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2020

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The Reality For Minorities Exploring Nurse Executive Leadership Roles: An Integrated Review, Trarina Harris Dec 2020

The Reality For Minorities Exploring Nurse Executive Leadership Roles: An Integrated Review, Trarina Harris

DNP Qualifying Manuscripts

While nurses in direct patient care are serving a growing minority population, nurse executives are not racially representative of the patient population. This integrated review sought to understand the benefits of formal mentorship. Results included 2 themes: increasing diversity and self-efficacy through formal mentorship. The themes are explored in the literature. Implications for organizations and leaders will be discussed.


The Circular City And The Building Sector, Chiara Franz Dec 2020

The Circular City And The Building Sector, Chiara Franz

Fondazione Eni Enrico Mattei Working Papers

The essay deals with the issue of urban circularity understood as a subset of the Circular Economy paradigm, highlighting potential and limits of an emerging new model spreading on a global scale. The critical reasoning starts from a very recent production of institutional documents and the still reduced scientific production around and over this topic to propose an unorthodox interpretation on the relationship between circularity and city. The building industry is considered as a key sector to promote and improve circularity in cities and some experimental case studies are presented as a proof of the relevant potentials. The essay attempts …


Melanogenesis, Its Regulatory Process, And Insights On Biomedical, Biotechnological, And Pharmacological Potentials Of Melanin As Antiviral Biochemical, Toluwase Hezekiah Fatoki, Omodele Ibraheem, Catherine Joke Adeseko, Boluwatife Lawrence Afolabi, Daniel Uwaremhevho Momodu, David Morakinyo Sanni, Jesupemi Mercy Enibukun, Ibukun Oladejo Ogunyemi, Akinwunmi Oluwaseun Adeoye, Harriet U. Ugboko, Amoge Chidinma Ogu, Abiodun Samuel Oyedele, Adejoju Omodolapo Adedara, Abiodun Joseph Jimoh, Oluwakemi Ruth Ogundana, Oritsetimeyin Eworitse Ebosa Dec 2020

Melanogenesis, Its Regulatory Process, And Insights On Biomedical, Biotechnological, And Pharmacological Potentials Of Melanin As Antiviral Biochemical, Toluwase Hezekiah Fatoki, Omodele Ibraheem, Catherine Joke Adeseko, Boluwatife Lawrence Afolabi, Daniel Uwaremhevho Momodu, David Morakinyo Sanni, Jesupemi Mercy Enibukun, Ibukun Oladejo Ogunyemi, Akinwunmi Oluwaseun Adeoye, Harriet U. Ugboko, Amoge Chidinma Ogu, Abiodun Samuel Oyedele, Adejoju Omodolapo Adedara, Abiodun Joseph Jimoh, Oluwakemi Ruth Ogundana, Oritsetimeyin Eworitse Ebosa

Chemistry Student Research

Melanin is s most widely distributed pigment and is found in bacteria, fungi, plants, and animals. Melanogenesis is under complex regulatory control by multiple agents interacting through pathways activated by hormonal and receptor-dependent and -independent mechanisms. There are about 20 genes that are involved in the biochemical pathway of melanogenesis and its regulation, which include: tyrosinase, microphthalmia-associated transcription factor, melanocortin1 receptor, adenylate cyclase, protein kinase A. Human melanogenesis regulatory proteins such as MAPK1, CREB3, and CREBP, have binary interaction with the protein of herpesvirus, hepatitis C virus, Human immunodeficiency virus type 1, Simian virus 40, and Human adenovirus A and …


Can In Vitro Meat Help To Fix What Cattle Ranching Has Broken?, Rachel Robinson-Greene Dec 2020

Can In Vitro Meat Help To Fix What Cattle Ranching Has Broken?, Rachel Robinson-Greene

Languages, Philosophy, and Communication Studies Faculty Publications

It is now clear that growing edible and delicious meat outside of an animal is not merely the stuff of science fiction. In vitro meat, aka cell-cultured meat, aka green meat, aka clean meat, has arrived. Regardless of how we want to brand it, our meat future could be slaughter-free if consumers express their support for it with their pocketbooks. There are many arguments that support this shift. Concerns about animal welfare are right out in front — our current system of industrial animal agriculture is terribly cruel and inhumane. There are also very compelling arguments related to environmental degradation …


A Spectral Adjustment For Spatial Confounding, Yawen Guan, Garritt L. Page, Brian J. Reich, Massimo Ventrucci, Shu Yang Dec 2020

A Spectral Adjustment For Spatial Confounding, Yawen Guan, Garritt L. Page, Brian J. Reich, Massimo Ventrucci, Shu Yang

Department of Statistics: Faculty Publications

Adjusting for an unmeasured confounder is generally an intractable problem, but in the spatial setting it may be possible under certain conditions. In this paper, we derive necessary conditions on the coherence between the treatment variable of interest and the unmeasured confounder that ensure the causal effect of the treatment is estimable. We specify our model and assumptions in the spectral domain to allow for different degrees of confounding at different spatial resolutions. The key assumption that ensures identifiability is that confounding present at global scales dissipates at local scales. We show that this assumption in the spectral domain is …


Integument: Guidelines For The Care Of People With Spina Bifida, Patricia Beierwaltes, Sharon Munoz, Jennifer Wilhelmy Dec 2020

Integument: Guidelines For The Care Of People With Spina Bifida, Patricia Beierwaltes, Sharon Munoz, Jennifer Wilhelmy

School of Nursing Publications

PURPOSE:

Skin-related issues have a significant impact on health, activities of daily living, and quality of life among people with spina bifida. Data presented by select clinics that participate in the National Spina Bifida Patient Registry reported that 26% of individuals had a history of pressure injuries with 19% having had one in the past year. The spina bifida community lack direct guidelines on prevention of these and other skin related issues. The Integument (skin) Guidelines focus on prevention, not treatment, of existing problems.

METHODS:

Using a consensus building methodology, the guidelines were written by experts in spina bifida and …


2020-12-22_Michiganoverview_Covidvaccinestats, Michigan Department Of Health & Human Services Dec 2020

2020-12-22_Michiganoverview_Covidvaccinestats, Michigan Department Of Health & Human Services

Michigan COVID-19 Vaccine Data

The COVID Vaccine Dashboard page was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus/0,9753,7-406-98178_103214-547150--,00.html.

Data is updated Monday through Saturday. Previously reported numbers of administered vaccine doses may change as new data are received. A possible lag in reporting vaccine doses will result in increases in numbers previously reported.

This report is created by the Michigan Department of Health and Human Services Division of Immunization from data reported to the Michigan Care Improvement Registry (MCIR).

The dashboard contained the tabs Enrolled Providers, Vaccines Shipped, Doses Administered, Doses by Vaccine, Doses Metrics, and Learn More. …


Covid-19 Newsletter (Vol. 51), Center For Disaster Medicine, New York Medical College Dec 2020

Covid-19 Newsletter (Vol. 51), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.


2020-12-22_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services Dec 2020

2020-12-22_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-526911--,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data for all reporting facilities is posted weekly each Monday.

The data below represents a cumulative total of confirmed COVID-19 resident cases, cumulative total of suspected and confirmed resident deaths, cumulative total of confirmed COVID-19 staff cases, and cumulative total of suspected and confirmed staff deaths reported by SNFs in Michigan since January 1, 2020. Case numbers are provisional and may change …


Care Coordination Guidelines For The Care Of People With Spina Bifida, Alexander Van Speybroeck, Patricia Beierwaltes, Betsy Hopson, Suzanne Mckee, Lisa Raman, Ravindra Rao, Rebecca Sherlock Dec 2020

Care Coordination Guidelines For The Care Of People With Spina Bifida, Alexander Van Speybroeck, Patricia Beierwaltes, Betsy Hopson, Suzanne Mckee, Lisa Raman, Ravindra Rao, Rebecca Sherlock

School of Nursing Publications

Care coordination is the deliberate organization of patient care activities between two or more participants (including the patient) involved in a person’s care to facilitate the appropriate delivery of health care services. Organizing care involves the marshalling of personnel and other resources needed to carry out all required patient care activities. It is often managed by the exchange of information among participants responsible for different aspects of care. With an estimated 85% of individuals with Spina Bifida (SB) surviving to adulthood, SB specific care coordination guidelines are warranted. Care coordination (also described as case management services) is a process that …


Coronavirus Update 12-22-20, The Coronavirus Planning Team Dec 2020

Coronavirus Update 12-22-20, The Coronavirus Planning Team

University Briefings & Virtual Events

We are excited to share that Sacred Heart has been contacted by the state of Connecticut about submitting names for the first phase of vaccination.


2020-12-22_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services Dec 2020

2020-12-22_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Hospitals. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.


Project Echo In Belarus: Outcomes Of 3-Year Experience, Olga P. Matylevich, Alexander B. Shushkevich, Pavel A. Perevoschikov, Siarhei A. Mavrichev, Kathleen M. Schmeler Dec 2020

Project Echo In Belarus: Outcomes Of 3-Year Experience, Olga P. Matylevich, Alexander B. Shushkevich, Pavel A. Perevoschikov, Siarhei A. Mavrichev, Kathleen M. Schmeler

Project ECHO Bibliography

No abstract provided.


Mukeshkumar Patel V. Vithalbhai Dhaduk Dec 2020

Mukeshkumar Patel V. Vithalbhai Dhaduk

2020 Decisions

USDC for the Middle District of Pennsylvania


D.W. V. Susan Raufer Dec 2020

D.W. V. Susan Raufer

2020 Decisions

USDC for the Eastern District of Pennsylvania


Bowel Function And Care - Guidelines For The Care Of People With Spina Bifida, Patricia Beierwaltes, Paige Church, Tiffany Gordon, Lusine Ambartsumyan Dec 2020

Bowel Function And Care - Guidelines For The Care Of People With Spina Bifida, Patricia Beierwaltes, Paige Church, Tiffany Gordon, Lusine Ambartsumyan

School of Nursing Publications

PURPOSE:

Bowel dysfunction, such as constipation and fecal incontinence, has a significant impact on health, activities of daily living, and quality of life among people with spina bifida. Secondary complications may result from bowel dysfunction and include urologic dysfunction, loss of skin integrity, shunt (hydrocephalus) function, as well as loss of social opportunities and employability.

METHODS:

Using a consensus building methodology, the guidelines for management of bowel dysfunction in spina bifida were written by experts in the field of spina bifida and bowel function and care.

RESULTS:

The evidence-based guidelines are presented in table format and provide age-specific recommendations to …


Parenting Typologies And Adolescents' Academic And Behavioral Outcomes In Ghana, Odetta Odartey Addo Dec 2020

Parenting Typologies And Adolescents' Academic And Behavioral Outcomes In Ghana, Odetta Odartey Addo

Dissertations - ALL

AbstractGrounded in Interpersonal Acceptance-Rejection and Social Learning theories, and guided by Hofstede’s Cultural Dimensions framework, this study sought to test the applicability of parenting typologies within the Ghanaian context. In addition to ascertaining maternal and paternal culturally-specific parenting typologies, the associations among parenting typologies, and sociodemographic correlates, adolescents’ academic and behavioral outcomes were determined. Variations in the prevalence of parenting styles, academic and behavioral outcomes across different Ghana’s cultural regions were also examined. A sample of 800 adolescents, including 489 (61.1%) females and 311 (38.9%) males drawn from high schools located in two southern sector regions (Greater Accra and Eastern) …


Uab's 1917 Clinic Officially Relocates To Lakeview District, Alicia Rohan Dec 2020

Uab's 1917 Clinic Officially Relocates To Lakeview District, Alicia Rohan

Browse All News

No abstract provided.


Efficiency Of Land Use In Smallholder Palm Oil Plantations In Indonesia: A Stochastic Frontier Approach, Dyah Wulan Sari, Faqih Nur Hidayat, Irawati Abdul Dec 2020

Efficiency Of Land Use In Smallholder Palm Oil Plantations In Indonesia: A Stochastic Frontier Approach, Dyah Wulan Sari, Faqih Nur Hidayat, Irawati Abdul

Forest and Society

Indonesia has become the country with the largest palm oil production. However, the level of productivity of oil palm per land in Indonesia tends to remain stagnant. The main objective of this study is to evaluate oil palm lands of smallholders that experience land inefficiency. In analyzing land efficiency, this study used cross-section data obtained from Statistics Indonesia (BPS). This study uses an input distance function approach with stochastic frontier analysis tools. Our estimation results found that on average, smallholders oil palm plantations face land inefficiency. The land inefficiency of smallholder oil palm plantations is not proportional to the negative …


Forest - Related Culture And Contribution To Sustainable Development In The Northern Mountain Region In Vietnam, Thi Tan Huong Ngo, Thi Phuong Mai Nguyen, Thi Huong Duong, Thi Hue Ly Dec 2020

Forest - Related Culture And Contribution To Sustainable Development In The Northern Mountain Region In Vietnam, Thi Tan Huong Ngo, Thi Phuong Mai Nguyen, Thi Huong Duong, Thi Hue Ly

Forest and Society

The culture of communities living near/in forests indelibly interacts with forest ecosystems, both shaping and adapting to the natural environment. Forest-related cultural dimensions also provide benefits for local economies and social welfare. This study analyses the relationship between local culture and forests of the Tay and the Dao minorities and their contribution to sustainable development in Vo Nhai, a mountainous district in northern Vietnam. The study uses methods of a literature review, participant observation and qualitative interviews with local people. The strong embedded culture with forests that developed over many generations of Tay and Dao people was expressed through their …


Identifying Climate Change Adaptation Efforts In The Batutegi Forest Management Unit, Indonesia, Christine Wulandari Dec 2020

Identifying Climate Change Adaptation Efforts In The Batutegi Forest Management Unit, Indonesia, Christine Wulandari

Forest and Society

The Batutegi Forest Management Unit (FMU) in Lampung Province, Indonesia is beginning to observe the consequences of climate change. Meanwhile, communities in Batutegi are also suggesting that effects of climate change are becoming more prominent in their region. Indicators include rising air temperature and the increasing regularity of extreme weather changes. Studies show that land cover has decreased by up to 95% in the region. As these trends intensify, predictions note that the Batutegi reservoir and the productivity of the surrounding protected forests will be affected. This research examines FMU efforts to adapt to vulnerabilities from environmental and climate change. …


Retrospective Analysis Of Hydrologic Performance Of Green Infrastructure Systems Of The Save The Rain (Str) Program In Syracuse, New York, Priyanka Rajashekar Dec 2020

Retrospective Analysis Of Hydrologic Performance Of Green Infrastructure Systems Of The Save The Rain (Str) Program In Syracuse, New York, Priyanka Rajashekar

Theses - ALL

Combined sewer systems and urbanization are significant concerns confronted by many aging cities, including the City of Syracuse, New York. This study addresses the role of impervious surfaces in the direct discharge of surface runoff, domestic and industrial wastewaters into Onondaga Lake and tributaries during wet weather events. Onondaga County addressed the combined surface overflow (CSO) problem in 2009 through a stormwater management program known as "Save the Rain” (STR)." This strategy involved adopting a combination of constructed (gray) and plant-soil-atmosphere based (green) infrastructure (GI) practices to address the CSO issue. GI practices are a proven viable option for stormwater …


Creating Visual Metaphors By Taking Tarot Out Of Context, Dani Pendergast Dec 2020

Creating Visual Metaphors By Taking Tarot Out Of Context, Dani Pendergast

Theses - ALL

This thesis paper aims to describe how using tarot aspects outside of the tarot context can spark visual metaphors in illustration. Tarot, while famously known for as a tool of determining one's fate, is also a source of the many intricacies of the human experience. The 22 Major Arcana cards' meanings were analyzed, and key phrases from those cards were used as prompts to illustrate. The intention was that the key phrases from the tarot cards could help initiate creative thought and ideas for developing illustrations. The thesis starts with an introduction to common struggles that illustrators have with coming …


Modulation Of Immune Checkpoints By Chemotherapy In Human Colorectal Liver Metastases., Neda Jabbari, Heidi L Kenerson, Christopher Lausted, Xiaowei Yan, Changting Meng, Kevin M Sullivan, Priyanka Baloni, Dani E Bergey, Venu G Pillarisetty, Leroy Hood, Raymond S Yeung, Qiang Tian Dec 2020

Modulation Of Immune Checkpoints By Chemotherapy In Human Colorectal Liver Metastases., Neda Jabbari, Heidi L Kenerson, Christopher Lausted, Xiaowei Yan, Changting Meng, Kevin M Sullivan, Priyanka Baloni, Dani E Bergey, Venu G Pillarisetty, Leroy Hood, Raymond S Yeung, Qiang Tian

Articles, Abstracts, and Reports

Metastatic colorectal cancer (CRC) is a major cause of cancer-related death, and incidence is rising in younger populations (younger than 50 years). Current chemotherapies can achieve response rates above 50%, but immunotherapies have limited value for patients with microsatellite-stable (MSS) cancers. The present study investigates the impact of chemotherapy on the tumor immune microenvironment. We treat human liver metastases slices with 5-fluorouracil (5-FU) plus either irinotecan or oxaliplatin, then perform single-cell transcriptome analyses. Results from eight cases reveal two cellular subtypes with divergent responses to chemotherapy. Susceptible tumors are characterized by a stemness signature, an activated interferon pathway, and suppression …


2020-12-22_Michigandaily_Covidmap, Michigan Department Of Health & Human Services Dec 2020

2020-12-22_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …


2020-12-22_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services Dec 2020

2020-12-22_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …


Development And Preliminary Clinical Activity Of Pd-1-Guided Ctla-4 Blocking Bispecific Dart Molecule., Alexey Berezhnoy, Bradley J Sumrow, Kurt Stahl, Kalpana Shah, Daorong Liu, Jonathan Li, Su-Shin Hao, Anushka De Costa, Sanjeev Kaul, Johanna Bendell, Gregory M Cote, Jason J Luke, Rachel E Sanborn, Manish R Sharma, Francine Chen, Hua Li, Gundo Diedrich, Ezio Bonvini, Paul A Moore Dec 2020

Development And Preliminary Clinical Activity Of Pd-1-Guided Ctla-4 Blocking Bispecific Dart Molecule., Alexey Berezhnoy, Bradley J Sumrow, Kurt Stahl, Kalpana Shah, Daorong Liu, Jonathan Li, Su-Shin Hao, Anushka De Costa, Sanjeev Kaul, Johanna Bendell, Gregory M Cote, Jason J Luke, Rachel E Sanborn, Manish R Sharma, Francine Chen, Hua Li, Gundo Diedrich, Ezio Bonvini, Paul A Moore

Articles, Abstracts, and Reports

Combination immunotherapy with antibodies directed against PD-1 and CTLA-4 shows improved clinical benefit across cancer indications compared to single agents, albeit with increased toxicity. Leveraging the observation that PD-1 and CTLA-4 are co-expressed by tumor-infiltrating lymphocytes, an investigational PD-1 x CTLA-4 bispecific DART molecule, MGD019, is engineered to maximize checkpoint blockade in the tumor microenvironment via enhanced CTLA-4 blockade in a PD-1-binding-dependent manner.


Evidence-Based Practices To Promote Inclusion In Today’S Catholic School, Sean Smith, G Cheatham, Maggie Mosher Dec 2020

Evidence-Based Practices To Promote Inclusion In Today’S Catholic School, Sean Smith, G Cheatham, Maggie Mosher

Journal of Catholic Education

Abstract

The purpose of this article is to present inclusionary practices for Catholic education classrooms that emphasize the integration of evidence-based practices (EBPs). Practices that have been developed to address the needs of all students, particularly learners who are at-risk as well as their peers with an identified disability. Over the past two decades, educational reforms and corresponding effective practices have evolved to correspond with the growing expectations that all student should be given the opportunity to participate in the general education experience. Applying the evidence-based practices presented in this article can provide Catholic educators with the needed support and …


Road Development And Indigenous Hunting In Tanah Papua: Connecting The Facts For Future Wildlife Conservation Agendas, Freddy Pattiselanno, Andrew Krockenberger Dec 2020

Road Development And Indigenous Hunting In Tanah Papua: Connecting The Facts For Future Wildlife Conservation Agendas, Freddy Pattiselanno, Andrew Krockenberger

Forest and Society

Road development is increasing worldwide. Generally, examples of road building in tropical countries demonstrate that road access can assist the fight against rural poverty, but such developments are also linked to deforestation, pollution, invasions of exotic species, and environmental degradation. For Papua and West Papua provinces (Tanah Papua) in Indonesia, the development of the provincial road network is intended to improve the rural economy, aiming to alleviate poverty within isolated rural areas. However, road development can pose particularly challenging problems to rural and Indigenous communities. Poorly planned roads can be devastating when they provide easy access to illegal hunting that …


Association Of Baseline And Longitudinal Changes In Body Composition Measures With Risk Of Heart Failure And Myocardial Infarction In Type 2 Diabetes: Findings From The Look Ahead Trial, Kershaw V. Patel, Judy L. Bahnson, Sarah A. Gaussoin, Karen C. Johnson, Xavier Pi-Sunyer, Ursula White, Kayloni L. Olson, Alain G. Bertoni, Dalane W. Kitzman, Jarett D. Berry, Ambarish Pandey Dec 2020

Association Of Baseline And Longitudinal Changes In Body Composition Measures With Risk Of Heart Failure And Myocardial Infarction In Type 2 Diabetes: Findings From The Look Ahead Trial, Kershaw V. Patel, Judy L. Bahnson, Sarah A. Gaussoin, Karen C. Johnson, Xavier Pi-Sunyer, Ursula White, Kayloni L. Olson, Alain G. Bertoni, Dalane W. Kitzman, Jarett D. Berry, Ambarish Pandey

Clinical Research Faculty Publications

Background: Intentional weight loss is associated with lower risk of heart failure (HF) and atherosclerotic cardiovascular disease among patients with type 2 diabetes. However, the contribution of baseline measures and longitudinal changes in fat mass (FM), lean mass (LM), and waist circumference (WC) to the risk of HF and myocardial infarction (MI) in type 2 diabetes is not well established. Methods: Adults from the Look AHEAD trial (Action for Health in Diabetes) without prevalent HF were included. FM and LM were predicted using validated equations and compared with dual-energy x-ray absorptiometry measurements in a subgroup. Adjusted Cox models were used …