February 26, 2020
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CDC warns community spread of coronavirus is likely
(Sakis Mitrolidis/Getty Images)
Nancy Messonnier, director of the CDC's National Center for Immunization and Respiratory Diseases, urged Americans, businesses and hospitals to prepare for potential community spread of the emerging coronavirus, noting "disruption to everyday life might be severe." CDC Principal Deputy Director Anne Schuchat and HHS Secretary Alex Azar said the immediate risk in the US remains low, but rising cases in other countries suggest the US will see an increase beyond the current 57 documented cases.
Full Story: Reuters (2/26),  CNN (2/26) 
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Nursing, Health & Medical Science
Patients with obesity who took liraglutide and had intensive behavioral therapy linked to CMS guidelines lost more weight than those who had behavioral therapy alone, researchers reported in the journal Obesity. Researcher Thomas Wadden said weight loss associated with just behavioral therapy was a positive finding and suggested the next step is for CMS to expand the list of practitioners who can provide this treatment to include independent dietitians.
Full Story: Healio (free registration)/Endocrine Today (2/24) 
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Prescriptions of calcium channel blockers for older adults with hypertension, which can lead to peripheral edema, can then lead to prescriptions for a diuretic to treat the edema, which can increase patient risks, according to a study in JAMA Internal Medicine. An accompanying editorial said this type of prescribing cascade could lead to adverse drug events, avoidable testing and hospitalizations.
Full Story: Healio (free registration) (2/24) 
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Researchers looked at data involving 1,354 youths with attention-deficit/hyperactivity disorder in the UK and correlated every decile increase in the Index of Multiple Deprivation with a 10% reduced likelihood of ADHD treatment receipt, indicating a significantly higher likelihood of ADHD drug prescriptions among those who live in poor areas. "The social gradient in [children and young people's] receipt of medication represents a novel risk factor that clinicians should aim to modify," researchers wrote in the journal BJPsych Open.
Full Story: Healio (free registration) (2/25) 
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A study in JAMA Pediatrics showed that twins who were born through in vitro fertilization had a fourfold increased likelihood of developing congenital heart defects, most commonly heart underdevelopment and narrowing of the arteries.
Full Story: Xinhua News Agency (China) (2/25) 
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Youths whose mothers took 2,800 units of vitamin D daily during pregnancy had significantly increased bone density at age 6 and a lower rate of bone fractures, compared with those whose mothers took a 400-unit vitamin D supplement during pregnancy, according to a study in JAMA Pediatrics. Researchers also found that elevated prenatal vitamin D exposure was most strongly linked to improved childhood bone density among those whose mothers had vitamin D deficiency and those who were born in the winter, but didn't affect birth weight or height and weight at age 6.
Full Story: The New York Times (tiered subscription model) (2/25) 
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The next health care crisis?
While the COVID-19 pandemic ushered in a global care crisis, it was also creating a perfect storm for the next health care crisis - an increase in opioid abuse. Health care professionals across the industry must be prepared for this next health care crisis, and they need to be able to identify and care for the vulnerable patients affected. Join mental health experts and health care professionals in this webinar.
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Trends & Technologies
On Monday, drugmaker Moderna shipped the first batch of its rapidly developed coronavirus vaccine to researchers at the National Institute of Allergy and Infectious Diseases. The NIAID will start the first human tests on the experimental shot that may suppress the epidemic bug, and initial results may be available by July or August.
Full Story: The Wall Street Journal (tiered subscription model) (2/24) 
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Researchers from the University of Waterloo in Canada developed a device that uses artificial intelligence and microwaves to detect early-stage breast cancer. The system doesn't expose patients to ionizing radiation and can spot anomalies smaller than 1 cm in diameter.
Full Story: AuntMinnie (free registration) (2/24) 
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Legislative Policy & Regulatory News
The FDA said no pharmaceutical firms have reported a shortage of any drugs as result of the coronavirus outbreak, but the agency is closely monitoring 20 medications that are made in China or rely solely on active pharmaceutical ingredients from China. The agency also said it has reminded more than 180 manufacturers to notify the FDA of any potential supply chain disruptions.
Full Story: Regulatory Focus (2/25) 
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ANA News
You'll find inspiration and enrichment at our new Year of the Nurse website: podcasts, contests, videos and webinars to help you grow as a nurse and contribute as a leader. Visit anayearofthenurse.org for exciting ideas about how to get involved, help elevate the status of nurses and develop your own capacity for leadership as a nurse! Visit the Year of the Nurse website.
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I don't have a feeling of inferiority. Never had. I'm as good as anybody, but no better.
Katherine Johnson,
mathematician, NASA scientist, Presidential Medal of Freedom recipient
1918-2020
February is Black History Month
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