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Women veterans lack access to effective health care in civilian practice

Women veterans lack access to effective health care in civilian practice

Civilian healthcare providers need to be educated on the importance of screening women for military service and also be aware of the unique healthcare needs of this population.

Advanced practice preceptor development program improves student transitions into practice

Advanced practice preceptor development program improves student transitions into practice

An innovative advanced practice preceptor program can help students and novices transition into established professionals.

NPs improve care coordination for high-risk complex care patients post-discharge

NPs improve care coordination for high-risk complex care patients post-discharge

Post-discharge care from hospital to community coordinated by an NP in high-risk complex care patients reduced hospital readmission rates.

Managing patients with chronic heart failure

Managing patients with chronic heart failure

Clinicians will encounter more patients at risk for CHF as the population ages and cardiovascular risk factors become more prevalent.

NPs have favorable view of retail health clinics

NPs have favorable view of retail health clinics

A survey found that 77.4% of NPs reported that the care provided in retail health clinics was in accordance with evidence-based guidelines.

Rivaroxaban decreased VTE rate in high-risk orthopedic joint surgery patients

Rivaroxaban decreased VTE rate in high-risk orthopedic joint surgery patients

Researchers developed a protocol to demonstrate the efficacy of rivaroxaban in lowering the risk of venous thromboembolism among orthopedic joint surgery patients.

Mammogram referral, screening rates boosted with point-of-care screening program

Mammogram referral, screening rates boosted with point-of-care screening program

A breast cancer screening program helped improve mammography referral and screening rates in a federally qualified health center.

Preventing holiday weight gain among rural hospital nightshift employees

Preventing holiday weight gain among rural hospital nightshift employees

Using collaboration and technology, NPs can help patients prevent weight gain and obesity-related diseases.

AANP 2017: More NPs choosing primary care

AANP 2017: More NPs choosing primary care

Nearly 90% of nurse practitioners are prepared in primary care programs in 2017.

AANP 2017: Teaching strategies to enhance intergenerational learning

AANP 2017: Teaching strategies to enhance intergenerational learning

Understanding the different attitudes and skills that different generations and professions bring to relationships can increase working confidence and self-efficacy.

AANP 2017: NPs better able to diagnose and treat mental health disorders with greater exposure as students

AANP 2017: NPs better able to diagnose and treat mental health disorders with greater exposure as students

Diagnostic and treatment competency levels in mental health disorders improved with increased educational time on these conditions.

Postpartum antiretroviral therapy is beneficial in HIV-positive women

Postpartum antiretroviral therapy is beneficial in HIV-positive women

Continued antiretroviral therapy was found to be safe and beneficial in HIV-positive postpartum women with high CD4+ T cell counts.

AANP 2017: Revolutionizing health care

AANP 2017: Revolutionizing health care

The AANP 2017 National Conference will be held from June 20 through June 25 in Philadelphia.

Use of ketamine for pain management and treatment of depression

Use of ketamine for pain management and treatment of depression

Ketamine may alleviate depression, pain, and adverse effects associated with opioid treatment.

DASH diet associated with lower risk of gout

DASH diet associated with lower risk of gout

The DASH diet could offer a dietary strategy that may help prevent gout and its comorbidities in high-risk patients with hyperuricemia.

A link between antiretroviral therapy and diabetes in HIV patients?

A link between antiretroviral therapy and diabetes in HIV patients?

HIV-infected patients on ART had approximately 4 and 1.5 greater odds of developing diabetes mellitus and metabolic syndrome, respectively.

Degludec vs glargine in type 2 diabetes for cardiovascular events

Degludec vs glargine in type 2 diabetes for cardiovascular events

Degludec is noninferior to glargine regarding the incidence of major cardiovascular events among patients with type 2 diabetes.

Quality of life in military HIV patients affected by advanced disease and mental comorbidity

Quality of life in military HIV patients affected by advanced disease and mental comorbidity

Factors linked to health-related quality of life in military HIV patients include advanced HIV disease and mental or medical comorbidity.

Majority of birth defects have unknown etiology

Majority of birth defects have unknown etiology

About 80% of birth defects between 2005 and 2009 have an unknown etiology.

Increased coffee consumption may reduce risk of hepatocellular carcinoma

Increased coffee consumption may reduce risk of hepatocellular carcinoma

Researchers conducted a meta-analysis to determine the association between coffee consumption and risk of hepatocellular carcinoma.

Too much or too little gestational weight gain increases risk of adverse outcomes

Too much or too little gestational weight gain increases risk of adverse outcomes

Gestational weight gain greater than or less than guideline recommendations is associated with an increased risk of adverse outcomes.

Tenofovir prevents prenatal transmission of HBV in pregnancy

Tenofovir prevents prenatal transmission of HBV in pregnancy

Pregnant women with a high hepatitis B viral load who receive tenofovir have a reduced risk for passing the virus to their child.

Endoscopy's role in primary sclerosing cholangitis: a clinical guideline

Endoscopy's role in primary sclerosing cholangitis: a clinical guideline

The guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients.

Home noninvasive ventilation with oxygen therapy effective for COPD and hypercapnia

Home noninvasive ventilation with oxygen therapy effective for COPD and hypercapnia

Adding home noninvasive ventilation to home oxygen therapy was effective in patients with persistent hypercapnia following an acute exacerbation of COPD.

CDC: Legionnaires' disease widespread in healthcare facilities

CDC: Legionnaires' disease widespread in healthcare facilities

About 76% of US jurisdictions reported healthcare-associated cases of Legionnaires' disease.

NIH creates COPD National Action Plan

NIH creates COPD National Action Plan

The national action plan released by the NHLBI aims to reduce the burden of COPD through collaboration with federal agencies, patients, advocates, and researchers.

Long-term type 1 diabetes not associated with hand osteoarthritis

Long-term type 1 diabetes not associated with hand osteoarthritis

However, long-term type 1 diabetes is associated with hand pain, disability, and stiffness.

Weight loss leads to lower cartilage degeneration in osteoarthritis

Weight loss leads to lower cartilage degeneration in osteoarthritis

Patients who lost weight over a 48-month period had a lower rate of cartilage degeneration than patients who maintained stable weight.

Extrafine triple therapy may reduce rate of COPD exacerbations

Extrafine triple therapy may reduce rate of COPD exacerbations

The TRINITY study found that triple therapy significantly reduced the rate of COPD exacerbations.

Earlier depression diagnosis leads to longer delay in accurate bipolar disorder diagnosis

Earlier depression diagnosis leads to longer delay in accurate bipolar disorder diagnosis

An earlier diagnosis of depression is associated with having a longer delay in conversion to bipolar disorder.

Breast milk bacteria seed development of infant gut microbiome

Breast milk bacteria seed development of infant gut microbiome

Findings show that bacteria from mothers' breast milk and areolar skin are transferred to their infants' guts.

Tai chi may reduce symptoms of depression

Tai chi may reduce symptoms of depression

A tai chi program significantly reduced symptoms of depression in Chinese-American patients with mild to moderate depression.

Bipolar depression: Early vs late response to treatment with lurasidone

Bipolar depression: Early vs late response to treatment with lurasidone

The response to lurasidone between baseline and 2 weeks indicates later treatment success in bipolar depression.

CDC finalizes cholera vaccine recommendation for international travelers

CDC finalizes cholera vaccine recommendation for international travelers

Cholera, an acute, diarrheal illness, is spread by drinking water or eating food that is contaminated with cholera bacteria.

FDA approves first generic forms of Strattera for ADHD

FDA approves first generic forms of Strattera for ADHD

The generic forms of Strattera are the first to be approved by the FDA for the treatment of ADHD.

Reducing blood pressure below recommended targets significantly reduces CVD, mortality risk

Reducing blood pressure below recommended targets significantly reduces CVD, mortality risk

Blood pressure levels below the recommended targets lower risk of CVD and all-cause mortality.

Elemental diet restores esophageal mucosal integrity in eosinophilic esophagitis

Elemental diet restores esophageal mucosal integrity in eosinophilic esophagitis

However, duodenal integrity appears to not be affected in eosinophilic esophagitis.

Cognitive-behavioral therapy effective for bipolar disorder symptoms

Cognitive-behavioral therapy effective for bipolar disorder symptoms

Cognitive-behavioral therapy effectively lowered the relapse rate and lessened depressive symptoms.

Primary biliary cholangitis: A clinical practice guideline

Primary biliary cholangitis: A clinical practice guideline

The guidelines facilitate a holistic, lifelong approach to the management of patients with primary biliary cholangitis.

One alcoholic drink per day may increase breast cancer risk

One alcoholic drink per day may increase breast cancer risk

Drinking the equivalent of a small glass of wine or beer a day increases pre-menopausal breast cancer risk by 5% and post-menopausal breast cancer risk by 9%.

Statins vs usual care for primary cardiovascular prevention in older adults

Statins vs usual care for primary cardiovascular prevention in older adults

The ALLHAT-LLT trial showed that statin therapy for primary cardiovascular prevention may not benefit adults older than 65 years of age.

Patients treated by older physicians have higher mortality than those cared for by younger physicians

Patients treated by older physicians have higher mortality than those cared for by younger physicians

Researchers found that patients treated by older physicians had higher 30-day mortality than those cared for by younger physicians, despite similar patient characteristics.

EASL releases updated guidelines for managing hepatitis B virus infection

EASL releases updated guidelines for managing hepatitis B virus infection

The updated guidelines include substantial changes in the management of hepatitis B based on the latest scientific evidence.

Osteoporotic fracture risk linked to mental disorders and related medication use

Osteoporotic fracture risk linked to mental disorders and related medication use

Researchers used FRAX scores to examine the association of mental disorders and related medication use with osteoporotic fracture risk in clinical practice.

Obesity may increase cognitive impairment in patients with risk of bipolar disorder

Obesity may increase cognitive impairment in patients with risk of bipolar disorder

Patients with high risk for bipolar disorder are more likely to exhibit decreased cognitive performance as a function of increasing overweight status.

Preventing mosquito bites: recommendations from the CDC

Preventing mosquito bites: recommendations from the CDC

The CDC recommends using an EPA-registered insect repellent, which is proven safe and effective, even for pregnant and breastfeeding women.

Nitrate inhalants (poppers) associated with increased virus-associated cancer risk in HIV-uninfected MSM

Nitrate inhalants (poppers) associated with increased virus-associated cancer risk in HIV-uninfected MSM

Among HIV-uninfected men aged 50 to 70, heavy popper use was associated with an increased risk of virus-associated cancer with causes linked to HPV, HHV-8, and Epstein-Barr virus.

HCV transmission knowledge varies among opioid-dependent pregnant patients

HCV transmission knowledge varies among opioid-dependent pregnant patients

Most opioid-dependent pregnant patients understand that intravenous drug use is a major transmission modality of HCV.

PAs may help fill rheumatology workforce shortage

PAs may help fill rheumatology workforce shortage

The gap between supply and demand in the rheumatology workforce is expected to widen substantially by 2030.

AAPA House of Delegates approves Optimal Team Practice policy

AAPA House of Delegates approves Optimal Team Practice policy

The policy was unanimously approved at the AAPA 2017 conference.

Warfarin dosing in HIV patients with deep venous thrombosis

Warfarin dosing in HIV patients with deep venous thrombosis

Results showed that mean induction times, analyzed in 170 patients, were 12.87 days in the HIV-infected patients and 11.19 days in the HIV-uninfected patients.

Surgical pulmonary embolectomy for thrombus distribution is feasible, effective

Surgical pulmonary embolectomy for thrombus distribution is feasible, effective

Surgical pulmonary embolectomy for peripheral distribution of thrombus demonstrated positive outcomes in patients with either CPE or PPE.

Physician perceptions of PAs similar in primary care vs specialty care

Physician perceptions of PAs similar in primary care vs specialty care

Physicians in primary care and in subspecialty care found that PAs are prepared to actively participate in clinical activities.

PA flexibility leads to career changes

PA flexibility leads to career changes

PAs take advantage of flexibility offered by their profession.

PA programs may need more focus on opioid prescribing practices

PA programs may need more focus on opioid prescribing practices

Many PA students and practicing PAs did not feel that their PA program adequately trained them to screen for opioid abuse.

FDA approves label changes for two HIV drugs

FDA approves label changes for two HIV drugs

The FDA Drug Interactions section has been updated to include revised information on concomitant use of corticosteroids with these drugs.

Side effects may affect medication nonadherence in patients with chronic disease

Side effects may affect medication nonadherence in patients with chronic disease

Almost half of participants reported that they never received information regarding the side effects of their medication from their prescriber.

Factors that boost vaccination rates among the elderly

Factors that boost vaccination rates among the elderly

Across all demographics, healthcare provider recommendation to be vaccinated had the strongest impact, followed by having a history of the disease, and knowing someone else who had that disease.

Patients comfortable with PAs and NPs initiating opiate replacement therapy

Patients comfortable with PAs and NPs initiating opiate replacement therapy

A survey found that 95.16% of participants were confident in the ability of a PA or an NP to provide opiate replacement therapy.

Case study: Recurrent deep vein thrombosis in thoracic outlet syndrome

Case study: Recurrent deep vein thrombosis in thoracic outlet syndrome

A 53-year-old woman presents to the emergency room for right upper extremity deep vein thrombosis after rib resection and subclavian vein stent placement.

How effective are prescription drug pictograms?

How effective are prescription drug pictograms?

Many patients cannot identify the meaning of prescription drug pictograms.

AAPA 2017 kicks off in Las Vegas

AAPA 2017 kicks off in Las Vegas

AAPA 2017 invites you to go Beyond CME by engaging in live programs and workshops that will help take your career to the next level.

Trained lay healthcare providers can administer HIV testing

Trained lay healthcare providers can administer HIV testing

A World Health Organization expert panel recommended lay health care workers be allowed to conduct HIV testing services using rapid diagnostic tests.

Lithium therapy may lead to silent thyroiditis in bipolar disorder

Lithium therapy may lead to silent thyroiditis in bipolar disorder

Clinicians should monitor thyroid function when managing patients receiving lithium for bipolar disorder.

Eosinophilic COPD vs COPD with asthma: comparing clinical characteristics

Eosinophilic COPD vs COPD with asthma: comparing clinical characteristics

Distinct differences occur between eosinophilic COPD and COPD patients with asthma.

Long-term gluten consumption not linked to coronary heart disease

Long-term gluten consumption not linked to coronary heart disease

Avoiding gluten may result in reduced consumption of beneficial whole grains that could affect cardiovascular risk.

Pulmonary hyperinflation linked to larger pulmonary artery in COPD

Pulmonary hyperinflation linked to larger pulmonary artery in COPD

Increased residual volume is associated with a larger pulmonary artery in patients with COPD.

Antibiotic use during pregnancy linked to increased risk of spontaneous abortion

Antibiotic use during pregnancy linked to increased risk of spontaneous abortion

Use of azithromycin, clarithromycin, metronidazole, sulfonamides, tetracyclines, and quinolones was associated with an increased risk of spontaneous abortion during pregnancy.

Screening for thyroid cancer: a recommendation statement from the USPSTF

Screening for thyroid cancer: a recommendation statement from the USPSTF

The USPSTF recommends against screening for thyroid cancer in asymptomatic adults.

Vitamin D not effective for preventing cardiovascular disease

Vitamin D not effective for preventing cardiovascular disease

CVD occurred in 11.8% of participants in the vitamin D group and 11.5% in the placebo group.

Knee arthroscopy rates for osteoarthritis decrease in the United States

Knee arthroscopy rates for osteoarthritis decrease in the United States

However, overall age and rates of knee arthroscopy increased between 1998 and 2006.

FDA approves radiofrequency treatment for osteoarthritis knee pain

FDA approves radiofrequency treatment for osteoarthritis knee pain

The FDA has cleared Halyard Health's COOLIEF Radiofrequency Treatment for relief of chronic osteoarthritis knee pain.

Cognitive remediation may improve executive function in bipolar disorder

Cognitive remediation may improve executive function in bipolar disorder

Cognitive remediation may aid neurocognitive performance, including attention, working memory, and problem solving in bipolar disorder.

Depression among diabetes patients may affect long-term drug adherence

Depression among diabetes patients may affect long-term drug adherence

Patients exhibiting moderate-to-severe depressive symptoms had worse adherence than nondepressed patients.

Preventing Lyme disease and tick bites: tips from the CDC

Preventing Lyme disease and tick bites: tips from the CDC

Individuals have a higher risk of tick bites and tickborne diseases from May through July.

Metabolic syndrome not linked to knee osteoarthritis

Metabolic syndrome not linked to knee osteoarthritis

Researchers found no association between metabolic syndrome and incident knee osteoarthritis.

Integrative therapies during and after breast cancer treatment: a clinical practice guideline

Integrative therapies during and after breast cancer treatment: a clinical practice guideline

Evidence supports the routine use of mind-body practices, such as yoga, meditation, relaxation techniques, and passive music therapy, to address common mental health concerns in patients with breast cancer.

Screening for preeclampsia throughout pregnancy recommended by USPSTF

Screening for preeclampsia throughout pregnancy recommended by USPSTF

The USPSTF recommends that pregnant women receive screening for preeclampsia with blood pressure measurements throughout pregnancy.

Methadone maintenance treatment reduces mortality in opioid-dependent patients

Methadone maintenance treatment reduces mortality in opioid-dependent patients

In patients receiving methadone maintenance treatment, researchers observed, on average, 25 fewer deaths/1000 person years than in patients who discontinue it.

Inhaled corticosteroid use linked to increased pneumonia risk in asthma patients

Inhaled corticosteroid use linked to increased pneumonia risk in asthma patients

The use of inhaled corticosteroids is associated with an increased risk of pneumonia in asthma patients.

Colonoscopy timing after positive fecal test linked to colorectal cancer risk

Colonoscopy timing after positive fecal test linked to colorectal cancer risk

A follow-up colonoscopy more than 10 months after a positive FIT result is associated with a higher risk of colorectal cancer and more advanced disease at the time of diagnosis.

Some antidiabetic agents may increase pneumonia risk in type 2 diabetes

Some antidiabetic agents may increase pneumonia risk in type 2 diabetes

Compared with current use of metformin + sulfonylurea, the use of thiazolidinediones + metformin was associated with an increased risk of community-acquired pneumonia.

Long-term antibiotic use associated with an increased risk of colorectal adenoma

Long-term antibiotic use associated with an increased risk of colorectal adenoma

Increasing duration of antibiotic use at ages 20 to 39 and 40 to 59 is significantly associated with an increased risk of colorectal adenoma.

Benzodiazepines may increase risk of pneumonia in Alzheimer disease

Benzodiazepines may increase risk of pneumonia in Alzheimer disease

Clinicians should consider risk of pneumonia when weighing the benefits and risks of benzodiazepines in patients with Alzheimer disease.

Corticosteroids for sore throat: a mixed bag of results

Corticosteroids for sore throat: a mixed bag of results

Oral corticosteroids could be an alternative symptomatic treatment for acute sore throat, which is a significant burden in primary care and a source of inappropriate antibiotic prescribing.

Statins may lower risk of cirrhosis decompensation in HBV and HCV

Statins may lower risk of cirrhosis decompensation in HBV and HCV

Statin use decreased rates of decompensation in patients with liver cirrhosis due to HBV and HCV infections and in patients with alcohol-induced cirrhosis.

AGA Institute releases practice update for managing patients cured of HCV infection

AGA Institute releases practice update for managing patients cured of HCV infection

Patients with chronic HCV infection who have achieved a sustained virologic response with treatment may still be at risk for complications such as hepatocellular carcinoma.

Probiotics may lower risk of gestational diabetes

Probiotics may lower risk of gestational diabetes

Women who took probiotics in their second trimester had lower rates of gestational diabetes.

Norepinephrine shortage led to higher mortality in septic shock patients

Norepinephrine shortage led to higher mortality in septic shock patients

Patients with septic shock taking phenylephrine during the 2011 norepinephrine shortage experienced higher in-hospital mortality rates.

Short-term oral corticosteroid use associated with increased risk for sepsis, venous thromboembolism

Short-term oral corticosteroid use associated with increased risk for sepsis, venous thromboembolism

Approximately 1 in 5 American adults use corticosteroids in the short term, which is associated with an increased risk for sepsis, venous thromboembolism, and fracture.

Marathon races linked to delayed emergency care and higher mortality in nonparticipants

Marathon races linked to delayed emergency care and higher mortality in nonparticipants

Road closures may create delays in emergency care for nonparticipants with acute medical conditions who live close to marathon routes.

Practice guideline released for sudden unexpected death in epilepsy

Practice guideline released for sudden unexpected death in epilepsy

The guideline highlights the incidence, risk factors, and preventive approaches of SUDEP.

Inpatient rehabilitation may not improve mobility in total knee arthroplasty

Inpatient rehabilitation may not improve mobility in total knee arthroplasty

Researchers conducted a randomized controlled trial to determine whether inpatient rehabilitation provided greater improvements compared with a monitored home-based program alone.

Metastatic pancreatic cancer: a new clinical practice guideline

Metastatic pancreatic cancer: a new clinical practice guideline

The guideline will help clinicians determine the appropriate treatment of patients with metastatic pancreatic cancer.

Psychiatric comorbid conditions may impact quality of life in bipolar disorder

Psychiatric comorbid conditions may impact quality of life in bipolar disorder

Patients with greater clinical symptom severity had lower quality of life and higher functional impairment.

Mobile apps for bipolar disorder may not address consumer needs

Mobile apps for bipolar disorder may not address consumer needs

Reviews containing "wishlists" indicate that consumer needs are not adequately addressed by the apps that are currently available.

NASEM report aims to eliminate hepatitis B and C by 2030

NASEM report aims to eliminate hepatitis B and C by 2030

Aggressive testing, diagnosis, treatment, and prevention methods, such as needle exchange for those who inject drugs, are some of the options that the NASEM explored to target hepatitis elimination.

Botulinum toxin may be safe and effective for overactive bladder

Botulinum toxin may be safe and effective for overactive bladder

Intradetrusor injection of onabotulinumtoxin A impairs afferent and efferent nerves, but an injection-free drug delivery approach only impairs the bladder afferent nerves.

Undiagnosed chest pain may increase long-term cardiovascular risk

Undiagnosed chest pain may increase long-term cardiovascular risk

Most patients in primary care with undiagnosed chest pain do not undergo diagnostic testing.

Managing elderly patients with COPD through empowerment

Managing elderly patients with COPD through empowerment

Use of the empowerment approach is necessary for health promotion in older patients with COPD, but little attention has been paid to the dimensions of empowerment in COPD management.

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