Study: Veterans can experience severe headaches for years after TBI | Adverse fetal outcomes tied to maternal DKA, study finds | Study IDs most common causes of neonatal bacterial meningitis
June 23, 2017
AANP SmartBrief
News for nurse practitioners
Health Care News
Study: Veterans can experience severe headaches for years after TBI
Severe headaches due to traumatic brain injuries may last for years, according to a veteran-focused study presented at a meeting of the American Headache Society. "We don't know exactly how TBI causes these severe headaches, but their long-term persistence suggests that processes related to TBI remain active or produce permanent changes in the brain, allowing the headaches to continue," said the society's scientific program committee chairman, Peter Goadsby.
HealthDay News (6/20) 
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Adverse fetal outcomes tied to maternal DKA, study finds
A study in Diabetes Care found that fetal demise occurred in 15.6% of cases among 62 women who had at least one diabetic ketoacidosis event during pregnancy. Higher pre-DKA HbA1C levels and smoking were associated with an increased risk of preterm birth, while higher NICU admission rates correlated with higher anion gap during DKA event, preterm birth, preeclampsia and smoking.
Physician's Briefing/HealthDay News (6/21) 
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Study IDs most common causes of neonatal bacterial meningitis
Thirty-three percent and 31% of infants who developed bacterial meningitis within the first 90 days of life had E. coli and group B streptococcus bacteria, respectively, according to a study in Pediatrics. Researchers suggest that empirical therapy for neonatal bacterial meningitis should include a third-generation cephalosporin and additional ampicillin for at least the first month, while carbapenem may be used for gram-negative meningitis.
Healio (free registration)/Infectious Diseases in Children (6/21) 
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Opioid crackdown causes problems for chronic pain patients
Some chronic pain patients say the crackdown on opioid drug use has gone too far and they are being treated unfairly, being denied drugs they need and may have successfully used for years without problems. Jim Watkins, who has osteogenesis imperfecta, said his prescription for tramadol requires more frequent provider visits, each with questions about his opioid use that he regards as just short of harassment.
Quad-City Times (Davenport, Iowa) (6/19) 
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Study links food diversity to eczema, allergy risks
Children exposed to the greatest amount of food diversity in the first year of life were less likely to develop eczema and an allergy to inhaled allergens, compared with those who had the lowest exposure, according to research presented at the European Academy of Allergy and Clinical Immunology meeting. However, the researchers urged caution in interpreting the results and said interventional studies are needed.
Medscape (free registration) (6/19) 
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Pharmaceutical News
Rivaroxaban is effective for reducing VTE in orthopedic joint surgery patients
A study presented at the AANP National Conference found high-risk orthopedic joint surgery patients who received daily treatment with 10 milligrams of oral rivaroxaban had a 33% lower rate of venous thromboembolism. "It is also essential for NPs to advocate for combined modalities such as early postoperative mobilization and use of mechanical prophylaxis to prevent thromboembolic complications," the authors wrote.
Clinical Advisor (6/22) 
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CDC panel continues to recommend against intranasal LAIV
Draft recommendations from the CDC's Advisory Committee on Immunization Practices continue to advise against the use of live-attenuated influenza vaccine during the 2017-2018 flu season. Vaccination rates among US youths ages 6 months to 17 years remained similar between the 2015-2016 and 2016-2017 flu seasons despite the ACIP's reversal on LAIV use last season, said Dr. Lisa Grohskopf of the CDC's Influenza Division.
Healio (free registration)/Infectious Disease News (6/21) 
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Emerging Trends, Products and Technologies
More adults take excess dosage of vitamin D, study says
National survey data from 2013-2014 showed 3.2% of US adults took more than 4,000 international units of vitamin D each day, which is above the maximum safe dosage, compared with 0.2% in 2007-2008, according to a study in the Journal of the American Medical Association. Registered dietitian Samantha Heller commented that vitamin D deficiency is common and research has linked appropriate levels to a lower risk of disease and improved heart health and immune system regulation.
HealthDay News (6/20) 
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Health Policy and Legislative News
Senate bill calls for steep cuts to Medicaid, end of mandate
Senate Republicans on Thursday released a 142-page bill, aimed at repealing and replacing the Affordable Care Act, that would make steep cuts to Medicaid and end the requirement for all Americans to have health insurance, while creating new federal tax credits to help people buy coverage. The bill, which could face opposition from conservative and moderate Republican senators along with Democrats, would allow states to drop benefits mandated by the ACA, such as maternity and mental health care.
The New York Times (free-article access for SmartBrief readers) (6/22) 
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AANP honors State Award winners
Every year, AANP recognizes outstanding achievements by nurse practitioners (NPs) and NP advocates during the annual Salute to the States ceremony and reception held during the AANP National Conference. These individual awards are presented to recipients throughout the year in each state. This year 103 NPs and NP advocates received the awards and were honored at the Friday evening event. View press release here.
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When the provider becomes the patient
The closing general session of the 2017 AANP National Conference presents Dr. Kent Brantly, who will share his experiences when he was diagnosed with Ebola Virus Disease. He was the first person to be treated for Ebola in the US when he was evacuated from Liberia to Emory University Hospital. It is a unique view and gives a new perspective on understanding patient care. The session is from 4-5 p.m. on Saturday.
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