Culturally Tailored Strategies to Enhance Type 2 Diabetes Care for South Asians in the United States.

South Asian immigrants in the United States face an elevated risk of developing type 2 diabetes (T2DM). This phenomenon has been linked to lifestyle factors and social determinants of health (SDOH) such as high-carbohydrate diet, limited physical activity, and stress from assimilation and other life challenges. Unfortunately, barriers stemming from language discordance, low health literacy, and certain cultural practices can hinder effective clinical management of T2DM among South Asian immigrants.

Development of a Smartphone App for Regional Care Coordination Among High-Risk, Low-Income Patients.

Despite widespread adoption of health information technology, U.S. providers face persistent barriers to coordination of care.

Long-Term Safety and Efficacy in Continued Access Left Atrial Appendage Closure Registries.

Background: Long-term data on the safety and efficacy of left atrial appendage closure (LAAC) for stroke prevention in patients with nonvalvular atrial fibrillation remain limited.

Objectives: The purpose of this study was to evaluate 4.5- to 5-year data in 2 U.

Bulk metallic glass: the smaller the better.

Bulk metallic glasses (BMGs) are strong, highly elastic, and resistant to wear but still find limited utility due to their macroscopic brittle nature, high costs, and difficulty of processing, particularly when complex shapes are desired. These drawbacks can be mitigated when BMGs are used in miniature parts (< 1 cm), an application which takes advantage of BMGs' enhanced plasticity at small length scales as well the insignificant material cost associated with such parts. As an alternative to traditional metal processing techniques, thermoplastic forming (TPF)-based microfabrication methods have been developed which can process some BMGs like plastics.

Usefulness of high functional capacity in patients with exercise-induced ST-depression to predict a negative result on exercise echocardiography and low prognostic risk.

Although exercise electrocardiography (ExECG) is commonly used to detect coronary artery disease, the diagnostic accuracy and reliability of positive (ischemic) results of ExECG in low- and intermediate-risk populations are limited. Accordingly, many patients with positive results of ExECG undergo secondary evaluation using noninvasive stress imaging such as exercise echocardiography. Functional capacity is a strong predictor of prognosis and, indirectly, of high-risk coronary artery disease.

Patent foramen ovale and cerebrovascular diseases.

Patent foramen ovale (PFO) has been linked to ischemic strokes of undetermined cause (cryptogenic strokes). PFO-a remnant of fetal circulation when the foramen ovale does not seal after birth-can permit microemboli to escape the pulmonary filter into the intracranial circulation, causing stroke. Coexistent atrial septal aneurysm, pelvic deep vein thrombosis and inherited clotting factor deficiencies could potentiate stroke risk in patients with PFO.