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September 2013 Briefing - OBGYN & Women's Health

September 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 September 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.

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721.full.pdf+html )

Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

More Information (http://themorningconsult.com/topline-results-september-2013-tracking-poll/ )

Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

More Information (http://www.hhs.gov/ )

Vitamin D Alone Doesn't Better Postmenopausal Bone Health

MONDAY, Sept. 30 (HealthDay News) -- Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover, according to a study published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.abstract?rss=1 )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.full.pdf+html )

DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

More Information (http://www.dol.gov/ebsa/faqs/faq-noticeofcoverageoptions.html )

Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

Full Text (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-physicians-can-increase-employee-satisfaction-their-medical-practice?page=0,0 )

Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

Abstract (http://amj.aom.org/content/56/4/1050.abstract )Full Text (subscription or payment may be required) (http://amj.aom.org/content/56/4/1050.full )

HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

More Information (https://www.healthcare.gov/ )

Rates of Severe and Fatal Maternal Sepsis Up in the U.S.

FRIDAY, Sept. 27 (HealthDay News) -- Rates of severe sepsis and sepsis-related deaths during hospitalization for labor and delivery in the United States are increasing, according to research published in the October issue of Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/117/4/944.abstract )Full Text (subscription or payment may be required) (http://www.anesthesia-analgesia.org/content/117/4/944.full )

Combo Approach Ups Flu Vaccine Receipt Among Pregnant Women

THURSDAY, Sept. 26 (HealthDay News) -- The combination of a health care provider recommending an influenza vaccination and offering the vaccine increases uptake among pregnant women, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6238a3.htm?s_cid=mm6238a3_w )

HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

More Information (https://www.healthcare.gov/ )

CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6238a2.htm?s_cid=mm6238a2_w )

No Cognitive Protective Role Seen for Omega-3 Fatty Acids

THURSDAY, Sept. 26 (HealthDay News) -- There is no evidence of a protective effect for omega-3 fatty acids on age-associated cognition or the rate of cognitive decline in older dementia-free women, according to research published online Sept. 25 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/09/25/WNL.0b013e3182a9584c.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/09/25/WNL.0b013e3182a9584c.full.pdf+html )

More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/09/20130925a.html )

HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

More Information (https://www.healthcare.gov/ )

Prenatal Antiepileptic Drugs Affect Fine Motor Skills in Infants

WEDNESDAY, Sept. 25 (HealthDay News) -- Prenatal exposure to antiepileptic drugs is associated with impaired fine motor skills at 6 months of age, according to a study published online Sept. 23 in JAMA Neurology.

Full Text (http://archneur.jamanetwork.com/article.aspx?articleid=1741977 )Editorial (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1741976 )

ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1741855 )

Mother-Infant Bedsharing Promotes Breastfeeding

WEDNESDAY, Sept. 25 (HealthDay News) -- Duration of breastfeeding is longer for mothers who frequently lie down and sleep with their infants for major sleep periods, according to research published online Sept. 23 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1740763#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1740763 )

Second Bone Mineral Density Test Doesn't Up Fx Prediction

TUESDAY, Sept. 24 (HealthDay News) -- For older adults, a second bone mineral density (BMD) measure after four years does not improve prediction of hip or major osteoporotic fractures, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741821#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741821 )

HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

More Information (https://www.healthcare.gov/ )

FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369431.htm )

Breastfeeding Concerns Prevalent Among New Mothers

TUESDAY, Sept. 24 (HealthDay News) -- Almost all new mothers experience breastfeeding concerns in the early postpartum period, and these are associated with stopping breastfeeding, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0724.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0724.full.pdf+html )

Model Can Predict Preemie Neonatal Outcome Severity

TUESDAY, Sept. 24 (HealthDay News) -- A statistical prediction model comprising eight characteristics can be used to determine the severity of neonatal outcomes for infants born at 23 to 30 weeks of gestation, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0702.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0702.full.pdf+html )

Marriage Shown to Provide Cancer Survival Benefit

TUESDAY, Sept. 24 (HealthDay News) -- Unmarried patients are at significantly higher risk of presentation with metastatic cancer, undertreatment, and cancer-related death, according to a study published online Sept. 23 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.49.6489.abstract )Full Text (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.49.6489.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.51.5080.full.pdf+html )

FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369276.htm )

USPSTF: Offer Breast CA Risk-Reducing Rx to High-Risk Patients

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that women at increased risk of breast cancer be prescribed tamoxifen or raloxifene for risk reduction, according to a final Recommendation Statement published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1740758 )

HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

More Information (https://www.healthcare.gov/ )

Pap, HPV Testing Unnecessarily High in Under-21-Year-Olds

MONDAY, Sept. 23 (HealthDay News) -- For women younger than 21 years, Papanicolaou (Pap) and human papillomavirus (HPV) testing are unnecessarily high, according to a study published in the September issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378(13)00547-4/abstract )Full Text (subscription or payment may be required) (http://www.ajog.org/article/S0002-9378(13)00547-4/fulltext )

Majority of U.S. Consumers Want Full Access to EMR

MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.

More Information (http://newsroom.accenture.com/news/more-than-40-percent-of-us-consumers-willing-to-switch-physicians-to-gain-online-access-to-electronic-medical-records-according-to-accenture-survey.htm?c=hls_fy13prtwt_10000108&n=smc_0713#sf17115649g )

Racial Disparities in Functional Disability of Breast Cancer

MONDAY, Sept. 23 (HealthDay News) -- Older women with newly diagnosed non-metastatic breast cancer frequently have functional disability, with African-American (AA) women disproportionately affected, according to a study published online Sept. 23 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28232/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28232/full )

HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

More Information (https://www.healthcare.gov/ )

Monitoring Ups Adherence to Antiretroviral Prophylaxis

FRIDAY, Sept. 20 (HealthDay News) -- High adherence to oral antiretroviral pre-exposure prophylaxis is achieved when HIV serodiscordant couples receive active monitoring and counseling, according to research published online Sept. 10 in PLOS Medicine.

Full Text (http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001511 )

High Maternal BMI Tied to Worse Outcomes, Higher Costs

FRIDAY, Sept. 20 (HealthDay News) -- Maternal obesity is associated with considerable negative maternal and neonatal outcomes as well as substantially increased medical costs, according to research published online Sept. 18 in BJOG: An International Journal of Obstetrics and Gynaecology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12443/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12443/full )

Countries Urged to Step Up Efforts to Reduce Child Deaths

FRIDAY, Sept. 20 (HealthDay News) -- Historical trends in coverage of interventions to improve maternal, newborn, and child health indicate that targets for child and neonatal mortality will not be met by 2035, according to research published in the Sept. 21 issue of The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61748-1/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61748-1/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61942-X/fulltext )

Rosacea Risk Higher in Female Migraine Sufferers

FRIDAY, Sept. 20 (HealthDay News) -- There is a slight increased risk of rosacea among females with migraines, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(13)00308-3/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(13)00308-3/fulltext )

Little Correlation Between Care Quality, Patient Experience

FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/467.abstract?sid=de84fee1-68b9-4629-9da0-445437383dab )Full Text (http://www.annfammed.org/content/11/5/467.full )

New Medicaid Enrollees Under ACA May Be Healthier

THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/406.full )Full Text (http://www.annfammed.org/content/11/5/406.full )Editorial 1 (http://www.annfammed.org/content/11/5/402.full )Editorial 2 (http://www.annfammed.org/content/11/5/400.full )

Fidelity to Prenatal Care Model Proves Beneficial

THURSDAY, Sept. 19 (HealthDay News) -- Maintaining fidelity to both facilitative group processes and content during administration of the CenteringPregnancy group prenatal model significantly reduces intensive utilization of care, according to a study published in the August Issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378(13)00300-1/abstract )Full Text (http://www.ajog.org/article/S0002-9378(13)00300-1/fulltext )

Pros and Cons of Shortening Medical School Discussed

THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text - Abramson (http://www.nejm.org/doi/full/10.1056/NEJMp1304681 )Full Text - Goldfarb and Morrison (http://www.nejm.org/doi/full/10.1056/NEJMp1306457 )

Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

Abstract (http://qualitysafety.bmj.com/content/22/10/809.abstract )Full Text (http://qualitysafety.bmj.com/content/22/10/809.full )Editorial (http://qualitysafety.bmj.com/content/22/10/798.full )

High-Volume Hospitals Have Fewer Surgical Readmissions

WEDNESDAY, Sept. 18 (HealthDay News) -- Hospitals with a high volume of surgeries and low surgical mortality rates have lower rates of surgical readmission than other hospitals, according to research published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMsa1303118 )

Surgery Better Than Physical Therapy for Incontinence

WEDNESDAY, Sept. 18 (HealthDay News) -- Midurethral-sling surgery is more effective than physical therapy based on subjective reports of improvement from women with stress urinary incontinence, according to a study published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1210627 )

Expansion of VA Mammography Services Impacts Care

WEDNESDAY, Sept. 18 (HealthDay News) -- Rapid expansion of mammography screening at a Veterans Affairs (VA) facility has translated to increased clinical volumes and increased time to definitive treatment, according to research published online Sept. 18 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1740708#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1740708 )

EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

More Information (http://www.cdc.gov/nchs/data/databriefs/db129.htm )

Payment for Routine Office Visits Varies Substantially

WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1583.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1583.full )

Unfounded Fears Prompt Prophylactic Mastectomy Choice

TUESDAY, Sept. 17 (HealthDay News) -- Among young women who undergo a bilateral mastectomy for cancer in one breast, contralateral prophylactic mastectomy (CPM) is often chosen to reduce risk of future cancer and improve survival, according to research published in the Sept. 17 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1738492 )

More Than 1.6 Million Americans Expected to Get Cancer in 2013

TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.

More Information (http://cancerprogressreport.org/2013/pages/toc.aspx )

Caseload Midwifery Safe and Cost-Effective for All Women

TUESDAY, Sept. 17 (HealthDay News) -- For all pregnant women, irrespective of risk factors, caseload midwifery is safe and appears to be cost-effective, according to a study published online Sept. 17 in The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61406-3/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61406-3/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61793-6/fulltext )

Americans Living Longer, Healthier Lives

MONDAY, Sept. 16 (HealthDay News) -- Health surveys show that quality-adjusted life expectancy has increased by about two years in U.S. adults over the past 20 years, according to research published online Sept. 12 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )

Multiple Bilateral Circumscribed Breast Masses Usually Benign

MONDAY, Sept. 16 (HealthDay News) -- Multiple bilateral (MB) circumscribed breast masses detected with ultrasound screening are almost always benign, according to research published in the September issue of Radiology.

Abstract (http://radiology.rsna.org/content/268/3/673.abstract?sid=83bd6750-9a5a-4f05-bba2-c88853c78d69 )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/268/3/673.full )

Robotic Hysterectomy Usage Up for Benign Disease

FRIDAY, Sept. 13 (HealthDay News) -- The use of robotic hysterectomy procedures has significantly increased, according to a study published online Sept. 11 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Comparison_of_Robotic_and_Laparoscopic.99682.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Comparison_of_Robotic_and_Laparoscopic.99682.aspx )

Screen-Film Mammography Bests Computed Radiography

FRIDAY, Sept. 13 (HealthDay News) -- Computed radiography (CR) systems are 21 percent less effective at detecting breast cancers than screen-film mammography (SFM), according to a study published in the September issue of Radiology.

Abstract (http://radiology.rsna.org/content/268/3/684.abstract?sid=1d3f8934-d831-4f12-b709-a49a75dc0e9d )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/268/3/684.full )

Elective Induction at Term Tied to Lower Odds of Cesarean

THURSDAY, Sept. 12 (HealthDay News) -- Compared with expectant management, elective induction at term (37 to 40 weeks of gestation) is associated with reduced likelihood of cesarean delivery, according to a study published online Sept. 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Elective_Induction_of_Labor_at_Term_Compared_With.99690.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Elective_Induction_of_Labor_at_Term_Compared_With.99690.aspx )

Mindfulness Training Beneficial for Clinicians, Patients

THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.

Abstract - Fortney (http://www.annfammed.org/content/11/5/412.abstract )Full Text (http://www.annfammed.org/content/11/5/412.full )Abstract - Beach (http://www.annfammed.org/content/11/5/421.abstract )Full Text (http://www.annfammed.org/content/11/5/421.full )

U.K. Nursing Students Report Seeing Lax Infection Control

THURSDAY, Sept. 12 (HealthDay News) -- U.K. nursing students report a solid understanding of infection control policies and compliance, or lack thereof, based on preclinical classroom instruction, according to a study published in the September issue of the American Journal of Infection Control.

Abstract (http://www.ajicjournal.org/article/S0196-6553(13)00187-9/abstract )Full Text (http://www.ajicjournal.org/article/S0196-6553(13)00187-9/fulltext )

Mesh Doesn't Up Cure Rate for Vaginal Prolapse Repair

THURSDAY, Sept. 12 (HealthDay News) -- There are no differences in cure rates after three years of follow-up between women receiving mesh or no mesh for vaginal prolapse repair, according to a study published online Sept. 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Three_Year_Outcomes_of_Vaginal_Mesh_for_Prolapse_.99678.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Three_Year_Outcomes_of_Vaginal_Mesh_for_Prolapse_.99678.aspx )

Being at Healthy Weight, Active Could Halve Endometrial Cancers

WEDNESDAY, Sept. 11 (HealthDay News) -- Being at a healthy weight and being physically active could prevent more than half of all cases of endometrial cancer in the United States, according to a report published Sept. 10 by the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR).

More Information (http://www.aicr.org/assets/docs/pdf/reports/2013-cup-endometrial-cancer.pdf )

Experts Address California Breast Density Notification Law

WEDNESDAY, Sept. 11 (HealthDay News) -- A team of California-based breast imaging experts have developed a website and strategy in response to impending breast density notification laws, according to a special report published online Sept. 10 in Radiology.

Abstract (http://radiology.rsna.org/content/early/2013/08/28/radiol.13131217.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/08/28/radiol.13131217.full )

Almost 17 Percent of Women Obese Nine Months Post-Delivery

WEDNESDAY, Sept. 11 (HealthDay News) -- Obesity occurs among about 17 percent of women nine months following delivery, and is associated with increasing parity in socioeconomically disadvantaged women, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378%2813%2900383-9/abstract )Full Text (subscription or payment may be required) (http://www.ajog.org/article/S0002-9378%2813%2900383-9/fulltext )

Maternal Opioid Use Ups Risk of Neural Tube Defects

WEDNESDAY, Sept. 11 (HealthDay News) -- A higher rate of periconceptional opioid use has been observed among mothers of infants with neural tube defects, according to research published online Sept. 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Periconceptional_Use_of_Opioids_and_the_Risk_of.99689.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Periconceptional_Use_of_Opioids_and_the_Risk_of.99689.aspx )

Alcohol Consumption Prevalent in Early Pregnancy in Ireland

WEDNESDAY, Sept. 11 (HealthDay News) -- Alcohol consumption, including binge drinking, is common during early pregnancy among women in Ireland, according to a study published online Sept. 6 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Association_Between_Maternal_Alcohol_Consumption.99692.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Association_Between_Maternal_Alcohol_Consumption.99692.aspx )

Future Issues Important for Fertility Preservation Decisions

TUESDAY, Sept. 10 (HealthDay News) -- Future decisions and issues must be considered by cancer patients in their fertility preservation decision-making process, according to a clinical opinion piece published in the August issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378(13)00226-3/abstract )Full Text (subscription or payment may be required) (http://ajog.org/article/S0002-9378(13)00226-3/fulltext )

Medicaid Funded Almost Half of All U.S. Births in 2010

TUESDAY, Sept. 10 (HealthDay News) -- In 2010, Medicaid funded nearly half of all births in the United States, according to a study published in the September issue of Women's Health Issues.

Abstract (http://www.whijournal.com/article/S1049-3867(13)00055-8/abstract )Full Text (http://www.whijournal.com/article/S1049-3867(13)00055-8/fulltext )

About Half of Health Care Providers Are 'Digital Omnivores'

TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.

More Information (http://www.epocrates.com/oldsite/statistics/2013%20Epocrates%20Mobile%20Trends%20Report_FINAL.pdf )

'Meaningful Use' Achievement Not Uniform Across Hospitals

MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1355?=right )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1355.full )

Young Women With Fatal Breast Cancer Are Mostly Unscreened

MONDAY, Sept. 9 (HealthDay News) -- Most breast cancer deaths occur in unscreened women, according to a study published online Sept. 9 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28199/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28199/full )

CDC: U.S. Birth Rate Essentially Unchanged in 2012

MONDAY, Sept. 9 (HealthDay News) -- In 2012, the U.S. birth rate was essentially unchanged, but decreases were noted in the rates for teenagers and women in their early 20s, according to a report published Sept. 6 by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_05.pdf )

Most Physicians Report Being Satisfied With Career Choice

MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.

More Information (http://www.physicianspractice.com )

Study of Topical Corticosteroid Use in Pregnancy Reassuring

FRIDAY, Sept. 6 (HealthDay News) -- Topical maternal exposure to corticosteroids during pregnancy is not associated with orofacial cleft, preterm delivery, fetal death, low Apgar score, and mode of delivery, however, low birth weight does correlate with increasing quantity of high potency exposure, according to a study published online Sept. 4 in JAMA Dermatology.

Full Text (http://archderm.jamanetwork.com/article.aspx?articleid=1735120 )

More Asthma Hospitalizations in Middle-Aged Women Than Men

FRIDAY, Sept. 6 (HealthDay News) -- In the fifth to sixth decades of life, women have a significantly higher hospitalization rates for asthma compared to men, according to research published in the September issue of the Annals of Allergy, Asthma & Immunology.

Abstract (http://www.annallergy.org/article/S1081-1206(13)00418-3/abstract )Full Text (subscription or payment may be required) (http://www.annallergy.org/article/S1081-1206(13)00418-3/fulltext )

Gestational Diabetes Tied to Increased Sleep Apnea Risk

FRIDAY, Sept. 6 (HealthDay News) -- There is a strong association between gestational diabetes mellitus (GDM) and obstructive sleep apnea (OSA), according to a study published online Aug. 21 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/08/20/jc.2013-2348.abstract )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/08/20/jc.2013-2348.full.pdf+html )

Response-Guided Neoadjuvant Chemo Beneficial in Breast CA

FRIDAY, Sept. 6 (HealthDay News) -- For patients with early breast cancer, a response-guided neoadjuvant chemotherapy approach seems beneficial, according to a study published online Sept. 3 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/09/03/JCO.2012.45.0940.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/09/03/JCO.2012.45.0940.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/09/03/JCO.2013.51.0313.full.pdf+html )

Physicians Rarely Remind Patients to Use Sunscreen

FRIDAY, Sept. 6 (HealthDay News) -- Physicians very rarely educate patients regarding the use of sunscreen and sun-protective behaviors, according to a study published online Sept. 4 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1735118#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1735118 )

Maternal PTSD Tied to Increased Risk of Child Abuse

THURSDAY, Sept. 5 (HealthDay News) -- Mothers with posttraumatic stress disorder (PTSD) due to events such as serious accidents, assaults, war, or natural disasters are more likely to mistreat their children, even more than mothers with depression, according to a study published online Sept. 2 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1734463 #Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1734463 )

Only Half of Hypertensive Adults Aware of Diagnosis

WEDNESDAY, Sept. 4 (HealthDay News) -- Among adults in 17 countries of varying incomes, only about half with hypertension are aware of the diagnosis, and among those treated, only about a third achieve blood pressure control, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1734702#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734702 )

Even Short Bouts of Higher-Intensity Activity Are Beneficial

WEDNESDAY, Sept. 4 (HealthDay News) -- Even short bouts of higher-intensity physical activity (PA) of less than 10 minutes are beneficial for prevention of weight gain, according to a study published online Sept. 1 in the American Journal of Health Promotion.

Abstract (http://www.ajhpcontents.com/doi/abs/10.4278/ajhp.120606-QUAL-286?journalCode=hepr )Full Text (subscription or payment may be required) (http://www.ajhpcontents.com/doi/pdf/10.4278/ajhp.120606-QUAL-286 )

Excess HRT-Tied Breast Cancer Risk Varies With Race, BMI

WEDNESDAY, Sept. 4 (HealthDay News) -- The increased risk of breast cancer among users of hormone replacement therapy (HRT) varies by race/ethnicity, body mass index (BMI), and breast density, according to a study published online Sept. 3 in the Journal of the National Cancer Institute.

Abstract (http://jnci.oxfordjournals.org/content/early/2013/08/26/jnci.djt207.abstract )Full Text (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/08/26/jnci.djt207.full )Editorial (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/08/26/jnci.djt239.extract )

Male-Female Physician Earnings Gap Has Persisted for 20 Years

TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733450 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733448 )

Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy

TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1731967#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731967 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731959 )

No Link Found Between Various Insulins and Breast Cancer

TUESDAY, Sept. 3 (HealthDay News) -- Various types of insulins are not associated with breast cancer risk, according to a study published online Aug. 15 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/12/dc13-0695.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/12/dc13-0695.full.pdf+html )

Workaholics Have Poorer Physical and Mental Health

MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.

Press Release (http://www.k-state.edu/media/newsreleases/aug13/workaholics82213.html )

Employer-Based Health Insurance Premiums Rose Modestly in 2013

MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644.full )