Hedgehogs are solitary animals and not naturally cuddly, they are very active at night, they probably won't make friends with other pets, and they are susceptible to rabies and distemper and may transmit viruses and other pathogens. They are also prone to obesity, have specific diet requirements, need frequent bathing and nail trimming, and need continual warmth, says veterinarian Sydney Brehm.
Patients with type 2 diabetes and stiffer arteries -- measured by ankle-brachial index, brachial pulse pressure and carotid artery distension -- were at an increased risk for stroke, a cardiovascular event and vascular and all-cause mortality than those without arterial stiffness, according to a study in Diabetic Medicine. Dutch researchers analyzed data from the Second Manifestations of Arterial Disease study involving 1,910 adults, mean age of 61, and found that a 0.1-point drop in ankle-brachial index ratio was associated with an increased risk for a CV event and overall and vascular mortality.
Researchers recruited 83 adults with type 1 diabetes, ages 18 to 65, and found that diabetes distress and negative affect before eating significantly raised the risk for objective binge eating, which could possibly lead to increased postprandial blood glucose levels. The findings in the Journal of Eating Disorders also revealed a higher mean change in postmeal negative affect and blood glucose level at 120 minutes postprandial for OBE episodes, compared with non-OBE episodes.
A study in the journal Science Translational Medicine showed that individuals who ate a meal that contained 1 gram of the additive propionate experienced an increase in insulin and insulin resistance levels, as well as in hormone levels, compared with those on placebo. Researchers conducted a double blind study involving 14 people without diabetes and found that although both groups had the same increases in blood glucose levels after the meal, levels took slightly longer to return to baseline among those in the propionate group than the placebo group.
Health insurers may be better able to withstand an economic downturn now than during the 2008 recession, thanks in part to the Affordable Care Act, while necessity makes hospitals and health systems somewhat recession-resistant, according to Moody's Investors Service's Healthcare Quarterly report. The report says outpatient clinics generally are resilient, too, benefiting from being a less costly option than hospital care.
Dr. Stephen Klasko, president of Thomas Jefferson University and CEO of Jefferson Health, argues that consumerism is on the rise and we're on the brink of a revolution. CareMore Health president and CEO Dr. Sachin Jain said that's largely reasonable, but consumerization simply doesn't apply to the sickest patients, who are the focus of most health care spending.
A study in Circulation: Cardiovascular Quality and Outcomes outlined a risk model for hospital readmission within 30 days after acute myocardial infarction that included eight variables. Functional mobility was the only functional impairment variable included in the model and was the strongest predictor of readmission.
Patients who develop delirium while hospitalized have a higher risk of readmission within 30 days of discharge, emergency department visits and discharge to post-acute care facilities than those who do not develop delirium, according to a study in the Journal of Hospital Medicine. Researchers said the study suggests patients with delirium are vulnerable after discharge and are an important group to focus on to reduce readmission rates and post-discharge health care usage.
The Medscape Physician Compensation Report, a survey that includes data from about 20,000 physicians in more than 30 specialties, showed cardiologists ranked among the top wage earners and 87% spent 10 or more hours per week on administrative tasks. The survey found 50% of cardiologists were in fee-for-service arrangements, while 32% participated in accountable care organizations.
A report from the Pew Charitable Trusts revealed that poor EHR usability could compromise medication safety through incorrect prescriptions, treatment delays and overdoses, especially among pediatric patients. Researchers also identified the main categories of challenges to EHR usability, including system feedback, information display, workflow support and difficult data entry.
- Page 1