Drinking about two glasses of wine or beer per day reduced a person's risk of premature death by 18%, compared with an 11% reduction for daily exercise, researchers reported at the American Association for the Advancement of Science's annual conference. Two cups of coffee per day reduced the risk of premature death by 10%.
Eight of the 13 cases of SGLT2 inhibitor-associated diabetic ketoacidosis were among adults with type 2 diabetes and five among patients with type 1 diabetes, with dapagliflozin and empagliflozin implicated in nine and four cases, respectively, according to a study in Diabetes Care. Researchers analyzed 85,851 empagliflozin and dapagliflozin prescriptions written in South Australia from December 2015 to March 2017 and found that, in a second analysis of 82 unique adverse event reports of SGLT2 inhibitor-associated DKA, 16 cases were classified as life-threatening and 18 cases required intensive care.
Researchers found a positive association between perioperative glucose and 1.0% 30-day mortality at mean glucose of 100 mg/dL and 1.6% at mean glucose of 200 mg/dL in noncardiac surgery, while perioperative glucose and 30-day mortality had a strong U-shaped relationship in cardiac surgery, with 4.5% mortality at 100 mg/dL, 1.5% at 140 mg/dL and 6.9% at 200 mg/dL. The findings in Diabetes Care, based on 13,077 cardiac and noncardiac surgeries, revealed no association between A1C and 30-day mortality in either cardiac or noncardiac procedures when controlling for blood glucose.
A study in the Journal of Diabetes showed that adults in the top quartile for non-HDL cholesterol/HDL cholesterol ratio had a 40% increased risk for type 2 diabetes, a mean of 0.1% higher A1C, a mean of 0.2 mmol/L fasting plasma glucose and a mean of 0.5 mmol/L higher 2-hour glucose level, compared with those in the lowest quartile for cholesterol ratio. Chinese researchers used a cohort of 4,882 individuals, ages at least 40, and found an association between each standard deviation increase in log transformed non-HDL cholesterol/HDL cholesterol ratio and a 10% increased diabetes risk, a 0.1 mmol/L higher FPG and a 0.2 mmol/L higher 2-hour glucose level.
Women in health care face obstacles to reporting inappropriate behavior and sexual harassment. "I think once we understand what the true definition of sexual harassment is, which is any advances that are unwelcome or unsolicited that are sexual, and we stop excusing it, then the change will happen. We want to drive accountability so we're able to enforce consequences," said Seun Ross, ANA's director of nursing practice and work environment.
Registered dietitian Toby Amidor's biggest concern is a well-balanced diet, and she says including foods that are organic or do not contain genetically modified organisms is a personal decision. Studies have found no nutritional differences between organic and regular foods, Amidor says, and it is beneficial to eat more fruits and vegetables regardless of whether they are organic or non-GMO.
A Health Catalyst report found that in 2017 almost three dozen health care organizations documented 125 improvements in quality, cost and efficiency using data and analytics to guide interventions. The report found 42% of the improvements involved clinical outcomes, 18% were related to financial outcomes and 35% involved operational improvements.
A CMS sepsis quality performance measure for hospitals lacks evidence showing it improves patient survival, according to a review published in the Annals of Internal Medicine. The Severe Sepsis and Septic Shock Early Management Bundle includes up to 141 tasks physicians have to perform for each patient, and an accompanying editorial said the findings should prompt talks with the CMS about the bundle.
A George Mason University working paper said a growing physician shortage requires the US to find more ways for doctors to join the workforce. The paper suggested embracing innovative technology solutions, removing barriers to opening more medical schools, hiring foreign-trained physicians and using more nonphysician providers.
The current crackdown on undocumented immigrants threatens to swell foster care rolls as deportations of parents increase, the Immigrant Legal Resource Center reports. Additionally, "if immigrants are fearful of cooperating with child welfare workers, children may be exposed to increased risk, and situations may escalate unnecessarily," the report says.
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