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December 5, 2012
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News for nurse practitioners

  Health Care News 
  • Most GERD patients don't need upper endoscopy, new guidelines say
    The American College of Physicians issued new guidelines suggesting that most patients with gastroesophageal reflux disease don't need routine upper endoscopies to screen for esophageal cancer. According to the group, esophageal cancer screening should only be considered when patients simultaneously experience GERD and other symptoms such as vomiting and difficulty swallowing, and when patients continue to experience heartburn while taking drugs. Men older than 50 who have had GERD for longer than five years and have other risk factors should be screened, according to the guidelines. HealthDay News (12/4) LinkedInFacebookTwitterEmail this Story
  • Hormone disorder plus contraceptive use raises women's clot risk
    The risk of venous thromboembolism was two times higher in women with polycystic ovary syndrome who took oral contraceptives compared with other women who used oral contraceptives. Researchers looked at records from a health insurance database that includes 43,500 women with polycystic ovary syndrome. The study appeared online in the Canadian Medical Association Journal. Reuters (12/3) LinkedInFacebookTwitterEmail this Story
  • CDC warns of early, severe flu season
    CDC officials announced Monday that the 2012-13 flu season has started nearly a month earlier than expected, with influenza A(H3N2) being this year's dominant strain, and they said this could be a bad year for flu. However, the influenza vaccine this year is a 90% match for the samples examined by the agency, officials said. "My advice is: Get the vaccine now," said infectious diseases specialist Dr. James Steinberg of Emory University. The Boston Globe/The Associated Press (tiered subscription model) (12/4), Family Practice News (12/3) LinkedInFacebookTwitterEmail this Story
  • Adequate vitamin D may protect women from mental decline
    Two studies in the Journal of Gerontology showed a significant link between vitamin D intake and women's cognitive health. Women with low vitamin D levels were more at risk for cognitive decline compared with those who had enough vitamin D, according to one study. Meanwhile, French researchers found that women with Alzheimer's disease were more likely to have had low vitamin D intake than women who didn't develop the disease. (12/3) LinkedInFacebookTwitterEmail this Story
  • Diet can reduce risk of cardiac events, study says
    A study on the website of the journal Circulation says eating a heart-healthy diet can reduce the risk of a heart attack or stroke for those with heart disease. Samantha Heller of the Center for Cancer Care at Griffin Hospital in Connecticut says many people with heart disease mistakenly believe medications will solve their problems, so they have a "false sense of protection and security." HealthDay News (12/3) LinkedInFacebookTwitterEmail this Story
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  Pharmaceutical News 
  • Better DME outcomes seen with intravitreal pegaptanib therapy
    Intravitreal pegaptanib sodium treatment correlated with significant improvements in foveal thickness in diabetes patients with clinically significant macular edema, a study found. Researchers also noted enhanced macular sensitivity, color discrimination and best-corrected visual acuity in patients. The results appear in the British Journal of Clinical Pharmacology. News (12/3) LinkedInFacebookTwitterEmail this Story
  Emerging Trends, Products and Technologies 
  • Mo. prof says APRN grant will benefit nursing home care
    A $15 million grant awarded to the University of Missouri Sinclair School of Nursing means advanced practice registered nurses will be sent to nursing facilities in St. Louis to help care providers identify changes in patient health and prevent hospitalizations, says professor Marilyn Rantz. Recently admitted to the Institute of Medicine, Rantz says her membership will help the school achieve its goal of ensuring seniors benefit from its research into care quality and aging in place. Columbia Daily Tribune (Mo.) (12/1) LinkedInFacebookTwitterEmail this Story

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  Health Policy and Legislative News 
  • Seniors near deadline for Medicare open enrollment
    The annual chance to shop for prescription drug and health coverage for next year ends midnight Friday for seniors. During Medicare open enrollment, seniors can choose between traditional Medicare or Medicare Advantage plans, change Advantage plans, or add Part D stand-alone drug coverage. Their choices will be implemented Jan. 1. Sun-Sentinel (Fort Lauderdale, Fla.) (12/3) LinkedInFacebookTwitterEmail this Story
  AANP News 
    The focus on the Million Hearts Initiative continues in the December issue of JAANP with an article about obstructive sleep apnea hypopnea syndrome (OSAHS) and metabolic syndrome as synergistic cardiovascular risk factors. This review article by Goodson, Wung and Archbold describes screening methods for both conditions and emphasizes the urgent need for referral for diagnosis and treatment of OSAHS in at-risk patients. LinkedInFacebookTwitterEmail this Story
  • Continuing education (CE) free to AANP members
    The AANP CE Center is adding new CE activities weekly. Currently, there are 93 active programs for a total of 97.85 contact hours with 21.85 hours of pharmacology credit. Some of the more recent additions include: Challenges of Treating Chronic Pain Patients in ER and Inpatient Settings; Changes in the Treatment of Inpatient Hyperglycemia: What Every Nurse Practitioner Should Know About; Regulatory Investigation of Pain Management by NPs; and Clinical Utility of Inflammatory Markers and Advanced Lipoprotein Testing: What Does the Evidence Show? Please check the CE Center often for newly added programs. LinkedInFacebookTwitterEmail this Story
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The forceps of our minds are clumsy things and crush the truth a little in the course of taking hold of it."
--H.G. Wells,
British author

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