Maine Medicine Weekly Update - 09/16/2019  (Plain Text Version)

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In this issue:
•  Photos from the 166th Annual Session of the Maine Medical Association
•  Cell Phone Driving Ban, Other Laws, Become Effective Thursday
•  Edmund Hardy Road Race Results & Photos
•  Maine Perinatal Quality Collaborative Launches Oct. 1
•  MaineCare Medical Director Opportunity
•  This Week's Public Health Updates from the AMA
•  September is National Suicide Prevention Awareness Month
•  October 10 Webinar Presented by Baystate Financial: Protecting Your Income
•  Caring for People Living With Dementia? Diagnostic & Management Tools for Health Systems and Clinicians
•  PMP Password Policy Change
•  MMA Legislative Calls Finished for the Session
•  Upcoming Specialty Society Meetings
•  MICIS Individual Academic Detailing Sessions on Opioid Topics
•  MICIS: 2019 Clinical & Legal Opioid Update - Fall Dates Scheduled
•  Qualidigm Rapid Induction Starting in the ED (RISE) Training
•  Obesity Medicine: There is no 'one size fits all' - Monthly Lecture Series Beginning September 18th
•  Maine Concussion Management Initiative (MCMI) Training Program - October 9
•  Celebrate 65 Years of MMA Executive Leadership on Oct. 26. Tickets Available Now
•  MMA partners with the Maine Suicide Prevention Program and the Maine CDC/Sweetser to offer training for clinicians.
•  MaineCare Medical Director Opportunity
•  Physician
•  Nurse Practitioner
•  Full-time, Part-time and Leadership Opportunities for Physicians
•  Outpatient Internal Medicine Physician Bangor, Maine
•  BC/BE Family Medicine or Internal Medicine Physician
•  Northern Light Sebasticook Valley Hospital seeks a BC/BE General Surgeon
•  Family Medicine Opportunity in Beautiful Western Maine
•  Physician Director of Primary Care
•  Family Medicine Specialist or an Internist
•  Opportunities at the VA for Volunteer Physicians
•  Volunteer Opportunity with Partners for World Health


This Week's Public Health Updates from the AMA

Click through for a brief update on recent public health issues, provided by the American Medical Association's electronic publication, Morning Rounds. [This article is updated weekly.]


  CDC says 27.5% of high school students report using e-cigarettes

CNBC (9/12, LaVito) reports, “More than one in four high school students in the U.S. use e-cigarettes, as teen vaping rates surged to yet another record despite efforts to control the epidemic, according to new federal data. Among high school students, 27.5% reported using an e-cigarette in the previous 30 days, up from 20.8% in 2018, according to preliminary results from the Centers for Disease Control and Prevention’s annual National Youth Tobacco Survey.”

Study: U.S. alcohol taxes fall far short of covering cost of harm from drinking

Reuters (9/12, Carroll) reports a new study suggests that “the sum total of taxes on alcohol doesn’t come close to paying the bills associated with excessive alcohol consumption in the U.S. The total damages from excess consumption add up to $2.05 per drink, while state and federal taxes bring in about $0.21 per drink, according to an analysis published in the Journal of Studies on Alcohol and Drugs.”

Study suggests behavior modification programs may help mitigate incontinence symptoms in women

Reuters (9/12, Rapaport) reports a study of 121 women with incontinence showed among those who participated in a behavior modification program for four months, 71% of participants “reported improvements in urinary incontinence, compared with 23% of women in the waitlist group.” The study also showed “55% of women in the program reported improvements in bowel incontinence, compared with 27% in the waitlist group.” The program included instruction on how to “strengthen and coordinate the muscles that support the openings of the bladder and bowels, called the pelvic floor muscles,” said study author Dr. Heidi Wendell Brown. The findings were published in Obstetrics & Gynecology.

Study finds fish oil supplements during pregnancy not tied to reduced preterm delivery risk

Reuters (9/11, Emery) reports a study “found virtually-identical rates of preterm delivery among 2,734 pregnancies where women were taking fish oil capsules daily and among 2,752 pregnancies where the mothers-to-be were taking vegetable oil capsules with only trace amounts of the n-3 long-chain polyunsaturated fatty acids believed responsible for fish oil’s health benefits.” The study published in the New England Journal of Medicine showed “early preterm delivery occurred in 2.2% of the fish oil pregnancies and 2.0% of the vegetable oil pregnancies, an insignificant difference.”

Research suggests erectile dysfunction may predict risk for stroke, heart attack

CNN (9/11, Lamotte) reports a meta-analysis on over 150,000 men indicates erectile dysfunction (ED) may predict “risk for a future stroke or heart attack.” The study published in the Journal of Sexual Medicine showed “compared to men without symptoms of with ED have a 59% higher risk of coronary heart disease or atherosclerosis, a 34% higher risk of stroke and a 33% higher risk of dying from any cause.”

Chinese researchers use CRISPR to make blood cells immune to HIV in adult patient

The AP (9/11, Marchione) reports a paper published in the New England Journal of Medicine describes the first attempt to use CRISPR “to try to cure a patient’s HIV infection by providing blood cells that were altered to resist the AIDS virus.” The paper’s authors, a group of Chinese researchers, said the patient was given blood cells that had been modified with CRISPR to be immune to HIV.

On its website, the NPR (9/11, Stein) “Shots” blog reports that “while the treatment did not rid the man of the AIDS virus, the researchers and others are calling the report promising.”

Study: HPV vaccination in girls and women may decrease rate of HPV-related cancers in unvaccinated men

NBC News (9/10, Carroll) reports researchers found that “when young women and girls are vaccinated” against HPV, “rates of HPV-related cancers dropped in unvaccinated men.” The findings were published in JAMA.

HealthDay (9/10, Thompson) reports the study found that “oral HPV infections declined by 37% among unvaccinated 18- to 59-year-old men between 2009 and 2016.”

Shorter people may be at greater risk for developing T2D, researchers say

CNN (9/9, Asmelash) reports, “Shorter people are at greater risk of developing type 2 diabetes [T2D],” researchers concluded after looking at some “2,500 middle-aged men and women in Germany from a pool of about 26,000 people.” After adjusting for confounding factors, investigators found that “greater height was associated with a lower risk for diabetes.” The findings were published online in the journal Diabetologia.

Researchers examine association between sleep duration, heart attack risk

The New York Times (9/9, Bakalar) reports, “Getting less than six hours of sleep a night, or more than nine hours, might increase the risk for heart attack,” researchers found in a study that “included 461,347 men and women ages 40 to 69, all of whom were healthy at the start” and who were followed “over seven years.” The findings were published in the Journal of the American College of Cardiology.

Daytime naps may be linked to lower risk of heart attack or stroke, study suggests

NBC News (9/9, Edwards) reports on its website that research suggests “daytime naps may be linked to a lower risk of heart attack or stroke, but only if they’re limited to a few times a week.” The findings were published in Heart.

TIME (9/9, Ducharme) reports that investigators “found that people who took one or two daytime naps per week had a lower risk of cardiovascular issues than non-nappers, even after adjusting for excessive daytime sleepiness...nighttime sleep duration and demographic and lifestyle factors.” The data indicated that “the connection between more frequent naps and heart health was not as strong.”