An analysis in JAMA Internal Medicine found that the rate of arthroscopic knee surgeries among adults with painful arthritis or torn cartilage in Florida dropped 23% from 2002 to 2015, even as the nationwide prevalence of adult knee osteoarthritis cases grew from 6.6% in 1999 to 14.3% by 2014. The findings, based on analysis of 868,482 arthroscopic knee procedures performed during the period, showed declines were steeper after 2008 following the release of a major study showing the surgeries offer little benefit to patients.
The FDA granted accelerated approval for Verastem Oncology's Copiktra, or duvelisib, as a treatment for adult patients with small lymphocytic lymphoma or relapsed/refractory follicular lymphoma or chronic lymphocytic leukemia following two or more lines of therapy.
The rate of clinical mastitis in dairy cows has declined significantly over the past decade, and selective dry-cow therapy is the best way to prevent the infection, according to a report from the International Dairy Federation. "By modifying the known risk factors and by optimizing herd management, risk levels can be equally low as when prophylactic antimicrobials are used," IDF veterinarian Maria Sanchez Mainar says.
A study in Diabetes and Metabolism showed that because of the high incidence of obstructive sleep apnea syndrome among patients with type 1 and type 2 diabetes, providers should screen these patients for OSAS, sometimes even in the absence of symptoms. French researchers conducted a systematic review of scientific literature and found that treatment of OSAS helped improve insulin sensitivity and night-time blood glucose control.
An analysis from The Associated Press found that drugmakers implemented more drug price hikes than cuts from January through July despite the Trump administration's campaign to lower drug prices. There were 4,412 price hikes and 46 cuts during the period, but there were fewer increases than in previous years and the median increase was smaller than in 2017, though the median price cut was also smaller than in prior years.
Young adults were more able to accurately recall information and had increased functional connectivity between the cortical brain regions and the hippocampal dentate gyrus, which are involved in memory processing, in functional MRI scans, after undergoing 10 minutes of mild exercise, compared with having no exercise, Japanese researchers reported in the Proceedings of the National Academy of Sciences. The benefits of a short light exercise protocol in cognition may also be observed in older adults, said researcher Hideaki Soya.
Singaporean researchers used a cohort of 437 Asians with type 2 diabetes and found that greater fish consumption had protective benefits against diabetic retinopathy. The findings, presented at the Euretina meeting, showed an association between the severity of DR and cholesterol level, as well as a significant correlation between different DR stages and fish intake.
Veterans with prediabetes who were obese or overweight experienced a mean weight loss of 10.3 pounds at six months and 8.8 pounds at 12 months after participating in an online diabetes program, while those in the standard in-person program lost an average of 10.6 pounds and 9 pounds, and those in the MOVE! program lost 1.1 pounds and 10.6 pounds, respectively, according to a study in the American Journal of Preventive Medicine. Researchers recruited 655 participants and found that 87% of those in the online program completed eight or more sessions, compared with 59% of those in the standard in-person program and 55% of those in the MOVE! program.
A study in the American Journal of Preventive Medicine found pregnant women who were overweight or obese and participated in a program that included nutrition and lifestyle counseling gained 5 pounds less than women in a control group. The program used a commercially available diet app and ongoing coaching by phone and online.
Kaiser Family Foundation analyzed data from the CDC's 2013-2017 Behavioral Risk Factor Surveillance System survey results and found that in 2017, 19.6% of patients in Texas did not see a physician due to costs, followed by 18.2% in Mississippi and 17.1% in Louisiana. The lowest percentages of patients who skipped a physician visit because of costs were found in Hawaii, North Dakota and Iowa.
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