CDC: More teens have hypertension under new AAP guidelines | Vitamin D may not protect against neurodegenerative diseases | Healthy diet may curb asthma symptoms, study says
July 13, 2018
AANP SmartBrief
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Health Care News
CDC: More teens have hypertension under new AAP guidelines
CDC researchers estimated that 795,000 more teens ages 12 to 19 are now classified as having high blood pressure under the updated American Academy of Pediatrics recommendations that lower the threshold for hypertension diagnosis. Despite this, the study, published in the agency's Morbidity and Mortality Weekly Report, found the prevalence of youths with hypertension based on the new guidance dropped from 7.7% in 2001 to 4.2% in 2016.
HealthDay News (7/12) 
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Vitamin D may not protect against neurodegenerative diseases
Researchers found no clear evidence that vitamin D has a protective effect against Alzheimer's disease, multiple sclerosis, Parkinson's disease or other neurodegenerative diseases, but they say exposure to the sun's ultraviolet rays, independent of vitamin D production, may have a neuroprotective benefit. The findings of the review, which included 73 studies, were reported in the journal Nutritional Neuroscience.
Medical News Today (7/12) 
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Healthy diet may curb asthma symptoms, study says
Eating a healthy diet was associated with a 30% reduced risk of asthma symptoms in men and a 20% lower risk in women, according to a study in the European Respiratory Journal. A healthy diet also was linked to a lower likelihood of poorly controlled symptoms in adults with asthma.
Medical Daily (7/12) 
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Groups issue pediatric gastroesophageal reflux recommendations
Children with typical gastroesophageal reflux symptoms should receive acid-suppression therapy for four to eight weeks, while infants with such symptoms should receive the therapy only after dietary changes, according to guidance from the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition and the European Society for Paediatric Gastroenterology, Hepatology and Nutrition in JAMA Otolaryngology -- Head & Neck Surgery. The recommendations advised against acid suppression in babies and children with extraesophageal symptoms, particularly those without typical GERD symptoms.
Medscape (free registration)/Reuters (7/13) 
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Researchers examine link between obesity, mortality
Researchers evaluated 54,089 individuals from five cohort studies through 2017 and did not find an increased rate of mortality among those who were obese but otherwise healthy. The findings in the journal Clinical Obesity revealed that diabetes, dyslipidemia or hypertension were associated with increased mortality risk, but obesity alone was not.
United Press International (7/12) 
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Ibuprofen and aspirin heart therapy
Aspirin has been shown to have cardiovascular benefits. Ibuprofen competes with aspirin to occupy platelet COX-1 receptors. When patients on aspirin heart therapy take ibuprofen, the benefits of aspirin may be compromised. In a survey of 561 people, 88% were unaware of this interference. Learn more.
Pharmaceutical News
CDC: Fentanyl overdose deaths in 10 states double in half year
A study in the CDC's Morbidity and Mortality Weekly Report showed 10 states saw a twofold increase in the number of fentanyl overdose deaths during the first half of last year, compared with the second half of 2016, with the most substantial increases and largest numbers found in Ohio. The study also found the number of carfentanil overdose deaths almost doubled within the period.
MedPage Today (free registration) (7/12) 
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Report: 3 distributors shipped 1.6B doses of opioids to Mo. over 6 years
McKesson, AmerisourceBergen and Cardinal Health shipped a total of 1.6 billion doses of opioids to Missouri from 2012 through 2017, according a report from Sen. Claire McCaskill, D-Mo. The report also highlights differences in reporting of suspicious orders and recommends the Drug Enforcement Administration return to standards allowing for the use of immediate suspension orders when lax compliance is uncovered.
National Public Radio (7/12),  The Hill (7/12) 
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Emerging Trends, Products and Technologies
Consumers have high expectations for providers' digital health capabilities
A Black Book survey revealed that 92% of about 650 health care consumers said enhancing consumer experience should be a priority for health care providers and that patients have high expectations for digital health tools offered by providers. According to the survey, 93% of respondents want access to digital tools that facilitate interactions with providers, 85% want tools for virtual care access, 97% want online scheduling capabilities, 92% want to be able to make payments online and 94% want digital price transparency tools.
Patient Engagement HIT (7/12) 
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Upper Manhattan hit with Legionnaires' disease outbreak
Eleven people have been diagnosed with Legionnaires' disease in Upper Manhattan, city health officials said, but a source of the bacteria has not yet been identified. Ten of those who have been ill have been hospitalized, and it is possible more cases will be identified, they said.
The New York Times (tiered subscription model) (7/12) 
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Health Policy and Legislative News
House panel votes to postpone tax on high-cost plans, suspend ACA penalties
The House Ways and Means Committee approved a bill that would postpone a tax on high-cost employer-sponsored health plans until 2022 and suspend employer-mandate penalties incurred from 2015 through 2019. The panel also advanced legislation that would permit anyone to buy a catastrophic plan and allow consumers to use the Affordable Care Act's tax credits for plans bought outside of ACA exchanges.
The Hill (7/12) 
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AANP 2019 National Conference - Pre-Register Now And Save Big
Reminder: Be sure to take advantage of a special offer for the AANP 2019 National Conference in Indianapolis. Pre-register by July 14, 2018, and save 10% off the registration fee. That's hundreds of available CE hours, the best networking opportunities and great fun with NPs from across the nation -- all for 10% less than 2018 National Conference! Hurry, this offer absolutely ends on July 14, 2018. Don't miss out on the nation's largest conference for NPs of all specialties.
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AANP announces national public awareness campaign
A national public awareness campaign, "We Choose NPs," has been launched by AANP to highlight the role of nurse practitioners in increasing access to health care. AANP members - participate in the national campaign by making sure to update your practice information. NPFinder is featured in the national campaign, directing patients to go to the site and search for health care providers just like you! Thanks to a recent update, it takes just seconds to add or update your practice details. As a free benefit of AANP membership, you can add up to three practice sites. Don't miss out on the launch! Add your info to NPFinder today.
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