Study raises concerns about heart health in patients with cancer | Mental stress at any point in life may raise risk of diabetes, CVD, study finds | Noninvasive procedure helps improve HbA1C levels in diabetes patients
September 29, 2015
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Study raises concerns about heart health in patients with cancer
(Mario Tama/Getty Images)
Researchers who tested the blood of patients with newly diagnosed cancer found high levels of certain hormones and other markers of heart disease, according to a study reported in the journal Heart. The single-center study in Austria found a link between the severity of the patient's cancer and the level of heart-disease-linked hormones, proteins and the chemical troponin, which can indicate damage to the heart. Elevation of any of the blood markers was associated with an increase of 21% to 54% in all-cause mortality. HealthDay News (9/29)
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Mental stress at any point in life may raise risk of diabetes, CVD, study finds
People who experience psychological distress in childhood, later in life or consistently over time face an elevated risk of diabetes, heart disease or stroke in adulthood, according to a study in the Journal of the American College of Cardiology. Researchers followed over 6,700 people from age 7 to 42, then checked markers of health at age 45. Risks were highest for those who consistently experienced mental stress, but even those who experienced stress only as adults or children faced higher risks. HealthDay News (9/28)
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Noninvasive procedure helps improve HbA1C levels in diabetes patients
Type 2 diabetes patients who underwent duodenal mucosal resurfacing on a long segment of the duodenum, a noninvasive procedure, experienced reduced average A1C levels, compared with those who received DMR on a short segment. The findings, presented at the World Congress on Intervention Therapies for Type 2 Diabetes and Diabetes Surgery Summit, also showed an average HbA1C reduction of 1.2% after six months and a modest average weight reduction in the entire cohort of 39 patients with poorly controlled type 2 diabetes. (U.K.) (9/28)
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Stone extraction may improve recurrent urinary tract infection
A study reported in The Journal of Urology found that surgical stone extraction helps resolve infection for many patients with recurrent urinary tract infections and asymptomatic, nonobstructive renal calculi. Findings show that 58 of 120 patients with recurrent UTI who underwent stone removal saw infection resolved following the procedure. Recurrence was more likely among those with hypertension, type 2 diabetes or black ethnicity. News (9/25)
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Study: Losing weight may reduce PCOS-related fertility problems
Overweight or obese women who had fertility problems linked to polycystic ovary syndrome saw better ovulation rates after losing weight, according to a study in the Journal of Clinical Endocrinology & Metabolism. Improvements were seen with or without using oral contraceptive pills, and the study data also indicated a trend toward more live births among women who lost weight. MedPage Today (free registration) (9/25)
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One Product for Comprehensive Coverage? Yes, Please
New Nature Made Advanced Dual Support targets both the large and small intestines to support digestive balance and regularity, in one product. It's a digestive multi-tasker. And that's Advanced. Click here to learn more.
Pharmaceutical NewsAdvertisement
Low-dose aspirin linked with increased survival of gastrointestinal cancer
Aspirin (Tim Boyle/Getty Images)
Researchers in the Netherlands analyzed data on about 13,700 patients with gastrointestinal tract cancers and found that daily low-dose aspirin following diagnosis was associated with a five-year overall survival rate of 75%, compared with just more than 40% without aspirin. Forty-eight percent of patients in the study had cancer of the colon, while 42.8% had cancer of the rectum and 10.2% of the esophagus. The findings were reported at the annual European Cancer Congress. A randomized, controlled trial is now assessing the approach. Medscape (free registration) (9/27), HealthDay News (9/28)
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2 diabetes drugs from Novo Nordisk get FDA nod
Novo Nordisk has received FDA approval for diabetes drugs Tresiba, which contains insulin degludec, and Ryzodeg, which contains insulin aspart and insulin degludec. Clinical studies showed both long-lasting insulin treatments were associated with hemoglobin A1C reduction in type 1 and type 2 diabetes patients who had poor glycemic control. Reuters (9/25), Medscape (free registration) (9/25)
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WATCH LIVE ONLINE: Top neurologists present the latest on adhering to the AAN Quality Measure changes for 2014. Topics in this interactive session include: Review of the initial 2009 AAN Quality Measures and the changes for 2014; adoption in practice since 2009; what is the clinical value or purpose of each measure; and case discussions on each measure and treatment selections. Register Today—It's free for clinicians
Emerging Trends, Products and Technologies
Study: Model projects patients' health care resource use
A study in the Journal of Medical Internet Research found that an online risk model developed using data collected from Maine's health information exchange accurately projected patients' health care needs and resource use over six months. "The model and associated online applications were designed for tracking the evolving nature of total population risk, in a longitudinal manner, for healthcare resource utilization. It will enable more effective care management strategies driving improved patient outcomes," according to researchers. (9/28)
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Health Policy and Legislative News
CMS: ICD-10 transition won't be disrupted by possible government shutdown
The CMS confirmed that the ICD-10 Coordination Center will remain operational even if the government shuts down next month. Dr. Patrick Conway, the CMS's chief medical officer and principal deputy administrator, said the center will monitor and address issues with the new system in real time and ensure that claims payments will continue if there is a shutdown. Health Data Management (9/25)
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HHS grant seeks to boost care in rural areas
The HHS Office of Rural Health Policy has granted $3.9 million to the University of Kansas Medical Center Research Institute and three other organizations to use telemedicine to improve care of underserved rural children and their families living in poverty. The funding will support a pilot initiative that could be adopted elsewhere if it satisfies health objectives. The Topeka Capital-Journal (Kan.) (9/25)
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Find It. Fight It. Breast Cancer Awareness Campaign
AANP and the National Breast Cancer Foundation will launch a campaign on Thursday, Oct. 1, for Breast Cancer Awareness Month to publicize the critical importance of early detection tools, namely self-exams, clinical exams and mammograms. The campaign will include the message "See your Nurse Practitioner or visit"

Don't miss this opportunity to let patients know how to locate you. Please take a few minutes to register or update your existing information at These messages will reach travelers via wall-sized and digital ads at three preeminent US airports: Ronald Reagan Washington National, Oct. 1-28; Chicago O'Hare International, Oct. 5-Nov. 1; Minneapolis-St. Paul International, Oct. 6-19. More than 330,000 travelers pass through these hubs each day. View the banner ad, wall wrap and digital ad. The ads will be outside secured areas in the terminals as well as inside the gate areas. Take a selfie or have your picture taken with an ad and share it on Twitter using the hashtag #FindItFightIt, or e-mail it to to be shared on social media to spread the word.

The AANP CE Center also has several activities covering different aspects of cancer including the American Cancer Society's guidelines for breast, cervical, colorectal and prostate cancer screening: Cancer Screening Guidelines Update.
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State Award nominations close on Oct. 9
There is still time left to nominate a deserving colleague for the prestigious AANP State Award for Excellence. Founded in 1991, the AANP State Award for NP Excellence recognizes an NP in each state who demonstrates excellence in clinical practice. In 1993, the AANP State Award for NP Advocate was added to recognize the efforts of individuals who have made a significant contribution toward increasing the awareness and acceptance of NPs. NPs are also eligible for the advocate award for non-clinical initiatives related to leadership, policy, politics, research, education, or community affairs. The awards are presented during the year in each state. All awardees are recognized at the AANP National Conference in June. Nominations close on Oct. 9, 2015. Learn more and begin the nomination process.
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Better to trust the man who is frequently in error than the one who is never in doubt."
-- Eric Sevareid,
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