Veterinarians volunteering for the American College of Veterinary Ophthalmologists and Stokes Pharmacy's National Service Animal Eye Exam event have screened some 60,000 dogs, horses and other service and working animals since 2008. Veterinarian volunteers look for cataracts, corneal damage, retinal degeneration and other conditions that would affect the animal's eye health, says veterinary ophthalmologist Bianca Martins.
The April 1 launch of the Medicare Diabetes Prevention Program, an initiative designed to help prevent type 2 diabetes development among older people and those with serious disabilities, did not go as smoothly as planned, with the program still being unavailable in many locations and facing implementation issues by Medicare Advantage plans, experts said. The program will be handled by community organizations, such as senior centers and YMCAs, and is available for free for those qualified individuals with prediabetes and Medicare Part B coverage.
Japanese researchers examined the eyes of 206 patients with and without diabetes and found significantly thinner total and outer choroid thicknesses among those with untreated diabetes and mild/moderate non-proliferative diabetic retinopathy and a significantly thicker choroidal outer layer thickness among those with severe NPDR, compared with controls. The findings in Clinical & Experimental Ophthalmology revealed no significant differences in all stages of DR and choroidal layer thicknesses between those with treated diabetes and the control group.
A study in JAMA Dermatology showed that young adult men who have acne were at an increased risk of having higher fasting plasma glucose and insulin resistance levels, an indication of prediabetes, compared with those who did not have acne. Researchers conducted a cross-sectional study of young adult males ages 20 to 32 and found that those with acne also had higher blood pressure, cholesterol and triglyceride levels.
Canadian researchers found that pediatric high blood pressure prevalence rose from 11.8% using the 2004 NIH guidelines to 14.2% using 2017 American Academy of Pediatrics/American Heart Association recommendations, 5.8% of whom had either newly diagnosed or deteriorating clinical stage of hypertension. The findings in JAMA Pediatrics, based on 1999 to 2014 National Health and Nutrition Examination Survey data involving 15,647 youths with a mean age of 13, "suggest that we may previously have been underestimating cardiovascular risk in otherwise healthy US children," researchers wrote.
Children whose mothers had very high, high and average caffeine consumption during pregnancy were 66%, 30% and 15% more likely to have excessive growth during the first year of life, respectively, compared with those whose mothers had low caffeine intake, Norwegian researchers reported in BMJ Open. The findings also tied average to very high prenatal caffeine intake to significantly increased overweight risk at ages 3 and 5, but only very high prenatal caffeine consumption was associated with a higher likelihood of being overweight at age 8.
A Black Book market report showed that 92% and 85% of health care consumers younger than 40 expressed greater dissatisfaction if their inpatient providers do not offer complete medical records and telehealth options, respectively. Researchers polled EHR users, including networked physicians, hospital staff, managers and patient panels, and found that 88% of respondents said hospital systems are to blame for the lack of access among providers and patient record portability, not the EHR systems or financial technology.
A Mayo Clinic study that surveyed 1,907 patients who had undergone 25 common surgeries found that of the 92% who were prescribed opioids, 63% of the prescribed medications were unused, according to data presented at the annual meeting of the American Surgical Association. The findings indicate that "there are certain surgeries and types of patients who are likely receiving significantly more opioids than needed," said senior author Elizabeth Habermann.
Physicians considering do not attempt resuscitation or limited resuscitation orders for pediatric anesthesia or surgery should discuss the risks and possible outcomes of resuscitation with caregivers and youths; approve resuscitative measures to be used during the procedure; determine to keep or suspend DNAR orders; and document the discussion in the patient's medical record, according to an American Academy of Pediatrics clinical report in Pediatrics. The guidance also recommended surgeon/staff collaborations to honor DNARs and recognizing the compatibility of patient or caregiver resuscitation refusal with therapeutic measures.
Registered nurse Ashley Nahle has opened an infusion-therapy lounge called Drip Drive in El Paso, Texas, after starting the business in 2016 as a mobile service. The inspiration for the business was Nahle's grandmother, and Drip Drive now employs 14 nurses.
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