Dietetics and Clinical Nutrition Commons^™

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Use Of Homeostatic Model Assessment Indexes For The Identification Of Metabolic Syndrome And Insulin Resistance Among Cuban-Americans: A Cross Sectional Study, Joel C. Exebio, Sahar Ajabshirt, Gustavo G. Zarini, Joan Vaccaro, Fatma G. Huffman

Joan A. Vaccaro

Aim: to determine cut off points for The Homeostatic Model Assessment Index 1 and 2 (HOMA-1 and HOMA-2) for identifying insulin resistance and metabolic syndrome among a Cuban-American population.

Study Design: Cross sectional.

Place and Duration of Study: Florida International University, Robert Stempel School of Public Health and Social Work, Department of Dietetics and Nutrition, Miami, FL from July 2010 to December 2011.

Methodology: Subjects without diabetes residing in South Florida were enrolled (N=146, aged 37 to 83 years). The HOMA1-IR and HOMA2-IR 90th percentile in the healthy group (n=75) was used as the cut-off point for insulin resistance. A …

Ethnic Differences In Insulin Resistance, Adiponectin Levels And Abdominal Obesity: Haitian Americans And African Americans, With And Without Type 2 Diabetes Mellitus, Amanpreet K. Cheena, Gustavo G. Zarini, Joel C. Exebio, Sahar Ajabshir, Lemia Shaban, Janet Antwi, Joan Vaccaro, Fatma G. Huffman

Joan A. Vaccaro

Background: Metabolic outcomes of obesity and its associated disorders may not be equivalent across ethnicity and diabetes status.

Aim: In this paper, we examined the association of abdominal obesity, by ethnicity and diabetes status, for indicators of glucose metabolism in Blacks.

Methods: A cross sectional study was conducted in Haitian Americans (n= 186) and African Americans (n= 148) with and without type 2 diabetes mellitus (T2DM). Student’s t-test and Chi-squared test were used to assess differences in mean and proportion values between ethnicities with and without type 2 diabetes mellitus. Relationship between insulin resistance, ethnicity, diabetes status, abdominal obesity, and …

Tpn Collaboration And Nutrition Screening Value Stream, Kimberly Procaccino

Kimberly Procaccino

The TPN collaboration section of the presentation outlines the importance of "team" in enhancing nutrition response/patient outcomes via allocation of "time" for RD and MD/extender case load rounding. The nutrition screening section reports results of the regulary risk associated with the current nutrition screening process and plan for correction to reduce or eliminate risk.

Nutrition Screening Kaizen, Kimberly Procaccino, Rd, Ldn, Mba, Lean Greenbelt, Kimberly Procaccino

Kimberly Procaccino

Project Description: Reduce or eliminate risk of regulatory deficiency with the Nutrition Screening Process, improve computer generated notification.

Nutrition Screening A3, Kimberly Procaccino

Kimberly Procaccino

Improvement Approach Discontinue previous screening triggers in Centricity Use Malnutrition Screening Tool (MST), evidence based – 2 triggers on a point system. Computer generated auto-report for criteria- eliminate need for RN computer consult Update Screening Policy SLP and case manager computer access for nutrition consult Dietitian hand held computer upgrade

Tpn Collaboration Lean Project, Kimberly Procaccino

Kimberly Procaccino

To assess and streamline TPN management from inpatient admission through discharge to home care and finally discharge from home care to further improve efficiency, patient care & satisfaction, nutrition therapy outcomes.