Primary care providers who take the time to listen to patients -- especially those with anxiety or mental health disorders -- can save patients' lives and save health insurers money, but too many providers have only "10 to 15 minutes to take a history, address a patient's chief complaint, create a treatment plan and refill prescriptions -- all while checking the boxes we have to check for payers and employers," writes family physician Erica Swegler, a member of the American Academy of Family Physicians board of directors. Ensuring primary care providers have adequate time with patients and are fairly compensated for that time would reduce overall spending, Swegler writes.
Ransomware attacks on health care organizations began to decline after the second quarter of last year, while banking Trojans became the primary malware threat through the first quarter of this year, according to a threat report from Proofpoint. There were more malware attacks than phishing attacks against health care organizations over the study period, and the Emotet banking Trojan made up 60% of all malicious payloads in the first quarter of this year, the report says.
Health care providers using one of four different EHR systems in 2015 and 2016 said there were too many unneeded steps and follow-up actions required, and they would prefer simpler message processing. Providers don't like complex inboxes, want to be able to add comments or reminders, and said a to-do function would be helpful, among other suggestions.
Twenty-eight percent of patients with type 1 diabetes who underwent allogenic islet transplantation were free from using insulin and maintained A1C levels of 6.5% or lower at 10 years, with about 40% of that group achieving that endpoint five years after the procedure, according to a study in Diabetes Care. French researchers analyzed 28 patients and found that patients also experienced significant improvement in mean glucose levels and time spent below range within one year after transplantation.
A study presented at the annual meeting of the American Academy of Ophthalmology showed that patients with diabetic macular edema were at an increased risk of having severe sleep apnea compared with those without the eye condition. Based on 51 patients, Taiwanese researchers found that those who needed at least three laser or medical therapy treatments to control their macular edema were more likely to have severe sleep apnea, which also puts them at a higher risk for type 2 diabetes, high blood pressure, stroke and heart attack.
Researchers followed more than 12,000 individuals worldwide from their childhood in the 1970s into their adulthood and found that those who had severe obesity as a child were at the highest risk of severe obesity as adults. The findings in the International Journal of Obesity found a significantly higher risk of severe obesity among girls, blacks and those with lower education levels, compared with boys, whites and those with higher education levels.
Combining an energy-reduced Mediterranean diet with physical activity and behavioral support led to better diet adherence at one year for patients with metabolic syndrome, when compared with an intervention that included a traditional Mediterranean diet, two diet education sessions and lifestyle recommendations, researchers reported in the Journal of the American Medical Association. Patients in the energy-reduced Mediterranean diet group showed improvements in diet quality, energy intake and cardiovascular risk factors, researchers said.
Swedish researchers found that 3.4% of babies born to mothers who underwent Roux-en-Y gastric bypass surgery developed major birth defects, compared with 4.9% of those whose mothers didn't receive gastric bypass surgery. The findings in the Journal of the American Medical Association also showed that 60% of birth defects among those born after surgery were major heart defects, while none of those in the surgery group developed neural tube defects, compared with 0.07% of controls.
Children with autism spectrum disorder had 41% increased odds of developing obesity, compared with those who didn't have ASD, according to a meta-analysis in Obesity Reviews. Researchers also found that non-Caucasian race, female sex, older age and US residence positively moderated the correlation between ASD and pediatric adiposity prevalence.
Healx has raised $56 million as it continues its work of using machine learning to find new drug treatments for rare diseases. The company is planning to open a global accelerator program to find treatments.
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