The US decision to withdraw from the Paris Climate Agreement raises challenges for social workers as they reconcile their systems-based approach with needs of clients in areas such as those traditionally dependent on coal, social worker Sean Erreger writes. Erreger assesses the National Association of Social Workers ethics code related to social action and concludes there are "[n]o easy answers when thinking about dedicating United States funds which may help globally but detract from the local action."
Scientists at the University of Alabama at Birmingham, Auburn University, the University of Georgia and Mississippi State University are enrolling dogs with gliomas in a clinical study of a modified herpes virus to kill tumor cells that remain after excision. "We're not only helping man's best friend, but helping man with this treatment," said veterinarian Amy Yanke, an assistant professor of neurology and neurosurgery at Auburn.
At least 31 Asiatic lions at India's Gir National Park have died this year, and wildlife scientists say some should be moved to a different preserve to protect the species from canine distemper virus; babesiosis; and conflicts with domestic animals, humans and the built environment. Wildlife biologist Meena Venkataraman says the Gujarat state government needs a plan for preventing infections, screening for pathogens and responding to disease outbreaks.
Patients with insulin-resistant type 2 diabetes who received more than 20 units of meal test bolus insulin per dose had a significant improvement in postprandial glucose levels at one, two and four hours after receiving mealtime fast-acting insulin aspart, compared with those who received mealtime insulin aspart, according to a study in Diabetic Medicine. Canadian researchers evaluated data from a randomized, double-blind Phase III trial involving 606 patients and did not find any significant A1C change from baseline to after 26 weeks of treatment among the bolus insulin subgroups.
A study in JAMA Internal Medicine analyzed 86,747 claims filed by type 2 diabetes patients not using insulin and found that 51,820 patients could possibly be inappropriately using self-monitoring blood glucose supplies, while 32,773 patients took medications not considered to be a risk factor for hypoglycemia and 19,047 did not take any antidiabetes drugs. Researchers also found that the average consumer copayment for test strips was $18.14 per year and the average claims cost for test strips was $325.54 per person annually.
Obese pregnant women who took metformin, along with receiving a dietary and lifestyle intervention, reduced weekly pregnancy weight gain but did not see improved pregnancy or birth outcomes, according to a study in The Lancet Diabetes and Endocrinology. The study compared women taking metformin with those who took a placebo and received a dietary advice and lifestyle intervention.
A group of 13 health care leaders agreed technology companies such as Amazon and Google have an increasing influence on the industry but did not reach a consensus on whether the impact will be transformative enough to fix health care or if health care will have to fix itself. Some members of the group said Amazon could address less efficient areas of health care because it is good at finding solutions that consumers like.
San Diego-based Human Longevity was founded in 2013 with the audacious mission of radically extending the human lifespan through better understanding of people's genetic makeup. But the company's valuation has declined 80%, from a $1.6 billion peak to $310 million, according to The Wall Street Journal.
A report from the HHS Office of Inspector General found about 20% of Medicare patients in long-term-care hospitals experienced adverse events and 25% had temporary harmful events. The report found 54% of adverse events and temporary harm events were preventable, with 58% linked to substandard care and 34% linked to medical errors.
The American College of Cardiology released its Expert Consensus Decision Pathway for Tobacco Cessation Treatment to help guide physicians in evaluating and treating tobacco dependence. The report, published in the Journal of the American College of Cardiology, calls on cardiologists to ask every patient about tobacco use at every visit, assess smokers' degree of nicotine addiction, advise tobacco users to quit and offer patients help getting appropriate treatment.
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