Professional musicians often perform in bars and clubs, which can complicate trying to stay sober, and they risk normalizing that kind of environment, says social work professor Rob Butters. A program called Send Me A Friend, founded by singer-songwriter Anders Osborne, places volunteers with musicians before and after shows to remind them of their sobriety and provide support.
Regular oral health exams are important for pets and livestock to check for and treat dental diseases, malocclusion, abscesses and jaw problems, says veterinary dentistry resident Mallory Kanwal. Pets should get a comprehensive oral health exam by the time they are 1 to 2 years old, and owners should brush pets' teeth daily to prevent problems, Dr. Kanwal says.
States are turning to managed care organizations to rein in spending on high-cost Medicaid beneficiaries, but health care provider shortages in rural areas and social factors such as lack of housing and transportation instability are complicating their efforts, according to a report from the Government Accountability Office. In addition to managed care, states such as Nevada and Indiana have explored strategies to curb costs, such as incentivizing high-performing MCOs and implementing programs to limit overuse of health care services.
Older type 2 diabetes patients tended to overemphasize complications and additional health conditions when asked about enhancing or de-intensifying their therapy, which shows that "the guidelines about individualized blood sugar targets are not intuitive to patients, and better communication is needed, as is more research to better understand patients' perspectives and preferences," said Dr. Nancy Schoenborn, co-author of a study published in JAMA Internal Medicine. Researchers surveyed 818 patients ages at least 65 and found that 72.7% said those with at least 15 years of life expectancy needed aggressive treatment and 78.2% said aggressive treatment should be given to those with a lower adverse events risk.
Austrian researchers examined more than 11,000 individuals, ages 6 to 80, and found that the prevalence of prediabetes and diabetes was higher among males than females and that prediabetes prevalence was 4.6% in children ages 6 to 10. The findings, presented at the European Association for the Study of Diabetes annual meeting, revealed that male diabetes patients were more likely to have angina, calcification of arteries and heart attack, compared with female diabetes patients, who were more likely to have greater signs of systemic inflammation and higher arrhythmia prevalence.
A study in JACC: Basic to Translational Science showed that adding vorapaxar to dual antiplatelet therapy reduced platelet-mediated thrombogenicity without affecting clot kinetics among patients with and without type 2 diabetes. Based on 64 patients, researchers found that a discontinuation of aspirin use was associated with increased collagen-related peptide, adenosine diphosphate and thrombin receptor-activating peptide-induced aggregation in both groups.
Danish researchers found that obesity was tied to a 5.8-fold increased risk for type 2 diabetes over 10 years, compared with normal weight. Presented at the European Association for the Study of Diabetes annual meeting and based on 9,556 adults with a mean age of 56, findings showed that those with obesity and poor lifestyle were at a greater risk of developing incident type 2 diabetes, independent of their genetic risk.
A study in JAMA Pediatrics showed that adolescent girls with later nighttime sleep had nearly a quarter-inch greater waistline measurement and slightly higher body fat on average, which may up their risk for cardiometabolic issues like diabetes and heart disease, compared with those with earlier bedtimes. The findings, based on data involving more than 800 youths ages 12 to 17, didn't associate later bedtimes to increased waist circumference and body fat among boys, but researchers said it may be because there were too few boys in the study.
Diet, meal timing and the effects of inflammation are factors in cardiac dysfunction, researchers told the Heart Failure Society of America's annual meeting. Dr. W.H. Wilson Tang said microbes, which may act as inflammatory modulators in heart failure, also are in play and that food affects metabolite levels and microbiome diversity.
DreaMed Advisor Pro, DreaMed Diabetes' artificial intelligence-based insulin dosing software, has received FDA 510(k) clearance and CE Mark approval. The software was designed for type 1 diabetes patients on insulin pump therapy with continuous glucose sensors of blood glucose meters.
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