Childhood secondhand smoke exposure may increase miscarriage risk | Moderate-intensity walking may reduce heart risks, study says | Study supports government plan to reduce salt intake, CVD impact
January 13, 2017
AANP SmartBrief
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Health Care News
Childhood secondhand smoke exposure may increase miscarriage risk
Chinese researchers found that nonsmoking women in homes with two or more smokers in childhood were 20% more likely to have pregnancy loss, while those who were exposed to smoke at least five times weekly had 14% higher odds of miscarriage, compared with those without childhood secondhand smoke exposure. However, the findings in the journal Tobacco Control, based on data involving nearly 20,000 women in China, showed no increased miscarriage risk among those who lived with only one smoker or those who were exposed to smoke fewer than five times a week.
Reuters (1/11) 
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Moderate-intensity walking may reduce heart risks, study says
A study that included 70 women found walking briskly may reduce the risk of heart disease, researchers wrote in the journal Creative Nursing. Study participants were asked to walk at moderate intensity for at least 150 minutes per week, and researchers found after 10 weeks, weight, blood pressure and cholesterol levels had improved.
HealthDay News (1/10) 
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Study supports government plan to reduce salt intake, CVD impact
A government-backed program to reduce salt consumption could be cost-effective and reduce intake by 10% over 10 years, saving almost 6 million life-years linked to heart disease each year, according to a study in The BMJ. The researchers said a government-supported salt reduction plan would be cost-effective in nearly every country worldwide.
HealthDay News (1/11) 
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Together, we’re making NSAID use safer
NPs can play a critical role in helping patients avoid adverse events by counseling that Rx and OTC NSAIDs should always be used at the lowest effective dose for the shortest time. The Alliance for Rational Use of NSAIDs has educational materials in English and Spanish for you and your patients. Learn more and download materials here.
Pharmaceutical News
Study ties TNF inhibitors to lower heart attack risk in RA
An observational study in the Annals of the Rheumatic Diseases found use of tumor necrosis factor inhibitors for rheumatoid arthritis was associated with a 39% reduction in the risk of myocardial infarction, compared with use of conventional disease-modifying anti-rheumatic drugs. The findings were based on data for 14,258 patients with rheumatoid arthritis in England.
MedPage Today (free registration) (1/12) 
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Antidepressants may increase hip fracture risk in elderly
Older adults living in community settings, especially those with Alzheimer's disease, have almost twice the risk of a hip fracture if they are taking antidepressant medication, according to a study in the International Journal of Geriatric Psychiatry. Researchers said elderly falls that lead to fractures may be linked to antidepressant side effects, including arrhythmia, orthostatic hypotension, hyponatremia, confusion and sedation. (1/12) 
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Labeling guidances for acetaminophen, aspirin released by FDA
Labeling guidances for acetaminophen, aspirin released by FDA
(Scott Olson/Getty Images)
A final guidance has been released by the FDA recommending a warning label for over-the-counter acetaminophen-containing products to indicate the risk for severe and potentially fatal skin reactions. A draft guidance was also issued for OTC products with aspirin to recommend the addition of an advisory that would instruct patients to consult a provider before taking aspirin for cardiovascular conditions if the product package includes heart-related imagery.
Regulatory Focus (1/10) 
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Emerging Trends, Products and Technologies
VA to test digital health platform that integrates data, uses analytics
The Department of Veterans Affairs is developing a proof of concept for its Digital Health Platform to demonstrate how disparate data from commercial EHRs, the VA, the military, apps, wearables and devices can be integrated and made available to health care providers in real time. Apervita has been tapped to develop the proof of concept, which aims to demonstrate how care quality, efficiency and flexibility for veterans can be boosted through real-time analytics.
Health Data Management (1/10) 
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Smoking kills 6M around the world each year, report finds
Smoking kills 6M around the world each year, report finds.
(Matt Cardy/Getty Images)
A report from the National Cancer Institute and the World Health Organization found that tobacco smoking results in about 6 million lives lost around the world each year, while more than $1 trillion is spent annually on smoking-related health care expenses and lost productivity. Health consequences include heart disease, diabetes, cancer and chronic obstructive pulmonary disease.
HealthDay News (1/10) 
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Researchers examine prevalence of arthritis in prediabetes
A study presented at the American College of Rheumatology annual meeting showed that arthritis was prevalent in 30% of adults with prediabetes, with the highest age-standardized arthritis prevalence found among women, adults over 65 or those with less than a college degree. Researchers analyzed data from the 2009 to 2014 National Health and Nutrition Examination Survey and found that the age-standardized prevalence of arthritis among prediabetes patients was similar to those with diabetes and was significantly higher than those without prediabetes.
Healio (free registration)/Rheumatology (1/12) 
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Health Policy and Legislative News
Report breaks down ACA enrollment demographics
HHS reported Tuesday that more than 11.5 million Americans had bought coverage under the Affordable Care Act as of Dec. 24, and about 26% of enrollees fall into the 18 to 34 age group. The data also shed light on other demographics, including breakdown by race, new enrollments vs. renewals and more.
Miami Herald (tiered subscription model) (1/10),  USA Today (1/10) 
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PCORI-funded research studies seeking peer reviewers
The Patient-Centered Outcomes Research Institute (PCORI) is seeking clinicians to serve as peer reviewers to ensure that PCORI-funded research studies are held to the highest standards of scientific integrity, credibility and relevance. Complete our brief application and once reports are submitted that relate to your expertise, you may be contacted to review. To apply, please visit the website.
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