The time it took to transfer stroke patients from a hospital that was not equipped to handle their care to a major stroke center ranged from 46 to 133 minutes, which is longer than the driving time between the facilities, researchers told the Society of NeuroInterventional Surgery's annual meeting. Researchers said increased public awareness, better emergency dispatching policies and improvements in hospital stroke units have reduced the time to treatment for stroke patients, but transport delays are still common.
Nearly 2,600 hospitals will be penalized for missing readmission targets under Medicare. They will face an an average Medicare payment reduction of 0.61% per patient stay. The reductions are based on readmissions of patients initially hospitalized for heart attack, heart failure, pneumonia, chronic lung problems, or hip or knee replacements, and penalties total $420 million. Most hospitals that escaped penalties this year were exempt because they are specialty or critical-access hospitals or otherwise not subject to the penalties.
Cooking with olive oil is heart-healthy but heating it above its smoke point can cause the fat to break down and the antioxidants and other healthy compounds to decompose, said registered dietitian Felicia Stoler. High heat may even cause unhealthy compounds to form, and RD Brooke Schneid says cooking olive oil to the point of smoking can release unhealthy free radicals into the air.
Running on sand expends more energy and burns more calories than hard-surface running, while adding a resistance training element to a workout, said Dr. R. Amadeus Mason at Emory Healthcare. It is important to wear shoes when first learning to run on sand, Mason said, and to begin slowly and add longer stretches of sand running to the workout.
Feed regulations, testing of cattle and other measures have helped reduce the risk of bovine spongiform encephalopathy and variant Creutzfeldt-Jakob disease, according to the FDA. There have been four cases of BSE in U.S. cattle, and all were deemed the atypical, naturally occurring form. BSE, a prion disease that causes progressive nervous system degeneration, emerged in U.K. cattle in the 1980s and 1990s, and human cases of vCJD were linked to the appearance of BSE.
Pet owners know there's a meaningful, powerful bond between people and pets, and science offers support for that notion, too. Research shows that oxytocin, the same hormone released when humans feel affection toward one another, is produced in dogs and humans when the species interact. Time with dogs has also been shown to reduce stress, improve mental health and help people form social connections with one another.
A family-oriented behavioral intervention program helped improve A1C levels over 2 years among children with type 1 diabetes across all income levels, compared with the control group, according to a study in the American Journal of Preventive Medicine. The findings were based on data from 390 families with children with type 1 diabetes, ages 9 to 15.
Liraglitude induced an enhanced post-challenge insulin and C-peptide response after the 12-week oral glucose tolerance test and throughout the study period, as well as a reduced post-challenge glycemic excursion, but also increased post-challenge glucagonemia among patients with type 2 diabetes, compared with those who received placebo injection. The findings in The Journal of Clinical Endocrinology & Metabolism were based on 51 type 2 diabetes patients who had an average disease duration of 2.6 years.
A study in JAMA Pediatrics found that pregnant women with gestational diabetes had an increased likelihood of experiencing neonatal complications, such as NICU admission, respiratory distress and large for gestational age, after taking glyburide for 50.4 days, compared with those on insulin for 54.1 days. Researchers used a cohort of 9,137 privately insured women with gestational diabetes.
Health IT stakeholders, including the College of Healthcare Information Management Executives, are asking the CMS to issue the final rule for the 2015-2017 EHR Incentive Program so that health care professionals can prepare for the final 90-day attestation period's Oct. 3 deadline. "If providers do not receive the final rule shortly, it will be very difficult to make workflow adjustments in a timely manner to meet programmatic deadlines and facilitate Meaningful Use tracking and reporting," the letter to HHS Secretary Sylvia Mathews Burwell says.