Study links maternal HbA1C to autism risk in children | Rotavirus vaccination tied to lower pediatric diabetes risk | Marijuana legalization tied to increased ingestions by young children
June 14, 2019
AANP SmartBrief
News for nurse practitioners
Health Care News
Study links maternal HbA1C to autism risk in children
A study presented at the American Diabetes Association annual meeting and published in the Journal of the American Medical Association found that children whose mothers had HbA1C levels greater than 6.5% during early pregnancy were almost two times as likely to be diagnosed with autism in the first 4 years of life as those whose mothers had HbA1C levels below 5.7%. The findings were based on data for 35,819 mother-infant pairs.
Healio (free registration)/Endocrine Today (6/13) 
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Rotavirus vaccination tied to lower pediatric diabetes risk
Youths who received complete rotavirus vaccination were 33% less likely to develop type 1 diabetes than those who weren't vaccinated, and there was an even lower risk among those who were given all three doses of the pentavalent vaccine, compared with those who received only two monovalent vaccine doses, according to a study in Scientific Reports. Researchers also found 94% and 31% lower rates of rotavirus infection-related and any hospitalizations, respectively, among vaccinated children during the first two months post-vaccination, compared with those who weren't vaccinated.
Genetic Engineering & Biotechnology News (6/13) 
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Marijuana legalization tied to increased ingestions by young children
A study in Pediatric Emergency Care showed that the rate of marijuana ingestions among children younger than 6 rose 27% annually between 2009, when marijuana legalization expanded, and 2017, and states with legal marijuana accounted for more than 70% of pediatric marijuana ingestions. Researchers also found that 54.6% of youths who ingested marijuana required hospital-based care, 7.5% of whom needed critical care.
Healio (free registration)/Infectious Diseases in Children (6/13) 
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Effects of junk food, water intake in childhood cognition examined
Youths who consumed more sweet and salty snacks and sweetened drinks had reduced standardized math and English test scores, compared with those with lower junk food intake, researchers reported at the American Society for Nutrition annual meeting. Another study also presented at the meeting showed that children who drank 2.5 liters of water daily had reduced working memory cost and lighter urine color, but similar cognitive flexibility and inhibition, compared with those with a 0.5 liter daily water intake.
Healio (free registration)/Primary Care (6/12) 
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Pharmaceutical News
Amgen's Herceptin biosimilar approved by FDA
Amgen's Kanjinti, or trastuzumab-anns, a biosimilar version of Roche's Herceptin, or trastuzumab, has been approved by the FDA. The drug is indicated for the treatment of patients with HER2-overexpressing breast cancer and HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma.
OncLive (free registration) (6/13),  Seeking Alpha (6/13) 
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Genentech's pediatric blood disorders drug under FDA priority review
The FDA accepted under priority review status Roche unit Genentech's supplemental biologics license application for Rituxan, or rituximab, in combination with glucocorticoids as a treatment for patients ages 2 years and older who have microscopic polyangiitis and granulomatosis with polyangiitis.
Seeking Alpha (6/12) 
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Emerging Trends, Products and Technologies
NPs, PAs reduce treatment costs for complex patients with diabetes
Care costs for medically complex patients with diabetes are 6% to 7% lower when they are treated by nurse practitioners and physician assistants, rather than physicians, according to a study by Health Affairs. The use of NPs and PAs also increases revenue for practices, according to a recent study by the Medical Group Management Association.
RevCycle Intelligence (6/12) 
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Liquid biopsy under development in Europe for pediatric NAFLD, NASH
European researchers have developed a blood test, or "liquid biopsy," that can be used to manage non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in pediatric patients, possibly within the next five years. Details of the study were presented at the European Society of Pediatric Gastroenterology, Hepatology and Nutrition's annual meeting.
Medscape (free registration)/Reuters (6/12) 
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Health Policy and Legislative News
Proposal would require insurers to cover OTC birth control
Sen. Patty Murray, D-Wash., and Rep. Ayanna Pressley, D-Mass., introduced legislation that would require health insurance providers to pay for FDA-approved over-the-counter birth control with no cost-sharing.
National Review (6/13) 
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House amends spending bill, possibly paving way for national patient ID
The House on Wednesday amended a health care spending bill to remove a 23-year ban on using federal funding to create a national patient identifier. The move was backed by a group of health care stakeholders in a letter to House lawmakers sent earlier this week urging them to pass the amendment introduced by Rep. Bill Foster, D-Ill.
Becker's Health IT & CIO Report (6/13),  Bloomberg Law (subscription required) (6/13) 
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See you next week in Indy
We're finalizing our schedules, preparing our conference survival kit and packing our bags. Why? It's almost time for the 2019 AANP National Conference!
  • Ensure you have a seat for the sessions and workshops in which you're most interested. Select your conference sessions and finalize your schedule by clicking Checkout. Don't forget to add the Welcome Reception at the Indianapolis Zoo on Tuesday evening to your schedule!
  • Download the conference mobile app to easily check in at conference, view and make changes to your schedule, navigate the Indiana Convention Center, complete evaluations and stay up to date on what's happening at conference.
  • Get involved by packing new or gently worn women's clothing items to donate to Dress for Success Indianapolis, or explore the city by booking a tour of Indianapolis with your NP colleagues.
  • Registration is still open! Don't miss your opportunity to hear from two lauded keynote speakers, participate in and see the latest research, join legislative discussions and network with thousands of nurse practitioners (NPs).
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