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https://www.readbyqxmd.com/read/28544478/the-protective-role-of-physical-activity-on-type-2-diabetes-an-analysis-of-effect-modification-by-race-ethnicity
#1
William R Boyer, James R Churilla, Samantha F Ehrlich, Scott E Crouter, Lyndsey M Hornbuckle, Eugene C Fitzhugh
BACKGROUND: It is well known physical activity (PA) plays a role in the prevention of type 2 diabetes (T2D). However, the extent to which PA may impact T2D risk among different race-ethnic groups is unknown. Therefore, the purpose of this study was to systematically examine the effect modification of race-ethnicity on PA and T2D. METHODS: PubMed and Embase databases were systematically searched through June 2016. Study assessment for inclusion was conducted in three phases: 1) title review (N = 13,022), 2) abstract review (N = 2,200), and 3) full text review (N = 265)...
May 24, 2017: Journal of Diabetes
https://www.readbyqxmd.com/read/28540161/choctaw-nation-youth-sun-exposure-survey
#2
Dorothy A Rhoades, Martina Hawkins, Barbara Norton, Dannielle Branam, Tamela K Cannady, Justin Dvorak, Kai Ding, Ardis L Olson, Mark P Doescher
The incidence of skin cancer is rising among American Indians (AI) but the prevalence of harmful ultraviolet light (UVL) exposures among AI youth is unknown. In 2013, UVL exposures, protective behaviors, and attitudes toward tanning were assessed among 129 AI and Non-Hispanic (NHW) students in grades 8-12 in Southeastern Oklahoma. Sunburn was reported by more than half the AI students and most of the NHW students. One-third of AI students reported never using sunscreen, compared to less than one-fifth of NHW students, but racial differences were mitigated by propensity to burn...
September 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28538508/central-nervous-system-disease-education-and-race-impact-radiation-refusal-in-pediatric-cancer-patients
#3
Chirayu G Patel, Mark Stavas, Stephanie Perkins, Eric T Shinohara
To investigate the determinants of radiation therapy refusal in pediatric cancer, we used the Surveillance, Epidemiology, and End Results registry to identify 24,421 patients who met the eligibility criteria, diagnosed between 1974 and 2012. Patients had any stage of cancer, were aged 0 to 19, and received radiation therapy or refused radiation therapy when it was recommended. One hundred twenty-eight patients (0.52%) refused radiation therapy when it was recommended. Thirty-two percent of patients who refused radiation therapy ultimately died from their cancer, at a median of 7 months after diagnosis (95% confidence interval, 3-11 mo), as compared with 29...
May 22, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28538087/total-brain-and-hippocampal-volumes-and-cognition-in-older-american-indians-the-strong-heart-study
#4
Brenna Cholerton, Adam Omidpanah, Tara M Madhyastha, Thomas J Grabowski, Astrid M Suchy-Dicey, Dean K Shibata, Lonnie A Nelson, Steven P Verney, Barbara V Howard, William T Longstreth, Thomas J Montine, Dedra Buchwald
BACKGROUND: Estimates of hippocampal volume by magnetic resonance imaging have clinical and cognitive correlations and can assist in early Alzheimer disease diagnosis. However, little is known about the relationship between global or regional brain volumes and cognitive test performance in American Indians. MATERIALS AND METHODS: American Indian participants (N=698; median age, 72 y) recruited for the Cerebrovascular Disease and its Consequences in American Indians study, an ancillary study of the Strong Heart Study cohort, were enrolled...
April 2017: Alzheimer Disease and Associated Disorders
https://www.readbyqxmd.com/read/28535321/rural-family-medicine-outcomes-at-the-university-of-minnesota-medical-school-duluth
#5
Anna Fuglestad, Jacob Prunuske, Ronald Regal, Courtney Hunter, James Boulger, Amy Prunuske
BACKGROUND AND OBJECTIVES: The University of Minnesota Medical School Duluth (MSD) opened in 1972 with a mission to train physicians serving rural Minnesota, emphasizing family medicine and American Indian (AI) communities. Nationwide there are shortages in family medicine and AI physicians, and MSD is a leader in these outcomes. METHODS: This is a longitudinal, retrospective cohort analysis of 1972-2009 MSD graduates using descriptive statistics and multivariate regression to determine relationships between gender, race, age, and hometown and outcomes of family medicine specialty, rural practice, and rural family medicine practice...
May 2017: Family Medicine
https://www.readbyqxmd.com/read/28533294/type-2-diabetes-demystifying-the-global-epidemic
#6
Ranjit Unnikrishnan, Rajendra Pradeepa, Shashank R Joshi, Viswanathan Mohan
Type 2 diabetes (T2D) has attained the status of a global pandemic, spreading from affluent industrialized nations to the emerging economies of Asia, Latin America, and Africa. There is significant global variation in susceptibility to T2D, with Pacific Islanders, Asian Indians, and Native Americans being considerably more prone to develop the disorder. Although genetic factors may play a part, the rapidity with which diabetes prevalence has risen among these populations reflects the far-ranging and rapid socioeconomic changes to which they have been exposed over the past few decades...
June 2017: Diabetes
https://www.readbyqxmd.com/read/28532892/a-decade-of-studying-implicit-racial-ethnic-bias-in-healthcare-providers-using-the-implicit-association-test
#7
Ivy W Maina, Tanisha D Belton, Sara Ginzberg, Ajit Singh, Tiffani J Johnson
Disparities in the care and outcomes of US racial/ethnic minorities are well documented. Research suggests that provider bias plays a role in these disparities. The implicit association test enables measurement of implicit bias via tests of automatic associations between concepts. Hundreds of studies have examined implicit bias in various settings, but relatively few have been conducted in healthcare. The aim of this systematic review is to synthesize the current knowledge on the role of implicit bias in healthcare disparities...
May 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28529823/obesity-and-sexual-abuse-in-american-indians-and-alaska-natives
#8
James A Levine, Shelly K McCrady-Spitzer, William Bighorse
Mainstream American culture frequently minimizes the prevalence and significance of sexual abuse. Unfortunately, this denial of extensive victimization of women is also present in many underserved populations. In June 2007, Amnesty International released its report on sexual abuse in indigenous women, which states that, "One in three Native American or Alaska Native women will be raped at some point in their lives. Most do not seek justice because they know they will be met with inaction or indifference." This report highlighted an infrequently discussed issue namely, very high levels of sexual abuse in Native American and Alaska Native women...
August 2016: Journal of Obesity & Weight Loss Therapy
https://www.readbyqxmd.com/read/28529398/are-mothers-and-fathers-parenting-characteristics-associated-with-emerging-adults-academic-engagement
#9
Emily A Waterman, Eva S Lefkowitz
Although parenting is clearly linked to academic engagement in adolescence, less is known about links between parenting and academic engagement in emerging adulthood. A diverse sample of college students (N = 633; 53.1% female, 45.7% White/European American, 28.3% Asian American/Hawaiian/Pacific Islander, 26.4% Hispanic/Latino American, 21.6% Black/African American, and 2.8% Native American/American Indian) answered surveys about mothers' and fathers' parenting style, parent-offspring relationship quality, academic attitudes, academic behaviors, and academic performance...
June 2017: Journal of Family Issues
https://www.readbyqxmd.com/read/28529223/apathy-and-type-2-diabetes-among-american-indians-exploring-the-protective-effects-of-traditional-cultural-involvement
#10
Amanda E Carlson, Benjamin D Aronson, Michael Unzen, Melissa Lewis, Gabrielle J Benjamin, Melissa L Walls
In this study we examine relationships between traditional cultural factors, apathy, and health-related outcomes among a sample of American Indian adults with type 2 diabetes. Participants completed cross-sectional interviewer-assisted paper and pencil surveys. We tested a proposed model using latent variable path analysis in order to understand the relationships between cultural participation, apathy, frequency of high blood sugar symptoms, and health-related quality of life. The model revealed significant direct effects from cultural participation to apathy, and apathy to both health-related outcomes...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28523918/current-status-of-viral-diseases-in-indian-shrimp-aquaculture
#11
G M Tandel, K Riji John, M Rosalind George, M J Prince Jeyaseelan
The intensification of aquaculture has been unique in showing the overwhelming changes in global food production in the last 100 years. Presently, it is playing a vital role in the economies of several countries. Conversely, it is also to be noted that the progression of aquaculture has been the foundation of anthropogenic alteration of a gigantic hierarchy and hence not astonishingly, it resulted in spread and emergence of an increasing group of new unknown diseases. In India, Penaeus monodon, black tiger shrimp was previously the foremost-cultivated shrimp species...
2017: Acta Virologica
https://www.readbyqxmd.com/read/28513421/clinical-and-bacteriological-characteristics-associated-with-clustering-of-multidrug-resistant-tuberculosis
#12
J-Y J-Y Feng, L G Jarlsberg, K Salcedo, J Rose, M Janes, S-Y G Lin, D H Osmond, K C Jost, M K Soehnlen, J Flood, E A Graviss, E Desmond, P K Moonan, P Nahid, P C Hopewell, M Kato-Maeda
<h2>SETTING:</h2><p>The impact of the genetic characteristics of Mycobacterium tuberculosis on the clustering of multidrug-resistant tuberculosis (MDR-TB) has not been analyzed together with clinical and demographic characteristics.</p><h2>OBJECTIVE:</h2><p>To determine factors associated with genotypic clustering of MDR-TB in a community-basedstudy.</p><h2>DESIGN:</h2><p>We measured the proportion of clustered cases among MDR-TB patients and determined the impact of clinical and demographic characteristics and that of three M...
May 16, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28511434/anti-c1q-antibody-is-associated-with-renal-and-cutaneous-manifestations-in-asian-indian-patients-with-systemic-lupus-erythematosus
#13
Jayakanthan Kabeerdoss, Nikhil Gupta, Sandhya Pulukool, Hindhumathi Mohan, Gowri Mahasampath, Debashish Danda
INTRODUCTION: C1q play an important role in clearance of immune complexes and apoptotic cell debris. Impaired clearance leads to exposure of C1 native antigen and development of anti-C1q antibody formation. Anti-C1q antibody is well studied in Systemic Lupus Erythematosus (SLE). Significance of anti-C1q Ab in Indian SLE patients and their clinical manifestations is not clear. AIM: The aim of this study was to investigate associations between anti-C1q antibody and clinical as well as serological markers of SLE...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28507755/ethnic-variations-in-the-occurrence-of-colonic-neoplasms
#14
Amnon Sonnenberg, Kevin O Turner, Robert M Genta
BACKGROUND AND AIMS: With the exception of African Americans and Hispanics, few studies have dealt with the influence of other types of ethnicity on the prevalence of colon polyps and colorectal cancer. The present study was undertaken to compare the ethnic and socioeconomic distributions of colonic neoplasms among different ethnic groups in the United States. METHODS: A total of 813,057 patients, who underwent colonoscopy during 2008-2014, were recruited from an electronic database of histopathology reports (Miraca Life Sciences) for a cross-sectional study...
April 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/28500216/metformin-lifestyle-intervention-and-cognition-in-the-diabetes-prevention-program-outcomes-study
#15
José A Luchsinger, Yong Ma, Costas A Christophi, Hermes Florez, Sherita H Golden, Helen Hazuda, Jill Crandall, Elizabeth Venditti, Karol Watson, Susan Jeffries, Jennifer J Manly, F Xavier Pi-Sunyer
OBJECTIVE: We examined the association of the Diabetes Prevention Program (DPP) intervention arms (lifestyle intervention, metformin, and placebo) with cognition in the DPP Outcomes Study (DPPOS). We also examined metformin use, incident type 2 diabetes, and glycemia as exposures. RESEARCH DESIGN AND METHODS: The DPP lasted 2.8 years, followed by a 13-month bridge to DPPOS. Cognition was assessed in DPPOS years 8 and 10 (12 and 14 years after randomization) with the Spanish English Verbal Learning Test (SEVLT), letter fluency and animal fluency tests, Digit Symbol Substitution Test (DSST), and a composite cognitive score...
May 12, 2017: Diabetes Care
https://www.readbyqxmd.com/read/28494697/talking-circles-to-improve-diabetes-self-care-management
#16
Marlene Wilken, Martha Nunn
Purpose The purpose of this study was to determine if the use of both the Talking Circles (TCs) and diabetes self-management education (DSME) results in better adherence and outcomes for diabetes self-management than DSME alone in American Indians (AIs) with type 2 diabetes mellitus (T2DM). Methods A quasiexperimental, mixed-methods approach was used for AIs with uncontrolled T2DM, defined by an A1C > 7.0%. The experimental group (n = 20) participated in a TC and received DSME. The control group (n = 19) received only DSME...
May 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28494511/the-ethnic-distribution-of-sessile-serrated-polyps-in-the-united-states-is-inversely-associated-with-h-pylori-prevalence
#17
Amnon Sonnenberg, Kevin O Turner, Robert M Genta
BACKGROUND: Little is known about the epidemiology of sessile serrated polyps (SSP). Our study was aimed to investigate the influence of H. pylori gastritis and demographic patient characteristics (age, sex, ethnicity) on the prevalence of sessile serrated polyps, using a large national database of patients undergoing bi-directional endoscopy. METHODS: De-identified patient data were extracted from the Miraca Life Sciences electronic database of histopathologic reports...
May 11, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28493730/behavioral-health-services-in-urban-american-indian-health-organizations-a-descriptive-portrait
#18
Andrew Pomerville, Joseph P Gone
The federal Indian Health Service (IHS) is the primary funding source for health services designated for American Indians (AIs; Gone & Trimble, 2012). Urban Indian health organizations (UIHOs), funded in part by IHS, are typically the only sites in large metropolitan settings offering treatments tailored to AI health needs. This is a first look at how mental health treatment is structured at UIHOs. UIHO staff at 17 of 34 UIHOs responded to our request to participate (50%), 14 employed behavioral health program directors who could complete the survey on behalf of their programs, and 11 of these submitted complete data regarding their current treatment practices and personal attitudes toward empirically supported treatments...
May 11, 2017: Psychological Services
https://www.readbyqxmd.com/read/28492517/first-nations-approaches-to-childhood-obesity-healthy-lifestyles-in-canada-compared-with-alternatives-for-alaska-native-communities
#19
Peter A de Schweinitz, Janet M Wojcicki
Alaska Native and American Indian children have among the highest prevalence of obesity in the United States. Canadian Aboriginal populations including First Nations also have high rates of obesity but obesity rates among children are noticeably lower. We highlight some of the important differences between American and Canadian approaches to healthy lifestyles and Aboriginal/Native health, including diet and physical activity, which may in part explain the differences in obesity prevalence. Specifically, the Canadian government provides a food subsidy program to bring perishable fruits and vegetable to remote, rural Canadian areas and secondly supports the use of traditional foods and harvesting/gathering through a number of government supported programs...
May 11, 2017: Children
https://www.readbyqxmd.com/read/28491205/food-insecurity-among-american-indians-and-alaska-natives-a-national-profile-using-the-current-population-survey-food-security-supplement
#20
Valarie Blue Bird Jernigan, Kimberly R Huyser, Jimmy Valdes, Vanessa Watts Simonds
Food insecurity increases the risk for obesity, diabetes, hypertension, and cancer-conditions highly prevalent among American Indians and Alaska Natives (AI/ANs). Using the Current Population Survey Food Security Supplement, we analyzed the food insecurity trends of AI/ANs compared to other racial and ethnic groups in the United States from 2000 to 2010. From 2000 to 2010, 25% of AI/ANs remained consistently food insecure and AI/ANs were twice as likely to be food insecure compared to whites. Urban AI/ANs were more likely to experience food insecurity than rural AI/ANs...
2017: Journal of Hunger & Environmental Nutrition
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