NIAID director: Soonest Zika vaccine will be 2018 | Menopause group updates midlife health care guidelines for women | Patients can find reliable information on symptoms and treatment of menopause on FamilyDoctor.org.
National Institute of Allergy and Infectious Diseases Director Anthony Fauci and his NIH colleagues have been working with their counterparts in the pharmaceutical industry to develop vaccines and treatments for emerging diseases. The NIH recently initiated human clinical trials for a Zika virus vaccine, but the earliest it could be available is 2018, and a lack of funding has impeded efforts to quell the current outbreak.
When Employees are Prone to Cheat at Work Why the gig economy creates plentiful opportunities for unethical behavior. Learn more from research by Kellogg School of Management Professor J. Keith Murnighan.
The International Menopause Society has released updated guidelines on midlife health management for women stating patient-tailored menopausal hormone therapy is the most effective treatment for vasomotor symptoms, urogenital atrophy and other menopause symptoms. Peri- and postmenopausal treatment should also include diet, exercise and other lifestyle recommendations, according to the guidelines published in Climacteric.
Oral immunotherapy to counter peanut allergies in children may be more effective if done at a young age, even as early as 9 months, according to a study in the Journal of Allergy and Clinical Immunology. Almost 80% of children who had the therapy were able to eat foods containing peanuts without having an allergic reaction, researchers said.
A study in the journal Cancer found survivors of childhood cancer had a higher incidence of self-reported pulmonary complications by age 45, compared with siblings. Cancer survivors had higher rates of chronic cough, lung fibrosis, need for oxygen and recurrent pneumonia despite being less likely to smoke.
People who have had gallstones may have a higher risk of heart disease, particularly women, according to a study in the journal Arteriosclerosis, Thrombosis and Vascular Biology. Researchers said changes in the gut microbiome and low-grade inflammation may be factors.
Collaborative care remained effective for treating patients with depression even if they had other chronic physical conditions, researchers reported in JAMA Psychiatry. Collaborative care teams can include primary care professionals, case managers, social workers and mental health specialists, the researchers said.
Team-based primary care has the potential to lower costs and improve coronary heart disease risk factors, but only if current reimbursement models are restructured, according to a report in the American Journal of Managed Care. Using current pay models, primary care bears all of the cost but sees none of the savings of team-based care, researchers said.
Medicare Part D claims rose 3% in 2014, but spending rose 17% as more expensive drugs were covered, according to CMS data. Hepatitis C drug sofosbuvir accounted for more than $3.1 billion in spending but had the fewest claims among the 10 most expensive drugs.
A study published in Health Affairs found people insured through Affordable Care Act plans filled more prescriptions for medications, compared with before they had an ACA plan, but generally had lower out-of-pocket spending for drugs. Researchers said not having health insurance is a barrier to accessing care, but the study lacked the evidence to show how an increase in prescriptions might affect long-term outcomes.
A study in the Journal of the American Medical Association showed that only 16% of US adults ages 65 and older use the internet to search for health information, just 8% go online to fill prescriptions, about 7% go online to contact a clinician and 5% manage insurance matters online. Researchers analyzed 2011 to 2014 data from the National Health and Aging Trends Study involving Medicare beneficiaries and found small increases in digital health use among seniors, although a majority have cellphones and use computers.
With trends pointing to an emphasis on team-based care, Kyle Jones, M.D., questions the rationale for quality measures that focus on individual physicians. Read what he has to say on the topic in the latest Fresh Perspectives blog post.
If we are to achieve a richer culture, rich in contrasting values, we must recognize the whole gamut of human potentialities, and so weave a less arbitrary social fabric, one in which each diverse gift will find a fitting place.
Margaret Mead, cultural anthropologist
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