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Archive for March, 2020

News Diabetes Prevention Program to be Offered Soon – Bartlesville Radio

Friday, March 6th, 2020

Ascension St. John Jane Phillips in Bartlesville will present Diabetes Prevention Program, a year-long class, led by certified lifestyle coaches at the end of the month.

Sessions will be weekly March 25th through July 1dt from 5:00 to 6:00 p.m., then monthly for the year. Cost is $5 per month. For questions or more information, call 918.331.1143.

Classes are held at the Medical Park Center, 3400 SE Frank Phillips Blvd., Suite 200 in the Ascension St. John Jane Phillips Diabetes and Nutrition Education classroom.

Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. Over 88 million American adults have prediabetes thats 1 in 3 adults. Of those 88 million, more than 8 in 10 of them dont even know they have it. Without taking action, many people with prediabetes could develop type 2 diabetes within 5 years.

Diabetes is a serious disease that can cause heart attack, stroke, blindness, kidney failure, or loss of feet or legs.

The good news is Type 2 diabetes can be delayed or prevented in people with prediabetes through effective lifestyle programs. With modest lifestyle changes including healthy eating and increased physical activity men and women can decrease the likelihood of developing Type 2 diabetes.

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Frequent Tooth Brushing Tied to Lower Diabetes Risk – The New York Times

Friday, March 6th, 2020

Brushing your teeth frequently may reduce your risk for diabetes, new research suggests.

Using Korean government health records and self-reports, researchers gathered health and behavioral data on 188,013 men and women, average age 53, who were free from diabetes. More than 17 percent had periodontal disease. Over the course of the 10-year study, 31,545 developed diabetes.

After controlling for age, sex, socioeconomic status, smoking, alcohol consumption, physical activity, lipid levels, hypertension and other factors, they found that people with periodontal disease had a 9 percent increased risk for developing diabetes. The study is in Diabetologia.

Compared with people who did not brush or brushed only once a day, those who brushed twice a day had a 3 percent reduced risk for diabetes, and those who brushed three times a day an 8 percent reduced risk. The loss of 15 or more teeth was associated with a 21 percent increased risk for developing diabetes.

Neither the number of visits to the dentist or the frequency of professional tooth cleaning was associated with the incidence of diabetes.

The lead author, Dr. Yoonkyung Chang, a professor of neurology at Ewha Womans University in Seoul, said that healthy lifestyle has more powerful effects on diabetes prevention than tooth brushing.

But, she said, Frequent tooth brushing reduces local inflammation and bacteremia, and if good brushing habits persist for a long time, this can affect systemic diseases.

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Frequent Tooth Brushing Tied to Lower Diabetes Risk - The New York Times

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Coronavirus and Diabetes: What You Need to Know by Johanna Hicks, Family & Community Health Agent – frontporchnewstexas.com

Friday, March 6th, 2020

Coronavirus and Diabetes: What You Need to Know

Unless youve been living under a rock the past few weeks, you have heard of a new and deadly virus that has quickly been spreading around the world: Coronavirus, or COVID-19, which is a highly infectious, acute respiratory disease. This disease only affects mammals and birds, and seems to have originated from a seafood market in the Wuhan Province of China. The numbers are changing daily, but the most recent numbers show that over 76,000 people have been infected with the virus, with 99% of them occurring within mainland China.

Because diabetes education is my passion, I wanted to share some information from author Christine Fallabel, Diabetes Daily. So how dangerous is the Coronavirus, and what do you need to know as a person living with diabetes? Many people who are infected with the virus never seek treatment. According to the World Health Organization, signs of the infection include fever, cough, shortness of breath, and difficulty breathing. If you suspect you may be infected, see your doctor right away.

To protect yourself from getting any type of seasonal virus, its best to avoid contact with other sick people, wash your hands frequently (especially and always after using the restroom and before preparing food!), wear a protective mask when traveling through airports or busy bus/train stations, get your flu vaccination, maintain a healthy sleep schedule, and eat plenty of fruits and vegetables. According to the CDC, Coronavirus is spread by respiratory droplets in the air when an infected person sneezes or coughs. The virus can also be spread when an uninfected person touches a surface where the virus is (bathroom countertops or door handles), and then touches their face or mouth. Carrying antimicrobial hand sanitizer with you can help to eliminate this threat.

Sometimes your diabetes gives clues when youre starting to get sick, and one of those clues is higher-than-normal blood sugars. If youre starting to see your numbers creep up for no reason, it could be a sign that youre coming down with something. Stay on top of your diabetes when you get ill. This will include more frequent blood glucose testing, staying hydrated, checking ketones, and if on insulin, might require extra dosages.

Even though most cases are mild, having a chronic illness and a virus at the same time can cause major trouble. Seek help from a physician if you suspect something is beyond your control. Even though we are not in crisis mode concerning the Coronavirus in the United States, always be prepared with extra diabetes supplies lancets, test strips, medications. The main goal is to be proactive in protecting yourself and being aware of how your body responds.

Do Well, Be Well with Diabetes Series

Have you been diagnosed with diabetes and dont know what to do next? Are you afraid of complications? Are you confused about which foods spike your blood glucose? Do you know what your blood glucose ranges should be? Are you wondering what a hemoglobin A1c is and what yours should be?

All of these questions and concerns will be answered in this informative series! Pharmacists, diabetes specialists, and more will be on hand to lead the sessions and allow you to interact, ask questions, and share experiences. You still have time to sign up by calling the Texas A&M AgriLife Extension Office in Sulphur Springs at 903-885-3443. Topics to be covered include glucose monitoring, nutrition/meal planning, sick day management, medications, role of physical activity, delaying/preventing complications, or if you already have complications, how to manage them.

Cost is only $25 for the entire series, payable at the first session and includes materials, refreshments, and a chance for door prizes. Sessions will take place at the Hopkins County Extension Office on Mondays and Thursdays, March 9. 12. 16. 19, and 23.

Closing Thought

No life ever grows great until it is focused, dedicated, and disciplined unknown

Article by Johanna Hicks,Texas A&M AgriLife Extension,Family & Community Health Agent

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Coronavirus and Diabetes: What You Need to Know by Johanna Hicks, Family & Community Health Agent - frontporchnewstexas.com

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Evening Lions present diabetic kits to local schools – Great Bend Tribune

Friday, March 6th, 2020

Diabetes is the signature cause of Lions clubs around the world, as well as right here in Barton County. The Great Bend Evening Lions Club last week presented diabetic emergency kits to area schools.

In all, 14 of the kits went to schools in Great Bend and four to schools in Hoisington, said club member and project organizer Stan Jantz. These are for nurses or students to use.

The kits include snacks and other items for students with blood sugar issues or in some other form of diabetic distress, he said. However, they do not include insulin or other medications.

Approximately 293,860 people in Kansas, or 12.6% of the adult population, have diabetes, according to the American Diabetes Association. Of these, an estimated 69,000 have diabetes but dont know it, greatly increasing their health risk.

Nationally, 30.3 million people, or 9.4% of the U.S. population, have diabetes, the ADA notes. An estimated 23.1 million people, or 7.2% of the population, have been diagnosed with diabetes.

But, this is also a global issue. Lions Club International has partnered with the International Diabetes Federation to fight this disease.

In March 2018, Lions Clubs International and the International Diabetes Federation signed a memorandum of understanding, on the occasion of Lions Day at the UN, to establish a cooperative alliance in the global fight against diabetes.

The two organizations came together to help prevent diabetes and improve the quality of life for those living with diabetes worldwide, a joint statement reads.

According to the IDF, In 2019:

Approximately 463 million adults (20-79 years) were living with diabetes; by 2045 this will rise to 700 million.

The proportion of people with type 2 diabetes is increasing in most countries.

79% of adults with diabetes were living in low- and middle-income countries.

1 in 5 of the people who are above 65 years old have diabetes.

1 in 2 (232 million) people with diabetes were undiagnosed.

Diabetes caused 4.2 million deaths.

Diabetes caused at least USD 760 billion dollars in health expenditure in 2019 10% of total spending on adults.

More than 1.1 million children and adolescents are living with type 1 diabetes.

More than 20 million live births (1 in 6 live births) are affected by diabetes during pregnancy.

374 million people are at increased risk of developing type 2 diabetes.

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Study Suggests Guidelines to Improve YouTube Video Content for Patients with Diabetes and Other Chronic Health Conditions – DocWire News

Friday, March 6th, 2020

The findings of a study suggest that health care providers and organizations should follow a set of guidelines for producing engaging, easily digestible YouTube content that helps patients with chronic health conditions, such as diabetes, managing their diagnoses.

The researchers specifically focused on how users engage with medical information on diabetes because it stands as one of the most prevalent chronic conditions in the US.

The study, conducted by researchers at Carnegie Mellon University, the University of Utah, the University of Arizona, and Michigan State University, was published in the journalMIS Quarterly.

To conduct this study, the researchers used over 200 search terms to compile a list of 19,873 unique YouTube videos that were uploaded by individual users as well health care organizations, such as Mayo Clinic, the American Diabetes Association, and the American Nutrition Association. Next, they used a deep learning method to identify medical terms found in videos before grouping videos based on how much medical information they contained. They also focused on different ways these videos presented information, via text and images. Subsequently, the researchers assessed the data to determine how viewers collectively paid attention to the videos in different ways.

According to the results of the study, viewers who watched YouTube videos that contained limited medical information (e.g. videos filled with unsubstantial claims or excessive ads) typically did not engage with the videos, suggesting the need for medical content. However, the study also found that viewers who watched YouTube videos saturated with medical terms also struggled to maintain attention. The authors noted that considering the low levels of health literacy in the US, viewers may become intimidated by seeing an abundance of medical terminology.

Our study helps health care practitioners and policymakers understand how users engage with medical information in video format, says study co-author Rema Padman, professor of management science and healthcare informatics at Carnegie Mellon Universitys Heinz College in a press release. It also contributes to enhancing current public health practices by promoting the development of guidelines for the content of educational videos that aim to help people cope with chronic conditions.

Based on their findings, the researchers suggest that specific guidelines should be developed for individuals and organizations that produce YouTube content so they can provide engaging and relevant material to patients with chronic conditions. They recommend using automated video retrieval a method which identifies, and labels videos based on their level of content to accommodate patients varying levels of comprehending medical information.

As organizations produce health-related educational materials for patients, they should think not only about what medical information to deliver, but also how to meet the interest, information needs, and health-literacy levels of the consumers, Prof. Padman suggests. Creators of these materials should use technology and online solutions to reach patients with complex chronic conditions with personalized, contextualized, and just-in-time content.

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Study Suggests Guidelines to Improve YouTube Video Content for Patients with Diabetes and Other Chronic Health Conditions - DocWire News

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Payer Effects of Personalized Preventive Care for Patients With Diabetes – AJMC.com Managed Markets Network

Friday, March 6th, 2020

Brant Morefield, PhD; Lisa Tomai, MS; Vladislav Slanchev, PhD; and Andrea Klemes, DO

We examine the effects of MDValue in Prevention (MDVIP) enrollment on Medicare expenditures and utilization among fee-for-service beneficiaries with diabetes over a 5-year period.

Objectives:

Study Design: We obtained participating physician and beneficiary enrollment lists from MDVIP and Medicare FFS claims data through the Virtual Research Data Center to compare changes in outcomes, before and after enrollment dates, with those of nonenrolled beneficiaries receiving primary care in the same local market.

Methods: We employed propensity score matching to identify comparison beneficiaries similar in observed characteristics and preenrollment trends. Individual fixed effects were used to control for time-consistent differences between treatment and comparison populations.

Results: We found that enrollment is statistically associated with reductions in outpatient expenditures, Medicare expenditures in year 5, emergency department (ED) utilization, and unplanned inpatient admissions, accompanied by significant increases in evaluation and management visits and expenditures. Total Medicare expenditures over the 5-year period, as well as all inpatient admissions, were not statistically different between the MDVIP and comparison groups.

Conclusions: Our finding of reduced unplanned inpatient admissions and ED utilization supports the previous findings regarding MDVIP enrollees. We did not find significant changes in overall third-party expenditures, although savings were estimated in year 5, the last year of observation, and may occur later. Our approach, however, strengthens controls for baseline characteristics of the population and uses a comparison population drawn from the same markets who do not experience the loss of their primary care physician at the time of enrollment.

Am J Manag Care. 2020;26(3):In Press

We used claims data to examine how healthcare utilization and third-party Medicare expenditures change after individuals with diabetes enroll in the MDValue in Prevention (MDVIP) model.

Prior research suggests that enrollment in MDVIP reduces utilization of inpatient or emergency department (ED) services. Musich et al analyzed medical utilization of MDVIP members in comparison with a sample of Medicare Advantage beneficiaries who did not join the model and showed that participation in MDVIP led to savings in medical expenditures for 2 years after joining, resulting from reduced hospitalizations and ED visits.3 Similar reductions in healthcare utilization related to MDVIP membership were found by Klemes et al4 and Musich et al,5 who used patient-level data from 5 states within the Intellimed data set and a sample of patients with a UnitedHealthcare employer-sponsored health plan, respectively. Our study continues this evidence base by examining the role of the MDVIP model on third-party Medicare fee-for-service (FFS) expenditures and healthcare utilization for the older Medicare FFS population. Further, we chose to focus on a population with diabetes, a common and costly chronic condition, because patients with chronic conditions may experience differential effects of personalized primary care arrangements from those presented in prior research.

As physician and patient participation is voluntary and involves enrollment fees for patients, we expect that MDVIP physicians and patients may differ from others who are part of the Medicare FFS population. A review of the work of Klemes et al4 by the American College of Physicians raised questions regarding identification of an MDVIP effect without further adjustment for baseline health and socioeconomic factors.6 We addressed such factors in this study by matching comparison beneficiaries on observed characteristics, including baseline health, and controlling for time-consistent unobserved characteristics using fixed effects.

METHODS

We obtained lists of MDVIP-participating physicians and MDVIP-enrolled beneficiaries 65 years or older, as well as their associated program enrollment dates, from MDVIP, and 2000-2015 Medicare claims (parts A and B) and Master Beneficiary Summary File Chronic Conditions segment data from the Virtual Research Data Center. The Chronic Conditions segment applies algorithms to identify the incidence of chronic conditions based on diagnosis and service codes in beneficiaries claims histories. We used these chronic condition flags to identify beneficiaries meeting the diabetic criteria at the time of MDVIP enrollment or potential enrollment.

Study Populations

We first identified all Medicare FFS beneficiaries receiving at least 1 Part B service from an MDVIP-affiliated physician in a 15-month period ending when the physician joined MDVIP, including both beneficiaries who did and did not join the MDVIP model. Among beneficiaries receiving care from future MDVIP-affiliated physicians, we cross-referenced sex, date of birth, and zip code in Medicare records with MDVIP enrollment files. Using this approach, we uniquely identified 90% of FFS beneficiaries listed by MDVIP.

We also identified unaffiliated primary care physicians operating in the same primary care service area (PCSA) and the population of patients receiving care from these non-MDVIP physicians in the 15 months prior to when the MDVIP physicians joined. As such, we selected a population of potential comparison beneficiaries who received primary care in the same market at the same time as beneficiaries who enroll in MDVIP, where markets are defined as PCSAs.7

Because more than 90% of beneficiaries enrolled in MDVIP within 30 days of their providers enrollment, and 95% within 90 days, we used the providers enrollment dates as the start of MDVIP for the enrolled population. For beneficiaries seeing non-MDVIP providers, the intervention start date was defined as the enrollment date of the linked local MDVIP provider.

From the providers enrollment dates, we extracted beneficiaries Medicare FFS claims 3 years prior to and up to 5 years post enrollment. We only included years in which the beneficiary was enrolled in Medicare Part A and Part B and not enrolled in Medicare managed care.

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Eating oranges and tangerines can help reduce risk of obesity, heart disease, and diabetes – ConsumerAffairs

Friday, March 6th, 2020

Photo (c) loooby - Getty ImagesIncluding plenty of fruits and vegetables in your diet can help keep you healthy, but a recent study shows that one particular type of fruit could be more beneficial than previously thought.

Researchers from Western University say that a molecule called nobiletin that is found in oranges and tangerines can help reverse negative symptoms linked to obesity, heart disease, and diabetes. The team believes that their findings could be good news for health care providers who are always looking for new ways to promote better health.

"Obesity and its resulting metabolic syndromes are a huge burden to our health care system, and we have very few interventions that have been shown to work effectively," said Dr. Murray Huff. "We need to continue this emphasis on the discovery of new therapeutics."

The researchers came to their conclusions after studying mice who were fed a diet high in fat and cholesterol. While some of the mice were only given foods high in these substances, others were also given nobiletin.

After observing the physical changes in the mice over time, the team concluded that the mice that also received nobiletin were leaner and had lower levels of insulin resistance and blood fats when compared to the control mice. Huff says that these results strongly suggest that nobiletin can be used as a health intervention.

We've shown that in mice that already have all the negative symptoms of obesity, we can use nobiletin to reverse those symptoms, and even start to regress plaque build-up in the arteries, known as atherosclerosis, he said.

The team hopes to continue their research with human trials to see if nobiletin has the same effect on people. The full study has been published in the Journal of Lipid Research.

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Eating oranges and tangerines can help reduce risk of obesity, heart disease, and diabetes - ConsumerAffairs

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The Link Between Diabetes and Kidney Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Friday, March 6th, 2020

People with diabetes are at high risk for kidney disease, but there are steps they can take to protect their kidneys.

Meda E. Pavkov, MD, PhD, medical epidemiologist in the Chronic Kidney Disease Initiative within the Division for Diabetes Translation at the Centers for Disease Control and Prevention (CDC), is a co-author of the Kidney Disease in Diabetes chapter in the NIDDK publication Diabetes in America, 3rd Edition. Here, she discusses the link between diabetes and kidney disease and the importance of early detection and management of kidney disease.

Q: What is the link between diabetes and kidney disease?

A: Diabetes is the most frequent cause of chronic kidney disease, not only in the United States but in most industrialized countries. Kidney disease in people with diabetes is caused by multiple factors, including diabetic changes in the kidneys as well as vascular changes due to hypertension. People with diabetes have high glycemia, or blood glucose, which can damage the kidneys and lead to kidney disease.

When people are diagnosed with diabetes, they may already have hypertension. Hypertension is an additional risk factor for diabetic kidney disease because high blood pressure damages the kidneys, which may prevent proper function.

Q: What are the benefits of talking about kidney disease risk factors with patients who have diabetes?

A: Most of the risk factors for kidney disease in patients with diabetes can be modified. We can treat and manage them. However, like many other chronic diseases, kidney disease has very few early symptoms. For instance, a patient may have albuminuria, which is the earliest sign of kidney disease. It means that there is too much of the protein albumin in the urine, but a patient may not have any symptoms specific to the albuminuria.

The prevalence of kidney disease in the United States is about 15 percent, yet awareness of kidney disease is very low. Patients can have kidney disease for a long time without having symptoms or knowing that they have the disease. We found that many transplant patients and new dialysis patients had little awareness of their kidney disease and did not know what they could have done to help prevent or slow the disease before kidney failure.

It is especially important to talk to patients with diabetes about kidney disease risk factors because they are more than twice as likely to develop kidney disease than those without diabetes. By talking with patients who have diabetes about kidney disease, the disease may be diagnosed early, and patients can take steps to help slow its progression.

Q: Why is it so important to diagnose kidney disease in patients with diabetes as early as possible?

A: By diagnosing kidney disease as early as possible, we can treat the disease earlier, which means slowing disease progression. The end goal for treating kidney disease as early as possible is to prevent kidney failure, which is when the kidneys have lost most of their ability to function. By preventing kidney failure, you avoid end-stage renal disease, which is the stage at which dialysis or a kidney transplant is needed to survive.

Patients with diabetes who know they have kidney disease can

Diagnosing and managing kidney disease early can prevent complications, particularly cardiovascular complications. Many physicians and researchers are not aware that among people with diabetes, kidney disease doubles the risk for cardiovascular disease.

Beyond the positive health implications of diagnosing and treating kidney disease early, CDC has published studies demonstrating that diagnosing and treating the disease early to avoid kidney failure and other complications is cost effective.

Q: What are the recommended guidelines for kidney disease testing?

A: Kidney disease is diagnosed and tracked using two tests. One is a blood test, called serum creatinine, used to calculate the glomerular filtration rate (GFR), or kidney function, which assesses how well the kidneys are filtering blood. A GFR below 60 for at least 3 months indicates chronic kidney disease.

The other test used to diagnose and monitor kidney disease checks for albumin in the urine. Anyone with a urine albumin result above 30 milligrams per gram for at least two out of three albumin tests in a 3-month period is considered to have kidney disease. Physicians should be aware of the importance of the urine albumin test, because it is able to detect early kidney disease.

Guidelines recommend that anyone with one or more risk factors for kidney diseasepeople with diabetes, hypertension, or heart disease; those with a family history of kidney disease or diabetes; people older than 50 years; and those who smokebe tested for kidney disease. Testing for kidney disease is inexpensive and easy and is critical to identifying and treating the disease early.

Q: How can health care professionals help to prevent or slow kidney disease from progressing in patients with diabetes?

A: Its important for health care professionals to educate patients about their risk for kidney disease, how the disease might affect their health, what they need to avoid, and how they can modify their lifestyle to prevent or slow the disease. When patients understand their risks, they may be more likely to talk with their health care professional about getting tested for kidney disease and more aware of the importance of keeping their kidneys healthy.

In general, kidney disease progresses relatively slowly with few or no symptoms, so there is a very long window of opportunity to personalize and adjust treatment to a patient's situation. The first and most important way to prevent or slow kidney disease in people with diabetes, whether its type 1 or type 2 diabetes, is to manage blood glucose levels. Glucose levels should be monitored regularly. Another way to help prevent or slow kidney disease progression is by managing blood pressure. This is particularly important in patients with type 2 diabetes, who often have high blood pressure. Lifestyle changes and medications such as ARBs, or angiotensin receptor blockers, often play a key role in controlling blood pressure in people with diabetes.

Ultimately, the best way to prevent kidney disease is to prevent type 2 diabetes, because nearly 40 percent of people with diabetes will develop kidney disease.

Q: Is there anything else that health care professionals should know about kidney disease in people with diabetes?

A: The U.S. Department of Health and Human Services recently announced an important new kidney disease initiative called Advancing American Kidney Health. The initiative has three main goalsto reduce the number of Americans developing kidney failure, encourage home dialysis rather than treatment in dialysis centers, and increase the number of kidneys available for transplant.

This initiative is exciting because it recognizes kidney disease as an important public health issue and creates an official policy framework to improve kidney care in the United States. It aims to improve prevention and treatment, redesign dialysis to improve the quality of life among dialysis patients and increase their life expectancies, and create incentives for individuals to donate kidneys.

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The Link Between Diabetes and Kidney Disease - National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

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Heavily processed foods tied to diabetes – Harvard Health

Friday, March 6th, 2020

Published: March, 2020

As we've reported before, eating or drinking heavily processed foods like sugary drinks, chicken nuggets, frozen dinners, or sweetened cereals is associated with an increased risk for weight gain, heart disease, and even early death. Now a large observational study published online Dec. 16, 2019, by JAMA Internal Medicine links the consumption of such "ultraprocessed" food to an increased risk for developing diabetes. Researchers evaluated the questionnaire responses of more than 100,000 diabetes-free people (average age about 43) over six years. People who ate the most ultraprocessed foods (about 22% of their diet) had a higher risk for developing diabetes compared with people who ate the least amount of ultraprocessed foods (about 11% of their diet). The risk for developing diabetes went up 15% for a 10-percentage-point increase in the amount of ultraprocessed food in the diet. The connection held up even after scientists accounted for known risk factors for diabetes, such as weight and physical activity. The takeaway: Skip processed foods in favor of whole foods, including lots of vegetables, fruits, legumes, and whole grains.

Image: Jamesmcq24/Getty Images

Disclaimer:As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

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Global diabetic footwear market is projected to reach $ 9.7 billion by 2025 – Yahoo Finance

Friday, March 6th, 2020

Global Diabetic Footwear Market, By Product (Slippers, Sandals and Shoes), By End User (Women and Men), By Distribution Channel (Store-based Vs. Non-store based), By Region, Competition, Forecast & Opportunities, 2025.

New York, March 06, 2020 (GLOBE NEWSWIRE) -- Reportlinker.com announces the release of the report "Global Diabetic Footwear Market, By Product, By End User, By Distribution Channel, By Region, Competition, Forecast & Opportunities, 2025" - https://www.reportlinker.com/p05872172/?utm_source=GNW

Global diabetic footwear market is projected to reach $ 9.7 billion by 2025 on account of rising adoption of diabetic footwear as they are designed to minimize the risk of skin breakdown caused by poor circulation, neuropathy and foot deformities. Moreover, these footwears offer a variety of features like non-binding uppers, stretchable uppers, orthotic support, extra depth design for a pressure-free fit, deep-toe-box, functional soles, and others in order to protect diabetic feet. These designed footwears are mostly used by athletes and common people that are suffering from foot deformities caused by diabetes. Diabetes leads to poor control over blood sugar levels and thus can damage nerves and vessels of feet. Therefore, consumers with diabetes are more likely to have foot problems which are the key factor anticipated to influence the demand for diabetic footwear across the globe in the coming years. Rising prevalence of diabetes and growing disposable income are some of the major factors anticipated to propel the global diabetic footwear market in the coming years. However, the market growth is likely to be negatively affected on account of lack of proper knowledge about using diabetic footwear among potential users as well as low awareness about proper foot care in diabetic patients, particularly in underdeveloped and developing countries. The global diabetic footwear market is segmented based on the product, end-user, distribution channel and region.Based on the product, the market can be segmented into slippers, sandals and shoes.

Among them, the shoe footwear type dominated the market in 2019, and the product segment is expected to maintain its leadership position in the coming years as well which can be attributed to the higher preference of shoes in both men and women. Office going population always prefers wearing shoes since a formal attire includes shoe, which is increasing the demand for these shoes, thereby boosting the growth of this segment in the market. Major players operating in the diabetic footwear market are Podartis S.r.l., American Aetrex Worldwide, Inc., Orthofeet Inc, Drew Shoes (U.S.), Dr. Comfort, DJO Global Inc (U.S.), Dr. Zen Products, Inc. (U.S.), Propet USA, Inc. (U.S.), DARCO International, I-Runner (U.S.), Finn Comfort (U.S.), Pilgrim shoes (U.S.), Hush Puppies Retail, Inc., New Balance, Inc., and others.

Years considered for this report:

Historical Years: 2015-2018 Base Year: 2018 Estimated Year: 2019 Forecast Period: 20202025

Objective of the Study:

To analyze and forecast the market size of the global diabetic footwear market. To classify and forecast global diabetic footwear market based on the product, end-user, distribution channel, company and regional distribution. To identify drivers and challenges for the global diabetic footwear market. To examine competitive developments such as expansions, new product launches, mergers & acquisitions, etc., in the global diabetic footwear market. To conduct a pricing analysis for the global diabetic footwear market. To identify and analyze the profile of leading players operating in the global diabetic footwear market. The analyst performed both primary as well as exhaustive secondary research for this study.Initially, the analyst sourced a list of diabetic footwear manufacturers across the globe.

Subsequently, the analyst conducted primary research surveys with the identified companies.While interviewing, the respondents were also enquired about their competitors.

Through this technique, the analyst could include the manufacturers which could not be identified due to the limitations of secondary research. The analyst examined the distribution channels and presence of all major players across the globe. The analyst calculated the market size of global diabetic footwear market by using a bottom-up approach, wherein data for various end-user segments were recorded and forecast for the future years. The analyst sourced these values from the industry experts and company representatives and externally validated through analyzing historical data of these product types and applications for getting an appropriate, overall market size.

Various secondary sources such as company websites, news articles, press releases, company annual reports, investor presentations and financial reports were also studied by the analyst.

Key Target Audience:

Diabetic footwear manufacturers, suppliers and other stakeholders Government bodies such as regulating authorities and policymakers Organizations, forums and alliances related to diabetic footwear Market research and consulting firms The study is useful in providing answers to several critical questions that are important for the industry stakeholders such as manufacturers, suppliers and partners, etc., besides allowing them in strategizing investments and capitalizing on market opportunities.

Report Scope:

In this report, the global diabetic footwear market has been segmented into the following categories, in addition to the industry trends which have also been detailed below: Market, By Product: o Shoes o Sandals o Slippers Market, By End User: o Men o Women Market, By Distribution Channel: o Store-based o Non-store based Market, By Region: o North America United States Mexico Canada o Asia-Pacific China Japan India South Korea Australia o Europe Germany France United Kingdom Italy Spain o South America Brazil Colombia Argentina o Middle East & Africa South Africa Saudi Arabia UAE

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in the global diabetic footwear market.

Available Customizations:

With the given market data, we offers customizations according to a companys specific needs. The following customization options are available for the report:

Company Information

Detailed analysis and profiling of additional market players (up to five).Read the full report: https://www.reportlinker.com/p05872172/?utm_source=GNW

About ReportlinkerReportLinker is an award-winning market research solution. Reportlinker finds and organizes the latest industry data so you get all the market research you need - instantly, in one place.

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Prevention and Treatment of Diabetic Foot Ulcers May Benefit From Multimodal Approach – Endocrinology Advisor

Friday, March 6th, 2020

Diabetic foot ulcers continue to be a major cause of morbidity and mortality in patients with diabetes despite several standard of care options. A paper published in the American Journal of Clinical Dermatology highlights new trends in the management of diabetic foot ulcers, including the use of adjunctive therapies.

Pressure relief, debridement, infection management, and revascularization comprise the current gold standard of care for diabetic foot ulcers. Despite the potential benefit of each component, this regimen alone may not be sufficient for the prevention and management of foot ulcers in patients with diabetes. Although prevention is key, new trends in diabetes foot ulcer management have been shown to greatly improve treatment beyond current standard of care.

For ulcers that persist beyond the 4-week standard of care treatment recommendation, adjunctive approaches may be an option. Negative pressure wound therapy, for instance, may potentially assist in promoting wound healing via the application of intermittent or continuous negative pressure to a wound. Hyperbaric oxygen therapy is another adjunctive approach that has been suggested for diabetic foot ulcers; however, the efficacy of this strategy is considered controversial, according to the published literature.

There is an increasing trend toward the use of bioengineered skin substitutes as adjunct therapy for treating and closing diabetic foot ulcer wounds. Skin substitutes used for diabetic foot ulcers include dermal substitutes consisting of either acellular or cellular extracellular matrix and composite substitutes of dermal and epidermal components. In addition, a growing trend has been observed in the use of topical growth factors for diabetic foot ulcers.

There is currently only 1 topical recombinant human platelet-derived growth factor approved by the US Food and Drug Administration for the treatment of foot ulcers in patients with diabetes. The product may be more cost effective compared with standard of care alone. Although promising, high doses of this adjunctive approach have been linked to an increased risk for cancer.

Electrical stimulation is another emerging technologic approach for treatment of hard to treat foot ulcer wounds. Evidence to support this strategy is mostly found in individual case reports and small studies. The newest trend in diabetic foot ulcer adjunctive therapy pressure and temperature feedback devices is increasingly used in foot ulcer prevention strategies in patients with diabetic peripheral neuropathy.

Although many of the emerging approaches are novel and most lack sufficient evidence to support their clinical efficacy, the investigators wrote that the new standard of care for the management of diabetic foot ulcers should integrate a multimodal approach that addresses the many factors that contribute to ulcer development as well as those that promote wound healing.

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Reference

Aldana PC, Khachemoune A. Diabetic foot ulcers: appraising standard of care and reviewing new trends in management [published online December 17, 2019]. Am J Clin Dermatol. doi:10.1007/s40257-019-00495-x

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Brushing teeth three times a day could lower the risk of diabetes – The Jakarta Post – Jakarta Post

Friday, March 6th, 2020

New research has found that brushing teeth three times a day could lower an individual's risk of diabetes, while neglecting oral hygiene could actually increase the risk.

Carried out by researchers at Seoul Hospital and Ewha Woman's University College of Medicine, Seoul, South Korea, the new study looked at data gathered from 188,013 subjects who had provided information on their past medical history, oral hygiene behaviors, such as the number of times they brushed their teeth each day, how often they went to the dentist, and how often they had their teeth professionally cleaned and their number of missing teeth.

The findings, published in the journalDiabetologia, showed that after taking into account possible influencing factors such as age, sex, weight, height and blood pressure, brushing teeth three times a day or more is linked to an 8 percent lower risk of developing diabetes.

On the other hand, individuals with dental disease had a 9 percent higher risk of developing diabetes, and those with numerous teeth missing (15 or more) had a 21 percent higher risk.

The researchers also found that diabetes risk differed by age and gender.

For the participants age 51 and younger, brushing twice a day was linked to a 10 percent reduced risk of developing diabetes compared with those who brushed once a day or not at all, while brushing teeth three times a day reduced the risk by 14 percent.

However, for those aged 52 and older, it made no difference whether the participants brushed twice a day, once a day, or not at all there was no difference in diabetes risk unless the participants brushed three or more times per day, which was linked with a 7 percent decreased risk.

Read also: You do it at least twice a day, but are you brushing your teeth right?

Periodontal disease also increased the risk of diabetes by 14 percent for younger adults, whereas in the older group the increased risk was just 6 percent.

There were also stronger associations between increasing brushing and reduced diabetes risk in women. For women, brushing two or three times per day was linked with an 8 and 15 percent reduced risk, respectively, of developing diabetes, whereas for men, there was only a 5 percent reduction in risk of diabetes for those brushing three times or more per day, and no statistically significant difference in risk between brushing twice a day, once a day or not at all.

The researchers point out that the study does not explain how exactly oral hygiene could lead to the development of diabetes, however, they add that tooth decay can contribute to chronic and systemic inflammation, and inflammation has been found in previous studies to be linked to diabetes.

They conclude that, Frequent tooth brushing may decrease the risk of new-onset diabetes, and the presence of periodontal disease and increased number of missing teeth may increase that risk. Overall, improving oral hygiene may be associated with a decreased risk of occurrence of new-onset diabetes.

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Potent Topical Corticosteroids and Development of Type 2 Diabetes – Endocrinology Advisor

Friday, March 6th, 2020

Home Topics Diabetes Type 2 Diabetes

Potent topical corticosteroids should be used sparingly, and screening for type 2 diabetes should continue to be a routine part of chronic disease prevention and management, according to a critical appraisal published in the British Journal of Dermatology.1

Although topical corticosteroids are widely used to treat inflammatory or pruritic skin conditions, the impact of their systemic absorption on the risk for hyperglycemia and subsequent type 2 diabetes is unclear.1 Anderson et al conducted 3 analysis studies that found that topical corticosteroid use was associated with incident type 2 diabetes, and 2 of the studies demonstrated a dose-response relationship with higher potencies of topical corticosteroids.2 Consequently, the investigators made a strong recommendation to consider alternative treatments to high-potency topical corticosteroids that are potentially diabetogenic.

The studies had several strengths, including the replication of results across case-control and cohort designs with large, high-quality datasets and the inclusion of major confounders related to patient demographics, clinical comorbidities, and healthcare utilization.1 However, healthcare data do not capture actual medication use and exposure definitions do not fully reflect how topical corticosteroids are often used intermittently in practice. In addition, the association between topical corticosteroid use and incident type 2 diabetes may be less clear because itchiness and other inflammatory skin conditions are both associated with diabetes and topical corticosteroid prescribing, as noted in the appraisal.

The authors concluded that these findings suggest, there is a potential signal for an association with incident type 2 diabetes but should not be used to infer causality.1 They added that, potent topical corticosteroids should continue to be used sparingly, weighing the benefits and risks, and screening for type 2 diabetes should continue to be a routine part of chronic disease prevention and management.

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References

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What Is the Coronavirus? – WIRED

Friday, March 6th, 2020

If you're confused, think about HIV/AIDS. Human-immunodeficiency virus infects people. If left untreated, HIV can lead to autoimmune deficiency syndrome, or AIDS. Some people might get infected with SARS-CoV-2 and not get sick at all. Others will come down with symptoms of the disease Covid-19. (Yeah, it sounds like the name of a robot raven to us, too.)

The first cases were identified at the tail end of 2019 in Wuhan, the capital city of Chinas Hubei province, when hospitals started seeing patients with severe pneumonia. Like the viruses that cause MERS and SARS, the new coronavirus appears to have originated in bats, but its not clear how the virus jumped from bats to humans or where the first infections occurred. Often, pathogens journey through an intermediary animal reservoirbats infect the animals, and humans come into contact with some product from that animal. That could be milk or undercooked meat, or even mucus, urine, or feces. For example, MERS moved to humans through camels, and SARS came through civet cats sold at a live animal market in Guangzhou, China.

Scientists dont know why some coronaviruses have made that jump while others havent. It may be that the viruses havent made it to animals that humans interact with, or that the viruses dont have the right spike proteins, so they cant attach to our cells. Its also possible that these jumps happen more often than anyone realizes, but they go unnoticed because they dont cause serious reactions.

Coronaviruses are divided into four groups called genera: alpha, beta, gamma, and delta. These little invaders are zoonotic, meaning they can spread between animals and humans; gamma and delta coronaviruses mostly infect birds, while alpha and beta mostly reside in mammals.

Researchers first isolated human coronaviruses in the 1960s, and for a long time they were considered pretty mild. Mostly, if you got a coronavirus, youd end up with a cold. But the most famous coronaviruses are the ones that jumped from animals to humans.

Coronaviruses are made up of one strip of RNA, and that genetic material is surrounded by a membrane studded with little spike proteins. (Under a microscope, those proteins stick up in a ring around the top of the virus, giving it its namecorona is Latin for crown.) When the virus gets into the body, those spike proteins attach to host cells, and the virus injects that RNA into the cells nucleus, hijacking the replication machinery there to make more virus. Infection ensues.

The severity of that infection depends on a couple of factors. One is what part of the body the virus tends to latch onto. Less serious types of coronavirus, like the ones that cause the common cold, tend to attach to cells higher up in the respiratory tractplaces like your nose or throat. But their more gnarly relatives attach in the lungs and bronchial tubes, causing more serious infections. The MERS virus, for example, binds to a protein found in the lower respiratory tract and the gastrointestinal tract, so that, in addition to causing respiratory problems, the virus often causes kidney failure.

The other thing that contributes to the severity of the infection is the proteins the virus produces. Different genes mean different proteins; more virulent coronaviruses may have spike proteins that are better at latching onto human cells. Some coronaviruses produce proteins that can fend off the immune system, and when patients have to mount even larger immune responses, they get sicker.

This story was last updated on 3/3/20 2:15pm ET

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Stem cells that can grow new bone discovered by researchers – Drug Target Review

Friday, March 6th, 2020

A new population of stem cells that can generate bone has been revealed by researchers, which they say could have implications in regenerative medicine.

A population of stem cells with the ability to generate new bone has been newly discovered by a group of researchers at the University of Connecticut (UConn) School of Dental Medicine, US.

The researchers present a new population of cells that reside along the vascular channels that stretch across the bone and connect the inner and outer parts of the bone.

This is a new discovery of perivascular cells residing within the bone itself that can generate new bone forming cells, said lead investigator Dr Ivo Kalajzic. These cells likely regulate bone formation or participate in bone mass maintenance and repair.

Stem cells for bone have long been thought to be present within bone marrow and the outer surface of bone, serving as reserve cells that constantly generate new bone or participate in bone repair. Recent studies have described the existence of a network of vascular channels that helped distribute blood cells out of the bone marrow, but no research has proved the existence of cells within these channels that have the ability to form new bones.

In this study, Kalajzic and his team are the first to report the existence of these progenitor cells within cortical bone that can generate new bone-forming cells osteoblasts that can be used to help remodel a bone.

To reach this conclusion, the researchers observed the stem cells within an ex vivo bone transplantation model. These cells migrated out of the transplant and began to reconstruct the marrow cavity and form new bone.

While this study shows there is a population of cells that can help aid formation, more research needs to be done to determine the cells potential to regulate bone formation and resorption, say the scientists.

According to the authors of the study: we have identified and characterised a novel stromal lineagerestricted osteoprogenitor that is associated with transcortical vessels of long bones. Functionally, we have demonstrated that this population can migrate out of cortical bone channels, expand and differentiate into osteoblasts, therefore serving as a source of progenitors contributing to new bone formation.

The results are published inSTEM CELLS.

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Stem Cells that will aid new bone generation discovered as per latest research – Medical Herald

Friday, March 6th, 2020

Researchers from UConn School of Dental Medicine have recently discovered a group of stem cells that help in generating a new bone. In regards with this, Dr Ivo Kalajzic, professor of reconstructive sciences, stated that, this newly discovered perivascular stem cells that reside in the bone itself have capability of generating the bone and these cells are highly instrumental in repair & mass maintenance of the bone along with its formation.

Since ages, it has been thought that stem cells only reside in bone marrow and exterior surface of the bone stores the cells that continuously generate new bone or repair the bone. Postdoctoral individuals Dr Sierra Root and Dr Natalie Wee, and collaborators at Harvard, Maine Medical Research Center, and the University of Auckland also were part of this study along with Dr Ivo Kalajzic and confirmed that these new cluster of cells residing in the vascular channels that range across the bone and serve as connection between inner and outer part of the bone is capable of generating a new bone.

This team is also pioneer in bringing forward a study that says existence of these progenitor cells inside cortical bone not only generates a new bone but also help remodeling of the bone. The conclusion was made after these researchers observed that these stem cells within an ex vivo bone transportation model migrated out of the transplant and started manufacturing a new bone marrow cavity along with completely new bone.

In order to establish this, more research needs to done as it will definitely turn out wonderful to the field of medical science and mankind.

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Cattle First: The Business of ranching on the Flying Diamond – Fence Post

Friday, March 6th, 2020

The Flying Diamond crew pictured on the steps of the headquarters in Kit Carson, Colo.Courtesy photo

Jean Johnson is integral to the leadership and labor on the Flying Diamond Ranch, as are the couples children and their families.Courtesy photo

While Charlie Johnson admits they didnt know what they were getting into, he said the transparency and story told in the Cattle First film were well worth the unfamiliar experiences.Screenshot

The Cattle First film offers a look at the Flying Diamond Ranch and how they prioritize cattle care.Courtesy photo

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The documentary Cattle First, featuring Colorados Johnson family of the Flying Diamond Ranch, and Dr. Lora Bledsoe, was produced by Boehringer Ingelheim with the intention of illustrating just that cattle are first.

The film offers a glimpse into the Flying Diamond Ranch, headquartered in Kit Carson, Colo., with operations on the Front Range and at high altitude in Westcliffe. The ranch in Kit Carson was founded in 1907 and Charlie, along with his three siblings, are the fifth generation. Largely a cow calf operation with about 1,200 mother cows, they do run about the same number of stocker cattle and market bred heifers.

The Johnsons were recommended by Kara Smith, the local representative, when BI was seeking family operations for the project.

Though the expectation is largely an unspoken one, Charlie and each of his three siblings left the ranch to earn an education and gain work experience off the ranch before returning, giving them a broader view of the business and of the world beyond the ranchs fences. Charlie attended the University of Denver where he studied finance and earned his MBA before working off the ranch for three or four years.

The ranching industry is always facing criticism from the outside world and we just wanted to tell our story, be transparent, and show what were doing, he said. We just wanted to show what we and the American rancher are all about. Were not unique this is what ranching looks like.

ALL HANDS ON DECK

Scott Johnson said the women involved in the operation add a tremendous amount of value through all of the skills they respectively bring to the table. Valuing women isnt new and Johnson said without them, they would be only half as good as they are.

Thats not just bullshit for us, Scott Johnson said. My grandmother was on the school board in the 50s and Mom (Polly Johnson), the one you saw in the film, won the Chicago Stock Show judging contest in the 50s. Our daughter, Jennifer, arguably is the hardest driving, sharp person weve been around, the CPA of the operation, Katie, was the number one accounting student at University of Denver and I dont know anyone who works harder than Katie.

Lauren, another daughter-in-law, earned her masters degree from Colorado State University and was a social media expert for over a decade with a host of recognizable clients before returning to the ranch. Katelyn, also a daughter-in-law, was an El Pomar Fellow, earned her MBA from DU and now also contributes her community development experience to the local community of Cheyenne County in addition to national and worldwide consulting services.

They might or might not bring lunch, the girls in our bunch, but as you can see in the video, a number of them rope and theyve all flanked calves and as far as management goes, we have a meritocracy, he said.

We all know agricultural operations where the women are second class citizens and dropped the food out to the field or the branding and took care of the house and kids but didnt have anything to do with the business but thats just not how our ranch has been operated, he said.

While it may be more readily recognized now, this attitude dates back to the 1920s when Scotts grandmother earned her degree from the University of Colorado and moved to Kit Carson as the home economics teacher and eventually married into the clan.

Thats been a huge benefit for our family, he said. Instead of excluding those minds, weve embraced that forever.

PARTNERS

One of the decisions that he said has been positive for the ranch and those involved on it has been the move to formal quarterly board meetings. Each person involved is placed according to their strengths to complete the day to day operations, but the board meetings ensure equal say for each person. Weekly phone calls between different areas of the operation build on monthly executive committee meetings upon quarterly board meetings. This move was made possible through the assistance and guidance of Scotts cousin, Kirk Samuelson, a retired CEO of the nations largest construction company. Defining roles, drawing the line between business and family, and moving forward within the board meeting model was all made possible under Samuelsons watchful eye.

We dont have any oil or wind towers, our deal is an ag operation and we have to make money in agriculture so theres a lot of pressure on us to do well, he said. Its not a hobby for us.

Another expert who is featured in the film and Johnson said makes important contributions to the operation, is large animal practitioner and neighbor, Dr. Lora Bledsoe. Preventative medicine and herd planning are two of the areas Bledsoe is most involved in, aside from emergency medicine and the care of sick cattle. Vaccination protocol specific to the operation, she said, is vitally important and a role an operations veterinarian can advise.

Bledsoe joined Charlie and Scott live on RFD-TV last week to discuss the ways cattle care is made a priority. The group was in Nashville when the tornado hit and while they all said it was chaotic, they were unhurt.

The film may be viewed at cattlefirstmovie.com.

Gabel is an assistant editor and reporter for The Fence Post. She can be reached at rgabel@thefencepost.com or (970) 768-0024.

The Flying Diamond crew pictured on the steps of the headquarters in Kit Carson, Colo.Courtesy photo

Jean Johnson is integral to the leadership and labor on the Flying Diamond Ranch, as are the couples children and their families.Courtesy photo

While Charlie Johnson admits they didnt know what they were getting into, he said the transparency and story told in the Cattle First film were well worth the unfamiliar experiences.Screenshot

The Cattle First film offers a look at the Flying Diamond Ranch and how they prioritize cattle care.Courtesy photo

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Students studying to be health-care professionals on front lines of coronavirus outbreak – Inside Higher Ed

Friday, March 6th, 2020

A group of students studying and training in health-care disciplines at the Lake Washington Institute of Technology, a public institution in Kirkland, Wash., which has been hard hit by the coronavirus, has been self-quarantined at home for 14 days after possible exposure to the virus in health-care settings. Four students at Los Rios Community College District, in California, were directed by public health authorities to self-quarantine after being exposed to the virus in the course of their professional medical duties.

As the virus continues to spread to other parts of the country, public health officials and college administrators in allied health departments are urging special precautions for students studying for careers in the health professions and working along with or training under those on the front lines of the coronavirus outbreak.

After widespread news reports that 17 nursing students, one student studying to be a physical therapy assistant and four professors at the Lake Washington Institute might have been exposed to the virus -- the college said a group had visited a long-term nursing facility where seven residents have died of COVID-19, the illness caused by the new coronavirus) -- leaders in nursing education said its now more important than ever to emphasize preventative precautions and infection-control protocols in the classroom and in clinical settings.

From the very first course our nursing students take, which is usually health assessment, we reinforce preventive precautions so that they protect themselves from exposure, said Ann H. Cary, chair of the Board of Directors for the American Association of Colleges of Nursing and dean of the Marieb College of Health and Human Services at Florida Gulf Coast University. We are emphasizing that now more than ever that you cant have a lapse in the way that you approach patients. The hand-washing techniques are critically important not only in classes but especially when they go into the clinical areas. Were working with clinical partners in each of our areas to determine what are additional protocols that will be in place at those institutions and ensuring that our students are oriented toward the additional protocols.

Tener Goodwin Veenema, a professor of nursing and public health at Johns Hopkins University whose research focuses on disaster medicine and emergency preparedness, said one of the big challenges for nursing schools nationwide is that the trend toward accelerated, shorter-duration programs limits what gets taught in the curriculum.

There are a limited number of hours and topics that can be covered, she said. We have nursing students who are probably getting probably less than one hour, maybe an hour and a half in their entire curriculum on how you go about responding to a public health emergency. What we as nurse educators need to do is ensure that all nursing students have the knowledge, the skills and the abilities that they will need either on a clinical rotation or when they enter the workforce to keep themselves safe and to keep patient safe.

Goodwin Veenema said nurses need knowledge and skills in infection-containment strategies, surveillance and detection of illness, protocols for quarantining and isolating patients, and how to select appropriate levels of protective gear and take it on and off without contamination.

Weve seen it with Ebola, and weve seen it with SARS [severe acute respiratory syndrome], where health-care professionals are disproportionately impacted by this virus because they are exposed to it more frequently and in all probability end up having a higher biological load, she said. There really is a lot for nurses to know because the nursing profession will be the front-line responders and will be receiving patients in the emergency department and screening patients and their families in private offices and community health centers.

Donna Meyer, chief executive officer for the Organization for Associate Degree Nursing, said via email that nursing students learn proper handwashing techniques, and other elements such as isolation techniques, the use of masks, gowns, gloves, and ventilation that prevent or slow the spread of infectious diseases from the moment they enter a nursing program of study. This is reinforced throughout a nursing program and techniques are applied in all clinical settings, such as hospitals, long-term care, and community settings.

Meyer added that nursing programs build their curricula around topics covered on the licensing exam.

Safety and infection control is a part of the licensing exam focusing on how the nurse protects clients and health care personnel from health and environmental hazards, she said. Nursing curriculums adapt and present any current issues as needed (such as Covid-19), following guidelines from the Centers for Disease Control and Prevention and the World Health Organization. Additionally, Nursing Deans/Directors collaborate with their local clinical partners to assess the current status of public health issues in the communities. Nursing students follow the best practices of the clinical setting they are in and are expected to learn and follow the protocol of the setting [where] they are practicing.

In addition to preparing students for the new challenges they may face in clinical settings, nursing program administrators are also thinking about what might happen if their students clinical education gets disrupted by the coronavirus -- if students are asked not to report to hospitals or other health-care settings as an infection-control measure. Cary, of the American Association of Colleges of Nursing, said programs are exploring the idea of having students practice their skills in simulation labs.

If thats not going to be enough, we have to think about how to focus concentrated learning experiences for students at another time, she said.

Cary also stressed that these concerns are similar to those of other medical and health-care programs. For example, she said, if a college has a clinical lab program, they have to take extraordinary precautions as well, as those students are actually conducting testing on clinical lab samples. Physical therapy, occupational therapy, even our health-care administrator students as they walk into clinical facilities -- everybody is responsible for implementing the protocols.

As for medical schools, John Prescott, the chief academic officer for the Association of American Medical Colleges, said the association "is working closely with our member medical schools and teaching hospitals who are actively preparing for and responding to the coronavirus and is gathering information on how they are involving learners in patient care."

"We know that medical schools have appropriate plans and policies already in place to safeguard the well-being of their students and communities, to ensure the continuity of their education and research missions, and are following guidance from the Centers for Disease Control and Prevention," Prescott said.

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Carl Kesselman Honored with IEEE Medal for Career Achievements in Computing – USC Viterbi School of Engineering

Friday, March 6th, 2020

Dr. Carl Kesselman, Deans Professor in the Daniel J. Epstein Department of Industrial and Systems Engineering, professor of Computer Science and Preventative Medicine at Keck School of Medicine and USC Information Sciences Institute Fellow.

Dr. Carl Kesselman, pioneer of grid computing, has been recognized with the 2020 Harry H. Goode Memorial Award from the Institute of Electrical and Electronics Engineers (IEEE). Kesselman received the award with Dr. Ian T. Foster, Arthur Holly Compton Distinguished Service Professor of Computer Science at the University of Chicago and director of the Data Science and Learning Division at Argonne National Laboratory.

Kesselman is a Deans Professor in the USC Viterbi School of Engineering Daniel J. Epstein Department of Industrial and Systems Engineering and a professor of Computer Science and Preventative Medicine at Keck School of Medicine. He is a USC Information Sciences Institute Fellow, where he directs the Informatics Systems Research Division, and the Director of the Center of Excellence for Discovery Informatics in the Michelson Center for Convergent Biosciences. He will receive the bronze medal with Foster at the IEEEs annual awards dinner in McLean, Virginia, on May 27, 2020. The honor recognizes Kesselman and Fosters sustained contributions to high-performance computing and distributed systems at the highest level.

The IEEEs Goode Award is given to individuals for achievements in the information processing field, whether a single contribution of theory, design, or technique of outstanding significance, or the accumulation of important contributions throughout their career. Kesselman and Foster join a distinguished list of computer scientists and engineers including the creators of the first electronic digital computers, the Internet, and pioneers in integrated circuit design.

Kesselman said he was honored to be recognized by the IEEE.

Ive always been excited about our research and its contributions to other scientific results across many disciplines, he said. Im a second generation IEEE member and recognition for this work by my peers is incredibly gratifying.

Kesselman joined USC in 1997. The Globus software that he co-invented with Foster and Steve Tuecke is widely used in national and international cyberinfrastructure and science projects. His current research focuses on creating sociotechnical systems that leverage distributed and data-centered computing to accelerate discovery by collaborative teams solving societally important problems.

Kesselman is a Fellow of the Association for Computing Machinery and British Computing Society. His previous honors include the Lovelace Medal from the British Computing Society and an honorary doctorate from the University of Amsterdam.

Kesselman received his PhD in Computer Science from the University of California, Los Angeles, a Master of Science in Electrical Engineering from the University of Southern California, and a Bachelor of Science in Electrical Engineering from the State University of New York at Buffalo.

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Coronavirus: Everything you need to know – Home – WSFX

Friday, March 6th, 2020

As coronavirus continues to spread across the globe, here is everything you need to know about the deadly virus.

What is coronavirus?

Coronaviruses are a family of viruses named after their appearance, a crown, said Dr. Mark Rupp, an infectious disease expert at the University of Nebraska Medical Center.

How dangerous is coronavirus?

Most coronaviruses cause mild symptomsthat patients easily recover from.

What are the symptoms?

Many symptoms of COVID-19 and influenza overlap, heres how to spot the differences.

When did the outbreak start?

The World Health Organizations China office says it began receiving reports in late December of a mysterious virus behind a number of pneumonia cases in Wuhan, a city in eastern China with a population of roughly 11 million people.

How is coronavirus transmitted?

According to the Centers for Disease Control and Prevention (CDC), coronaviruses are common in camels, cattle, catsand bats. Person-to-person transmissions are thought to occur when an infected person coughs or sneezes, similar to how influenza and other respiratory pathogens spread.

How often are people hospitalized for it?

The risk of contracting coronavirus remains low for most Americans, U.S. Surgeon General Dr. Jerome Adams said.

How can you protect against getting it?

You can protect yourself from coronaviruses by following basic wellness practices.

How do I sanitize surfaces?

Keeping your home and surfaces clean using the correct disinfectants is crucial in preventing its spread.

How long can it survive on surfaces?

The novel coronavirus may be able to live on surfaces, namely metal, glass or plastic,for up to nine days if it resembles some of its other human coronavirus-causing cousins, that is.

Are you washing your hands correctly?

There are a few general rules to follow when it comes to washing your hands thoroughly, including for how long you should keep them under runningwater.

How do I make my own hand sanitizer?

If soap and water arent available, hand sanitizer is the next best option namely if it contains at least 60 percent alcohol, the CDCsays.

Do face masks help?

Surgical masks will not prevent your acquiring diseases, said Dr. William Schaffner, a professor of preventive medicine and infectious diseases at Vanderbilt University, and the medical director of the National Foundation for Infectious Diseases.

Who is most at risk?

Young people, senior citizensand those with immune deficiencies could have an acute reaction if exposed to the virus.

Does it affect pregnant women?

The health agency said that while risk to the American public remains low at this time, pregnant women should continue to engage in usual preventative actions to avoid infection, such as washing hands often and avoiding contact with people who are sick.

How do you care for a relative who has it?

Even if the patient does test positive, it can be considered safe to continue supporting them with some extra precautions.

How do you test for it?

Before being tested for thedeadly virus, patients must first answer a series of questions.

How do you treat it?

Fox News received an in-depth look at the new disease fromDr. Debra Chew, a former epidemic intelligence officer for the Centers for Disease Control and Prevention(CDC) and an assistant professor of medicine at Rutgers New Jersey Medical School.

Is there a cure?

Health agencies recommend patients receive supportive care to relieve coronavirus symptoms.

Can you get it through packages?

Surgeon GeneralJerome Adams said, There is no evidence right now that the coronavirus can be spread through mail.

How do you travel during the outbreak?

As the coronavirus risk grows globally, being smart about planning travel will help you stay safe.

How does coronavirus compare to other outbreaks?

SARS and MERS came from animals, and this newest virus almost certainly did, too.

Is coronavirus Disease X?

The novel coronavirus has led one expert to say that it fits the criteria for Disease X,a designated placeholder on theWorld Health Organizations (WHO)list of illnesses that have potential to reach international epidemic levels.

Is coronavirus here to stay?

Dr. Robert Redfield, the director of theCDC, said the virus is probably with us beyond this season, beyond this year.

Coronavirus: What to know about the mysterious illness

Coronaviruses are a family of viruses named after their appearance, a crown, said Dr. Mark Rupp, an infectious disease expert at the University of Nebraska Medical Center.

There are many types and a few are known to infect humans. Some cause colds and respiratory illnesses, while others have evolved into illnesses such as Severe Acute Respiratory Syndrome (SARS) andMiddle East Respiratory Syndrome (MERS).

SARS began in China and infected some 8,000 people during a 2002-2003 outbreak. Approximately 770 people died after it spread to other cities and countries.

This is the third kind of novel coronavirus that were having experience with that can cause lower respiratory tract disease, Rupp said Tuesday.

In some rare cases, the virus can be transmitted from animals to humans but are typically transferred during contact between humans, according to the CDC.

How dangerous is coronavirus?

The coronavirus, or what is now known as COVID-19, began at an animal and seafood market in the city of Wuhan and has since spread to several other countries, including the United States. The illness is now said to be transferable between humans.

As news of the virus spread and death tolls began to spike, many have begun to questionhow dangerousthe new outbreak is. Coronaviruses, which get their name from their crown-like appearance, come in many types that cause illnesses in people and animals.

Most coronaviruses cause mild symptoms, such as the common cold that patients easily recover from. Other strains of the virus such asSevere Acute Respiratory Syndrome (SARS) andMiddle East Respiratory Syndrome (MERS) can cause pneumonia and possibledeath.

SARS killed 770 of8,000 people infected in 2002-2003. MERS killed about three or four out of every 10 people infected, the Centers for Disease Control and Prevention (CDC) said.

In an effort to curb the spread of the disease (human coronaviruses are passed through coughing and sneezing, close personal contact, touching objects with the virus on it and then touching the mouth, nose or eyes before washing your hands, according to the CDC), the city of Wuhan shut down all air and train traffic. On Jan. 30, The World Health Organization (WHO) declared the coronavirus outbreak a public health emergency just days after WHO officials announced they would hold off doing so.

The main reason for this declaration is not because of what is happening in China, but because of what is happening in other countries. Our greatest concern is the potential for the virus to spread to countries with weaker health systems, and which are ill-prepared to deal with it, WHO Director-GeneralTedros Adhanom Ghebreyesus saidat the time.

Meanwhile, CDC officialsmonitoring the outbreak maintain that the risk to the American public is low, despite the 15 confirmed cases of the virus that have occurred in the U.S. in recent weeks.

Recently, the CDC and Customs and Border Protection (CBP) expanded passenger screenings to include 20 U.S. airports, which take in 90 percent of all passengers from China, Vice PresidentPence said.

In recent weeks, Sen. Tom Cottonraised concerns about a Chinese cover-up of the virus as it spreads to various countries.In a letter to the Department of Health and Human Services Secretary Alex Azar, Cottonurged Azar to vet information from China, given its history of cover-ups during the SARS outbreak. At the time, China didnt announce the disease to the public until five months after it began.

If you have reason to believe that U.S. officials are being provided with false or misleading information about the disease from Chinese government officials, I ask you to notify Congress immediately, Cotton wrote.

How coronavirus differs from flu: Symptoms to watch for

Officials are urging anyone who develops possible symptoms of the novel coronavirus to contact health care providers to inquire about next steps and possible testing, but with millions infected by the influenza virus in the U.S., many are wondering how to tell the difference between the two.

There is so much overlap in symptoms between flu and COVID-19 but a couple of hallmark differences do exist, Dr. Caesar Djavaherian, co-founder of Carbon Health, told Fox News. Influenza tends to cause much more body pain and the COVID-19 virus tends to feel much more like the common cold with fever, cough, runny nose and diarrhea. However, in a small portion of the population with either COVID-19 or influenza, symptoms progress to kidney failure and respiratory failure.

By the end of February, the Centers for Disease Control and Prevention (CDC) estimated that at least 32 million cases of the flu were reported in the U.S., resulting in 310,000 hospitalizations and 18,000 deaths. For the coronavirus, by March 3 the number of confirmed cases in the U.S. had reached 100, including several presumptive positive cases and 24 in repatriated Americans. At least nine COVID-19 patients have died.

But several health officials, including New York Gov. Andrew Cuomo, have cautioned that healthy Americans who contract COVID-19 may not even know that they have it, and will heal without any treatment. Others say their experience will be similar to that of a common cold, but for those with underlying health conditions, the virus can be severe.

The differences arise in the very small portion of the population who are at risk because of their lung or heart conditions whose lungs can fill with fluid or go into kidney failure and unfortunately, eventually die, with COVID-19, Djavaherian said.

One of the most imperative ways to stop the spread, experts say, is to avoid contact with a sick person, and to practice your own good hygiene. Part of that includes staying home when youre sick and thoroughly washing hands.

If you are sick, monitor your symptoms daily, and when your common cold turns into a deep unrelenting cough and then shortness of breath, those are the signs that we worry about and the signs that require patients to get medical attention right away, Djavaherian said. They may be from pneumonia but in a very, very small group of patients, maybe a COVID-19 infection that has gone into the lungs.

Djavaherian said its imperative to call your health care provider ahead of time to share your symptoms and concerns so that they can prepare the appropriate tests and protect others from potential exposure.

I also recommend using telemedicine, where you can see a doctor via phone or video, to get your questions answered from the comfort and safety of your own home without putting others or yourself at risk, he said.

How did the coronavirus outbreak start?

The World Health Organizations China office says it began receiving reports in late December of a mysterious virus behind a number of pneumonia cases in Wuhan, a city in eastern China with a population of roughly 11 million people.

Researchers suspect the virus originated at a seafood market in Wuhan, where wild animals, including birds, rabbits, bats, and snakes are traded.

It was initially believed the virus came from snakes. But a research paper by a team of virologists at the Wuhan Institute for Virology suggests that the coronavirus more likely came from bats, which was also the source of the SARS outbreak.

Bats are known to carry multiple viruses without getting sick, according to the New York Times, which said they have caused human diseases in Africa, Malaysia, Bangladesh and Australia, and are thought to be the reservoir for Ebola.

Authorities shut down the market on January 1. But by then, the virus had spread beyond the market and was being transmitted between people.

On January 12, Chinese health officials shared a genetic sequence of the virus with other countries to better diagnose the strain in patients.

A committee of the WHO on Thursday declared the outbreak a global emergency. The U.N. health agency defines an international emergency as an extraordinary event that constitutes a risk to other countries and requires a coordinated international response.

Such a declaration usually brings greater money and resources but also compels governments to restrict travel and trade to affected countries. The announcement also imposes stricter requirements for disease reporting on countries.

How is coronavirus transmitted?

This virus has spread at unprecedented scale and speed, with cases passing between people in multiple countries across the world, said Dr. Jeremy Farrar, director of Britains Welcome Trust. It is also a start reminder of how vulnerable we are to epidemics of infectious diseases known and unknown.

The United States and South Korea confirmed its first cases of person-to-person spread of the virus.

Scientists say transmission of the virus is most likely between people with close contact, like families. But there have been reported instances of people who may have had less exposure to the virus in Japan and Germany.

The coronavirus has now infected more people in China than were sickened there during the 2002-2003 outbreak of SARS. Virologists believe it originated at a seafood market in the eastern Chinese town of Wuhan when someone or a group of people came into contact with wild animals being traded there.

According to the Centers for Disease Control and Prevention (CDC), coronaviruses are common in camels, cattle, cats, and bats. Person-to-person transmissions are thought to occur when an infected person coughs or sneezes, similar to how influenza and other respiratory pathogens spread.

Other ways the virus may spread from an infected person to others is through touching or shaking hands, or if a person touchesa surface with the virus on it, then touches theirmouth, nose, or eyes before washing their hands, the CDC says.

But despite the WHOs declaration of emergency, the immediate heal risk to the general American public still remains relatively low.

Surgeon general say risk of coronavirus remains low, most people will not need hospitalization

The risk of contracting coronavirus remains low for most Americans, U.S. Surgeon General Dr. Jerome Adams reassured.

In an interview on Americas Newsroom with host Laura Ingle, Adams said that the administration wants the public to know the risk of infection and be prepared, but not to panic in the process.

What youre going to hear from the president is what youve heard from him all along: that the risk to the average American of coronavirus at this time remains low, he said. However, we are seeing pockets in this country of increased cases of coronavirus. And so, we want people to prepare.

Adams advised that Americans wash their hands frequently, cover a cough or sneeze, clean surfaces, and stay home if sick.

That said, Adams warned that wearing a mask was not just ineffective, it was potentially harmful and may increase the risk of getting the virus.

We know that masks are not effective for the general public in keeping them safe from coronavirus and may actually increase their risk of getting coronavirus or the flu because if you dont wear a mask properly you often will end up touching your face frequently and can increase your risk of exposure to a respiratory disease, he explained.

When you look at the people who are getting coronavirus, 80 percent of them are not needing to be hospitalized, Adams continued. Theyre having a mild illness like the cold or like a minor flu.

Of the 20 percent who go on to need hospitalization or more medical care, we know that the folks who are most at risk tend to be people who are elderly andpeople who have medical problems: heart disease, lung disease, cancer, andchemotherapy, he told Ingle.

Excerpt from:
Coronavirus: Everything you need to know - Home - WSFX

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