A study in Diabetes Care found U-shaped correlations between body mass index and mortality regardless of diabetes status, age, sex and smoking history. Korean researchers used a cohort of 12,815,006 adults with prevalent diabetes, newly diagnosed diabetes, impaired fasting glucose and normoglycemia and found that the association between higher mortality and worsening diabetes status was stronger with lower BMI, especially at younger ages.
The breast cancer incidence rate is rising among women in six of seven Asian-American ethnic groups studied, according to a study in Breast Cancer Research and Treatment. The finding warrants additional attention and research to identify relevant risk factors for specific breast cancer subtypes, lead researcher Scarlett Lin Gomez said.
The use of apomorphine subcutaneous infusion may reduce periods of unpredictable fluctuations in motor function or "Off" time in Parkinson's disease patients, according to a placebo-controlled study to be presented at the American Academy of Neurology's annual meeting. APO infusion is not approved for this patient group in the US but is used in Europe.
Researchers from the Florida Medical Entomology Laboratory at the University of Florida found that a common backyard mosquito that lives in 40 US states, known as the Asian tiger mosquito or Aedes albopictus, is a carrier of the Zika virus, according to a study published in the Journal of Medical Entomology. Genetic tests done on Asian tiger mosquitoes retrieved from Brazil exhibited particles of Zika RNA, and study authors suggest that this type of mosquito's role in the spread of Zika should be assessed and considered a public health concern.
Danish researchers found patients with type 2 diabetes who achieved HbA1C levels of less than 6.5% after six months of metformin initiation had the lowest risk for cardiovascular events or death, while those who had an HbA1C of at least 8% had the highest risk. The findings in Diabetes Care, based on 24,752 adults with a mean age of 62.5, showed that large HbA1C reductions among those with a baseline HbA1C of more than 9% were associated with the greatest outcome risk reductions.
Two studies published in the Journal of the American Medical Association found no link between taking antidepressants during pregnancy and a child's risk of developing autism or attention-deficit/hyperactivity disorder. One study reviewed medical records for 36,000 Canadian children, and another examined records for more than 1.5 million Swedish children.
A study in Arthritis & Rheumatology found use of mycophenolate for treating patients with systemic sclerosis-related interstitial lung disease led to improvements in predicted forced vital capacity percentage, predicted diffusing capacity of the lung for carbon monoxide, skin score and dyspnea, compared with placebo. The findings were based on 122 patients.
Virtual reality, which has been used to distract burn patients during wound care, can serve as a nondrug pain-management therapy regardless of the pain's cause, according to a study of hospitalized patients who wore VR glasses for 15 minutes and recorded their levels of discomfort. The immersive visual and auditory distractions of virtual reality reduce the perception of pain, said Brennan Spiegel of Cedars-Sinai Health Services Research, the lead author of the study.
Pennsylvania lawmakers on the Senate Consumer Protection & Professional Licensure Committee supported legislation to allow nurse practitioners in the state to practice without physician oversight after meeting specified conditions. Before the vote, hundreds of NPs rallied at the Capitol to advocate for the bill.
Recipients of the prestigious AANP National Leadership Awards 2017 have been announced. The two awards honor exceptional individuals who have contributed significantly to the national recognition and advancement of nurse practitioners and will be presented during the AANP Opening General Session in Philadelphia on June 21. The Towers Pinnacle Award was initiated in 2013 in honor of Jan Towers, PhD, NP-C, CRNP, FAAN, FAANP, a longtime health policy expert. The award is presented annually to an individual who, through policy, practice, or education, has made outstanding contributions resulting in increased national recognition for NPs and increased opportunities for NPs to provide care to patients. The 2017 Towers Pinnacle Award goes to Penny Kaye Jensen, DNP, FNP-C, FAAN, FAANP. Dr. Jensen is on the front line nationally, advocating for the removal of barriers to practice in multiple states and venues across the country, allowing for direct patient access to the health care services provided by NPs. The Sharp Cutting Edge Award was created in 1996 in honor of Nancy J. Sharp, MSN, RN, FAAN, a strong supporter of the NP role and a leader in national nursing organizations. Recipients of the Sharp Award have shown leadership through innovative services, technologies or advocacy activities that advanced NP practice and patient care on a national level. Bernadette Melnyk, Ph.D., RN, CPNP/PMHNP, FAANP, FAAN, FNAP, is the recipient of the 2017 Sharp Cutting Edge Award Throughout her career as an NP, Dr. Melnyk has endeavored to assure NPs receive excellent education while representing NPs at the highest level of our nation's health care policy arena. Read more about the achievements of Drs. Jensen and Melnyk.