A federal lawsuit arising from a white Texas family's adoption of a Navajo boy could decide the fate of a 1978 law designed to preserve the cultural heritage of Native American children. Challengers of the Indian Child Welfare Act argue that it deprives children of loving homes by placing too much emphasis on tribal identity in placements.
Researchers who used PET found that sugar uptake changes between baseline and two weeks after the start of pertuzumab and trastuzumab treatment without chemotherapy yielded high sensitivity and very high negative predictive value in predicting treatment response among women with stage II or stage III ER-negative, HER2-positive breast cancer, with those having elevated sugar levels post-treatment likely to need chemotherapy. The findings in the Journal of Clinical Oncology may prompt better-targeted breast cancer treatments, but more studies are needed before widespread use of the PET scan biomarker, researcher Dr. Vered Stearns said.
The CMS approved LivaNova's vagus nerve stimulation therapy for treatment-resistant depression for Medicare coverage through the Coverage with Evidence Development framework when offered via an agency-approved trial, the company said. The decision also covers device replacement and may extend the trial to a potential longitudinal study.
The collapse of Venezuela's health care system and the failure of government to sustain disease surveillance and public health programs have resulted in increases in cases of vector-borne diseases such as malaria, Chagas' disease, chikungunya, dengue and Zika virus. A review by international researchers in The Lancet Infectious Diseases said the spread of insect-borne diseases in Venezuela poses a health risk for the region.
Children with fever or sepsis symptoms in a pediatric ICU had similar overall number of days of antibiotic use before and after the implementation of guidelines reducing blood culture use, a study in Infection Control & Hospital Epidemiology reported. The findings also showed that the overall number of broad-spectrum antibiotic regimens prescribed remained similar after the guidelines were implemented.
Infection rates for human papillomavirus strains 16 and 18, which have significant links to cervical cancer, decreased from 2008 to 2014, a study in Cancer Epidemiology, Biomarkers & Prevention found. During this period the use of HPV vaccines became more widespread.
Higher whole grain consumption was linked to a lower risk of hepatocellular carcinoma in adults, according to research published in JAMA Oncology. Data suggested a trend toward higher bran, total germ and cereal fiber intake and a lower HCC risk, while there was no correlation for fiber intake, fruits or vegetable fiber intake.
Artichokes, spinach, red peppers, garlic and olive oil are easy to include in heart-healthy meals to bolster cardiovascular health, says registered dietitian Carey Stites. Artichokes are among the top vegetables for antioxidants, the nutrients in spinach may help curb cholesterol and the monounsaturated fatty acids in olive oil may help reduce the risk of heart disease, Stites says.
All carrots are nutritious and relatively low in calories, but purple carrots are high in the antioxidant anthocyanin, which is found in purple fruits and vegetables, writes registered dietitian Jillian Kubala. Research links anthocyanins with improved blood flow and blood vessel function, a lower risk of heart disease and diabetes and cognitive protection.