CDC reports on early childhood difficulties among infants with Zika | Elevated maternal blood glucose in pregnancy may increase heart defect risk | Study: Bivalent meningococcal B vaccine effective after 2 and 3 doses
CDC researchers followed 19 Brazilian infants with Zika-related microcephaly until ages 19 months to 24 months and found all had one or more of six adverse outcomes, which were sleeping problems, feeding challenges, vision and hearing abnormalities, severe motor impairment and nonfebrile seizures. The findings in the agency's Morbidity and Mortality Weekly Report also showed three to five adverse events in 12 of the children, while two had experienced all of the adverse outcomes.
Researchers linked every 10 mg per deciliter increase in maternal blood glucose levels during pregnancy to an 8% higher likelihood of having infants with cardiac malformations, even after adjusting for maternal age, pre-existing maternal diabetes and prepregnancy body mass index. The findings in the Journal of Pediatrics were based on data involving 19,107 mother-child pairs.
A study in the New England Journal of Medicine found a bivalent meningococcal B vaccine that targets factor H-binding protein was safe and effective after two and three doses. The vaccine was tested in adolescents and young adults.
Researchers analyzed data from the National Health and Nutrition Examination Survey from 2005 to 2014 and found that the overall prevalence of diabetes and undiagnosed diabetes among US veterans was 20.5% and 3.4%, respectively, in 2013 to 2014. The findings in the CDC's Preventing Chronic Disease revealed that diabetes prevalence increased from 15.5% in 2005 to 2006 to 20.5% in 2013 to 2014.
A UK study in the Archives of Disease in Childhood showed that youths who ate one or more takeout meals weekly had significantly increased LDL cholesterol, total cholesterol, fat mass index and sum of skinfolds -- which are risk markers for chronic diseases -- compared with peers who ate fewer or didn't eat takeout meals. The findings also showed significantly more frequent takeout meal consumption among boys and those from lower socioeconomic groups.
Diagnosis of symptomatic proximal deep vein thrombosis using compression ultrasonography was accurate among family physicians who had been trained by physicians with 10 or more years' experience with the modality, researchers reported in Annals of Family Medicine. Training family physicians to use compression ultrasonography could improve care quality and prevent unnecessary hospitalizations, said first author Nicola Mumoli, M.D.
A new FDA webpage provides updated susceptibility information so clinicians know which bacterial or fungal infections likely will respond to certain drugs. The site is aimed at helping clinicians choose the best treatments and helping prevent the spread of resistant bacteria.
A Commonwealth Fund report on data from 2013 and 2016 showed there were fewer uninsured US adults and children overall, and for the past year a decreasing number of adults said they skipped a physician visit due to the cost. The number of at-risk adults who did not have a routine checkup over at least the past two years decreased from 14% to 12%.
The Federal Communications Commission decision to repeal net neutrality and remove the ban on paid prioritization may prompt slower traffic in telemedicine, which could especially affect trauma and emergency care providers who need quick access to data, said Mark Gaynor of St. Louis University. Some health care groups have advocated for banning paid fast lanes because the practice could allow internet providers to charge higher fees.
A Merritt Hawkins Associates report found that primary care physicians are not the only subspecialty in short supply, with the US also needing pulmonologists, psychiatrists, dermatologists and other clinicians. The shortage was linked to an aging population and an aging physician population.
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