Pregnancy-related conditions such as preeclampsia, gestational hypertension and gestational diabetes can raise a woman's risk of future cardiovascular disease and should be considered in primary CVD prevention, cardiology nurse practitioner Margo Minissian of the Women's Heart Center at Cedars-Sinai Heart Institute told the Cardiometabolic Risk Summit. "If we are able to target screening, lifestyle modification and implement early treatment strategies that we already know about, we can ultimately reduce overall risk and threshold for potential cardiovascular and metabolic dysfunction," Minissian said.
A Swedish study published in JAMA Oncology found that over 90% of patients with very low risk prostate cancer opt for active surveillance, wherein patients undergo regular blood tests and biopsies, rather than immediate treatment, and the authors say more US patients should follow suit. In the US, immediate treatment is far more common, subjecting men to side effects including erectile and urinary difficulties.
The CDC created a color-coded map for Zika-infested areas in Miami to help warn residents, especially pregnant women, against traveling to certain zones that are declared to be of significant risk for Zika virus transmission. Pregnant women should avoid going to red areas because of the high levels of Zika virus transmission, and should get tested for the virus, even without showing any symptoms, if there is a connection to the areas, according to the CDC.
A study in the online journal Diabetes Medicine revealed that very low and very high vitamin D levels could put adults with type 1 and type 2 diabetes at an increased risk for developing cardiovascular autonomic neuropathy. Danish researchers evaluated 113 diabetes patients with no existing cardiac arrhythmia and also found an association between vitamin D and heart rate variability indices and high frequency power.
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The CDC has advised that children ages 11 to 14 receive only two doses of human papillamovirus vaccine at least six months apart, instead of the usual three doses, following a review that showed similar or higher immune response among preteens receiving two doses compared with those who had three. Youths ages 15 to 26 should continue with the three-dose HPV vaccine regimen, the CDC says.
A retrospective review of 52 pediatric patients from three US sites found vedolizumab was a safe and effective treatment for inflammatory bowel disease. The findings, presented at the World Congress of Pediatric Gastroenterology, Hepatology and Nutrition, showed 14 weeks of treatment with the drug led to remission rates of 76% among patients with ulcerative colitis and 42% among those with Crohn's disease without reports of serious adverse events, serious infections, infusion reactions, or changes in serum albumin or hematocrit.
More than half of patients who were discharged after care for major trauma filled prescriptions for narcotic painkiller, but after three months, just 9% continued to refill the prescriptions, according to a study scheduled for discussion at an American College of Surgeons meeting. The findings suggest that severe traumatic injuries are not a major contributor to the US opioid epidemic, but patients who were older, poorer or hospitalized for over two weeks were more likely to continue opiate painkiller use.
The US saw record high numbers of sexually transmitted disease cases in 2015, partly due to insufficient funding to state and local programs, limiting people's access to testing and treatment, as well as better treatment for HIV that may lead to lower condom use, according to a CDC report. Data show cases of syphilis, gonorrhea and chlamydia rose by 19%, 13% and 6%, respectively, from a previous all-time high in 2014, and that youths younger than 20 accounted for half of all STDs in 2015.
EHR systems may help health care professionals and public health officials identify patients who could be at risk of being infected with the Zika virus, said Laurie Garrett of the Council on Foreign Relations. Garrett stressed the importance of gathering and sharing travel information in EHRs to monitor and diagnose cases of Zika in the US.
Vermont officials want to limit the number of opioid pain pills that can be prescribed based on the severity and duration of a patient's pain. State Health Commissioner Dr. Harry Chen said the goal is to reduce variability in how physicians prescribe the drugs.
Do you own or work in a nurse practitioner-owned primary care clinic, and are you interested in participating in a quality improvement project with AANP? If so, AANP would like to hear from you. AANP and the Med-IQ Quality Improvement Institute, a leader in innovative quality improvement and continuing education initiatives, have partnered on a quality improvement project focused on one-time, opt-out HIV testing for all patients between the ages of 15 and 65 seen in primary care practices that do not receive Ryan White funding. This is an exceptional opportunity to participate in an initiative to increase awareness of serostatus in individuals with unknown HIV infection and to reduce new transmissions. Compensation is available for the clinics and providers involved in this project. If you are interested and work in an NP-owned primary care setting that does not specialize in the treatment of HIV/AIDS, please take a quick survey to see if you might qualify to participate in this quality improvement project.
The Anticoagulation Forum is pleased to offer a new resource for health care professionals across medical specialties. etc.talks: excellence in thrombosis care is a series of 12-minute videos with accompanying discussion points on practical approaches and treatments for VTE and AFib. The videos are easily accessible from the AC Forum website (acforum.org/etc.htm) and can be viewed at work, at home or on mobile devices. The discussion flyers -- with summary points from the videos and discussion questions -- can be downloaded from the site.