Clinical Outcomes of Diabetic Patients at the UCSD Student-run Free Clinic Project PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Clinical Outcomes of Diabetic Patients at the UCSD Student-run Free Clinic Project PDF full book. Access full book title Clinical Outcomes of Diabetic Patients at the UCSD Student-run Free Clinic Project by Laura Marrone. Download full books in PDF and EPUB format.
Author: Laura Marrone
Publisher:
ISBN:
Category :
Languages : en
Pages : 56
Get Book Here
Book Description
Author: Laura Marrone
Publisher:
ISBN:
Category :
Languages : en
Pages : 56
Get Book Here
Book Description
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: Dafna L. Schwartz
Publisher:
ISBN:
Category :
Languages : en
Pages : 30
Get Book Here
Book Description
Author: Cosmina Ciobanu
Publisher:
ISBN:
Category :
Languages : en
Pages : 23
Get Book Here
Book Description
Background : Diabetic retinopathy affects millions of Americans every year and is the leading cause of blindness in the United States. The prevention and treatment of diabetic retinopathy is well documented. Well-regulated glucose and blood pressure levels have been shown to help in preventing retinopathy in diabetic patients. Advances in treatment, such as retinal laser photocoagulation and vitrectomy have helped lower the risk of blindness, but diabetic retinopathy continues to be a major concern for diabetic patients. The best method of prevention appears to be annual ophthalmologic screenings. After a recent study of diabetic patients at the UCSD Student-run Free Clinic Project found that only 32% of diabetic patients received their annual ophthalmology exam in 2009 (Smith), new population-based systematic measures were implemented to improve the diabetic ophthalmology screening rates. This study discusses the implementation and results of those measures. Methods : Systems-based changes included adding date of last ophthalmology visit on diabetic SOAP notes, improved referral sheets that include prioritizing patients based on urgency, proactively identifying and calling diabetic patients using a designated Spanish-speaker, instituting same-day walk-in appointments, increasing frequency of ophthalmology clinics, generating yearly reports, and educating diabetic patients on the symptoms and risks associated with diabetic retinopathy. The project was initiated in 2011 and ran until December 2013. The criteria for querying the database included all patients with at least one diagnosis of diabetes and all patients who had seen General Free Clinic during the years 2010, 2011, 2012, and 2013. Results : In 2009, based on Smith's study, only 32% of diabetic patients received diabetic retinopathy screening at the UCSD Student-run Free Clinic Project. The 2009 study was conducted at a time when there was only one clinic site offering ophthalmology specialty clinics (the Downtown clinic site). Once ophthalmology services were expanded to a second free clinic site (Baker Elementary School) in 2010, screening rates increased to 54.4%. After initiation of this project in 2011, the percentage of diabetic patients being screened for retinopathy increased to 68.9%. The rates dropped in 2012 and 2013 to 51.6% and 34.4% respectively. During the life of the project, the average no-show rate per ophthalmology clinic was 30.6% (range from 0% to 60%). The most frequent reasons for confirmed patients not showing up to clinic were inability to find a ride and work problems (i.e. work ran late or patient had to be at work early the next morning). Conclusion : The implementation of a population-based systematic approach to improve screening rates of diabetic retinopathy initially saw an increase in screening rates during the first year of the project. Although improving the diabetic SOAP note, setting up a proper patient referral system, and educating patients about diabetic retinopathy seemed to be strengths of the implementation, screening rates fell in the subsequent two years of the project's duration. The UCSD SRFCP Ophthalmology Clinic will need to continue to make adjustments to best serve the patient population. Some of those adjustments will include recruiting more ophthalmologists and becoming more efficient with the use of the new EMR Epic.
Author: Lauren Cooke
Publisher:
ISBN:
Category :
Languages : en
Pages : 18
Get Book Here
Book Description
Throughout the United States, particularly within underserved and minority populations, the number of people with diabetes continues to rise, resulting in significant morbidity, mortality, and financial costs. Diabetes can be a manageable disease, however many of those in the populations that suffer most from it do not have adequate access to simple, effective means of managing their disease. Thus, there is space for improvement. Last year, Brandon Cortez, inspired by data demonstrating the efficacy of self-monitoring systems in improving diet, physical activity, weight, and chronic disease, designed a selfmonitoring tool for diabetes for the UCSD Free Clinic, the Diabetes Self-Care Tool. However, due to time constraints, the project was not fully implemented. This year, I led the successful, widespread, sustainable implementation of the Diabetes Self-Management Tool at the UCSD Free Clinic Sites. As a part of this I compiled a literature review of the implementation of change and self-management tools in healthcare, revised and updated the My Diabetes Card Talking Points documents and made them universally available online at the UCSD Free Clinic Website. I also engaged the General Managers of each Free Clinic site such that they will continue to ensure the routine use of the Diabetes Self- Management Tool at the free clinics.
Author: Luin Goldring
Publisher: University of Toronto Press
ISBN: 1442614080
Category : Social Science
Languages : en
Pages : 401
Get Book Here
Book Description
Most examinations of non-citizens in Canada focus on immigrants, people who are citizens-in-waiting, or specific categories of temporary, vulnerable workers. In contrast,Producing and Negotiating Non-Citizenship considers a range of people whose pathway to citizenship is uncertain or non-existent. This includes migrant workers, students, refugee claimants, and people with expired permits, all of whom have limited formal rights to employment, housing, education, and health services. The contributors to this volume present theoretically informed empirical studies of the regulatory, institutional, discursive, and practical terms under which precarious-status non-citizens those without permanent residence enter and remain in Canada. They consider the historical and contemporary production of non-citizen precarious status and migrant illegality in Canada, as well as everyday experiences of precarious status among various social groups including youth, denied refugee claimants, and agricultural workers. This timely volume contributes to conceptualizing multiple forms of precarious status non-citizenship as connected through policy and the practices of migrants and the institutional actors they encounter.
Author: WHO Commission on Social Determinants of Health
Publisher: World Health Organization
ISBN: 9241563702
Category : Medical
Languages : en
Pages : 257
Get Book Here
Book Description
Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others.
Author: Jessica Evert, Paul Drain, Thomas Hall
Publisher: LULU
ISBN: 0578127210
Category : Education
Languages : en
Pages : 383
Get Book Here
Book Description
Developing Global Health Programming: A Guidebook for Medical and Professional Schools, 2nd edition is an essential text for any academic institution, administrator, faculty, or student interested in developing or expanding global health education and international programs. This text expands on the 1st edition and provides a comprehensive view of global health education that is useful for medical, nursing, dental, public health, and other professional schools. This book provides evidence, theory, and practical information to guide astute program development and gold standard practices. Topics covered include ethics, pre-departure training, competencies, partnership structures, and much more. In addition, need-to-know resources and networking opportunities are detailed. This authoritative text has over 90 contributors, including trainee authors guided by faculty editors through a mentorship model. Foreword by Andre Jacques Neusy, Co-Founder & CEO, Training for Health Equity Network (THEnet)
Author: David Machin
Publisher: John Wiley & Sons
ISBN: 0470010150
Category : Mathematics
Languages : en
Pages : 784
Get Book Here
Book Description
Now published in its Second Edition, the Textbook of Clinical Trials offers detailed coverage of trial methodology in diverse areas of medicine in a single comprehensive volume. Praise for the First Edition: "... very useful as an introduction to clinical research, or for those planning specific studies within therapeutic or disease areas." BRITISH JOURNAL OF SURGERY, Vol. 92, No. 2, February 2005 The book’s main concept is to describe the impact of clinical trials on the practice of medicine. It separates the information by therapeutic area because the impact of clinical trials, the problems encountered, and the numbers of trials in existence vary tremendously from specialty to specialty. The sections provide a background to the disease area and general clinical trial methodology before concentrating on particular problems experienced in that area. Specific examples are used throughout to address these issues. The Textbook of Clinical Trials, Second Edition: Highlights the various ways clinical trials have influenced the practice of medicine in many therapeutic areas Describes the challenges posed by those conducting clinical trials over a range of medical specialities and allied fields Additional therapeutic areas are included in this Second Edition to fill gaps in the First Edition as the number and complexity of trials increases in this rapidly developing area Newly covered or updated in the Second Edition: general surgery, plastic surgery, aesthetic surgery, palliative care, primary care, anaesthesia and pain, transfusion, wound healing, maternal and perinatal health, early termination, organ transplants, ophthalmology, epilepsy, infectious disease, neuro-oncology, adrenal, thyroid and urological cancers, as well as a chapter on the Cochrane network An invaluable resource for pharmaceutical companies, the Textbook of Clinical Trials, Second Edition appeals to those working in contract research organizations, medical departments and in the area of public health and health science alike.
Author: Stuart R. Walker
Publisher: Springer Science & Business Media
ISBN: 9780792389910
Category : Health & Fitness
Languages : en
Pages : 514
Get Book Here
Book Description
This book reviews current methodology for assessing the health status of patients -- their 'quality of life' -- and shows how this methodology can be applied to specific diseases such as cancer, rheumatoid arthritis, angina and Parkinson's disease.
