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Discordant Documentation Of Obesity Body Mass Index And Obesity Diagnosis In Electronic Medical Records, Jennifer T. Fink, George L. Morris III, Maharaj Singh, David A. Nelson, Renee E. Walker, Ron A. Cisler 2016 Aurora Health Care

Discordant Documentation Of Obesity Body Mass Index And Obesity Diagnosis In Electronic Medical Records, Jennifer T. Fink, George L. Morris Iii, Maharaj Singh, David A. Nelson, Renee E. Walker, Ron A. Cisler

Maharaj Singh

Purpose: This study examined concordance between presence of obesity body mass index (BMI), defined as BMI ≥ 30, in the patient’s electronic medical record (EMR) and a documented diagnosis of obesity.

Methods: We conducted a retrospective review of the EMR in a large health care system for a 1-year period (2012). A total of 397,313 patients met the study criteria of having at least one physician visit, being at least 18 years of age, and not being pregnant. Of those, 158,327 (40%) had a recorded BMI ≥ 30. We examined the EMR of these obese patients to determine whether ...


Screening Diabetic And Hypertensive Patients For Ocular Pathology Using Telemedicine Technology In Rural West Virginia: A Retrospective Chart Review, Rezwan Ahmed MD, Stephen M. Petrany, Russell Fry II, Michael Krasnow DO, PhD 2016 Marshall University

Screening Diabetic And Hypertensive Patients For Ocular Pathology Using Telemedicine Technology In Rural West Virginia: A Retrospective Chart Review, Rezwan Ahmed Md, Stephen M. Petrany, Russell Fry Ii, Michael Krasnow Do, Phd

Russell L. Fry, II

Abstract: Purpose: There is a disparity between the number of people who need healthcare and availability of medical services in rural areas. This paper describes the experience of using telemedicine technologies for ophthalmologic evaluation in diabetic and hypertensive patients presenting to a community health center in rural West Virginia.

Methods: A registered nurse at a community health center in McDowell County, WV was trained to use a retinal camera to capture high-resolution digital images of the retina. Patients with diabetes or hypertension were screened during their routine primary care visits. Retinal photos were transmitted to an ophthalmologist for review and ...


Screening Diabetic And Hypertensive Patients For Ocular Pathology Using Telemedicine Technology In Rural West Virginia: A Retrospective Chart Review, Rezwan Ahmed MD, Stephen M. Petrany, Russell Fry II, Michael Krasnow DO, PhD 2016 Marshall University

Screening Diabetic And Hypertensive Patients For Ocular Pathology Using Telemedicine Technology In Rural West Virginia: A Retrospective Chart Review, Rezwan Ahmed Md, Stephen M. Petrany, Russell Fry Ii, Michael Krasnow Do, Phd

Stephen M. Petrany MD

Abstract: Purpose: There is a disparity between the number of people who need healthcare and availability of medical services in rural areas. This paper describes the experience of using telemedicine technologies for ophthalmologic evaluation in diabetic and hypertensive patients presenting to a community health center in rural West Virginia.

Methods: A registered nurse at a community health center in McDowell County, WV was trained to use a retinal camera to capture high-resolution digital images of the retina. Patients with diabetes or hypertension were screened during their routine primary care visits. Retinal photos were transmitted to an ophthalmologist for review and ...


Diet Quality Of Adolescent Females In Relation To Disease Risk, Heidi Pfeifer 2016 University of Nebraska Medical Center

Diet Quality Of Adolescent Females In Relation To Disease Risk, Heidi Pfeifer

Theses & Dissertations

Background: Many people are living longer with chronic diseases costing billions in healthcare costs every year. Many things influence the risk of chronic diseases but one easily modified risk factor is diet. Alternate Healthy Eating Index (AHEI) and Alternate Healthy Eating Index-2010 (AHEI-2010) diet quality indexes have been associated with chronic disease risk but has not been studied in disease risk in adolescents.

Purpose: The purpose of this study is to look at adolescent girls’ diet quality scores compared with known adult values associated with chronic diseases and risk of mortality.

Methods: This is a secondary analysis of a previous ...


Effects Of Prenatal Gestational Diabetes Nutrition Education Class And Individual Follow-Up On Maternal And Infant Outcomes, Samantha List 2016 University of Nebraska Medical Center

Effects Of Prenatal Gestational Diabetes Nutrition Education Class And Individual Follow-Up On Maternal And Infant Outcomes, Samantha List

Theses & Dissertations

BACKGROUND: Gestational Diabetes Mellitus (GDM) is defined by glucose intolerance detected with the onset of pregnancy, and if gone undetected and untreated, can lead to morbidities for the mother and baby. Implementation of nutrition counseling can work to reduce the risk of complications through dietary modification promoted and adopted during pregnancy. Follow-up is important, as individual assessment is used to modify recommendations. GDM class and follow-up provided through the Diabetes Center of Nebraska Medicine covers and promotes proper management of blood glucose (BG) during pregnancy for women with GDM.

PURPOSE: The purpose of this study was to assess the impact ...


The Relationships Between The Home Food Environment And Weight Status Among Children And Adolescents, Ages 6-17 Years, Martha J. Nepper 2016 University of Nebraska-Lincoln

The Relationships Between The Home Food Environment And Weight Status Among Children And Adolescents, Ages 6-17 Years, Martha J. Nepper

Nutrition & Health Sciences Dissertations & Theses

The home food environment is an important setting in regard to a child’s dietary intake and the development of obesity, since 65% to 72% of daily calories are consumed in the home. Research is beginning to explore how the home food environment may influence children’s weight status. It is suggested that homes with healthy weight children are more likely to have healthier food options available and limit access to unhealthy foods. Prior research on the influence of the home food environment on children and adolescent’s weight status is not clear, as some researchers have found that the ...


Eating Local At Uri: The Real Food Challenge, Kayleigh M. Hill 2016 The University of Rhode Island

Eating Local At Uri: The Real Food Challenge, Kayleigh M. Hill

Senior Honors Projects

Over the past decade sustainability has become more than just a buzzword at the University of Rhode Island. We have adapted it into the fabric of our school and created a student body that is focused on the health of our future, on promoting environmental, social and economic prosperity that is created and sustained by action on a local level. In other words, we have realized that before we can “Think Big”, we have to first consider the impact our actions have on every level of society. This project focuses on how the action of eating is a direct reflection ...


Student Perceptions Of Nutrition Education At Marshall University Joan C. Edwards School Of Medicine: A Resource Challenged Institution, W. Elaine Hardman, Bobby L. Miller, Darshana T. Shah 2016 Marshall University

Student Perceptions Of Nutrition Education At Marshall University Joan C. Edwards School Of Medicine: A Resource Challenged Institution, W. Elaine Hardman, Bobby L. Miller, Darshana T. Shah

Elaine Hardman Ph.D.

Nutrition education is an essential component of medical education if new physicians are to be equipped to address common chronic diseases, including obesity and the associated diabetes, cardiovascular disease, and cancer. Most medical students recognize this need and desire nutrition education; however, finding time in a medical school curriculum and funding are challenging. Available, free online resources and small group exercises can be utilized to provide basic, up-to-date nutrition information to medical students.


Effects Of Olfactory Sense On Chocolate Craving, Michael W. Firmin, Aubrey Gillette, Taylor E. Hobbs 2016 Cedarville University

Effects Of Olfactory Sense On Chocolate Craving, Michael W. Firmin, Aubrey Gillette, Taylor E. Hobbs

The Research and Scholarship Symposium

Chocolate has been referred to as one of the most socially acceptable addictions. It is one of America’s most craved foods, and women tend to crave it more frequently than men. Kemps and Tiggemann (2013) conducted an innovative experiment to reconcile the ideas of mental imagery, scent, and craving. After presenting images of sweet foods and having female undergraduate students smell a neutral scent, the researchers found that the neutral smell decreased craving for sweet foods.

In the present study, researchers sought to replicate many aspects of Kemps and Tiggemann’s design. This new study went one step further ...


The Effect Of Reduced Carbohydrate Diet Education On Hemoglobin A1c In Patients With Type 2 Diabetes, Lauren Parker 2016 Valparaiso University

The Effect Of Reduced Carbohydrate Diet Education On Hemoglobin A1c In Patients With Type 2 Diabetes, Lauren Parker

Evidence-Based Practice Project Reports

Type 2 diabetes (T2D) is characteristically the result of modifiable risk factors, impacting the health and well being of all ethnic backgrounds across the lifespan. Research has indicated that despite the many risk factors associated with T2D, alterations in dietary macronutrient composition can lead to improvements in disease management and resultant complications. Therefore, the purpose of this evidence-based practice (EBP) project was to provide individuals with reduced carbohydrate (carb) diet education to promote greater glycemic control and reduce associated risk factors through macronutrient modification, specifically carb intake. An integration of the most current evidence obtained from the critically appraised literature ...


Validity Of A Food Frequency Questionnaire To Assess Nutritional Intake Among Sri Lankan Adults, Ranil Jayawardena, Nuala Byrne, Mario Soares, Prasad Katulanda, Andrew P. Hills 2016 University of Colombo, Colombo, Sri Lanka

Validity Of A Food Frequency Questionnaire To Assess Nutritional Intake Among Sri Lankan Adults, Ranil Jayawardena, Nuala Byrne, Mario Soares, Prasad Katulanda, Andrew P. Hills

Nuala Byrne

Sri Lanka is undergoing nutritional transition and diet-related chronic diseases are emerging as an important health problem. Currently, no validated food frequency questionnaire (FFQ) exists to measure habitual dietary intake of Sri Lankan adults. The purpose of the study is to assess the validity of a semi-quantitative FFQ and 7-day weighed-intake dietary records (7DWR), designed to assess dietary intake among Sri Lankan adults. Dietary intake was measured using both a FFQ and 7DWR. The FFQ consisted of 8 food groups containing the main foods comprising the diet of Sri Lankan adults, a total of 85 items and 12 color photographs ...


Physical Activity And Health: “What Is Old Is New Again”, Andrew P. Hills, Steven J. Street, Nuala Byrne 2016 The University of Queensland, Australia

Physical Activity And Health: “What Is Old Is New Again”, Andrew P. Hills, Steven J. Street, Nuala Byrne

Nuala Byrne

Much recent interest has focused on the relationship between physical activity and health and supported with an abundance of scientific evidence. However, the concept of Exercise is Medicine™copromoted by the American College of Sports Medicine and American Medical Association and similar august bodies worldwide is far from new— the importance of exercise for health has been reported for centuries. Participation in regular physical activity and exercise provides numerous benefits for health with such benefits typically varying according to the volume completed as reflected by intensity, duration, and frequency. Evidence suggests a dose–response relationship such that being active, even ...


Effects Of A Peer Developed Nutrition Education Intervention On The Fruit And Vegetable Intake In Elementary School Children, Sydney Marie Antolini 2016 University of Dayton

Effects Of A Peer Developed Nutrition Education Intervention On The Fruit And Vegetable Intake In Elementary School Children, Sydney Marie Antolini

Honors Theses

To promote consumption and decrease plate waste, it is important to find innovative ways to encourage fruit and vegetable intake in children. In this study, collaborating with and educating students on nutrition brought attention to the issue and raised awareness in the school system of the need for better nutrition education.


Is Dietary Intervention A Viable Method For Improving Outcomes In Adult Patients With Asthma?, Jennifer Grolimund 2016 Liberty University

Is Dietary Intervention A Viable Method For Improving Outcomes In Adult Patients With Asthma?, Jennifer Grolimund

Senior Honors Theses

Asthma is a disease process characterized by episodic inflammation of the lower airway in response to various triggers. Those with asthma have trouble breathing effectively during an acute episode, making asthma a potentially life threatening condition. Standard medical treatment of asthma, including medications and environmental changes, can be effective at reducing or eliminating negative outcomes in patients with asthma. However, a holistic approach to patient care, including an examination of dietary influence, may also be useful for patients trying to manage the course of their illness. Variations in intake of individual nutrients or in total dietary patterns may play a ...


Reliability Of Bod Pod Measurements Remains High After A Short-Duration Low-Carbohydrate Diet., Beau Kjerulf Greer 2016 Sacred Heart University

Reliability Of Bod Pod Measurements Remains High After A Short-Duration Low-Carbohydrate Diet., Beau Kjerulf Greer

Beau K. Greer

The purpose of the current study was to determine whether expected changes in body weight via a 3-day low-carbohydrate (LC) diet will disrupt the reliability of air displacement plethysmography measurements via BOD POD. Twenty-four subjects recorded their typical diets for 3 days before BODPOD and 7-site skinfold analyses. Subjects were matched for lean body mass and divided into low-CHO (LC) and control (CON) groups. The LC group was given instruction intended to prevent more than 50 grams/day of carbohydrate consumption for 3 consecutive days, and the CON group replicated their previously recorded diet. Body composition measurements were repeated after ...


Reliability Of Bod Pod Measurements Remains High After A Short-Duration Low-Carbohydrate Diet., Beau Kjerulf Greer 2016 Sacred Heart University

Reliability Of Bod Pod Measurements Remains High After A Short-Duration Low-Carbohydrate Diet., Beau Kjerulf Greer

Beau K. Greer

The purpose of the current study was to determine whether expected changes in body weight via a 3-day low-carbohydrate (LC) diet will disrupt the reliability of air displacement plethysmography measurements via BOD POD. Twenty-four subjects recorded their typical diets for 3 days before BODPOD and 7-site skinfold analyses. Subjects were matched for lean body mass and divided into low-CHO (LC) and control (CON) groups. The LC group was given instruction intended to prevent more than 50 grams/day of carbohydrate consumption for 3 consecutive days, and the CON group replicated their previously recorded diet. Body composition measurements were repeated after ...


Hunger Doesn't Take A Spring Break, Jessica Isaacs 2016 Nutrition Society

Hunger Doesn't Take A Spring Break, Jessica Isaacs

Engagement and Service-Learning Summit

The rates of food insecurity amongst Hoosier children is slightly above the national average. For many of these children, school lunches are their primary source of nutrition. During school breaks, these children are at risk of going hungry. While Purdue Nutrition Society wishes that we could help all Hoosier children stay fed with nutritious meals, for now we are focusing on helping 20 local elementary students most at risk of going hungry over spring break. Working with Glen Acres Elementary in Lafayette, Indiana, a school where in 2014, over 71% of the students qualified for free or reduced lunches, we ...


Vitamin C And Disease: Insights From The Evolutionary Perspective, Zsófia Clemens, Csaba Tóth 2016 Department of Neurology, University of Pécs, Hungary

Vitamin C And Disease: Insights From The Evolutionary Perspective, Zsófia Clemens, Csaba Tóth

Journal of Evolution and Health

The role of vitamin C at the physiological and cellular levels is indisputable. In line with this, blood level of vitamin C is inversely related to disease parameters such as risk of cancer, cardiovascular disease and mortality in prospective cohort and correlational studies. At the same time, adequately powered clinical intervention studies consistently provide no evidence for a beneficial effect of supplementing vitamin C. Here we provide a framework to resolve this apparent conflict. Besides providing an overview of the widely-known facts regarding vitamin C, we review evidence that are of potential relevance but are seldomly mentioned in the context ...


Connecting With The Ghanaian Community Through Church-Based Workshops: Healthy Ghanaian Cookbook, Samantha Harrington, Jason Stencel, Jacob Koshy, Shelly Yarnie 2016 University of Massachusetts Medical School

Connecting With The Ghanaian Community Through Church-Based Workshops: Healthy Ghanaian Cookbook, Samantha Harrington, Jason Stencel, Jacob Koshy, Shelly Yarnie

Capstone Presentations

Based off our workshop series at Ghanaian churches in Worcester, MA, the Healthy Ghanaian Cookbook is a collection of recipes created by Peggy Akufo from the Apostolic Church at Bethsaida Christian Center. The recipes were altered to increase nutritional value. Calorie and nutrition breakdown for each recipe is included.


Effect Of Allowing Choice Of Diet On Weight Loss, Sherry Pagoto, Brad Appelhans 2016 University of Massachusetts Medical School

Effect Of Allowing Choice Of Diet On Weight Loss, Sherry Pagoto, Brad Appelhans

Sherry L. Pagoto

Comment on: Effect of Allowing Choice of Diet on Weight Loss: A Randomized Trial. [Ann Intern Med. 2015]


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