The CMS issued guidance to state Medicaid directors clarifying implementation of the 2014 Home and Community Based Services rule. The document is meant to help states determine whether home-care facilities, assisted living facilities and group homes are complying with Medicaid funding requirements by clarifying what "isolation" means in the HCBS regulation.
Two students who survived the shooting at a Parkland, Fla., high school last year took their own lives recently in the same week. Their deaths have been attributed, in part, to effects of the shooting, including "survivor's guilt" and post-traumatic stress disorder.
Scottish researchers found that individuals who lived in areas that had increased aluminum and fluoride levels in drinking water had higher odds of developing dementia, compared with those in areas with lower concentrations of aluminum and fluoride in their drinking water. The findings were published in The British Journal of Psychiatry.
Health care and hospital systems say they are eager to explore the medical advancements 5G networks will make possible. It will be several years until most hospital networks can take advantage of 5G, but when they do, providers will be able to conduct more telemedicine and give patients greater control over their personal health data, experts say.
Patients with type 2 diabetes who received once-daily oral semaglutide as add-on to metformin, with or without a sulfonylurea, had significantly greater A1C and body weight reductions from baseline to 78 weeks, compared with those on sitagliptin, according to a study presented at the Endocrine Society's annual meeting and published in the Journal of the American Medical Association. Researchers analyzed data from the PIONEER 3 trial involving 2,463 patients, mean age of 58.
Researchers used a cohort of 203 adults with type 1 diabetes who wore a blinded Dexcom G4 continuous glucose monitor, median age of 68, and found that they spent a median time of 72 minutes per day with blood glucose levels of less than 70 mg/dL and 24 minutes daily with levels less than 54 mg/dL. The findings, presented at the Endocrine Society's annual meeting, showed that hyperglycemia with blood glucose levels of more than 180 mg/dL and 250 mg/dL was present for a median of 8.4 hours and 2.8 hours daily, respectively.
A study presented at the Endocrine Society's annual meeting revealed that 38% of 93 children and young adult patients with type 1 diabetes, ages 6 to 25, quit using a hybrid closed-loop insulin delivery system within nine months, with trouble staying in automode, premature sensor failure and sensor supply issues among the reasons behind the discontinuation of use.
Researchers found that eating later in the day and going to sleep later were associated with a higher body mass index and fat mass. Findings were presented at the Endocrine Society's annual meeting and based on 32 adults with overweight and obesity, mean age of 36.4.
Makers of telehealth programs and apps that help patients get diagnoses and manage chronic conditions have found some people use them to express suicidal thoughts. CEO Daniel Nathrath said Ada Health did not initially see it as a big issue, but now companies are integrating response plans into their programs, which can include directing users to crisis hotlines or contacting emergency services.
Sherlock Biosciences has $35 million in funding to explore how CRISPR gene editing technology can be used to develop diagnostics. CEO Rahul Dhanda said the goal is to "deliver on the performance of molecular diagnostics necessary to make clinical changes, but also bring cost effectiveness and simplicity to the table."
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