Funding for cost-sharing reduction payments and a reinsurance program was left out of House spending legislation amid a dispute over language that Republicans say is standard but Democrats say would expand restrictions on abortion. The Senate is considering a vote to add the Affordable Care Act stabilization measures to the spending package, but the effort might not gain enough support.
Veterinarian Eric Cunningham says 15 dogs have been treated for parvovirus at his Lubbock, Texas, practice in the past week, and most clinics in the area are suggesting puppies be vaccinated six times by the time they are 18 weeks old. The virus can linger in soil for up to a decade, so puppies should be kept at home and have outdoor time limited until after they have been fully vaccinated, Dr. Cunningham says.
College basketball isn't the only tournament for which people are filling out brackets this month as March Mammal Madness pits the praying mantis against the goldcrest bird, a coyote against an opossum, and a maned rat versus a platypus, among other battles that now go beyond mammals to include insects, reptiles and other nonmammals. The tournament, developed by Arizona State University anthropologist Katie Hinde, plays out on Twitter, and educators have used the game to supplement biology lessons.
Average income for veterinary professionals has been declining for two decades after accounting for inflation, while prices have risen faster than inflation, suggesting that labor costs are not the reason care costs have risen, write AVMA Veterinary Economics Division analyst Dr. Frederic Ouedraogo and director Dr. Michael Dicks. Changing demographics, practice ownership and historical income trends contribute to veterinarian income trends, Drs. Ouedraogo and Dicks write.
Nurses and other health care workers can be vulnerable to violence in the workplace, and the recent deaths of three workers at the hands of a troubled veteran at a treatment facility in Yountville, Calif., turns the spotlight once more on this problem. "We work with people with histories of violence who may be delirious, have dementia, be under the influence of drugs, and we also work very close to them, almost intimately, and often we're alone when we're working with our patients," said Seun Ross, ANA's director of nursing practice and work environment.
A study in Diabetes showed that young adults with type 1 diabetes had significantly weaker neural responses in the parietal-occipital regions and stronger neural responses in the superior parietal cortices during maintenance and memory encoding, respectively, compared with individuals without diabetes. Researchers also found significant correlations between glycemic control and diabetes duration with neural responses in different brain regions.
UK researchers evaluated data from the UK Biobank study involving 451,000 individuals with overweight or obesity and found 14 genetic variants, 7 of which are new, that are associated with obesity but a reduced risk of type 2 diabetes. The findings, presented at the Diabetes UK Professional Conference, revealed that the 5% of people who carry the most number of "favorable adiposity" alleles would have an almost 40% lower risk of type 2 diabetes, 10% reduced risk of hypertension and 10% lower heart disease risk, compared with the 5% of those with the lowest number of such alleles.
Type 2 diabetes patients who received SGLT2 inhibitors had a lower risk of hospitalization for heart failure and all-cause mortality, compared with those treated with other glucose-lowering drugs, according to a study presented at the American College of Cardiology meeting and published in the Journal of the American College of Cardiology. Researchers used a cohort of 470,128 patients from the CVD-REAL 2 trial, mean age of 57, and found the SGLT2 inhibitors group also had a moderately reduced risk for myocardial infarction and a significantly reduced risk for stroke.
Banner Health, a not-for-profit health system in Phoenix, is under investigation and may be fined by the HHS Office for Civil Rights over a 2016 cyberattack that may have affected 3.7 million patients. Banner, which is also facing a class-action lawsuit over the incident, wrote in its 2017 financial report that the OCR determined the health system had an "inadequate" initial response to the OCR's security assessment.
ObesityTx, a platform for nonsurgical medical obesity treatment offered by the Center for Medical Weight Loss, is now available via athenahealth's "More Disruption Please" program. The platform has practice and clinical development training for treating obesity, predictive patient weight loss, documentation for insurance reimbursement for obesity services, and a behavioral counseling system.
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