Report details suspected case of Zika transmission by transfusion in Brazil | For resources and information about the Zika virus visit NursingWorld.org. | Pregnant, postpartum women may get HBV DNA flares, study says
An article in the New England Journal of Medicine describes the case of a Brazilian blood donor who did not have symptoms at the time of donation but developed a rash and eye and joint pain two days later. The blood was transfused into two patients, both of whom testing positive for Zika infection after the donor alerted the blood bank about the onset of symptoms.
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Researchers said pregnant and postpartum women who have chronic hepatitis B may have flares in HBV DNA and alanine aminotransferase, mainly during or after the late second trimester and shortly after giving birth. The study in The American Journal of Gastroenterology found most women who experienced HBV DNA flares while pregnant but were not treated during postpartum saw HBV DNA levels return to baseline. Read the abstract.
Nurses and social workers team up to take health care to homeless New Yorkers on the streets through a new program. "Frequently what you're seeing with people living on the street is a 50-year-old in a 70-year-old's body," said Tony Hannigan, founder of the Center for Urban Community Services.
A report from the Michigan Department of Health and Human Services found that the rate of children younger than 6 statewide with elevated blood lead levels rose from 2.9% in the second quarter of 2015 to nearly 4.2% in the second quarter of this year, the highest since 2012. Detroit had about 10.8% of its youths test with lead levels of above 5 micrograms per deciliter of blood in the 2016 second quarter, compared with 6.8% in the same period in 2015, while Flint had nearly 4.8% of children with elevated blood lead levels, its highest since the same period in 2010.
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Most health care providers participating in Medicare or the Children's Health Insurance Plan will choose to be reimbursed under the Merit-based Incentive Payment System, but some are ready to assume more financial risk and will choose an alternative payment model.
German researchers found that 63.2% of adolescents who used the Smokerface photoaging mobile app, which showed their likely appearance in one to 15 years as a smoker or nonsmoker, were discouraged to smoke, while 64.8% said that the app was educational. The findings in the Journal of Medical Internet Research, based on data involving 125 seventh-graders at three schools in Germany, suggest that the app "can be added to existing school-based tobacco-prevention programs," researchers wrote.
Companies are developing virtual reality products aimed at making exercise less tedious and more entertaining. Some require just VR headsets and computers, but other products go further, such as Gogi Play by Blue Gogi that attaches to an elliptical or stationary bike and uses an app to access a library of games.
A survey by the health division of Xerox found almost 50% of adults reported they took total responsibility for their health, while less than 6% of health care providers agreed. The survey showed 55% of the adults said they needed their health care practitioner to encourage them to make healthy lifestyle choices, while 90% of payers and practitioners said patients needed to be encouraged.
Exact Sciences' Cologuard colon cancer test will receive Medicare Advantage coverage every three years without patient cost sharing, according to an updated evidence of coverage notice released by the CMS. The update affirms the test as an A-graded preventive service under guidelines recently issued by the US Preventive Services Task Force, said company Chairman and CEO Kevin Conroy.
Families enrolling in health insurance through California's publicly run exchange may now select different plans for different members of the family, and tax credits will be distributed proportionally. Families may be able to spend less on premiums, but they must meet each plan's deductibles and out-of-pocket maximums, which could offset any savings.
I have learned over the years that when one's mind is made up, this diminishes fear.
Rosa Parks, civil rights activist
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