A Japanese study in Pediatric Allergy and Immunology found that obese youths with acute asthma had a significantly increased likelihood of being readmitted within 30 days of discharge as well as a longer hospital length of stay, compared with normal-weight peers. The findings, based on more than 38,000 children in Japan, also showed similar intensive care needs and total hospitalization costs between those who were obese, overweight, normal weight and underweight.
A study published in Mayo Clinic Proceedings found white men who got three times the recommended 150 minutes of exercise per week over 25 years had a higher risk of developing coronary artery calcification by middle age, compared with black men and men who worked out less. Researchers said more studies are needed on the biological mechanisms involved in CAC, which is a risk factor for heart disease.
A Canadian study in Arthritis Care & Research found rheumatoid arthritis was associated with a 47% higher risk of being hospitalized for chronic obstructive pulmonary disease. The findings were based on 24,625 patients with rheumatoid arthritis and 25,396 matched controls.
Patients with non-diabetic hyperglycemia who participated in a diabetes prevention program delivered by a commercial weight management provider experienced a mean HbA1C reduction of 2.84 mmol/mol and a mean weight reduction in body mass index of 3.2 kg/m2 at 12 months, according to a study in BMJ Open Diabetes Research & Care. UK researchers used a cohort of 166 patients and found that 38% of the participants returned to normoglycemia, while 3% progressed to type 2 diabetes at 12 months.
A study in the Journal of Pediatrics found that youths with acute leukemia who received flu vaccinations and booster shots during cancer treatment had similar risk and onset of developing flu or flu-like illnesses, compared with those who were unvaccinated. Researcher Elisabeth Adderson said that annual flu shots are still recommended for pediatric acute leukemia patients undergoing treatment, but additional preventive measures such as avoiding crowds during flu season and proper hand hygiene are needed to curb flu risk among such patients.
A study in the Journal of Internal Medicine found no serious safety concerns among adult women vaccinated against human papillomavirus. Researchers tracked Danish and Swedish hospital data over 10 years on 44 different illnesses, including celiac disease, epilepsy, lupus, psoriasis, type 1 diabetes and rheumatoid arthritis.
Newer direct oral anticoagulants were not associated with higher risks of major bleeding or mortality than the older blood-thinning drug warfarin, a 60,000-person observational study in The BMJ found. The only direct oral anticoagulant with an antidote to stop bleeding is dabigatran, or Pradaxa.
Nearly 5.6 million youths worldwide died before age 5 in 2016, a new low, but neonatal mortality rates rose from 41% in 2000 to 46% in 2016, and about 60 million children could die before reaching age 5 between 2017 and 2030, 50% of whom would be newborns, should such rates continue, according to a United Nations report. The report also showed preterm birth and childbirth complications accounted for 30% of newborn deaths, and about 80% of newborn deaths occurred in southern Asia and sub-Saharan Africa, while pneumonia and diarrhea were the most prevalent causes of child mortality.
Forty-one percent of reported health data breaches in the first nine months of 2017 were attributed to unintended data disclosure, such as accidentally leaving a server open to the public or sending an email containing personal health information to the wrong recipient, which was also the leading cause of such incidents in 2016 and 2015, according to the Beazley Breach Insights report. Hacking or malware incidents were the second most common cybersecurity issue at 19%, followed by insider incidents at 15% and physical loss at 8%, the report stated.
President Donald Trump reportedly is considering Alex Azar, a former HHS deputy secretary under President George W. Bush who in 2007 went on to work for Eli Lilly and Co., where he led the drugmaker's US operations from 2012 to January. CMS Administrator Seema Verma and FDA Commissioner Scott Gottlieb are no longer being considered for the role, administration sources say.
The Patient-Centered Primary Care Collaborative (PCPCC) presented their prestigious Primary Care Community/Research Leadership Award to Health Wagon at the annual PCPCC conference. The award recognizes the organization's commitment to ensuring that primary care is foundational to the community. Congratulations to AANP members Dr. Teresa Gardner Tyson, Health Wagon executive director, and Dr. Paula Hill-Meade, clinical director, and their nine full-time and seven part-time staff. The Health Wagon, a nonprofit organization founded in 1980, provides free health care to Southwest Virginia through two stationary clinics and two mobile medical units, offering comprehensive primary and preventive health care services. Health Wagon has garnered notable recognition that include 60 Minutes, Nightline, CBS Nightly News, Inside Edition, Washington Post, Time Magazine and The New York Times as well as extensive international attention.