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Nutritional and Metabolic Diseases Commons

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Improved Service Efficiency Improves Racial Disparity In Diabetic Care, Abel Irena, Kushal Patel, David Thompson, Gregory Schleis, Abiy Gesese, Richard Battiola 2017 Department of Internal Medicine, Aurora Sinai Medical Center

Improved Service Efficiency Improves Racial Disparity In Diabetic Care, Abel Irena, Kushal Patel, David Thompson, Gregory Schleis, Abiy Gesese, Richard Battiola

Journal of Patient-Centered Research and Reviews

Background: Racial disparities in diabetes care have been documented. Disparities also have been shown to affect service quality and outcome of diabetic care. Analysis of our internal medicine residency clinic diabetic care management performance across REAL-G (race, ethnicity, age, preferred language and/or gender) showed race-based disparity on two outcome measures: 1) measurement of glycohemoglobin (A1C) at least twice a year; and 2) target blood pressure of < 140/90.

Purpose: Develop interventions to decrease racial disparities in diabetes care among patients managed by an internal medicine residency clinic, as part of the Alliance of Independent Academic Medical Center’s National Initiative V ...


What About Alcohol And Diabetes? - English, Michele Spatz, Ruth Dallas 2017 Pacific University

What About Alcohol And Diabetes? - English, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

This one page handout discusses the effects of drinking alcohol on diabetes.


Sick Days - Spanish, Michele Spatz, Ruth Dallas 2017 Pacific University

Sick Days - Spanish, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

This one page handout offers tips on what to do when you are sick and you have diabetes. (Spanish)


Sick Days - English, Michele Spatz, Ruth Dallas 2017 Pacific University

Sick Days - English, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

This one page handout offers tips on what to do when you are sick and you have diabetes. (English)


What About Alcohol And Diabetes? - Spanish, Michele Spatz, Ruth Dallas 2017 Pacific University

What About Alcohol And Diabetes? - Spanish, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

One page handout discusses the effects of drinking alcohol on diabetes. (Spanish)


Roles Of Gabab, Muscarinic And Nicotinic Receptor Signaling In The Acquisition And Expression Of Fructose And Fat-Conditioned Flavor Preferences And Acquisition Of Quinine-Conditioned Flavor Avoidances In Rats, Francis M. Rotella 2017 Graduate Center, City University of New York

Roles Of Gabab, Muscarinic And Nicotinic Receptor Signaling In The Acquisition And Expression Of Fructose And Fat-Conditioned Flavor Preferences And Acquisition Of Quinine-Conditioned Flavor Avoidances In Rats, Francis M. Rotella

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

In addition to increased intake of sweet solutions by mammals, learning, particularly classically-conditioned “Pavlovian-like” learning, also plays an important role. An orosensory conditioned flavor preference (CFP) can be elicited by pairing one novel flavor (conditioned stimulus, CS+) with a fructose solution and a second novel flavor (CS-) with a saccharin solution. Rats will prefer the CS+ flavor in a subsequent 2-bottle choice test with both flavors mixed in saccharin. Previous pharmacological analyses revealed that systemic administration of dopamine (DA) D1 and D2 as well as NMDA, but not opioid, receptor antagonists eliminated the acquisition (learning) of fructose-CFP. Further, expression of ...


Acid Maltase Deficiency--Pompe's Disease, Sajjad Jamil, Shahid Ahmed, M. Tariq 2017 Aga Khan University

Acid Maltase Deficiency--Pompe's Disease, Sajjad Jamil, Shahid Ahmed, M. Tariq

Muhammad Tariq

Mutation in genes encoding for proteins involved in glycogen synthesis, degradation or regulation results in various inborn errors of glycogen metabolism. The disorders that result in abnormal storage of glycogen are known as glycogen storage diseases (GSD). We report a rare and interesting case of a young boy who presented with generalized weakness and reduced muscle bulk since childhood. He was diagnosed to have acid maltase deficiency, also known as Pompe's disease, one of the rare types of glycogen storage disease. The case is presented here in the form of a case study, including a review of the pertinent ...


Treating Diabetic Ketoacidosis With Subcutaneous Insulin?, Marlene Aziza Azar 2017 Wayne State University School of Medicine

Treating Diabetic Ketoacidosis With Subcutaneous Insulin?, Marlene Aziza Azar

Clinical Research in Practice: The Journal of Team Hippocrates

The author examines the evidence for treating diabetic ketoacidosis with subcutaneous insulin vs IV insulin.


Care For Diabetic Population, Jennifer Aronson, Leanne Bellino, Elizabeth Eisenhardt, Diane Bryant, Haley Pelletier, Internal Medicine Team, Adult Outpatient Clinic 2017 Maine Medical Center

Care For Diabetic Population, Jennifer Aronson, Leanne Bellino, Elizabeth Eisenhardt, Diane Bryant, Haley Pelletier, Internal Medicine Team, Adult Outpatient Clinic

Maine Medical Center

No abstract provided.


Pursuing Equity In Diabetes Population, Aisha Rawlinson 2017 The University of San Francisco

Pursuing Equity In Diabetes Population, Aisha Rawlinson

Master's Projects and Capstones

Abstract

Background

Poor glycemic control (HbA1c >8) overtime leads to microvascular and macrovascular complications after the first and third years respectively, ultimately resulting in death after five years (Karter, 2016). Current Kaiser Permanente (KP) data stratified by race, ethnicity, age, and gender shows a significant disparity gap between Hispanics/Latino and Caucasian populations. The Pursuing IHI initiative is over a 2-year period completed at a microsystem that is focusing on health equity practices to reduce disparity gaps.

Project aim

KP Riverside, microsystem selected has a large population of Hispanic/Latino KP members, with focus on health equity. The project aim ...


Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman III 2017 Marshall University Cardiology

Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman Iii

Marshall Journal of Medicine

Heart failure is a growing epidemic that will add significant monetary and human costs to an already overtaxed health-care system. Though promising new medications have recently been approved, this complex condition is largely preventable through aggressive risk factor modification, with diet being shown to have a greater effect than exercise. An underrated component of a healthy diet is the simple addition of nuts – the anti-inflammatory fatty acids, healthy proteins, and general availability have been shown to improve survival and reduce the primary risk factors contributing to heart failure, making the addition of nuts and legumes to the diet an attractive ...


Prospective Relation Of Circulating Adipokines To Incident Metabolic Syndrome: The Framingham Heart Study, Justin P. Zachariah, Rene Quiroz, Kerrie P. Nelson, Zhaoyang Teng, John F. Keaney Jr., Lisa M. Sullivan, Ramachandran S. Vasan 2017 Baylor College of Medicine

Prospective Relation Of Circulating Adipokines To Incident Metabolic Syndrome: The Framingham Heart Study, Justin P. Zachariah, Rene Quiroz, Kerrie P. Nelson, Zhaoyang Teng, John F. Keaney Jr., Lisa M. Sullivan, Ramachandran S. Vasan

UMass Metabolic Network Publications

BACKGROUND: Adipokines are elaborated by adipose tissue and are associated with glycemic, lipid, and vascular traits. We hypothesized that in a cross-sectional analysis circulating adipokines are altered among subsets of obesity stratified by presence versus absence of metabolic syndrome (MetS) and prospectively predict the incidence of MetS.

METHODS AND RESULTS: Participants in the community-based Framingham Third Generation Cohort who attended examination cycle 1 were included in the study (2002-2005; N=3777, mean age, 40 years; 59% women). Circulating adiponectin, leptin, leptin receptor, fetuin-A, fatty acid-binding protein 4, and retinol binding protein 4 were assayed and related to incident MetS in ...


Residential Segregation, Neighborhood Social And Physical Context In Obesity Disparities In Hispanic Preschoolers: A Conceptual Model, Catherina Chang Martinez PhD(c), Nasar U. Ahmed PhD, Ruby A. Natale PhD, PsyD 2017 Robert Stempel College of Public Health and Social Work, Florida International University

Residential Segregation, Neighborhood Social And Physical Context In Obesity Disparities In Hispanic Preschoolers: A Conceptual Model, Catherina Chang Martinez Phd(C), Nasar U. Ahmed Phd, Ruby A. Natale Phd, Psyd

Journal of Health Disparities Research and Practice

During the last decade, there has been a significant inclusion in obesity prevention studies from individual characteristics to household factors then neighborhood factors. The study of place in the context of early childhood obesity studies has been limited to the food and physical built environment. With the persistent disparities in the prevalence of childhood obesity, and Hispanic minorities being increasingly affected, there is a need to reexamine existing models and develop new model conceptual frameworks to examine the role of place and residential segregation in the context of race, ethnicity, social position, and socioeconomic disparities. In the context of place ...


Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger 2017 Bond University

Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger

Rae Thomas

OBJECTIVE: The objective of this study was to explore the experiences of individuals who participated in a group-based education program, including their motivators in relation to their diabetes management, and the perceived impact of group interactions on participants' experiences and motivation for self-management. Understanding individuals diagnosed with diabetes experiences of group-based education for the management of type 2 diabetes mellitus may guide the development and facilitation of these programs. METHODS: Semi-structured interviews were conducted with all individuals who participated in the intervention. Using thematic analysis underpinned by self-determination theory, we developed themes that explored participants' motivators in relation to diabetes ...


Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger 2017 Bond University

Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger

Liz Isenring

OBJECTIVE: The objective of this study was to explore the experiences of individuals who participated in a group-based education program, including their motivators in relation to their diabetes management, and the perceived impact of group interactions on participants' experiences and motivation for self-management. Understanding individuals diagnosed with diabetes experiences of group-based education for the management of type 2 diabetes mellitus may guide the development and facilitation of these programs. METHODS: Semi-structured interviews were conducted with all individuals who participated in the intervention. Using thematic analysis underpinned by self-determination theory, we developed themes that explored participants' motivators in relation to diabetes ...


The Contribution Of Differences In Adiposity To Educational Disparities In Mortality In The United States, Yana Vierboom 2017 University of Pennsylvania

The Contribution Of Differences In Adiposity To Educational Disparities In Mortality In The United States, Yana Vierboom

Population Center Working Papers (PSC/PARC)

Background: There are large differences in life expectancy by educational attainment in the United States. Previous research has found obesity’s contribution to these differences to be small. Those findings may be sensitive to how obesity is estimated. Methods: This analysis uses discrete time logistic regressions with data from the National Health and Nutrition Examination Survey (NHANES), pooled from 1988-1994 and 1999-2010, to estimate the contribution of differences in adiposity, or body fat, to educational differences in mortality. I show that results depend upon the measure of adiposity used: body mass index (BMI) at survey or lifetime maximum BMI. Results ...


The Effectiveness Of Tablet-Based Application For Older Adults With Diabetes Mellitus Type Ii: A Pilot Study, Mohammad Alkawaldeh, Jacelon Cynthia, Jeungok Choi, Jenna Marquard, John Ridgway 2017 University of Massachusetts Amherst

The Effectiveness Of Tablet-Based Application For Older Adults With Diabetes Mellitus Type Ii: A Pilot Study, Mohammad Alkawaldeh, Jacelon Cynthia, Jeungok Choi, Jenna Marquard, John Ridgway

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Advances in technological applications such as tablet-based computers is growing dramatically in the field of healthcare, as there is a considerable eagerness for mobile health interventions. Tablet-based interventions can have positive effects on both health and health service delivery processes (Free et al, 2013). Technological applications have been developed for a wide range of healthcare needs, including patient registration, data management, and self- management applications.

Background: The usefulness of technology and the powerful capabilities of technological applications have led to a significantly increased interest in finding novel approaches to support older adults’ self-management.Self-management technological applications have been used ...


The Effects Of Yoga On Adults With Type Ii Diabetes: A Systematic Review And Meta-Analysis, Herpreet Thind, Lori Scott-Sheldon, Ryan Lantini, Brittany Balletto, Marissa Donahue, Melissa Feulner, Elena Salmoirago-Blotcher, Beth C. Brock 2017 University of Massachusetts Lowell

The Effects Of Yoga On Adults With Type Ii Diabetes: A Systematic Review And Meta-Analysis, Herpreet Thind, Lori Scott-Sheldon, Ryan Lantini, Brittany Balletto, Marissa Donahue, Melissa Feulner, Elena Salmoirago-Blotcher, Beth C. Brock

UMass Center for Clinical and Translational Science Research Retreat

Objective: The purpose of this meta-analysis was to examine the effects of yoga for glycemic control among adults with type II diabetes (T2DM).

Methods: Comprehensive electronic databases searches located 2,559 unique studies with relevant key terms. Studies were included if they a) evaluated a yoga intervention to promote T2DM management, b) used an objective measure to assess glycemic control at post-intervention, and c) had follow-up length or post-test of at least 8 weeks from baseline. Studies were excluded if yoga was not the primary intervention focus (e.g., if yoga was part of a mindfulness-based intervention). Independent raters coded ...


Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger 2017 Bond University

Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger

Faculty of Health Sciences & Medicine Publications

OBJECTIVE:

The objective of this study was to explore the experiences of individuals who participated in a group-based education program, including their motivators in relation to their diabetes management, and the perceived impact of group interactions on participants' experiences and motivation for self-management. Understanding individuals diagnosed with diabetes experiences of group-based education for the management of type 2 diabetes mellitus may guide the development and facilitation of these programs.

METHODS:

Semi-structured interviews were conducted with all individuals who participated in the intervention. Using thematic analysis underpinned by self-determination theory, we developed themes that explored participants' motivators in relation to diabetes ...


Exploring Autonomy Support In Shared Decision Making And Patient Activation Of Diabetes Self-Care Behaviors, Carol Mahler Hamersky 2017 Seton Hall University

Exploring Autonomy Support In Shared Decision Making And Patient Activation Of Diabetes Self-Care Behaviors, Carol Mahler Hamersky

Seton Hall University Dissertations and Theses (ETDs)

Introduction:

Chronic disease places a different set of demands on an individual and family. Self-care behaviors and daily decision making is an integral part of diabetes management. According to the CDC (2014), the prevalence of Diabetes is estimated at 29.1 million and an alarming 86 million Americans have Pre-diabetes. Despite a plethora of evidence on the importance of diabetes self-care behaviors on clinical outcomes, studies have highlighted the current disconnect of patients not able to follow self-care behavior recommendations and not asking for help from their health care providers. There is no literature on the impact of an autonomy ...


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