Pesticide exposure linked to elevated BP in children | Study: 5.2% of new cancer cases in 2015 related to poor diet | Pediatric thyroid cancer diagnosis, mortality examined
May 24, 2019
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Pesticide exposure linked to elevated BP in children
Researchers found that youths living near flower fields in Ecuador who were evaluated at times of increased pesticide exposure had elevated blood pressure compared with those who examined later, according to a study in Environmental Research. "These findings are noteworthy in that this is the first study to describe that pesticide spray seasons not only can increase the exposure to pesticides of children living near agriculture but can increase their blood pressures and overall risk for hypertension," lead author Jose Suarez said.
United Press International (5/23) 
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Study: 5.2% of new cancer cases in 2015 related to poor diet
A study published in JNCI Cancer Spectrum linked an estimated 80,110 new cancer cases in US adults in 2015, or about 5.2%, to poor diet. The largest cancer burdens were associated with low whole-grain and dairy consumption, low consumption of vegetables and fruits, and high intakes of processed meats, red meat and sugar-sweetened beverages.
CNN (5/23) 
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Pediatric thyroid cancer diagnosis, mortality examined
Researchers found that the annual percentage increase in thyroid cancer incidence rates among youths ages 20 and younger rose from 1.11% between 1973 and 2006 to 9.56% between 2006 and 2013, with the increase primarily due to higher prevalence of papillary thyroid cancers. However, the findings in JAMA Otolaryngology -- Head & Neck Surgery showed only 11 pediatric thyroid cancer deaths between 1983 and 2013.
MedPage Today (free registration) (5/23) 
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Pharmaceutical News
Amgen's Corlanor approved for pediatric symptomatic heart failure
Amgen's Corlanor, or ivabradine, has been approved by the FDA as a treatment for patients at least 6 months old with stable symptomatic heart failure due to dilated cardiomyopathy who are in sinus rhythm with an elevated heart rate. In a study, treatment with Corlanor led to a higher proportion of patients who achieved target heart rate reduction versus placebo use.
eMPR (5/23) 
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Novocure's malignant pleural mesothelioma therapy gets FDA nod
The FDA has approved Novocure's NovoTTF-100L System plus pemetrexed and platinum-based chemotherapy as a treatment for patients with unresectable, locally advanced or metastatic malignant pleural mesothelioma. Patients who were treated with tumor treating fields plus chemotherapy achieved 18.2 months median overall survival.
OncLive (free registration) (5/23) 
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Emerging Trends, Products and Technologies
Insurance type affects seniors' ability to afford Rx drugs
About 5% of seniors who are prescribed medications cannot afford to follow their prescriptions, and about 18% of seniors asked for a less expensive alternative, according to a CDC brief. About 8% of seniors covered by conventional Medicare could not afford to take their medication, compared with 5% of those with a Medicare Advantage plan or with both Medicare and Medicaid coverage, and 3% of seniors with a private plan.
HealthDay News (5/22) 
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Digital strategy can improve patient engagement
The number of consumers who want to engage with health care providers using digital methods is increasing, and practices can use the technology to improve patient engagement, write Matt Henry and Susan Kanvik, health care consultants with Point B. They recommend that practices should decide what their pain points are before finding the technology needed.
Modern Medicine/Physicians Practice (5/22) 
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Health Policy and Legislative News
Calif. Senate OKs bill cracking down on pediatric vaccine exemptions
Legislation that has gained California Senate approval would grant the state health department the authority to review and either allow or reject medical exemptions for pediatric vaccinations. Medical exemption approvals or rejections will be based on CDC guidelines.
U.S. News & World Report (5/23) 
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CBO warns of possible disruption under single-payer health care
Experts from the Congressional Budget Office who testified Wednesday during a House committee hearing on single-payer health care said the framework would likely increase the number of people with health insurance, but it would also increase government control over the health care system. With health care representing about one-sixth of the US economy, changes resulting from the shift to a single-payer system could be "potentially disruptive" and could have a significant impact on the economy, as well as health care access and quality, said CBO Deputy Director Mark Hadley.
The Hill (5/22) 
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AANP News
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Removal of NP practice barriers increases access for rural patients
A study of the effects of legislation eliminating supervisory agreements in Nebraska showed greater NP coverage in rural counties, and removal of the barrier was successful in drawing more NPs from other states. Removing policy barriers such as mandatory collaborative practice agreements between nurse practitioners and physicians is a factor in increasing access to care. Source: Homes L. Increased access to nurse practitioner care in rural Nebraska after removal of required integrated practice agreement. Journal of the American Association of Nurse Practitioners: May 2019 -- Volume 31 -- Issue 5 -- p 288-292.
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I accept chaos. I am not sure whether it accepts me.
Bob Dylan,
singer and songwriter

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