2nd hospital worker in Texas tests positive for Ebola | Dialysis method shows no definitive impact on outcome in diabetes plus ESKD | Older mothers pass down mitochondrial DNA mutations to their children
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October 15, 2014
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2nd hospital worker in Texas tests positive for Ebola
A second health care worker at Texas Health Presbyterian Hospital has tested positive for the Ebola virus. On Tuesday, the CDC said it was actively monitoring 75 other hospital workers in Dallas, and teams of infections control experts will be sent to hospitals treating Ebola. "I wish we had put a team like this on the ground the day ... the first patient was diagnosed," CDC Director Dr. Thomas Frieden said. CNN (10/15), The New York Times (tiered subscription model) (10/15), HealthDay News (10/14)
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Dialysis method shows no definitive impact on outcome in diabetes plus ESKD
Researchers found the modality choice of hemodialysis or peritoneal dialysis as a primary therapy for diabetes patients with end-stage kidney disease had no effect on mortality outcome. The analysis was published in Nephrology Dialysis Transplantation. Medscape (free registration)/Reuters (10/13)
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Older mothers pass down mitochondrial DNA mutations to their children
A study in the Proceedings of the National Academy of Sciences showed that greater maternal age was associated with more mutations in the mitochondrial DNA, which can be passed on to children. The transfer of these mutations may be behind the higher rates of disease seen in children born to older women, researchers said. Examiner.com (10/13)
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Heavier patients show accelerated liver aging in study
A study in the Proceedings of the National Academy of Sciences found heavier people exhibited increased aging of the liver compared with their leaner counterparts, showing a 3.3-year increase for every 10 BMI units. Researchers said the findings may explain why excess weight is linked to conditions such as liver cancer and insulin resistance. HealthDay News (10/13)
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Pharmaceutical News
Empagliflozin improves BP, HbA1C in patients with diabetes
Data on patients with type 2 diabetes and hypertension revealed those on empagliflozin treatment attained significant improvements in blood pressure levels, HbA1C and body weight at 12 weeks compared with those in the placebo cohort. The findings appear in Diabetes Care. Medscape (free registration)/Reuters (10/14)
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Few serious reactions with MMR vaccine in adults, study finds
A decade's worth of study data on more than 3,000 adults who received the measles, mumps and rubella vaccine show a low number of serious adverse reactions, according to CDC researchers. The study, presented at IDWeek, found that 134 pregnant women had been vaccinated, which is not recommended, and researchers said it indicates a need for better education about vaccine recommendations. MedPage Today (free registration) (10/13)
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Emerging Trends, Products and Technologies
U.S. sees fewer anesthesia-related complications
The number of complications from anesthesia use dropped from 11.8% in 2010 to 4.8% in 2013, according to a study presented at the American Society of Anesthesiologists meeting. Nausea and vomiting were the most frequently reported minor anesthesia-related complications, while medication error was the most common major complication. HealthDay News (10/12)
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Smoking tied to 14 million medical conditions in U.S.
An FDA study linked some 14 million cases of major medical conditions to smoking, an increase from the 12.7 million estimated by the CDC a decade ago. The study in JAMA Internal Medicine said the increase may be due to better survey methods or because people who have smoking-related illnesses are living longer. HealthDay News (10/13), Reuters (10/13)
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Health Policy and Legislative News
Pa. senator seeks restoration of hospital preparedness program
The U.S. government should allot $120 million in funding to re-establish the Hospital Preparedness Program, Sen. Bob Casey Jr., D-Pa., wrote in a letter sent Monday to Senate Appropriations Committee Chairwoman Barbara Mikulski, D-Md. The news earlier about the first Ebola transmission in the U.S. "highlights the need for ongoing training and education for health care workers and drills and exercises for hospitals," Casey said. The Hill (10/13), The New York Times (tiered subscription model) (10/13), Bloomberg (10/14), The Morning Call (Allentown, Pa.)/Bloomberg (10/14)
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Changes await consumers shopping for insurance on HealthCare.gov
The federal Affordable Care Act health insurance exchange has received a makeover in preparation for the 2015 open enrollment season. Most shoppers will have only 16 screens to go through, compared with 76 before the upgrade, and the site allows consumers to browse plans without creating a user account. The Washington Post (tiered subscription model)/The Associated Press (10/14)
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AANP News
Duke-Johnson & Johnson Nurse Leadership Program
The Duke-Johnson & Johnson Nurse Leadership Program is designed specifically to offer advanced practice nurses a life-changing opportunity to become leaders of new models of care. This one-year program, through on-site leadership retreats combined with distance-based learning sessions, offers innovative and integrated training in the areas of leadership, management, organizational development, business, community engagement and population health. The program is structured to provide the working clinician a program rich in content and opportunities for professional development. Cost is very nominal due to the generous support of Johnson & Johnson. The Duke-Johnson & Johnson Nurse Leadership Program is accepting applications through Jan. 15. Thirty Program Fellows will be selected to participate for the 2015-2016 Program Year. Learn more about this exciting opportunity and how to apply.
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CE article with pharmacology credits
The October issue of JAANP includes a CE article on the use of pharmacogenetic testing (PT) in the treatment of chronic pain to improve pain management outcomes. One-step, in-office PT is widely available and NPs can make more cost-effective and appropriate medication management plans by understanding the genetic variants that contribute to patients' responses to pain medication.
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SmartQuote
Sometimes you have to step outside of the person you've been, and remember the person you were meant to be, the person you wanted to be, the person you are."
-- H.G. Wells,
British author
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