Arkansas officials said 4,109 Medicaid beneficiaries lost coverage this month after failing to comply with new rules that require them to work or be involved with other activities like training for 80 hours per month for three months in a calendar year. The total number of people dropped from the state's expanded Medicaid program is close to 8,500, and an additional 4,800 people are at risk of losing their benefits if they fail to meet the requirements by the end of this month.
Individuals with akinetic-rigid Parkinson's disease, or Parkinson's with movement slowness, muscle stiffness and postural instability with gait difficulty, had significantly worse executive and visuospatial functioning and language skills, as well as an eightfold higher risk of developing dementia, compared with those with tremor-dominant Parkinson's, according to a study in the Journal of Neurology, Neurosurgery and Psychiatry. The findings also showed that Parkinson's patients with the not-determined motor subtype had a threefold and twofold increased odds of mild cognitive impairment, compared with those in the tremor-dominant and akinetic-rigid groups, respectively.
An experimental monoclonal antibody blocked inflammatory and oxidative activity associated with fibrin without compromising the protein's clotting function in mouse models, researchers reported in Nature Immunology. The antibody could one day help protect against neurodegeneration associated with multiple sclerosis and Alzheimer's disease, and it may also have benefits for other organs damaged by inflammation, said senior investigator Katerina Akassoglou.
Researchers examined 275 patients with advanced anaplastic lymphoma kinase-positive non-small cell lung cancer who had never been given an ALK inhibitor and found that those who received brigatinib had higher rates of 12-month progression-free survival and confirmed objective response, compared with those who took crizotinib. The findings in The New England Journal of Medicine also showed a 78% confirmed intracranial response rate among those in the brigatinib group with measurable lesions, compared with 29% among those in the crizotinib group.
Harvard Pilgrim Health Care is testing GlucoseZone, an app-based diabetes control program that uses exercise, technology and real-time monitoring, with employer clients in Connecticut. Regional vice president Jason Madrak said small employers face challenges in implementing wellness programs, but expanded digital capabilities make it easier to promote programs with a digital or social media component.
A Food Research and Action Center report showed participation by low-income children in after-school supper programs in Kentucky increased by 16% from 2016 to 2017. Elizabeth Fiehler of the Kentucky Department of Education said after-school meals create a continuation of the meals students have during the school day.
The story of a Utah teen who kept his turbulent family life secret illustrates the difficulty schools face in identifying homelessness among students. "They often think they're going to get in trouble or we're going to call the authorities because they don't live with their parents," said Mike Harman, homeless liaison for the Salt Lake City School District.
The Mahoning County, Ohio, Juvenile Court has seen a 50% drop in truancy cases due to a preemptive program begun three years ago in local schools, says Judge Theresa Dellick. The Early Warning System assesses each student weekly through a team comprising the principal, resource officer, guidance counselor, teachers, a court social worker and an outside behavioral health specialist.
Community of Hope, a Cleveland nonprofit founded by social worker Amber Donovan, enlists support for young people aging out of foster care by hosting "Open Tables" in which six to eight adult volunteers meet weekly to provide support and help make action plans. The organization has been deluged with volunteer interest through its 23 Open Tables and has plans for more next year.
A pilot program in Britain seeks to provide continuity for people with autism, learning disabilities and mental health issues by pairing them with dedicated social workers, known as "named social workers." The program provides "time to think through their aspirations, how best to support them to be independent in the long term, not just for the next year or so," said one of the participating social workers.