY, July 28, 2014 (HealthDay News) -- Primary human papillomavirus (HPV) testing every three years seems to be a better screening alternative to Papanicolaou (Pap) testing every three years or concurrent HPV and Pap testing every five years, according to a study published online July 18 in the Journal of the National Cancer Institute.

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Young Cancer Patients at High Risk for Heavy Menstrual Bleeding

MONDAY, July 28, 2014 (HealthDay News) -- Adolescent girls undergoing treatment for cancer are at high risk for heavy menstrual bleeding, and gynecologic care is advised for careful management of this problem, according to a Committee Opinion published in the August issue of Obstetrics & Gynecology.

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Survey IDs Patients' Views on Health Care Provider Quality

FRIDAY, July 25, 2014 (HealthDay News) -- Most Americans focus on provider quality related to doctor-patient interactions rather than effectiveness of care when defining provider quality, according to a report published by the Associated Press-NORC (AP-NORC) Center for Public Affairs Research.

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CDC: Too Few Teens Receiving HPV Vaccine

FRIDAY, July 25, 2014 (HealthDay News) -- An "unacceptably low" number of girls and boys are getting the human papillomavirus (HPV) vaccine, which protects against cervical, anal, and other cancers, U.S. health officials said Thursday.

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Hormonal Contraception May Up Gestational Diabetes Risk

FRIDAY, July 25, 2014 (HealthDay News) -- The type of contraceptives used before pregnancy may influence the risk of gestational diabetes mellitus (GDM), according to research published July 17 in Preventing Chronic Disease.

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Maternal Gestational Weight Tied to Offspring's Asthma Risk

THURSDAY, July 24, 2014 (HealthDay News) -- Maternal obesity in pregnancy (MOP) and high maternal gestational weight gain (GWG) are associated with an elevated risk of childhood asthma, according to a review published online July 21 in Pediatrics.

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Ob-Gyn Guidance Issued for Young Cancer Patient Concerns

THURSDAY, July 24, 2014 (HealthDay News) -- Young cancer patients and survivors may have gynecologic concerns, which should be managed before, during, and after treatment, according to a Committee Opinion published in the August issue of Obstetrics & Gynecology.

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Preexposure HIV Prophylaxis Doesn't Impact Pregnancy

THURSDAY, July 24, 2014 (HealthDay News) -- For HIV-serodiscordant couples, preexposure prophylaxis (PrEP) does not impact pregnancy incidence or outcomes, according to a study published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Patients Give High Marks to Shared Medical Appointments

THURSDAY, July 24, 2014 (HealthDay News) -- Shared medical appointments (SMAs) improve patient satisfaction with primary care, according to research published in the July/August issue of the Annals of Family Medicine.

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Prenatal Maternal Smoking Ups Risk of ADHD in Offspring

THURSDAY, July 24, 2014 (HealthDay News) -- Maternal smoking and nicotine replacement therapy during pregnancy are associated with increased risk of attention-deficit/hyperactivity disorder (ADHD) in children, according to research published online July 21 in Pediatrics.

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Number of Uninsured Down After ACA Open Enrollment

THURSDAY, July 24, 2014 (HealthDay News) -- There has been a decrease in the number of uninsured following the open enrollment period of the Affordable Care Act (ACA), according to a report published online July 23 in the New England Journal of Medicine.

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Consumption of Probiotics May Lower Blood Pressure

WEDNESDAY, July 23, 2014 (HealthDay News) -- Regular consumption of probiotics may improve control of blood pressure (BP), according to research published online July 21 in Hypertension.

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Contralateral Prophylactic Mastectomy Benefit Questioned

WEDNESDAY, July 23, 2014 (HealthDay News) -- For women with stage I or II breast cancer without a BRCA mutation, contralateral prophylactic mastectomy (CPM) is associated with an absolute 20-year survival benefit of less than 1 percent, according to a study published online July 16 in the Journal of the National Cancer Institute.

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Physicians Warned About Counterfeit Medical Devices

WEDNESDAY, July 23, 2014 (HealthDay News) -- Physicians should be aware of the prevalence and serious consequences associated with use of counterfeit medical devices, according to a letter to the editor published online July 20 in Lasers in Surgery and Medicine.

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New Remote Patient Monitoring Devices Available

WEDNESDAY, July 23, 2014 (HealthDay News) -- Several new remote patient monitoring devices with useful applications are available or under development, according to an article published July 8 in Medical Economics.

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Uterine Cancer in 27/10,000 Women Undergoing Morcellation

WEDNESDAY, July 23, 2014 (HealthDay News) -- For women undergoing hysterectomy by morcellation, the prevalence of uterine cancers is 27 per 10,000, with increased prevalence with advanced age, according to a research letter published online July 22 in the Journal of the American Medical Association.

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American Red Cross Issues Urgent Call for Blood Donations

WEDNESDAY, July 23, 2014 (HealthDay News) -- Blood donations to the American Red Cross are down substantially, and the agency says an "emergency situation" could arise within weeks.

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Online Reviews Show Patients Value Docs' Interpersonal Skills

TUESDAY, July 22, 2014 (HealthDay News) -- Patient reviews indicate that the attributes most valued in physicians include interpersonal skills and bedside manner, according to a report published online July 16 by Vitals.

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Gene Marker May Predict Breast Cancer Response to Tamoxifen

TUESDAY, July 22, 2014 (HealthDay News) -- Researchers have identified genes that may help predict whether a patient with estrogen receptor (ER)-positive breast cancer is likely to benefit from tamoxifen therapy, according to a study published in the July 15 issue of Cancer Research.

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No Change in Heart Attack Rates for Younger U.S. Adults

MONDAY, July 21, 2014 (HealthDay News) -- Heart attack hospitalization rates among young and middle-aged adults have remained stable during the previous decade, even as seniors of Medicare age experienced a better than 20 percent decline in heart attacks, Yale University researchers have found. The study appears in the July 29 issue of the Journal of the American College of Cardiology.

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Physician Offices Investing in Patient Portals for EHRs

THURSDAY, July 10, 2014 (HealthDay News) -- Practitioners are continuing to invest in electronic health records (EHRs), specifically to improve access for patients, according to an article published June 13 in Medical Economics.

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National Survey Finds Most U.S. Physicians Are Satisfied

MONDAY, July 21, 2014 (HealthDay News) -- Most U.S. physicians are satisfied, with satisfied physicians more likely to report positive trends in medicine, according to a report published by Jackson Healthcare.

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Pregnancy Loss Ups Future Risk of Cardiovascular Disease

MONDAY, July 21, 2014 (HealthDay News) -- The risk of cardiovascular disease is increased among postmenopausal women with prior pregnancy loss, according to research published in the July/August issue of the Annals of Family Medicine.

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Transdermal 4-Hydroxytamoxifen Gel Beneficial in DCIS

MONDAY, July 21, 2014 (HealthDay News) -- For women with ductal carcinoma in situ (DCIS), 4-hydroxytamoxifen (4-OHT) gel applied to breast skin has a similar antiproliferative effect as oral tamoxifen, according to a study published in the July 15 issue of Clinical Cancer Research.

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Fetal Hemoglobin Glycation May Reflect Hyperglycemia in Utero

MONDAY, July 21, 2014 (HealthDay News) -- Glycation of the α-chain (Glα) in fetal hemoglobin is higher in neonates from women with gestational diabetes mellitus and may reflect hyperglycemia exposure in utero, according to a study published online July 10 in Diabetes Care.

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Decrease in HIV Diagnosis Rate From 2002 to 2011

MONDAY, July 21, 2014 (HealthDay News) -- From 2002 to 2011 there was a decrease in the annual HIV diagnosis rate, with decreases in almost all demographic populations, according to a study published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Daily Stressors Alter Metabolic Response to High-Fat Meals

FRIDAY, July 18, 2014 (HealthDay News) -- Prior day stressors and depression alter metabolic responses to high-fat meals, according to a study published online July 13 in Biological Psychiatry.

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Cord Clamping Timing Affects Neonatal Outcome

FRIDAY, July 18, 2014 (HealthDay News) -- If cord clamping (CC) occurs before or immediately after onset of spontaneous respiration (SR), healthy self-breathing neonates in a low-resource setting have a higher likelihood of admission/death, according to a study published online July 14 in Pediatrics.

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Legal Risks for Providing Financial Assistance to Patients

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians need to be aware of the ramifications of providing financial assistance to patients, according to an article published July 8 in Medical Economics.

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Doctors More Likely Than Public to Be Registered Organ Donors

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians are more likely to register to be organ donors than the general public, according to a research letter published in the July 16 issue of the Journal of the American Medical Association.

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Stroke History Heightens Risk for Adverse Surgical Outcomes

WEDNESDAY, July 16, 2014 (HealthDay News) -- A history of a stroke is associated with worse outcomes following elective surgery, according to a study published in the July 16 issue of the Journal of the American Medical Association.

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Review: Aspirin Use in Primary Cardiovascular Prevention

WEDNESDAY, July 16, 2014 (HealthDay News) -- Low-dose aspirin can be used for primary cardiovascular prevention for patients at high cardiovascular risk, without increased bleeding risk, according to a review article published in the July 22 issue of the Journal of the American College of Cardiology.

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Increasing Flow of Information Has Impact on Patient Consent

WEDNESDAY, July 16, 2014 (HealthDay News) -- The increasing flow of information as part of health information exchanges raises certain issues for patient consent, according to an article published July 8 in Medical Economics.

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Alcohol Consumption Tied to Higher A-Fib Risk

WEDNESDAY, July 16, 2014 (HealthDay News) -- Alcohol consumption is a risk factor for atrial fibrillation (AF), according to a study published in the July 22 issue of the Journal of the American College of Cardiology.

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Mechanism of Maternal Age Effect on Oocytes Is Questioned

WEDNESDAY, July 16, 2014 (HealthDay News) -- New research suggests that the "production-line model" is not the basis for the maternal-age effect on trisomy, according to research published in the July 3 issue of the American Journal of Human Genetics.

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Review: Organic Foods May Be Healthier

TUESDAY, July 15, 2014 (HealthDay News) -- Organic produce and grains contain more protective antioxidants, less pesticide residue, and lower levels of the toxic metal cadmium than food raised in traditional ways, according to a new review. However, it's not clear what this means for health, and several agriculture experts claim the analysis missed some important points.

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Use of Minimally Invasive Surgery Varies Widely in U.S.

TUESDAY, July 15, 2014 (HealthDay News) -- Hospital utilization of minimally invasive surgery for common procedures varies widely nationwide, according to a study published July 8 in BMJ.

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Weight Loss May Reduce Hot Flashes in Menopausal Women

TUESDAY, July 15, 2014 (HealthDay News) -- A pilot study has shown that a behavioral weight-loss program may be effective in helping overweight or obese women lose weight and reduce hot flashes, according to research published online June 23 in Menopause.

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Panel Weighs Risks of Power Morcellator Devices

MONDAY, July 14, 2014 (HealthDay News) -- There's no way to guarantee that laparoscopic power morcellation for uterine fibroid removal or hysterectomy won't increase the risk of spreading undetected cancer to other parts of a woman's body, U.S. health advisers said Friday.

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Patient Satisfaction Surveys May Contribute to Opioid Abuse

MONDAY, July 14, 2014 (HealthDay News) -- Medicare's patient satisfaction surveys could be contributing to prescription opioid pain reliever abuse, according to an article published June 26 in Medical Economics.

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Home Visits by Nurses Cut Mortality for Mother and Child

MONDAY, July 14, 2014 (HealthDay News) -- Home visits by nurses may reduce premature deaths in mothers and children living in disadvantaged settings, according to research published online July 7 in JAMA Pediatrics.

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Wound Complications Down for Suture Closure After C-Section

MONDAY, July 14, 2014 (HealthDay News) -- For women undergoing cesarean delivery, suture closure of the skin incision is associated with a reduction in wound complications compared with staple closure, according to a study published in the June issue of Obstetrics & Gynecology.

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NSAID Use Ups Cardiovascular Event Risk Post-Menopause

MONDAY, July 14, 2014 (HealthDay News) -- Regular nonsteroidal anti-inflammatory drug (NSAID) use is associated with increased risk of cardiovascular events in postmenopausal women, according to a study published online July 8 in Circulation: Cardiovascular Quality and Outcomes.

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Medical Schools Being Challenged to Find Training Sites

MONDAY, July 14, 2014 (HealthDay News) -- Medical schools are working to find solutions to ensure their students can continue to receive clinical training in spite of the escalating shortage of training sites, according to an article published by the American Academy of Family Physicians (AAFP).

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Late Pregnancy Activity Leads to Less Neonatal Adiposity

FRIDAY, July 11, 2014 (HealthDay News) -- Physical activity levels during pregnancy influence neonatal body composition, according to research published online July 7 in Obstetrics & Gynecology.

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Quadrivalent HPV Vaccine Doesn't Raise VTE Risk

THURSDAY, July 10, 2014 (HealthDay News) -- There is no increased risk of venous thromboembolism (VTE) after quadrivalent human papillomavirus (HPV) vaccination, according to a research letter published in the July 9 issue of the Journal of the American Medical Association.

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Fetal Cardiovascular Risk Score Predicts Infant HTN in IUGR

THURSDAY, July 10, 2014 (HealthDay News) -- For intrauterine growth restricted (IUGR) fetuses, a cardiovascular risk score is highly predictive of infant hypertension and arterial remodeling, according to a study published in the June issue of the American Journal of Obstetrics & Gynecology.

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Researchers Say They've Found New Clues to Autism

THURSDAY, July 10, 2014 (HealthDay News) -- A genetic mutation that increases the risk for a certain form of autism and causes specific physical traits and symptoms has been identified by researchers. The findings were published online July 3 in the journal Cell.

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Induced Hypothermia Benefits Perinatal Asphyxia

THURSDAY, July 10, 2014 (HealthDay News) -- The benefits of moderate hypothermia following perinatal asphyxia can be seen in middle childhood, according to a study published in the July 10 issue of the New England Journal of Medicine.

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Letrozole Tops Clomiphene for Live Birth, Ovulation in PCOS

WEDNESDAY, July 9, 2014 (HealthDay News) -- For infertile women with polycystic ovary syndrome, the aromatase inhibitor letrozole is associated with higher live-birth and ovulation rates than clomiphene, according to a study published in the July 10 issue of the New England Journal of Medicine.

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ACOs Require Overhaul to Health Care Delivery System

WEDNESDAY, July 9, 2014 (HealthDay News) -- The accountable care organization (ACO) model requires an overhaul for health care delivery, according to an article published June 24 in Medical Economics.

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Most Docs Find M.B.A. Training Advantageous to Their Careers

TUESDAY, July 8, 2014 (HealthDay News) -- Graduates with dual training in medicine and business increasingly pursue leadership roles and report greater career acceleration, according to a study published online June 20 in Academic Medicine.

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Breast Cancer Screening Costs Up in Medicare Patients

TUESDAY, July 8, 2014 (HealthDay News) -- Although use of newer technologies and costs associated with breast cancer screening have increased, no change in stage at diagnosis has been observed in Medicare beneficiaries, according to research published in the Journal of the National Cancer Institute.

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Sleep-Disordered Breathing May Affect Pregnancy Outcomes

TUESDAY, July 8, 2014 (HealthDay News) -- Sleep-disordered breathing (SDB) may be associated with adverse pregnancy outcomes, according to research published in the June issue of the American Journal of Obstetrics & Gynecology.

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Don't Forget Patient Privacy When Marketing Your Practice

MONDAY, July 7, 2014 (HealthDay News) -- Use of marketing by health care providers must be in accordance with federal and state regulations relating to patient privacy, according to an article published June 24 in Medical Economics.

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Three Opportunities Presented for Practice Growth

THURSDAY, July 3, 2014 (HealthDay News) -- Maximizing the growth potential of a practice over time requires physicians to consider various opportunities, including increasing the size of medical groups, embracing technology, and use of marketing, according to an article published June 24 in Medical Economics.

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AMA: Tips for Managing Medical School Loans

THURSDAY, July 3, 2014 (HealthDay News) -- Creating a budget and other tips can help medical school graduates to manage their loan repayments, according to an article published by the American Medical Association (AMA).

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Recommendations Made for Partnering Patients in Health Care

THURSDAY, July 3, 2014 (HealthDay News) -- Changes need to be implemented in the education system in order to fully integrate patients and their families as equal partners in health care, according to a report based on recommendations made at a conference convened by the Macy Foundation.

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Cesarean Section May Increase Risk of Subsequent Stillbirth

THURSDAY, July 3, 2014 (HealthDay News) -- Birth by cesarean section may increase the risk of subsequent stillbirth or ectopic pregnancy, according to research published online July 1 in PLOS Medicine.

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Gestational Diabetes Screen Improves Pregnancy Outcomes

THURSDAY, July 3, 2014 (HealthDay News) -- The use of new International Association of Diabetes and Pregnancy Study Group criteria (IADPSGC) for the diagnosis of gestational diabetes mellitus (GDM) is cost-effective and may improve pregnancy outcomes, according to research published online June 19 in Diabetes Care.

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AAP Issues Guidance on STI Screening for Teens

THURSDAY, July 3, 2014 (HealthDay News) -- Guidance is provided for screening adolescents and young adults for sexually transmitted infections (STIs) in an American Association of Pediatrics (AAP) Policy Statement published online June 30 in Pediatrics.

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Tips Offered for Improving Practice Financial Management

WEDNESDAY, July 2, 2014 (HealthDay News) -- Establishing clear financial policies for practices and making it easy for patients to pay are two suggestions for improving practices' financial management, according to an article published online June 24 in Medical Economics.

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AAFP Urges Changes in Telemedicine Compensation

WEDNESDAY, July 2, 2014 (HealthDay News) -- Significant changes should be made to delivery and payment of telemedicine services, according to an article published by the American Academy of Family Physicians (AAFP).

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Health Care Expenditure Has Slowed in United States

WEDNESDAY, July 2, 2014 (HealthDay News) -- The growth in U.S. health care expenditure has slowed in recent years, coming some way toward closing the gap with other countries of the Organisation for Economic Co-operation and Development (OECD), according to an article in the health of Americans series published online July 1 in The Lancet.

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Mental Stress Affects Ischemia Prognosis in Patients With CAD

WEDNESDAY, July 2, 2014 (HealthDay News) -- Mental stress-induced myocardial ischemia (MSIMI) is associated with increased risk of adverse cardiovascular events in patients with coronary artery disease (CAD), according to research published in the July 15 issue of The American Journal of Cardiology.

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Protection Against HSV-2 Is Added Benefit of Tenofovir

TUESDAY, July 1, 2014 (HealthDay News) -- Tenofovir for HIV-1 preexposure prophylaxis (PrEP) provides the added benefit of protection against herpes simplex virus type 2 (HSV-2) acquisition, according to a study published in the July 1 issue of the Annals of Internal Medicine.

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ACA Offers Opportunities for Prevention, Public Health

TUESDAY, July 1, 2014 (HealthDay News) -- The Patient Protection and Affordable Care Act is fostering collaboration between the public health and health care systems and can improve quality of care and advance population health, according to an article in the health of Americans series published online July 1 in The Lancet.

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About Half of Youth Surveyed Sexted As Minors

TUESDAY, July 1, 2014 (HealthDay News) -- About half of youth reported having sexted as minors, and most lacked awareness of the legal consequences of underage sexting, according to research published online June 4 in Sexuality Research and Social Policy.

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ACP Recommends Against Pelvic Screening in Adult Women

TUESDAY, July 1, 2014 (HealthDay News) -- The American College of Physicians (ACP) recommends against pelvic screening for asymptomatic adult women, according to a systematic review and clinical guidelines published in the July 1 issue of the Annals of Internal Medicine.

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Study Confirms Link Between Low Vitamin D, Early Death

TUESDAY, July 1, 2014 (HealthDay News) -- People with low blood levels of vitamin D are twice as likely to die prematurely, according to a review published online June 12 in the American Journal of Public Health.

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Most OBs Value Environmental Exposure Counseling

TUESDAY, July 1, 2014 (HealthDay News) -- Most U.S. obstetricians recognize that counseling can reduce environmental exposure during pregnancy, but few routinely ask about common exposures, according to a study published online June 25 in PLOS ONE.

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