Menopause group updates midlife health care guidelines for women | Early intensified therapy benefits new diabetes patients with metformin failure | Anemia tied to higher mortality risk in older stroke patients
August 19, 2016
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Menopause group updates midlife health care guidelines for women
The International Menopause Society has released updated guidelines on midlife health management for women stating patient-tailored menopausal hormone therapy is the most effective treatment for vasomotor symptoms, urogenital atrophy and other menopause symptoms. Peri- and postmenopausal treatment should also include diet, exercise and other lifestyle recommendations, according to the guidelines published in Climacteric.
Medscape (free registration) (8/18) 
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Early intensified therapy benefits new diabetes patients with metformin failure
Newly diagnosed type 2 diabetes patients who received early intensification of therapy within six months of metformin monotherapy failure achieved their A1C goals in a shorter time, regardless of the A1C goals, compared with those who received late intensification of therapy, according to a study in Diabetes Care. Researchers analyzed 2,276 patients with newly diagnosed type 2 diabetes and found that those with higher A1C levels were more likely to undergo early intensification of therapy.
PhysiciansBriefing.com/HealthDay News (8/17) 
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Anemia tied to higher mortality risk in older stroke patients
Researchers found that elderly stroke victims who also suffered from anemia have between 1.5 to two times greater likelihood of death within one year than stroke patients without anemia, according to a study published in the Journal of the American Heart Association. Findings also showed that elevated hemoglobin levels were associated with a higher mortality risk, particularly within the first month after a stroke.
HealthDay News (8/17) 
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Peer Perspective: See How Deborah Hinnen, RN, APN, BC-ADM, CDE, FAAN, FAADE Approaches Insulin Initiation
Educating and engaging patients in effective diabetes self-management is one of the most important aspects of diabetes care, especially when it concerns insulin initiation. See how Deborah Hinnen uses the resources on Wellness iNPractice Diabetes to initiate a patient new to insulin. Watch the video.
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Pharmaceutical News
Study: Antenatal corticosteroids don't reduce neonatal morbidity
Twenty-nine percent and 27% of preterm twins whose mothers took antenatal corticosteroids had composite neonatal morbidity and respiratory distress syndrome, respectively, compared with 20% and 17% of those whose mothers didn't receive the steroids. The findings in Obstetrics & Gynecology, based on data involving 850 neonates from 432 women, also showed that 78% and 23% of those whose mothers received antenatal corticosteroids were admitted to the NICU and had mechanical ventilation, respectively, compared with 59% and 12% of those whose mothers didn't.
PhysiciansBriefing.com/HealthDay News (8/17) 
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Young children with mild asthma safe to take acetaminophen, study finds
Researchers examined 300 children with mild persistent asthma ages 1 to 5 and found that those who took acetaminophen had similar asthma exacerbation rates as those who took ibuprofen. However, the findings in the New England Journal of Medicine may not apply to youths of other age groups or those with more severe asthma, researchers said.
PhysiciansBriefing.com/HealthDay News (8/17),  Pittsburgh Post-Gazette (8/18) 
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Maternal antipsychotic use tied to insignificant birth defect risk in newborns
A study in JAMA Psychiatry found that nearly 3.8% and 4.45% of infants whose mothers took typical and atypical antipsychotics, respectively, developed birth defects, compared with 3.27% of those whose mothers didn't take antipsychotics. However, the findings, based on 2000 to 2010 Medicaid data involving 1.36 million US pregnant women, showed that mothers who took the antipsychotic risperidone had a nearly 26% higher risk of having babies with birth defects than those who didn't take antipsychotics.
Reuters (8/17),  HealthDay News (8/17) 
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Emerging Trends, Products and Technologies
Report: 24 million US adults remain uninsured
Hispanics account for about 40% of the 24 million adults in the US who do not have health insurance, while 41% of those without health insurance are white, 12% are black and 6% are Asian or other races. Millennials, men, people who work at small businesses, those who live in the South and the impoverished are the most likely to have no health care coverage, according to a survey by the Commonwealth Fund.
The New York Times (free-article access for SmartBrief readers) (8/18) 
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Study: People on ACA plans get more medications, but pay less
A study published in Health Affairs found people insured through Affordable Care Act plans filled more prescriptions for medications, compared with before they had an ACA plan, but generally had lower out-of-pocket spending for drugs. Researchers said not having health insurance is a barrier to accessing care, but the study lacked the evidence to show how an increase in prescriptions might affect long-term outcomes.
Kaiser Health News (8/17) 
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Health Policy and Legislative News
Administration makes new push to fight opioid crisis
The White House announced a plan to spend $17 million to support law enforcement in fighting heroin and opioid abuse, including training for health care providers, and the administration continues to call on Congress to approve $1.1 billion in assistance for states to improve treatment access.
The New York Times (free-article access for SmartBrief readers)/The Associated Press (8/17) 
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Medicare Advantage, Part D models might stabilize ACA exchanges
Safeguards and incentives that helped stabilize the Medicare Advantage and Part D markets in their early years could be applied to the Affordable Care Act's individual health insurance markets, according to a policy brief from the Robert Wood Johnson Foundation. Raising consumer subsidies, barring insurers from re-entering exited markets for five years and developing fallback plans for underserved markets could encourage consumer and insurer participation, according to the report.
Morning Consult (8/16) 
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AANP News
Nominate an exceptional NP or Advocate for the AANP 2017 State Award for Excellence
Nominations for the prestigious AANP State Award for Excellence opened Aug. 8. The NP State Award for Excellence is given annually to an individual nurse practitioner in each state who has demonstrated excellence in NP clinical practice. The Advocate State Award for Excellence is given annually to an individual in each state who has made a significant contribution toward increasing awareness and recognition of the NP role. Examples of past recipients have been physicians, legislators, educators, etc. NPs are also eligible for the advocate award for nonclinical practice initiatives related to leadership, precepting, policy, politics, research, education or community affairs. Membership in AANP is not a requirement to nominate someone or to be nominated. Log in at MyAANP or create an account now to make a nomination. Deadline for nominations to be received by AANP is Oct. 10, 2016.
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Webinar: Adolescents with Asthma and Allergies
The American Academy of Pediatrics will host a free webinar on Thursday, Sept. 1, 1 p.m.-2 p.m. Eastern Time titled Preparing Adolescents with Asthma and Allergies for Transitions to Independent Living. This one-hour webinar is designed to educate practitioners on issues pertaining to adolescent transitions from the medical home, with practical tips to start using immediately, and a particular emphasis on successfully transitioning adolescents with asthma and allergies to independent living. Register for this important webinar today!
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If we are to achieve a richer culture, rich in contrasting values, we must recognize the whole gamut of human potentialities, and so weave a less arbitrary social fabric, one in which each diverse gift will find a fitting place.
Margaret Mead,
cultural anthropologist
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