Health
AI health care platform predicts diabetes with high accuracy but ‘won’t replace patient care’
With 37.3 million individuals within the U.S. residing with diabetes — 8.5 million of whom are undiagnosed, per the Facilities for Illness Management and Prevention — the illness is likely one of the deadliest and most costly within the nation.
Cedar Gate Applied sciences, a medical tech improvement firm in Greenwich, Connecticut, introduced on Tuesday a brand new AI-based resolution that goals to scale back the burden of diabetes for each sufferers and suppliers.
In a latest research, Cedar Gate used its resolution, Cedar Gate Analytics, to guage the information of greater than 1.2 million sufferers in its database inside a 12-month interval.
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The outcomes confirmed that 80% of sufferers with no recognized diabetes who had been recognized by the mannequin had been confirmed to develop the illness within the following yr, the corporate stated.
‘Making use of know-how to industrial use circumstances’
The corporate stated in a press launch that Cedar Gate Analytics is the “first commercially accessible and deployed value-based platform with this degree of accuracy.”
Rajiv Mahale, chief product and enterprise improvement officer at Cedar Gate, instructed Fox Information Digital in an interview that this implies “we are able to confidently determine people who find themselves at the next danger of creating or being identified with diabetes sooner or later.”
Cedar Gate Analytics isn’t the one AI-based mannequin that goals to detect diabetes danger, however the firm says it’s “the primary of its type at this degree.”
Mahale stated, “Whereas there have been many university-based analysis research displaying the aptitude of AI-related diabetes prediction fashions, we’re making use of our know-how to industrial use circumstances, placing superior analytics instruments within the palms of enterprise customers to unravel real-world issues.”
“We don’t count on AI to switch affected person care.”
He added, “Right this moment, we now have the know-how to curb the trajectory of diabetes deeply and meaningfully, controlling value and enhancing well being outcomes at scale.”
‘Accountable to sufferers’
Cedar Gate’s AI platform is meant to be used by medical professionals, defined David Snow, chairman and CEO of Cedar Gate Applied sciences.
The objective is to offer medical doctors the data they should determine the sufferers who’re vulnerable to creating diabetes.
“On the finish of the day, clinicians are accountable to sufferers,” Snow stated in an interview with Fox Information Digital.
“The info tells the medical doctors the sufferers will develop diabetes in the event that they don’t intervene, enabling them to keep away from the acute onset of an issue.”
Snow stated that Cedar Gate Analytics displays the corporate’s broader objective of shifting to a brand new well being care mannequin — one centered on “value-based care” moderately than “fee-for-service.”
Greater than 37 million individuals within the U.S. have diabetes — 8.5 million of whom are undiagnosed.
“With the fee-for-service mannequin, suppliers are rewarded for ready for individuals to get sick,” he defined.
“With value-based care, they’re rewarded for protecting individuals effectively.”
‘Creating that means’
Cedar Gate’s AI mannequin relies on a number of years of medical claims knowledge. It makes use of machine studying networks to foretell the chance of many persistent circumstances, together with diabetes.
“These sorts of insights should not new — however this degree of accuracy and predictability is thrilling,” Snow stated.
“At present, there isn’t a resolution recognized to prime business analysts that is ready to attain 80%+ accuracy at true, substantial scale.”
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Mahale defined that they’re not merely feeding uncooked knowledge into an algorithm.
“We now have knowledge scientists and medical people creating that means from the information earlier than it goes right into a mannequin, defining the affected person’s journey and key occasions,” stated Mahale.
“Our instruments have the potential to succeed in a far larger share of the inhabitants who’re vulnerable to contracting a severe persistent illness.”
The researchers predict that by pinpointing diabetes danger earlier and enhancing affected person outcomes, the corporate may probably assist save hundreds of thousands of {dollars}’ value of well being care expenditures.
For every individual with diabetes, the annual value totals $9,601 per yr, in keeping with the American Diabetes Affiliation.
Using synthetic intelligence and machine studying in well being care isn’t new — however it’s quickly rising because the know-how opens up new methods of enhancing affected person care and growing suppliers’ effectivity.
As of October 2022, the Meals & Drug Administration (FDA) listed greater than 500 AI/ML-enabled medical gadgets which are accessible in america.
‘You must have a look at the information’
Dr. Harvey Castro, a Dallas, Texas-based board-certified emergency medication doctor and nationwide speaker on synthetic intelligence in well being care, believes AI platforms are a wonderful device for preventative medication.
“The extra we learn about a illness state, the extra doubtless we’re to do our greatest to remain wholesome by altering our habits,” he instructed Fox Information Digital.
“I see this being the way forward for preventive medication.”
Castro cautions, nevertheless, that most of these fashions are likely to predict solely what they’ve studied — so the data can probably be considerably biased towards a sure area or group of individuals.
“Due to this fact, you need to have a look at the information and see if it represents the whole U.S. inhabitants; if not, this info may not apply to you,” he stated.
“For instance, somebody in West Africa may not have the identical danger calculator as somebody from California or New York Metropolis.”
Wanting forward, the Cedar Gate staff plans to launch comparable AI fashions targeted on detecting different persistent ailments, together with coronary artery illness, congestive coronary heart failure and COPD.
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Sooner or later, the group plans to use the know-how to advanced ailments like a number of sclerosis, Parkinson’s and Alzheimer’s.
“We don’t count on AI to switch affected person care,” Snow stated.
“It simply provides us the flexibility to raised inform those that are chargeable for delivering care so that they’re more practical with their sufferers.”
He added, “With such an unlimited quantity of knowledge in well being care, highly effective analytics are a necessity.”
Health
Going to bed after this time could lead to poorer mental health, a Stanford study finds
Night owls might want to start turning in earlier.
A recent study by Stanford University, published in the journal Psychiatry Research, found that going to bed after 1:00 a.m. could lead to mental health issues.
Researchers analyzed the data of more than 73,000 adults in the U.K., looking into their chronotype (inclination to rise early or stay up late) and actual sleep timing.
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The study then examined the alignment between the two and the prevalence of mental, behavioral and neurodevelopmental disorders (MBN), as well as depression and anxiety.
People with a morning preference who go to bed early exhibit “better mental health” compared to morning types who go to bed late, the study found.
Morning types who tend to go to bed late have an increased risk of MBNs, depression and anxiety.
People with an evening preference who sleep late were also found to demonstrate poorer mental health. Evening types who wake up early, conversely, have a lower risk of developing depression.
Based on these findings, the researchers recommended going to sleep before 1:00 a.m., regardless of preference.
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Study co-author Jamie Zeitzer, Ph.D., a professor at Stanford University’s department of psychiatry and behavioral sciences in California, said he was surprised by the results.
“They were not what we expected at all,” he wrote in an email to Fox News Digital. “We spent more than a year trying to disprove our findings, but could not find an alternate explanation.”
The researchers originally anticipated that individuals who aligned their actual sleep timing with their morning/evening preference would have the best mental health, Zeitzer noted – but this was not the case.
“Rather, we found that being awake late at night, irrespective of preferred sleep timing, was associated with worse mental health,” he said.
Good sleep is “crucial for establishing a pillar of good mental health,” according to Zeitzer.
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“It is not necessarily [the case] that bad sleep causes poor mental health, but it can definitely facilitate poorer mental health,” he said.
“There are several aspects of sleep that contribute [to mental health], including the duration (which we accounted for in our study) and the timing (which we directly examined in our study).”
While it might not be detrimental for all night owls to stick to their preferred nighttime sleep schedule, Zeitzer said, the research highlights that it presents a risk for some.
“We are not clear as to why this is the case, but it may have to do with the isolation that often accompanies such late-night behavior,” he said.
“So, being aware of how you are spending your late nights and whether these behaviors are conducive to good mental health is crucial.”
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Dr. Wendy Troxel, a Utah-based sleep expert who was not involved in the study, agreed that the findings are “very interesting” – particularly the fact that going to bed later is associated with poorer mental health regardless of one’s natural tendency.
“These findings underscore that sleep health is a multidimensional state,” Troxel said in an interview with Fox News Digital.
“It’s not just about getting enough sleep or good quality sleep that matters, but the timing matters, too.”
“Going to bed excessively late on a regular basis may lead to impairments in decision-making and emotion regulation.”
Failing to get enough sleep has been proven to compromise mental health by “influencing brain mechanisms that help to regulate emotions,” she added.
“Going to bed excessively late (i.e., after 1 a.m.) on a regular basis may lead to impairments in decision-making and emotion regulation, which may underlie associations with mental health problems, such as depression and anxiety,” she said.
The study results are also interesting when applied to specific groups who tend to be night owls, like teenagers, Troxel noted.
“Biologically, teenagers are predisposed to stay awake later and sleep in later, which is in conflict with early school start times,” she said.
“This can set them up for a ‘double whammy’ of both insufficient sleep and delayed sleep schedules, which can contribute to mental health problems — a major public health issue among teenagers.”
3 critical steps for better sleep
Troxel recommends taking the following steps to improve the quality of sleep.
First, slowly advance bedtime earlier by 15-minute increments each week.
Next, allow for plenty of sunlight in the morning, she advised, as sunlight is “one of the most powerful cues to help set the circadian rhythm.” In the evening, keep the lights low.
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Finally, stay consistent with your sleep schedule, including on weekends, Troxel suggested.
While this can be challenging, especially for night owls, reverting to a later bedtime and wake-up times will “set you back to square one,” she warned.
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The key to successfully shifting sleep habits is to do it gradually, Troxel said.
“It’s similar to the approach we would recommend for changing one’s schedule to manage jetlag,” she said.
Zeitzer noted that it can be difficult for anyone to switch up their sleep schedules, especially for those who prefer more “extreme times,” like staying up until 4:00 a.m. or waking up before 5:00 a.m.
Going to bed and waking up at the same time every day is the best way to successfully make a shift, he said, along with exposure to bright light.
Health
AI blood test could detect Parkinson's disease up to 7 years before symptoms: 'Particularly promising'
A new blood test could reveal Parkinson’s diagnoses up to seven years before symptoms emerge.
Researchers from University College London and University Medical Center Goettingen in Germany used artificial intelligence to develop the test.
The study, which was published in the journal Nature Communications, included 72 patients with rapid eye movement behavior disorder (iRBD), a condition that has been linked to a higher risk of Alzheimer’s.
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When the researchers used machine learning to analyze blood samples from the patients, they discovered that 79% of them had the same biomarkers as people with Parkinson’s.
Over a 10-year follow-up period, the researchers confirmed that 16 of the patients went on to develop Parkinson’s, a movement disorder that affects nearly one million people in the U.S.
“By determining eight proteins in the blood, we can identify potential Parkinson’s patients several years in advance,” said co-first-author Dr. Michael Bartl from the University Medical Center Goettingen in a press release.
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“This means that drug therapies could potentially be given at an earlier stage, which could possibly slow down disease progression or even prevent it from occurring.”
“We have not only developed a test, but can diagnose the disease based on markers that are directly linked to processes such as inflammation and degradation of non-functional proteins. So these markers represent possible targets for new drug treatments.”
Blood tests provide a less invasive alternative to a lumbar puncture (also known as a spinal tap), which has been used more often to diagnose Parkinson’s in clinical research, according to professor David Dexter, director of research at Parkinson’s UK.
“This research, co-funded by Parkinson’s UK, represents a major step forward in the search for a definitive and patient friendly diagnostic test for Parkinson’s,” Dexter said in the release.
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Looking ahead, the researchers plan to follow the participants to confirm the accuracy of the test, and will also analyze samples from others in the population who have a genetic mutation that puts them at a higher risk of developing Parkinson’s.
“The findings add to an exciting flurry of recent activity toward finding a simple way to test for and measure Parkinson’s.”
“With more work, it may be possible that this blood-based test could distinguish between Parkinson’s and other conditions that have some early similarities, such as multiple systems atrophy or Lewy body dementia,” Dexter said in the release.
“The findings add to an exciting flurry of recent activity toward finding a simple way to test for and measure Parkinson’s.”
Dr. Harvey Castro, a Dallas, Texas-based board-certified emergency medicine physician and national speaker on AI in health care, was not involved in the blood test but spoke to Fox News Digital about its potential impact.
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“As an ER physician deeply involved in AI applications in health care, I find this development particularly promising,” Castro said.
“It exemplifies the potential of AI to diagnose and predict serious health conditions, allowing for earlier and potentially more effective interventions.”
This approach could serve as a model for other diseases, Castro suggested.
“Having a tool that provides more time before significant nerve cell damage occurs offers a substantial opportunity to address diseases at very early stages, where traditional diagnostic methods might not detect them,” the doctor said.
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“This early intervention capability could significantly slow the disease progression.”
Although knowing about a disease in advance can help patients prepare mentally and emotionally, Castro warned that it could be a “double-edged sword.”
“While some patients may benefit from early knowledge and the ability to plan their lives accordingly, others might prefer not to know about a potential future illness due to the psychological burden it could impose,” he said.
Overall, Castro said, this AI-powered blood test represents a “paradigm shift” in the approach to neurodegenerative diseases like Parkinson’s.
“It underscores the importance of integrating advanced technologies into medical practice to enhance patient outcomes and transform health care delivery,” he said.
Fox News Digital reached out to the study researchers for additional comment.
Health
FDA approves new drug to treat autoimmune liver disease: ‘Giant step forward’
A new drug to control liver disease has gotten the green light.
The U.S. Food and Drug Administration (FDA) has approved the French drugmaker Ipsen’s medication Iqirvo (elafibranor).
The drug, an 80 mg tablet administered orally once daily, is intended to treat an autoimmune cholestatic liver disease called primary biliary cholangitis (PBC).
What is PBC?
PBC is a disease in which the immune system attacks and destroys the small bile ducts of the liver.
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Without the active bile ducts, acids can then leak into the nearby tissue and cause liver damage or failure, according to the National Institutes of Health (NIH).
The disease typically involves chronic inflammation along with a stagnant build-up of bile and toxins known as cholestasis, which can lead to irreversible scarring of the liver and ultimately destroy the bile ducts.
Although PBC is considered a rare condition, it can often go undetected, some health experts said.
“PBC is likely to be way underdiagnosed,” Dr. Douglas Dieterich, M.D., director of the Institute for Liver Medicine at Mount Sinai Health System in New York City, told Fox News Digital.
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“Many people — mostly women — have elevated liver enzymes that can be easily diagnosed with a simple blood test called the AMA.”
Patients typically experience severe fatigue and significant itching called pruritus.
If the disease is not treated or an individual does not respond to current therapies, it can lead to liver failure, the need for a liver transplant or even early death, according to experts.
PBC is diagnosed with a blood test that measures liver enzymes.
One common test analyzes the patient’s alkaline phosphatase (ALP), an enzyme that helps detect liver or bone disease.
Another blood test to diagnose PBC measures antimitochondrial antibodies (AMAs), which are positive in approximately 95% of patients with the condition, according to several liver experts.
Patient welcomes more treatment options
One New York patient with PBC told Fox News Digital that she did not know she had a liver disease until her primary care physician performed routine blood work and noticed that her liver enzymes were elevated.
Meredith S., who withheld her last name for privacy reasons, was referred to a hepatologist, whom she credits for saving her life.
“It is distressing to know that your body is fighting itself and you can’t figure out how to stop it.”
“I was feeling tired, but attributed it to working and studying at school,” she told Fox News Digital.
“I was completely surprised to find out I had a liver disease and learned it was PBC.”
She went on, “My doctor performed a liver biopsy and I had significant scarring of my liver in my 30s, even though I didn’t drink alcohol.”
Meredith S. said she is glad there are more treatment options available, and hopes for more awareness and research of PBC.
“It is distressing to know that your body is fighting itself and you can’t figure out how to stop it,” she told Fox News Digital.
Addressing an ‘unmet need’
Dieterich of New York City, who is also a professor of medicine at the Icahn School of Medicine at Mount Sinai, told Fox News Digital that this newly approved medication “is a giant step forward in the treatment of PBC.”
He noted, “This is a giant step forward in the treatment of PBC. Up to now, there has been only one drug available to add to the urso, which is the basis for PBC treatment. Now there are two.”
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The existing drug, ursodeoxycholic acid (UDCA) — commonly called ursodial or “urso” — is a naturally occurring bile acid that has been used to treat liver disease for decades.
The newly approved Iqirvo (elafibranor) is intended to be used in combination with UDCA in patients who are not responding to the first medication on its own, or can be used on its own for people who cannot tolerate UDCA.
“For a significant number of people living with PBC, available treatments do not control the condition and may exacerbate symptoms of PBC,” said Christelle Huguet, executive vice president and head of research and development at Ipsen, in a press release.
“Iqirvo demonstrated statistically significant improvements in biochemical response compared to UDCA alone. Iqirvo is therefore a much-needed treatment option and the first new medicine for PBC in nearly a decade.”
Primary biliary cholangitis affects approximately 100,000 people in the U.S.
The accelerated approval for Iqirvo was based on positive results from the Phase III ELATIVE trial, which showed reduced levels of the alkaline phosphatase enzyme, which is elevated in people with liver disease.
The study, published in The New England Journal of Medicine, included 161 patients with PBC who were inadequately responding to treatment with UDCA or could not tolerate that medication.
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Researchers found that 51% of the patients who received the elafibranor had a biochemical response, compared to only 4% who received a placebo.
After 52 weeks, the patients who were treated with elafibranor showed normalized liver enzymes, compared to 15% of patients in the placebo group.
“Data from the pivotal Phase III ELATIVE clinical trial demonstrated that Iqirvo is an effective second-line treatment for patients with PBC with favorable benefit and risk data,” Dr. Kris Kowdley, a primary investigator on the ELATIVE study and the director at Liver Institute Northwest, Washington, said in a news release.
“The approval of Iqirvo will allow health care providers in the U.S. to address an unmet need, with the potential to significantly reduce ALP levels for our patients with PBC,” he added.
Continued approval is contingent upon further studies showing improved survival or prevention of liver decomposition, the FDA report noted.
Potential side effects and limitations
Some reported side effects of Iqirvo included muscle pain, rhabdomyolysis, myopathy, fractures, weight gain and drug-induced liver injury, according to the FDA report.
Also noted was the potential risk to the fetus in pregnant patients, based on animal study data.
The FDA cautioned health care providers to ensure that patients are not pregnant prior to starting the medication.
Iqirvo is also not recommended in patients who have advanced stages of cirrhosis.
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Primary biliary cholangitis affects some 100,000 people in the United States, according to the drugmaker Ipsen.
It is a lifelong disease that can result in liver failure if left untreated, according to experts.
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