CDC data showed 48.8% of pregnant women in the US received the CDC-recommended Tdap booster vaccine against tetanus, diphtheria and pertussis in 2016, an increase from 42.1% in 2015. The study found 69.9% of women got the vaccination when it was recommended by a nurse or physician who also offered the shot, compared with 30.8% of women whose provider just recommended the vaccination, and 1.4% of women who did not get a recommendation.
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The immune system of a human fetus begins developing in the second trimester of pregnancy, but it's different from the immune system of an adult, according to a study published in Nature. Dendritic cells are functional by the 13th week of pregnancy, but instead of tagging foreign proteins for destruction, they appear to trigger special T cells that inhibit immune responses, possibly to be able to co-exist with the mother's own immune system.
Youths with type 1 diabetes and females had increased concentrations of proprotein convertase subtilisin/kexin type 9, according to a study in Diabetes Care. Researchers used a cohort of 250 youths with and without diabetes and found a significant association between PCSK9 and HbA1C, apolipoprotein B, LDL cholesterol, total cholesterol and triglycerides among those with diabetes, and with ApoB and total cholesterol in the control group.
Researchers found that mood disorders, sleep problems and elevated autism symptom severity scores were tied to a sevenfold, more than twofold and slight increase in risk for psychiatric care hospitalization, respectively, among youths with autism spectrum disorder. The findings in the Journal of Autism and Developmental Disorders found a reduced risk of hospitalization among those living with married caregivers and those with higher basic life and coping skills scores.
The Hospital of the University of Pennsylvania's Intensive Care Nursery is testing the Keriton app, designed by nurses and mothers, that monitors the hospital's inventory of breast milk and serves as a communication tool. The app has four functions, including an inventory management system and a dashboard that allows nurses to monitor pumping patterns, along with forums connecting moms to lactation specialists and allowing nurses to send baby photos to mothers.
Gun-related injuries led to 5,790 hospitalizations and nearly 1,300 deaths of children in the US each year, or about 19 youths daily, according to a CDC study in Pediatrics. The findings, based on 2002 to 2014 national data involving youths ages 17 and younger, also showed that boys, teens and blacks were most likely to die from such injuries.
A study in The American Journal of Cardiology found no gender differences in how stress affects the risk of coronary heart disease. Researchers also found urinary cortisol levels were independently predictive of asymptomatic coronary heart disease.
A Mayo Clinic intervention called OB Nest, developed with help from expectant mothers and their obstetricians, midwives and nurses, allows low-risk pregnant women to reduce prenatal in-person visits from the usual 12-14 to eight. Researchers wrote in the Harvard Business Review that the program improved mother and family satisfaction and freed clinician time for higher-risk pregnancies.
GOP senators and aides said they expect the Senate to finish writing health care legislation later this week, and a vote is likely next week. Portions of the legislation have been sent to the Congressional Budget Office, and a report on how the provisions would affect insurance coverage and the federal budget could come early next week, although it's not clear whether Republicans have the votes to pass the bill.
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