A new guidebook aims to help social workers and other health care professionals combat the opioid crisis and find strategies for helping people with opioid use problems.
A puppy at the Montgomery County, Ind., Animal Welfare League shelter had been given as a gift to the owner, who brought the puppy to the shelter when she developed symptoms of parvovirus in what director Misha Anderson said is an unfortunately common occurrence. "There is no such thing as a free dog," Anderson said, noting all puppies need their owners to invest in vaccines to protect them from disease.
Danish researchers used a cohort of 15 type 2 diabetes patients and found that those who received 1,500 mg of metformin for four days enhanced their bile acid-mediated induction of GLP-1 secretion, compared with those who received placebo combined with IV cholecystokinin or saline solution. The findings in the Journal of Clinical Endocrinology & Metabolism revealed that metformin also reduced plasma glucose excursions both with and without concomitant cholecystokinin-induced gallbladder emptying.
A study in the Journal of General Internal Medicine showed that 10.9% of older adults with diabetes were possibly overtreated, many of whom were ages over 75 and enrolled in Medicaid, while 6.9% of older adults were potentially undertreated. Researchers evaluated Medicare claims data from 10 states involving 78,792 patients and also found that 14% of overtreated patients had their regimens deintensified, but deintensification of therapy was less common among those older than 75.
A study in the New England Journal of Medicine showed patients who had Roux-en-Y gastric bypass were able to sustain their weight loss for 12 years. Researchers said 75% of patients with type 2 diabetes achieved remission two years after surgery and at the 12-year point, 51% remained in remission.
About 10% of babies born in the US are premature, facing lower odds of survival and possible quality of life issues, and the cost of their care is also higher, according to a report in Pediatrics. Preterm births accounted for at least $6 billion in additional spending by employer-sponsored health plans in 2013, with major birth defects accounting for fewer than 6% of cases but 25% of the expenditures.
A Kaiser Family Foundation analysis estimated that states that expanded Medicaid under the Affordable Care Act would lose $180 billion in funding from 2020 to 2026 if the Graham-Cassidy health care repeal bill becomes law, while non-expansion states would gain $73 billion during the same period, with California losing the most at $56 billion and Texas gaining the most with a $34 billion increase. The bill, which would replace the Affordable Care Act funding structure with state block grants, would also increase the number of uninsured by more than 30 million, according to estimates from the Center on Budget and Policy Priorities.
Senate Republicans' decision to halt bipartisan talks and move forward with new repeal legislation is further increasing uncertainty in the individual health insurance market ahead of the 2018 enrollment season, which starts Nov. 1. Questions about whether the federal government will continue funding cost-sharing reduction payments after this month and how consumers will respond to rising premiums could prompt some insurers to leave public exchanges.
The National Association of Medicaid Directors, the latest organization to oppose the GOP's newest attempt to repeal portions of the Affordable Care Act, said the Graham-Cassidy bill would put a massive financial burden on states on a timeline that is too short for setting up programs. The group also criticized the push to vote quickly, before a Congressional Budget Office score is available, arguing that the score "should be the bare minimum required for beginning consideration."
Healthy individuals who later developed dementia or mild cognitive impairment had a similar trajectory of personality traits, compared with peers who didn't, indicating that preclinical personality change wasn't tied to dementia onset, researchers at Florida State University College of Medicine and the National Institute on Aging reported. However, the findings in JAMA Psychiatry support personality traits such as low conscientiousness and elevated neuroticism as dementia risk factors.
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