The World Health Organization reported that the number of measles cases worldwide totaled 229,068 in 2018, nearly two times more than in 2017, and that figure is expected to rise as final reports from the year trickle in. The organization said vaccine coverage has stalled at 85%, well below the 95% threshold required to prevent outbreaks, and second-dose coverage is 67%.
Cain Hayes, the new CEO of Gateway Health Plan, believes that addressing social determinants of health is the key to improving the health and well-being of Gateway's 550,000 members. Hayes said the insurer's short-term goal is to lower health care costs by ensuring that members have access to a primary care doctor, who can diagnose and treat health problems before they progress to emergencies.
Climate change is bringing widespread emotional challenges along with its weather disruption and harrowing headlines, mental health experts note, with Memorial University's Ashlee Cunsolo co-creating the term "ecological grief." Social work professor Shanondora Billiot says climate change led to disconnection for members of the United Houma Nation in Louisiana, noting the erosion of cultural practices tied to the land and a sense of powerlessness.
Managers shouldn't beat around the bush with employees, especially when there are performance issues, Alison Green writes. "You end up prioritizing your own comfort over the employee's ability to clearly hear where they're going wrong and what they need to change," she writes.
UK researchers analyzed data from the China Kadoorie Biobank study involving 53,817 adults and found a correlation between type 2 diabetes incidence and heart rate, with individuals with heart rates between 67 and at least 86 beats per minute at a greater risk for diabetes, compared with those whose heart rates were 67 bpm or lower. The findings in the Journal of Diabetes Investigation also revealed a positive dose relationship between diabetes and heart rate.
Adults with type 2 diabetes who consumed very little alcohol daily may be at an increased risk for liver fibrosis if they have low levels of serum insulin-like growth factor I, according to findings published in the Journal of Diabetes Investigation. Japanese researchers conducted a cross-sectional study of 415 adult diabetes patients, mean age of 61.9, and found that both IGF-I and IGF-I standard deviation scores were inversely associated with fibrosis-4 index, even after adjusting for A1C, age, body mass index, fasting plasma glucose, gamma-glutamyl transpeptidase, growth hormone, HDL cholesterol, triglycerides and visceral fat area.
A study published in Circulation Research revealed that people with type 2 diabetes who ate five servings of nuts weekly had a 34% lower risk of cardiovascular disease mortality, 31% reduced all-cause mortality risk, 20% lower coronary heart disease risk and 17% reduced risk of total cardiovascular disease incidence than those who ate little or no nuts each month. Researchers also found a lower risk of CHD, CVD, CV mortality and all-cause premature death among those who increased their nut consumption after being diagnosed with diabetes, compared with individuals who did not change their nut-eating habits after the diagnosis.
Researchers found that adults with hypertension who consumed diets with low-sodium salt substitutes had reduced diastolic and systolic blood pressure, compared with the control group. The findings in the journal Heart, based on 21 randomized controlled trials, showed that diets with low-sodium salt substitutes also led to a decrease in urinary sodium excretion and an increase in calcium excretion and urinary potassium levels.
Individuals who engaged in at least four weeks of interval training lost an average of 1.58 kilograms, compared with a total weight loss of 1.13 kilograms among those who had continuous moderate intensity activity, such as cycling, jogging or walking at a steady pace, according to a study in the British Journal of Sports Medicine. Brazilian researchers evaluated 41 smaller studies involving 1,115 participants and advised people with obesity who need to lose more pounds to exercise more than an hour daily.
New connected insulin pens by Novo Nordisk including the NovoPen 6 and NovoPen Echo Plus will be connected with the diasend platform by diabetes data management firm Glooko. A new compatibility feature will link Glooko's diasend platform with the Dexcom G6 continuous glucose monitor.
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