Post-birth microcephaly found in infants with Zika syndrome | Study links metabolic syndrome to esophageal cancer in older patients | Researchers examine correlation between diabetes, arsenic metabolism
November 28, 2016
AANP SmartBrief
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Health Care News
Post-birth microcephaly found in infants with Zika syndrome
Eleven of 13 Brazilian infants with congenital Zika syndrome and normal head circumference at birth developed microcephaly in the following months. A report in the CDC's Morbidity and Mortality Weekly Report said the infants had a range of symptoms of congenital Zika syndrome, including muscle and joint problems and difficulty moving and swallowing.
The New York Times (free-article access for SmartBrief readers) (11/22),  Reuters (11/22) 
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Study links metabolic syndrome to esophageal cancer in older patients
Researchers looked at 3,167 patients ages 67.5 or older with esophageal adenocarcinoma and found the cancer was linked to metabolic syndrome in women, regardless of gastroesophageal reflux disease status, and in men who did not previously have gastroesophageal reflux disease, compared with controls. The findings, published in the journal Cancer, did not show any association between the diseases compared with patients with Barrett's esophagus.
Healio (free registration)/HemOnc Today (11/23) 
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Researchers examine correlation between diabetes, arsenic metabolism
Odds ratios for type 1 diabetes were 1.28, 0.68 and 1.33 for dimethylated, inorganic and monomethylated arsenic, respectively, and for type 2 diabetes, odds ratios were 1.17, 0.82 and 1.09, respectively, according to a study in Diabetes Care. Researchers used a cohort of 688 patients with and without diabetes, ages younger than 22, and found that odds ratios of type 1 diabetes by percentage monomethylated arsenic were 1.80 for patients with plasma folate levels above the median and 0.98 among those with plasma folate levels below the median.
Physician's Briefing/HealthDay News (11/22) 
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Analysis: Light drinking may lower risk of stroke
Drinking two to more than four drinks a day boosts a person's risk of both ischemic stroke and hemorrhagic stroke, but consumption of up to two drinks a day is associated with a reduced risk of ischemic stroke, according to a study in BMC Medicine.
HealthDay News (11/24) 
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7 Helpful Tips to Get Your Business in Shape
Ever feel like you take too long to do something that should be simple? Or feel like your business's processes just have way too many steps? Don't worry — help is here. Download seven ways to up your efficiency today!
Pharmaceutical News
Study: 2-dose HPV vaccine as effective as 3-dose regimen in preteens
Norwegian researchers found that boys and girls ages 9 to 14 who received two doses of the human papillomavirus vaccine spaced six to 12 months apart had the same immunity as young women and older teens who received three doses of the vaccine over six months. The findings in the Journal of the American Medical Association, based on data involving more than 1,500 youths and young adults in 15 countries, backs revised guidelines from the CDC recommending a two-dose HPV vaccination schedule for those younger than 15.
HealthDay News (11/22) 
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Malaria prevention drugs in older youths may curb transmission
A study by the London School of Hygiene & Tropical Medicine and Senegal's Cheikh Anta Diop University found that providing seasonal malaria chemoprevention to youths older than 5 in Senegal during a high malaria season decreased cases by more than 50% in children up to age 10 and 26% in youths older than 10. The findings also showed that accommodating older children in SMC interventions didn't substantially increase treatment delivery time.
Reuters (11/22) 
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Hot Topics
Emerging Trends, Products and Technologies
Asian-Americans less likely to be screened for diabetes, study finds
Researchers found that although Asian-Americans have a heightened risk for type 2 diabetes, they are 34% less likely to be screened than non-Hispanic whites. The findings in the Journal of General Internal Medicine were based on a telephone survey involving more than 500,000 individuals.
HCPLive (11/21) 
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Study: Dementia drop reverses predicted trend
The percentage of older Americans with dementia declined by nearly one-quarter between 2000 and 2012, a new report says. The finding counters previous projections that dementia would spike as baby boomers age.
STAT (11/21) 
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Health Policy and Legislative News
Ryan's ACA replacement outline might be a model for Trump
While President-elect Donald Trump has not yet provided specifics for his plans to replace the Affordable Care Act, House Speaker Paul Ryan, R-Wis., released a 37-page outline in June that might serve as a model. The proposal would lift the mandate to purchase health insurance, retain some level of tax credits to assist consumers with costs, protect people with pre-existing conditions and prioritize high-deductible plans with health savings accounts.
National Public Radio (11/21) 
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States restrict Medicaid coverage of opioid painkillers
Forty-six Medicaid programs cap prescriptions for opioid pain drugs, 45 require prior authorization, 42 require proof of medical need and 32 have step-therapy rules.
STAT (11/23) 
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Nominations for 2017 Elected Office close Wednesday, Nov. 30
Interested in seeking AANP elected office? Nominations for the 2017 election need to be received electronically by 5 p.m. central time on Wednesday, November 30. AANP members who wish to be considered for elected office must have been an AANP member in good standing for the 12 months prior to Nov. 1, 2016. Positions for election in 2017 are: Executive Committee: Treasurer; Regional Directors: Region 1 (CT, ME, MA, NH, RI & VT), Region 3 (DE, DC, MD, PA, VA & WV), Region 5 (IL, IN, MI, MN, OH & WV), Region 7 (IA, KS, MO & NE), Region 9 (AZ, CA, HI, NM, NV & Pacific U.S. Territories), and Region 11 (AL, FL, GA, MS & U.S. Virgin Islands); State Representatives: Alaska, Arkansas, Colorado, Idaho, Kentucky, Louisiana, Montana, New Jersey, New York (N), New York (S), North Carolina, North Dakota, Oklahoma, Oregon, Puerto Rico, South Carolina, South Dakota, Tennessee, Texas (N), Texas (S), Utah, Washington, Wyoming; and Nominations Committee: Two positions are open. Visit for position descriptions and other information.
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New clinical resources now available for AANP members
AANP is pleased to announce the availability of two clinical resource products for our members. Partnering with EBSCO Health (provider of DynaMed Plus®) and Wolters Kluwer Health (provider of UpToDate®), AANP now offers members the opportunity to receive the latest clinical information when searching for recommendations in treatment options for patients. With complimentary access to DynaMed Plus, and a special member offer from UpToDate, NPs can quickly and easily obtain clinical information designed to help them determine the optimal care for their patients through real-time, digital clinical reference resources that they can access using virtually any device. For additional information on the latest AANP member benefits, visit If you are not currently an AANP member, join now. There has never been a better time to be a nurse practitioner.
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Your assumptions are your windows on the world. Scrub them off every once in a while, or the light won't come in.
Alan Alda,
actor, writer and director
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