FDA Commissioner Scott Gottlieb said he is more concerned about increased regular marijuana use among teens than he is about adolescents using e-cigarettes. Regular marijuana use is "going to create a different set of risks," Gottlieb said.
A study in Diabetes Care showed a significant association between a higher level of urine complement proteins and a lower risk of developing end-stage renal disease and mortality among patients with type 2 diabetes and proteinuric diabetic kidney disease. Researchers used a cohort of 141 predominantly Mexican-American patients with an average age of 57 and found those with a higher level of urine factor H-related protein 2 were at an increased risk of death.
Hospital and health system CEOs share leadership lessons that focus on remaining steady in the face of obstacles, looking at the "why" of daily events, becoming a servant leader and the importance of hiring the right people. "As I have become more comfortable in the role of a leader, my style has grown from one with a narrower focus of getting the work done to a broader, big-picture view," said Connecticut Children's Medical Center Executive Vice President Ann Taylor.
Researchers conducted a meta-analysis of 13 studies involving 820 patients with diabetes and heart failure and found those who received a left ventricular assist device experienced improvements in A1C and fasting plasma glucose levels and reduced daily insulin requirements after implantation. The findings were published in ESC Heart Failure.
A National Quality Forum report found that people in rural areas were at higher risk of poor health, chronic disease and insufficient access to care, and recommended improving patient health literacy and reducing costs paid by patients. Recommendations from the forum's Measure Applications Partnership Rural Health Workgroup include improving network adequacy and speeding administrative processes to help patients get timely care.
Dr. Lois Jovanovic, who pioneered current standards for care in diabetes and pregnancy and served as CEO and chief scientific officer of the Sansum Diabetes Research Institute from 1996 to 2013, has passed away. "Dr. Jovanovic's courageous and relentless fight to teach the world how to care for women with diabetes led to a global improvement in outcomes for both moms with diabetes and their babies," Dr. Kristin Castorino, principal investigator at SDRI, said.
Women who followed a Mediterranean diet had a 22% lower stroke risk, while men who adhered to the diet reduced their risk by 6%, which could be a chance finding, researchers reported in the journal Stroke. The study was based on more than 23,000 men and women, aged 40 to 77, who were followed for 17 years.
Researchers found that adults who exercised outside of work had 1.5 fewer days of poor mental health per month on average, compared with those who never exercised. However, the findings in The Lancet Psychiatry, based on survey data from more than 1.2 million US adults, showed that those who exercised for more than 90 minutes per session experienced smaller reductions in poor mental health days than those who exercised from 30 minutes to 60 minutes.
California legislation that would have banned middle and high schools from beginning before 8:30 a.m., as recommended by the American Academy of Pediatrics, has been rejected by Gov. Jerry Brown. Brown said in a veto message that the bill "is a one-size-fits-all approach that is opposed by teachers and school boards."
Researchers found that infants with congenital heart disease who had central sleep apnea were at four times greater risk of in-hospital mortality. The study in the Journal of Clinical Sleep Medicine said hospital stays were longer for these infants.