Local contracting, or purchasing directly from vendors instead of going through a group purchasing organization, can make sense for the specific spending needs of some hospitals. Suresh Nirody of Cincinnati Children's Hospital Medical Center said national GPO contracts can work for commodities while direct negotiation works better in other areas.
Babies born very preterm were seven times more likely to develop hearing loss, while those born moderately preterm and late-preterm were more than two times and 1.5 times as likely, respectively, compared with infants born at term, Finnish researchers reported in Pediatrics. The risk of visual impairment also decreased with advancing gestational age.
Type 2 diabetes patients who took metformin and added or switched to sulfonylureas were at a 26% increased risk for myocardial infarction, compared with those who continued with metformin treatment alone, according to a study in The BMJ. Researchers used a cohort of 77,138 patients, aged 40 and older, and also found a 28% greater all-cause mortality risk and an almost eight-fold higher severe hypoglycemia rate per 1,000 patient-years among sulfonylurea users, compared with those on metformin monotherapy.
A study in The Journal of Clinical Endocrinology & Metabolism showed significant regional differences in the prevalence of stroke and coronary heart disease among Chinese adults with type 2 diabetes. Researchers analyzed data from the China National HbA1c Surveillance System involving 219,522 patients and found the highest standardized rate of CHD in Tianjin province, while the highest prevalence of stroke was in Heilongjiang province.
The risk of a first or recurrent heart attack is reduced with exercise, regardless of the air quality, a study in the Journal of the American Heart Association found. Researchers suggested, however, that people should avoid air pollution when possible by not commuting or exercising on busy roads.
A Deloitte survey of 624 primary care and specialty care doctors from the US found that while 66% cited the role of virtual care technology in improving patient access to care, only 14% offer such capabilities, while 18% plan to add these tools within the next year or two. The findings revealed several barriers to telehealth adoption, including worries about potential medical errors and the privacy of patients' information, as well as the lack of virtual care technologies offered within health care organizations.
A study in the Journal of the American Heart Association on the effects of e-cigarettes suggests that short-term exposure to vapor from the devices was linked with a risk of clot formation in mice. The popularity of e-cigarettes among young people is rising partly due to a lack of information about safety, said researcher Fatima Alshbool of the University of Texas at El Paso School of Pharmacy.
A placebo-controlled study in The New England Journal of Medicine found that Emmaus Life Sciences' dietary supplement Endari, a medical-grade L-glutamine supplement, was associated with a 25% decrease in acute pain crises among patients with sickle cell disease. The hospitalization rate was a third lower among patients taking L-glutamine.
A study of women in South Korea and Greece found that older women who gave birth at least five times had a 70% increased likelihood of developing Alzheimer's disease, compared with those who had fewer births, while those who had incomplete pregnancies had about 50% reduced Alzheimer's risk, compared with those who didn't. The findings in Neurology also showed that memory and skills test scores were lower among those without dementia who had five or more children but higher among those who had at least one incomplete pregnancy.
Older adults with apathy had a 1.81 combined risk ratio, 2.39 combined hazard ratio and 17.14 odds ratio of developing incident dementia, but the association between apathy and dementia was slightly weaker among those with cognitive impairment, Dutch researchers reported in JAMA Psychiatry. The findings, based on a systematic review and meta-analysis of 12 studies involving 7,299 memory clinic patients with a median age of 71.6, should prompt health care providers to talk about apathy with caregivers, researcher Jan Willem van Dalen said.
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