Social worker Amber Windhorst brings a four-footed team member when she makes her rounds of the public schools in Butler County, Mo. Bela, a certified therapy dog, will be a source of comfort to children coping with anxiety, stress and depression, says Windhorst.
Researchers evaluated 321 women with and without gestational diabetes and found that conducting an A1C test as early as the 10th week of pregnancy could potentially determine gestational diabetes risk. The findings, published in Scientific Reports, revealed that every 0.1 percentage point increase in A1C level above 5.1% in early pregnancy correlated with a 22% increased risk of gestational diabetes.
The five-year advanced-diabetes remission score, a new scoring system that uses machine-learning algorithms, was 85% accurate in predicting diabetes remission or relapse at five years among patients who underwent Roux-en-Y gastric bypass surgery, compared with one-year postsurgical parameters, according to a study in Diabetes Care. French researchers used a cohort of 175 patients with type 2 diabetes and severe obesity and said that the five-year score should be integrated into practice at the 1-year follow-up assessment to help patients maximize their remission.
A study in the journal Epidemiology showed no association between the use of DPP-4 inhibitors and an increased risk of incident rheumatoid arthritis among patients with type 2 diabetes, compared with the use of other antidiabetes drugs. Researchers analyzed 144,603 patients and found that the incidence of rheumatoid arthritis was 79 per 100,000 per year among DPP-4 inhibitor users and 82 per 100,000 per year among users of other antidiabetes drugs.
A study published in the Frontiers in Endocrinology showed that people with prediabetes who wake, eat and do activities earlier in the day had a lower body mass index and potentially a lower risk of developing type 2 diabetes, compared with those who wake later and eat and sleep later in the evening. Researchers used a cohort of more than 2,000 prediabetes patients and also found an association between higher BMI and higher levels of social jet lag.
Physicians may help reduce the incidence of type 2 diabetes nationwide by addressing barriers to care for minority patients, including spending time talking to patients and emphasizing the importance of diet, rest and exercise, according to an article published in the American Medical Association's AMA Wire. Health care providers can also change the messaging around the disease and use personal experiences to describe its progression.
Youths whose mothers had greater exposure to p,p'-dichlorodiphenyl dichloroethylene, a metabolite of the banned insecticide dichlorodiphenyltrichloroethane, or DDT, during pregnancy were more likely to develop autism, researchers reported in the American Journal of Psychiatry. No association was found between prenatal exposure to polychlorinated biphenyl, or PCB, pesticides and autism risk.
Patient access to health records remains a challenge, with a survey finding that 63% of Americans are unaware of where their health care data is stored or who has access to it. The CMS has launched the MyHealthEData Initiative for Medicaid and Medicare's EHR programs, and the agency has started using Medicare Blue Button 2.0, a new software protocol for developers.
PET/MRI with 15-minute pelvic PET acquisitions identified 40% more FDG-avid lymph nodes without extending scan times among individuals with rectal cancer, compared with PET/MRI with three-minute pelvic PET acquisitions, and resulted in the upstaging of more than 64% of patients, according to a study in the American Journal of Roentgenology. The findings should prompt the inclusion of 15-minute PET pelvic acquisitions in pelvic PET/MRI during rectal cancer staging, researchers wrote.
Singaporean researchers found that intensified therapy for pediatric patients with childhood B-cell acute lymphoblastic leukemia and IKZF1 deletion resulted in a reduction of relapse risk and improved overall survival. The findings were published in the Journal of Clinical Oncology.
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