Relationship Between Depression and Clinical Outcomes of BMI, Diabetes, Blood Pressure and LDL in Diabetic Patients at the UCSD Student-Run Free Clinic Project and UCSD Department of Family Medicine Clinics PDF Download
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Author: Rashmi Manjunath
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
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Book Description
Depression is a common condition often addressed in the outpatient setting. Patients with chronic medical illnesses, including diabetes, have a two to four fold increase in rates of depression. Those with diabetes and depression have higher rates of cardiovascular risk factors, noncompliance and health care expenditure. We completed a cross-sectional analysis of prevalence and characteristics of diabetic patients with and without depression at two distinct clinical settings, the UCSD Student Run Free Clinic Project (UCSD SRFCP) and UCSD Family Medicine clinics (UCSD FM). We also analyzed specific clinical measures (BMI, LDL, blood pressure) and their relationship to a depression diagnosis in those with comorbid diabetes. Each clinic setting serves different and specific populations however depression prevalence at both sites was similar to previously studied values, 23-26%. Rates of diabetes complications, including nephropathy, neuropathy, retinopathy and myocardial infarction were similar at both clinic sites (14.9-15.3%) as well. Similarly, in both clinical settings, depressed diabetic patients had more clinic visits over the course of a year than their non-depressed, diabetic counterparts. Within the UCSD SRFCP, HgA1c measurements were higher in depressed, diabetic patients compared to those who were not depressed. Within the UCSD FM clinics, Body Mass Index (BMI) was higher in depressed diabetic patients compared to non-depressed diabetic patients. Results of this study suggest diabetics in different healthcare settings have similar rates of depression and depression may affect certain clinical measures, like HgA1c and BMI. Further studies should further examine the relationship between depression and clinical outcomes, including how severity and changes in depressive symptoms correlate with clinical measures.
Author: Rashmi Manjunath
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
Get Book Here
Book Description
Depression is a common condition often addressed in the outpatient setting. Patients with chronic medical illnesses, including diabetes, have a two to four fold increase in rates of depression. Those with diabetes and depression have higher rates of cardiovascular risk factors, noncompliance and health care expenditure. We completed a cross-sectional analysis of prevalence and characteristics of diabetic patients with and without depression at two distinct clinical settings, the UCSD Student Run Free Clinic Project (UCSD SRFCP) and UCSD Family Medicine clinics (UCSD FM). We also analyzed specific clinical measures (BMI, LDL, blood pressure) and their relationship to a depression diagnosis in those with comorbid diabetes. Each clinic setting serves different and specific populations however depression prevalence at both sites was similar to previously studied values, 23-26%. Rates of diabetes complications, including nephropathy, neuropathy, retinopathy and myocardial infarction were similar at both clinic sites (14.9-15.3%) as well. Similarly, in both clinical settings, depressed diabetic patients had more clinic visits over the course of a year than their non-depressed, diabetic counterparts. Within the UCSD SRFCP, HgA1c measurements were higher in depressed, diabetic patients compared to those who were not depressed. Within the UCSD FM clinics, Body Mass Index (BMI) was higher in depressed diabetic patients compared to non-depressed diabetic patients. Results of this study suggest diabetics in different healthcare settings have similar rates of depression and depression may affect certain clinical measures, like HgA1c and BMI. Further studies should further examine the relationship between depression and clinical outcomes, including how severity and changes in depressive symptoms correlate with clinical measures.
Author: Joseph R. Kraft MD MS. FCAP
Publisher: Trafford Publishing
ISBN: 1425168116
Category : Health & Fitness
Languages : en
Pages : 133
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Book Description
Revised 04/2011 DIABETES EPIDEMIC and YOU is not a cliché! It is a mandate for the awakening of the "silent" millions worldwide with "normal" fasting blood sugars and undiagnosed diabetes. If you have a "normal" fasting blood sugar, YOU may be one of the undiagnosed millions. YES, I do mean YOU. Since Hippocrates' time, earliest diagnosis provided the greatest opportunity for treatment and cure. This book highlights the earliest identification of type 2 diabetes by utilizing the insulin assay with the oral glucose tolerance. My cumulative experience of 14,384 oral glucose tolerances with insulin assays established the earliest diagnosis of prediabetes and diabetes when the blood sugars were normal. Prediabetes is type 2 diabetes. The tolerances were separated according to age groups, from 3Ð13 years to 81Ð90+ years. Each group was further divided into normal glucose tolerances, impaired glucose tolerances, and diabetes mellitus glucose tolerances. YOU, upon testing by oral glucose tolerance, will be in one of these categories. This resource of oral glucose tolerance with insulin assay is unequaled in world medical literature. The importance of early diagnosis is that the clinical pathology of diabetes – mainly heart disease, high blood pressure, stroke, cataracts, erectile dysfunction, and other metabolic disorders – occurs not only in those with advanced diabetes, but also in those with "normal" blood sugars. YES, this could happen to YOU! When early diagnosis is coupled with specific therapy, the DIABETES EPIDEMIC will be arrested and then reversed. Early diagnosis is the goal of this book – beginning with YOU.
Author:
Publisher:
ISBN:
Category : Women
Languages : en
Pages : 84
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Book Description
Author: David C. Shelledy
Publisher: Jones & Bartlett Learning
ISBN: 128420622X
Category : Medical
Languages : en
Pages : 793
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Book Description
Respiratory Care: Patient Assessment and Care Plan Development, Second Edition describes the purpose of patient assessment and then guides the reader through the process of reviewing existing data in the medical record
Author: ruth McCaffrey
Publisher: F.A. Davis
ISBN: 0803675208
Category : Medical
Languages : en
Pages : 285
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Book Description
Put this handy guide to work in class, in clinical, and in practice. From screening and assessment tools and differential diagnosis through the most commonly ordered drugs and billing and coding, this volume in the Davis Notes Series presents the information you need every day in a pocket-sized resource.
Author: Alan J. Christensen
Publisher: Springer Science & Business Media
ISBN: 0387225579
Category : Psychology
Languages : en
Pages : 355
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Book Description
- Not only is Health Psychology, a field that focuses on the promotion and maintenance of both physical and mental health, a rapidly growing area of interest, but it is also a field that draws on and contributes to the other varied fields of psychology, medicine, nursing, sociology, anthropology, among others. - Provides a relatively comprehensive and accesible overview of the central concepts, issues, conditions and terms that comprise the broad discipline of health psychology - Covers more than 200 contributions by more than 150 of the leading researchers, educators, and practitioners in the field
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133319
Category : Medical
Languages : en
Pages : 366
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Book Description
To maintain their own health and the health of their families and communities, consumers rely heavily on the health information that is available to them. This information is at the core of the partnerships that patients and their families forge with today's complex modern health systems. This information may be provided in a variety of forms â€" ranging from a discussion between a patient and a health care provider to a health promotion advertisement, a consent form, or one of many other forms of health communication common in our society. Yet millions of Americans cannot understand or act upon this information. To address this problem, the field of health literacy brings together research and practice from diverse fields including education, health services, and social and cultural sciences, and the many organizations whose actions can improve or impede health literacy. Health Literacy: Prescription to End Confusion examines the body of knowledge that applies to the field of health literacy, and recommends actions to promote a health literate society. By examining the extent of limited health literacy and the ways to improve it, we can improve the health of individuals and populations.
Author: Michael J. McGrath
Publisher: Apress
ISBN: 1430260149
Category : Computers
Languages : en
Pages : 321
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Book Description
Sensor Technologies: Healthcare, Wellness and Environmental Applications explores the key aspects of sensor technologies, covering wired, wireless, and discrete sensors for the specific application domains of healthcare, wellness and environmental sensing. It discusses the social, regulatory, and design considerations specific to these domains. The book provides an application-based approach using real-world examples to illustrate the application of sensor technologies in a practical and experiential manner. The book guides the reader from the formulation of the research question, through the design and validation process, to the deployment and management phase of sensor applications. The processes and examples used in the book are primarily based on research carried out by Intel or joint academic research programs. “Sensor Technologies: Healthcare, Wellness and Environmental Applications provides an extensive overview of sensing technologies and their applications in healthcare, wellness, and environmental monitoring. From sensor hardware to system applications and case studies, this book gives readers an in-depth understanding of the technologies and how they can be applied. I would highly recommend it to students or researchers who are interested in wireless sensing technologies and the associated applications.” Dr. Benny Lo Lecturer, The Hamlyn Centre, Imperial College of London “This timely addition to the literature on sensors covers the broad complexity of sensing, sensor types, and the vast range of existing and emerging applications in a very clearly written and accessible manner. It is particularly good at capturing the exciting possibilities that will occur as sensor networks merge with cloud-based ‘big data’ analytics to provide a host of new applications that will impact directly on the individual in ways we cannot fully predict at present. It really brings this home through the use of carefully chosen case studies that bring the overwhelming concept of 'big data' down to the personal level of individual life and health.” Dermot Diamond Director, National Centre for Sensor Research, Principal Investigator, CLARITY Centre for Sensor Web Technologies, Dublin City University "Sensor Technologies: Healthcare, Wellness and Environmental Applications takes the reader on an end-to-end journey of sensor technologies, covering the fundamentals from an engineering perspective, introducing how the data gleaned can be both processed and visualized, in addition to offering exemplar case studies in a number of application domains. It is a must-read for those studying any undergraduate course that involves sensor technologies. It also provides a thorough foundation for those involved in the research and development of applied sensor systems. I highly recommend it to any engineer who wishes to broaden their knowledge in this area!" Chris Nugent Professor of Biomedical Engineering, University of Ulster
Author: Mikhail Kogan
Publisher: Oxford University Press
ISBN: 019046626X
Category : Medical
Languages : en
Pages : 681
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Book Description
Integrative Geriatric Medicine summarizes a patient-centered, wholistic approaches to medical care of the elderly. Deeply rooted in life style interventions such as nutrition, movement therapies, and mind-body and spirituality approaches integrative geriatrics allows patients to have different path to their healthcare, one that utilizes pharmaceuticals and invasive procedures only when safer integrative approaches are not available or not effective.
Author: Peter Pronovost
Publisher: Penguin
ISBN: 1101185279
Category : Health & Fitness
Languages : en
Pages : 237
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Book Description
The inspiring story of how a leading innovator in patient safety found a simple way to save countless lives. First, do no harm-doctors, nurses and clinicians swear by this code of conduct. Yet in hospitals and doctors' offices across the country, errors are made every single day - avoidable, simple mistakes that often cost lives. Inspired by two medical mistakes that not only ended in unnecessary deaths but hit close to home, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Dr. Pronovost began with simple improvements to a common procedure in the ER and ICU units at Johns Hopkins Hospital. Creating an easy five-step checklist based on the most up-to-date research for his fellow doctors and nurses to follow, he hoped that streamlining the procedure itself could slow the rate of infections patients often died from. But what Dr. Pronovost discovered was that doctors and nurses needed more than a checklist: the day-to-day environment needed to be more patient-driven and staff needed to see scientific results in order to know their efforts were a success. After those changes took effect, the units Dr. Pronovost worked with decreased their rate of infection by 70%. Today, all fifty states are implementing Dr. Pronovost's programs, which have the potential to save more lives than any other medical innovation in the past twenty-five years. But his ideas are just the beginning of the changes being made by doctors and nurses across the country making huge leaps to improve patient care. In Safe Patients, Smart Hospitals, Dr. Pronovost shares his own experience, anecdotal stories from his colleagues at Johns Hopkins and other hospitals that have made his approach their own, alongside comprehensive research-showing readers how small changes make a huge difference in patient care. Inspiring and thought provoking, this compelling book shows how one person with a cause really can make a huge difference in our lives.
