The CMS has released 14 proposals to address challenges with the Affordable Care Act's insurance exchanges that have contributed to the enrollment of sicker-than-expected populations. The proposed changes include improving outreach to young adults, adding flexibility for bronze plan offerings, tightening rules for special enrollment periods and accounting for prescription-drug use in assessing patients' health status and risk profiles.
A study in the journal BMC Public Health found when parents were more engaged in encouraging their children to eat a healthy diet and be physically active, children had a greater chance of meeting healthy behavior guidelines. Children were more likely to meet guidelines when parents took them to parks and playgrounds or participated in physical activities with them, and when families ate meals together away from the TV, researchers said.
Cancer has been eliminated or slowed in some of the dogs participating in the Synchronization of Immunotherapy clinical trial, in which chemotherapy is administered when dogs' immunity is strongest. Researchers have not yet determined why the same type of cancer responds to treatment in some dogs but not in others, says study leader and veterinarian Carol Osborne.
Genetic analysis of raw cows' milk from 899 tanker trucks revealed a high level of bacterial diversity, with more than 50% of the bacterial groups identified accounting for less than 1% of the total bacterial content, according to study leader Maria Marco. The study findings, published in mBio, might help dairy processors develop better sanitation procedures and other measures for safety and quality.
Obese men had an almost 10% reduction in their overall food consumption from a breakfast buffet 95 minutes after receiving intranasal 24 IU oxytocin at six individual puffs at 30-second intervals, compared with those on placebo, while no changes in breakfast consumption were observed among normal-weight men, according to a study in the International Journal of Obesity. The findings, based on 18 healthy men with obesity and 20 normal-weight men, showed oxytocin administration had a sustained suppressive effect on postprandial glucose and hypothalamic pituitary adrenal axis secretion, but didn't affect resting energy expenditure.
A study in the Journal of the American College of Cardiology showed that type 2 diabetes patients with stable coronary artery disease who underwent coronary artery bypass grafting and received optimal medical therapy had a reduced risk of mortality and myocardial infarction, but not stroke, compared with those who underwent percutaneous coronary intervention plus OMT. Canadian researchers conducted a meta-analysis of data from three trials involving 5,034 patients.
Researchers found that older adults with diabetes and high blood glucose levels had lower scores on the first memory test and a bigger decline in memory function by the end of the study than those without diabetes or high blood glucose. The findings in the Journal of Epidemiology & Community Health were based on 4,419 older adults with and without diabetes, who underwent a series of four memory tests from 2006 to 2012.
Health experts are concerned that infants exposed to the Zika virus who do not develop microcephaly may still experience other cognitive and developmental issues and require cross-disciplinary care. Florida is enrolling children born with birth defects or developmental challenges due to Zika in its Early Steps program.
Faithfully following a Mediterranean diet may reduce the risk of all-cause mortality in patients with a history of heart disease by about 37%, according to a study of 1,200 people in Italy. Researchers told the European Society of Cardiology's annual meeting the results mainly were linked to eating foods such as fish, vegetables, fruits, nuts and olive oil.
A springer spaniel named Angus is trained to detect Clostridium difficile in the environment, and he'll soon be working full time, allowing staff at Vancouver General Hospital to do targeted disinfection. Angus' success rate is between 95% and 100%, and his brother, Dodger, will be trained next, says dog trainer Teresa Zurberg.
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