Healthy diet may reduce mortality risk with ovarian cancer | Blacks with diabetes show higher leg amputation risk | Healthy lifestyle during pregnancy may improve birth outcomes
Web Version
October 17, 2014
AANP SmartBrief
News for nurse practitioners

Health Care News
Healthy diet may reduce mortality risk with ovarian cancer
A study in the Journal of the National Cancer Institute says women who ate a healthy diet prior to getting ovarian cancer had a lower post-diagnosis mortality risk than those who had less-healthy diets. University of Arizona researchers said the risk reduction was not seen among women with a history of diabetes or a larger waist circumference. Reuters (10/16)
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Blacks with diabetes show higher leg amputation risk
A report by the Dartmouth Atlas Project revealed black Medicare beneficiaries were up to three times as likely as other patient populations to suffer leg amputation due to diabetes and peripheral arterial disease complications. Researchers also found the rate of leg amputation was up to seven times higher in black patients residing in the rural Southeast compared with other regions. U.S. News & World Report/Data Mine blog (10/14)
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Healthy lifestyle during pregnancy may improve birth outcomes
Women who ate healthy food and regularly exercised during their pregnancy were less likely to give birth to heavier infants and had a lower risk of moderate to severe respiratory distress syndrome, according to a study in BMC Medicine. Science World Report (10/15)
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Depression plus ADHD linked to increased risk of bipolar disorder
The risk of conversion to bipolar disorder was 1.5 times greater in young people with attention-deficit/hyperactivity disorder and major depression compared with those with depression alone, according to a study in the journal Bipolar Disorders. Anxiety problems, disruptive behaviors, and substance and alcohol abuse were also risk factors for conversion from major depression to bipolar disorder, researchers said. MedWire News (U.K.) (10/15)
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Weight regain similar with rapid-, gradual-weight-loss plans
Australian researchers say 71% of dieters who followed a rapid-weight-loss plan and 50% of those in a gradual-weight-loss group lost more than 12.5% of their body weight. But data showed that both groups regained about 71% of the lost weight at three years. The findings appear in The Lancet Diabetes & Endocrinology. (10/16)
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Pharmaceutical News
Lorcaserin boosts weight loss, improves metabolic markers in obese
Overweight and obese patients who took lorcaserin as an adjunct to diet and exercise attained greater weight loss and significant improvements in cardiometabolic markers and quality of life compared with those in the placebo group, researchers reported in Postgraduate Medicine. Healio (free registration)/Endocrine Today (10/15)
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Emerging Trends, Products and Technologies
Close to 5% of patients die within a month of cancer surgery
Nearly 53,500 of 1.1 million people diagnosed with cancer between 2004 and 2011 died within a month of surgical treatment, Dana-Farber Cancer Institute researchers found. Risk was lower among some patients, including those who were married and those with health coverage. The findings were presented at the American Society of Clinical Oncology Quality Care Symposium. HealthDay News (10/14)
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WHO expresses concern over increasing consumption of energy drinks
The increased consumption of energy drinks raises concerns for excess caffeine intake, particularly among children, which could lead to a serious public health problem in the future, according to a World Health Organization report published in the journal Frontiers in Public Health. "From a cautionary viewpoint, further research and policy action is necessary to minimize the risk of harm from heavy and long-term energy drink consumption," the report said. Medical News Today (10/15)
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Health Policy and Legislative News
President appoints former vice presidential staffer as Ebola czar
Ron Klain, who served as the chief of staff for Vice Presidents Joe Biden and Al Gore, has been named by President Barack Obama to help coordinate the nation's response to the Ebola outbreak. Klain will work with the CDC and other agencies. ABC News (10/17)
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Health agencies have adequate funds for Ebola response, lawmaker says
U.S. health agencies have all the funds they require to handle the Ebola problem, House Majority Whip Steve Scalise, R- La., said Thursday. "If they need any additional funds, we'll work with them," he said. The Hill/Briefing Room blog (10/16)
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Deadline for State Award Nominations is Monday, Oct. 20
Monday is your last chance to nominate an exceptional colleague for a 2015 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 nonclinical initiatives related to leadership, policy, politics, research, education or community affairs. The awards are presented during the year in each state. All awardees will be recognized at the AANP National Conference in June. Nominations close on Oct. 20. Learn more and begin the nomination process.
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Health policy analysis in Australia for NP legislation
Dr. Andrew Cashin of Southern Cross University in New South Wales, Australia, presents a policy analysis of the need for collaborative arrangements for NPs in Australia for reimbursement for health care and medications. Although the Australian system and laws are different from those in the U.S., the lessons learned in the policy analysis process and the innovative definitions of collaboration are applicable to NPs everywhere.
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People are like stained-glass windows. They sparkle and shine when the sun is out, but when the darkness sets in, their true beauty is revealed only if there is a light from within."
-- Elisabeth Kubler-Ross,
American psychiatrist
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