Home News June 2019 Briefing – OBGYN & Women’s Health

June 2019 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 June 2019. 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.

Morning Preference Has Protective Effect on Breast Cancer Risk

FRIDAY, June 28, 2019 (HealthDay News) — Morning preference seems to have a protective effect on breast cancer risk, according to a study published online June 26 in The BMJ.

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Editorial

Review: HPV Vaccination Program Has Considerable Impact

FRIDAY, June 28, 2019 (HealthDay News) — The human papillomavirus (HPV) vaccination program has had a considerable impact, according to a study published online June 26 in The Lancet.

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Use of 3-D Mammography Rapidly Expanded 2015 to 2017

FRIDAY, June 28, 2019 (HealthDay News) — Adoption of 3-D mammography expanded rapidly in the United States in just a few years, particularly in areas with greater socioeconomic resources, according to a research letter published online June 24 in JAMA Internal Medicine.

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Less Than 40 Percent of All U.S. Adults Have Ever Had HIV Testing

THURSDAY, June 27, 2019 (HealthDay News) — The percentage of U.S. adults undergoing HIV testing nationwide is less than 40 percent, according to a study published online June 27 in Morbidity and Mortality Weekly Report.

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Three Interventions Could Cut Cardiovascular Deaths

THURSDAY, June 27, 2019 (HealthDay News) — Lowering blood pressure, cutting sodium intake, and eliminating intake of trans fat could cut the incidence of premature death from cardiovascular disease by 94 million people worldwide during the next 25 years, according to a study published online June 10 in Circulation.

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First-Trimester BP Category Linked to Hypertensive Disorders

THURSDAY, June 27, 2019 (HealthDay News) — First-trimester blood pressure (BP) category is associated with development of hypertensive disorders of pregnancy, according to a study published online June 27 in the American Journal of Obstetrics and Gynecology.

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Similar CV Event Rates Seen for Generic, Brand Levothyroxine

THURSDAY, June 27, 2019 (HealthDay News) — Cardiovascular event rates are similar for patients with newly treated hypothyroidism receiving generic and brand levothyroxine (L-T4), according to a study published online April 26 in the Mayo Clinic Proceedings.

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Higher Protein Intake May Cut Risk for Frailty in Older Women

THURSDAY, June 27, 2019 (HealthDay News) — Higher levels of protein intake may prevent the onset of frailty in older women, according to a study recently published in the European Journal of Nutrition.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) — After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Short-Term Walking Intervention Offers Lasting Health Benefits

WEDNESDAY, June 26, 2019 (HealthDay News) — Short-term primary care pedometer-based walking interventions can produce lasting health benefits, according to a study published online June 25 in PLOS Medicine.

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Physicians Unaware of Breast Density Laws, Cancer Risk

WEDNESDAY, June 26, 2019 (HealthDay News) — Physicians need more education about breast density and breast cancer screening, according to a study recently published in the Journal of Women’s Health.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) — Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Downward Trend Seen in Pelvic Exams Among Younger Women

WEDNESDAY, June 26, 2019 (HealthDay News) — From 1988 to 2017, the number of U.S. women aged 15 to 44 years who received a pelvic examination in the previous 12 months decreased, according to a data brief published online June 26 by the National Center for Health Statistics.

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Triclosan Exposure May Lower Bone Mineral Density in Women

WEDNESDAY, June 26, 2019 (HealthDay News) — Urinary triclosan (TCS) concentration is negatively associated with bone mineral density (BMD) and positively associated with osteoporosis, according to a study published online June 25 in the Journal of Clinical Endocrinology & Metabolism.

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FDA Warns Two Kratom Marketers About False Claims

TUESDAY, June 25, 2019 (HealthDay News) — The U.S. Food and Drug Administration on Tuesday took two kratom marketers to task over false claims that their products can treat or cure opioid addiction.

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Nutrient Intake Inadequate in Many Pregnant Women in U.S.

TUESDAY, June 25, 2019 (HealthDay News) — Even with dietary supplements, a substantial number of pregnant women in the United States are not meeting recommendations for vitamins D, C, A, B6, K, and E as well as folate, choline, iron, calcium, potassium, magnesium, and zinc, according to a study published online June 21 in JAMA Network Open.

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Smoking Confers Greatest Risk for Major Heart Attack for Women

TUESDAY, June 25, 2019 (HealthDay News) — Smoking confers a greater increase in ST-segment elevation myocardial infarction (STEMI) risk to women than men, according to a study published in the July 2 issue of the Journal of the American College of Cardiology.

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Set of Competencies for Obesity Developed for Medical Educators

TUESDAY, June 25, 2019 (HealthDay News) — A set of competencies has been developed for medical education program directors on caring for patients with obesity, and a proposed standard of care has been developed for adults with obesity, according to two reports published online June 24 in Obesity.

Abstract/Full Text (subscription or payment may be required) — Kushner

Abstract/Full Text (subscription or payment may be required) — Dietz and Gallagher

Iron Intake May Not Improve Pregnancy Chances

TUESDAY, June 25, 2019 (HealthDay News) — There is little association between iron intake and chances of conception overall, according to a study published online June 1 in the Journal of Nutrition.

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Cancer Survivors Have High Prevalence of Chronic Pain

TUESDAY, June 25, 2019 (HealthDay News) — Cancer survivors have a high prevalence of chronic pain, according to a research letter published online June 20 in JAMA Oncology.

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Many Trust Doctors, Nurses Over Other Sources of Health Advice

MONDAY, June 24, 2019 (HealthDay News) — Globally, about three-quarters of people trust doctors or nurses more than other sources when it comes to health advice, according to a report published online June 19 by the Wellcome Global Monitor.

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Vyleesi Approved for Hypoactive Sexual Desire Disorder in Women

MONDAY, June 24, 2019 (HealthDay News) — Vyleesi (bremelanotide) has been approved to treat acquired, generalized hypoactive sexual desire disorder in premenopausal women, the U.S. Food and Drug Administration announced Friday.

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Anxiety With Type 2 Diabetes Tied to High-Cost Health Care Use

MONDAY, June 24, 2019 (HealthDay News) — Anxiety is independently associated with high-cost resource use among individuals with type 2 diabetes, according to a study published online June 18 in Diabetes Care.

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Drug Combo Slows Progression in Advanced Breast Cancer

MONDAY, June 24, 2019 (HealthDay News) — Treatment with a combination of alpelisib and fulvestrant prolongs progression-free survival among patients with PIK3CA-mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer, according to a phase 3 study recently published in the New England Journal of Medicine.

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2018 Busiest Year Ever for U.S. National Domestic Violence Hotline

FRIDAY, June 21, 2019 (HealthDay News) — The U.S. National Domestic Violence Hotline had its busiest year ever in 2018, receiving 573,670 calls, texts, and online chats, a 36 percent increase from 2017.

NBC News Article

First States to Expand Medicaid Had Largest Bump in Cancer Screening

FRIDAY, June 21, 2019 (HealthDay News) — The first states to expand Medicaid under the Affordable Care Act saw the largest increases in colorectal cancer (CRC) screening from 2012 to 2016, according to a study published in the July issue of the American Journal of Preventive Medicine.

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2018 to 2019 Influenza Season in U.S. Was Longest in 10 Years

THURSDAY, June 20, 2019 (HealthDay News) — In the United States, the 2018 to 2019 influenza season was of moderate severity and lasted 21 weeks, according to research published in the June 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Most Women Unaware Alcohol Poses Breast Cancer Risk

THURSDAY, June 20, 2019 (HealthDay News) — Women have poor awareness of alcohol’s role in breast cancer risk, according to a study published online June 17 in BMJ Open.

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New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) — The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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T2DM Risk in Offspring Up With Maternal Overweight, Obesity

THURSDAY, June 20, 2019 (HealthDay News) — Maternal obesity and overweight are associated with an increased risk for type 2 diabetes in offspring, according to a study published online June 19 in Diabetologia.

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Sharing Clinical Notes Engages Ob-Gyn Patients

THURSDAY, June 20, 2019 (HealthDay News) — Obstetrics and gynecology patients are interested in reading clinical notes, which seems to promote engagement and safety, according to a study published online June 11 in Obstetrics & Gynecology.

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Suicide Rates Increased for Men, Women From 1999 to 2017

THURSDAY, June 20, 2019 (HealthDay News) — From 1999 to 2017, there was an increase in suicide rates for women and men, according to a report published in the June Health E-Stats, a publication of the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Elderly Women May Still Benefit From Osteoporosis Treatment

THURSDAY, June 20, 2019 (HealthDay News) — Late-life women with osteoporosis, including those with comorbidities, may still be drug treatment candidates to prevent future hip fracture, according to a study published online June 17 in JAMA Internal Medicine.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) — Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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Outpatient Office Visits Increased With Access to Patient Portal

WEDNESDAY, June 19, 2019 (HealthDay News) — For patients with diabetes, use of a patient portal can increase engagement in outpatient visits, according to a study published online June 19 in PLOS ONE.

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Surgeons’ Unprofessional Behavior Tied to Higher Complication Risk

WEDNESDAY, June 19, 2019 (HealthDay News) — Patients whose surgeons have higher numbers of coworker reports about unprofessional behavior may be at increased risk for postsurgical complications, according to a study published online June 19 in JAMA Surgery.

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Patterns of Inpatient Opioid Use Linked to Long-Term Use

TUESDAY, June 18, 2019 (HealthDay News) — Specific patterns of opioid administration to opioid-naive inpatients are associated with risk for long-term use after discharge, according to a study published online June 18 in the Annals of Internal Medicine.

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Cognitive Decline Faster After Incident Coronary Heart Disease Event

MONDAY, June 17, 2019 (HealthDay News) — Incident coronary heart disease (CHD) is associated with accelerated cognitive decline after, but not before, the event, according to a study published in the June 25 issue of the Journal of the American College of Cardiology.

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Drug Makers Challenge New Rule Requiring Drug Prices in TV Ads

MONDAY, June 17, 2019 (HealthDay News) — Three large drug makers have launched a legal challenge against the Trump administration’s rule requiring the prices of drugs to be included in television ads.

The New York Times Article

Triple-Negative Breast Cancer Varies by Birthplace for Black Women

MONDAY, June 17, 2019 (HealthDay News) — Among black women in the United States, the prevalence of triple-negative breast cancer varies by birthplace, according to a study published online June 13 in Cancer.

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High Soy Intake May Cut Fracture Risk in Younger Breast Cancer Survivors

MONDAY, June 17, 2019 (HealthDay News) — Higher soy consumption is linked to fewer osteoporotic fractures in younger breast cancer survivors, according to a study published online May 21 in JNCI Cancer Spectrum.

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Prenatal Antiepileptic Rx Exposure Ups Risk for Behavioral Issues

FRIDAY, June 14, 2019 (HealthDay News) — There is an increased risk for behavioral problems in children of mothers with epilepsy who take common antiepileptic drugs during pregnancy, according to a study published online June 5 in Epilepsia.

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Depression Symptoms Greater in Mothers With Prior Eating Disorders

THURSDAY, June 13, 2019 (HealthDay News) — Women with eating disorders experience persistently greater depressive symptoms across the life-course, according to a study recently published in the British Journal of Psychiatry.

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CDC: Prevalence of Meeting Exercise Guidelines Recently Increased

THURSDAY, June 13, 2019 (HealthDay News) — From 2008 to 2017, there was an increase in the prevalence of meeting physical activity guidelines among adults living in rural and urban areas, according to research published in the June 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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HIV Risk Does Not Differ With Three Contraceptive Methods

THURSDAY, June 13, 2019 (HealthDay News) — For African women seeking effective contraception, there is no significant difference in HIV incidence with use of intramuscular depot medroxyprogesterone acetate (DMPA-IM), a copper intrauterine device (IUD), and a levonorgestrel (LNG) implant, according to a study published online June 13 in The Lancet.

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Vitamin D, Estradiol Deficiency Have Synergistic Effect on MetS

THURSDAY, June 13, 2019 (HealthDay News) — For Chinese postmenopausal women, vitamin D (VitD) and estradiol (E2) deficiency have a synergistic effect on metabolic syndrome (MetS), according to a study published online June 10 in Menopause.

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FIGO 2018 Staging Ups Discrimination of Stage 1B Cervical Cancer

THURSDAY, June 13, 2019 (HealthDay News) — The Federation of Gynecology and Obstetrics (FIGO) 2018 staging schema improves discriminatory ability for women with stage IB cervical tumors, according to a study published online June 11 in Obstetrics & Gynecology.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) — Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Study Confirms Teratogenicity of Valproic Acid, Topiramate

WEDNESDAY, June 12, 2019 (HealthDay News) — Valproic acid and topiramate are confirmed teratogens, according to a study published online June 12 in Neurology.

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Chemoradiation Does Not Up Survival in Endometrial Cancer

WEDNESDAY, June 12, 2019 (HealthDay News) — For patients with stage III or IVA endometrial cancer, chemotherapy plus radiation is not associated with improved relapse-free survival versus chemotherapy alone, according to a study published in the June 13 issue of the New England Journal of Medicine.

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Nitrate Pollution of Tap Water May Cause Thousands of Cancer Cases

WEDNESDAY, June 12, 2019 (HealthDay News) — Nitrate pollution of drinking water has serious health and economic consequences, according to a study published online June 11 in Environmental Research.

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USPSTF Issues Recommendations on HIV Screening, Prevention

TUESDAY, June 11, 2019 (HealthDay News) — The U.S. Preventive Services Task Force recommends preexposure prophylaxis (PrEP) and HIV screening for prevention of HIV infection. These recommendations form the basis of two final recommendation statements published online June 11 in the Journal of the American Medical Association.

Recommendation Statement – PrEP

Evidence Report – PrEP

Editorial

Recommendation Statement – Screening

Evidence Report – Nonpregnant

Evidence Report – Pregnant

Number of Cancer Survivors Set to Top 22 Million by 2030

TUESDAY, June 11, 2019 (HealthDay News) — The number of cancer survivors is projected to increase to more than 22.1 million by Jan. 1, 2030, based on growth and aging of the population alone, according to a study published online June 11 in CA: A Cancer Journal for Clinicians.

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Poor Physical Performance Tied to Depression, Anxiety in Midlife Women

TUESDAY, June 11, 2019 (HealthDay News) — Weak physical performance on tests of the upper and lower body is associated with depressive and anxiety symptoms in midlife women, according to a study published online June 3 in Menopause.

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Data Insufficient for Safety of Lithium During Breastfeeding

MONDAY, June 10, 2019 (HealthDay News) — There is variability in data relating to the safety of lithium during breastfeeding, according to a review published online June 10 in the International Review of Psychiatry.

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Hyperglycemia in Pregnancy May Up Risk for Obesity in Offspring

MONDAY, June 10, 2019 (HealthDay News) — Pregnancy hyperglycemia at levels below the threshold for gestational diabetes mellitus (GDM) and maternal obesity are associated with childhood obesity, according to a study recently published in PLOS ONE.

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Irregular Sleep Patterns May Increase Risk for Metabolic Syndrome

MONDAY, June 10, 2019 (HealthDay News) — Variability in sleep duration and timing is associated with higher odds of metabolic syndrome, according to a study published online June 5 in Diabetes Care.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) — Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Job Demands, Burnout Tied to Weight Gain

FRIDAY, June 7, 2019 (HealthDay News) — Employees with heavier workloads or who are burned out are more likely to emotionally eat and exercise less, according to a study published online May 30 in the Journal of Health Psychology.

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Cell-Free DNA Testing IDs Trisomy 21 in Twin Pregnancies

FRIDAY, June 7, 2019 (HealthDay News) — Performance of cell-free DNA (cfDNA) testing for trisomy 21 in twin pregnancies is similar to that reported in singleton pregnancies, according to research published online June 4 in Ultrasound in Obstetrics & Gynecology.

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Receipt of Breast Milk Increases With Gestational Age at Birth

THURSDAY, June 6, 2019 (HealthDay News) — Receipt of any breast milk varies with gestational age, ranging from 71.3 percent of extremely preterm infants to 84.6 percent of term infants, according to research published in the June 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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WHO: Estimated Incidence of Curable STIs 376.4 Million in 2016

THURSDAY, June 6, 2019 (HealthDay News) — The estimated incidence of urogenital infections with chlamydia, gonorrhea, trichomoniasis, and syphilis was 376.4 million in 15- to 49-year-old men and women in 2016, according to research published online June 6 in the Bulletin of the World Health Organization.

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Rapid Cycling Work Roster Improves Resident Sleep Practices

THURSDAY, June 6, 2019 (HealthDay News) — A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.

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Survey Indicates Physician Misconduct Is Underreported

THURSDAY, June 6, 2019 (HealthDay News) — Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).

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Lowering Cholesterol Levels May Worsen Nerve Damage in T2DM

WEDNESDAY, June 5, 2019 (HealthDay News) — Lowering serum cholesterol levels in patients with type 2 diabetes is associated with diabetic polyneuropathy (DPN), according to a study published online May 31 in JAMA Network Open.

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Surveillance Breast MRI Ups Biopsy, Cancer Detection Rates

WEDNESDAY, June 5, 2019 (HealthDay News) — Use of surveillance breast magnetic resonance imaging (MRI) is associated with increased biopsy and subsequent cancer detection rates compared with mammography alone among women with a personal history of breast cancer, according to a study published online June 4 in Radiology.

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Common Supplement Ingredient Could Harm Fetus, FDA Warns

TUESDAY, June 4, 2019 (HealthDay News) — A review by the U.S. Food and Drug Administration has revealed that vinpocetine, a compound found in many dietary supplements, may cause miscarriage or harm a developing fetus.

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Young Male Adults Have Lower Cancer Burden Than Women

TUESDAY, June 4, 2019 (HealthDay News) — For young adults, there have been some notable findings for overall cancer incidence rates and death rates, according to a study published online May 30 in the Journal of the National Cancer Institute.

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Editorial (subscription or payment may be required)

ACP Issues Position on Response to Physician Impairment

MONDAY, June 3, 2019 (HealthDay News) — Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Higher Surgical Volume May Improve Outcomes in Cervical Cancer

MONDAY, June 3, 2019 (HealthDay News) — Surgery at high-volume centers is associated with decreased local recurrence risk and improved survival for women with early-stage cervical cancer, according to a study published in the June issue of Obstetrics & Gynecology.

Abstract/Full Text

Editorial (subscription or payment may be required)

Guidelines Issued for Addressing Heart Disease Risk in HIV

MONDAY, June 3, 2019 (HealthDay News) — People living with HIV (PLWH) have an increased risk for cardiovascular disease (CVD), a risk that needs appropriate management and treatment, according to a scientific statement issued by the American Heart Association and published online June 3 in Circulation.

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FDA Takes Hard Look at CBD

MONDAY, June 3, 2019 (HealthDay News) — The U.S. Food and Drug Administration took a good look at the safety and effectiveness of cannabidiol (CBD) products on Friday, as it weighs how to best regulate the hemp-derived compound going forward.

CNN Article

HealthDay Article

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