RWGNYC's Blog
Thursday, February 23, 2006
COMHE 303 Diabetes assignment
OK, Judie, Minori and Nana, this will be our spot for messages ... just post away
Rob
Here are Nana's and my part ... more to follow
I. US Department of Health and Human Services: The Practical Guide: Identification, Evaluation and Treatment of Overweight and Obesity in Adults. National Heart, Lung, and Blood Institute, National Institute of Health, 2000.
II. An update on Type 2 Diabetes in Youth, The National Diabetes Education Program. Pediatrics Vol. 114 No. July 2004, pp. 259-263.
III. Balamurugan, Appathurai., M.D., Barriers to diabetes self-management education programs in underserved rural Arkansas: implications for program evaluation. Prev Chronic Dis, 2006 Jan; Vol.3 (1) pp. A15; PMID: 16356368.
IV. Steinberger J, Daniels SR. Obesity, Insulin Resistance, Diabetes, and Cardiovascular Risk in Children: An American Heart Association Scientific Statement From the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation. 2003;107:1448.
C. There is no disagreement in the results of conclusions of the articles.
D. Even thought the studies all have different populations, adults in the general population observed by the Department of Health and Human Services (I), children of Pima Indians in Arizona studied by the National Diabetes Education Program (II), high prevalence areas in Arkansas surveyed by Balamuruga (III), and Children observed by Steinberger and Daniels (IV), the individual hypotheses are proven. Further, the study design varies greatly, while study (I) has its focus on development of guidelines, the focus of the other three studies is more concentrated on specific issues. First, study (II) focuses on educating pediatric providers to facilitate proper patient evaluations to identify the susceptibility to type II diabetes mellitus in the observed group of children and proper administration of treatment. In this study the focus is on the children as well as on the lack of skills in the administrative personnel. Second, study (III) realizes that barriers were a dominant part contributing to the failure of successful implementation of treatment to cohorts in Arkansas. Further, many barriers could not be overcome because of the lack of a working evaluation plan. Third, study (IV) discovered that the prevalence of insulin resistance syndrome in children can later, if obesity becomes an additional contributing factor, lead to heart disease and a major increase in risk to acquire type II diabetes mellitus.
To the same extend the studies vary, so do the different Variables. The Department of Health and Human Services sets its dependent variable at weight loss and management, while the independent variables being observed are body mass index, waist size, different therapy options, level of physical activity, and also options of weight loss surgery. Further investigations are made by the study facilitated by the National Diabetes Education Program, which focuses on the increase in prevalence of Type II diabetes mellitus as its dependent, and being overweight, having a sedentary lifestyle, unhealthy eating habits, or lack of education as its independent variables. However, the Balamuruga study narrows the dependent variable towards anticipated and unanticipated barriers which could be encountered during the implementation of intervention programs. The Independent variable in this case is concentrated around self management educational programs in rural areas with high prevalence of diabetes. Last, the dependent variable of the Steinberger and Daniels study revolves around insulin resistance syndrome, while the independent variable weights increased left ventricular mass, obesity, hypertension, and lipid abnormalities in order to analyze the outcome.
F. Our project is immigrants and diabetes. As a matter of fact, there articles do not help us, but the results of these articles somewhat might help our intervention because there articles show that there will always exist a variety of barriers among races, cultures, and age, and gender. Therefore, health educators and health professionals need to be flexible and knowledgeable in order to deal with immigrants’ health issues.
Rob
Here are Nana's and my part ... more to follow
I. US Department of Health and Human Services: The Practical Guide: Identification, Evaluation and Treatment of Overweight and Obesity in Adults. National Heart, Lung, and Blood Institute, National Institute of Health, 2000.
II. An update on Type 2 Diabetes in Youth, The National Diabetes Education Program. Pediatrics Vol. 114 No. July 2004, pp. 259-263.
III. Balamurugan, Appathurai., M.D., Barriers to diabetes self-management education programs in underserved rural Arkansas: implications for program evaluation. Prev Chronic Dis, 2006 Jan; Vol.3 (1) pp. A15; PMID: 16356368.
IV. Steinberger J, Daniels SR. Obesity, Insulin Resistance, Diabetes, and Cardiovascular Risk in Children: An American Heart Association Scientific Statement From the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation. 2003;107:1448.
C. There is no disagreement in the results of conclusions of the articles.
D. Even thought the studies all have different populations, adults in the general population observed by the Department of Health and Human Services (I), children of Pima Indians in Arizona studied by the National Diabetes Education Program (II), high prevalence areas in Arkansas surveyed by Balamuruga (III), and Children observed by Steinberger and Daniels (IV), the individual hypotheses are proven. Further, the study design varies greatly, while study (I) has its focus on development of guidelines, the focus of the other three studies is more concentrated on specific issues. First, study (II) focuses on educating pediatric providers to facilitate proper patient evaluations to identify the susceptibility to type II diabetes mellitus in the observed group of children and proper administration of treatment. In this study the focus is on the children as well as on the lack of skills in the administrative personnel. Second, study (III) realizes that barriers were a dominant part contributing to the failure of successful implementation of treatment to cohorts in Arkansas. Further, many barriers could not be overcome because of the lack of a working evaluation plan. Third, study (IV) discovered that the prevalence of insulin resistance syndrome in children can later, if obesity becomes an additional contributing factor, lead to heart disease and a major increase in risk to acquire type II diabetes mellitus.
To the same extend the studies vary, so do the different Variables. The Department of Health and Human Services sets its dependent variable at weight loss and management, while the independent variables being observed are body mass index, waist size, different therapy options, level of physical activity, and also options of weight loss surgery. Further investigations are made by the study facilitated by the National Diabetes Education Program, which focuses on the increase in prevalence of Type II diabetes mellitus as its dependent, and being overweight, having a sedentary lifestyle, unhealthy eating habits, or lack of education as its independent variables. However, the Balamuruga study narrows the dependent variable towards anticipated and unanticipated barriers which could be encountered during the implementation of intervention programs. The Independent variable in this case is concentrated around self management educational programs in rural areas with high prevalence of diabetes. Last, the dependent variable of the Steinberger and Daniels study revolves around insulin resistance syndrome, while the independent variable weights increased left ventricular mass, obesity, hypertension, and lipid abnormalities in order to analyze the outcome.
F. Our project is immigrants and diabetes. As a matter of fact, there articles do not help us, but the results of these articles somewhat might help our intervention because there articles show that there will always exist a variety of barriers among races, cultures, and age, and gender. Therefore, health educators and health professionals need to be flexible and knowledgeable in order to deal with immigrants’ health issues.
:: posted by R. W. Graf, 1:06 PM
2 Comments:
Minori, actually it is just random... Think about the movie Matrix
Heh heh, Nana... as you can see your part is up ... I will also send what we have to this point to all of us ... Robert
Heh heh, Nana... as you can see your part is up ... I will also send what we have to this point to all of us ... Robert
So far it looks pretty good and I think we will be fine.
