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Assessing Students' Risk Factors For Type Ii Diabetes At A Midwest Public University, Nicole Decourcy Ferrian

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to assess students' risk factors for type II diabetes at a Midwest public university. It further examined students' perceived susceptibility, perceived severity, and self-efficacy of the disease. The design of the cross-sectional study was based on risk factors for type II diabetes listed by the American Diabetes Association and the Health Belief Model's constructs of perceived susceptibility, perceived seriousness, and self-efficacy. A survey was distributed to non-diabetic college students aged 18 and older enrolled in general education courses at a Midwest public university. A purposive sampling of 432 students enrolled in Health 101 and …

Pilot Study: Barriers To Whole Grain Consumption Among Diabetics Of German Heritage, Nicole Erickson

Master's Theses and Doctoral Dissertations

Whole grains play a cost-effective role in the treatment and prevention of type 2 diabetes, yet consumption remains well below recommendations. This pilot study showed that nonfamilial environmental factors have a strong influence on whole grain consumption among type 2 diabetics of German descent. Dietary records and grain questionnaires were used to probe subjects’ knowledge of the benefits of whole grains, reasons for grain preferences, and actual consumption. For this population (n=18), mean whole grain consumption ( = 48±30 g/d = 3±2 servings/d) was much higher than the national average (μ ≤ 1 serving/d). Misunderstanding of labels negatively influenced whole …

Role Of Hyperglycemia, Hypoglycemia, And Glucose Transporter 4 On Brain Glucose Sensing, Counterregulation, And Neuronal Viability, Erwin Puente

All Theses and Dissertations (ETDs)

As glucose is the main fuel source for the brain and a major nutrient for peripheral tissues, the brain must sense and respond to changes in blood glucose in order to sustain its own nutritional requirements and maintain whole body energy homeostasis. Disruption of brain glucose sensing results in impaired glucose tolerance, a hallmark in the pathogenesis of diabetes, as well as increased risk of severe hypoglycemia as occurs with insulin therapy. Thus, understanding how the brain senses and responds to changes in glucose is particularly important to individuals with diabetes. Experiments in this thesis investigated: 1) the role of …

Vitamin D And Insulin Sensitivity Among African American And European American Adolescents And Adults, Jessica Alejandra Alvarez

All ETDs from UAB

Adequate vitamin D status is associated with a reduced risk for type 2 diabetes (T2DM); the relationship may be mediated by insulin sensitizing effects of vitamin D. African Americans (AA) are at a greater risk for T2DM and insulin resistance, as well as vitamin D deficiency, compared to European Americans (EA). The primary objective of this dissertation was to investigate the independent relationships of vitamin D with various measures of insulin sensitivity. Investigations were performed in a series of studies involving adolescent and adult female cohorts. The intravenous glucose tolerance test-derived insulin sensitivity index (SI) or the oral glucose tolerance …

Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan

Theses and Dissertations

Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, …

Residence In A Distressed County In Appalachia As A Risk Factor For Diabetes, Behavioral Risk Factor Surveillance System, 2006-2007, Lawrence Barker, Richard Crespo, Robert B. Gerzoff, Sharon Denham, Molly Shrewsberry, Darrlyn Cornelius-Averhart

Family and Community Health

Introduction

We compared the risk of diabetes for residents of Appalachian counties to that of residents of non-Appalachian counties after controlling for selected risk factors in states containing at least 1 Appalachian county.

Methods

We combined Behavioral Risk Factor Surveillance System data from 2006 and 2007 and conducted a logistic regression analysis, with self-reported diabetes as the dependent variable. We considered county of residence (5 classifications for Appalachian counties, based on economic development, and 1 for non-Appalachian counties), age, sex, race/ethnicity, education, household income, smoking status, physical activity level, and obesity to be independent variables. The classification “distressed” refers to …

Compliance Issue In Type Ii Diabetes: Does It Reduce The Prevalence Of Cardiovascular Risk Factors?, Yousif Abdul Raheem

Iraqi Postgraduate Medical Journal

ABSTRACT: BACK GROUND: Type 2 diabetes, which is the most common form of diabetes, has an alarming increasing rate. It is a recognized risk factor for cardiovascular disease (CVD). Non-compliance with healthy life styles, anti-diabetic drugs and diet are the central issues in patient's management as it might synergist other CVD risk factors. OBJECTIVE: The aims of this study were to find out the compliance, prevalence of CVD risk factors, and any association between them in type 2 diabetic patients. METHODS: A cross-sectional design and a convenient sample of 820 diabetic patients were used in conducting this study for the …

System Dynamics Of Diabetes In The Presence Of Social Determinants, Victoria Akins

Masters Theses, 2010-2019

Diabetes is a chronic and persistent disease that is on the rise in the U.S. in spite of medical advances and current public health efforts to address it. There is a relationship between socioeconomic factors such as poverty and education and the risk of developing diabetes and the progression of the disease. A systems approach is employed to develop a dynamic hypothesis with a stock and flow model will uncover and analyze these relationships to gain a better understanding of the socioeconomic dynamics of diabetes. Social factors have a significant impact on health outcomes and their consideration is essential to …

Diabetes Facts, Carolyn Washburn

All Current Publications

This publication outlines the different types of diabetes and the complications that can occur with each one.

The Effectiveness Of Counselors As Care Managers In Improving Self-Management And Medical Outcomes In Persons With Poorly Controlled Diabetes, Ularisi Rebecca Green

Counseling & Human Services Theses & Dissertations

This study investigated whether providing counselors as care managers to individuals who were having difficulty managing their Type II diabetes improved their self-management, health, and functioning. Counselors used the Motivational Interviewing Model and met weekly over a six month period with patients who had Type II diabetes who had been identified as not functioning well in managing their disease. The success of the intervention was determined by a number of measures including physical symptoms of patients; patients' perceptions of the care they received; and patients' self-efficacy in managing their diabetes. The results of this study suggested that providing counselors as …

Applying New Diabetes Teaching Tools In Health-Related Extension Programming, Alexandra Grenci

Journal of Extension

In response to the emerging global diabetes epidemic, health educators are searching for new and better education tools to help people make positive behavior changes to successfully prevent or manage diabetes. Conversation Maps® are new learner-driven education tools that have been developed to empower individuals to improve their health outcomes. While the tools were originally developed for clinical settings, this article describes a model Extension health outreach program that uses Conversation Map techniques to teach diabetes awareness and healthy eating in community group settings. These techniques can be used as a model for teaching other health topics to adult learners.

Diabetes Obesity-Wellness Opportunity Program (Dowop) Evaluation, Francis Banahene

Master of Public Health Program Student Publications

The aim of the study was to evaluate Diabetes Obesity - Wellness Opportunities Program (DOWOP) for overweight and obese adolescents aged eight to 14 years.

The study was conducted over 14 weeks at Victor J. Cassano, Sr. Health Center in Dayton, Ohio. Thirteen weekly nutrition, exercise and cognitive presentations were held. Cooking class was held on week thirteen. Participants completed food and activity diaries. The program sessions focused on healthy eating, increasing physical activity, decreasing sedentary behavior and supporting participants maintain healthy lifestyle.

Nurses recorded BMI and waist circumference at baseline, week 7 and week 14. Program administrators were interviewed …

Survival And Inflammation In Patients With Heart Failure: The Impact Of Overweight, Obesity, Diabetes And Fruit And Vegetable Consumption, Heather Payne-Emerson

University of Kentucky Doctoral Dissertations

Overweight and obesity are paradoxically associated with better survival in patients with heart failure (HF). This association is poorly understood, in part because the impact of diabetes (DM) on survival of overweight and obese HF patients has not been considered. Inflammation may contribute to worse survival in overweight and obese HF patients with DM, and levels of inflammation may be associated with fruit and vegetable consumption. However, neither of these relationships has been investigated in patients with HF.

The purposes of this dissertation were to a) examine the effect of DM on survival of overweight and obese patients with HF, …

Trust And Trustworthiness: A Framework For Successful Design Of Telemedicine, James Robert Templeton

CCAC Theses and Dissertations

Trust and its antecedents have been demonstrated as a barrier to the successful adoption of numerous fields of technology, most notably e-commerce, and may be a key factor in the lack of adoption or adaptation in the field of telemedicine. In the medical arena, trust is often formed through the relationships cultivated over time via clinician and patient. Trust and interpersonal relationships may also play a significant role in the adoption of telemedicine. The idea of telemedicine has been explored for nearly 30 years in one form or another. Yet, despite grandiose promises of how it will someday significantly improve …

Brain Insulin Action Regulates Hypothalamic Glucose Sensing And The Counterregulatory Response To Hypoglycemia, Kelly Diggs-Andrews

All Theses and Dissertations (ETDs)

The brain is the primary organ that senses blood glucose levels and initiates a stress response when blood glucose levels are too low: hypoglycemia). Insulin-dependent people with Type 1 diabetes: T1DM) have an impaired ability to sense hypoglycemia and an impaired ability to activate this counterregulatory response: CRR) to hypoglycemia. As a result, T1DM are at a greater risk of experiencing insulin induced severe hypoglycemic episodes, which can result in seizures, brain damage, or even death. Since hypoglycemia is a major barrier that limits intensive blood glucose control, important research initiatives are needed to prevent or reduce the burden of …

Effect Of Exogenous Leptin On Thrombotic And Metabolic Profiles Of Fvb/B6 Lipodystrophic Mice, Hoda Chaouki Kadouh

Wayne State University Theses

Lipodystrophy caused by fat deficiency contributes to metabolic disease for which several treatment modalities have been implemented, with leptin therapy being the most effective to date. In addition to playing a role in energy homeostasis and metabolism, leptin was also shown to play a pro-thrombotic role in mice. This role was not examined in fatless mice, neither was thrombosis measured. The AZIP/F-1 (FVB) lipodystrophic mouse appeared to have a prolonged arterial occlusion time (p〈0.05) in a trial done in our lab, with clotting factors being normal. The present study was designed to observe the thrombotic and metabolic characteristics of fatless …

Today - December 23, 2009, Loma Linda University

TODAY

Inside this issue:

-- Heart patient reunites with LLU Overseas Heart Surgery Team members 35 years after they saved her life in Saigon
-- CAPS welcomes Helping Hands Pantry to SACHS–Norton
-- Nursing professors research diabetes management in local community
-- LLU Heart & Surgical Hospital physician performs groundbreaking procedure
-- School of Public Health advances health geoinformatics education
-- Wyatt Caley raises funds to buy an Xbox 360 Elite for kids in Children’s Hospital
-- Milton Murray passes away
-- Trees of Hope bring beauty to Children’s Hospital lobby
-- LLU physician to appear on ‘The Doctors’
-- How …

Association Between Obesity And Depression And Anxiety Disorders: Results From The 2008 National Health Interview Survey, Monica Gaidhane

Theses and Dissertations

Introduction: Obesity is one of the most important medical problems in the U.S. and is considered to be an epidemic with over 30% of the population being obese. Obesity is associated with increased risk of hypertension, diabetes, cardiovascular diseases, certain cancers and a shorter life expectancy. Recent studies have shown that higher BMI levels are also significantly associated with several lifetime mental disorders such as major depressive disorder, anxiety disorders as well as panic attacks and panic disorders. Purpose: The purpose of this study was to quantify the extent to which higher BMI increased the likelihood of Depression, Anxiety Disorder …

Quality Health Information On The Internet: Developing A Diabetes Pathfinder For The Chinese Population, Ana D. Cleveland, Jodi Philbrick, Xuequn Pan, Xinyu Yu, Jiangping Chen, Marty O'Neill, Lisa Smith

Faculty Publications

A Web-based bilingual diabetes information pathfinder was created to help the Chinese population access quality health information on the Internet as part of a collaborative outreach project in the Dallas-Fort Worth area. A survey was conducted to identify the demographics, Internet usage, health information needs, and preferences for training sessions of the Chinese population. Breast cancer, diabetes, and hepatitis B were the top three diseases of interest. The process of developing the pathfinder is described from start to finish, and it can serve as a model for the development of others. Pathfinder training sessions also were held. Taylor & Francis …

Succination Of Thiol Groups In Adipose Tissue Proteins In Diabetes: Succination Inhibits Polymerization And Secretion Of Adiponectin, Norma Frizzell, Mathur Rajesh, Matthew J. Jepson, Ryoji Nagai, James A. Carson, Suzanne R. Thorpe, John W. Baynes

Faculty Publications

S-(2-Succinyl)cysteine (2SC) is formed by reaction of the Krebs cycle intermediate fumarate with cysteine residues in protein, a process termed succination of protein. Both fumarate and succination of proteins are increased in adipocytes cultured in high glucose medium (Nagai, R., Brock, J. W., Blatnik, M., Baatz, J. E., Bethard, J., Walla, M. D., Thorpe, S. R., Baynes, J. W., and Frizzell, N. (2007) J. Biol. Chem. 282, 34219-34228). We show here that succination of protein is also increased in epididymal, mesenteric, and subcutaneous adipose tissue of diabetic (db/db) mice and that adiponectin is a major target for succination in both …

Take Care Of Your Health! An Extension Program To Prevent Diabetes, Lucia L. Kaiser, Anna C. Martin, Diane L. Mertz, Mary L. Blackburn, Dorothy Elizabeth Smith, Susan Donohue, Constance L. Garrett, Francene M. Steinberg

Journal of Extension

Although the prevalence of diabetes has risen in the general population, ethnic disparities in health are also increasing. The University of California Cooperative Extension worked with Latino and African American adults to develop diabetes prevention programs that motivate people to be proactive about their health, improve cooking practices and eating patterns, and be more physically active. The program, team-taught by Extension and health care professionals, involved three, 2-hour sessions with hands-on cooking. Participants (n=60) reported significant changes in food-related barriers and behaviors. Extension and health entities can complement each other in diabetes prevention efforts that target high-risk communities.

The Regulation Of Epithelial Sodium Channels In Mammalian Taste Receptor Cells, Arian F. Baquero Gonzalez

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Nutrient recognition is one of the main physiological roles of the gustatory system. In mammals, it is well established that the taste of sodium salts is primarily mediated by sodium influx through the epithelial sodium channel. The epithelial sodium channel is a sodium-specific ion channel that is expressed across a wide range of transporting epithelia such as colon, kidney, and taste. In addition to its role as a salt taste receptor, sodium influx through the epithelial sodium channel is important systemically for maintaining sodium balance and blood pressure. Following our earlier work on the endocrine regulation of salt taste at …

Fight Against Chronic Diseases (High Blood Pressure, Stroke, Diabetes And Cancer) In Pakistan; Cost-Effective Interventions, Mohammad Wasay, Abdul Jabbar

Department of Medicine

No abstract provided.

Best Practice Guideline For The Subcutaneous Administration Of Insulin In Adults With Type 2 Diabetes, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The focus of this guideline is to support nurses, Registered Nurses (RNs) and Registered Practical Nurses (RPNs) in all practice settings, as they care for clients (18 years and older) with type 2 diabetes requiring subcutaneous insulin therapy. Specifically, this guideline would assist nurses who are not specialists in diabetes care to safely initiate and administer insulin, a "high-alert" medication. This guideline will provide answers to the question: What are the essential client self-care components to be addressed by nurses when caring for an adult with type 2 diabetes who requires subcutaneous insulin?

Clinician’S Use Of The Statin Choice Decision Aid In Patients With Diabetes: A Videographic Study Nested In A Randomized Trial, Roberto Abadie, Audrey J. Weymiller, Jon Tilburt, Nilay D. Shah, Cathy Charles, Amiram Gafni, Victor M. Montori

Department of Sociology: Faculty Publications

Objective To describe how clinicians use decision aids.

Background A 98-patient factorial-design randomized trial of the Statin Choice decision vs. standard educational pamphlet; each participant had a 1:4 chance of receiving the decision aid during the encounter with the clinician resulting in 22 eligible encounters.

Design Two researchers working independently and in duplicate reviewed and coded the 22 encounter videos.

Setting and participants Twenty-two patients with diabetes (57% of them on statins) and six endocrinologists working in a referral diabetes clinic randomly assigned to use the decision aid during the consultation.

Main outcome measures Proportion and nature of unintended use …

Race And Health Behaviors: A Study Of Diabetes Among African American Adults., Tangela Towns

Electronic Theses and Dissertations

This project assesses the effects certain variables have on African American adults that suffer from diabetes. These include behaviors of African Americans that contribute to diabetes such as; diet behavior and physical activity. Thus, the focus of this study is to examine the effects of these health behaviors on the likelihood of having diabetes among African Americans. This assessment will be used to provide insights as they pertain to African Americans and diabetes.

Cardiovascular Risk Factors For Mild Cognitive Impairment, Michael Malek-Ahmadi

USF Tampa Graduate Theses and Dissertations

The relationship between cardiovascular conditions and the presence of Alzheimer's disease (AD) has been well-documented in a number of recent studies. Generally, the presence of cardiovascular conditions such as high total cholesterol and hypertension have been shown to significantly increase the risk for the development of AD. Given the results of these studies, it is possible that these same risk factors might also increase the risk of developing mild cognitive impairment (MCI). An analysis of 216 subjects (119 cognitively normal (CN), 77 aMCI, 20 naMCI) found that after adjusting for age, education, ethnicity, and gender, only hemoglobin A1c (HbA1c) showed …

Upregulation Of Heme Oxygenase-1 Combined With Increased Adiponectin Lowers Blood Pressure In Diabetic Spontaneously Hypertensive Rats Through A Reduction In Endothelial Cell Dysfunction, Apoptosis And Oxidative Stress, Jian Cao, George Drummond, Kazuyoshi Inoue, Komal Sodhi, Xiao Ying Li, Shinji Omura

Pharmaceutical Science and Research

This study was designed to investigate the effect of increased levels of HO-1 on hypertension exacerbated by diabetes. Diabetic spontaneously hypertensive rat (SHR) and WKY (control) animals were treated with streptozotocin (STZ) to induce diabetes and stannous chloride (SnCl2) to upregulate HO-1. Treatment with SnCl2 not only attenuated the increase of blood pressure (p<0.01), but also increased HO-1 protein content, HO activity and plasma adiponectin levels, decreased the levels of superoxide and 3-nitrotyrosine (NT), respectively. Reduction in oxidative stress resulted in the increased expression of Bcl-2 and AKT with a concomitant reduction in circulating endothelial cells (CEC) in the peripheral blood (p<0.005) and an improvement of femoral reactivity (response to acetylcholine). Thus induction of HO-1 accompanied with increased plasma adiponectin levels in diabetic hypertensive rats alters the phenotype through a reduction in oxidative stress, thereby permitting endothelial cells to maintain an anti-apoptotic environment and the restoration of endothelial responses thus preventing hypertension.

Diabetes Mellitus – Defining Scope And Clinical Approach For Homoeopathic Management, N Tiwari, Prashant Tamboli

Indian Journal of Research in Homoeopathy

The study was undertaken to explore if there was a definite role of homoeopathic medicines in the management of Diabetes Type 2 and, if so, to determine the role of Constitutional and Organ remedies in its management. The comprehensive role of the individual susceptibility and miasm in the management of diabetes was also been studied. 90 patients were studied by Randomized Single Blind Clinical Trial by dividing them into three groups - Constitutional, Organ and Placebo. In the later part of the study the Cross over design was adopted between the Constitutional group and the Placebo group. Results showed that …

From Mypyramid To The Plate: A Multifaceted Nutrition Intervention For African Americans With Type 2 Diabetes, Robin Stegall

All Dissertations

ABSTRACT The purpose of this pilot study was to determine the feasibility of a paraprofessional-led multifaceted six-week nutrition education program and to explore the diabetes-related health and behavioral outcomes in adult African Americans of lower income and lower educational levels who have been diagnosed with type 2 diabetes. The Quasi-experimental design consisted of a control group and an experimental group with pre and post-test administration. The groups were pre-assigned by their participation in the Racial and Ethnic Approaches to Community Health (REACH) 2010 program of Charleston County, South Carolina. The nutrition education intervention consisted of a total of six lessons …