Study looks at why type 2 diabetes risk is higher in obese men | Researchers seek predictive blood test for osteoarthritis | Family-centered collaborative care shows promise for ADHD
March 25, 2015
AANP SmartBrief
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Study looks at why type 2 diabetes risk is higher in obese men
A Canadian study published in Scientific Reports found that the risk of developing type 2 diabetes is greater in obese men compared with obese women because of the activity of the PTEN protein in muscle. Lead author Dr. M. Constantine Samaan said the ability of women's muscle to effectively neutralize the protein "allows insulin to work better to move sugar from circulation to muscle." HealthDay News (3/23)
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Researchers seek predictive blood test for osteoarthritis
A study in the journal Scientific Reports found that levels of citrullinated proteins were elevated in patients with early osteoarthritis and early rheumatoid arthritis. The study team is developing a combined test for citrullinated proteins, antibodies to citrullinated proteins and hydroxyproline as a predictive diagnostic for osteoarthritis. Medical News Today (3/23)
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Family-centered collaborative care shows promise for ADHD
A care management strategy that includes engagement of parents with training and other tools was associated with more symptom improvement in children with attention-deficit/hyperactivity disorder than standard care, according to a study in Pediatrics. "Collaborative care attempts to improve adherence by checking in with families regularly to see how they are doing, helping to ensure they understand and agree with the treatment recommendations, and identifying and alleviating any obstacles to effective treatment," physician Glen Elliott explained. HealthDay News (3/23), (3/23)
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Ultrasound scans reveal fetuses respond to maternal smoking
A study published in Acta Paediatrica found that smoking during pregnancy was associated with increased mouth and facial-touch movement in fetuses. These movements, which normally decrease as the pregnancy progresses, remained persistent from 24 to 36 weeks gestation. Medical News Today (3/24)
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Child-friendly treatments for tuberculosis could save lives, experts say
A lack of child-friendly treatments has left over half a million children at risk of dying from tuberculosis each year, according to experts. In addition, difficulty with pediatric diagnoses and drug resistance complicate the picture for children. The World Health Organization has called for pediatric doses of drugs for the tough-to-treat disease, but none have been developed. "The majority of efforts to fight the disease have focused on adults, so children with TB have become invisible," said Mercedes Becerra, an associate professor at Harvard Medical School. Reuters (3/23)
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DNP Distance Education Program at Frontier Nursing University
Create your future by earning a Post-Master's Doctor of Nursing Practice degree in FNU's full time 15-month community-based program. Two 3-day visits to campus required. Learn with a cohort of dedicated professionals, both students and faculty. Develop a unique capstone project aiming to improve health care outcomes. Learn More About FNU's Post-Master's DNP.
Pharmaceutical NewsAdvertisement
Study examines lymphoma patients' response to chemotherapy after ibrutinib
A retrospective study found that mantle cell lymphoma patients had a low response rate to salvage chemotherapy after disease progression with ibrutinib treatment. Among 31 patients who received chemotherapy after ibrutinib, the overall response rate was 32% and median overall survival was 8.4 months, according to the findings in the Annals of Oncology. Healio (free registration)/HemOnc Today (3/24)
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VIRTUAL LEARNING SERIES: Treating Chronic Pain While Managing Risk - APRIL 1
WATCH LIVE ONLINE: Top pain experts discuss how to safely and confidently manage patients with chronic pain while mitigating risk. This two-part series will cover: which patients may benefit from opioid therapy; when to start, stop and modify dosing; and safe prescribing practices. Register Today—It's free for clinicians
Emerging Trends, Products and Technologies
New app allows patients to have remote consultations with docs
A new application was unveiled by FirstLine Medical to enable iPhone users to have virtual consultations with providers via call, text or video chat. The FirstLine application also allows patients to request that a provider visit them at their office or home. A beta version of the tool was unveiled late last year. (3/23)
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Nursing directors' palliative knowledge linked with outcomes for residents
A survey of nursing directors at more than 1,900 U.S. nursing homes found their knowledge of palliative care varied, with 43% considered well-versed and more than 20% having little or no knowledge. The study in the Journal of Palliative Medicine found increased knowledge of palliative care was associated with reduced risk that patients would be treated with feeding tubes, restraints or suctioning or be admitted to a hospital. Nursing Times (U.K.) (free registration) (3/23)
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Health Policy and Legislative News
Obama outlines new health care cost containment initiative
President Barack Obama today marked the Affordable Care Act's five-year anniversary by announcing a new initiative to control health care spending. The Health Care Payment Learning and Action Network will bring together public and private groups to identify ways to eliminate unnecessary treatments, tests and hospital care. U.S. News & World Report/The Associated Press (3/25), USA Today (3/25)
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USPSTF draft: Inadequate evidence on pros, cons of thyroid screening
The U.S. Preventive Services Task Force says in a draft statement that there is inadequate evidence to accurately assess potential benefits or harms of thyroid screening in adults who are asymptomatic and not pregnant. "We don't view this as the final word. We view this as a call to the research community to help us provide this evidence," said Dr. Kirsten Bibbins-Domingo, USPSTF vice chairperson. Reuters (3/23)
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Medicare SGR fix could come at Medicaid's expense
Senior House Republicans are considering cuts to Medicaid to partially offset the cost of revising the formula under which Medicare reimburses doctors, according to officials familiar with the discussions. The Washington Post (tiered subscription model)/The Associated Press (3/24)
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Oral health toolkit available
The Inter-professional Oral Health Faculty Toolkit, developed by the Oral Health Nursing Education and Practice program, is "going live" at! The toolkit is an innovative web-based open source product intended to facilitate integration of oral-systemic health content and clinical competencies into nurse practitioner and midwifery curricula. Based on the IPEC Competencies, the HRSA Inter-professional Oral Health Core Competencies and the NONPF or ACNM Core Competencies, the Inter-professional Oral Health Faculty Toolkit is an ideal "turnkey" resource for faculty and clinicians to use to "weave" oral health and its links to overall health into curriculum and clinical practice, thereby addressing a vital population health issue. The toolkit will be updated on a regular basis to include and provide for faculty and clinicians the most current guidelines, teaching-learning activities and publications to develop robust interprofessional oral health competencies for nurse practitioner and midwifery students.
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CE highlights
Recent additions to the CE Center include two AANP developed programs on diabetes. The programs complement each other with the first, Type 2 Diabetes Mellitus: Pathogenesis, Treatment, and Guidelines, offering one hour of in-depth information on a complex disease, type 2 diabetes mellitus. The second program, Type 2 Diabetes Mellitus: Pathogenesis, Treatment, and Guidelines -- CASE STUDY, ties the information gained in the first program into a case study of a patient with T2DM who experiences health changes and shows how a practitioner needs to adjust his treatment plan and monitoring of the disease as the case develops over time. These programs and others are available on the AANP CE Center.
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It does not matter how slowly you go as long as you do not stop."
-- Confucius,
philosopher and teacher
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