Key Highlights
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A quality improvement project using simple scheduling changes, like letting medical assistants book follow-up visits on the spot and offering online scheduling, reduced the proportion of pediatric type 1 diabetes patients lost to follow-up from 38% to just 15% in 18 months, a benefit that was sustained for over two years.
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This simple, low-cost approach reduced health disparities by improving follow-up rates across all groups, regardless of a patient’s age, sex, race, or health insurance, showing that small operational changes can significantly improve health equity and outcomes for children with diabetes.
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A commentary on new guidelines discusses the UK dilemma around lecanemab, a new drug for Alzheimer’s disease that works by removing amyloid plaques from the brain, approved for use but facing significant challenges in securing reimbursement from the National health service.
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This situation highlights a critical public health problem: while promising treatments for major diseases like Alzheimer’s are being developed, their high cost can make access difficult and create tough decisions for public health systems about how to allocate limited resources fairly.
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An 11-year study found that people with a smaller left hippocampus and more white matter damage in their brain scans were more likely to become frail or pre-frail later in life, regardless of their current thinking abilities. This suggests that brain health is closely linked to physical frailty.
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These brain MRI findings could serve as early warning signs for frailty, allowing doctors to identify at-risk individuals long before they become physically weak, creating a new opportunity for early public health interventions to help people maintain their strength and independence as they age.
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