Survivors of certain cancers face increased cardiovascular disease risk | Study links ART to cancers, developmental delays in children | Study: Functional hearing problems more common in children with diabetes

February 5, 2016
AANP SmartBrief
News for nurse practitioners

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Survivors of certain cancers face increased cardiovascular disease risk
A study in the Journal of Clinical Oncology found that cancer survivors have a greater likelihood of having risk factors for cardiovascular disease such as high blood pressure, diabetes, high cholesterol, excess weight and a history of smoking, compared with people who had no history of cancer. The risk of developing cardiovascular disease was increased by 70% among survivors of multiple myeloma, 58% among lung cancer survivors and 41% among survivors of non-Hodgkin lymphoma and ovarian cancer. Reuters (2/4)
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Study links ART to cancers, developmental delays in children
Children conceived with assisted reproductive technology had a 67% increased risk of leukemia and were almost four times more likely to have Hodgkin lymphoma, compared with other children, according to a study of more than 1.6 million Norwegian children born between 1984 and 2011. A second study, based on data from more than 330,000 deliveries from 2004 to 2008, found that ART-conceived babies had a 27% increased chance of being referred to Massachusetts' Early Intervention program. Both studies were published in Pediatrics. The findings are preliminary and may reflect factors not related to ART, researchers cautioned. Reuters (2/4)
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Study: Functional hearing problems more common in children with diabetes
Australian researchers analyzed data from 19 children with type 1 diabetes, mean age of 13, and a cohort of children without the disease and found that more children in the diabetes group manifested signs of auditory pathway abnormality, longer auditory brainstem response interpeak latencies and reduced wave V amplitudes, compared with the control group. The findings in Diabetic Medicine also revealed those in the diabetes group had higher speech reception thresholds and they self-reported having more difficulty in everyday listening and communication than the control group. Healio (free registration)/Endocrine Today (2/2)
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Study examines effect of irregular sleep schedules on women's metabolic health
Researchers evaluated data on 370 nonshift-working women ages 48 to 58 and found positive associations between insulin resistance and variability in bedtime and bedtime delay after adjusting for factors including depressive symptoms, menopausal symptoms and sleep duration. The findings, published in the journal Sleep, also showed that greater bedtime advance is associated with higher insulin resistance before adjustment. Healio (free registration)/Endocrine Today (2/3)
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What's keeping you from having the weight conversation?
While time and resources have been obstacles to the weight management conversation, today, physicians have tools to help make the conversation easier. Watch leading obesity specialist, Dr. Rao, and learn why now is the ideal time to take a proactive approach to your patients' health.

Pharmaceutical NewsAdvertisement
FDA to change opioid drug evaluation, approval policies
Confirmation Hearing Held For FDA Commissioner Nominee Robert Califf
Califf (Win McNamee/Getty Images)
The FDA said it will change its regulations on reviewing new opioid treatments and will consult with an advisory committee before approving opioid painkillers that lack abuse-deterrent properties. The agency also plans to unveil more safety data related to immediate-release opioid drugs and toughen the requirements for drug companies to generate postmarket information. Despite the plans, Sen. Edward Markey, D-Mass., said he will continue to hold his vote on Dr. Robert Califf to be the next FDA commissioner until the agency agrees to seek outside experts' recommendations for all opioid drug formulations. Reuters (2/4)
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Anti-anxiety medication doesn't raise dementia risk, researchers find
A study published in The BMJ found that benzodiazepines, used to fight anxiety, do not raise risk of dementia among seniors. Other studies have found a link between the drugs and cognitive problems. Findings based on over 3,400 seniors at least 65 years old show that while 23% of patients developed some form of dementia, patients who took the highest dose of benzodiazepine were no more likely to experience cognitive problems than others. HealthDay News (2/3)
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Data Security and HIPAA Compliance in Mid-sized Healthcare Organizations
The 21st century is facing an uphill battle for better data security, and the healthcare industry is at the front lines. Healthcare providers deal with tremendous amounts of sensitive, legally protected data labeled protected health information (PHI), which requires certain security measures as defined by HIPAA. Learn how to ensure that all PHI is handled, transferred and stored properly.

Emerging Trends, Products and Technologies
CDC reports high number of women who may expose their fetus to alcohol
CDC researchers analyzed data from the 2011-2013 National Survey of Family Growth and found that an estimated 3.3 million sexually active US women, ages 15 to 44, were drinking alcohol and didn't use birth control, while 3 in 4 women who want to get pregnant didn't stop drinking alcohol after they stopped using birth control. "Alcohol can permanently harm a developing baby before a woman knows she is pregnant," said CDC Principal Deputy Director Anne Schuchat, noting that the CDC believes "2 to 5 percent of children may have a fetal alcohol spectrum disorder" and up to 5% of US schoolchildren may have a disorder. HealthDay News (2/2)
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Review finds support for text reminders about taking meds
An analysis in JAMA Internal Medicine of data from 16 studies found that text reminders from providers were associated with increased rates of medication adherence among patients with chronic conditions. Researchers cautioned that the findings were based on self-reporting and that the studies they reviewed lasted only a few months and not years. Health News (2/2)
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Health Policy and Legislative News
12.7M Americans signed up for coverage under ACA, Burwell says
HHS Secretary Sylvia Mathews Burwell announced Thursday that about 12.7 million Americans signed up for health care coverage through Affordable Care Act exchanges, up from last year's final tally of 11.7 million. The number fell within the range of federal estimates and included 2.7 million people ages 18 to 34. The federal exchange garnered 5.6 million return customers and almost 4 million first-time enrollees, Burwell said. Reuters (2/4), Bloomberg (2/4)
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Lawmaker proposes increased telehealth access for Medicare
A measure was introduced by Sen. Brian Schatz, D-Hawaii, on Wednesday to boost Medicare's use of remote patient monitoring and telehealth services. The Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act would remove obstacles to reimbursements for telehealth. Healthcare Informatics online (2/3)
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2016 grants and scholarship application cycle announced
Applications for the 2016 AANP Grants and Scholarship cycle opened Wednesday and will close March 16. Grants are available to AANP members who are practicing in an NP role. Applicants must be certified nurse practitioners or graduate students expected to complete their project in 2017. Scholarships are available to AANP members currently enrolled in an accredited graduate school in pursuit of an advanced degree or certification AND scheduled to complete an eligible NP program between Fall 2016 and Summer 2017. Scholarship applicants must be licensed as a registered nurse. Applicants may receive up to $2,500 in funding. Only completed applications will be accepted and reviewed. Please review the grant and scholarship information sheets to learn more about eligibility criteria and required documents. All application submissions must be made through the online system.
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Need continuing education contact hours? Register for the AANP 2016 National Conference
With up to 35.75 contact hours of continuing education available at the AANP 2016 National Conference, this is a great opportunity to obtain some needed hours. Join us in San Antonio, Texas, June 21-26. In addition to two days dedicated to workshops on Tuesday, June 21, and Sunday, June 26, the conference also includes:
  • 295 sessions.
  • 40 skill enhancing workshops.
  • Up to 35.75 contact hours of continuing education (includes all sessions Tuesday-Sunday).
  • An exhibit hall filled with the latest products and services for conference attendees.
Conference information listed above is subject to change. More information is available on the conference website and in the registration information booklet. Upon completion of registration and payment, your receipt will contain a link to the AANP Housing Block reservation site as well as the AANP Housing Code required to make your reservation.
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Whatever you think the world is withholding from you, you are withholding from the world."
-- Eckhart Tolle,
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