Time magazine honors those who put lives on hold, at risk to fight Ebola | Cut dietary sugars to reduce heart risks, study says | Study: Extra abdominal weight may raise cardiac arrest risk
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December 12, 2014
AANP SmartBrief
News for nurse practitioners

Health Care News
Time magazine honors those who put lives on hold, at risk to fight Ebola
First responders to the Ebola outbreak in West Africa met with complacent or hostile governments, inadequate medical infrastructures and funds, and denial and suspicion among local communities. They soldiered on, "fighting a forest fire with spray bottles," as one volunteer put it, even as dozens around them succumbed to the virus. The villagers, volunteers, troops, caregivers, doctors, nurses, scientists and directors who put their lives on hold and at risk are Time's Person of the Year. Time.com (12/10)
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Cut dietary sugars to reduce heart risks, study says
Diets for people at risk of heart disease should focus on reducing sugar more than cutting salt, U.S. researchers reported in the BMJ's Open Heart. Researchers said sugar may have a stronger link to blood pressure than sodium and that restricting salt results in only a small decrease in blood pressure levels. "Moreover, evidence suggests that sugars in general, and fructose in particular, may contribute to overall cardiovascular risk through a variety of mechanisms," the study team wrote. MedicalDaily.com (12/10), DailyRx.com (12/10)
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Study: Extra abdominal weight may raise cardiac arrest risk
Patients with the largest waist and hip measurements were twice as likely as those in normal ranges to experience cardiac arrest, researchers from the Veterans Affairs Medical Center in Minneapolis reported in The BMJ. An editorial from experts at Cedars Sinai Medical Center in Los Angeles said obesity and abdominal fat can be modified through lifestyle changes and medications. DailyRx.com (12/11)
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Study: Exercise may reduce mortality risks for colon cancer patients
A National Cancer Institute study says colon cancer patients who had participated in at least seven hours of exercise each week before their diagnosis had a 20% lower mortality risk, from any cause, compared with those who did not get any exercise. After diagnosis, people who had that same level of exercise had a 31% lower risk of death, independent of their pre-diagnosis activity levels. The findings were published on the website of the Journal of Clinical Oncology. HealthDay News (12/8)
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Better diabetes drug adherence seen with family support intervention
Patients with type 2 diabetes who received a family support intervention were less likely than controls to forgo medication without informing their clinicians, a study in the Journal of Diabetes & Metabolic Disorders indicated. Researchers also found patients in the intervention arm were less likely to forget to take their medicine compared with the controls. Healio (free registration)/Endocrine Today (12/10)
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December is the New January! Time to Invest in Your Health.
Capital Health Coach works to engage you in your own health & wellness. Our team specializes in everything from nutrition, exercise, weight-loss and even mindfulness practice. We tailor our coaching to meet your desired goals, and believe that your health is your greatest asset. Take time to care for yourself—and the best part is we connect with you over the phone!

Pharmaceutical News
CDC: More than half of Americans have yet to get a flu shot
CDC reported that only 39.7% of U.S. adults and 42% of youths have received a flu shot so far this flu season, and some people said they may skip it following reports that the current vaccine is only partially effective against the H3N2 strain. CDC and infectious disease providers encouraged the public to still get the flu shot, saying partial protection is better than none. DoctorsLounge.com/HealthDay News (12/11), PhysiciansBriefing.com/HealthDay News (12/11)
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Merck's 9-valent HPV vaccine wins FDA approval
The FDA has approved Merck's nine-valent human papillomavirus vaccine Gardasil 9 for use in females ages 9 to 26 and males ages 9 to 15. The new vaccine offers protection against nine strains of the virus that causes cervical and other cancers. "Gardasil 9 has the potential to prevent approximately 90 percent of cervical, vulvar, vaginal and anal cancers," the FDA said. Healio (free registration)/HemOnc Today (12/10), HealthDay News (12/10)
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Emerging Trends, Products and Technologies
Report on race-based health care disparities shows mixed results
Black Medicare patients overall are less likely than whites to have controlled hypertension, cholesterol and blood sugars, but data show by 2011 these racial disparities seem to have disappeared in the western U.S., University of Michigan researchers reported in the New England Journal of Medicine. Older Hispanic patients were on par with their white counterparts by 2011, and Asian seniors were doing better than whites, data showed. A second study in the same journal that involved hospitals found narrowing racial disparity gaps in access to recommended care. HealthDay News (12/10), The Atlantic online (12/10)
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CMS releases $16.6B in EHR incentive payments
The CMS awarded out $16.6 billion in electronic health record incentive payments to qualified hospitals and clinicians. An official said 11,478 eligible professionals and 840 hospitals have attested to stage 2 meaningful use as of November. Clinical Innovation + Technology online (12/9)
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Health Policy and Legislative News
Congress reauthorizes newborn screening law
The Senate and House have passed the Newborn Screening Saves Lives Reauthorization Act after it was amended to require parental consent before the samples can be used in genetic research. The bill includes timeliness measures added in response to a report in 2013 that found many hospitals were late in sending blood samples to state labs. Milwaukee Journal Sentinel (tiered subscription model) (12/10)
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JNP is eligible for a 2014 Impact Factor
JNP: The Journal for Nurse Practitioners has been accepted for indexing and abstracting by Thomson Reuters. Coverage in Thomson's Journal Citation Reports (JCR) means JNP is eligible for a 2014 Impact Factor in mid-2015! JCR offers a systematic, objective means to critically evaluate the world's leading journals with quantifiable, statistical information based on citation data -- the Impact Factor. By compiling articles' cited references, JCR helps to measure research influence and impact at the journal and category levels and shows the relationship between citing and cited journals. Furthermore, JCR provides the context to understand a journal's place in scholarly literature. (Learn more.) JNP is an AANP member benefit and can be accessed at www.npjournal.org.
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The future cannot be predicted, but futures can be invented."
-- Dennis Gabor,
Hungarian-British electrical engineer and physicist
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