Objective: To examine the effects of having regular healthcare providers and diabetes self-management education (DSME) on the receipt of diabetes preventive care among all groups and by race/ethnicity.
Data Source: The 2004 Behavioral Risk Factor Surveillance Survey.
Methods: Logistic regression analyses were performed for the full sample and separately for Blacks, Hispanics, and Whites.
Results: Among all persons, having at least one regular provider and DSME were significantly associated with higher odds of receipt of a glycosylated hemoglobin (HbA1C) test, foot exam, and dilated eye exam in the past year. Results from analyses stratified by race/ethnicity reveal differential effects of having a regular provider and DSME. Among Whites, having at least one regular provider helps assure that diabetes patients receive each of the three recommended preventive services. Among Blacks, having at least one regular provider was significantly associated with receipt of an HbA1C but not other preventive services. Among Hispanics, having a regular provider was significantly associated with receipt of an HbA1C test and dilated eye exam, but not a foot exam. Independent of having a regular provider, DSME appears to be beneficial for Whites and Blacks but not Hispanics. For Whites, DSME was significantly associated with all three types of diabetes preventive care. For Blacks, DSME was significantly associated with the receipt of a foot exam but not an HbA1C test and a dilated eye exam. However, among Hispanics, DSME was not significantly associated with any of the three preventive services.
Conclusion: Access to personal healthcare providers should be promoted among Whites, Blacks, and Hispanics to assure patients with diabetes receive recommended secondary preventive services. Diabetes self-management programs should also be expanded among Whites and Blacks but may need to be modified to benefit Hispanics.
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Adv Simul (Lond)
December 2024
University of Applied Sciences Hamburg, Ulmenliet 20, 21033, Hamburg, Germany.
Background: Regular training for mass casualty incidents at physical simulation events is vital for emergency services. The preparation and execution of these simulations consume huge amounts of time, personnel, and money. It is therefore important to gather as much information as possible from each simulation while minimizing any influence on the participants, so as to keep the simulation as realistic as possible.
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December 2024
Vanderbilt University School of Medicine, Nashville, TN, USA.
Background: Recurrent tonsillitis is a common indication for tonsillectomy in children and has phenotypic overlap with periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome. We sought to characterize symptoms associated with PFAPA among children undergoing tonsillectomy.
Methods: Parents/guardians of children undergoing tonsillectomy at Vanderbilt Children's Hospital over a six-week period were queried regarding symptoms of recurrent fever.
Cell Mol Biol Lett
December 2024
Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China.
Background: Radiotherapy for pelvic malignant tumors inevitably causes intestinal tissue damage. The regeneration of intestinal epithelium after radiation injury relies mainly on crypt fission. However, little is known about the regulatory mechanisms of crypt fission events.
View Article and Find Full Text PDFBMC Pregnancy Childbirth
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Department of Biostatistics and Epidemiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Background: Even though several measures have been taken to eliminate malaria, its burden remains persistently high in Sub-Saharan Africa. More than 125 million pregnant women are at risk of getting malaria per year. There is a scarcity of community based evidence on malaria prevalence among pregnant women and associated factors in Northwest Ethiopia.
View Article and Find Full Text PDFActa Paediatr
December 2024
Department of Neonatal Medicine, Cochin Port Royal hospital FHU Prema, Paris, France.
Aim: Healthcare givers are exposed to stress and therefore are at risk of the development of pathologies. We aimed to provide recommendations regarding psychosocial risks such as stress, moral distress, burnout syndrome or secondary stress syndrome in neonatal care units to best support neonatal healthcare givers.
Methods: We searched PubMed for articles published from 1 January 2017 to 1 December 2023 by using the keywords burnout OR (moral and distress) AND neonatal unit.
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