Smoking is associated with a higher risk of unplanned medical visits among adult patients with diabetes, using retrospective electronic medical record data from 2014 to 2016.

Background: Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes who smoke have more unplanned medical visits than those who do not smoke. This study examines the association between smoking status and unplanned medical visits among patients with diabetes.

Methods: Data were drawn from electronic medical records (EMR's) from a large healthcare provider in the Northern Plains region of the US, from adult (≥18 years old) patients with type 1 or type 2 diabetes who received care at least once during 2014-16 (N = 62,149).

Fetal Alcohol Spectrum Disorders in a Midwestern City: Child Characteristics, Maternal Risk Traits, and Prevalence.

Objective: To determine the characteristics of children with fetal alcohol spectrum disorders (FASD) and their mothers in a Midwestern city.

Methods: Case-control samples were drawn from 2 separate first-grade cohorts (combined N = 4,047) in every city school using different methods. In Cohort Sample 1, all consented small children (≤25th centile on height, weight, and/or head circumference) entered the study along with a random sample from all enrolled students.

Examining the Prevalence and Impact of Peer Victimization and Social Support for Rural Youth.

Introduction: Peer victimization is a common experience in early adolescence often associated with psychosocial issues, following some youth into adulthood. Preliminary findings from a longitudinal study on peer victimization and protective factors were measured in rural elementary youth. Bullying is often seen as a schoolonly issue but research findings suggest the importance of systems outside the school setting as important protective factors for intervention.

Peer Victimization in Rural Youth and Why it Matters.

Peer victimization is a major public health concern due to its psychological, emotional, and physical short and potentially long-term effects on children. Research conducted with rural youth have shown heightened peer victimization rates compared to urban and suburban locales. Protective factors, such as social support, are underresearched and less emphasized compared to risk factors, particularly in the context of rural youth.

Community Perspectives on Emergency Department Use and Care for American Indian Children.

Emergency department (ED) utilization by American Indian (AI) children is among the highest in the nation. Numerous health disparities have been well documented in AI children, but limited information is available on parental experiences of care for AI children in the ED. Our objective was to understand parental attitudes towards ED care for AI children.

Prevalence and characteristics of fetal alcohol spectrum disorders.

Objectives: To determine the prevalence and characteristics of fetal alcohol spectrum disorders (FASD) among first grade students (6- to 7-year-olds) in a representative Midwestern US community.

Methods: From a consented sample of 70.5% of all first graders enrolled in public and private schools, an oversample of small children (≤ 25th percentile on height, weight, and head circumference) and randomly selected control candidates were examined for physical growth, development, dysmorphology, cognition, and behavior.