Senate Republicans are looking to reach consensus on coverage of pre-existing conditions, with some conservatives preferring to repeal Affordable Care Act provisions governing pre-existing conditions and institute an opt-in approach for states that want to keep the provisions. Other ideas include an opt-out approach, requiring automatic coverage enrollment before states can obtain waivers or leaving many of the ACA provisions in place.
A study in Psychological Medicine found no link between cat exposure and psychosis, debunking previous studies suggesting Toxoplasma gondii exposure may be associated with psychosis in humans. T. gondii may be shed in cat feces, where immunocompromised people and pregnant women could pick up the parasite, but there is no evidence to support the idea that the parasite causes mental health issues.
Data from a meta-analysis presented at the Digestive Disease Week meeting showed positive outcomes from the use of GI Dynamics' EndoBarrier device in patients with type 2 diabetes and obesity. Use of the gut sleeve led to a 1.3% average A1C reduction after an average implantation of 8.4 months, as well as an average BMI reduction of 4.2kg/m2 and an average weight loss of 14.2%; A1C levels were also maintained at 1% lower than baseline six months after implant removal.
Swedish and Spanish researchers found that newly diagnosed type 2 diabetes patients experienced an increase in the growth of beneficial gut bacteria akkermansia and bifidobacterium four months after taking metformin, compared with those on placebo. The findings in the journal Nature suggest that people with type 2 diabetes might benefit from eating foods that help promote good gut bacteria, researchers said.
A 41-patient study in Clinical Hemorheology and Microcirculation compared contrast-enhanced ultrasound and color Doppler imaging for follow-up care among patients who received endovascular aortic repairs for abdominal aortic aneurysms. Using contrast-enhanced ultrasound as the standard, the study team found that color Doppler has a specificity of 92% and a sensitivity of 32%.
Screening rates for diabetic retinopathy increased from about 25% to 40% among rural and underserved patients of primary care clinics that added a telehealth program, according to a study in JAMA Ophthalmology. Researchers followed 1,661 adults participating in the North Carolina Diabetic Retinopathy Telemedicine Network.
A report from the Department of Veterans Affairs Office of Inspector General found that clinicians across 28 facilities often failed to document follow-up activities, required treatment plans and other suicide prevention protocols in EHRs. Eleven percent of EHRs for high-risk patients lacked suicide prevention plans.
Preliminary data from the CDC's 2016 National Health Interview Survey show 51.7% of Americans reported getting the recommended amount of physical activity, an increase from 49% in 2015. The report found women were less likely than men to meet the guidelines for leisure time aerobic activity.
A survey of 349 hematologic oncologists found 68% said hospice care in general was helpful for blood cancer patients, but 46% said home hospice care was not adequate compared with inpatient hospice services. The study, published in the journal Cancer, found half of the physicians said they would be more likely to make hospice referrals if patients were able to get red cell and/or platelet transfusions.
A retrospective cohort analysis presented at the American Thoracic Society's annual meeting found that antibiotics prescribed as first-line monotherapy for community-acquired pneumonia failed in 22.1% of cases. The findings, based on more than 250,000 patients aged 18 and older who were treated with antibiotic for CAP from 2011 to 2015, showed being female, older age and having pneumococcal pneumonia were predictors of antibiotic failure.
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