Culture

Study examines federal government payments to separate managed care programs for same patients

CHICAGO – An analysis that included 1.2 million veterans enrolled in the Veterans Affairs health care system and Medicare Advantage plan finds that the federal government spends a substantial and increasing amount of potentially duplicative funds in these separate managed care programs for the care of same individuals, according to a study appearing in JAMA. This study is being published early online to coincide with its presentation at the Annual Research Meeting of AcademyHealth.

EVINCI results could lead to 75 percent reduction of invasive procedures for patients with suspected CAD

Madrid, 26 June 2012: Preliminary findings from the EVINCI study show that the prevalence of "significant" coronary artery disease in patients with chest pain symptoms is lower than expected in Europe. In as much as 75% of this population an accurate non-invasive screening could avoid unnecessary and costly invasive procedures. The three year multicentre European trial will define the most cost effective strategy for diagnosing patients with suspected coronary artery disease.

Computer program aids blood-sugar control among critically ill

A computer-software program more effectively controlled blood-sugar levels among critically ill patients than nurse-directed care did, according to the first large clinical trial of its kind. The results will be presented at The Endocrine Society's 94th Annual Meeting in Houston.

Elderly diabetics have fewer bouts of hypoglycemia at night with new insulin

A new variety of long-lasting insulin, called insulin degludec, lowers the risk of nighttime low blood sugar in elderly diabetic adults compared with insulin glargine, a systematic review of diabetes studies has found. The meta-analysis of phase 3 clinical trials will be presented Monday at The Endocrine Society's 94th Annual Meeting in Houston.

Treating vitamin D deficiency may improve depression

Women with moderate to severe depression had substantial improvement in their symptoms of depression after they received treatment for their vitamin D deficiency, a new study finds. The case report series will be presented Saturday at The Endocrine Society's 94th Annual Meeting in Houston.

Because the women did not change their antidepressant medications or other environmental factors that relate to depression, the authors concluded that correction of the patients' underlying shortage of vitamin D might be responsible for the beneficial effect on depression.

The skinny on what makes us fat

Obesity is a disorder in which fat cells grow larger and accumulate. Certain proteins, called WNT family proteins, function to prevent fat cell formation. However, the activity of WNT proteins can be inhibited by secreted frizzled-related proteins (SFRPs), thus leading to fat cell generation. One of these SFRPs, SFRP5, is highly expressed during fat cell generation and increases during obesity. Dr.

Choosing when and how to die: Are we ready to perform therapeutic homicide?

A new report from the province of Quebec that recommends medical assistance to die will reignite the debate over euthanasia in Canada, states an editorial published in CMAJ (Canadian Medical Association Journal).

The Dying with Dignity commission of the Quebec National Assembly recently issued its report after two years of public and expert consultation and research.

Advocates of this approach argue that medically assisted death is a patient's right. It should therefore be considered as an end-of-life care option rather than a criminal act.

Experimental drug helps diabetes patients lose weight

An experimental drug helped significantly more overweight patients with diabetes shed pounds, compared with placebo, a new study finds. The results will be presented Saturday at The Endocrine Society's 94th Annual Meeting in Houston.

Thinking about choice diminishes concern for wealth inequality

Against the backdrop of a worldwide recession, wealth inequality has become a prominent theme in discussions about politics and the economy. In some ways, Americans seem to advocate a more equal distribution of wealth. In surveys and public opinion polls, for example, the majority of Americans supports having a strong middle class. But, when it comes to specific policies, they often vote against measures that would narrow the gap between those with the highest and lowest incomes.

Intensive cholesterol therapy with multiple drugs effective over long term

MAYWOOD, Ill. - For the first time, a study has found that intensive cholesterol therapy involving a combination of drugs for 20 years may be more effective over the long run than taking a single statin medication.

Loyola University Health System cardiologist Binh An P. Phan, MD, FACC, is lead author of the study, which he presented at the National Lipid Association 2012 Annual Scientific Sessions. Phan is director of Loyola's Preventive Cardiology & Lipid Program.

Study finds race has an impact on both enrollment and disenrollment in hospice care

INDIANAPOLIS -- Although use of hospice services is increasing dramatically, a study led by Regenstrief Institute investigator Kathleen T. Unroe, M.D., MHA, an assistant research professor of medicine at the Indiana University School of Medicine, has found that nonwhite Medicare patients with heart failure are 20 percent less likely to enroll in hospice than their white counterparts.

The study also found that racial differences in hospice use persisted over time and that nonwhite patients who do enroll in hospice are more likely to disenroll than white patients.

The growth of immigration in Spain has not caused a rise in crime

There is a social perception that growth in the immigrant population tends to lead to a rise in the crime rate, but a study carried out by Universidad Carlos III of Madrid demonstrates that this cause and effect relationship cannot be inferred in the case of Spain, according to the Agency SINC.

Experimental insulin drug prevents low blood sugar

An experimental insulin drug prevented low blood sugar among diabetic patients more often than a popular drug on the market, a new study finds. The results will be presented Sunday at The Endocrine Society's 94th Annual Meeting in Houston.

Common diabetes drugs associated with increased risk of death

Compared to another popular drug, three widely used diabetes medications are associated with a greater risk of death, a large new analysis finds. The results will be presented Sunday at The Endocrine Society's 94th Annual Meeting in Houston.

Physical fitness may improve survival among diabetes patients with heart dysfunction

Being physically fit may improve survival rates among diabetes patients with a particular type of heart abnormality, a new study determines. The results will be presented Sunday at The Endocrine Society's 94th Annual Meeting in Houston.

In the United States, nearly 26 million people have diabetes, according to the American Diabetes Association. Being overweight or obese increases the risk of diabetes, and more people are developing the disease as the obesity epidemic continues. Treatment includes making lifestyle changes and taking medication to control blood sugar.