Even if Medicare remains intact, senior citizens could suffer greatly if the Affordable Care Act is repealed, facing higher costs and reduced access to services. These effects would also be harmful for other age groups, as many care burdens would then fall on adult children and grandchildren.
Individuals who had first- or second-degree relatives with either type 1 or type 2 diabetes were at a twofold increased risk of developing latent autoimmune diabetes of adults, a rare form of type 1 diabetes, according to a study in Diabetes and Metabolism. Swedish researchers analyzed data on a previous study involving more than 3,000 people and found that those with LADA were more likely to be carriers of a high-risk genotype known as DR4-DQ8, which was common among those with a family history of type 1 diabetes, but were less likely to carry a low-risk genotype called DRX/X, compared with people with type 2 diabetes.
German researchers found that a mean reduction of 5.1 points on the Center for Epidemiologic Studies Depression Scale, which was used to measure the reduction of depressive symptoms, was associated with a 0.7% reduction in mean A1C from baseline to follow-up among adults with type 2 diabetes, 35% of whom achieved in-target glycemic control levels. The findings in the Journal of Diabetes and its Complications, based on 181 adults with a mean age of 45, showed that the odds for achieving the glycemic target increased by 4% with every 1-point reduction of depressive symptoms on CES-D.
Diabetes patients in an intensive aerobic exercise and dietary program saw a greater decrease in average A1C levels than those in a standard care group, and 73.5% required less diabetes medication, compared with 26.4% in the standard care group, according to a study in the Journal of the American Medical Association. Researchers said the improvements in the intervention group did not reach the threshold for equivalence to standard care but were "in a direction consistent with benefit."
A study in the Journal of the American College of Cardiology found patients with cancer had greater risks for arterial thromboembolism, heart attack and ischemic stroke six months after their diagnosis, compared with those who did not have cancer. The findings were based on Medicare linked-Surveillance Epidemiology and End Results Program data for 279,719 pairs of patients with cancer and matched controls.
Discontinuing cost-sharing reduction payments to insurers would increase premiums for silver-tier plans, the most popular plan tier sold on Affordable Care Act exchanges, by 20% next year and by 25% by 2020, and would raise the federal deficit by $194 billion through 2026, according to an analysis by the Congressional Budget Office. The move would prompt insurers in some states to exit the market, leaving about 5% of Americans with no insurance options next year, although insurers are expected to rejoin the market in 2020.
A study suggests exercise at a young age may have a positive effect on memory-related neuronal activity. Researchers reported in the journal eNeuro early-age exercise may help prevent age-related cognitive impairment later in life by creating a cognitive reserve.
University of Oxford researchers who used PET/CT found that age had a significant negative association with tau in multiple brain regions in patients with early-onset Alzheimer's disease, with substantial cognitive change interaction between age and entorhinal cortex tau over six months, while cerebrospinal fluid tau/beta-amyloid ratio was strongly linked to cortical tau but not beta-amyloid. The findings in the Journal of Alzheimer's Disease suggest that tau pathology may be the main driver of younger-age Alzheimer's onset, while tau PET better predicts CSF total tau/beta-amyloid ratio, compared with amyloid PET, researchers said.
A hospice patient's quality of death is linked to their trust in hospice staff and good care coordination, according to a study in Journal of Palliative Medicine. A survey of family members of cancer patients showed 95.5% said hospice nurses were available to address their concerns, and 92.5% said the same of physicians.
Supermarkets are competitive and focused on the bottom line, but registered dietitian nutritionists can prove their value by working on projects that go beyond traditional dietetic roles. RDNs can help with shelf label systems, outpatient health services and product testing, as well as get involved in business aspects such as category management, marketing, e-commerce, communications and merchandising.
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