U.S. sees decline in new diabetes cases, CDC finds | Cases of rare enterovirus continue to increase across U.S. | PET scans for lung cancer less effective in places where infections are common
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September 25, 2014
AANP SmartBrief
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U.S. sees decline in new diabetes cases, CDC finds
CDC officials found the number of new diabetes cases in the U.S. declined to 7.1 per 1,000 people in 2012, following an increase from 3.2 per 1,000 people in 1990 to 8.8 per 1,000 people in 2008. However, researchers noted a persistent increase among Hispanics, blacks and those with lower education levels. The findings were published in the Journal of the American Medical Association. Reuters (9/23)
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Cases of rare enterovirus continue to increase across U.S.
The respiratory viral infection that emerged mid-August has spread across 27 states as of Monday, affecting 175 people, CDC officials said. North Carolina's health department also said that six children aged 10 and younger tested positive for enterovirus D68, indicating that the infection has reached at least 28 states. Reuters (9/23)
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PET scans for lung cancer less effective in places where infections are common
A study in the Journal of the American Medical Association found that FDG-PET scans may be less effective in detecting lung cancer in geographical regions where lung infections such as fungal infections and tuberculosis are more common. Researchers found that the average specificity of FDG-PET scans in detecting lung cancer was 16% lower in regions where lung infections were prevalent. HealthDay News (9/23)
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Higher BMI tied to stress-induced inflammation
Researchers cite a correlation between higher BMI and increased levels of the inflammation marker interleukin-6. The findings indicate that obese and overweight individuals may be at a higher risk of stress-related inflammatory disorders such as diabetes, cancer and heart disease. The findings were published in Brain, Behavior and Immunity. Business Standard (India)/Asian News International (9/23)
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Breast-feeding carries higher risk of mother-to-child CMV transfer
Among very low birth weight infants, breast milk consumption was associated with a greater risk of mother-to-infant cytomegalovirus transmission than blood transfusion, according to a study in the journal JAMA Pediatrics. Twenty-seven of the 29 infected babies were tied to CMV-positive breast milk, while none were transfusion-related. HealthDay News (9/23)
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Pharmaceutical News
Study: NSAIDs may raise venous clot risk
An analysis of data from six studies including more than 21,000 cases found that use of nonsteroidal anti-inflammatory drugs including aspirin, naproxen and ibuprofen was associated with an 80% greater risk of venous thromboembolism. The study, published in the journal Rheumatology, did not establish a causal link between NSAIDs and venous clots, however. HealthDay News (9/25)
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Statins raise diabetes risk, but benefits outweigh downside
Statin use was associated with a 12% increased odds of type 2 diabetes onset and slight weight gain, according to a study in The Lancet. However, researchers said the benefits of statin treatment outweigh its risks and that lifestyle modification may help mitigate the risk of diabetes. The Scotsman (Edinburgh) (9/24)
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Metformin may lead to low TSH in patients with diabetes, hypothyroidism
A study of diabetes patients with hypothyroidism showed those who took metformin were 55% more likely than those in the sulfonylurea group to have low thyroid-stimulating hormone levels. Researchers said the results in CMAJ warrant further assessment regarding the clinical effects of metformin-induced low TSH levels. HealthDay News (9/22)
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Emerging Trends, Products and Technologies
Fewer than 25% of U.S. children given ADHD meds received therapy
An analysis of data on more than 300,000 children who were given an attention-deficit/hyperactivity disorder prescription found that less than a quarter of them were also treated with talk therapy in the same year. Treatment varied widely by geographic location, according to the study in the journal JAMA Pediatrics. Yahoo/Agence France-Presse (9/22)
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Health Policy and Legislative News
Study: Coverage for rare disease meds uneven under ACA exchanges
An Avalere Health study found that it may be difficult for patients with rare diseases to find coverage for the medications they need on the Affordable Care Act marketplaces. Coverage for a selection of key drugs is offered 65% of the time, according to the report in the Journal of Managed Care and Specialty Pharmacy. Cost-sharing and coverage for the drugs used to treat conditions such as sickle cell anemia and Huntington's significantly varied based on plan type and cost. The Hill (9/22), BenefitsPro.com (9/23), U.S. News & World Report/Data Mine blog (9/22)
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More insurers will offer health plans on exchanges for 2015
The number of insurers offering health insurance plans on public exchanges will be 25% higher for 2015 than for 2014, with competition keeping premiums down, according to an HHS report. Though some insurers have left some markets, 63 more organizations will participate in the 44 states for which HHS has data, and 248 issuers will sell coverage on HealthCare.gov, the department said. Reuters (9/23), The New York Times (tiered subscription model) (9/23)
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Nominate an exceptional colleague for the 2015 AANP State Award for Excellence
The 2015 AANP State Award for Excellence Call for Nominations is open. This is a unique opportunity to recognize an NP or NP advocate in your state for outstanding contributions to the NP role. 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 are recognized at the AANP National Conference in June. Nominations are open Aug. 19 to Oct. 20. Learn more and begin the nomination process.
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Behavioral and Psychological Symptoms of Dementia
The Hot Topics column in the September issue of JNP discusses the evaluation of dementia symptoms. Early recognition and prompt treatment of behavioral disturbances will go a long way toward improving the quality of life in patients and their families and caregivers. The goal should be to detect and manage BPSD before caregiver burnout and irreversible damage to the support environment occur.
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How far you go in life depends on your being tender with the young, compassionate with the aged, sympathetic with the striving and tolerant of the weak and strong. Because someday in your life you will have been all of these."
-- George Washington Carver,
American scientist and inventor
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