Children's cardiometabolic profile tied to maternal gestational diabetes | Excessive screen time may increase pediatric diabetes risk | Children with mild eczema may not benefit from antibiotics
March 17, 2017
AANP SmartBrief
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Health Care News
Children's cardiometabolic profile tied to maternal gestational diabetes
Children born to mothers with gestational diabetes had higher rates of abnormal glucose tolerance, 30- and 60-minute plasma glucose levels during the oral glucose tolerance test, and body mass index at age 7 than those whose mothers did not have the condition, according to a study in Diabetes Care. Researchers examined data from 970 Chinese mother-child pairs and found that those whose mothers had gestational diabetes were also more likely to be overweight or obese and to have higher diastolic and systolic blood pressure levels.
Healio (free registration)/Endocrine Today (3/14) 
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Excessive screen time may increase pediatric diabetes risk
Youths with screen time of more than three hours daily had higher odds of having cardiovascular risk factors for type 2 diabetes such as elevated levels of blood fats, fasting blood glucose, insulin resistance, inflammatory chemicals, body fat and blood pressure, compared with daily screen time of one hour or less, according to a UK study in the Archives of Disease in Childhood. The findings also showed increased excessive screen time risk among boys and African-Caribbean children than girls and white or Asian children.
CNBC (3/14),  HealthDay News (3/14),  The Economic Times (India)/Asian News International (3/14) 
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Children with mild eczema may not benefit from antibiotics
UK researchers examined 113 children with clinical non-severely infected eczema and found similar Patient Oriented Eczema Measure scores, adverse effects and no serious adverse events among those who received an oral antibiotic plus placebo cream, an oral placebo and an antibiotic cream, or oral placebo plus placebo cream. The findings in the Annals of Family Medicine also showed that eczema symptoms were quickly resolved with topical corticosteroid and emollient treatment alone.
Physician's Briefing/HealthDay News (3/14),  United Press International (3/14) 
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Risk of 2nd cancer greater among survivors of Hodgkin lymphoma
Hodgkin lymphoma survivors were found to be at a greater risk of developing a second form of cancer, with the risk rising 2.8 times for those with a family history of cancer, based on an evaluation of data from over 9,500 patients by researchers at London's Institute of Cancer Research. The study findings were published in the Journal of Clinical Oncology.
HealthDay News (3/13) 
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Get your MSN and DNP at the #1 School of Nursing!
Duke University School of Nursing is ranked #1 by U.S. News & World Report in the 2018 Best Graduate Nursing Schools rankings, for both our MSN and DNP programs! Learn more about Duke and apply to one of our programs today. Read about our top-ranked programs here.
Pharmaceutical News
CDC: Risk of chronic opioid use rises sharply within 5 days of therapy
CDC researchers reviewed data for nearly 1.3 million commercially insured adults without cancer and found that the probability of long-term opioid use sharply increased after five days of use, as well as after a second prescription and a 700 morphine-milligram-equivalent cumulative dose. The findings in the Morbidity and Mortality Weekly Report also showed that only 2.6% of patients continued opioid therapy for a year or more.
MedPage Today (free registration) (3/16) 
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Study examines DKA incidence rates among patients on SGLT2 inhibitors
Danish researchers found lower incidence rates of diabetic ketoacidosis among type 2 diabetes patients on SGLT2 monotherapy or an SGLT2 combination treatment, compared with those who were on insulin monotherapy. The findings in Diabetes Care, based on 415,670 participants, revealed that the crude incidence rate of DKA was 1.34 per 1,000 person-years, which decreased by 5.6% per year.
Healio (free registration)/Endocrine Today (3/15) 
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Emerging Trends, Products and Technologies
Health consortium warns of public health threats from climate change
Health consortium warns on public health threats from climate change
(David Mcnew/Getty Images)
Climate change has exacerbated heart and lung diseases tied to wildfires and air pollution, infectious diseases such as the Zika virus and Lyme disease, heat-related health risks, and physical and mental health problems associated with extreme weather conditions, according to a report by the Medical Society Consortium on Climate and Health, which includes the American Academy of Pediatrics and 10 other health organizations. The report also showed that children, pregnant women, the elderly and student athletes are among the most vulnerable to climate change health risks.
CBS News (3/15),  USA Today (3/15),  HealthDay News (3/15) 
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Cancer patients skip treatments as drug costs rise
Many cancer patients are skipping medications, cutting pills in half or delaying care because of increasing costs, with new drugs often costing $100,000 annually, and experts say they are putting their health at risk and in some cases cutting years off their lives. A 2013 study found 25% of people with cancer skipped filling a prescription due to high prices, while another study shows that one-third of Medicare patients who needed the leukemia drug Gleevec, priced at $146,000 per year, did not fill prescriptions within six months of diagnosis.
National Public Radio/Kaiser Health News (3/15) 
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Health Policy and Legislative News
GOP leaders hustle to draw party support as health care plan advances
GOP leaders hustle to draw party support as health care plan advances.
(Stefan Zaklin/Getty Images)
The Trump administration and House Republicans have worked this week to mobilize Republican support for their health care plan, which cleared the House Budget Committee on Thursday and now heads to the Rules Committee. Republicans said even though the legislation has advanced, there will be changes, and some of the ideas include Medicaid work requirements; an earlier timeline for phasing out the Medicaid expansion; increasing the value of tax credits for low-income enrollees and seniors; and eliminating higher premiums for those who let their coverage lapse.
Modern Healthcare (tiered subscription model) (3/16),  The Washington Post (tiered subscription model) (3/16),  The Wall Street Journal (tiered subscription model) (3/16) 
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ACOs reduced Medicare spending for Part D subscribers
Medicare spending on Part D subscribers aligned with an accountable care organization in 2012 was $345 lower per patient than on Part D subscribers not aligned with an ACO, according to an analysis published in Medical Care. ACOs saved Medicare $966 per patient for Part D subscribers with six or more chronic conditions, study leader Yuting Zhang said.
The Business Journals (tiered subscription model)/Pittsburgh (3/13) 
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NIDA Mentored Training Award
AANP is pleased to provide, in partnership with NIDA and NIH, a "NIDA Mentored Training Award in Substance Use Disorder (SUD) Treatment Science" grant opportunity. The purpose of the award is to enhance the applicant's knowledge of SUD treatment research, and the dissemination and adoption of evidence-based SUD treatment practices through a mentored experience and project. One award of $12,000 ($10,000 to applicant, $2,000 stipend to mentor) will be made for the year 2017. Application cycle opened March 9 and closes April 3, 2017. Read more about the award and application requirements. Direct questions to
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Register today for the AANP 2017 National Conference
Join your colleagues June 20-25 at the AANP 2017 National Conference in Philadelphia, where thousands of nurse practitioners will convene to network, learn from leading NP experts and earn CE credit. Plan your entire conference trip to Philadelphia, with visitor's information, special offers, information about the Convention Center District, an Interactive Map and much, much more! AANP 2017 National Conference Housing offers a wide selection of hotels near the convention center and throughout the area with discounted pricing for those staying within the AANP Housing Block. Special conference rates ranging from $189-$219 (single/double) plus taxes and fees per night will be honored for conference registrants from June 18-26, 2017, based on availability. Make your reservation. More information is available on the conference web page and in the Registration Brochure. Register now! Questions? Contact: Registration -- Conferences & Meetings at or (512) 442-4262 Housing -- AANP Housing Center at or (855) 857-5933
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