A new guidebook aims to help social workers and other health care professionals combat the opioid crisis and find strategies for helping people with opioid use problems.
A puppy at the Montgomery County, Ind., Animal Welfare League shelter had been given as a gift to the owner, who brought the puppy to the shelter when she developed symptoms of parvovirus in what director Misha Anderson said is an unfortunately common occurrence. "There is no such thing as a free dog," Anderson said, noting all puppies need their owners to invest in vaccines to protect them from disease.
A Kaiser Family Foundation analysis estimated that states that expanded Medicaid under the Affordable Care Act would lose $180 billion in funding from 2020 to 2026 if the Graham-Cassidy health care repeal bill becomes law, while non-expansion states would gain $73 billion during the same period, with California losing the most at $56 billion and Texas gaining the most with a $34 billion increase. The bill, which would replace the Affordable Care Act funding structure with state block grants, would also increase the number of uninsured by more than 30 million, according to estimates from the Center on Budget and Policy Priorities.
Researchers estimated that imposing excise taxes on sugar-sweetened drinks could curb 576,000 child obesity cases and yield savings of $14.2 billion between 2015 and 2025. The findings, presented at the American Academy of Pediatrics annual meeting, also showed that implementation of nutritional standards on children's school food and removal of tax breaks for junk food ads aimed at youths may prevent 345,000 and 129,000 child obesity cases, respectively, and lead to savings of $792 million and $260 million, respectively, during the same period.
Danish researchers used a cohort of 15 type 2 diabetes patients and found that those who received 1,500 mg of metformin for four days enhanced their bile acid-mediated induction of GLP-1 secretion, compared with those who received placebo combined with IV cholecystokinin or saline solution. The findings in the Journal of Clinical Endocrinology & Metabolism revealed that metformin also reduced plasma glucose excursions both with and without concomitant cholecystokinin-induced gallbladder emptying.
A study in the Journal of General Internal Medicine showed that 10.9% of older adults with diabetes were possibly overtreated, many of whom were ages over 75 and enrolled in Medicaid, while 6.9% of older adults were potentially undertreated. Researchers evaluated Medicare claims data from 10 states involving 78,792 patients and also found that 14% of overtreated patients had their regimens deintensified, but deintensification of therapy was less common among those older than 75.
A study in the New England Journal of Medicine showed patients who had Roux-en-Y gastric bypass were able to sustain their weight loss for 12 years. Researchers said 75% of patients with type 2 diabetes achieved remission two years after surgery and at the 12-year point, 51% remained in remission.
A study in Neurology linked high and low magnesium in older adults with dementia, with the highest and lowest serum levels increasing the risk of developing the disease by up to 30%. Lead author Dr. Brenda Kieboom said clinicians should consider magnesium tests in patients at risk of hypomagnesemia, which include those on proton-pump inhibitors or diuretics and those whose diet does not contain magnesium-rich foods.
UK men ages 40 to 59 who were physically active were almost three times more likely to be active 20 years later, according to a study in BMJ Open. Playing sports made it even more likely that men would be physically active as they aged, and the number of men who had high levels of walking increased from 27% to 62% by the end of the study.
A study in the Journal of Thrombosis and Haemostasis found use of dabigatran for treating nonvalvular atrial fibrillation was associated with an increased risk of 30-day bleeding-related hospital readmission, compared with warfarin. Researchers, who reviewed data for 5,160 patients in Hong Kong, suggest dabigatran's ability to more quickly achieve a full anticoagulation effect, compared with warfarin, accounted for this association.
- Page 1