Research reported in JAMA Surgery found obese adults who had gastric bypass surgery had a lower risk of death, compared with those who did not have surgery, but it varied by age group. The study found no survival benefit for patients younger than 35, but those ages 35 to 44 had a 46% lower risk of death from all causes during the study period, patients who were 45 to 54 had a 57% lower risk, and those ages 55 to 74 had a 50% lower risk.
A study in the British Medical Journal found that a patient-to-nurse ratio of no more than six patients per nurse is associated with 20% lower patient mortality than when each nurse is responsible for at least 10 patients. Findings also show a 17% reduction in mortality with lower patient-to-nurse ratios in surgical wards.
University of Sussex psychologists say their research suggests horses have some understanding of human facial expressions. When the horses viewed an image of a man they did not know with an angry expression, the horses exhibited behavioral indicators of negativity and physiologic stress-response signs. The changes were more pronounced when viewing angry expressions compared with happy faces, possibly because the horses are more attuned to threats.
Cats and dogs with out-of-date vaccinations when exposed to rabies can receive a booster and be subject to an observation period, rather than quarantine or euthanasia, according to the National Association of State Public Health Veterinarians in the 2016 edition of the Compendium of Animal Rabies Prevention and Control. The change follows a paper in the Journal of the American Veterinary Medical Association that found that dogs whose vaccination status had lapsed demonstrated an adequate antibody response to support the change. Veterinarian Catherine Brown said the guidance does not mitigate the need to keep current on vaccination.
Americans are projected to spend $19.7 billion on Valentine's Day this year, and $681 million of that is going to the dogs, cats and other pets, according to retail industry data. What's more, 40% of people who responded to a Trupanion Blog survey said they'd rather spend Valentine's Day with their pet than their significant other.
Registered dietitian Liz Weber says simple choices can help make dining out on Valentine's Day heart-healthy, such as avoiding bread and chips before the meal, foregoing or splitting an appetizer and keeping alcohol calories to a minimum. Choose a broiled, baked or steamed entree, instead of fried foods, keep portions in check and try a fruit-based dessert with some dark chocolate, Weber says.
A mini-dose of ready-to-use, subcutaneous glucagon is effective in treating mild hypoglycemia without the consumption of additional calories for adults with type 1 diabetes, according to a study in Diabetes Care. Researchers analyzed data from 12 diabetes patients with a mean age of 26 and found they had mean fasting glucose concentrations of 110 mg/dL for the 75 microgram and 150 microgram doses of glucagon, and 109 mg/dL for the 300 microgram doses, which increased maximally by 33 mg/dL, 64 mg/dL and 95 mg/dL for the three doses, respectively, at 60 minutes.
A study in the journal Human Molecular Genetics showed that the methylation of the TXNIP gene may be used as a biomarker for type 2 diabetes. Researchers studied methylation in the blood samples of 355 participants with and without diabetes and found that the TXNIP gene had a low level of genomic methylation in diabetes patients, especially those with poor glucose control. The study was replicated twice and findings were the same.
Slovak researchers found that children with type 1 diabetes spent less sleep time in deep sleep and also had a reduced efficiency of deep sleep, compared with children without the condition. The findings, presented at the annual International Conference on Advanced Technologies & Treatments for Diabetes and based on data from 40 children with and without diabetes, showed a negative association between efficiency of deep sleep and A1C, average sensor glucose, glucose variability and bedtime glucose.
Among CMS plans to improve the Medicare Shared Savings Program, the biggest change would be switching from national financial performance benchmarks to regional benchmarks that fit local markets and increase the likelihood of earning the incentive, experts said. Dr. William Bithoney at the BDO Center for Healthcare Excellence & Innovation said the change could increase MSSP participation, which currently includes 434 accountable care organizations.
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