rov Obstructive Sleep Apnea, a Risk Factor for Cardiovascular and Microvascular Disease in Patients With Type 2 Diabetes: Findings From a Population-Based Cohort Study By care.diabetesjournals.org Published On :: 2020-04-28T14:33:04-07:00 OBJECTIVETo determine the risk of cardiovascular disease (CVD), microvascular complications, and mortality in patients with type 2 diabetes who subsequently develop obstructive sleep apnea (OSA) compared with patients with type 2 diabetes without a diagnosis of OSA.RESEARCH DESIGN AND METHODSThis age-, sex-, BMI-, and diabetes duration–matched cohort study used data from a U.K. primary care database from 1 January 2005 to 17 January 2018. Participants aged ≥16 years with type 2 diabetes were included. Exposed participants were those who developed OSA after their diabetes diagnosis; unexposed participants were those without diagnosed OSA. Outcomes were composite CVD (ischemic heart disease [IHD], stroke/transient ischemic attack [TIA], heart failure [HF]), peripheral vascular disease (PVD), atrial fibrillation (AF), peripheral neuropathy (PN), diabetes-related foot disease (DFD), referable retinopathy, chronic kidney disease (CKD), and all-cause mortality. The same outcomes were explored in patients with preexisting OSA before a diagnosis of type 2 diabetes versus diabetes without diagnosed OSA.RESULTSA total of 3,667 exposed participants and 10,450 matched control participants were included. Adjusted hazard ratios for the outcomes were as follows: composite CVD 1.54 (95% CI 1.32, 1.79), IHD 1.55 (1.26, 1.90), HF 1.67 (1.35, 2.06), stroke/TIA 1.57 (1.27, 1.94), PVD 1.10 (0.91, 1.32), AF 1.53 (1.28, 1.83), PN 1.32 (1.14, 1.51), DFD 1.42 (1.16, 1.74), referable retinopathy 0.99 (0.82, 1.21), CKD (stage 3–5) 1.18 (1.02, 1.36), albuminuria 1.11 (1.01, 1.22), and all-cause mortality 1.24 (1.10, 1.40). In the prevalent OSA cohort, the results were similar, but some associations were not observed.CONCLUSIONSPatients with type 2 diabetes who develop OSA are at increased risk of CVD, AF, PN, DFD, CKD, and all-cause mortality compared with patients without diagnosed OSA. Patients with type 2 diabetes who develop OSA are a high-risk population, and strategies to detect OSA and prevent cardiovascular and microvascular complications should be implemented. Full Article
rov New Poll: How Do You Feel About the Level Of Education The School Provides Your Child By schoolpsychologistfiles.blogspot.com Published On :: Mon, 08 Feb 2010 23:34:00 +0000 I will be starting a monthly poll to engage the readers of this blog and start some discussion. Feel free to comment on this topic. I'm sure many of you have a lot to say. At the end of the month, I'll share and discuss results in a blog post. I'm curious to see how the readers of this blog feel about your own schools. You can find the poll in the sidebar. Thanks for participating! Full Article
rov Improving Communication with Your Partner During COVID-19 Quarantine By psychcentral.com Published On :: Sun, 03 May 2020 20:30:40 +0000 Best-selling author Harville Hendrix weighs in on improving your relationships while in quarantine. Relationships are one of life’s most beautiful offerings. What may feel like a gift on some days... Full Article Publishers Relationships YourTango Communication coronavirus COVID-19 pandemic Partner quarantine
rov How to Stay Sane While Staying Home: Advice from an Introvert By psychcentral.com Published On :: Tue, 05 May 2020 20:30:40 +0000 For loners, recluses, and other solitary types such as myself, sheltering-in-place feels natural and normal. However scary other aspects of this pandemic might be, for us, this aspect isn’t. Working... Full Article Publishers Spirituality & Health coronavirus COVID-19 Extrovert Introvert quarantine
rov Quality for Whom? Supporting Diverse Children and Workers in Early Childhood Quality Rating and Improvement Systems By www.migrationpolicy.org Published On :: Tue, 22 Aug 2017 10:53:19 -0400 For children in U.S. homes where a language other than English is spoken, early childhood programs that are responsive to their needs can be key to later academic success. But as states refine their Quality Rating and Improvement Systems (QRIS) to assess such programs, immigrant early childhood workers with in-demand language and cultural skills may be left behind. This report examines the challenges these workers face and promising practices to serve diverse communities. Full Article
rov Can High-Intensity Exercise Improve Your Memory? By rss.sciam.com Published On :: Wed, 29 Apr 2020 19:00:00 GMT Exercise like walking, swimming, and even dancing have been shown to be good for your memory, but the optimal intensity of that exercise has been unclear... until now -- Read more on ScientificAmerican.com Full Article Health Wellness Mind Mental Health
rov A Needed Evidence Revolution: Using Cost-Benefit Analysis to Improve Refugee Integration Programming By www.migrationpolicy.org Published On :: Wed, 11 Jul 2018 09:46:20 -0400 European countries have ramped up their investments in helping refugees find work and integrate into society. Yet little hard evidence exists of what programs and policies work best. This report proposes a new framework for thinking smartly about integration programming, using cost-benefit analysis to look beyond short-term, economic outcomes to also measure indirect benefits through a social-value concept. Full Article
rov Money Wise: Improving How EU Funds Support Migration and Integration Policy Objectives By www.migrationpolicy.org Published On :: Tue, 26 Mar 2019 10:11:55 -0400 European policymakers are negotiating the blueprint for the next EU funding cycle—a plan that will determine how much money is available for migration and integration aims, what it can be used for, and who can access it. This policy brief explores some of the limitations of EU funds, as well as strategies that could help them more effectively serve migration and integration policy goals. Full Article
rov New Data Resources Can Help Improve Targeting of State Early Childhood and Parent-Focused Programs By www.migrationpolicy.org Published On :: Fri, 16 Dec 2016 15:33:32 -0500 As states work to build high-quality early childhood systems and implement the federal Workforce Innovation and Opportunity Act (WIOA) and Every Student Succeeds Act (ESSA), having detailed knowledge of the characteristics of immigrant parents can help maximize the effectiveness of programs that seek to improve child and family outcomes, as this commentary explains. Full Article
rov As European policymakers take stock of seasonal worker programmes, MPI Europe brief outlines principles to improve these schemes for all parties By www.migrationpolicy.org Published On :: Tue, 18 Feb 2020 17:46:56 -0500 Findings will be discussed during 25 February MPI Europe – SVR webinar Full Article
rov Microvascular and Cardiovascular Outcomes According to Renal Function in Patients Treated With Once-Weekly Exenatide: Insights From the EXSCEL Trial By care.diabetesjournals.org Published On :: 2020-01-20T12:00:30-08:00 OBJECTIVE To evaluate the impact of once-weekly exenatide (EQW) on microvascular and cardiovascular (CV) outcomes by baseline renal function in the Exenatide Study of Cardiovascular Event Lowering (EXSCEL). RESEARCH DESIGN AND METHODS Least squares mean difference (LSMD) in estimated glomerular filtration rate (eGFR) from baseline between the EQW and placebo groups was calculated for 13,844 participants. Cox regression models were used to estimate effects by group on incident macroalbuminuria, retinopathy, and major adverse CV events (MACE). Interval-censored time-to-event models estimated effects on renal composite 1 (40% eGFR decline, renal replacement, or renal death) and renal composite 2 (composite 1 variables plus macroalbuminuria). RESULTS EQW did not change eGFR significantly (LSMD 0.21 mL/min/1.73 m2 [95% CI –0.27 to 0.70]). Macroalbuminuria occurred in 2.2% of patients in the EQW group and in 2.5% of those in the placebo group (hazard ratio [HR] 0.87 [95% CI 0.70–1.07]). Neither renal composite was reduced with EQW in unadjusted analyses, but renal composite 2 was reduced after adjustment (HR 0.85 [95% CI 0.74–0.98]). Retinopathy rates did not differ by treatment group or in the HbA1c-lowering or prior retinopathy subgroups. CV outcomes in those with eGFR <60 mL/min/1.73 m2 did not differ by group. Those with eGFR ≥60 mL/min/1.73 m2 had nominal risk reductions for MACE, all-cause mortality, and CV death, but interactions by renal function group were significant for only stroke (HR 0.74 [95% CI 0.58–0.93]; P for interaction = 0.035) and CV death (HR 1.08 [95% CI 0.85–1.38]; P for interaction = 0.031). CONCLUSIONS EQW had no impact on unadjusted retinopathy or renal outcomes. CV risk was modestly reduced only in those with eGFR ≥60 mL/min/1.73 m2 in analyses unadjusted for multiplicity. Full Article
rov Visit-to-Visit HbA1c Variability Is Associated With Cardiovascular Disease and Microvascular Complications in Patients With Newly Diagnosed Type 2 Diabetes By care.diabetesjournals.org Published On :: 2020-01-20T12:00:30-08:00 OBJECTIVE To investigate the association between visit-to-visit HbA1c variability and cardiovascular events and microvascular complications in patients with newly diagnosed type 2 diabetes. RESEARCH DESIGN AND METHODS This retrospective cohort study analyzed patients from Tayside and Fife in the Scottish Care Information–Diabetes Collaboration (SCI-DC) who were observable from the diagnosis of diabetes and had at least five HbA1c measurements before the outcomes were evaluated. We used the previously reported HbA1c variability score (HVS), calculated as the percentage of the number of changes in HbA1c >0.5% (5.5 mmol/mol) among all HbA1c measurements within an individual. The association between HVS and 10 outcomes was assessed using Cox proportional hazards models. RESULTS We included 13,111–19,883 patients in the analyses of each outcome. The patients with HVS >60% were associated with elevated risks of all outcomes compared with the lowest quintile (for example, HVS >80 to ≤100 vs. HVS ≥0 to ≤20, hazard ratio 2.38 [95% CI 1.61–3.53] for major adverse cardiovascular events, 2.4 [1.72–3.33] for all-cause mortality, 2.4 [1.13–5.11] for atherosclerotic cardiovascular death, 2.63 [1.81–3.84] for coronary artery disease, 2.04 [1.12–3.73] for ischemic stroke, 3.23 [1.76–5.93] for heart failure, 7.4 [3.84–14.27] for diabetic retinopathy, 3.07 [2.23–4.22] for diabetic peripheral neuropathy, 5.24 [2.61–10.49] for diabetic foot ulcer, and 3.49 [2.47–4.95] for new-onset chronic kidney disease). Four sensitivity analyses, including adjustment for time-weighted average HbA1c, confirmed the robustness of the results. CONCLUSIONS Our study shows that higher HbA1c variability is associated with increased risks of all-cause mortality, cardiovascular events, and microvascular complications of diabetes independently of high HbA1c. Full Article
rov Impact of Glucose Level on Micro- and Macrovascular Disease in the General Population: A Mendelian Randomization Study By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE To evaluate whether high glucose levels in the normoglycemic range and higher have a causal genetic effect on risk of retinopathy, neuropathy, nephropathy, chronic kidney disease (CKD), peripheral arterial disease (PAD), and myocardial infarction (MI; positive control) in the general population. RESEARCH DESIGN AND METHODS This study applied observational and one-sample Mendelian randomization (MR) analyses to individual-level data from 117,193 Danish individuals, and validation by two-sample MR analyses on summary-level data from 133,010 individuals from the Meta-Analyses of Glucose and Insulin-Related Traits Consortium (MAGIC), 117,165 from the CKDGen Consortium, and 452,264 from the UK Biobank. RESULTS Observationally, glucose levels in the normoglycemic range and higher were associated with high risks of retinopathy, neuropathy, diabetic nephropathy, PAD, and MI (all P for trend <0.001). In genetic causal analyses, the risk ratio for a 1 mmol/L higher glucose level was 2.01 (95% CI 1.18–3.41) for retinopathy, 2.15 (1.38–3.35) for neuropathy, 1.58 (1.04–2.40) for diabetic nephropathy, 0.97 (0.84–1.12) for estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2, 1.19 (0.90–1.58) for PAD, and 1.49 (1.02–2.17) for MI. Summary-level data from the MAGIC, the CKDGen Consortium, and the UK Biobank gave a genetic risk ratio of 4.55 (95% CI 2.26–9.15) for retinopathy, 1.48 (0.83–2.66) for peripheral neuropathy, 0.98 (0.94–1.01) for eGFR <60 mL/min/1.73 m2, and 1.23 (0.57–2.67) for PAD per 1 mmol/L higher glucose level. CONCLUSIONS Glucose levels in the normoglycemic range and higher were prospectively associated with a high risk of retinopathy, neuropathy, diabetic nephropathy, eGFR <60 mL/min/1.73 m2, PAD, and MI. These associations were confirmed in genetic causal analyses for retinopathy, neuropathy, diabetic nephropathy, and MI, but they could not be confirmed for PAD and seemed to be refuted for eGFR <60 mL/min/1.73 m2. Full Article
rov Inoreader v13 is Here With Improved Looks and New Features! By blog.inoreader.com Published On :: Wed, 29 Jan 2020 07:54:55 +0000 Since the beginning, Inoreader was meant to be a power-user tool, pushing the boundaries of what RSS readers can do.… Full Article Uncategorized
rov Insulin Strategies for Primary Care Providers By clinical.diabetesjournals.org Published On :: 2002-01-01 Karen L. HerbstJan 1, 2002; 20:Feature Articles Full Article
rov Diabetes Self-Management in a Community Health Center: Improving Health Behaviors and Clinical Outcomes for Underserved Patients By clinical.diabetesjournals.org Published On :: 2008-01-01 Daren AndersonJan 1, 2008; 26:22-27Bridges to Excellence Full Article
rov Standards of Medical Care in Diabetes--2019 Abridged for Primary Care Providers By clinical.diabetesjournals.org Published On :: 2019-01-01 American Diabetes AssociationJan 1, 2019; 37:11-34Position Statements Full Article
rov Standards of Medical Care in Diabetes--2016 Abridged for Primary Care Providers By clinical.diabetesjournals.org Published On :: 2016-01-01 American Diabetes AssociationJan 1, 2016; 34:3-21Position Statements Full Article
rov Improving Patient Adherence By clinical.diabetesjournals.org Published On :: 2006-04-01 Alan M. DelamaterApr 1, 2006; 24:71-77Feature Articles Full Article
rov Standards of Medical Care in Diabetes--2018 Abridged for Primary Care Providers By clinical.diabetesjournals.org Published On :: 2018-01-01 American Diabetes AssociationJan 1, 2018; 36:14-37Position Statements Full Article
rov Standards of Medical Care in Diabetes--2017 Abridged for Primary Care Providers By clinical.diabetesjournals.org Published On :: 2017-01-01 American Diabetes AssociationJan 1, 2017; 35:5-26Position Statements Full Article
rov Standards of Medical Care in Diabetes--2015 Abridged for Primary Care Providers By clinical.diabetesjournals.org Published On :: 2015-04-01 American Diabetes AssociationApr 1, 2015; 33:97-111Position Statements Full Article
rov Microvascular and Macrovascular Complications of Diabetes By clinical.diabetesjournals.org Published On :: 2008-04-01 Michael J. FowlerApr 1, 2008; 26:77-82Diabetes Foundation Full Article
rov May HoP, including a Special Section: Who Was Little Albert? The Historical Controversy By ahp.apps01.yorku.ca Published On :: Fri, 08 May 2020 19:25:00 +0000 Photographs of John Watson (left) and Rosalie Rayner (right) via Ben Harris. The May 2020 issue of History of Psychology is now online. The issue includes a special section on “Who Was Little Albert? The Historical Controversy.” Full details follow below. Special Section: Who Was Little Albert? The Historical Controversy“Journals, referees, and gatekeepers in the … Continue reading May HoP, including a Special Section: Who Was Little Albert? The Historical Controversy → Full Article General
rov How Technology Is Improving Safety On the Roads and Reducing Driving Anxiety By feedproxy.google.com Published On :: Wed, 22 Jan 2020 03:24:56 +0000 Technology has changed a number of aspects of our everyday lives and has led to increased efficiency. But when it comes to driving, has it helped or hindered the process? In this article, we will be looking into some of the ways that technology has improved safety on our roads in the last 10 years. […] Full Article Abnormal Psychology car safety driving anxiety driving phobia mental health driving newsnow
rov A campaign for period positivity | Ananya Grover By feedproxy.google.com Published On :: Mon, 16 Mar 2020 15:05:35 +0000 Having your period is exhausting -- and for many people across the world, menstruation is even more challenging because of stigmas and difficulty getting basic hygiene supplies, says social activist Ananya Grover. In this uplifting, actionable talk, she shares how "Pravahkriti," her campaign to spread period positivity, creatively engages with everyone to promote menstrual health, raise awareness and break taboos around periods. Full Article Higher Education
rov North Carolina Teachers Turn Out in Droves for Daylong Protest By feedproxy.google.com Published On :: Wed, 16 May 2018 00:00:00 +0000 A sea of red-clad teachers took to the streets around North Carolina's legislative building in Raleigh to fight for higher pay and more school funding. See photos from the event. Full Article North_Carolina
rov New Study Shows 1-to-1 Technology Improves Student Achievement in Math Over Time By feedproxy.google.com Published On :: Tue, 02 Oct 2018 00:00:00 +0000 A new study published in the Educational Evaluation and Policy Analysis journal found that there is potential for 1-to-1 technology programs to increase achievement in the short term, but more so in the medium term. Full Article North_Carolina
rov North Carolina Awards $12 Million Dollar Grant to Improve Literacy Instruction By feedproxy.google.com Published On :: Mon, 01 Apr 2019 00:00:00 +0000 A $12.2 million dollar grant from the state Department of Public Instruction will go to a program based at North Carolina State University to provide additional training literacy training to teachers in 16 high-needs districts across the state. Full Article North_Carolina
rov Staff Email Addresses Removed From District Websites to Improve Cybersecurity By feedproxy.google.com Published On :: Wed, 05 Dec 2018 00:00:00 +0000 Some district technology leaders say having staff email addresses publicly available opens the door for phishing scams and potential hacks. Full Article Virginia
rov Eligibility for Federal School Improvement Grants Helped Ohio Students, Study Says By feedproxy.google.com Published On :: Mon, 06 Aug 2018 00:00:00 +0000 Academic achievement at Ohio schools eligible for School Improvement Grants during the Obama administration increased for a few years, a new study says, but SIG's legacy remains complicated. Full Article Ohio
rov Ohio primary voters approved fewer school tax issues By feedproxy.google.com Published On :: Fri, 01 May 2020 00:00:00 +0000 Full Article Ohio
rov Ohio primary voters approved fewer school tax issues By feedproxy.google.com Published On :: 2020-04-30T20:37:04-04:00 Full Article Education
rov North Dakota the Latest State to Win ESSA-Plan Approval By feedproxy.google.com Published On :: Fri, 01 Sep 2017 00:00:00 +0000 With the plan's approval, North Dakota's educators will experience some of the nation's most dramatic changes under the Every Student Succeeds Act this fall. Full Article North_Dakota
rov Here's Why a Maryland School Finance Overhaul Could Prove Groundbreaking By feedproxy.google.com Published On :: Fri, 21 Feb 2020 00:00:00 +0000 Maryland's legislature has proposed a unique way to fund schools and also wants to hold school districts more accountable for how they spend their money as part of a new funding formula. Full Article Maryland
rov A Look at Teacher Improvement in Tennessee By feedproxy.google.com Published On :: Thu, 26 Apr 2018 00:00:00 +0000 A state department leader outlines what Tennessee is learning about teacher improvement and where the state still needs to learn more. Full Article Tennessee
rov Ohio primary voters approved fewer school tax issues By feedproxy.google.com Published On :: 2020-05-01T08:46:57-04:00 Full Article Education
rov School buses provide wi-fi internet for students at home By feedproxy.google.com Published On :: Mon, 20 Apr 2020 00:00:00 +0000 Full Article Utah
rov Arkansas Provides K-12 Districts With Volunteer IT Team to Fight Cyber Attacks By feedproxy.google.com Published On :: Fri, 01 Nov 2019 00:00:00 +0000 The Arkansas Department of Education will now provide on-site help for schools and districts in the state that are experiencing cybersecurity incidents. Full Article Arkansas
rov Arkansas panel approves charter school campus By feedproxy.google.com Published On :: Thu, 16 Apr 2020 00:00:00 +0000 Full Article Arkansas
rov R.I. Proposal Would Provide More School Choice, With Some Restrictions By feedproxy.google.com Published On :: Fri, 06 May 2016 00:00:00 +0000 Democratic Gov. Gina Raimondo proposes to allow traditional public schools to be free of certain regulations, including opening up enrollment outside their neighborhoods. Full Article Rhode_Island
rov Connecticut Provides Resources to Ease Transition to Kindergarten By feedproxy.google.com Published On :: Mon, 04 Jun 2018 00:00:00 +0000 These tools encourage school administrators to gather as much information as possible about the students who will be entering kindergarten and the early-learning offerings in their communities. Full Article Connecticut
rov Improvement under new coaches is wide-ranging By sports.yahoo.com Published On :: Mon, 04 May 2020 13:27:37 GMT In 2018, the programs with new coaches had a combined .433 winning percentage (120-157), up from .416 (117-164) a year earlier. Four schools won or shared conference titles and made the postseason - ETSU (under Randy Sanders), UIW (Eric Morris), North Carolina A&T (Sam Washington) and Wofford (Josh Conklin). The winning percentage at schools with new coaches was .448 (137-169), up from .444 (123-154) in 2018, with a decline in record at 13 schools and a better one at the other 12. Full Article article Sports
rov Building confidence in enrolling learners with disability for providers of education and training / ACPET, NDCO. By www.catalog.slsa.sa.gov.au Published On :: Full Article
rov 24 1/2 Almond Tree Grove i:n the Vales / by Grandmother Christine. By www.catalog.slsa.sa.gov.au Published On :: "24 1⁄2 Almond Tree Grove is the second story in the series In the Vales. A fun, light fantasy story about a young girl who inherits her Grammy's Cottage in the Vales, then starts to remember some of Grammy's favourite stories of her wee friends. The Almond Tree fairies are so helpful to us all, just read my wee story and see. "These stories allow you to enter into a parallel world set within our local community. They will take you on a journey to allow your imagination to tell the tales of the adventurous characters in a variety of unique situ's. The dialogue twists between now and then to provide a rich connection to the character's shenanigans, which motivates the reader to visualise beyond the text to create deeper meaning and connection to self, family and the community we live in." Full Article
rov Wills and Estates Family Provision and Contested Probate Case Update. By www.catalog.slsa.sa.gov.au Published On :: Full Article
rov Forum 2019 : 2C: Inheritance (Family Provision) Act claims / paper presented by Melisa Yule, Adelta Legal. By www.catalog.slsa.sa.gov.au Published On :: Full Article
rov Forum 2019 : 3D The keys to profit and cash flow improvement : slides / presented by Mathew Schlyder, Director, FWO Chartered Accountants. By www.catalog.slsa.sa.gov.au Published On :: Full Article
rov Forum 2019 : 4A Transform your business culture with a 'meta' skill... : one that improves all other skills : slides / presented by Tomas Jajesnica, Mr Meditate. By www.catalog.slsa.sa.gov.au Published On :: Full Article
rov Obligations of executors to potential family provision claimants / paper presented by The Hon. Justice Samuel Doyle, Supreme Court of South Australia. By www.catalog.slsa.sa.gov.au Published On :: Full Article