Pregnancy complications raise CVD risks for women, NP says | Experts: Prostate cancer often doesn't need immediate treatment | CDC releases color-coded Zika map for Miami
October 21, 2016
AANP SmartBrief
News for nurse practitioners
Health Care News
Pregnancy complications raise CVD risks for women, NP says
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.
Healio (free registration) (10/15) 
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Experts: Prostate cancer often doesn't need immediate treatment
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.
HealthDay News (10/20) 
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CDC releases color-coded Zika map for Miami
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.
NBC News (10/19) 
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Researchers associate vitamin D levels to CAN risk in diabetes
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. (U.K.) (10/19) 
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Reach the Highest Level of Nursing
As the healthcare industry continues to grow, get the education you need with the fully online Doctor of Nursing Practice degree from Alvernia University. Gain the skills needed for a leadership role in clinical practice, in nursing education or as a shaper of healthcare policy. Learn more.
Pharmaceutical News
CDC recommends fewer HPV vaccine doses for preteens
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.
The New York Times (free-article access for SmartBrief readers) (10/19),  Reuters (10/19) 
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Review finds vedolizumab safe, effective for pediatric patients with IBD
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.
Family Practice News (10/19) 
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Emerging Trends, Products and Technologies
Few patients recovering from trauma use opioids long term
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.
HealthDay News (10/20) 
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CDC reports record high STD cases in the US in 2015
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.
NBC News (10/19),  USA Today (10/20) 
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Expert stresses role of EHRs in fight against Zika
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.
Health Data Management (10/18) 
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Health Policy and Legislative News
Vt. plan would limit opioids based on severity, duration of pain
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.
The New York Times (free-article access for SmartBrief readers) (10/19) 
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Please take a quick survey for AANP quality improvement project
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.
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Excellence in thrombosis care
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 ( 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.
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