High sodium intake may raise heart risk in diabetes | DVT procedure carries risk of complications with little added benefit, study finds | Probiotics may offer protection against hypertension, study finds
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July 23, 2014
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High sodium intake may raise heart risk in diabetes
Type 2 diabetes patients in the highest quartile of sodium intake were more than twice as likely as those in the lowest quartile to develop cardiovascular disease, according to a Japanese study in the Journal of Clinical Endocrinology & Metabolism. MedPage Today (free registration) (7/22)
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DVT procedure carries risk of complications with little added benefit, study finds
Clinicians are increasingly turning to catheter-directed thrombolysis for treatment of deep vein thrombosis, but the procedure may lead to more complications than anticoagulants alone, according to a study in JAMA Internal Medicine that involved 90,618 cases. Mortality is similar with both approaches, but blood transfusion rates and adverse events were higher in the CDT group. DailyRx.com (7/21)
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Probiotics may offer protection against hypertension, study finds
An analysis of data from nine studies involving 543 adults found that regular consumption of probiotics was associated with lower blood pressure readings. The findings, published in the journal Hypertension, showed those who regularly took probiotics saw their systolic BP drop an average of about 3.6 mm Hg and their diastolic BP drop about 2.4 mm Hg on average compared with nonusers. HealthDay News (7/21)
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Sleep apnea is more prevalent among children with sickle cell anemia
Children with sickle cell anemia had a greater likelihood of having obstructive sleep apnea compared with children in the general population, according to an NIH-funded study in the journal Pediatrics. Among sickle cell anemia patients, those with sleep apnea had more aggressive symptoms of the blood disorder than those without sleep problems. The Plain Dealer (Cleveland) (7/21)
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Study: Jaundice is common among breast-fed infants
Research in the journal Pediatrics showed that 43% of 1,044 breast-fed babies had skin bilirubin levels of at least 5 milligrams per deciliter at age 3 weeks and 34% were clinically jaundiced. At one month, 34% of the babies had high bilirubin levels and 21% had jaundice. DailyRx.com (7/21)
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Pharmaceutical News
Sovaldi clears hepatitis C in HIV patients, study finds
Data published in the Journal of the American Medical Association revealed combining Gilead Science's hepatitis C virus drug Sovaldi with ribavirin helped clear the most common strain of HCV in 76% of newly treated patients with HIV. HCV complications are a major cause of death among patients with HIV. Bloomberg (7/20)
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Emerging Trends, Products and Technologies
Seniors are having fewer heart attacks, data show
A Yale University study showed stable hospitalization rates for heart attacks among young and middle-aged adults from 2001 to 2010, while heart attack rates for Medicare-age adults dropped by more than 20%. The study in the Journal of the American College of Cardiology found women ages 30 to 54 who were hospitalized for a heart attack had a higher risk of poorer outcomes than men, and lead author Aakriti Gupta, M.D., suggested primary prevention resources should be redirected toward young women. HealthDay News (7/21)
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Abdominal obesity rate remains steady in U.S. children
The rate of abdominal obesity in U.S. children ages 2 to 18 remained steady at nearly 18% between 2003 and 2012, according to research in the journal Pediatrics. HealthDay News (7/21), Reuters (7/21)
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Hospital execs report growing inpatient volume
Inpatient volume was up 0.4% during the second quarter of 2014, according to a survey of hospital leaders by investment banking firm Jefferies. Respondents in states that have expanded Medicaid eligibility saw greater inpatient volume increases and were more likely to see growth in emergency department volume. BeckersHospitalReview.com (7/21)
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Health Policy and Legislative News
CMS experiments with observation care alternatives
Dozens of hospitals are participating in a CMS pilot program that exempts some patients from a requirement limiting nursing home coverage only to seniors admitted to a hospital for three days or longer. The pilot project aims to determine whether dropping the requirement can improve quality of care without raising costs. If successful, the program will be expanded to more hospitals. Kaiser Health News (7/22)
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Has the Nurse Practitioner Agenda Changed Much in 10 Years?
Two leaders from the former American College of Nurse Practitioners take opposing positions in the July/August "Point/Counterpoint" section of JNP. Janet Selway says the unification and growth of the profession have changed the agenda, while Carolyn Hutcherson observes that some important issues of practice doctorate standards, experience requirements, NP faculty and convenient care are still unresolved.
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The young do not know enough to be prudent and therefore they attempt the impossible -- and achieve it, generation after generation."
-- Pearl S. Buck,
American writer
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