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Used Tableau to created a Geo-map by zip codes, Bar chart by sex and race, and another Bar chart by age to display the dense of diabetes prevalence in 17 zip codes of North Texas. Literature Review is conducted to demonstrate the reduction of hyperglycemia events after the implementation of an inpatient multidisciplinary glucose control management program. Created Info-graphic to exhibit the ways to manage diabetes through education, counseling, meal/diet, and exercise and potential comorbidities in the diabetic patient that undergoes surgeries.
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Used Tableau to created a Geo-map by zip codes, Bar chart by sex and race, and another Bar chart by age to display the dense of diabetes prevalence in 17 zip codes of North Texas. Literature Review is conducted to demonstrate the reduction of hyperglycemia events after the implementation of an inpatient multidisciplinary glucose control management program. Created Info-graphic to exhibit the ways to manage diabetes through education, counseling, meal/diet, and exercise and potential comorbidities in the diabetic patient that undergoes surgeries.
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Present at CrossFit Health. October 13, 2019 by Dr. James McCarter. The one goal for this talk is arm medical providers to answer any objection to ketogenic and low carb nutrition approaches for the treatment of type 2 diabetes and other chronic metabolic diseases.
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Running Head: LITERATURE REVIEW 1 LITERATURE REVIEW 5 Literature Review Name: Liliana Faura Course: NRS-490 Professor: Tish Dorman Date: 1/12/2020 Introduction The continued prevalence of type II diabetes has been blame d on sedentary lifestyle, but for a long time now, health experts have suggested dietary and lifestyle changes to reverse the trend, which may include but no limited to healthy eating and regular exercise. Scholars and clinicians have been evaluating the impact of the obesity on individuals and resources dedicated to curb the problem as not confined only to health impacts such as various types of diabetes and high-blood pressure, but also economic-wise. To shed more light on the issue of type II diabetes, this review compares the research questions, sample population, and limitation of various research studies regarding the topic of dietary and lifestyles changes for type 2 diabetic patients. Comparison of Research Questions According to Czupryniak et al (2010), the underlying question for the question is the impact of bariatric surgery on morbidly obese type II patients. However, as compared to Brun et al (2008), seek to answer the question of the targeted endurance training as weight reduction as well as fitness strategy on type II diabetic patients. Similarly, Umpierre (2011) seeks to determine the difference between physical activity exercise and structured exercise training on the regulation of glucose on type two patients. While prior scholars have dealt with lifestyles changes and surgery, Asemi et (2011) sought to answer the question of the impacts of “multispecies probiotic supplements on metabolic profiles, hs-CRP, and oxidative stress in diabetic patients.” While surgery is not a common way of managing weight for diabetic patients Picot et al (2012) echoes Czupryniak et al (2010) in trying to answer the question of the effectiveness of bariatric surgery as a way of managing weight on diabetic patients. Evidently, both lifestyle and dietary changes are some of the strategies used to manage complications associated with type II diabetes but there are other uncongenial ways such as bariatric surgery to manage weight in diabetic patients. Comparison of Sample Populations Picot et al (2012) searched 17 electronic sources, which is an according to the scholars, the meta-analysis was carried out strictly on studies that met criteria of the subject matter. Conversely Asemi et al (2013) randomly selected a sample size of 54 diabetic patients for their research. While the two studies use different reach methods, it is evident that quantitative research is more reliable in terms of sample size that qualitative research. Also, Brun and colleagues randomly selected 25 diabetic patients for their study, which pales only three (3) patients selected by Czupryniak and colleagues. Comparatively, Ninot et al (2011) randomly selected a total of 38 diabetic patients for their study, but the difference between this study and o ...
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Adherence to pharmacological therapies are keys to effective treatments in diabetic patients. Previous reviews found that most adherence measurement studies on chronic diseases used a self-reported scale. However, there is no consensus on the best scale to measure adherence in diabetic patients. The purpose of this systematic review was to identify the potential self-reported scale that could be considered for measuring medication adherence in diabetic patients and to provide recommendations for researchers or clinicians to determine appropriate adherence selfreported scales in diabetic patients. This review follows general guidelines in the implementation of systematic reviews. After further review, it was found that 33 studies met all inclusion criteria from 4 databases (Wiley, Science Direct, Scopus, and PubMed). The articles were done by the PRISMA, while the keywords were determined by the PICO method. Most research was conducted in Asia (69.7%) and America (18.2%) on patients with type 2 diabetes (81.3%), patients in hospitals (54.5%), suffering for 1-6 months (54.5%), and using a cross-sectional study design (78.8%). HbA1c clinic data (57.6%) were used in most studies as biological markers of adherence. The measurement scales of medication adherence in diabetic patients are MMAS-8 (57,.5%), MMAS-4 (12.1%), BMQ (9%), MCQ (6%), ARMS (3%), ARMS-D (3%), GMAS (3%), LMAS-14 (3%), and MARS-5 (3%). This review provides information on the different self-reported scales most widely used in diabetic medication adherence research. Various aspects need to be considered before choosing the scale of adherence.
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TYPE 2 DIABETES TYPE 2 DIABETES 2 Type 2 Diabetes Student Name Date school Type 2 Diabetes Introduction Diabetes is a multifaceted disease that affects over 29 million individuals in the United States although most of them are not aware they are sick. The prevalence of diagnosed diabetes is higher among certain minorities such as Alaska Natives, American Indians, Hispanics, Asian Americans and non-Hispanic Black. Its reduces muscle, liver and adipose tissue insulin sensitivity to as well as a decrease pancreatic b-cell function leading which can impair insulin secretion. Diabetes mellitus (DM) can be in form of Type 1 DM, gestation DM, type 2 DM, Pre-DM or medication-induced DM while all bear high levels of blood glucose. Lately, new antidiabetic medications have been adopted for the treatment of T2DM, including dipeptidyl peptidase-4 (DPP-4) inhibitors, glucagon-like peptide 1(GLP-1) receptor agonists, anamylin analogue, and sodium-glucose cotransporter 2 (SGLT2) inhibitors. Of all cases of diabetes, 90% - 95% is accounted by type 2 DM (Olokoba, Obateru & Olokoba, 2012). It is characterized by the body failing to use insulin properly because of the relative deficiency in insulin or insulin resistance. Failure to manage type 2 diabetes appropriately can cause grave complications such as neuropathy, retinopathy and cardiovascular diseases. . Problem Diabetes Mellitus type 2 has become an epidemic in the adult population and managing the glucose levels has become a serious problem with close to 285 million people worldwide affected (International Diabetes Federation. 2011). The number of Americans people affected by type 2 diabetes mellitus has continued to grow by 1.9 million cases every year. The problem has been rampant on older people in the United States who account for 10.9 million cases. Among the factors identified as drivers of type 2DM epidemic is physical inactivity, increased age of the U.S. population, increase in the sub-populations prone to diabetes and obesity epidemic. The cost of type 2DM is enormous and in 2012, approximately $176 billion was used in direct medical costs and $69 billion in lost due to lack of productivity. Review of the Literature Author Article Title Describe Relevance to the Problem Statement 1. SLO #1: Discuss various research designs Lew, K. N., & Wick, A. Pharmacotherapy of Type 2 Diabetes Mellitus: Navigating Current and New Therapies Descriptive, correlational and review research designs. The three forenamed research designs were used in the article. 2. SLO #2: Compare and contrast select research designs Espeland et al. Intensive Weight Loss Intervention in Older Individuals: Results from the Action for Health in Diabetes Type 2 Diabetes Mellitus Trial A Randomized controlled clinical trial design Research was done on individuals to determine the impact o ...
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Abstract—Diabetes is a disease which is on continuous increase specialy in country like India. It involve is a multisystem so intend to affect quality of life of patients. So this study was conducted on 250 Diabetes Mellitus patients to observe their quality of life on various domains viz Physical, Mental, Social and environmental through WHOQOL-Bref questionnaire. It was found that 54.4% were unable to level their quality of life, they say neither good nor bad. But 23.2% were feeling bad and 22.4 % were feeling good about their quality of life. Whereas regarding patient's satisfaction about their health 39.2% were unable to level their quality of life and 35.6% were dissatisfied and 25.2 % were satisfied with their health. Significantly more cases were unable to understand about their quality of life than their satisfaction to their health. It was also found that Physical quality of life was affected most followed by environmental, psychological and social dimension of quality of life.
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RunningHead: PICOT Question 1 RunningHead: PICOT Question 7 PICOT Question Avery Bryan NRS-433V Professor Christine Vannelli May 19, 2019 Clinical Problem A report from the Center for Disease Control and Prevention in 2015 revealed that (9.4%) 30.3 million Americans are diabetic and 84.1 million have prediabetes. This is a total population of over 100 million is at risk of developing type 2 diabetes which is a growing health problem being the seventh leading cause of death in the U.S. An estimated 1.5 million new cases were among 18-year old bracket and the rates of diagnosed diabetes increased proportionally to age. Below 44 years accounted for 4%, below 64 years at 17 % and 25% for those above 65 years across both genders. One-third of adults in America has prediabetes but sadly, they are unaware despite reports released by The National Diabetes Statistics Report every year. These reports elaborate on prevalence and incidence, prediabetes, long-term complications, risk factors, mortality, and cost. Diabetes poses the risk of serious complications like death, blindness, stroke, kidney disorders, cardiac diseases and health problems that lead to amputation of legs. However, the risks can be mitigated through physical body activities, proper dieting and prescribed use of insulin and other related measures to control the blood sugar levels. Diabetes Prevention Program was funded by NIH to research a yearly evidence-based program to improve healthy weight loss through diet and physical activities. There also efforts to determine the effectiveness of public service campaigns in improving the real-life experience in the diagnosis and treatment of diabetes. PICOT Question. The population affected by diabetes cuts across all ages, gender, race, and ethnicity. The prevalence is significantly high from 18 years and it increases with age to about 25% above 65 years. In terms of gender, men are at higher risk accounting for 37% while women are at 30% across races and educational levels. On races, the rates were higher among Indians/Alaska natives at 15%, non-Hispanic blacks at 12.7% and Hispanics at 12%. Among Asians, the rates were lower at 8% and 7.4% for non-Hispanic whites. Intervention indicator for diabetes shows that individuals who do not observe a healthy diet are more exposed to the disease. Some risk behaviors include lack of exercise and excessive intake of junk foods that lead to obesity and increased blood sugar levels. Diabetes prevalence varied according to education levels were those with less than high school education at 12.6% and 7.2% for those higher than high school education. Comparison and use of a control group from the popularity of Complementary and Alternative Medicine and Traditional Chinese Medicine showed distinct knowledge of diabetes, blood sugar control, and self-care. The experimental group received education through interactive multimedia for three months while the control group received.
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5-year survival of GCP after radical procedures significantly depended on: 1) PT “early-invasive cancer”; 2) PT N0--N12; 3) Cell Ratio Factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) GC cell dynamics; 9) GC characteristics; 10) tumor localization; 11) anthropometric data; 12) surgery type. Optimal diagnosis and treatment strategies for GC are: 1) screening and early detection of GC; 2) availability of sufficient quantity of experienced abdominal surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunotherapy for GCP with unfavorable prognosis.
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