Informing one's child that he or she is adopted should be a gradual, casual process beginning early, not a dramatic sit-down affair, two Massachusetts experts assert. "When you make the child's adoption a routine discussion, you normalize it," said Maryanne Ludwig, a social worker and adoption agency executive who was adopted.
Less than one case of feline injection-site sarcoma occurs for every 10,000 doses of vaccine, according to estimates cited in American Association of Feline Practitioners vaccination guidelines, and researchers are studying pathophysiology, diagnostic methods, prognostic indicators and potential treatment for the cancer. The risk of FISS is far lower than the risk of diseases vaccines prevent, says veterinarian Karen Stasiak, and AAFP guidelines include steps for minimizing risk.
Temperatures in eastern Tennessee are forecast to dip to near freezing this weekend, and veterinarians are reminding residents to ensure their pets and livestock have adequate warm shelter. Thick-coated animals can withstand some exposure to cold weather, but short-coated animals can quickly develop hypothermia, says veterinarian Maryanne Murphy. Extra caution is needed especially for old or sick animals, the AVMA says.
The American Diabetes Association published a position statement in Diabetes Care highlighting the importance of providing comprehensive care for adolescents and youths with type 2 diabetes. Clinicians are advised to assess these patients for psychosocial factors, including financial barriers, food insecurity and housing stability, and to refer them to mental/behavioral health special care if needed; consider metabolic surgery for those who are obese; and guide patients when they transition from pediatric to adult care.
Pregnant women with type 1 diabetes who received multiple daily injection therapy had greater A1C reductions at 34 weeks of gestation and were more likely to achieve an A1C target of less than 6.5% at both 24 weeks and 34 weeks of gestation, compared with insulin pump therapy users, according to a study in Diabetes Care. Researchers analyzed data from the Continuous Glucose Monitoring in Type 1 Diabetes Trial involving 248 pregnant women and found the MDI group also had reduced odds of neonatal hypoglycemia, gestational hypertension and NICU admissions, compared with the insulin pump therapy group.
Vantedge Innovation Alliance is a coalition of health systems working with Chicago-based Vantage Ventures to bring new innovations to market. The alliance, which requires each member to invest to participate in the $50 million fund, has set a maximum of 10 members and is looking for five more health systems.
An analysis by Blue Cross Blue Shield found that even though only 18% of total prescriptions filled were for expensive branded drugs, they accounted for 78% of total spending since 2010. The biggest costs came from Humira, Remicade and Enbrel.
The CEO of country's largest managed care organization speaks on the group's larger strategy on community health and addressing the larger social issues affecting patients. "Today, as we think about it, the big question around us is the definition of a 21st century community and in a lot of ways the assessment of the state of communities around the country. Are those now environments where people can thrive?" Chairman and CEO Bernard Tyson said.
Although universal health coverage provides free care for the entire population of England, socioeconomic inequalities persist in diabetes-related hospital admissions for major cardiovascular events. Lower socioeconomic status is a powerful predictor of a higher incidence of type 2 diabetes and its long-term complications. Besides improved risk stratification strategies that consider socioeconomically defined needs, wide-reaching population-based policy interventions are required to reduce inequalities in diabetes outcomes.
Amnion epithelial cells produce exosomes, which function in a paracrine fashion to exert pro-inflammatory effects on myometrial and decidual cells and may be an important component of parturition.
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