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February 13, 2013
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News for nurse practitioners

  Health Care News 
  • Hours in ED may put heart patients in danger of PTSD
    Patients who waited in the emergency department for more than 11 hours with a heart attack or severe chest pain were at greater risk of heart disease-related post-traumatic stress disorder in the month after hospitalization, a study found. The findings, based on 135 heart patients admitted at a New York City hospital between 2009 and 2011, were published in the journal JAMA Internal Medicine. HealthDay News (2/11) LinkedInFacebookTwitterEmail this Story
  • Young adults have highest stress levels in U.S.
    Adults between the ages of 18 and 33 reported more stress than any other generation, with an average stress level of 5.4 on a scale of 10, according to the American Psychological Association. For 18- to 47-year-olds, the main sources of stress were work, money and job stability. For older adults, said health issues were the main source of stress. (2/11) LinkedInFacebookTwitterEmail this Story
  • Experts link high TNF to CKD onset in type 2 diabetes
    Higher levels of tumor necrosis factor receptor 2 were associated with chronic kidney disease onset in type 2 diabetes patients, Japanese researchers found. Data on 106 non-obese patients showed those with an impaired estimated glomerular filtration rate showed higher levels of log TNF, urinary albumin and triglycerides and had longer diabetes duration than patients with normal eGFR. The findings were published in Diabetes Research and Clinical Practice. News-Medical.Net/MedWire News (U.K.) (2/8) LinkedInFacebookTwitterEmail this Story
  • Researchers urge routine screening for DPN in children
    Screening for diabetic peripheral neuropathy showed that 26% of 151 children, teens and young adults with type 1 diabetes tested positive for the condition, including 33 patients who were not considered at high risk. "This study highlights that DPN can occur in youth at any age and at any time," the study authors wrote. They called for clinical guidelines for detecting DPN in young patients. News-Medical.Net/MedWire News (U.K.) (2/7) LinkedInFacebookTwitterEmail this Story
  Pharmaceutical News 
  • Veterans with PTSD get pyschiatric meds not supported by guidelines
    Researchers looked at the records of 356,958 veterans with post-traumatic stress disorder and found that majority of them were given psychiatric drugs not supported by guidelines developed by the Department of Veterans Affairs and the Department of Defense. Data showed that 65.7% of veterans were given selective serotonin-norepinephrine reuptake inhibitors, while 37% and 25.6% were prescribed benzodiazepines and second-generation antipsychotic medications, respectively. The study appeared in the journal Psychiatric Services. United Press International (2/12) LinkedInFacebookTwitterEmail this Story
  • ADHD treatments don't reduce symptoms in most children
    U.S. researchers monitored 186 3- to 5-year-olds with attention-deficit/hyperactivity disorder and found that 90% of them still had symptoms six years following their diagnosis and ongoing therapy. Two-thirds of the children were taking medications for ADHD and their symptoms were just as serious as the children not taking any form of medication, according to the study in the Journal of the American Academy of Child & Adolescent Psychiatry. HealthDay News (2/11) LinkedInFacebookTwitterEmail this Story
  Emerging Trends, Products and Technologies 
  • U.S. readmission rates show little improvement, report finds
    A Robert Wood Johnson Foundation report found readmission rates in the U.S. did not show significant progress between 2008 and 2010. Researchers also noted regional variation in 30-day readmissions, with readmission rates following postsurgical discharge as low as 7.6% in Bend, Ore., and as high as 18.3% in Bronx, N.Y. (2/11) LinkedInFacebookTwitterEmail this Story
  Health Policy and Legislative News 
  • Obama vows to contain health spending in State of the Union
    President Barack Obama promised to seek to further reduce health care spending while praising the Affordable Care Act during his State of the Union address on Tuesday. "We'll reduce taxpayer subsidies to prescription drug companies and ask more from the wealthiest seniors," Obama said. "We'll bring down costs by changing the way our government pays for Medicare." The Huffington Post (2/12) LinkedInFacebookTwitterEmail this Story
  AANP News 
  • The Affordable Care Act: A stronger Medicare program
    The CMS has released a new report showing that more than 6.1 million seniors and people with disabilities have saved over $5.7 billion on prescription drugs as a result of the Affordable Care Act. More than 3.5 million beneficiaries in the Medicare prescription drug coverage gap known as the "doughnut hole" saved $2.5 billion in 2012 alone, or an average of $706 per beneficiary. The report includes a state-by-state breakdown on prescription drug savings for people with Medicare since enactment of the ACA as well as a state-by-state breakdown on the use of preventive services in Original Medicare in 2012. The report also looks at the premiums beneficiaries pay, including for Medicare Advantage and prescription drug plans, noting that some premiums have declined and others have seen very slight increases. Finally, the report describes the new tools and authority the ACA provides for fighting Medicare fraud. Read the report, "The Affordable Care Act: A Stronger Medicare Program." LinkedInFacebookTwitterEmail this Story
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Several excuses are always less convincing than one."
--Aldous Huxley,
British author

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