CDC reports reduced teen sexual activity, pregnancies in US | Diaper-free approach may benefit infants, environment | Study suggests possible CVD prevention role for SGLT2s
June 23, 2017
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CDC reports reduced teen sexual activity, pregnancies in US
CDC researchers, using data from 2011 to 2015, found that nearly 44% of boys and nearly 42% of girls ages 15 to 19 said they had had sex at least once, compared with 60% of boys and 51% of girls who reported having sex in 1988. The findings also showed that significant increases in contraceptive use led to a drop in teen pregnancies and births, from 62 per 1,000 in 1991 to 22 per 1,000 in 2015, a record low since tracking began.
The Washington Post (tiered subscription model) (6/22),  Reuters (6/22),  CNN (6/22) 
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Nursing, Health & Medical Science
Diaper-free approach may benefit infants, environment
Two physician parents said that elimination communication, a diaper-free method which uses infants' natural timing and cues to determine when they need to urinate or defecate, can lower the risk of diaper rashes, urinary tract infections and methicillin-resistant Staphylococcus aureus infections in babies, as well as reduce environmental waste. However, EC may be challenging for day care providers and one-time baby sitters, they wrote in Pediatrics.
Reuters (6/21),  HealthDay News (6/21) 
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Study suggests possible CVD prevention role for SGLT2s
Type 2 diabetes patients with cardiovascular disease who were given sodium glucose cotransporter-2 inhibitors had a 53% lower risk of all-cause mortality at eight months, compared with patients on another glucose-lowering drug, according to a new analysis of data from the CVD REAL study presented at a meeting of the American Diabetes Association. Among patients without CVD, being on an SGLT2 inhibitor was linked to a 46% lower risk of all-cause mortality, researchers said.
Medscape (free registration) (6/20) 
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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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Therapy dogs may be alternative to sedation in pediatric imaging patients
An 11-year-old golden retriever dog named Aspen is participating in a study at Duke University Hospital to find out whether therapy dogs can help staff obtain better echocardiogram images in children with heart problems. The dogs are potentially an alternative to sedation, says pediatric cardiologist Piers Barker, and the dogs' behavior and markers of stress will also be monitored.
WRAL-TV (Raleigh, N.C.) (6/21) 
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Trends & Technologies
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 Lisa Grohskopf of the CDC's Influenza Division.
Healio (free registration)/Infectious Disease News (6/21) 
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Rule-breaking cancers require novel research approaches
Brain cancer is among the most difficult to treat due in part to its complexity and the difficulty of breaching the blood-brain barrier, writes National Brain Tumor Society CEO David Arons, chair of the National Cancer Institute's Council of Research Advocates. Novel approaches, such as that being undertaken by the Defeat GBM Research Collaborative, are needed "to move the field beyond the simplistic tactic of repurposing -- sequencing individuals with glioblastoma and trying to match them to treatments developed for similar mutations in other cancers," Arons writes.
STAT (tiered subscription model) (6/22) 
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Work-Life Balance
RD: Nutrients can help fight effects of stress
It is important to deal with both big and small sources of daily stress to prevent illness and even weight gain, and certain nutrients can help, says registered dietitian Alissa Rumsey. Folate, magnesium and vitamin D can help regulate mood and emotions, Rumsey says, while omega-3 fats, probiotics, foods containing antioxidants and water intake may help the body handle stress.
U.S. News & World Report (6/21) 
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Legislative Policy & Regulatory News
How the Senate bill differs from, mirrors the House approach
How the Senate bill differs from, mirrors the House approach
(Andreas Rentz/Getty Images)
Newly released Senate legislation would provide a longer timeline than the House bill for phasing out the Affordable Care Act's Medicaid expansion; would not penalize consumers for having a break in coverage; and would link premium support to income, age and geography, rather than just age and tie that assistance to "bronze" plans. Similarities between the bills include the approach to premiums for older adults, pathways for states to seek waivers from essential health benefits and repeal of coverage mandates.
Ledger-Enquirer (Columbus, Ga.)/The Associated Press (6/23) 
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Palliative expert: Maintain access to concurrent care
It is important to preserve an Affordable Care Act provision allowing children on Medicaid to receive palliative care and hospice benefits while also undergoing disease-directed therapy, writes Elisha Waldman, medical director of pediatric palliative care at the Morgan Stanley Children's Hospital of NewYork-Presbyterian. Waldman said it also is important to pass the Palliative Care and Hospice Education and Training Act.
The Hill (6/19) 
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ANA News
Substance Use Among Nurses and Nursing Students
Have you visited ANA's latest Substance Use Among Nurses and Nursing Students webpages? These pages were recently updated by ANA's Substance Use Disorder (SUD) Work Group, a collective of topical experts from several state nurses associations and organizational affiliates, as well as nursing students. The website shares ANA's positions on SUD, multiple resources, and the Emergency Nurses Association and International Nurses Society on Addictions' joint position statement, Substance Use Among Nurses and Nursing Students. The website also gives information on where to look for assistance for nurses and nursing students with SUD, co-workers looking to help a nurse with SUD, and for employers.
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