Women receive differing preventive care from OB/GYNs, primary care providers | Outdoor time may promote physical activity in youths | Guidebook collects USPSTF recommendations on preventive care
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July 17, 2014
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Women receive differing preventive care from OB/GYNs, primary care providers
A study in JAMA Internal Medicine found that women who were monitored by a primary care provider had greater chances of obtaining a wider array of preventive care -- including screenings for colon cancer, high cholesterol and diabetes, as well as diet, exercise and obesity counseling -- compared with those who visited an obstetrician/gynecologist. Women treated by an obstetrician/gynecologist were more likely to be screened for breast and cervical cancer. Reuters (7/7)
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Outdoor time may promote physical activity in youths
More youths who were involved in outdoor activities after school met the recommended 60 minutes of moderate-to-vigorous physical activity each day than those who did not spend any time outdoors, Canadian researchers found. Greater time spent outdoors after school was also associated with reduced sitting time and a healthier heart and lungs, according to the study in The Journal of Pediatrics. DailyRx.com (7/10)
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Emerging Trends
Niacin offers no heart benefits, study says
A study involving about 26,000 heart patients found that niacin, or vitamin B3, does not reduce the risk of heart attack or stroke in patients with hardened arteries, and it may increase their risk of serious side effects. The study was published in the New England Journal of Medicine. HealthDay News (7/16), NBC News (7/16)
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Analysis questions need to fast before cholesterol tests
An analysis of data from the National Health and Nutrition Examination Survey III found that fasting before a lipid panel blood draw had no clinical benefit while burdening patients. No significant differences were seen between fasting and nonfasting LDL cholesterol levels in terms of heart-related or all-cause mortality. MedPage Today (free registration) (7/14)
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U.S. sees decline in stroke rate in past 2 decades
The overall first-time stroke rate among Americans dropped 24% from 1987 to 2011, with a greater drop seen among people aged 65 and older, according to an analysis in the Journal of the American Medical Association. Researchers found a 20% overall decline in stroke-related deaths per decade. HealthDay News (7/15), DailyRx.com (7/15)
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Other News
Nursing in the News
Ky. expands prescribing authority to advanced practice nurses
A new law has gone into effect in Kentucky to enable advanced practice registered nurses with certain requirements to prescribe some drugs without the need for a collaborative agreement with a physician. The move to a requirement of working with a collaborative agreement for four years instead of over an entire career "is a significant step forward in affirming the independent practice," said Sheila Schuster of the Kentucky Coalition of Nurse Practitioners & Nurse Midwives. Lexington Herald-Leader (Ky.)/The Associated Press (7/14), Governing.com/Kaiser Health News (7/15), Modern Healthcare (subscription required) (7/15)
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PCNA Update
Contact your representative and senator to support the Research for All Act of 2014
Current gaps in clinical trial participation by women and minorities have limited the data available for these patients and their providers to make the most informed, safe and effective treatment decisions. The Research for All Act of 2014, recently introduced by Reps. Jim Cooper, D-Tenn., and Cynthia Lummis, R-Wyo., will expand our knowledge of women's and minorities' inclusion in medical research through updated reports at the NIH and FDA. It will expand our understanding of sex differences in both basic and clinical research at NIH, and direct the FDA to guarantee that clinical drug trials for expedited drug products are sufficient to determine safety and effectiveness for both men and women. Please urge your lawmakers in the House and Senate to add their support to the Research for All Act of 2014.
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The Society for Hospital Medicine will phase out inaccurate job titles
Many nurse practitioners, physician assistants, pharmacists and other valuable members of the hospital care team experience being defined by what they aren't (or incorrectly) on a daily basis. That is, instead of being called by the titles that they've worked hard to earn, some in the hospital setting use terms like "nonphysician provider," "allied health provider," or simply "mid-level." Because all hospital staff members are critical to hospitals working to deliver exceptional care to hospitalized patients, the Society for Hospital Medicine has begun to phase out these terms for future materials. Instead, SHM plans to use the appropriate names for individual groups, like "physician assistants," "nurse practitioners," or "pharmacists." We applaud the actions of SHM. Learn more about SHM.
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Lead Quote
Too often we underestimate the power of a touch, a smile, a kind word, a listening ear."
-- Leo Buscaglia,
American author and motivational speaker
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