Here are what the editors at HealthDay consider to be the most important developments in Nursing for October 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Opioid Use Often Persists in Workers’ Compensation Claimants
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Many patients in a workers’ compensation cohort have persistent opioid use, according to a study published online Oct. 26 in JAMA Network Open.
USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient for assessing the balance of harms and benefits of screening for elevated blood lead levels in asymptomatic children and pregnant women. These findings form the basis of a draft recommendation statement published online Oct. 30.
Draft Recommendation Statement
Evidence Review — Children
Evidence Review — Pregnant Women
Antibiotics, Acid Suppressants in Infancy May Up Obesity Risk
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Prescription of antibiotics and acid-suppressing medications in early childhood is associated with an increased risk for obesity, according to a study published online Oct. 30 in Gut.
50 Percent of Children Aged 2 to 5 Years Fear Doctor Visits
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Half of parents report that their children aged 2 to 5 years are afraid of going to the doctor, according to survey results published in the Oct. 15 Mott Poll Report.
Diagnoses, Treatment of Mental Health Conditions Up in College
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Among college students, self-reported diagnoses and treatment of mental health conditions are increasing, according to a study published online Oct. 24 in the Journal of American College Health.
Black, Low-Income Women May Not Report Barriers to Care
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Black women, women living in poverty, and those with higher levels of distrust are less likely to report barriers to timely screening mammography, according to a study published online Sept. 24 in Cancer.
Abstract
Full Text (subscription or payment may be required)
Prenatal Exposure to Phthalates Linked to Language Delay
TUESDAY, Oct. 30, 2018 (HealthDay News) — Prenatal exposure to phthalates is associated with language delay in children, according to a study published online Oct. 29 in JAMA Pediatrics.
Abstract/Full Text (subscription or payment may be required)
Therapeutic Lifestyle Intervention in Church Helpful for BP Control
TUESDAY, Oct. 30, 2018 (HealthDay News) — A therapeutic lifestyle change (TLC) intervention plus motivational interviewing (MINT) sessions delivered in churches can reduce systolic blood pressure (BP) among blacks compared with health education (HE) alone, according to a study published online Oct. 9 in Circulation: Cardiovascular Quality and Outcomes.
Community Health Worker Intervention Beneficial
TUESDAY, Oct. 30, 2018 (HealthDay News) — A standardized community health worker (CHW)-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases, according to a study published online Oct. 22 in JAMA Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Health Officers Express Concerns About Vaccine Exemptions
MONDAY, Oct. 29, 2018 (HealthDay News) — After the passage of Senate Bill 277 (SB277) in California, which eliminated nonmedical vaccine exemptions for school entry, health officers and immunization staff reported concerns including an increase in medical exemptions, according to a study published online Oct. 29 in Pediatrics.
Low Levels of Flu Reported in U.S. From May to October
MONDAY, Oct. 29, 2018 (HealthDay News) — From May 20 to Oct. 13, 2018, low levels of influenza activity were reported in the United States, according to a study published online Oct. 25 in Morbidity and Mortality Weekly Report.
Many Hospitals Noncompliant With Record Request Regulations
MONDAY, Oct. 29, 2018 (HealthDay News) — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.
Healthier Diet Tied to Lower Mortality Risk in CRC Patients
MONDAY, Oct. 29, 2018 (HealthDay News) — Colorectal cancer (CRC) patients who follow healthy diets before or after diagnosis have a decreased risk for mortality, according to a study published online Oct. 19 in the Journal of Clinical Oncology.
ASN: Home Dialysis Associated With Improved Survival
MONDAY, Oct. 29, 2018 (HealthDay News) — Home hemodialysis (HHD) is associated with better survival than in-center hemodialysis (IHD) among incident dialysis patients, according to a study presented at the American Society of Nephrology’s Kidney Week, held Oct. 23 to 28 in San Diego.
Paid Family Leave Policies May Modestly Increase Breastfeeding
MONDAY, Oct. 29, 2018 (HealthDay News) — Women in states with paid family leave (PFL) policies have a modestly greater likelihood of exclusively breastfeeding at six months, according to a study published online Oct. 25 in the American Journal of Public Health.
Abstract/Full Text (subscription or payment may be required)
Nurse-Led Care Efficacious, Cost-Effective for Gout
MONDAY, Oct. 29, 2018 (HealthDay News) — For patients with gout, nurse-led care is efficacious and cost-effective compared with usual care led by general practitioners (GPs), according to a study published Oct. 20 in The Lancet.
Odds of Overweight/Obesity Up for Children With Autism
MONDAY, Oct. 29, 2018 (HealthDay News) — Children with autism spectrum disorder (ASD) have increased odds of overweight/obesity compared with general population controls after adjustment for child co-occurring conditions, according to a study published online Oct. 9 in The Journal of Pediatrics.
Abstract/Full Text (subscription or payment may be required)
Trump Administration Announces Plan to Cut Drug Prices
FRIDAY, Oct. 26, 2018 (HealthDay News) — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.
HHS Study
New York Times Article
Pneumococcal Vaccine Recs Cause Confusion Among Docs
THURSDAY, Oct. 25, 2018 (HealthDay News) — While primary care physicians overwhelmingly recommend pneumococcal vaccines, there is a gap in their knowledge of how to implement related vaccine recommendations, according to a study published in the Journal of the American Board of Family Medicine.
Oxygen Saturation Should Not Top 96 Percent in Acutely Ill
THURSDAY, Oct. 25, 2018 (HealthDay News) — For acutely ill patients, an oxygen saturation of no more than 96 percent should be maintained, according to a clinical practice guideline published online Oct. 24 in the BMJ.
Independent Links for Genetics, Lifestyle With Incident Stroke
THURSDAY, Oct. 25, 2018 (HealthDay News) — Genetic and lifestyle factors are independently associated with incident stroke among men and women aged 40 to 73 years, according to a study published online Oct. 24 in the BMJ.
FDA Approves First New Influenza Drug in 20 Years
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — For the first time in nearly two decades, the U.S. Food and Drug Administration has approved a new type of antiviral influenza drug.
7 Children Dead From Adenovirus Outbreak in New Jersey
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — New Jersey health officials on Wednesday confirmed the deaths of seven children after infection with an adenovirus.
More Information
Article from The Record (Bergen County)
Tibia Lead Levels Linked to Risk of Resistant-Hypertension
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Tibia lead levels are associated with resistant-hypertension (HTN), according to a study published online Oct. 24 in the Journal of the American Heart Association.
Most Supplements Contain Prohibited Stimulants
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editor’s Note (subscription or payment may be required)
High-Dose Flu Vaccine May Cut Hospitalization in Dialysis Patients
WEDNESDAY, Oct. 23, 2018 (HealthDay News) — Receipt of the high-dose influenza vaccine in 2016 to 2017 was associated with lower rates of hospitalization among dialysis patients, according to a study published online Oct. 23 in the Clinical Journal of the American Society of Nephrology.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
White House Unveils New Insurance Option for Small Firms
TUESDAY, Oct. 23, 2018 (HealthDay News) — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.
AP News Article
More Information
USPSTF Recommends Screening Women for Partner Violence
TUESDAY, Oct. 23, 2018 (HealthDay News) — Clinicians should screen women of reproductive age for intimate partner violence (IPV) and refer women to ongoing support services if necessary, according to a U.S. Preventive Services Task Force (USPSTF) final recommendation statement published in the Oct. 23/30 issue of the Journal of the American Medical Association.
Evidence Report
Final Recommendation Statement
Editorial
Editorial
Policy Denying Coverage for Nonemergent ED Visits Imprecise
TUESDAY, Oct. 23, 2018 (HealthDay News) — A policy retrospectively denying insurance coverage if an emergency department discharge diagnosis is determined to be nonemergent is not associated with accurate identification of unnecessary emergency department visits, according to a study published online Oct. 19 in JAMA Network Open.
Advance Care Planning Lowers Symptoms in Teens With HIV
TUESDAY, Oct. 23, 2018 (HealthDay News) — Family-centered pediatric advance care planning (FACE pACP) is associated with a lower likelihood of symptoms and suffering for adolescents with HIV, according to a study published online Oct. 19 in Pediatrics.
Abstract/Full Text (subscription or payment may be required)
Unrestricted Diet OK More Than One Day Before Colonoscopy
TUESDAY, Oct. 23, 2018 (HealthDay News) — Unrestricted diets are acceptable more than one day before colonoscopy among patients using a split-dose bowel regimen, according to a study published in the October issue of Gastrointestinal Endoscopy.
Abstract/Full Text (subscription or payment may be required)
Inadequate Reimbursement May Mar Diabetes Prevention Program
TUESDAY, Oct. 23, 2018 (HealthDay News) — The costs of delivering a new Medicare Diabetes Prevention Program (MDPP) may be higher than the expected reimbursement, according to a study published in the November issue of Medical Care.
Neglect Higher in For-Profit Nursing Homes
TUESDAY, Oct. 23, 2018 (HealthDay News) — Residents of for-profit nursing homes are more likely to suffer neglect compared with elderly residents living in the community or in not-for-profit facilities, according to a study published online Oct. 9 in Gerontology.
Postnatal Education Increases Pain Relief Use at Vaccinations
MONDAY, Oct. 22, 2018 (HealthDay News) — In-hospital postnatal education about infant pain management at vaccinations leads to more frequent use of pain relief interventions, according to a study published online Oct. 22 in CMAJ, the journal of the Canadian Medical Association.
Guidelines Outlined to Ease Peds Transition to Adult Health Care
MONDAY, Oct. 22, 2018 (HealthDay News) — Guidelines have been updated to support the health care transition from adolescence to adulthood, according to a clinical report published online Oct. 22 in Pediatrics.
Glucose Dysregulation Seen Years Before Diabetes Diagnosis
MONDAY, Oct. 22, 2018 (HealthDay News) — Individuals who develop diabetes or prediabetes have elevated fasting plasma glucose (FPG) at least 10 years before diagnosis, according to an observational study recently published in the Journal of the Endocrine Society.
Percent Weight Regain Predicts Health Risks Post-Bariatric Surgery
MONDAY, Oct. 22, 2018 (HealthDay News) — Measuring the percentage of weight regained following the maximum amount of weight lost after Roux-en-Y gastric bypass (RYGB) surgery best predicts a patient’s risk for several serious health problems, according to a study published in the Oct. 16 issue of the Journal of the American Medical Association.
Abstract/Full Text (subscription or payment may be required)
Editorial
Adolescent, Young Adult Pod-Based E-Cigarette Use Up
MONDAY, Oct. 22, 2018 (HealthDay News) — Adolescents and young adults are increasingly using electronic cigarette (e-cigarette) products such as pod-based systems but have misperceptions and lack of knowledge about these products, according to a study published online Oct. 19 in JAMA Network Open.
CDC: First U.S. Case of Rat-Borne Andes Virus Diagnosed
FRIDAY, Oct. 19, 2018 (HealthDay News) — The first confirmed U.S. case of a virus carried by South American rodents occurred earlier this year, the U.S. Centers for Disease Control and Prevention says.
CDC: Vaccination Rates More Than 95 Percent for Kindergartners
FRIDAY, Oct. 19, 2018 (HealthDay News) — Overall vaccination coverage is high among the nation’s kindergarten students, according to research published in the Oct. 12 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Limited Success for Changing Diet and Exercise Among Nurses
FRIDAY, Oct. 19, 2018 (HealthDay News) — Implementation of a workplace intervention to change diet and physical activity (PA) behavior was partially successful among nurses, with the ability to change both diet and PA at the same time described as challenging, according to a study recently published in the Journal of Nutrition Education and Behavior.
Screening + Online Cognitive Behavioral Therapy Program Aids Nurses" Mental Health 
Number of Health Care Workers Has Increased 198.5 Percent Since 1990 
Study Looks at Drivers of Nurse Turnover 
Staffing, Scheduling, and Wage Changes Could Reattract Nurses Back to Hospitals 
Collaborative Dementia Care Offers Health, Economic Benefits 
One in Three Nurses Have Student Loan Debt 
Policy Incentivizing High Staffing of Nursing Homes May Improve Patient Health 
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