April 22, 2021
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Top Story
More than a quarter of 348 patients with type 2 diabetes experienced dusk phenomenon, or pre-dinner hyperglycemia, which was tied to a reduction in homeostasis model assessment-insulin resistance-b and an increase in both glycated hemoglobin and 24-hour mean glucose, according to a study in the journal Medicine. The findings also revealed that "the dusk phenomenon could not only cause hyperglycemia before dinner, but also affect blood glucose in different degrees throughout the day, including nocturnal nadir, fasting, post-breakfast, pre-lunch and post-dinner glucose," the researchers wrote.
Full Story: Endocrinology Advisor (4/20) 
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Unlock your Nursing leadership potential
Today's healthcare industry is constantly evolving, and specialized nurses are in high demand. Qualified applicants who begin their program in Summer 2021 are eligible to receive the following tuition reduction.
MSN / MSN FNP: 25%
DNP / DNP FNP: 50%
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Health Care News
Of the about 278 million COVID-19 vaccine doses distributed as of Wednesday, more than 215.9 million have been administered in the US, the CDC reported. The number of fully vaccinated Americans has now reached nearly 87.6 million people, with 134.4 million people given at least one dose.
Full Story: Reuters (4/21) 
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A study in JAMA Network Open found links between a better performance in working memory at age 10 and a lower risk for hypomania symptoms at ages 22 to 23; higher sustained attention at age 8 and a lower risk for depressive symptoms at ages 17 to 18; better performance on inhibition at age 10 years and a lower risk for psychotic experiences at ages 17 to 18; and higher sustained attention at age 8 and a lower risk for borderline personality disorder symptoms at ages 11 to 12, with all links remaining after controlling for potential psychopathological overlay, aside from working memory and hypomania. The findings were based on data involving 5,315 individuals with psychopathological measures.
Full Story: Physician's Briefing/HealthDay News (4/21) 
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A study in the European Heart Journal, based on data from 8,001 adults in the Netherlands, showed that people with disrupted sleep patterns such as unconscious wakefulness may have a higher risk of all-cause mortality and cardiovascular-related mortality, with women affected to a greater degree than men. Researchers said sleep arousal burden could be an important marker to help clinicians assess mortality risk, but further study is needed.
Full Story: The American Journal of Managed Care online (4/19),  Yahoo (4/19) 
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A meta-analysis published in Advances in Nutrition found that participants who ate 18 grams of any kind of mushroom daily had a 45% reduced risk of cancer, with the strongest association seen for breast cancer. "Mushrooms are the highest dietary source of ergothioneine, which is a unique and potent antioxidant and cellular protector," says lead researcher Djibril Ba, adding that "[r]eplenishing antioxidants in the body may help protect against oxidative stress and lower the risk of cancer."
Full Story: Medical Dialogues (4/21) 
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A Healthy Approach to Weight Management
Encourage your clients to choose nutrient-dense foods like fresh avocados to foster a positive approach to weight management rather than eliminating foods with restrictive diet plans. Our weight management toolkit includes simple strategies, meal plans by eating pattern, and research to help your clients get started. Download Toolkit Today
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Pharmaceutical News
A clinical trial of Johnson & Johnson's COVID-19 vaccine involving 43,783 enrollees from three continents found no COVID-19 hospitalizations or deaths in the treatment group 28 days after vaccination, and the vaccine also offered protection against emerging variants. The findings, published in The New England Journal of Medicine, showed the vaccine was 66% effective against moderate to severe-critical COVID-19 and 85% effective against severe-critical illness 28 days after administration.
Full Story: The Hill (4/21) 
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Germany and the Netherlands are resuming use of the COVID-19 vaccine developed by Johnson & Johnson, and Italian health officials are recommending its use in people age 60 and older. J&J's vaccine has been linked to blood clots in a small number of people, and the European Medicines Agency says countries should decide for themselves if they want to use the vaccine.
Full Story: Reuters (4/21) 
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Enroll in a Psychiatric-Mental Health NP Program
Would you like to add a specialty in Psychiatric-Mental Health Nursing? Earn a Post-Graduate Certificate - full or part-time with the option to complete a DNP degree. Try our distance education program for only 32 credit hours. Learn more
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Emerging Trends, Products and Technologies
A report from the American Academy of Pediatrics and the Children's Hospital Association documented over 88,000 new pediatric COVID-19 cases for the week ending April 15, representing 20.6% of all new cases for the week in the US and surpassing the previous high of 19.1% recorded three weeks ago. There have been over 3.6 million pediatric cases of COVID-19 in 49 states excluding New York, as well as Washington, D.C., New York City, Puerto Rico and Guam since the start of the pandemic, accounting for 13.6% of all reported COVID-19 cases in those areas.
Full Story: Medscape (free registration) (4/21) 
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A study in the Annals of Internal Medicine found that racial minorities diagnosed with COVID-19 are at greater risk for hospitalization and intensive care. The findings were based on electronic health records of 47,974 adults with COVID-19.
Full Story: Center for Infectious Disease Research and Policy (4/21) 
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Advancing Health Equity
Health care leaders see equity as crucial not only to their patients but to their own ultimate success. The challenges are many, but the stakes are too high not to act. Join SmartBrief and a panel of experts from across health care for a virtual roundtable discussion of health equity challenges and solutions. Register Now
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Health Policy and Legislative News
House Democrats plan to release portions of legislation targeting drug prices, including a measure that would permit HHS to negotiate drug prices, according to a senior aide. Lawmakers hope to see the provisions included in President Joe Biden's American Families Plan, which is expected to be released next week.
Full Story: The Hill (4/21) 
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President Joe Biden on Wednesday said that the US achieved his administration's goal of administering 200 million COVID-19 vaccine doses in his first 100 days as president, adding that his new goal is to reach all Americans who are old enough to be vaccinated. Biden also announced a tax credit program for businesses with fewer than 500 workers that offer vaccine-related paid leave to their employees.
Full Story: The Guardian (London) (free registration) (4/21),  NBC News (4/21) 
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AANP News
The Fellows of the American Association of Nurse Practitioners Executive Committee is pleased to announce the recipients of the 2021 FAANP Legacy Award, Loretta C. Ford Award and Honorary Fellow:
  • To honor, recognize and memorialize members of FAANP whose lifelong careers have had a profound and enduring impact on the profession and the NP role, the 2021 FAANP Legacy Awardees are: Frank L. Cole, PhD, CEN, FNP, FAAN, FAANP, FAEN; Judith S. Dempster, DNSc, NP-C, FNP, FAANP; and Charon A. Pierson, PhD, GNP-BC, FAAN, FAANP.
  • In recognition of her work to advance the NP role in health care, the 2021 Loretta C. Ford Awardee is Susan Orsega, RN, FNP-BC, MSN, FAANP.
  • To recognize a non-NP who has demonstrated outstanding leadership in practice, education, policy and research, the 2021 FAANP Honorary Fellow is Shwu-Feng Tsay, PhD, RN, FAAN, FAANP(H).
Read the news release.
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