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January 2014 Briefing - OBGYN & Women's Health

January 2014 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 January 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Deal Could Trade Tort Reform for Additional Health Reform

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Physicians may be willing to make a trade in accepting some additional health reform efforts in exchange for tort reform, according to an article published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/33/1/53.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/33/1/53.full )

Parity After Fertility Evaluation Impacts Relationship

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Women who undergo fertility evaluation and do not have a child have an increased likelihood of divorce or end of cohabitation, according to a study published online Jan. 29 in Acta Obstetricia et Gynecologica Scandinavica.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/aogs.12317/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/aogs.12317/full )

Postmenopausal Hormone Rx May Cut Risk for Glaucoma

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Use of estrogen-only postmenopausal hormone (PMH) treatment may help reduce the risk for primary open-angle glaucoma (POAG), according to research published online Jan. 30 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1815980#Abstract )Full Text (subscription or payment may be required) (http://archopht.jamanetwork.com/article.aspx?articleid=1815980 )

Similar Risks for Atypical Ductal, Lobular Hyperplasia

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH) exhibit similar behavior in terms of later breast cancer end points, according to a study published online Jan. 30 in Cancer Prevention Research.

Abstract (http://cancerpreventionresearch.aacrjournals.org/content/early/2014/01/28/1940-6207.CAPR-13-0222.abstract )Full Text (http://cancerpreventionresearch.aacrjournals.org/content/early/2014/01/28/1940-6207.CAPR-13-0222.full.pdf+html )

Osteoporosis/Osteopenia Prevalent in Chronic Pancreatitis

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Sixty-five percent of patients with chronic pancreatitis have osteoporosis or osteopenia, according to a meta-analysis published in the February issue of Clinical Gastroenterology and Hepatology.

Abstract (http://www.cghjournal.org/article/S1542-3565(13)00921-X/abstract )Full Text (subscription or payment may be required) (http://www.cghjournal.org/article/S1542-3565(13)00921-X/fulltext )

AAP Approves Childhood Immunization Schedules for 2014

FRIDAY, Jan. 31, 2014 (HealthDay News) -- The recommended childhood and adolescent immunization schedules for 2014 have been approved, according to an American Academy of Pediatrics (AAP) policy statement published in the Feb. 1 issue of Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/133/2/357.extract )Full Text (http://pediatrics.aappublications.org/content/133/2/357.full )

Improving Infection Control Could Mean No More White Coats

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Health care personnel should consider their clinical attire, such as white lab coats, carefully with regards to risk of transmitting infection, according to guidelines published in the February issue of Infection Control and Hospital Epidemiology.

Abstract (http://www.jstor.org/stable/info/10.1086/675066 )Full Text (http://www.jstor.org/stable/full/10.1086/675066 )

Inappropriate Use of Antibiotics in ERs Remains High for Adults

THURSDAY, Jan. 30, 2014 (HealthDay News) -- For patients presenting to the emergency department with acute respiratory tract infections (ARTI), inappropriate utilization of antibiotics has decreased for children, but not for adults, according to a study published online Dec. 16 in Antimicrobial Agents and Chemotherapy.

Abstract (http://aac.asm.org/content/early/2013/12/10/AAC.02039-13.abstract )Full Text (subscription or payment may be required) (http://aac.asm.org/content/early/2013/12/10/AAC.02039-13.full.pdf+html )

Docs Prefer Tablets Over Smartphones for Reading Articles

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Although physicians generally use smartphones rather than tablets for professional purposes, they are more likely to read articles from medical publications and access medically oriented webcasts/podcasts on tablets, according to the results of a survey conducted by Kantar Media.

More Information (http://www.kantarmedia-healthcare.com/doctors-are-more-likely-to-use-tablets-over-smartphones-to-read-medical-publications )

Report Reveals Payment Methods for Physicians

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Many physicians in non-solo practice settings are paid using different methods, with just over half receiving all or most of their compensation from salary, according to a report from the American Medical Association.

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ab3a17c69-7ccb-4795-8fba-e8cec6356875&plckScript=blogScript&plckElementId=blogDest )

Preterm Birth Tied to Increased Risk of Childhood Wheeze

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Preterm birth, especially very preterm birth, is associated with an increased risk of childhood wheezing disorders, according to a study published online Jan. 28 in PLOS Medicine.

Full Text (http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001596;jsessionid=CABA0C25AB94A23F7C863DBCB06A9E26 )

Practices Must Engage Vendors for ICD-10 Updates Now

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Practice owners need to communicate with system vendors to coordinate International Classification of Diseases, 10th Revision (ICD-10) updates, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/practice-owners-must-talk-their-vendors-now-about-icd-10-updates )

Businesses Urge Change to ACA's Insurance Mandate

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Beginning in 2015, U.S. businesses with 50 or more workers must provide health insurance to "full-time" employees, meaning workers who log at least 30 hours a week, on average.

Full Article (http://consumer.healthday.com/diabetes-information-10/insulin-news-414/businesses-urge-change-to-obamacare-s-insurance-mandate-684325.html )

Marital History and Support Linked to Bone Health

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Marital history, including disruptions and age at marriage, is associated with bone health in men, while marital support correlates with bone health in women, according to a study published online Jan. 15 in Osteoporosis International.

Abstract (http://link.springer.com/article/10.1007/s00198-013-2602-4 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007/s00198-013-2602-4/fulltext.html )

High Estradiol Levels Linked to Dementia in Women

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Postmenopausal women with high estradiol levels have a two-fold higher risk of developing dementia, but the risk is 14-fold higher if they also have diabetes, according to a study published online Jan. 29 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/29/WNL.0000000000000107.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2014/01/29/WNL.0000000000000107.full.pdf+html )

Telephone Delivery OK for BRCA1/2 Genetic Counseling

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- The psychosocial outcomes of telephone genetic counseling are noninferior to standard in-person genetic counseling for BRCA1/2 gene testing, according to research published online Jan. 21 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.3226.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.3226.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.53.8975 )

Handwashing Appears Best in Prevention of Common Cold

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- The evidence relating to prevention and treatment of the common cold is frequently poor, but best evidence for prevention supports physical methods such as handwashing and possibly use of zinc supplements, according to a review published online Jan. 27 in CMAJ, the journal of the Canadian Medical Association.

Full Text (subscription or payment may be required) (http://www.cmaj.ca/content/early/2014/01/27/cmaj.121442 )

Four Pillars Established for Promoting Primary Care Reform

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Four pillars have been identified for promoting primary care physician workforce reform, according to an article published in the January/February issue of the Annals of Family Medicine.

Full Text (http://www.annfammed.org/content/12/1/83.full )

Fear of Violence Hinders Women's Attempts at Safer Sex

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Women who fear intimate partner violence (IPV) report inconsistent condom use and difficulty in negotiating safer sex, according to research published in Women & Health.

Abstract (http://www.tandfonline.com/doi/full/10.1080/03630242.2013.847890#.UufFYcXnYSs )Full Text (subscription or payment may be required) (http://www.tandfonline.com/doi/full/10.1080/03630242.2013.847890#.UufFYcXnYSs )

Insurance Eligibility Headaches Expected With ACA

TUESDAY, Jan. 28, 2014 (HealthDay News) -- With the influx of newly insured patients under the Affordable Care Act, physician practices should be prepared to spend even more time verifying coverage, according to an article published Jan. 2 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/physicians-brace-aca-insurance-eligibility-headaches-january )

Framework Established to Promote Safety of Care

TUESDAY, Jan. 28, 2014 (HealthDay News) -- A framework has been established to advance clinical learning environments that promote change in the quality and safety of care, according to a perspective piece published online Jan. 27 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1314628?query=featured_home )

Role of Vitamin D in Disease Prevention Is Uncertain

TUESDAY, Jan. 28, 2014 (HealthDay News) -- Supplementation with vitamin D to prevent disease does not appear to improve health outcomes, according to research published online Jan. 24 in The Lancet: Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70212-2/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70212-2/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(14)70008-7/fulltext )

Yoga Provides Health Benefits for Breast Cancer Survivors

TUESDAY, Jan. 28, 2014 (HealthDay News) -- For breast cancer survivors, a 12-week yoga intervention improves fatigue and vitality and is associated with reduced levels of proinflammatory cytokines, according to a study published online Jan. 27 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.full.pdf+html )

USPSTF: Draft Recommendations Issued for AAA Screening

TUESDAY, Jan. 28, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has issued recommendations for abdominal aortic aneurysm (AAA) screening. This draft recommendation statement is based on an evidence review published online Jan. 28 in the Annals of Internal Medicine.

Draft Recommendation Statement (http://www.uspreventiveservicestaskforce.org/draftrec.htm )Comment on Recommendations (http://www.uspreventiveservicestaskforce.org/tfcomment.htm )Background Review (http://annals.org/article.aspx?articleid=1817257 )

First Trimester Growth Restriction Tied to Childhood CVD Risk

TUESDAY, Jan. 28, 2014 (HealthDay News) -- First trimester fetal growth restriction correlates with an adverse cardiovascular risk profile in childhood, according to a study published online Jan. 23 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g14 )Editorial (http://www.bmj.com/content/348/bmj.g175 )

Costs Cut With Workplace Wellness Disease Management

MONDAY, Jan. 27, 2014 (HealthDay News) -- Workplace wellness programs, particularly those with a disease management component, can reduce monthly health care costs for members, according to a study published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/33/1/124.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/33/1/124.full )

CDC: Health Care Providers Shouldn't Rely on Rapid Flu Tests

MONDAY, Jan. 27, 2014 (HealthDay News) -- Doctors should not rely entirely on rapid flu tests when determining if patients have the flu, U.S. health officials say.

Full Article (http://consumer.healthday.com/health-technology-information-18/press-medical-and-health-reporting-news-552/health-highlights-jan-26-2014-684224.html )CDC FluView (http://www.cdc.gov/flu/weekly/ )

Top Ten Physician Challenges of 2014 Discussed

MONDAY, Jan. 27, 2014 (HealthDay News) -- The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life balance, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/top-10-challenges-facing-physicians-2014 )

Hormone Therapy Linked to Reduced Arthroplasty Revision

MONDAY, Jan. 27, 2014 (HealthDay News) -- Hormone replacement therapy use (HRT) is associated with a reduction in revision rates for total knee arthroplasty (TKA) and total hip arthroplasty (THA), according to a study published online Jan. 22 in the Annals of the Rheumatic Diseases.

Abstract (http://ard.bmj.com/content/early/2014/01/07/annrheumdis-2013-204043 )Full Text (subscription or payment may be required) (http://ard.bmj.com/content/early/2014/01/07/annrheumdis-2013-204043.full )

FDA Wants to Update Food Labels

MONDAY, Jan. 27, 2014 (HealthDay News) -- America's food labels may get their first makeover in more than 20 years. According to the U.S. Food and Drug Administration, the agency is working toward publishing proposed rules to update nutrition labels and serving size information.

Full Article (http://consumer.healthday.com/public-health-information-30/food-and-drug-administration-news-315/fda-food-labels-684201.html )

Quinoa Consumption Seems Safe for Celiac Patients

MONDAY, Jan. 27, 2014 (HealthDay News) -- For patients with celiac disease, the addition of quinoa to a gluten-free diet for six weeks is well tolerated, according to a study published online Jan. 21 in the American Journal of Gastroenterology.

Abstract (http://www.nature.com/ajg/journal/vaop/ncurrent/abs/ajg2013431a.html )Full Text (subscription or payment may be required) (http://www.nature.com/ajg/journal/vaop/ncurrent/full/ajg2013431a.html )

Online Fitness Tool Users Want Images Similar to Themselves

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Incorporating images that reflect the user may make Internet-based physical activity promotion tools more acceptable to users, including young overweight African-American women, according to a study published Jan. 16 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2014/13_0169.htm )

'War on Cancer' Has Made Progress

FRIDAY, Jan. 24, 2014 (HealthDay News) -- More people are being diagnosed with and dying from cancer, but this is largely the result of declines in mortality from other causes, according to a study published online Jan. 13 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.50.8952.abstract?sid=83ce4bfd-532a-4620-b2da-2b7d12c15529 )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.50.8952.full.pdf+html )

Financial Value Overrides Health in Supersized Food Buys

FRIDAY, Jan. 24, 2014 (HealthDay News) -- "Supersized" pricing increases the quantity of food purchased and consumed because of focus on financial value, while diminishing the importance of health effects, according to a study published in the Journal of Marketing.

Abstract (http://journals.ama.org/doi/abs/10.1509/jm.11.0261 )Full Text (subscription or payment may be required) (http://journals.ama.org/doi/pdf/10.1509/jm.11.0261 )

Breast Density Readings by CT, Mammogram Consistent

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Readings of computed tomography (CT) breast density are consistent with mammography readings and have greater interobserver agreement, according to a study published in the January issue of Radiology.

Abstract (http://pubs.rsna.org/doi/abs/10.1148/radiol.13130733 )Full Text (subscription or payment may be required) (http://pubs.rsna.org/doi/full/10.1148/radiol.13130733 )

Writing a Blog Can Up a Doc's Visibility

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Blogs can be a valuable tool to promote physician practices, according to an article published Dec. 17 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/why-writing-blog-may-benefit-physician-s-career )

Vitamin D Levels May Help Predict Prognosis in Multiple Sclerosis

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Low levels of 25-hydroxyvitamin D (25[OH]D), a marker of vitamin D status, early in the course of illness may predict higher risk of increased disease activity and progression in patients with multiple sclerosis (MS), according to research published online Jan. 20 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1815002#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1815002 )

Most Patients at Diabetes Risk Consider Themselves Healthy

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Nearly 80 percent of patients at elevated risk for type 2 diabetes think they are in excellent or very good health, according to a new survey from the American Diabetes Association (ADA).

More Information (http://www.diabetes.org/newsroom/press-releases/2013/many-people-at-risk-for-type-2-dont-think-they-are-at-risk.html )

Editorial Discusses Ultrasound in Point-of-Care Diagnostics

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Ultrasound devices represent an important point-of-care diagnostic modality, which is increasingly being used in numerous specialties, according to an editorial published in the December issue of Global Heart.

Full Text (subscription or payment may be required) (http://www.globalheart-journal.com/article/S2211-8160(13)00171-3/fulltext )

Medical Staff Performance Goals Should Be Clear, Attainable

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Staff performance in medical practices needs to be appropriately managed and measured with performance goals, according to an article published Dec. 25 in Medical Economics.

Full Article (http://medicaleconomics.modernmedicine.com/medical-economics/news/managing-staff-performance-reviews-and-raises )

Postpartum Depression Often Becomes Chronic

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Postpartum depression can become chronic in 30 to 50 percent of women with the condition, according to a review published in the January issue of the Harvard Review of Psychiatry.

Abstract (http://journals.lww.com/hrpjournal/Abstract/2014/01000/The_Course_of_Postpartum_Depression___A_Review_of.1.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/hrpjournal/Abstract/2014/01000/The_Course_of_Postpartum_Depression___A_Review_of.1.aspx )

Bisphenol A Exposure Cost $3 Billion in 2008

THURSDAY, Jan. 23, 2014 (HealthDay News) -- About $3 billion in health costs in 2008 could be attributed to bisphenol A (BPA) exposure, and removing BPA from all food uses could save nearly $2 billion annually, according to a study published online Jan. 22 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2014/01/16/hlthaff.2013.0686 )Full Text (http://content.healthaffairs.org/content/early/2014/01/16/hlthaff.2013.0686.full )

Formaldehyde Levels in Hair Straighteners Too High

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Formaldehyde concentrations in Brazilian keratin treatment hair straightening products may exceed recommended safety levels, according to a study published in the February issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(13)01135-3/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(13)01135-3/fulltext )

CDC: Cesarean Section Rate Declining in the United States

THURSDAY, Jan. 23, 2014 (HealthDay News) -- The rate of cesarean sections in a subset of U.S. states increased between 2006 and 2009 and then declined through 2012, according to a report published in the Jan. 23 issue of the U.S. Centers for Disease Control and Prevention's National Vital Statistics Reports.

More Information (http://www.cdc.gov/nchs/data/nvsr/nvsr63/nvsr63_01.pdf )

Early Vulvar CA Tx Has Little Impact on Sexuality, Body Image

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Women undergoing treatment for early-stage vulvar cancer generally experience little to no long-term disruption to sexuality or body image, according to a study published online Jan. 17 in the Journal of Advanced Nursing.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jan.12346/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jan.12346/full )

CDC: Use of Infertility Services Declining in the United States

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Use of infertility services among women has been declining in recent years in the United States, according to a report published Jan. 22 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

More Information (http://www.cdc.gov/nchs/data/nhsr/nhsr073.pdf )

ALA: Much More Must Be Done to Lower Smoking Rates

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- State inaction and tobacco industry tactics are slowing tobacco control efforts in the United States, a new report from the American Lung Association (ALA) finds.

Full Article (http://consumer.healthday.com/cancer-information-5/smoking-cessation-news-628/much-more-must-be-done-to-lower-smoking-rates-experts-say-684117.html )

Higher Omega-3 Levels Linked to Larger Brain Volume

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- In postmenopausal women, a higher omega-3 index is associated with increased brain and hippocampal volume eight years later, according to a study published online Jan. 22 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/22/WNL.0000000000000080.short )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2014/01/22/WNL.0000000000000080.full.pdf+html )

Legitimacy of Publishing Pharma-Funded Research Queried

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- The question of whether to stop publishing research funded by the drug industry is addressed in a head-to-head piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g171 )

Some Medical Schools Offering Accelerated Training

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Some medical schools are offering an accelerated three-year program, according to a report from Kaiser Health News.

More Information (http://www.kaiserhealthnews.org/stories/2014/january/14/medical-schools-shaving-off-a-year-of-training.aspx )

Mediterranean Diet Lowers Risk of Peripheral Artery Disease

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- A Mediterranean diet supplemented with extra-virgin olive oil or nuts is associated with a lower risk of peripheral artery disease (PAD), according to a research letter published in the Jan. 22/29 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817779 )

PCP Practices Not Well Organized for Providing Energy Balance Care

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Primary care physician (PCP) practices are not well organized for providing energy balance care, with considerable variation in provision of care between PCP specialties, according to a study published in the January/February issue of the American Journal of Health Promotion.

Abstract (http://ajhpcontents.org/doi/abs/10.4278/ajhp.121219-QUAN-626 )Full Text (subscription or payment may be required) (http://ajhpcontents.org/doi/full/10.4278/ajhp.121219-QUAN-626 )

Interhospital Transfer Less Likely for Uninsured Patients

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Uninsured patients are significantly less likely than insured patients to be transferred between hospitals, according to research published in the Jan. 21 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1814423 )

Researchers Examine FDA Decision Making Processes

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The rationale behind the decision making processes of the U.S. Food and Drug Administration is discussed in three articles published in the Jan. 22/29 issue of the Journal of the American Medical Association.

Abstract - Downing (http://jama.jamanetwork.com/article.aspx?articleid=1817794#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817794 )Abstract - Rome (http://jama.jamanetwork.com/article.aspx?articleid=1817796#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817796 )Abstract - Sacks (http://jama.jamanetwork.com/article.aspx?articleid=1817795#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817795 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817770 )

More Federal Funding of Health Centers Mitigates Access Issues

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Since 2000, increased federal funding for community health centers has helped low-income adults get access to primary care and dental care, according to a study published online Dec. 18 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/full )

ACA Impact on Primary Practice May Depend on Location

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The impact of Medicaid expansion under the Affordable Care Act (ACA) on physicians' primary care practices will vary geographically, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/what-will-insurance-exchanges-medicaid-expansion-mean-your-primary-care-pract )

Survey IDs Factors Influencing Physician Job Satisfaction

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Believing that they are delivering high-quality patient care is key to physician job satisfaction, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/delivering-quality-patient-care-key-physician-satisfaction-study-finds )

Data Support Sedentary Time, Mortality Link for Older Women

TUESDAY, Jan. 21, 2014 (HealthDay News) -- For older women, increased sedentary time is associated with increased mortality risk after multivariate adjustment, according to a study published in the February issue of the American Journal of Preventive Medicine.

Abstract (http://www.ajpmonline.org/article/S0749-3797(13)00594-1/abstract )Full Text (subscription or payment may be required) (http://www.ajpmonline.org/article/S0749-3797(13)00594-1/fulltext )

Multiple Medications Increase Odds of Hospital Admission

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The likelihood of unplanned admission is increased with polypharmacy, but the association is modified by the number of long-term conditions, according to a study published online Jan. 16 in the British Journal of Clinical Pharmacology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/pdf )

Medication Synchronization Program Ups Adherence

TUESDAY, Jan. 21, 2014 (HealthDay News) -- A community pharmacy-based medication synchronization program can improve medication adherence, according to a study conducted by the National Community Pharmacists Association (NCPA).

More Information (http://www.ncpanet.org/pdf/survey/2014/ncpa-study-results.pdf )

Firearm Access in Home Ups Suicide, Homicide Risk

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Access to firearms is associated with increased risk for suicide and homicide, according to a systematic review and meta-analysis published in the Jan. 21 issue of the Annals of Internal Medicine.

Abstract (http://annals.org/article.aspx?articleid=1814426#Abstract )Full Text (http://annals.org/article.aspx?articleid=1814426 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1814430 )

Exposure to Sunlight May Help Lower Blood Pressure

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Exposure to sunlight causes arterial vasodilation and lowers blood pressure (BP), according to research published online Jan. 20 in the Journal of Investigative Dermatology.

Abstract (http://www.nature.com/jid/journal/vaop/naam/abs/jid201427a.html )Full Text (subscription or payment may be required) (http://www.nature.com/jid/journal/vaop/naam/pdf/jid201427a.pdf )

Doctor Urges Colleagues to Disclose Conflicts of Interest

MONDAY, Jan. 20, 2014 (HealthDay News) -- A campaign to encourage physicians to disclose potential conflicts of interest has sparked ire from doctors despite evidence that openness improves the doctor-patient relationship, according to a personal view piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g167 )

Subjective Well-Being Similar for Those With, Without Children

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Subjective well-being is similar for U.S. adults who live with and without children, according to a study published online Jan. 13 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2014/01/08/1311600111.abstract )Full Text (http://www.pnas.org/content/early/2014/01/08/1311600111.full.pdf+html )

CDC: About 42.1 Million Adults Smoke in the United States

FRIDAY, Jan. 17, 2014 (HealthDay News) -- In the United States, approximately 18 percent of adults still smoke, according to a report published in the Jan. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6302a2.htm?s_cid=mm6302a2_w )

PAs, NPs Are Effective in Team-Based Diabetes Care

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Physician assistants (PAs) and nurse practitioners (NPs) can effectively perform a range of roles on primary care teams caring for patients with diabetes, according to a study published in the November issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/11/1942.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/11/1942.full )

State Insurance Marketplaces Boost Outreach Efforts

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Health insurance exchanges in five states with strong enrollment growth are ramping up efforts to reach even more uninsured Americans before the end of the Affordable Care Act's open enrollment period on March 31. The March 31 deadline is for people who want health coverage for 2014.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/state-health-marketplaces-boost-outreach-683935.html )

Charges, Discounted Prices Vary Widely for Childbirth

THURSDAY, Jan. 16, 2014 (HealthDay News) -- There is wide variation in hospital charges and discounted prices for uncomplicated vaginal and cesarean section births, according to a study published online Jan. 15 in BMJ Open.

Abstract (http://bmjopen.bmj.com/content/4/1/e004017.abstract )Full Text (http://bmjopen.bmj.com/content/4/1/e004017.full )

Reliable Emotion Words ID'd to Assess Patient Experience

THURSDAY, Jan. 16, 2014 (HealthDay News) -- A reliable set of emotion words have been identified that can serve as a tool for experience-based design questionnaires in health care, according to a study published in the December issue of Healthcare.

Full Text (http://www.sciencedirect.com/science/article/pii/S2213076413000389 )

Long-Term Cervical/Vaginal CA, Death Risk Up With Treated CIN3

THURSDAY, Jan. 16, 2014 (HealthDay News) -- For women previously treated for cervical intraepithelial neoplasia grade 3 (CIN3), the risk of acquiring or dying from invasive cervical or vaginal cancer is elevated, particularly among older women, according to a study published online Jan. 14 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.f7361 )Editorial (http://www.bmj.com/content/348/bmj.f7700 )

Experts Predict ACA's Areas of Primary Care Impact

THURSDAY, Jan. 16, 2014 (HealthDay News) -- The Affordable Care Act (ACA) will transform primary care, and predictions of this impact center around some common themes, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/5-ways-affordable-care-act-will-transform-primary-care-practices )

Funding Losses Damaging Public Health Infrastructure

THURSDAY, Jan. 16, 2014 (HealthDay News) -- The effect of funding losses on state public health programs is assessed and described in a study published Nov. 14 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/13_0130.htm )

NCPA: Access to Controlled Substances Often Delayed

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Most pharmacists report experiencing multiple delays or issues with their controlled substance orders, according to the results of the National Community Pharmacists Association (NCPA) Controlled Substances Access Survey.

More Information (http://www.ncpanet.org/pdf/survey/2014/controlled-substances-access-survey.pdf )

Survey Results Identify Drivers of Doctor Engagement

THURSDAY, Jan. 16, 2014 (HealthDay News) -- The results of a survey from the Physician Wellness Services and Cejka Search have identified the key aspects of doctor engagement.

More Information (http://www.cejkasearch.com/news/press-releases/rules-of-engagement-new-survey-reveals-drivers-of-physician-engagement-and-a-disconnect-with-administration/ )

FDA Warns Against Rx With High Levels of Acetaminophen

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is recommending that physicians stop prescribing and dispensing prescription combination drug products containing more than 325 mg of acetaminophen per tablet, according to a safety alert issued by the agency.

More Information (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm381650.htm )

Pritelivir Safe, Effective for Genital HSV-2 Infection

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Pritelivir is safe and effective for treatment of genital herpes simplex virus (HSV)-2 infection, according to a study published in the Jan. 16 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1301150 )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1313982?query=featured_home )

Exposure to Some Phthalates Fell in the Last Decade

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Exposure to some phthalates has fallen over the last decade and may be associated with bans on their use, according to a study published online Jan. 15 in Environmental Health Perspectives.

Abstract (http://ehp.niehs.nih.gov/1306681/ )Full Text (http://ehp.niehs.nih.gov/wp-content/uploads/122/1/ehp.1306681.pdf )

Late Pregnancy SSRI Exposure May Up Newborn Pulmonary HTN

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Exposure to selective serotonin reuptake inhibitors (SSRIs) in late pregnancy is associated with an increased risk of persistent pulmonary hypertension of the newborn, although the absolute risks are small, according to a review published online Jan. 14 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.f6932 )

Wednesday Is Deadline for Feb. 1 Coverage Under ACA

TUESDAY, Jan. 14, 2014 (HealthDay News) -- There's still time to enroll in a health insurance plan through one of the Affordable Care Act's new online marketplaces. Those who sign up by Wednesday will have coverage starting next month.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/deadline-for-feb-1-health-coverage-is-approaching-683814.html )

USPSTF Recommends GDM Screening After 24 Weeks

TUESDAY, Jan. 14, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening asymptomatic pregnant women for gestational diabetes mellitus (GDM) after 24 weeks of gestation, according to a final recommendation statement published online Jan. 14 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1813285 )

Primary Care Work Environment Affects Nurse Practitioners

TUESDAY, Jan. 14, 2014 (HealthDay News) -- The organizational climate in primary care settings influences the professional practice of nurse practitioners (NPs), according to research published in the November issue of the Journal of Professional Nursing.

Abstract (http://www.professionalnursing.org/article/S8755-7223(13)00110-5/abstract )Full Text (subscription or payment may be required) (http://www.professionalnursing.org/article/S8755-7223(13)00110-5/fulltext )

More Than Two Million People Have Signed Up for ACA Coverage

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Nearly 2.2 million Americans had selected health plans through the federal and state marketplaces as of late December, and nearly one in four was a young adult, the Obama administration disclosed Monday.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/more-than-2-million-enroll-in-marketplace-health-plans-683818.html )

Nut Intake Inversely Linked to Obesity, Metabolic Syndrome

MONDAY, Jan. 13, 2014 (HealthDay News) -- Nut consumption is inversely associated with obesity and with metabolic syndrome, with stronger associations seen for tree nuts, according to research published online Jan. 8 in PLOS ONE.

Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0085133 )

Risk Factors Identified for Incidence of Vulvodynia

MONDAY, Jan. 13, 2014 (HealthDay News) -- The incidence of vulvodynia varies with age, ethnicity, and marital status, and is associated with previous symptoms or intermediate symptoms not meeting criteria for vulvodynia, according to a study published online Jan. 7 in Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/publishahead/Factors_Associated_With_Vulvodynia_Incidence.99584.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/publishahead/Factors_Associated_With_Vulvodynia_Incidence.99584.aspx )Editorial (subscription or payment may be required) (http://journals.lww.com/greenjournal/Citation/publishahead/_Doctor,_It_Hurts_horizontal_ellipsis__.99597.aspx )

CMS: New Rule Proposed for Contract Year 2015

MONDAY, Jan. 13, 2014 (HealthDay News) -- A proposed rule has been issued that will strengthen protections, improve health care quality, and reduce costs for Medicare beneficiaries with private Medicare Advantage and Part D prescription plans, according to a report from the Centers for Medicare & Medicaid Services (CMS).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2014-Fact-sheets-items/2014-01-06.html )

Survey: Fees, Reimbursement Top Physician Worries

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The results of a new survey show that physicians are concerned about declining reimbursements and increasing administrative hassles, including negotiating with payers, obtaining prior authorizations, and cutting through government red tape, according to an article published Nov. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/flat-declining-salaries-inflate-physician-worries-over-payments-red-tape )

Breastfeeding Linked to Reduced RA Risk in Chinese Women

FRIDAY, Jan. 10, 2014 (HealthDay News) -- For women from South China, breastfeeding is associated with reduced risk of rheumatoid arthritis (RA), especially a longer duration of breastfeeding, according to a study published online Jan. 6 in Rheumatology.

Abstract (http://rheumatology.oxfordjournals.org/content/early/2014/01/04/rheumatology.ket456.short )Full Text (http://rheumatology.oxfordjournals.org/content/early/2014/01/04/rheumatology.ket456.full )

EHR Use Linked to Doc-Reported Enhanced Patient Care

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Use of electronic health records is associated with enhanced patient care overall, according to a study published online Dec. 21 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/full )

Female Conveners Up Number of Women at Scientific Symposia

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Having at least one woman on teams that convene scientific symposia increases the proportion of invited female speakers by 72 percent, compared with teams containing all men, according to a study published online Jan. 7 in mBio.

Abstract (http://mbio.asm.org/content/5/1/e00846-13 )Full Text (http://mbio.asm.org/content/5/1/e00846-13.full )

CMS: Low Growth for National Health Expenditures in 2012

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Overall national health expenditures were marked by a fourth consecutive year of low growth, according to a report from the Centers for Medicare & Medicaid Services.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2014-Press-releases-items/2014-01-06.html )

ACP Introduces Free 'High Value Care' Case Studies

FRIDAY, Jan. 10, 2014 (HealthDay News) -- In an effort to improve health care and eliminate wasteful practices, the American College of Physicians (ACP) has developed a series of High Value Care cases studies, available online for free.

More Information (http://hvc.acponline.org )

Impact of In Utero Epilepsy Med Exposure Studied in Children

THURSDAY, Jan. 9, 2014 (HealthDay News) -- Compared to children exposed in utero to sodium valproate, children exposed in utero to levetiracetam for treatment of maternal epilepsy have superior language and motor development at age 36 to 54 months, according to a study published online Jan. 8 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/08/WNL.0000000000000030.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2014/01/08/WNL.0000000000000030.full.pdf+html )Editorial (subscription or payment may be required) (http://www.neurology.org/content/early/2014/01/08/WNL.0000000000000044.short )

Only One in Six Adults Discuss Alcohol Use With Physician

THURSDAY, Jan. 9, 2014 (HealthDay News) -- The overall prevalence of ever discussing alcohol use with a health professional is 15.7 percent for U.S. adults, according to a report published in the Jan. 7 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e0107a1.htm?s_cid=mm63e0107a1_w )

Conventional Versus Intensive T1DM Tx Not Tied to Menopause

THURSDAY, Jan. 9, 2014 (HealthDay News) -- For women with type 1 diabetes, intensive versus conventional treatment is not associated with menopause risk, although greater insulin dose is associated with lower natural menopause risk, according to research published in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/10/22/dc13-1746.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/10/22/dc13-1746.full.pdf+html )

Guideline Adherence Cuts Cancer Risk in Postmenopausal Women

THURSDAY, Jan. 9, 2014 (HealthDay News) -- All-cause and cancer-specific mortality is lower in postmenopausal women who follow the American Cancer Society (ACS) Nutrition and Physical Activity Cancer Prevention Guidelines, according to research published in the January issue of Cancer Prevention Research.

Abstract (http://cancerpreventionresearch.aacrjournals.org/content/7/1/42.abstract )Full Text (subscription or payment may be required) (http://cancerpreventionresearch.aacrjournals.org/content/7/1/42.full )

Administrative Demands Hurt Patient-Doctor Relationship

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Administrative demands on doctors, particularly primary care physicians, threaten the patient-doctor relationship, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/can-doctor-patient-relationship-survive?contextCategoryId=146 )

Inverse Link for Alcohol Consumption, Multiple Sclerosis Risk

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Alcohol consumption is inversely associated with the risk of developing multiple sclerosis (MS) in men and women, according to a study published online Jan. 6 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1812407#Abstract )Full Text (http://archneur.jamanetwork.com/article.aspx?articleid=1812407 )

Smoking Rates Still Low for Most Health Care Professionals

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Compared with 2006 to 2007, smoking rates among health care professionals for 2010 to 2011 continue to be lowest in physicians and highest in licensed practical nurses (LPNs), according to a research letter published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1812944 )

U.S. Cancer Death Rates Decreasing Steadily

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Cancer death rates have been decreasing steadily for the past two decades, with the magnitude of the decrease varying with age, race, and sex, according to a report published online Jan. 7 in CA: A Cancer Journal for Clinicians.

Abstract (http://onlinelibrary.wiley.com/doi/10.3322/caac.21208/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.3322/caac.21208/full )

AMA Urges Med Students to Be Agents of Health Care Change

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Medical students are being encouraged to be agents of change in the health care system, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a247728ba-e82a-4527-97c6-010eeb7584af&plckScript=blogScript&plckElementId=blogDest#.Usuqmf35E_s )

Preemie Crying Linked to Later Behavioral Problems

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Early crying in preterm infants is associated with later child behavioral problems, and an education program can reduce postnatal depression symptoms as well as infant sleep and cry problems, according to two studies published online Jan. 6 in Pediatrics.

Abstract - Korja (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1204.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1204.full.pdf+html )Abstract - Hiscock (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1886.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1886.full.pdf+html )

Risks Associated With Early-Term Delivery Highlighted

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Non-medically indicated early-term delivery is associated with increased neonatal morbidity and mortality, and interventions to reduce these deliveries are encouraged, according to a review published in the November issue of the Mayo Clinic Proceedings.

Abstract (http://www.mayoclinicproceedings.org/article/S0025-6196(13)00607-1/abstract )Full Text (http://www.mayoclinicproceedings.org/article/S0025-6196(13)00607-1/fulltext )

Post-Op Health Care Costs Up for Former, Current Smokers

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Health care costs in the year following discharge for an inpatient surgical procedure are increased for former and current smokers, compared with never smokers, although there are no differences with smoking status in costs for the index hospitalization, according to a study published online Jan. 1 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1793209#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1793209 )

Herpes Zoster Is Risk Factor for Stroke in Young Adults

MONDAY, Jan. 6, 2014 (HealthDay News) -- Herpes zoster (HZ) is an independent risk factor for vascular disease, including stroke, transient ischemic attack (TIA), and myocardial infarction (MI), particularly in those affected before the age of 40 years, according to a study published online Jan. 2 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/02/WNL.0000000000000038 )Full Text (http://www.neurology.org/content/early/2014/01/02/WNL.0000000000000038.full.pdf+html )

Non-White Physicians Provide Disproportionate Minority Care

MONDAY, Jan. 6, 2014 (HealthDay News) -- Non-white physicians provide a disproportionate share of care to underserved populations, according to a research letter published online Dec. 30 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1792913 )

Obama Administration Stands by Contraception Rule

MONDAY, Jan. 6, 2014 (HealthDay News) -- The Obama administration on Friday contested U.S. Supreme Court Justice Sonia Sotomayor's decision temporarily exempting an order of Catholic nuns from the Affordable Care Act's contraception mandate.

Full Article (http://consumer.healthday.com/women-s-health-information-34/birth-control-news-62/obama-administration-stands-by-contraception-rule-683557.html )

CDC Addresses Burden, Threat of Antibiotic Resistance

MONDAY, Jan. 6, 2014 (HealthDay News) -- The burden and threats posed by antibiotic resistance infections are discussed in a report published by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/drugresistance/threat-report-2013/index.html )

One-Third of Teen Health Visits Don't Mention Sexuality

MONDAY, Jan. 6, 2014 (HealthDay News) -- About one-third of adolescents have annual health maintenance visits without any mention of sexuality, according to a study published online Dec. 30 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1791584#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1791584 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1791582 )

Romosozumab Increases Bone Mineral Density Post-Menopause

MONDAY, Jan. 6, 2014 (HealthDay News) -- Romosozumab seems safe and effective for increasing bone mineral density in postmenopausal women with low bone mineral density, according to a study published online Jan. 1 in the New England Journal of Medicine.

Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1305224?query=featured_home )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1305224?query=featured_home#t=articleTop )Editorial (http://www.nejm.org/doi/full/10.1056/NEJMe1315500 )

Unrestricted Hospital Visiting Hours Up Patient Satisfaction

MONDAY, Jan. 6, 2014 (HealthDay News) -- Open visitation improves the patient and family experience and does not cause interference for hospital staff, according to research published in the Journal for Healthcare Quality.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jhq.12035/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jhq.12035/full )

Guidelines for Management of Menopausal Symptoms Issued

MONDAY, Jan. 6, 2014 (HealthDay News) -- Evidence-based treatment guidelines for menopause management include personalizing treatment for optimal symptom relief, according to a Practice Bulletin published in the January issue of Obstetrics & Gynecology.

Abstract (http://journals.lww.com/greenjournal/Abstract/2014/01000/Practice_Bulletin_No__141___Management_of.37.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/2014/01000/Practice_Bulletin_No__141___Management_of.37.aspx )

Expanding Medicaid Coverage Ups Emergency Department Use

MONDAY, Jan. 6, 2014 (HealthDay News) -- Expanding Medicaid coverage is associated with increased emergency department use, according to a study published online Jan. 2 in Science.

Abstract (https://www.sciencemag.org/content/early/2014/01/02/science.1246183.abstract )Full Text (subscription or payment may be required) (https://www.sciencemag.org/content/early/2014/01/02/science.1246183.full )

AMA Details Top Five Federal Issues for 2014

MONDAY, Jan. 6, 2014 (HealthDay News) -- Implementation of the Affordable Care Act, the repeal of Medicare's failed sustained growth formula, and the proposed roll-out of the International Classification of Diseases, Version 10, top the list of federal issues expected to impact physicians and patients in 2014, according to a viewpoint piece published online Dec. 30 by the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ada87eb10-f35f-4894-b57d-b69658bc9ab6&plckScript=blogScript&plckElementId=blogDest )

Over 100 New Accountable Care Organizations Formed

FRIDAY, Jan. 3, 2014 (HealthDay News) -- One hundred twenty-three new Accountable Care Organizations (ACOs) have been formed by doctors, hospitals, and other health care providers, which will provide access to high-quality coordinated care for about 1.5 million Medicare beneficiaries, according to a report from the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/12/20131223a.html )

Most Women Experience Breast Cancer Postoperative Pain

FRIDAY, Jan. 3, 2014 (HealthDay News) -- Most women with unilateral non-metastasized breast cancer treated with breast conserving surgery or mastectomy with axillary surgery experience postoperative pain at 12 months, according to a research letter published in the Jan. 1 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1810368 )

Review Quantifies Benefits, Harms of Mammography

FRIDAY, Jan. 3, 2014 (HealthDay News) -- The benefits and harms of screening mammography have been quantified in a special communication published online Dec. 30 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleID=1792915#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleID=1792915 )

Sleep-Disordered Breathing May Worsen Pregnancy Outcomes

FRIDAY, Jan. 3, 2014 (HealthDay News) -- Evidence from published observational studies suggests that maternal sleep-disordered breathing is associated with increased risk of gestational hypertension and gestational diabetes, according to research published in the January issue of the American Journal of Obstetrics & Gynecology.

Abstract (http://www.ajog.org/article/S0002-9378(13)00818-1/abstract )Full Text (http://www.ajog.org/article/S0002-9378(13)00818-1/fulltext )

Impact of Transitions in Doctors' Careers Discussed

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Transitions and their associated challenges are encountered throughout a doctors' medical career, according to an editorial published online Nov. 26 in BMJ.

Full Text (subscription or payment may be required) (http://www.bmj.com/content/347/bmj.f7086 )

Worsening of Shortage of Residency Slots Feared

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Despite a looming physician shortage, the number of residency positions in the United States has not changed since 1996, creating a bottleneck that will become worse with further budget cuts, according to a blog post published Dec. 7 on KevinMD.com.

Full Blog Post (http://www.kevinmd.com/blog/2013/12/fearful-time-medical-students.html )Save GME Website (http://savegme.org/ )

CDC: Updated Guidance for HBV Vaccination for Health Workers

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Health care personnel should be vaccinated against hepatitis B virus (HBV) if they anticipate exposure to blood or body fluids, and receive serologic testing to assess for antibody against the virus, according to updated guidelines published in the Dec. 20 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/rr6210a1.htm?s_cid=rr6210a1_w )

Pregnancy Tops List of Most Google-Searched Symptoms

THURSDAY, Jan. 2, 2014 (HealthDay News) -- The top 10 most Google-searched symptoms in 2013 included those for pregnancy, influenza, and diabetes, but not those for cancer or heart disease, according to an article published Dec. 18 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/what-s-most-google-searched-symptoms-2013 )

Pharmacies Often Misinform Young Females About Plan B

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Female adolescents requesting emergency contraception (EC) at pharmacies are often given incorrect information, partly due to confusion about changing regulations, according to a study published in the January issue of the Journal of Adolescent Health.

Abstract (http://www.jahonline.org/article/S1054-139X(13)00523-5/abstract )Full Text (http://www.jahonline.org/article/S1054-139X(13)00523-5/fulltext )

Docs Have Until Jan. 31 to Change Medicare Status

THURSDAY, Jan. 2, 2014 (HealthDay News) -- The deadline for making changes to Medicare participation status has been extended to Jan. 31, 2014, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a0390d077-20bd-4215-9a2c-78e71583edbd&plckScript=blogScript&plckElementId=blogDest#.UsJswv35E_s )

Positive Outcomes With Improved Hemorrhoidectomy Information

THURSDAY, Jan. 2, 2014 (HealthDay News) -- For patients undergoing day-case hemorrhoidectomy, improved quality of patient information is associated with positive outcomes, according to a study published in the November/December issue of the Journal of Healthcare Quality.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/j.1945-1474.2012.00201.x/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/j.1945-1474.2012.00201.x/full )