the nation

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.




the nation

A Mirror for the Nation? The Changing Profile of Mexican Immigrants in Texas

At this event, experts from MPI and Southern Methodist University’s Texas-Mexico Center offer an overview of immigration trends and key characteristics of highly skilled Mexican immigrant adults at the national level and for Texas, and engage in a discussion on the causes behind the changing trends in immigration and implications for Texas, its economy, and more broadly for the nation.




the nation

A Mirror for the Nation? The Changing Profile of Mexican Immigrants in Texas

At this discussion, experts from MPI and Southern Methodist University’s Texas-Mexico Center offer an overview of trends and key characteristics of highly skilled Mexican adults at the national level and for Texas, including educational levels by legal status and top industries of employment across Texas metro areas. They also discuss the policy implications of these findings.




the nation

Where They Are: The Nation's Small But Growing Population of Black English-Learners

In five northern U.S. states, black students comprise more than a fifth of ELL enrollment.




the nation

Finding the heart of the nation : the journey of the Uluru Statement towards voice, treaty and truth / Thomas Mayor.

Mayor, Thomas -- Travel -- Australia.




the nation

Thousands of Teachers. 4 States. Your Guide to the Protests Sweeping the Nation

As Oklahoma teachers prepare for day four of their statewide walkout, here's a guide to the larger picture of teacher protests.




the nation

Where They Are: The Nation's Small But Growing Population of Black English-Learners

In five northern U.S. states, black students comprise more than a fifth of ELL enrollment.




the nation

Evaluating and treating depressive disorders in opiate addicts / Bruce J. Rounsaville, Thomas R. Kosten, Myrna M. Wiessman, Herbert D. Kleber, for the National Institute on Drug Abuse.

Rockville, Maryland : National Institute on Drug Abuse, 1985.




the nation

The Hayloft Gang: The Story of the National Barn Dance




the nation

You Can Thank Scientists for the National Park System

Early conservation research and scientific expeditions laid the groundwork and helped to convince the public national parks were a good idea




the nation

Why the National Emergency Library Is So Controversial

The Internet Archive describes the downloadable collection of more than one million books as a library, but critics call it piracy




the nation

How to Watch the National Air and Space Museum's Free Virtual Concert

Catch the musical event, featuring Sting, Death Cab for Cutie front man Ben Gibbard and other artists, on YouTube tonight at 8 p.m. Eastern time




the nation

Best of the National Book Festival: Tracy K. Smith and Robert Hass, 2018

Our ongoing celebration of the Library of Congress National Book Festival continues with Poets Laureate Tracy K. Smith and Robert Hass discussing the making of poetry, the position of Poet Laureate and their new books, "American Journal: Fifty Poems for Our Time" (edited by Smith) and "A Little Book on Form: An Exploration into the Formal Imagination of Poetry" (Hass), on the Poetry & Prose stage at the 2018 Festival.




the nation

Best of the National Book Festival: Annette Gordon-Reed, 2015

Our ongoing celebration of the Library of Congress National Book Festival continues with presidential scholar Annette Gordon-Reed discussing "The Hemingses of Monticello: An American Family" on the Special Programs stage at the 2015 Festival.




the nation

Best of the National Book Festival: Patricia Cornwell, 2012

Our ongoing celebration of the Library of Congress National Book Festival continues with crime writer Patricia Cornwell discussing "Red Mist,” her 19th Kay Scarpetta novel, on the Fiction & Mystery stage at the 2012 Festival.




the nation

Best of the National Book Festival: Leigh Bardugo, 2018

Our ongoing celebration of the Library of Congress National Book Festival continues with young adult and fantasy author Leigh Bardugo discussing "Crooked Kingdom" on the Genre Fiction stage at the 2018 Festival. This post includes prompts for writing and thinking that young readers, families and teachers can use to explore the author and the author’s work—recommended for ages 13+.




the nation

Best of the National Book Festival: Condoleezza Rice, 2017

Our ongoing celebration of the Library of Congress National Book Festival continues with former Secretary of State Condoleezza Rice discussing "Democracy: Stories from the Long Road to Freedom" on the Main Stage at the 2017 Festival.




the nation

Best of the National Book Festival: Colson Whitehead, 2012

Our ongoing celebration of the Library of Congress National Book Festival continues with two-time Pulitzer Prize-winning novelist Colson Whitehead discussing "Zone One" on the Poetry & Prose stage at the 2012 Festival.




the nation

Best of the National Book Festival: Michael Beschloss, 2019

Our ongoing celebration of the Library of Congress National Book Festival continues with historian Michael Beschloss discussing “Presidents of War” on the Main Stage at the 2019 Festival.




the nation

Best of the National Book Festival: Karin Slaughter, 2010

Our ongoing celebration of the Library of Congress National Book Festival continues with crime and mystery writer Karin Slaughter discussing "Broken," part of her Will Trent series, on the Fiction & Mystery stage at the 2010 Festival.




the nation

Best of the National Book Festival: Neil Patrick Harris, 2019

Our ongoing celebration of the Library of Congress National Book Festival continues with actor and author Neil Patrick Harris discussing "The Magic Misfits: The Minor Third." The event, part of the new year-long National Book Festival Presents series, took place in the Library’s Coolidge Auditorium. This post includes prompts for writing and thinking that young readers, families and teachers can use to explore the author and the author’s work—recommended for ages 8+.




the nation

Praying God’s heart for the nations, Part 2

Workers from the Middle East North Africa Area share how they use strategic prayer to prepare the way for God to move across the region.




the nation

Fresh from Scottish farms, frozen to keep in all the goodness - why Farmfoods is still the nation's favourite

Farmfoods, a Scottish family business, has served the nation for over 60 years - and has never faltered in selling the finest farm  produce the country has to offer.




the nation

Galleries: Tim Stead saving part of the nation’s furniture

Celebrated artist and wood sculptor, Tim Stead, may be best known for public works such as the Millennium Clock in the National Museum of Scotland in Edinburgh, the furniture in Glasgow's Cafe Gandolfi and the North Sea Oil Industries Memorial Chapel in Aberdeen, but his masterpiece is closer to home.




the nation

The Nation's English-Learner Population Has Surged: 3 Things to Know

The number of English-learner students in U.S. schools has increased 28 percent since 2000; 43 of 50 states have experienced an uptick in enrollment, federal data indicate.




the nation

Where They Are: The Nation's Small But Growing Population of Black English-Learners

In five northern U.S. states, black students comprise more than a fifth of ELL enrollment.




the nation

The Nation's Top School Counselor Is Slashing Discipline Disparities. Here's How

The 2020 school counselor of the year draws on her previous experience as a counselor for gang members in a prison to reform discipline in her school in an Atlanta suburb. She shares her insights in this Q&A with Education Week.




the nation

Early Experiences and Predictors of Recruitment Success for the National Children's Study

The National Children's Study, a large-scale, longitudinal, birth cohort study of US children that endeavors to identify preventable and environmental origins of chronic diseases, has begun recruitment.

In a highly diverse, urban setting, pregnant women can be recruited to participate in the National Children's Study at rates similar to those obtained in clinic settings. Refinements to the pregnancy screener and other components are needed to optimize implementation. (Read the full article)




the nation

The National Perinatal Hepatitis B Prevention Program, 1994-2008

Infants born to women who are hepatitis B surface antigen–positive have a 90% risk of chronic hepatitis B virus infection, which may cause premature death from liver failure or cancer. Postexposure prophylaxis in infancy prevents 85% to 95% of perinatal infections.

The Perinatal Hepatitis B Prevention Program was created to identify and manage infants born to women who are hepatitis B surface antigen–positive. We provide, for the first time since 1996, national-level data on the outcomes of the Perinatal Hepatitis B Prevention Program. (Read the full article)




the nation

Disparities in Unmet Need for Care Coordination: The National Survey of Children's Health

Care coordination has been proposed as a key mechanism for increasing quality and reducing costs of care. Little is known about the degree to which disparities exist in care coordination or whether having high-quality primary care attenuates disparities.

A considerable proportion of parents reported unmet care coordination needs for their children, especially parents of children with special health care needs. Black and Latino children also may have more unmet needs because they received family-centered care less often. (Read the full article)




the nation

Cost-effectiveness Analysis of the National Perinatal Hepatitis B Prevention Program

Infant postexposure prophylaxis prevents perinatal hepatitis B (HepB) virus transmission and mortality and morbidity caused by chronic HepB virus infection. The US Perinatal Hepatitis B Prevention Program (PHBPP) identifies and manages infants born to HepB surface antigen–positive women.

It presents the first estimates of the long-term costs and outcomes of postexposure prophylaxis with the PHBPP. It analyzes the effects of the PHBPP, and alternative immunization scenarios, on health and economic outcomes for the 2009 US birth cohort. (Read the full article)




the nation

Validation of the National Institutes of Health Consensus Definition of Bronchopulmonary Dysplasia

Richard A. Ehrenkranz
Dec 1, 2005; 116:1353-1360
ARTICLES




the nation

Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents: A Working Group Report from the National High Blood Pressure Education Program

National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents
Oct 1, 1996; 98:649-658
ARTICLES




the nation

Neurodevelopmental and Functional Outcomes of Extremely Low Birth Weight Infants in the National Institute of Child Health and Human Development Neonatal Research Network, 1993-1994

Betty R. Vohr
Jun 1, 2000; 105:1216-1226
ARTICLES




the nation

The Nation's Top Teachers on Self-Care, Student Voice, and What They Would Say to Trump

The four finalists for National Teacher of the Year say their fellow teachers are sharing their stories and their students' stories more than ever, and it's time for policymakers to listen.




the nation

The Delaware Division of the Arts to Host a Free Accessibility Presentation Led by the National Endowment for the Arts

THE DELAWARE DIVISION OF THE ARTS TO HOST A FREE ACCESSIBILITY PRESENTATION LED BY THE NATIONAL ENDOWMENT FOR THE ARTS Dr. Beth Bienvenu, accessibility director, will review how to make the arts accessible to all Wilmington, Del. (November 30, 2017) – Building off of this year’s Arts Summit theme: “Arts for All” and an earlier […]




the nation

The National Endowment for the Arts Announces FY 2018 Grants to Support the Arts

THE NATIONAL ENDOWMENT FOR THE ARTS ANNOUNCES FY 2018 GRANTS TO SUPPORT THE ARTS Two Delaware organizations will receive $20,000 in federal grants Wilmington, Del. (February 7, 2018) – Each year, more than 4,500 communities large and small throughout the United States benefit from National Endowment for the Arts (NEA) grants to nonprofits. For the […]



  • Delaware Division of the Arts
  • Department of State
  • Kent County
  • New Castle County
  • Sussex County
  • "Delaware Division of the Arts"
  • National Endowment for the Arts

the nation

The National Endowment for the Arts Announces FY 2018 Grants to Support the Arts in Delaware

Three Delaware organizations will receive $729,100 in federal grants Wilmington, Del. (May 15, 2018) – As the only funder in the country to support arts activities in all 50 states and five U.S. jurisdictions, the National Endowment for the Arts (NEA) announced that three Delaware organizations, including the Division of the Arts, will receive $729,100 in […]




the nation

The National Endowment for the Arts Announces $27 Million in Grants to Support the Arts

Three Delaware organizations will receive $54,000 in federal grants Wilmington, Del. (February 15, 2019) — As the only funder in the country to support arts activities in all 50 states and five U.S. jurisdictions, the National Endowment for the Arts (NEA) announced that three Delaware organizations will receive $54,000 in federal grants. This is the […]




the nation

Parker’s Dairy Palace in New Castle, Del. added to the National Register of Historic Places

Vintage 1950s-era New Castle ice cream stand still dishing up soft serve.




the nation

The National Endowment for the Arts announces $27.3 million in Grants to Support the Arts

Two Delaware organizations will receive $55,000 in federal grants Wilmington, Del. (January 28, 2020) – As the only funder in the country to support arts activities in all 50 states and five U.S. jurisdictions, the National Endowment for the Arts announced that two Delaware organizations, will receive $55,000 in federal grants. This is the first […]




the nation

The National Core Indicators Project for Developmental Disabilities Services

Agency: HSS Closing Date: 5/12/2020




the nation

Delaware One of Eight States Chosen by the National Governors Association to Participate in Health Care Data Initiative

WILMINGTON, Del. – In support of a movement to transform how health care is delivered and paid for in the state, Delaware was one of eight states chosen to participate in a National Governors Association initiative to harness data systems to inform health policymaking. Joining Arkansas, Colorado, Indiana, Iowa, Minnesota, Vermont and Washington, Delaware’s team […]




the nation

The National Endowment for the Arts Announces CARES Act Funding Guidelines

Regional and State Arts Agencies to Disburse 40% of Funds Through Local and Regional Programs Washington, DC (April 8, 2020) – This morning, the National Endowment for the Arts announced guidelines to distribute funding to nonprofit arts organizations from the Coronavirus Aid, Relief, and Economic Security (CARES) Act to preserve jobs and help support organizations […]




the nation

Two additional Delaware properties listed in the National Register of Historic Places

The Florence and Isaac Budovitch House, and the Newark Union Church and Cemetery, are both located in New Castle County north of Wilmington.

The post Two additional Delaware properties listed in the National Register of Historic Places appeared first on Division of Historical and Cultural Affairs - State of Delaware.




the nation

Freight controller appointed to manage airfreight in the national interest (Ministerial)

The Australian Government has acted again to ensure the movement of critical freight such as agricultural produce, medicines and medical equipment can continue.



  • 2020 Media releases

the nation

Department of Environmental Affairs | Requirement to submit a report generated by the national web based environmental screening tool

Introduction On 5 July 2019, the Minister of Environment, Forestry and Fisheries, Barbara Dallas Creecy, published a notice requiring that when submitting an application for environmental authorisation in terms of regulation 19 and regulation 21 of ...




the nation

Pain Is a Growing Threat to the Nation's Surgeons, New Research Reveals

Title: Pain Is a Growing Threat to the Nation's Surgeons, New Research Reveals
Category: Health News
Created: 4/1/2020 12:00:00 AM
Last Editorial Review: 4/2/2020 12:00:00 AM




the nation

AHA News: Most of the Nation's Teens Aren't Getting Enough Exercise

Title: AHA News: Most of the Nation's Teens Aren't Getting Enough Exercise
Category: Health News
Created: 4/9/2020 12:00:00 AM
Last Editorial Review: 4/10/2020 12:00:00 AM




the nation

Underweight Increases the Risk of End-Stage Renal Diseases for Type 2 Diabetes in Korean Population: Data From the National Health Insurance Service Health Checkups 2009-2017

OBJECTIVE

There is a controversy over the association between obesity and end-stage renal disease (ESRD) in people with or without type 2 diabetes; therefore, we examined the effect of BMI on the risk of ESRD according to glycemic status in the Korean population.

RESEARCH DESIGN AND METHODS

The study monitored 9,969,848 participants who underwent a National Health Insurance Service health checkup in 2009 from baseline to the date of diagnosis of ESRD during a follow-up period of ~8.2 years. Obesity was categorized by World Health Organization recommendations for Asian populations, and glycemic status was categorized into the following five groups: normal, impaired fasting glucose (IFG), newly diagnosed diabetes, diabetes <5 years, and diabetes ≥5 years.

RESULTS

Underweight was associated with a higher risk of ESRD in all participants after adjustment for all covariates. In the groups with IFG, newly diagnosed type 2 diabetes, diabetes duration <5 years, and diabetes ≥5 years, the hazard ratio (HR) of the underweight group increased with worsening glycemic status (HR 1.431 for IFG, 2.114 for newly diagnosed diabetes, 4.351 for diabetes <5 years, and 6.397 for diabetes ≥5 years), using normal weight with normal fasting glucose as a reference. The adjusted HRs for ESRD were also the highest in the sustained underweight group regardless of the presence of type 2 diabetes (HR 1.606 for nondiabetes and 2.14 for diabetes).

CONCLUSIONS

Underweight showed more increased HR of ESRD according to glycemic status and diabetes duration in the Korean population. These associations also persisted in the group with sustained BMI during the study period.