Despite the convenience of the quick text or e-mail, leaders and staff still need to talk in person to avoid misunderstandings and build relationships, argues Scott Mabry. Face-to-face interactions lead to better body language, fuller attention and a greater likelihood of clarity, he writes.
The Medicaid and CHIP Payment Access Commission released a report last week urging the federal government to streamline the Medicaid managed care program by giving states more flexibility, providing guidance on telehealth use and implementation, and extending approval and waiver renewal periods from two to five years, among other steps. AHIP said states need a more efficient mechanism for adopting and expanding their Medicaid managed care programs, and the group urges lawmakers "to enact legislation in line with MACPAC's recommendation and build upon the successes of Medicaid managed care."
Eating healthy but staying on budget means planning meals in advance and also choosing economical foods such as beans or less-expensive cuts of meat, says registered dietitian nutritionist Megan Casper. Whole foods can be healthy and less expensive than processed and packaged items, Casper says, and buying in bulk or starting a garden can help trim food bills.
UK researchers found that a body mass index of more than 22 is associated with a 13% increased risk of heart disease even for moderate amounts of weight gain, compared with those with a BMI between 22 and 23. The findings in the European Heart Journal, based on almost 300,000 individuals, revealed that each 5-inch increase in waist size among men and women with a waist size of 32 inches and 29 inches, respectively, raised heart disease risk by 16%.
US dietary guidelines acknowledge people have different eating patterns, and cultural foods and flavors can fit into a healthy diet, said registered dietitian Toby Amidor. These diets still should contain all of the food groups, limit unhealthy elements such as added sodium and saturated fats, and include appropriate portions, Amidor said.
A study presented at the Diabetes UK Professional Conference showed that women with gestational diabetes can reduce their risk of complications by maintaining a normal weight and keeping good control of their blood glucose levels throughout the pregnancy. Findings, based on 546 pregnant women with gestational diabetes, showed those who gained weight were more likely to have increased blood glucose levels, higher blood pressure, to need a Caesarean section and to require more insulin after birth than those who maintained their weight.
Children with high birth weight who were exclusively breastfed until age 6 months were significantly less likely to be overweight or obese at age 6 years, compared with those who weren't, South Korean researchers reported at the Endocrine Society's annual meeting. The findings showed an increased risk for overweight or obesity among children with high birth weight, compared with those with normal birth weight.
Adults who used a pedometer when walking and received exercise advice and instructions from a nurse, in person or through the mail, walked an additional 600 steps daily and increased time spent exercising by 24 minutes per week up to three years later, compared with a group that did not get advice, researchers reported in PLOS Medicine. A second study found older adults who used pedometers and received guidance from a nurse walked 400 more steps daily and had 33 more minutes of exercise each week 4 years later, compared with those not getting advice.
A study in The Lancet Public Health showed that individuals who regularly smoked had a 15% to 30% increased risk of developing type 2 diabetes, compared with those who never smoked. UK and Chinese researchers evaluated 500,000 Chinese adults and found that smokers with a high body mass index were at the greatest risk of developing the disease, compared with those with a lower BMI.
Gladstone Institutes researchers found that transplants of inhibitory interneurons with the Nav1.1 protein, but not regular interneurons, controlled excitatory cell activity, survived a toxic disease environment and restored brain rhythm and cognitive function in mouse models with Alzheimer's disease. The findings in Neuron may prompt new therapies for Alzheimer's patients, and research to find possible drugs to improve inhibitory interneuron function is underway, researchers said.