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July 2013 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 July 2013. 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.

Surgery Not Needed With All Abnormal Breast Lesions

WEDNESDAY, July 31 (HealthDay News) -- Women with atypical lobular hyperplasia (ALH) or lobular carcinoma in situ (LCIS) biopsy findings can be safely observed when careful radiologic-pathologic correlation for concordance is established, according to research published online July 30 in Radiology.

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Bisphenol-A Has Detrimental Effects on Oocytes

WEDNESDAY, July 31 (HealthDay News) -- Exposure of oocytes to bisphenol-A (BPA) has detrimental effects on cell growth and increases oocyte degeneration and spontaneous activation, according to a study published online July 30 in Human Reproduction.

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Health 'Mutual Accountability' Pilot Program Launching

WEDNESDAY, July 31 (HealthDay News) -- The State of Oklahoma Office of Management and Enterprise Services has chosen MedEncentive to conduct a three-year heath improvement program pilot among HealthChoice beneficiaries.

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Review Supports Elevated Risk of CHD Even With Prehypertension

WEDNESDAY, July 31 (HealthDay News) -- Prehypertension, especially high-range prehypertension, is associated with an increased risk of coronary heart disease (CHD), according to a meta-analysis published in the July 15 issue of The American Journal of Cardiology.

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Ob-Gyns Should Discuss Oral Hygiene With All Patients

WEDNESDAY, July 31 (HealthDay News) -- The American College of Obstetricians and Gynecologists (ACOG) recommends that physicians discuss oral health with all patients, including those who are pregnant or postpartum, according to a Committee Opinion published in the August issue of Obstetrics & Gynecology.

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Addition of Tomosynthesis to Mammography Cuts Recall Rate

TUESDAY, July 30 (HealthDay News) -- For patients presenting for screening mammography, the addition of tomosynthesis is associated with reduced recall rates for all breast densities and patient ages, according to a study published online July 30 in Radiology.

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Reversal of Medical Practices Common Over Past Decade

TUESDAY, July 30 (HealthDay News) -- Over 100 contemporary medical practices have subsequently been reversed over the last 10 years, according to a review published online July 22 in Mayo Clinical Proceedings.

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Review Explores HPV Link to Higher Risk of Esophageal Cancer

TUESDAY, July 30 (HealthDay News) -- The presence of human papillomavirus (HPV) DNA is associated with a three-fold higher risk of esophageal cancer, according to a study published online July 24 in PLOS ONE.

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Breastfeeding Duration Linked to Intelligence in Childhood

TUESDAY, July 30 (HealthDay News) -- Breastfeeding duration is associated with receptive language at age 3 and intelligence at age 7, according to a study published online July 29 in JAMA Pediatrics.

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Sexual Counseling Should Be Given to CVD Patients, Partners

MONDAY, July 29 (HealthDay News) -- Cardiovascular disease (CVD) patients and their partners should receive sexual counseling, according to a joint position statement from the American Heart Association and the European Society of Cardiology Council on Cardiovascular Nursing and Allied Professions, published online July 29 in Circulation.

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Review Examines Coronary Artery Disease in Women

MONDAY, July 29 (HealthDay News) -- Coronary artery disease (CAD) affects women as much as men, with worse consequences, according to a report published in the June issue of Global Heart.

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No Change in HPV Vaccine Coverage for Teen Girls in 2012

MONDAY, July 29 (HealthDay News) -- In 2012 there was little increase in human papillomavirus (HPV) vaccination among teenage girls, according to a report published in the July 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA Updates Oral Nizoral Label to Reflect Safety Concerns

MONDAY, July 29 (HealthDay News) -- The U.S. Food and Drug Administration has approved label changes for Nizoral (ketoconazole) oral tablets and added a Medication Guide detailing various associated safety concerns.

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Maternal Infection Rates Vary Considerably Among Hospitals

FRIDAY, July 26 (HealthDay News) -- Obstetric infection rates vary considerably between hospitals, according to a study published in the June issue of the American Journal of Obstetrics & Gynecology.

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U.S. Marriage Rate Is Lowest in More Than 100 Years

FRIDAY, July 26 (HealthDay News) -- The U.S. marriage rate is currently the lowest it has been in more than a century, according to a report published by the National Center for Family & Marriage Research (NCFMR).

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For Ischemic Stroke, Fewer Women Receive Thrombolytics

FRIDAY, July 26 (HealthDay News) -- Women with acute ischemic stroke are less likely than men to arrive at the hospital within four hours and are less likely to receive thrombolytic treatment, according to research published online July 25 in Stroke.

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Taller Postmenopausal Women at Higher Risk for Cancer

THURSDAY, July 25 (HealthDay News) -- For postmenopausal women, height is positively associated with risk of all cancers and risk of specific cancers at numerous sites, according to research published online July 25 in Cancer Epidemiology, Biomarkers & Prevention.

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Prenatal Mercury Exposure, ASD Behaviors Not Linked

THURSDAY, July 25 (HealthDay News) -- Prenatal exposure to methlymercury is not associated with autism spectrum disorder (ASD) phenotypic behaviors, according to a study published online July 18 in Epidemiology.

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Study Examines Addictiveness of Menthol Cigarettes

THURSDAY, July 25 (HealthDay News) -- The addictiveness of menthol cigarettes, which are particularly popular with African-Americans and young people, may be due to their interaction with nicotinic acetylcholine (nACh) receptors in the brain, according to a review published online July 23 in Frontiers in Pharmacology.

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Weight Discrimination Increases Obesity Risk

THURSDAY, July 25 (HealthDay News) -- Instead of motivating people to lose weight, weight discrimination may increase the risk of becoming or remaining obese, according to a study published online July 24 in PLOS ONE.

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IOM Confirms Geographic Variation in Health Spending

THURSDAY, July 25 (HealthDay News) -- Considerable geographic variation exists in health care spending and utilization, but a geographically-based value index is unlikely to promote value improvement, according to a report published July 24 by the Institute of Medicine.

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Smoking in Pregnancy Linked to Offspring Conduct Problems

THURSDAY, July 25 (HealthDay News) -- Maternal smoking during pregnancy is associated with offspring conduct problems among children raised by genetically related and genetically unrelated mothers, according to research published online July 24 in JAMA Psychiatry.

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Challenges of Financial Margins in Obstetric Units Discussed

THURSDAY, July 25 (HealthDay News) -- In obstetric units, the challenges of reducing health care costs while improving the experience of care are complicated by the slowing birth rate, according to a clinical opinion piece published in the July issue of the American Journal of Obstetrics & Gynecology.

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Percutaneous Tibial Nerve Stimulation Has Lasting Benefit

THURSDAY, July 25 (HealthDay News) -- Percutaneous tibial nerve stimulation with the Urgent PC Neuromodulation System offers sustained overactive bladder symptom improvement after three years of therapy, according to a study published in the June issue of The Journal of Urology.

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Screening Mammogram Recall Rates Vary by Practice Site

THURSDAY, July 25 (HealthDay News) -- Patient population factors likely contribute to higher mammogram recall rates at an academic hospital site versus a community office practice employing the same radiologists, according to a study published in online July 24 in Radiology.

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Women Worry About Resuming Sexual Activity After Heart Attack

WEDNESDAY, July 24 (HealthDay News) -- Women who resume sexual activity following a myocardial infarction (MI) often do so with fear and without direct counseling by their physician, according to a study published online July 24 in the Journal of the American Heart Association.

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Docs Need to Follow Patients' Lead, Embrace Social Media

WEDNESDAY, July 24 (HealthDay News) -- As more patients discuss and manage their health care online, doctors need to keep up and use social media, according to a report published by the American Medical Association (AMA).

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HPV Vaccine Effective Against Oral Infections

WEDNESDAY, July 24 (HealthDay News) -- The bivalent human papillomavirus (HPV) 16/18 vaccine is effective against oral infection, according to a study published online July 17 in PLOS ONE.

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Breast Cancer Survival for Blacks Unchanged Since 1991

TUESDAY, July 23 (HealthDay News) -- Breast cancer survival for black women diagnosed in the last two decades has not changed, and appears to be lower than breast cancer survival for white women due to presentation characteristics at diagnosis rather than treatment differences, according to a study published in the July 24/31 issue of the Journal of the American Medical Association.

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U.S. Physicians Not Supportive of Changes in Payment Models

TUESDAY, July 23 (HealthDay News) -- U.S. physicians accept some responsibility for reducing health care costs in their practice, but most do not want to change payment models, according to research published in the July 24/31 issue of the Journal of the American Medical Association.

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Deaths Estimated From Estrogen Avoidance After Hysterectomy

TUESDAY, July 23 (HealthDay News) -- Thousands of postmenopausal hysterectomized women are estimated to die each year because of low utilization of estrogen therapy (ET), according to a study published online July 18 in the American Journal of Public Health.

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Maternal Health Behaviors Affect Teen Boys' HPV4 Uptake

TUESDAY, July 23 (HealthDay News) -- Maternal utilization of preventive care and a history of genital warts may influence utilization of the quadrivalent human papillomavirus vaccine (HPV4) among adolescent boys, according to a study published online July 18 in the American Journal of Public Health.

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HHS Awards $12 Million to Support Primary Care Training

TUESDAY, July 23 (HealthDay News) -- $12 million in Affordable Care Act (ACA) funds is being awarded to support primary care residency programs in 32 Teaching Health Centers, according to a report published by the U.S. Department of Health and Human Services.

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Pros and Cons of Electronic Cigarette Regulation Discussed

TUESDAY, July 23 (HealthDay News) -- The pros and cons of electronic cigarette (EC) regulation are discussed in to two editorials published online July 23 in The Lancet Respiratory Medicine.

Editorial 1 (subscription or payment may be required)
Editorial 2 (subscription or payment may be required)

Tablets Help Physicians Keep Up With Medical Research

MONDAY, July 22 (HealthDay News) -- Most physicians find keeping up with the latest research to be challenging, but the use of tablets and smartphones may help, according to a report published by Wolters Kluwer Health.

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Premiums Expected to Be About 20 Percent Lower in 2014

MONDAY, July 22 (HealthDay News) -- Premiums in the Health Insurance Marketplace are likely to be about 20 percent lower than anticipated in 2014, according to a report published by the U.S. Department of Health and Human Services (HHS).

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Breastfeeding Lowers Odds of Maternal High Blood Pressure

FRIDAY, July 19 (HealthDay News) -- The combination of giving birth and breastfeeding is associated with lower odds of having high blood pressure in later life, according to a study published in the June issue of the American Journal of Obstetrics & Gynecology.

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Decision Aid Reduces Conflict in Breast Cancer Treatment

FRIDAY, July 19 (HealthDay News) -- Chinese women considering surgery for breast cancer have less decisional conflict and subsequent regret if they receive an educational take-home booklet to involve them in decision making, according to a study published online July 8 in the Journal of Clinical Oncology.

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Top Challenges for Docs Include Financial Management

FRIDAY, July 19 (HealthDay News) -- The top issues and challenges facing physicians include managing changing reimbursement models with payors and financial management, according to a report published by Wolters Kluwer Health.

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Missed Diagnoses, Med Errors Most Common Malpractice Claims

FRIDAY, July 19 (HealthDay News) -- The most common medical misadventures resulting in malpractice claims in primary care are missed or delayed diagnoses and medication errors, according to a review published online July 18 in BMJ Open.

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Women in ER for Non-Urgent Care Can Be Screened for Health Needs

THURSDAY, July 18 (HealthDay News) -- Survey instruments may be used to screen for information about abuse experiences, substance use, and sexual health in women seeking non-urgent care at an emergency department, according to research published in the July issue of the Journal of Emergency Nursing.

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In 2010, Racial Discrepancy in Life Expectancy 3.8 Years

THURSDAY, July 18 (HealthDay News) -- In 2010, the discrepancy in life expectancy between blacks and whites was 3.8 years, according to a July data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Family Medicine Continues to Provide Care for Pregnant Women

THURSDAY, July 18 (HealthDay News) -- The proportion of pregnant women receiving care from family medicine providers has remained steady nationally from 2000 to 2009, although regional differences are apparent, according to a study published in the July/August issue of the Annals of Family Medicine.

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Collecting Employee Wellness Data Can Up Screening Rates

WEDNESDAY, July 17 (HealthDay News) -- Higher participation in health risk assessments (HRAs) among employee wellness program (EWP) members may improve cancer screening rates, according to research published online July 11 in Preventing Chronic Disease.

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Infants Might Benefit From Delayed Cord Clamping

WEDNESDAY, July 17 (HealthDay News) -- In healthy, term infants there may be some advantages to delayed cord clamping, including an increase in early hemoglobin concentration, according to a review published online July 11 in The Cochrane Library.

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Financial Incentives Can Drive Health IT Adoption

WEDNESDAY, July 17 (HealthDay News) -- Financial incentives can drive providers' adoption of health information technology, including e-prescribing, according to a study published in the July issue of Health Affairs.

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Free Postpartum Contraception Optimizes Pregnancy Intervals

WEDNESDAY, July 17 (HealthDay News) -- Providing postpartum contraception to low-income women through publicly-funded programs helps avoid short pregnancy intervals, according to research published online July 8 in Obstetrics & Gynecology.

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Low-Dose Aspirin May Reduce Women's Colorectal Cancer Risk

WEDNESDAY, July 17 (HealthDay News) -- In healthy women, long-term use of alternate-day, low-dose aspirin may reduce the risk for colorectal cancer, according to a study published in the July 16 issue of the Annals of Internal Medicine.

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Uterine Massage Doesn't Cut Post-Delivery Blood Loss

TUESDAY, July 16 (HealthDay News) -- For women who deliver vaginally, the addition of transabdominal uterine massage to oxytocin following the delivery of the placenta does not reduce blood loss compared with oxytocin alone, according to a study published online July 8 in Obstetrics & Gynecology.

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Telephone Intervention Ups Colorectal Cancer Screening

TUESDAY, July 16 (HealthDay News) -- A telephone outreach intervention delivered by Medicaid managed care organization (MMCO) staff can increase rates of colorectal cancer (CRC) screening among women overdue for screening, according to a study published in the July/August issue of the Annals of Family Medicine.

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Improvements Made to CMS Online Directory of Physicians

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) has reworked and redesigned their online directory of physicians (Physicians Compare) after errors were discovered throughout the site.

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Redesign of Medical Education Needed for Chronic Disease Era

TUESDAY, July 16 (HealthDay News) -- Medical education programs should be redesigned to address the current complex chronic disease era, with emphasis on appropriate basic sciences and clinical skills, according to a special communication published online July 15 in JAMA Internal Medicine.

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CMS Medicare Physician Fee Schedule Could Benefit Docs

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services has released the 2014 proposed Medicare physician fee schedule, which could help create a more equitable payment system by adjusting misvalued codes and proposing new complex management codes, according to a report published by American Academy of Family Physicians.

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More Job Opportunities Available for Physicians

MONDAY, July 15 (HealthDay News) -- More than half of physicians are receiving up to three employment solicitations per week, according to a report published by American Medical Association (AMA).

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EHRs May Slow Growth in Ambulatory Health Care Costs

MONDAY, July 15 (HealthDay News) -- Adoption of electronic health records (EHRs) modestly slows growth in ambulatory health care costs, according to research published in the July 16 issue of the Annals of Internal Medicine.

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CMS Proposes New Rule for Outpatient Payment Policies

MONDAY, July 15 (HealthDay News) -- A new rule proposes updating Medicare payment policies and rates for the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) services, according to a report issued by the Centers for Medicare and Medicaid Services.

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Novel Misoprostol Insert Reduces Labor Time, Need for Oxytocin

FRIDAY, July 12 (HealthDay News) -- Use of a 200-microgram misoprostol vaginal insert significantly reduces the time to vaginal delivery and the need for oxytocin, in women with an unfavorable cervix, compared to those using a dinoprostone vaginal insert, according to a study published online July 8 in Obstetrics & Gynecology.

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Phone Call OK Instead of Visit for Routine Post-Op Follow-Up

FRIDAY, July 12 (HealthDay News) -- A telephone visit can be safely substituted for the standard clinic visit as postoperative follow-up for certain types of ambulatory surgery, and most patients report a high degree of satisfaction, according to research published online on July 10 in JAMA Surgery.

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AMA Offers Guidance for Improving EHR Effectiveness

FRIDAY, July 12 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has voted for policies to help physicians navigate patient interaction while using electronic devices and to improve the interoperability of electronic health records (EHRs).

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Physicians Frustrated by Third-Party Interference

FRIDAY, July 12 (HealthDay News) -- Third-party interference is the most commonly cited key frustration for physicians, according to the results of a survey published in Physicians Practice.

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Report Shows Some Improvements in Child Well-Being

FRIDAY, July 12 (HealthDay News) -- Preterm births are continuing to decline and smoking levels are at their lowest ever, but obesity has remained stable and diet quality still falls short of recommendations, according to the federal government's annual statistical report on the well-being of the nation's children and youth.

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Patients Benefit From Primary Care Wellness Program

FRIDAY, July 12 (HealthDay News) -- Patients benefit from the Americans In Motion-Healthy Interventions (AIM-HI) approach to promoting physical activity, healthy eating, and emotional well-being regardless of whether or not family medicine practice office staff use the tools, according to a study published in the July/August issue of the Annals of Family Medicine.

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Ob-Gyns Stray From Guidelines for Cervical Cancer Prevention

THURSDAY, July 11 (HealthDay News) -- A survey of obstetrician-gynecologists has identified barriers to the adoption of human papillomavirus (HPV) vaccination and screening measures for cervical cancer, according to research published online July 9 in the American Journal of Preventive Medicine.

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U.S. Adults Value Health Care Provider Skill Evaluation

THURSDAY, July 11 (HealthDay News) -- Most adults feel that health care providers who treat them should adhere to a recertification program, including passing examinations, attending educational programs, and undergoing certification, regardless of time in practice, according to a report published by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and the Citizen Advocacy Center.

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Grants of $150 Million for Community Health Centers

THURSDAY, July 11 (HealthDay News) -- Grants totaling $150 million are to be shared by 1,100 community health centers to help enroll patients in insurance programs, according to the U.S. Department of Health and Human Services (HHS).

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Health Searches May Be Leaked to Third Parties

THURSDAY, July 11 (HealthDay News) -- Free health-related websites often have third-party tracking elements and leak search terms to third-party tracking entities, unlike U.S. government or physician-oriented websites, according to a research letter published online July 8 in JAMA Internal Medicine.

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Low-Income Patients Prefer Hospital to Outpatient Care

THURSDAY, July 11 (HealthDay News) -- Patients in low socioeconomic groups who live in urban settings report that they prefer hospital care to ambulatory care because it is less expensive, more accessible, and superior in quality, according to research published in the July issue of Health Affairs.

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Increasing Physical Activity is Not Curbing Obesity Prevalence

THURSDAY, July 11 (HealthDay News) -- The prevalence of sufficient physical activity is increasing across counties in the United States, but has had little impact on obesity prevalence, according to a study published online July 10 in Population Health Metrics.

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One in Five U.S. Adults Will Have Trouble Paying Medical Bills

THURSDAY, July 11 (HealthDay News) -- About one in five U.S. adults will have problems paying health care bills in 2013, including about 10 million adults with year-round insurance coverage, according to a report published by the American Medical Association (AMA).

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In 2010, Blood Transfusion Most Frequent Hospital Procedure

THURSDAY, July 11 (HealthDay News) -- The most frequent procedure performed during hospitalization in 2010 was blood transfusion, which was common among all age groups except for infants, according to the Agency for Healthcare Research and Quality (AHRQ).

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Quality Metrics Play Small Role in Physician Compensation

THURSDAY, July 11 (HealthDay News) -- Quality measures play a small but emerging role in physician compensation, according to a report published by the Medical Group Management Association (MGMA).

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Red Cross Issues Emergency Call for Blood Donors

THURSDAY, July 11 (HealthDay News) -- The American Red Cross has issued an emergency request for blood and platelet donors of all blood types, according to report posted July 9.

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Mediators of Preeclampsia, Cerebral Palsy Link Identified

THURSDAY, July 11 (HealthDay News) -- Preeclampsia correlates with an increased risk of cerebral palsy, and the correlation is mediated by preterm birth and being small for gestational age, according to a study published online July 9 in BMJ.

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Docs Don't Often Talk to Patients About Dietary Supplements

THURSDAY, July 11 (HealthDay News) -- Although primary care physicians are discussing dietary supplements with patients during outpatient visits, these exchanges happen infrequently, according to research published in the June issue of Patient Education and Counseling.

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Existing Medicaid Patients May Miss Out on Preventive Care

WEDNESDAY, July 10 (HealthDay News) -- Existing Medicaid enrollees may not receive preventive care measures the Affordable Care Act mandates for those covered under new insurance requirements, according to a study published in the July issue of Health Affairs.

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Chronic Illness Positively Linked to Receipt of Preventive Care

WEDNESDAY, July 10 (HealthDay News) -- Patients with one or more chronic illnesses are not less likely to receive recommended preventive health services, according to a study published in the July/August issue of the Annals of Family Medicine.

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Improvements Noted in U.S. Health From 1990 to 2010

WEDNESDAY, July 10 (HealthDay News) -- From 1990 to 2010, considerable progress has been made in improving health in the United States, according to a report published online July 10 in the Journal of the American Medical Association.

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Improvement Needed in Drug Post-Marketing Studies

WEDNESDAY, July 10 (HealthDay News) -- Since the requirement in 2007 that drug makers conduct post-marketing studies, the number of studies not yet started has declined while the number of studies fulfilling obligations has nearly doubled, according to a report published in the July 10 issue of the Journal of the American Medical Association. However, more than 40 percent of studies had not yet been started in 2011, and the number of studies with delays doubled as of 2011.

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Tablets More Useful Than Smartphones for Docs Using EHRs

WEDNESDAY, July 10 (HealthDay News) -- Although tablets are less often used by physicians than smartphones, they are more frequently used for accessing electronic health records (EHRs), and time spent on tablets is much higher, according to two reports published by AmericanEHR Partners.

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Health Insurance Marketplaces Not Required to Verify Claims

WEDNESDAY, July 10 (HealthDay News) -- Health insurance marketplaces will not be required to verify consumers' income and health insurance status and can rely on self-reported information, the Obama administration announced Friday.

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Digital Divide Plagues Underserved Areas

TUESDAY, July 9 (HealthDay News) -- Electronic health record (EHR) adoption is uneven, with traditionally underserved areas having lower adoption rates across the United States, according to a study published online June 26 in Health Services Research.

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Adoption of Electronic Health Records Is Progressing

TUESDAY, July 9 (HealthDay News) -- In 2012, 44 percent of hospitals reported having at least a basic electronic health record (EHR), according to an annual report published by the Robert Wood Johnson Foundation.

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Rural Program Affects Choice of Surgical Practice

TUESDAY, July 9 (HealthDay News) -- Surgical residents who complete a rural surgery rotation are much more likely to enter general surgery practice and practice in a rural area, even if they had initially planned to specialize, according to research published online July 3 in JAMA Surgery.

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Kidney Disease Significantly Reduces Life Expectancy in SLE

MONDAY, July 8 (HealthDay News) -- For patients with systemic lupus erythematosus (SLE), compromised kidneys significantly reduce survival and life expectancy, according to a study published online June 10 in Arthritis & Rheumatism.

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Remote Training Feasible, Effective for Surgical Skills

MONDAY, July 8 (HealthDay News) -- Remote teaching of surgical skills is feasible and effective in low-resource areas, according to a study published in the July issue of Obstetrics & Gynecology.

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Practices Are Not Ready for Implementation of ICD-10

MONDAY, July 8 (HealthDay News) -- Most practices are not ready for implementation of the International Classification of Diseases, Tenth Revision (ICD-10), according to a report published by the Medical Group Management Association (MGMA).

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Obama Administration: ACA's Employer Mandate Delayed

WEDNESDAY, July 3 (HealthDay News) -- The Obama Administration is postponing a major Affordable Care Act (ACA) provision, the employer mandate, according to an announcement made Tuesday via the U.S. Department of the Treasury website.

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Weight Gain Attenuates Smoking Cessation Benefits

WEDNESDAY, July 3 (HealthDay News) -- While smoking cessation reduces the risk of coronary heart disease in women with and without diabetes, a weight gain of 5 kg or more attenuates the association, according to research letter published in the July 3 issue of the Journal of the American Medical Association.

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Drug Overdose Deaths, ER Visits Up for Women Since 1999

WEDNESDAY, July 3 (HealthDay News) -- Drug-related deaths and emergency department visits have increased among women since 1999, according to research published in the July 2 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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More Than 40 Percent of Docs Report Work Dissatisfaction

WEDNESDAY, July 3 (HealthDay News) -- Many physicians are dissatisfied and are unlikely to recommend the medical profession to young people, according to a report published by Jackson Healthcare.

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IVF Tied to Small Increase in Mental Retardation

TUESDAY, July 2 (HealthDay News) -- In vitro fertilization (IVF) treatment is associated with a small but significant increase in the risk of mental retardation, but not with autistic disorder, according to a study published in the July 3 issue of the Journal of the American Medical Association.

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Progestin Tx Reasonably Effective for Early Endometrial Cancer

TUESDAY, July 2 (HealthDay News) -- Conservative management with oral progestin can be a reasonable treatment option for many patients with stage 1A endometrial cancer, according to research published in the July issue of Obstetrics & Gynecology.

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Post-Breast Cancer, Metformin Has No Effect on Mortality

TUESDAY, July 2 (HealthDay News) -- For older women with diabetes and breast cancer, there is no association between metformin use and all-cause or breast cancer-specific mortality, according to a study published online April 30 in Diabetes Care.

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Long-Term Night Shift Work Ups Likelihood of Breast Cancer

TUESDAY, July 2 (HealthDay News) -- Prolonged night shift work (for 30 years or more) is associated with a significantly increased likelihood of breast cancer, according to a study published online July 1 in Occupational & Environmental Medicine.

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New Rule for Contraception Coverage, Religious Bodies

TUESDAY, July 2 (HealthDay News) -- The final rule has been issued on contraception coverage and religious organizations, respecting the religious considerations raised by non-profit organizations while increasing access to contraceptive coverage for women, according to a report published by the U.S. Department of Health and Human Services.

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Docs Impact Comparative Effectiveness Research Opinion

TUESDAY, July 2 (HealthDay News) -- Doctors' support of comparative effectiveness research (CER) influences public opinion and has a greater impact on public opinion than cues from political players, according to research to be published this fall in the Journal of Health Politics, Policy and Law.

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FDA Approves First Non-Hormonal Tx for Hot Flashes

MONDAY, July 1 (HealthDay News) -- Brisdelle (paroxetine) has been approved by the U.S. Food and Drug Administration as the first non-hormonal treatment to treat hot flashes associated with menopause.

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Rhesus D Immunization in Pregnancy Examined

MONDAY, July 1 (HealthDay News) -- For Rhesus D negative women with Rhesus D positive fetuses, half of all sensitizations occur in the first pregnancy, with most women developing anti-D antibodies during the second or third trimester, according to a study published online June 11 in Acta Obstetricia et Gynecologica Scandinavica.

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Post-Gynecologic Operation Gum Chewing Improves Bowel Motility

MONDAY, July 1 (HealthDay News) -- For patients who undergo gynecologic laparoscopic surgery, postoperative gum chewing has positive effects on bowel motility, according to a study published in the July issue of Obstetrics & Gynecology.

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