Publications by authors named "Dianne Davis"

Article Synopsis
  • Visual barriers like discoloration often deter melanin-rich populations from using sunscreen, but sunscreen is crucial for all skin types.
  • In a 7-day study, healthy adult females with darker skin (Fitzpatrick Skin Types IV to VI) used a daily moisturizer with SPF 35, which received high marks for ease of use and cosmetic appeal.
  • By the end of the study, participants reported strong satisfaction with the product’s texture and appearance, with no adverse effects noted, highlighting the importance of dermatologists being knowledgeable about suitable products for diverse skin types.
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Objectives: With about half of older adults reporting feelings of loneliness, interventions are needed to improve connectedness among our aging population. The health benefits of Chronic Disease Self-Management Education (CDSME) programs are well documented, but workshops' ability to reduce loneliness remains unknown.

Methods: Using the Campaign to End Loneliness Measurement Tool, we examined 295 CDSME participants' loneliness changes before and after the 6-week face-to-face workshops.

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Malignant melanoma and nonmelanoma skin cancers (NMSC), which include basal cell carcinoma and squamous cell carcinoma, account for 40% of all neoplasms in white patients, making these cancers the most common malignancy in the United States. Given the large number of NMSC cases in white patients, there is a correspondingly large body of literature addressing various aspects of epidemiology, pathogenesis, and treatment. The incidence of both malignant melanoma and NMSC is well established and remains significantly lower in patients with skin of color (SoC) when compared with white patients.

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Background: Effective type 2 diabetes care remains a challenge for patients including those receiving primary care in safety net settings.

Objective: The Partnership to Improve Diabetes Education (PRIDE) trial team and leaders from a regional department of health evaluated approaches to improve care for vulnerable patients.

Design: Cluster randomized controlled trial.

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Article Synopsis
  • Opioid overprescribing significantly contributes to the opioid crisis, with a lack of specific guidelines leading to inconsistent prescribing practices in dermatology.
  • A panel of dermatologists used a modified Delphi method to create consensus guidelines for opioid prescribing in common dermatologic procedures, primarily aimed at opioid-naive patients.
  • The findings suggest that most postoperative pain can be managed with non-opioid medications like acetaminophen and ibuprofen, with very few scenarios requiring more than 15 oxycodone 5-mg tablets, highlighting the need for individualized approaches based on patient circumstances.
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Background: More than 90% of women have reported concerns of cellulite on their skin. Both commercially advertised creams and topical pharmacological agents have shown limited improvement. Thus far, there has been a paucity of thorough review articles on how to address and treat this condition.

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Meaningful improvement in patient safety encompasses a vast number of quality metrics, but a single measure to represent the overall level of safety is challenging to produce. Recently, Perla et al. established the Whole-Person Measure of Safety (WPMoS) to reflect the concept of global risk assessment at the patient level.

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Objective: To compare the effectiveness of different approaches to nutrition education in diabetes self-management education and support (DSME/S).

Methods: We randomized 150 adults with type 2 diabetes to either certified diabetes educator (CDE)-delivered DSME/S with carbohydrate gram counting or the modified plate method versus general health education. The primary outcome was change in HbA1C over 6 months.

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Purpose: Patients with low literacy, low numeracy, and/or linguistic needs can experience challenges understanding diabetes information and applying concepts to their self-management. The authors designed a toolkit of education materials that are sensitive to patients' literacy and numeracy levels, language preferences, and cultural norms and that encourage shared goal setting to improve diabetes self-management and health outcomes. The Partnership to Improve Diabetes Education (PRIDE) toolkit was developed to facilitate diabetes self-management education and support.

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Purpose: The purpose of this study is to describe the association between numeracy and self-reported dietary intake in patients with type 2 diabetes.

Methods: Numeracy and dietary intake were assessed with the validated Diabetes Numeracy Test and a validated food frequency questionnaire in a cross-sectional study of 150 primary care patients enrolled in a randomized clinical trial at an academic medical center between April 2008 and October 2009. Associations between numeracy and caloric and macronutrient intakes were examined with linear regression models.

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Objective: Diabetic patients with lower literacy or numeracy skills are at greater risk for poor diabetes outcomes. This study evaluated the impact of providing literacy- and numeracy-sensitive diabetes care within an enhanced diabetes care program on A1C and other diabetes outcomes.

Research Design And Methods: In two randomized controlled trials, we enrolled 198 adult diabetic patients with most recent A1C >or=7.

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Background: Portion-size estimation is an important component of weight management. Literacy and numeracy skills may be important for accurate portion-size estimation. It was hypothesized that low literacy and numeracy would be associated with decreased accuracy in portion estimation.

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Purpose: Diabetes self-management education is an important component of comprehensive diabetes care. Patients with low health literacy and numeracy may have difficulty translating information from traditional diabetes educational programs and materials into effective self-care.

Methods: To address this potential barrier to successful diabetes teaching and counseling, the authors developed the Diabetes Literacy and Numeracy Education Toolkit (DLNET).

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Background: The influence of a patient's quantitative skills (numeracy) on the management of diabetes is only partially understood.

Objective: To examine the association between diabetes-related numeracy and glycemic control and other diabetes measurements.

Design: Cross-sectional survey.

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Background: Low literacy and numeracy skills are common. Adequate numeracy skills are crucial in the management of diabetes. Diabetes patients use numeracy skills to interpret glucose meters, administer medications, follow dietary guidelines and other tasks.

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Background: Diabetes is a common disease with self-management a key aspect of care. Large prospective trials have shown that maintaining glycated hemoglobin less than 7% greatly reduces complications but translating this level of control into everyday clinical practice can be difficult. Intensive improvement programs are successful in attaining control in patients with type 2 diabetes, however, many patients experience glycemic relapse once returned to routine care.

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Background: Comprehension of food labels can be important for patients, including those with chronic illness, to help follow dietary recommendations. Patient comprehension of food labels was examined, along with the relationship of comprehension to their underlying literacy and numeracy skills.

Methods: From June 2004 to April 2005, a cross-sectional study of 200 primary care patients was performed.

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