Government should work with the health care and business sectors to create an "interstate superhighway" that improves patient care through technology and data analytics, Dr. Lynda Chin, a member of the National Academy of Medicine, told the Health & Business Symposium in Arkansas. University of Arkansas for Medical Sciences Chancellor Cam Patterson said digital tech can bring more care to "medical deserts," while Gov. Asa Hutchinson said the state is investing in startup companies through its HealthTech Arkansas accelerator program.
Health care leaders said aviation, aerospace, Amazon and Chick-fil-A were the industries and companies they want to emulate. Mike Cottle of Newton Medical Center in Kansas said Chick-fil-A's culture of customer service is unparalleled and applying that model to health care's focus on patient safety "would be a great boon."
Healthy and active adults who reduced their daily physical activity from nearly 10,000 steps to 1,500 steps had a 4% decline in cardiorespiratory fitness levels; 0.5% and 0.2% higher total body fat and liver fat levels, respectively; about a third of an inch greater waist circumference; slightly elevated triglyceride levels; and increased insulin resistance after two weeks, according to a study presented at the European Association for the Study of Diabetes meeting. However, researchers found that participants' health measures returned to baseline levels two weeks after resuming usual activity.
Fifty-one percent of 223 children with cancer could have been treated with precision medicine calibrated for certain mutations, but only 7% were given treatment, even though precision medicine may be more beneficial in youths than in adults, according to a study in the European Journal of Cancer. Researchers attributed the low use in childhood cancers to the response of some children to standard treatments, as well as a lack of pediatric trials evaluating drugs that proved effective among adults.
The rate of US young adults ages 18 to 24 who used e-cigarettes rose from 5% in 2017 to 8% in 2018, the equivalent of nearly 700,000 new e-cigarette users, researchers reported in the Journal of the American Medical Association. Young adults' e-cigarette use increased among men and women across most racial groups and all income levels and among both smokers and nonsmokers.
Researchers who used F-18 FDG-PET/CT found that people with newly diagnosed follicular lymphoma undergoing rituximab-based chemoimmunotherapy who had positive scans had 39.9 months of median progression-free survival at an interim evaluation point and 14.2 months of median PFS at end-of-induction therapy, compared with 55.5 months of median PFS at interim and 60.5 months of median PFS at EOI among those with negative scans. Multivariate analysis of the findings, which were published in the journal Nuclear Medicine and Molecular Imaging, showed that PET status at EOI alone independently predicted follicular lymphoma progression.
A study in JAMA Oncology found that individuals with advanced lung cancer who underwent palliative care 31 days to a year after diagnosis had improved survival, compared with those who didn't receive palliative care. However, researchers found that palliative care within a month of diagnosis was associated with reduced survival, while palliative care more than a year post-diagnosis correlated with no survival benefit.
Fetal alcohol spectrum disorders affect 1 in 20 babies, including Lindsay and Spencer Munns' adopted twin boys, who began showing signs such as constant ear infections and violent tantrums. Symptoms can be similar to other behavioral issues, says Julie Beasley of the University of Nevada, Las Vegas, making diagnosis difficult, which the Munns found when trying to get treatment for their boys.
Those concerned a co-worker might be considering death by suicide can ask whether everything is OK and listen without judgement, experts say. "You're just having a thoughtful conversation with somebody, and telling them that they're not alone and that somebody's hearing them," says American Association of Suicidology president Jonathan Singer, who also teaches social work.
CDC and World Health Organization researchers found suboptimal diphtheria-tetanus-pertussis 3 vaccine coverage worldwide, but increases in DTP3 coverage correlated with a lower proportion of diphtheria cases among youths younger than 15, suggesting that children had elevated vaccine protection. The findings were published in Emerging Infectious Diseases.