A study in the journal JAMA Internal Medicine found that 37.5% of 6,539 patients taking warfarin were also taking aspirin for no clear reason, putting them at greater risk for major bleeding events and other adverse outcomes. Senior author Dr. Geoffrey Barnes said aspirin use is often not documented in medical records, complicating efforts to ensure patients do not double up on anti-clotting drugs.
FDA Commissioner Scott Gottlieb has called for stricter scrutiny of EHR systems in light of reports of patient deaths, injuries and close calls related to the conversion from paper to electronic records. The 21st Century Cures Act prevents the FDA from overseeing EHRs as medical devices, and Gottlieb said companies have avoided adding functionality that could improve the systems because of concern the changes would bring them under FDA oversight.
Linebacker Max McDonald is back on the Colorado State University field this spring, a development he owes to his decision to step away from football for most of 2018 to concentrate on dealing with anxiety. "There is a stigma out there in society [that] you've got to be a man and be tough and shut up about it," says McDonald, who encourages people with mental health challenges to seek help.
Worldwide, 35% of pet owners surveyed said they either do or would consider feeding their pets a vegan diet, and 27% of pet owners who follow a vegan diet themselves do not feed their pets animal-derived foods, researchers reported in PLOS ONE. As the human health and environmental implications of plant-based diets gain attention, more people are likely to want to reduce the amount of meat they feed their pets, but more research is needed on the nutritional aspects of plant-based pet diets, says veterinarian Sarah Dodd, the study's lead author.
Anger or other strong emotions are often perceived as inherently negative especially at work, writes Lisa Kohn, but it is important to consider why you feel angry and how to resolve these feelings. One of the best ways to communicate anger and frustration is to practice "radical acceptance" -- allowing the present moment to sink in and decide how to move forward.
A study in the Journal of Diabetes Science and Technology showed that using a point-of-care A1C test with venous blood samples or finger stick may accurately predict diabetes among adults and was "highly correlated" with the National Glycohemoglobin Standardization Program values. Researchers analyzed samples from 120 adults, mean age of 57, and found that 97.1% of results from the venous blood POC tests and 97.5% of those from the finger-stick POC tests fell within 6% of the Diabetes Control and Complications Trial's reference method.
Researchers examined 773 diabetes patients who underwent total joint arthroplasty and found significantly higher average postoperative and preoperative A1C levels among those who were insulin dependent than those who were not insulin dependent. The findings, presented at the American Academy of Orthopaedic Surgeons Annual Meeting, revealed that patients in the insulin-dependent group experienced a 5.2-fold increase in postoperative hyperglycemia greater than 200 mg/dL.
Excess body weight during childhood may be a factor in the risk of developing multiple sclerosis, instead of early puberty, researchers reported in the journal Neurology. Nicholas LaRocca of the National Multiple Sclerosis Society said the study is important because it identifies BMI as a possible modifiable risk factor for MS.
Researchers found that older adults who ate more than 10 grams of nuts daily had up to 60% improved cognitive function, compared with those who didn't eat nuts, even after accounting for body mass index, energy intake, lifestyle and demographic. The findings in The Journal of Nutrition, Health & Aging were based on 22-year China Health Nutrition Survey data involving 4,822 individuals older than 55.
Tech firms such as Amazon and traditional companies like CVS have entered the health care marketplace and have become highly capitalized disruptors, so hospitals and health systems will have to make changes to meet the needs of patients and communities to compete with them, American Hospital Association CEO Rick Pollack told an AHA forum. Pollack said a big factor driving health care innovation and transformation is that people want care to be more convenient, and they are becoming more engaged in their own care.
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