A study in the journal Cell, based on 2 million EHRs from three New York-based academic medical centers, showed that emergency contact information in EHRs could help predict a patient's risk of developing 500 hereditary conditions, including celiac disease and type 2 diabetes. Researchers identified 7.4 million familial relationships from reviews of standard emergency contact information included in patients' EHRs.
Stick to the plans you make with your colleagues, and find time to interact with the new person in the office, writes entrepreneur Michael Volkmann. Show appreciation to co-workers who help you with a project by offering to help them with a task or treat them to a coffee.
The number of uninsured Americans increased slightly in 2017 to 29.3 million, or 9.1% of the population, statistically unchanged from 28.6 million in 2016, but 19.3 million lower than in 2010, the year the Affordable Care Act became law. Among adults ages 18 to 64, 12.8% lacked coverage, 69.3% had a private plan, and 43.7% had a high-deductible plan, up from 39.4% in 2016, according to the CDC.
Health care organizations should listen to the needs and concerns of clinicians and allow doctors to personalize their EHR interface as part of efforts to reduce EHR-induced burnout, advises Rick Roesemeier, manager at ECG Management Consultants. Roesemeier also stressed the importance of adapting EHR workflows to clinical workflows and training physicians repeatedly on the systems.
A Research!America and American Society of Microbiology survey showed 77% of US adults expressed confidence in oversight of vaccine safety and recommendations this year, an 8-percentage-point decline from 2008, while the number who "strongly" believed they had derived personal benefit from vaccine development over the past 50 years dropped by 16 percentage points to 59%. Ninety percent of respondents said it was "very important" or "somewhat important" for parents to have their children vaccinated, down from 96%.
The National Park Service said it intends to relax sport hunting and trapping regulations on federal lands in Alaska, aligning standards there with state rules that allow people to use dogs to hunt bears, using bait to lure bears, kill wolves and their pups in their dens, and use motorboats to hunt swimming caribou, among other changes. The public comment period is open for 60 days.
The Government Accountability Office released a report encouraging the CMS to continue its prior authorization demonstrations, which require providers and medical device suppliers to demonstrate compliance with payment and coverage rules before receiving payments for certain products and services. Estimates showed the CMS has saved up to $1.9 billion since the demonstrations started in 2012, but most of these programs have ended or will end soon.
A study in Diabetes Research and Clinical Practice showed that patients with type 2 diabetes who achieved triple treatment targets for glycated hemoglobin less than 7%, blood pressure less than 140/90 mmHg and LDL cholesterol less than 100 mg/dl had a lower risk for mortality and macrovascular and microvascular complications than dual-goal, single-goal and no-goal achievers. Researchers used a cohort of 53,120 diabetes patients and found that management of LDL cholesterol levels was associated with a consistent reduction in possible complications.
Type 2 diabetes patients who used 0.5 mg and 1 mg of subcutaneous semaglutide experienced a 1.01% and a 1.38% reduction in A1C levels, respectively, compared with those on placebo, according to a study in Diabetes, Obesity and Metabolism. Greek researchers analyzed six placebo-controlled and seven active-controlled studies and found that semaglutide also had beneficial effects on body weight and systolic blood pressure.
Researchers from the US and Canada used a cohort of 39 patients with prediabetes and obstructive sleep apnea and found that those who wore continuous positive airway pressure masks for two weeks had significantly lower resting heart rates than those on placebo. The findings in the American Journal of Respiratory and Critical Care Medicine revealed that "optimal treatment of sleep apnea reduces cardiovascular risk in those with prediabetes," said study author Dr. Esra Tasali.
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