Children's type 2 diabetes risk tied to maternal diabetes, study finds | Study: CVD risk in diabetes tied to HbA1C, BP variability | Depression tied to risk of heart disease among black patients, study shows
November 19, 2015
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Children's type 2 diabetes risk tied to maternal diabetes, study finds
Children whose mothers had diabetes before pregnancy or had gestational diabetes during pregnancy were more likely to be diagnosed with type 2 diabetes at a younger age -- an average of 0.6 years younger -- than those whose mothers didn't have the disease. The findings in Diabetes Care, based on 632 patients ages 10 to 17 who were diagnosed with diabetes before age 2, also showed those exposed to maternal diabetes had an average 0.3% increased HbA1C and reduced beta-cell function, compared with those who weren't exposed. Endocrinology Advisor (11/17)
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Study: CVD risk in diabetes tied to HbA1C, BP variability
Patients with type 2 diabetes had a significant 2.45-fold increased risk of cardiovascular disease for every 1% increase in HbA1C and a 2.02-fold increased risk for every 10 mm Hg increase in systolic blood pressure, according to a study in BMJ Open Diabetes Research & Care. Researchers evaluated 632 Japanese adults with diabetes and no history of CVD at baseline and found a significantly increased risk of CVD associated with HbA1C coefficient of variation and HbA1C variation independent of mean among those with a mean systolic BP of 130 mm Hg or higher, compared with those with a mean systolic BP of 130 mm Hg or less. Healio (free registration)/Endocrine Today (11/17)
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Depression tied to risk of heart disease among black patients, study shows
A study in the journal Circulation: Cardiovascular Quality and Outcomes found that black patients with depression may be more prone to heart disease and stroke. Researchers used data from over 3,300 black Americans, finding those with major depression had a 5.6% likelihood of experiencing heart disease and 3.7% risk of stroke over a 10-year period, while those without depression had a 3.6% risk of heart disease and 2.6% risk of stroke. Researcher Emily O'Brien said depression is a particularly acute issue among black Americans, who are also less likely to be treated for the issue than white people. HealthDay News (11/17)
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Poor olfactory function could signal memory problems, Alzheimer's risk
Data published in JAMA Neurology linked a poor sense of smell to higher risk of memory problems in older adults, suggesting an olfactory test could help identify those likely to develop cognitive deficits. The study looked at 1,400 older adults, finding those whose sense of smell was worst were 2.2 times more prone to mild memory deficits, and those who already had memory trouble were more prone to Alzheimer's disease. HealthDay News (11/16)
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FREE Online CME/CE Tools for Motivational Interviewing
NIDA is offering 2 FREE CME opportunities for Motivational Interviewing. These online simulations guide providers of adult and adolescent patients through MI skills-building with real time testing in a clinical setting. To learn more, visit:
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Breast cancer treatments linked with thromboembolism risk
Researchers analyzed data from 13,202 breast cancer patients and found that those treated with either chemotherapy or tamoxifen were more likely to develop venous thromboembolism. The study in the journal Blood found that annual VTE incidence for chemotherapy-treated patients was 10.8-fold higher than for those who did not undergo chemotherapy, while tamoxifen-treated patients were at four times greater risk of VTE immediately after endocrine therapy than prior to treatment. Oncology Nurse Advisor online (11/17)
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Azithromycin may reduce children's risk of severe respiratory illness
Researchers found children who were given the maximum dose of azithromycin at the first sign of a cold had a 36% reduced risk of progressing to a severe lower respiratory tract infection than those on placebo. The findings in the Journal of the American Medical Association, based on 607 children with a history of respiratory illness, also revealed the presence of azithromycin-resistant bacteria among children in both groups. HealthDay News (11/17)
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Emerging Trends, Products and Technologies
Survey: More than half of RNs, APNs would choose nursing again
A Medscape survey of more than 8,000 US nurses found 60% of advanced practice nurses and 56% of registered nurses would choose nursing again as their career. The survey found 52% of nurses got a salary increase in 2014. About half of nurses who had attained a doctoral degree said they would choose the same educational program again, while one-third would work on another master's degree. Medscape (free registration) (11/17), Reuters (11/18)
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Provider-patient discussions may cut antibiotic overprescribing
Shared decision-making between primary care providers and patients helps reduce prescriptions for antibiotics to treat respiratory infections, according to a Cochrane Library report. When patients and providers discuss the issue, 29% are prescribed antibiotics, compared with nearly 50% of clinical encounters that did not involve shared decision-making. The findings were based on over 1,000 providers and hundreds of thousands of patients who participated in 10 randomized controlled trials in the UK and Europe. Reuters (11/16)
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Rates for 3 STDs increased in 2014, CDC says
CDC data showed there were more cases of chlamydia, syphilis and gonorrhea in the US in 2014, compared with the previous year, marking the first time rates of the three sexually transmitted diseases increased since 2006. Researcher Gail Bolan, M.D., said the STDs disproportionately affect young people; in 2014 patients between the ages of 15 and 24 made up almost two-thirds of reported cases of chlamydia and gonorrhea. HealthDay News (11/17)
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Health Policy and Legislative News
Health IT task force recommends ways to advance interoperability
Aligning economic incentives for vendors and providers could lead to greater data sharing in the health care industry, said Dr. Paul Tang, chairman of the Health IT Policy Committee's interoperability task force. To eliminate the business and financial barriers that are hindering health information exchange among providers, the task force has developed four draft recommendations: holding a summit of private groups and federal agencies to accelerate interoperability plans, creating health information exchange-related payment incentives, developing HIE-related vendor performance measures and implementing HIE-sensitive outcome measures for reporting and payments. Health Data Management (11/16)
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Make a difference in your organization -- Seek elected office
Nominations for the 2016 AANP election are now open and will close November 30. Offices up for election in 2016 are: Executive Committee: President-Elect, Recording Secretary; Regional Directors: Region 2 (NJ, NY, Puerto Rico), Region 4 (KY, NC, SC, TN), Region 6 (AR, LA, OK, TX), Region 8 (CO, MT, ND, SD, UT, WY) and Region 10 (AK, ID, OR, WA); State Representatives: Alabama, Arizona, California (N), California (S), Connecticut, Delaware, DC, Florida (N), Florida (S), Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, Ohio, Pacific U.S. Territory, Pennsylvania, Rhode Island, U.S. Virgin Islands, Vermont, Virginia, West Virginia, Wisconsin; and Nominations Committee: Four positions are open. For more information and to begin the nomination process, visit
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Please participate in a survey to evaluate HHS Guidelines for Antiretroviral Agents in Adults and Adolescents
The Panel on Antiretroviral Guidelines for Adults and Adolescents and the Health Resources and Service Administration HIV/AIDS Bureau (HAB) is committed to improving the HHS Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. HAB has launched an online survey to receive feedback from clinical staff on their experiences with these guidelines. Please go to to start the survey today.
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Hard work spotlights the character of people: Some turn up their sleeves, some turn up their noses, and some don't turn up at all."
-- Sam Ewing,
baseball player
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