News for Providers
Top stories summarized by our editors
11/16/2018

Health care IT leaders are not expecting many changes due to results of the midterm elections but noted Medicaid expansion and the importance of health care overall. "What's most important about this moment in our nation's history is that the political focus on solving the health care crisis is stronger than ever before," said DrFirst President G. Cameron Deemer.

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DrFirst
11/16/2018

Data-sharing between government units in child welfare remains underdeveloped even though it would immensely benefit recipients through evidence-based care, writes Shell Culp of Public Consulting Group. Funding and direction for modernization are available through the Comprehensive Child Welfare Information System Final Rule and the Family First Prevention Services Act, Culp writes.

11/16/2018

Australian researchers found that parents of children with type 1 diabetes had significantly lower Hypoglycemia Fear Survey scores when their children used a remote continuous glucose monitoring system over three months, compared with when the children used conventional blood glucose monitoring for three months. The findings in Diabetes Care, based on 49 children ages 2 to 12 and their parents, also revealed an improved quality of life and parental sleep, as well as lower parental stress levels, after the remote monitoring period than the control period.

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CGMs
11/16/2018

A study in The BMJ showed that diabetes patients who took SGLT2 inhibitors, such as canagliflozin, dapagliflozin and empagliflozin, were at a twofold higher risk of lower limb amputation and diabetic ketoacidosis, compared with users of GLP-1 receptor agonists. Researchers analyzed data on 34,426 diabetes patients from Sweden and Denmark and noted that, based on their findings, patients at high amputation risk "might be monitored more closely if SGLT2 inhibitors are used, and the risk of this adverse event may be considered when deciding on which drugs to use," said lead researcher Dr. Peter Ueda.

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diabetes
11/16/2018

Researchers used a cohort of 80 adults with and without overweight or obesity and found those who maintained weight loss had the same amounts of physical activity throughout the week and weekend, compared with a decline in physical activity over the weekend among those in the overweight/obesity group. The findings, presented at ObesityWeek, revealed that weight-loss maintainers were also more active within three hours of waking up and in the early morning and early afternoon during the week than the normal-weight and overweight/obesity groups.

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Obesity
11/16/2018

Walmart is moving forward with its strategy of using direct-contracting relationships with hospitals and health systems that treat its more than 1 million employees in the US, sending a stream of patients to those providers. Walmart has begun offering health plans from accountable care organizations tied to other providers and plans to report back lessons it learns.

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HealthLeaders Media
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Walmart
11/16/2018

With unique investments in big data and cloud computing, physicians and public health experts have joined forces with expert engineers to design frameworks capable of performing large-scale population health research. These teams are developing predictive models utilizing the most cutting-edge advanced analytics tools today.

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MedCity News
11/16/2018

Individuals with Parkinson's disease who had normal cognition at baseline had similar odds of mortality as those in the general population, but shorter survival was found among those with mild cognitive impairment, dementia onset, postural imbalance and gait disorder, freezing of gait, elevated disease severity, hyposmia and slower performance in the Timed Up and Go test, researchers reported in Neurology. The findings also showed that increased cerebrospinal fluid leukocytes and lower dopamine transporter activity had a significant link to shorter Parkinson's survival.

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Neurology Advisor
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Parkinson, dopamine
11/16/2018

Chinese researchers found that mice with Parkinson's disease that received astilbin, a flavanonol found in several plants and alcoholic beverages, had significantly better motor function, as well as reduced dopaminergic neuron loss, glia cell activation in the substantia nigra and oxidative stress, suggesting its neuroprotective effects, compared with controls that were given a saline solution. The findings were published in the journal International Immunopharmacology.

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Parkinson's disease, Parkinson
11/16/2018

A data review conducted by US cancer centers, including the National Cancer Institute, found that Hispanic adults with HIV living in the US are at an increased risk of human papillomavirus-related cancers, with the highest risk being for anal cancer, according to findings in the journal Cancer. Researchers culled data from the HIV/AIDS Cancer Match Study and took into account survival and incidence rates among Hispanics, non-Hispanic blacks and non-Hispanic whites.

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MD Magazine online