Study links maternal diabetes to future CVD risk in children | CDC report notes stalled progress on fight against HIV | Coxsackievirus tied to beta-cell autoimmunity in children
December 5, 2019
AANP SmartBrief
News for nurse practitioners
Health Care News
Study links maternal diabetes to future CVD risk in children
Children born to mothers with diabetes had a 29% higher likelihood of developing cardiovascular disease, especially deep vein thrombosis, hypertensive disease and pulmonary embolism, during 40 years of follow-up, compared with those whose mothers didn't have diabetes, researchers reported in The BMJ. The study found the highest increase in risk of early CVD among those whose mothers both had diabetes and CVD.
MedPage Today (free registration) (12/4),  The New York Times (tiered subscription model) (12/4) 
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CDC report notes stalled progress on fight against HIV
A Vital Signs report in the CDC's Morbidity and Mortality Weekly Report says progress on reducing the number of new HIV infections has leveled off, and the authors say more work is needed to achieve the government's goal of a 90% reduction in new diagnoses by 2030. The report notes that in 2017, about 14% of people who were infected did not know it, and among those who did have a diagnosis, more than one-third had not achieved viral suppression, well short of goals.
Healio (free registration)/Infectious Disease News (12/3) 
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Coxsackievirus tied to beta-cell autoimmunity in children
A study in Nature Medicine showed that children who had been infected with the enterovirus coxsackievirus for at least 30 days had a higher likelihood of developing beta-cell autoimmunity, putting them at increased risk for type 1 diabetes. Researchers analyzed stool samples of children from the Environmental Determinants of Diabetes in the Young study and also found a higher beta-cell autoimmunity risk among young people who had a particular genetic variant of the virus receptor.
Diabetes (UK) (12/3) 
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Living in poor areas tied to higher hospitalization risk for kids
A study published in the Journal of the American Medical Association found children whose families relocated to low-poverty neighborhoods after receiving housing vouchers were almost 16% less likely to be hospitalized than those who stayed in high-poverty areas. The study, based on claims data and information from the Department of Housing and Urban Development's Moving to Opportunity for Fair Housing Demonstration Program, found average annual hospital spending for children who moved was $633 versus $785 for children who remained in impoverished neighborhoods.
Modern Healthcare (tiered subscription model) (12/4) 
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Pharmaceutical News
Aspirin tied to lower cancer-related, all-cause mortality
Researchers found that older adults who took aspirin at least three times weekly had 15% lower odds of cancer-related death and 19% reduced likelihood of all-cause mortality, compared with those who didn't take aspirin. The findings in JAMA Network Open also linked aspirin use to 34% and 28% lower risk of colon and gastrointestinal cancer-related mortality, respectively, among those who were overweight.
HealthDay News (12/4) 
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Acadia's Nuplazid assessed in treating dementia-related psychosis
People with dementia-related psychosis who received Acadia Pharmaceuticals' Nuplazid, or pimavanserin, which had been approved by the FDA for Parkinson's disease-related psychosis, had a more than twofold lower psychotic relapse or worsening risk, while having similar odds of serious adverse events, compared with those who were given placebo, researchers reported at the Clinical Trials on Alzheimer's Disease meeting. FDA approval for the use of Nuplazid in dementia-related psychosis will be sought next year, according to Acadia.
CTV (Canada)/The Associated Press (12/4),  Fox Business (12/4) 
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Emerging Trends, Products and Technologies
How health systems can help address loneliness
Social isolation and loneliness are tied to poor health, increased mortality risk and higher health care spending. Hospitals and health systems can help address these health issues by screening patients for loneliness at admission or in emergency departments, using data to understand which groups are most at risk, creating support groups to promote social connection, and promoting opportunities for volunteers, among other measures.
Becker's Hospital Review (12/3) 
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Telling a story on Instagram can counter vaccine misinformation
Telling a story on Instagram can counter vaccine misinformation
Health care providers and organizations can counteract vaccine misinformation by creating narrative posts and providing informational resources on Instagram, researchers reported in Health Education & Behavior. Researchers analyzed Instagram posts about the human papillomavirus vaccine and found that although 56% of the posts supported vaccination, engagement was highest with anti-vaccination posts that employed a narrative structure, garnering more positive engagement than posts that provided only informational resources.
Philadelphia magazine online (12/4) 
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Prellis Biologics CEO talks about the future of organ replacement
In this podcast, Melanie Matheu, CEO of Prellis Biologics, discusses the potential possibilities linked to using laser printers to create organs and vascular systems that would revolutionize not just the medical industry but the lives of patients and their families as well.
Forbes (12/3) 
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Health Policy and Legislative News
Analysis shows ACOs reduced Medicare spending $755M
An analysis by Dobson, DaVanzo & Associates found accountable care organizations reduced Medicare spending by $755 million from 2013 to 2017. Gross savings totaled $3.5 billion over the time period before payments for quality bonuses were awarded.
FierceHealthcare (12/3) 
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Be the Change in Health: Connect at HIMSS20
Create a better global health future at the Healthcare Information and Management Systems Society (HIMSS) 20 Global Health Conference and Exhibition, taking place March 9-13, 2020, in Orlando. Get inspiration from world-class speakers and thought leaders, collaborate with global colleagues and explore the latest disruptive innovations from market suppliers on the exhibit floor. The early bird registration deadline for HIMSS20 is Dec. 16. At HIMSS, you will find everything you need to transform health and wellness for everyone, everywhere -- and to be the change. Attend HIMSS20 in Orlando, where you'll find:
  • More than 300 concurrent education sessions and nearly 500 education events on the exhibit floor.
  • A wide variety of topics, including consumerization of health, cybersecurity, healthy aging and technology, interoperability, population health, precision medicine and more.
  • More than 1,300 exhibiting companies, hundreds of special programs and endless networking opportunities.
Be part of what's next for health at HIMSS20. Register now. AANP is a collaborating organization for this event. To receive an AANP member discount, select AANP from the Conference Collaborating Organizations drop-down during registration, and enter the code H20COLLAB.
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