Senate health committee Chairman Lamar Alexander, R-Tenn., and ranking member Sen. Patty Murray, D-Wash., announced a deal to stabilize the individual insurance market by funding cost-sharing reduction payments through 2019, giving states more flexibility to skirt certain Affordable Care Act requirements, allowing consumers over age 30 to purchase copper plans, and providing $106 million to support ACA enrollment. However, the proposal garnered mixed messages from President Donald Trump, while Senate Majority Leader Mitch McConnell, R-Ky., has not said whether he will allow a vote, and some Republicans said they oppose it.
A comparison of DNA from mice, dogs and people led to the identification of four genes linked to obsessive-compulsive disorder, researchers reported in Nature Communications. The findings may give researchers a better understanding of how OCD develops, says Dr. Marco Grados, a Johns Hopkins University OCD researcher who was not involved in the study.
Anesthesiologist Vance Nielsen is developing a carbon monoxide-based emergency treatment for venomous snake bites that interfere with coagulation, and tests in plasma samples and live animals have shown the treatment works on 36 different kinds of venom. The treatment does not replace antivenoms but may keep snake bite victims alive long enough to get to a treatment center, Nielsen says.
California Gov. Jerry Brown signed a bill that in 2019 will require pet stores to ensure any puppies, kittens and rabbits they sell are from only shelters or rescue centers and not from commercial breeders. Consumers will still be allowed to buy directly from a breeder after the law goes into effect.
Eight percent of 7,590 head impacts among youth football athletes were considered high-magnitude, or impacts more than 40 times greater than the force of gravity, according to a study in the Journal of Neurosurgery: Pediatrics. The findings, based on data involving 45 fourth- to seventh-grade players ages 9 to 13, also showed the highest likelihood of high-magnitude head impacts among those who played as quarterback, running back and linebacker.
UK researchers evaluated 632 type 2 diabetes patients with insufficient glycemic control and found that those who received oral semaglutide had significant reductions in mean change in A1C level from baseline to week 26, compared with those on placebo. The findings were published in the Journal of the American Medical Association.
Health care providers should better educate diabetes patients about insulin pen use after a patient died from not receiving any insulin doses due to a failure to remove the standard insulin pen needle cover, the Institute for Safe Medication Practices wrote in its National Alert Network newsletter. The group also offered several tips for preventing insulin pen mix-up, including teaching patients how to use an insulin pen properly, training them according to the pen needle they will be using at home and reminding them to consult a health care professional if their blood glucose levels are elevated after injecting insulin.
A study published in Mayo Clinic Proceedings found white men who got three times the recommended 150 minutes of exercise per week over 25 years had a higher risk of developing coronary artery calcification by middle age, compared with black men and men who worked out less. Researchers said more studies are needed on the biological mechanisms involved in CAC, which is a risk factor for heart disease.
Patients with non-diabetic hyperglycemia who participated in a diabetes prevention program delivered by a commercial weight management provider experienced a mean A1C reduction of 2.84 mmol/mol and a mean weight reduction in body mass index of 3.2 kg/m2 at 12 months, according to a study in BMJ Open Diabetes Research & Care. UK researchers used a cohort of 166 patients and found that 38% of the participants returned to normoglycemia, while 3% progressed to type 2 diabetes at 12 months.
Science and research is an important part of being a registered dietitian, said RD Sheah Rarback. People who have serious illnesses need nutrition advice from a dietitian who understands disease processes and can translate research into food messages, Rarback said.
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