exam

Prevalence of Diabetes in Mexican Americans, Cubans, and Puerto Ricans From the Hispanic Health and Nutrition Examination Survey, 1982-1984

Katherine M Flegal
Jul 1, 1991; 14:628-638
Supplement 3: Diabetes in Hispanic Americans




exam

Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight

Jennifer M. Yamamoto
Jul 1, 2018; 41:1346-1361
Reconsidering Pregnancy With Diabetes




exam

February JADA examines connection between healthy eating habits, untreated caries

Greater compliance with dietary guidelines may reduce the chance of untreated caries in adults, according to a study published in the February issue of The Journal of the American Dental Association.




exam

HPI poll examines impact of COVID-19 on dental practices

The ADA Health Policy Institute launched an ongoing biweekly poll the week of March 23 that shows 76% of dentists surveyed had closed their offices to all but emergency patients during the COVID-19 pandemic. Another 19% indicated their offices are closed completely.




exam

New clinical dental licensure examination to launch in June

The Dental Licensure Objective Structured Clinical Examination, or DLOSCE, is expected to launch in June, the Joint Commission on National Dental Examinations announced April 2.




exam

Use of Antihyperglycemic Medications in U.S. Adults: An Analysis of the National Health and Nutrition Examination Survey

OBJECTIVE

1) To examine trends in the use of diabetes medications and 2) to determine whether physicians individualize diabetes treatment as recommended by the American Diabetes Association (ADA).

RESEARCH DESIGN AND METHODS

We conducted a retrospective, cross-sectional analysis of 2003–2016 National Health and Nutrition Examination Survey (NHANES) data. We included people ≥18 years who had ever been told they had diabetes, had an HbA1C >6.4%, or had a fasting plasma glucose >125 mg/dL. Pregnant women, and those aged <20 years receiving only insulin were excluded. We assessed trends in use of ADA’s seven preferred classes from 2003–2004 to 2015–2016. We also examined use by hypoglycemia risk (sulfonylureas, insulin, and meglitinides), weight effect (sulfonylureas, thiazolidinediones [TZDs], insulin, and meglitinides), cardiovascular benefit (canagliflozin, empagliflozin, and liraglutide), and cost (brand-name medications and insulin analogs).

RESULTS

The final sample included 6,323 patients. The proportion taking any medication increased from 58% in 2003–2004 to 67% in 2015–2016 (P < 0.001). Use of metformin and insulin analogs increased, while use of sulfonylureas, TZDs, and human insulin decreased. Following the 2012 ADA recommendation, the choice of drug did not vary significantly by older age, weight, or presence of cardiovascular disease. Patients with low HbA1C, or HbA1C <6%, and age ≥65 years were less likely to receive hypoglycemia-inducing medications, while older patients with comorbidities were more likely. Insurance, but not income, was associated with the use of higher-cost medications.

CONCLUSIONS

Following ADA recommendations, the use of metformin increased, but physicians generally did not individualize treatment according to patients’ characteristics. Substantial opportunities exist to improve pharmacologic management of diabetes.




exam

The Association of Energy and Macronutrient Intake at Dinner Versus Breakfast With Disease-Specific and All-Cause Mortality Among People With Diabetes: The U.S. National Health and Nutrition Examination Survey, 2003-2014

OBJECTIVE

This study aims to evaluate the association of energy and macronutrient intake at dinner versus breakfast with disease-specific and all-cause mortality in people with diabetes.

RESEARCH DESIGN AND METHODS

A total of 4,699 people with diabetes who enrolled in the National Health and Nutrition Examination Survey from 2003 to 2014 were recruited for this study. Energy and macronutrient intake was measured by a 24-h dietary recall. The differences () in energy and macronutrient intake between dinner and breakfast ( = dinner – breakfast) were categorized into quintiles. Death information was obtained from the National Death Index until 2015. Cox proportional hazards regression models were developed to evaluate the survival relationship between and diabetes, cardiovascular disease (CVD), and all-cause mortality.

RESULTS

Among the 4,699 participants, 913 deaths, including 269 deaths due to diabetes and 314 deaths due to CVD, were documented. After adjustment for potential confounders, compared with participants in the lowest quintile of in terms of total energy and protein, participants in the highest quintile were more likely to die due to diabetes (hazard ratio [HR]energy 1.92, 99% CI 1.08–3.42; HRprotein 1.92, 99% CI 1.06–3.49) and CVD (HRenergy 1.69, 99% CI 1.02–2.80; HRprotein 1.96, 99% CI 1.14–3.39). The highest quintile of total fat was related to CVD mortality (HR 1.67, 99% CI 1.01–2.76). Isocalorically replacing 5% of total energy at dinner with breakfast was associated with 4% and 5% lower risk of diabetes (HR 0.96, 95% CI 0.94–0.98) and CVD (HR 0.95, 95% CI 0.93–0.97) mortality, respectively.

CONCLUSIONS

Higher intake of energy, total fat, and protein from dinner than breakfast was associated with greater diabetes, CVD, and all-cause mortality in people with diabetes.




exam

Gujarat university, second MBBS examination, forensic medicine question papers, January 2015

Gujarat university, second MBBS examination, forensic medicine question papers, January 2015




exam

Gujarat university, second MBBS examination, microbiology question papers, January 2015

Gujarat university, second MBBS examination, microbiology question papers, January 2015




exam

Gujarat university, second MBBS examination, pathology question papers, January 2015

Gujarat university, second MBBS examination, pathology question papers, January 2015




exam

Gujarat university, second MBBS examination, pharmacology question papers (2010-2014)

Gujarat university, second MBBS examination, pharmacology question papers (2010-2014)




exam

Gujarat university, second MBBS examination, pharmacology question papers, January 2015

Gujarat university, second MBBS examination, pharmacology question papers, January 2015




exam

MD pharmacology examination, question papers, Gujarat university, April 2012

MD pharmacology examination, question papers, Gujarat university, April 2012




exam

MD pharmacology examination, question papers, Gujarat university, October 2012

MD pharmacology examination, question papers, Gujarat university, October 2012




exam

MD pharmacology examination, question papers, Gujarat university, April 2013

MD pharmacology examination, question papers, Gujarat university, April 2013




exam

10 Examples of Heroism Arising From the COVID-19 Pandemic

By Scott T. Allison In any tragedy or crisis, you will see many people standing out and stepping up to save lives and make the world a better place. These heroic individuals can range from leaders of nations to ordinary citizens who rise to the occasion to help others in need. During this COVID-19 pandemic, … Continue reading 10 Examples of Heroism Arising From the COVID-19 Pandemic




exam

Examining the Pros and Cons of Phone Therapy

Telephone therapy has taken on greater significance in the mental health industry in wake of the covid-19 pandemic. While some individuals may have avoided telephone therapy in the past, the temporary closure of mental health offices and the necessity of social distancing have resulted in an increasing number of people asking for more information on […]




exam

New York Poised to Revamp Certification Exams

A task force is recommending that the state lowers the score required on the controversial national edTPA exam.




exam

New Jersey Postpones PARCC Exam After Technical Problems

New Jersey is one of many states that have experienced problems with the online administering of standardized testing this year.




exam

Rhode Island PARCC Scores Lower on Computer-Based Exams

A state-by-state breakdown shows that Colorado, Rhode Island and Illinois found some evidence that students' familiarity with technology impacted scores on 2014-15 PARCC exams. An analysis in Maryland is pending.




exam

Forum 2019 : 7A Cross examination of documents / paper presented by: Edward Stratton-Smith, Edmund Barton Chambers.




exam

An examination of offences at South Australian safety camera sites / CN Kloeden, TP Hutchinson.

"Fixed safety cameras that detect speeding (and in some cases red light running) are known to be a generally effective method of controlling driver behaviour and producing road safety benefits. They were first introduced in South Australia in 1988 and are now in operation at more than 150 locations around the State. Data on the speeding and red light running offences recorded at each of the sites are now publicly available. If the number of offences declines over time, this is an indication that the safety cameras are becoming increasingly effective in preventing speeding or red light running behaviour. The offence rates of the five types of safety cameras in use in South Australia were examined on a site by site basis. Safety cameras located in South Australian 50-90 km/h speed limit zones in built-up areas showed a similar overall trend in offence rates: speeding offence rates decreased rapidly during the first two to three years of operation; continued declines in speeding offence rates occurred for many years after that; and red light running offences showed general declines over time but not as consistently or to the same extent as speeding offences. Making the cameras more conspicuous from the time of installation may accelerate their positive effects. Safety cameras may also prevent vehicle speeding on high speed rural roads upon installation (this could not be measured here) but there appears to be little change in offence rates after this time. This is possibly due to the more conspicuous nature of these cameras. The tolerances applied to point to point average speed measurements appear to be the same as applied to spot speed measurements and could reasonably be reduced." -- Summary.




exam

Dissertatio inauguralis medica de Pertussi quam ... eruditorum examini subiicit ... Johannes Harrison Anglus.

Gottingae : Typis Jo. Christian. Dieterich, [1793]




exam

Du ptosis et de son traitement chirurgical : examen critique d'un nouveau procédé opératoire de ptosis congénital / par Jean Brun.

Paris : G. Steinheil, 1892.




exam

Elementary lessons in logic : deductive and inductive : with copious questions and examples, and a vocabulary of logical terms / by W. Stanley Jevons.

London : Macmillan, 1896.




exam

The elements of mind : being an examination into the nature of the first division of the elementary substances of life / by H. Jamyn Brooks.

London : Longmans, Green, 1902.




exam

Breast exams : (for when you're getting them cut off) : (because you want to)

[London] : [publisher not identified], [2019]




exam

Greedy Attack and Gumbel Attack: Generating Adversarial Examples for Discrete Data

We present a probabilistic framework for studying adversarial attacks on discrete data. Based on this framework, we derive a perturbation-based method, Greedy Attack, and a scalable learning-based method, Gumbel Attack, that illustrate various tradeoffs in the design of attacks. We demonstrate the effectiveness of these methods using both quantitative metrics and human evaluation on various state-of-the-art models for text classification, including a word-based CNN, a character-based CNN and an LSTM. As an example of our results, we show that the accuracy of character-based convolutional networks drops to the level of random selection by modifying only five characters through Greedy Attack.




exam

DeJong's the neurologic examination

Campbell, William W., Jr. (William Wesley), author.
9781496386168 (hardcover)




exam

Stratonovich stochastic differential equation with irregular coefficients: Girsanov’s example revisited

Ilya Pavlyukevich, Georgiy Shevchenko.

Source: Bernoulli, Volume 26, Number 2, 1381--1409.

Abstract:
In this paper, we study the Stratonovich stochastic differential equation $mathrm{d}X=|X|^{alpha }circ mathrm{d}B$, $alpha in (-1,1)$, which has been introduced by Cherstvy et al. ( New J. Phys. 15 (2013) 083039) in the context of analysis of anomalous diffusions in heterogeneous media. We determine its weak and strong solutions, which are homogeneous strong Markov processes spending zero time at $0$: for $alpha in (0,1)$, these solutions have the form egin{equation*}X_{t}^{ heta }=((1-alpha)B_{t}^{ heta })^{1/(1-alpha )},end{equation*} where $B^{ heta }$ is the $ heta $-skew Brownian motion driven by $B$ and starting at $frac{1}{1-alpha }(X_{0})^{1-alpha }$, $ heta in [-1,1]$, and $(x)^{gamma }=|x|^{gamma }operatorname{sign}x$; for $alpha in (-1,0]$, only the case $ heta =0$ is possible. The central part of the paper consists in the proof of the existence of a quadratic covariation $[f(B^{ heta }),B]$ for a locally square integrable function $f$ and is based on the time-reversion technique for Markovian diffusions.




exam

Interview with Brazil's EXAME

Original quotes from interview by Mr Agustin Carstens, General Manager of the BIS, with Exame, conducted by Mr Felipe Serrano on 9 October 2019 and published on 24 October 2019.




exam

Seven examples of nuclear technology improving food and agriculture

Some of the most innovative ways being used to improve agricultural practices involve nuclear technology. Nuclear applications in agriculture rely on the use of isotopes and radiation techniques to combat pests and diseases, increase crop production, protect land and water resources, ensure food safety and authenticity, and increase livestock production. FAO and the International Atomic Energy Agency (IAEA) have been expanding [...]




exam

Get 50% Off SOLIDWORKS Certification Exams

Take advantage of half-off on SOLIDWORKS Certification exams now through the end of April.

Author information

Mike Puckett

Senior Manager, World Wide Certification Program SOLIDWORKS

The post Get 50% Off SOLIDWORKS Certification Exams appeared first on The SOLIDWORKS Blog.




exam

Can a Parent Refuse the Brain Death Examination?

The American Academy of Neurology believes that doctors have the right to do tests to evaluate whether a patient is brain dead even if the family does not consent. They argue that physicians have "both the moral authority and professional responsibility" to do such evaluations, just as they have the authority and responsibility to declare someone dead by circulatory criteria. Not everyone agrees. Truog and Tasker argue that apnea testing to confirm brain death has risks and that, for some families, those risks may outweigh the benefits. So, what should doctors do when caring for a patient whom they believe to be brain dead but whose parents refuse to allow testing to confirm that the patient meets neurologic criteria for death? In this article, we analyze the issues that arise when parents refuse such testing.




exam

Police Scotland's good sense sets an example for police Twitter nonsense

GUTTING news for great swathes of the Great British public - eating chips is not exercise.




exam

Teachers Set a Healthy Example (Video)

In the North Alleghenny School District in Pittsburgh, leaders have made staff health a priority. This year, district educators trained and participated in relay teams at a local marathon.




exam

Value of Follow-up Examinations of Children and Adolescents Evaluated for Sexual Abuse and Assault

Although follow-up examinations are recommended for suspected victims of sexual abuse or assault, little is known about the potential benefits of a second examination with regard to diagnosing trauma or sexually transmitted infections.

In ~23% of pediatric patients evaluated for sexual abuse or assault, a second examination by a specialist changed the interpretation of trauma likelihood or results in the detection of a sexually transmitted infection. (Read the full article)




exam

Readability, Suitability, and Characteristics of Asthma Action Plans: Examination of Factors That May Impair Understanding

National asthma treatment guidelines include the recommendation that all asthma patients receive a written asthma action plan. No previous study has sought to examine the readability, suitability, and content of asthma action plans within a nationally representative sample.

Although variability was found across written asthma action plans, and improvements in readability, suitability, and content are needed, there were also many common elements that would support a move to a single universal standard action plan. (Read the full article)




exam

Oral Dexamethasone for Bronchiolitis: A Randomized Trial

Some infants presenting with bronchiolitis are later diagnosed with asthma. Corticosteroid treatment of all infants with bronchiolitis is not clearly efficacious.

We used infant eczema or asthma history in a first-degree relative to select patients with bronchiolitis for dexamethasone or placebo blinded treatment. Dexamethasone treatment of 5 days led to significantly earlier readiness for discharge from infirmary treatment. (Read the full article)




exam

Dexamethasone Therapy for Septic Arthritis in Children

Two prospective studies of children with septic arthritis have shown that the addition of dexamethasone to antibiotic therapy contributes to clinical and laboratory improvement. Nevertheless, the mainstay of treatment remains antibiotics alone.

This study, which was conducted outside a randomized controlled trial, demonstrates that children with septic arthritis treated early with a short course of adjuvant dexamethasone show earlier improvement in clinical and laboratory parameters than children treated with antibiotics alone. (Read the full article)




exam

Girls Outshine Boys on Federal Exam of Tech, Engineering Skills

Overall, average scores were up two points since 2014 on the National Assessment of Educational Progress in Technology and Engineering Literacy.




exam

Panel Finds Few Learning Benefits in High-Stakes Exams

A 10-year study by a blue-ribbon panel of scientists concludes that high-stakes testing and other accountability measures have largely failed to translate to real improvements in student achievement.




exam

Randomized Placebo-controlled Trial of a 42-Day Tapering Course of Dexamethasone to Reduce the Duration of Ventilator Dependency in Very Low Birth Weight Infants: Outcome of Study Participants at 1-Year Adjusted Age

T. Michael O'Shea
Jul 1, 1999; 104:15-21
ARTICLES




exam

Books: Delusion, guilt and misplaced loyalty in Philippe Sands’ examination of the Nazi past

The Ratline: Love, Lies and Justice on the Trail of a Nazi Fugitive




exam

COVID-19 online roundtable to examine disease’s impact on international affairs

The Coronavirus and International Affairs Roundtable, taking place 9:30 a.m. Friday, April 17, via Zoom, will bring together experts in law and international affairs from Asia, Europe, the Middle East, North America, and the Caribbean to discuss the broader impact of COVID-19.




exam

Impact of Coronavirus outbreak on children and young people to be examined

The impact the Coronavirus outbreak has had on children and young people is to be explored by Holyrood’s Education and Skills Committee as it announces its work in response to the current public health crisis.




exam

Government’s approach to coronavirus testing to be examined by Scottish Parliament Committee

The Scottish Government’s testing strategy during the coronavirus pandemic is to be investigated by the Health and Sport Committee.




exam

Teachers Examining Student Work To Guide Curriculum, Instruction

Unless schools do a better job of collecting and analyzing the products of learning, teaching experts say, the drive to align classroom instruction with states' academic standards and testing programs will be incomplete.




exam

Weather Risk Management Club stays connected, examines pandemic impacts remotely

The Weather Risk Management Club has continued meeting via Zoom during the remote learning period, carrying on their work examining the impacts of severe weather events on the economy.




exam

Department of Insurance Recovers Nearly $700,000 in Fines through Company Compliance Exams

Investigations result in discovery and correction of issues impacting consumers The Delaware Department of Insurance’s Market Conduct Examinations resulted in the receipt of nearly $700,000 in fines during 2019 from more than a dozen companies found to violate the Insurance Code or other related regulations. The fines are contributed to the General Fund, providing funding […]