The Protenus Breach Barometer report showed that the health care sector reported 33 data breaches in August compromising 673,934 patient records, with the largest incident affecting 266,123 patient records. Twenty-four data breaches were disclosed by health care providers, while health plans reported six and business associates or vendors and pharmacy each had one incident, with hacking accounting for 54.5% of the incidents, followed by insiders and loss or theft at 27.3% and 15.2%, respectively.
Social justice is an imperative for social worker education as much as clinical training, social worker Sue Coyle asserts. She cautions that student awareness of the profession's advocacy tradition can't be assumed and must be cultivated.
Republicans' newest effort to repeal and replace the Affordable Care Act encountered a major setback after Sens. John McCain, R-Ariz., Rand Paul, R-Ken., and Ted Cruz, R-Texas, said they oppose the bill, although Cruz said he could be persuaded to rethink his position. Three defections from GOP senators would kill the legislation, which would replace the ACA funding structure with block grants, but a new version is expected to propose a bump in funding for Alaska and Maine, whose senators are considered key to the bill's survival.
Hospitals in Puerto Rico were flooded; have lost access to email, Internet and cellular service; and are dependent on diesel generators and radio communication after being hit by Hurricane Maria last week. The island's largest public hospital is preparing makeshift units to care for an expected influx of patients as other hospitals lose access to fuel for their generators.
A study in Diabetes Care showed that 8.2% of 22,956 type 2 diabetes patients given second-line treatment had evidence of recommended metformin use in the prior 60 days. Researchers evaluated claims data for 52,544 individuals covered by Aetna and found that patients who were given initial second-line medication without evidence of recommended metformin use were more likely to receive insulin or an additional antihyperglycemic medication.
A study in Japan of 2,540 type 2 diabetes patients, ages 45 to 69, found that intensive care -- frequent education sessions from diabetes educators and additional meters to monitor blood glucose and blood pressure levels -- was tied to lower rates of all-cause mortality, myocardial infarction, revascularization and stroke compared with standard care. The differences were not significant unless rates of smoking and other factors were considered, according to findings presented at the European Association for the Study of Diabetes' annual meeting and will be published in The Lancet Diabetes and Endocrinology.
Twice-daily doses of imeglimin for 24 weeks reduced A1C by 0.52% in patients with type 2 diabetes receiving 500-milligram doses, by 0.94% in the 1,000-mg group and by 1% in the 1,500-mg group, according to a study presented at the European Association for the Study of Diabetes' annual meeting. The experimental drug, which targets mitochondrial bioenergetics, was also associated with reductions in fasting plasma glucose and glycated albumin at the 1,000-mg and 1,500-mg dosage levels, as well as reduced liver enzymes, alanine aminotransferase and gamma-glutamyl transferase.
The average votes of the Medicare Evidence Development & Coverage Advisory Committee were positive for short- and mid-term outcomes of endoscopic bariatric procedures and bariatric surgery, said physician Shelby Sullivan, an ABE Advisory Board member who spoke for the American Society for Gastrointestinal Endoscopy at the meeting. Average votes, however, did not achieve the median threshold for confidence in success predictors because some committee members thought the evidence on long-term outcomes was not sufficient, she said.
Document Storage Systems and Cybernius Medical received the Dialysis EMR Software and Maintenance EHR Indefinite Delivery/Indefinite Quantity contract from the Veterans Health Administration. DSS will use its integration toolkit and framework to integrate Cybernius Medical's cyberREN Renal Patient Care Management System into the Department of Veterans Affairs' VistA EHR system, giving VA dialysis facilities access to software to help them report electronically to the CMS-mandated web-based dialysis quality collection system, said DSS President and CEO Mark Byers.
Researchers found that a higher polygenic hazard score, a new test that combines more than 24 genetic variants, was linked to increased amyloid plaque levels among patients who developed Alzheimer's disease whether they had the APOE e4 gene or not, and Alzheimer's was most prevalent among older patients in the highest PHS percentiles. The findings in Annals of Neurology suggest that PHS may better predict Alzheimer's than APOE e4 genetic testing, and researcher Dr. Rahul Desikan said PHS could be used as a preclinical risk factor, instead of a diagnostic test, for Alzheimer's.
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