Value-based care models could reduce health care costs, industry experts told a Senate Health, Education, Labor and Pensions Committee hearing. David Lansky of the Pacific Business Group on Health said value-based models have had positive results but employers are worried the industry has been slow to make the transition and, faced with mixed incentives, will stay with a traditional fee-for-service model.
Having dinner before 9 p.m. or at least two hours before bedtime is associated with a 20% lower risk of breast and prostate cancer, compared with eating after 10 p.m. or going to sleep within two hours of dinner, according to a study in the International Journal of Cancer. The study also linked stricter adherence to cancer prevention policies with a protective effect for breast cancer, compared with less adherence, but the effect was less pronounced for prostate cancer.
Risk factors for avian influenza at live bird markets include being female; working at a large market that handles multiple species; and slaughtering, cleaning, defeathering and eviscerating poultry, according to a meta-analysis published in The Journal of Infectious Diseases. The findings might help prevent and control the spread of avian influenza, the authors wrote.
Most participants in the online MuttMix Project survey failed to correctly identify the top three breeds in each of 31 mixed-breed dogs, with an average accuracy of 25% to 28%. The survey, conducted by Darwin's Dogs at the Broad Institute and the International Association of Animal Behavior Consultants, was part of a larger project on dog genetics.
More frequent screen time may boost teens' risk of attention-deficit/hyperactivity disorder symptoms, according to a study of 2,587 10th-graders in Los Angeles in the Journal of the American Medical Association. Findings show that students who were high frequency users of seven or 14 digital media platforms studied were more than twice as likely to develop ADHD symptoms as students who didn't have a high frequency use rate of any of the online social activities.
UK researchers found that youths 10 and older who abused animals had been abused at rates two to three times greater than those who didn't intentionally hurt animals, and the association between animal cruelty and physical abuse seemed to increase with age. The study in the Archives of Disease in Childhood found animal cruelty was nearly three times more likely among those who witnessed parental violence.
Every 1% increase in A1C over 10 years was associated with an almost 66% increased risk for diabetic polyneuropathy among patients with type 2 diabetes, according to a study in Diabetes Care. Danish researchers used a cohort of 452 patients, ages 40 to 69, and found that longer diabetes duration, advanced age and being taller correlated with a greater diabetic polyneuropathy risk.
A study in Nutrition, Metabolism & Cardiovascular Diseases showed that leptin to adiponectin ratio may be used as a biomarker for obesity-related metabolic disorders, such as insulin resistance, leptin resistance and delayed postprandial triglyceride clearance. Norwegian researchers recruited 67 adults with and without obesity and found those with a leptin to adiponectin ratio of 1.88 had an odds ratio of 48 for having at least two metabolic disorders.
French researchers analyzed 384 clinical trials that examined the efficacy of probiotics, prebiotics and synbiotics and found that 37% of the trials did not report safety results and only 28% of trials reported harm-related data. The findings were published in the Annals of Internal Medicine.
Researchers identified a new hepatitis C strain, genotype 8, in four Canadian patients originally from Punjab, India. The strain was at first categorized as genotype 5 by commercial assays, according to a report in The Journal of Infectious Diseases.
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