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.
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.
Healthy individuals who later developed dementia or mild cognitive impairment had a similar trajectory of personality traits, compared with peers who didn't, indicating that preclinical personality change wasn't tied to dementia onset, researchers at Florida State University College of Medicine and the National Institute on Aging reported. However, the findings in JAMA Psychiatry support personality traits such as low conscientiousness and elevated neuroticism as dementia risk factors.
Registered dietitian nutritionist Joy Bauer, founder of Nourish Snacks, said working in private practice, in a hospital setting and in the media helped her grow in her profession and understand the obstacles people face and what they want in healthy food. Bauer said having her own business requires hard work and networking, and she has learned to see mistakes as a "way to learn how to do things better the next time around."
A three-judge panel of the US Court of Appeals for the 9th Circuit reversed a lower court ruling and enjoined a local San Francisco ordinance requiring advertising for some sugar-sweetened beverages to carry labels warning that drinks with added sugar contribute to obesity, diabetes and tooth decay. The judges said the warning overwhelms other parts of the ads and could violate the First Amendment.
A study of pre-made, delivered meals adhering to the DASH diet showed the food did not improve quality of life for older heart failure patients, but findings suggested it may improve symptoms, researchers told a Heart Failure Society of America meeting. Dr. Scott Hummel of the University of Michigan said the secondary findings of the study support the "food-as-medicine" concept, and that overall people liked and followed the diet.
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.
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