USPSTF calls for obesity screenings for youths 6 and up | Nurse navigators can be effective palliative care providers | Study compares risk of CV events between patients with, without diabetes
June 22, 2017
AANP SmartBrief
News for nurse practitioners
Health Care News
USPSTF calls for obesity screenings for youths 6 and up
USPSTF calls for obesity screenings for youths 6 and up
(John Moore/Getty Images)
The US Preventive Services Task Force published updated guidelines in the Journal of the American Medical Association recommending health providers screen body mass index in children ages 6 and older and refer obese youths and their families to comprehensive and intensive behavioral-based weight loss interventions. The group also found insufficient evidence to make recommendations on the weight-loss benefits of metformin and orlistat for obese children.
Reuters (6/20),  MedPage Today (free registration) (6/20),  Medscape (free registration) (6/20) 
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Nurse navigators can be effective palliative care providers
Nurse navigators have the education and skills to provide effective palliative and supportive care for cancer patients and lead palliative care teams as palliative care nurse practitioners, NP Bonnie Freeman told the 2017 Oncology Nurse Advisor Navigation Summit. The CARES tool can help manage patient and family end-of-life needs, Freeman said, but the most compassionate actions nurse navigators can take include active listening and providing honest responses that show genuine caring.
Oncology Nurse Advisor online (6/17) 
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Study compares risk of CV events between patients with, without diabetes
Patients with and without diabetes and without coronary artery disease had the same adjusted risk of myocardial infarction, cardiac death and mortality 4.1 years after undergoing coronary angiography, according to a study in Diabetes Care. Danish researchers used a cohort of 93,866 patients and found that 75.3% and 65.7% of patients with diabetes without CAD were treated with statins and aspirin, respectively, compared with 46% and 52.7% of patients without diabetes and CAD.
Physician's Briefing/HealthDay News (6/20) 
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Body weight tied to weekend sleep, study finds
People who slept in on weekends, or those who got more sleep on weekend nights than on weekday nights, had an average body mass index of 22.8, compared with 23.1 among those who did not engage in catch-up sleep, according to a study in the journal Sleep. South Korean researchers evaluated survey data on more than 2,000 people, ages 19 to 82, and found that each additional hour of sleep on weekends was tied to a 0.12 drop in BMI.
Reuters (6/16) 
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Enroll in a Psychiatric-Mental Health NP Program
Would you like to add a specialty in Psychiatric-Mental Health Nursing? Earn a Post-Graduate Certificate - full or part-time with the option to complete a DNP degree. Try our distance education program for only 32 credit hours. Request info now.
Pharmaceutical News
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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Prochlorperazine may be better than opioid for treating acute migraine
A study presented at the American Headache Society's annual meeting found the use of prochlorperazine to treat acute migraine during emergency department visits was associated with greater sustained headache relief than treatment with the hydromorphone. The findings were based on data for 126 patients.
HealthDay News (6/19) 
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Emerging Trends, Products and Technologies
NPs choose primary care at higher rates than other providers
Nurse practitioners are more likely than physicians and physician assistants to choose primary care as their practice area, according to data from the AANP. While 14.5% of physician residency entries this year were in primary care, more than 89% of NPs were prepared in primary care programs.
Clinical Advisor (6/21) 
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CDC: More US counties report mosquitoes capable of carrying Zika
CDC researchers found that the number of US counties reporting mosquitoes capable of spreading Zika and other viruses has increased: Counties with Aedes aegypti rose by 21% in 2016, compared with earlier in the year, and those with Aedes albopictus rose by 10% in 2016, compared with 2015. The findings in the Journal of Medical Entomology, based on 1995 to 2016 data, also showed that both mosquitoes were most prevalent in Southern California, Arizona, Texas, Florida and Maryland.
The Washington Post (tiered subscription model) (6/20),  NBC News (6/20),  HealthDay News (6/20) 
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Cancer, CVD are top causes of mortality among cancer survivors
Thirty-three percent of cancer survivors died from cardiovascular disease, while 51% died from cancer, according to 2012 National Health and Nutrition Examination Surveys data presented by Dr. Ronald Schwartz of the University of Rochester Medical Center at the SNMMI Annual Meeting. The findings should prompt inclusion of patient-centered cardio-oncology using nuclear cardiology and radionuclide studies as well as PET/CT in comprehensive cancer care, experts said.
DOTMed (6/20) 
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Health Policy and Legislative News
Senate Democrats call for transparency around health care bill
Senate Democrats have employed a number of tactics designed to draw attention to what they say has been a closed-door process as GOP senators develop their Affordable Care Act replacement bill. Democrats say they will not allow the bill to bypass procedural steps, and they asked Republicans to hold committee hearings, requested more than 10 hours to review the bill before the vote, and have made multiple speeches voicing opposition to the bill and the process.
ABC News/The Associated Press (6/19) 
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Today at the AANP National Conference
The day begins with a legislative policy update by AANP VP of Federal Government Affairs MaryAnne Sapio and AANP VP of State Government Affairs Tay Kopanos. Following the legislative update, an exhibit hall packed with the latest products and services for NPs and NP students will open. In addition to more than 300 exhibitors, you will find AANP stations that will keep you updated on association activities, the AANP Career Fair where you can visit with employers and find that perfect position you have been seeking and industry scientific posters, product showcase presentations and CE NP poster presentations. The exhibit hall also hosts the AANP special initiative Dress for Success®. We are excited to be able to show our support for the communities we hold conferences in and Dress for Success® has two branches in the area. Drop by and drop off a donation -- either new or gently used clothing for women and men.
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Education ... is a process of living and not a preparation for future living.
John Dewey,
psychologist and educational reformer
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