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Against autonomy: justifying coercive paternalism
Too often, we as individuals do things that harm us, that seriously interfere with our being able to live in the way that we want. We eat food that makes us obese, that promotes diabetes, heart failure and other serious illness, while at the same time, we want to live long and healthy lives. Too many of us smoke cigarettes, even while acknowledging we wish we had never begun. We behave in ways that undercut our ability to reach some of our most valued goals, despite education and despite incentives to choose the right thing. What should be done? If I were to try to harm someone else in a way that alters his future seriousl...
Source: Journal of Medical Ethics - April 15, 2014 Category: Medical Ethics Authors: Conly, S. Tags: JME Author meets critics, Health education, Obesity (public health) Source Type: research

The use of clinical guidelines highlights ongoing educational gaps in physicians' knowledge and decision making related to diabetes
Background: Clinical guidelines for type 2 diabetes are a resource for providers to manage their patients and may help highlight specific areas in need of further education and training. We sought to determine how often guidelines are used and the relationship to physicians' diabetes-related knowledge and decision making. Methods: Existing users of electronic clinical support tools were invited to complete an online questionnaire. A knowledge score was calculated for five questions related to prevention of diabetes and treatment of its complications. We explored the association of clinical guideline use with diabetes-relat...
Source: BMC Medical Education - September 8, 2014 Category: Universities & Medical Training Authors: Mark CorriereLaura MinangStephen SissonFrederick BrancatiRita Kalyani Source Type: research

The use of clinical guidelines highlights ongoing educational gaps in physicians¿ knowledge and decision making related to diabetes
Background: Clinical guidelines for type 2 diabetes are a resource for providers to manage their patients and may help highlight specific areas in need of further education and training. We sought to determine how often guidelines are used and the relationship to physicians’ diabetes-related knowledge and decision making. Methods: Existing users of electronic clinical support tools were invited to complete an online questionnaire. A knowledge score was calculated for five questions related to prevention of diabetes and treatment of its complications. We explored the association of clinical guideline use with diabetes-rel...
Source: BMC Medical Education - September 8, 2014 Category: Universities & Medical Training Authors: Mark CorriereLaura MinangStephen SissonFrederick BrancatiRita Kalyani Source Type: research

Barriers and facilitators to self-care communication during medical appointments in the United States for adults with type 2 diabetes
Conclusions Physician–patient self-care communication barriers included patients’ reluctance to discuss self-care behaviors and physicians’ perceptions of few options to address this reluctance. Treatment recommendations stressed the importance of establishing trusting, nonjudgmental and open patient–provider communication for optimal diabetes treatment. Medical education is needed to improve physicians’ strategies for addressing self-care communication during medical appointments.
Source: Chronic lllness - November 11, 2014 Category: Journals (General) Authors: Ritholz, M. D., Beverly, E. A., Brooks, K. M., Abrahamson, M. J., Weinger, K. Tags: Articles Source Type: research

Comparison of Standardized Patients and Real Patients as an Experiential Teaching Strategy in a Nutrition Counseling Course for Dietetic Students
Spahn and coworkers [1] define nutrition counseling as a “supportive process to set priorities, establish goals and create individualized action plans that acknowledge and foster responsibility for self-care” [1]. This involves learning communication skills which apply behavior change counseling (BCC) strategies, such as motivational interviewing, problem solving, goal setting, and self-monitoring [1]. There is strong evidence (Grade I or good) that using these strategies in an outpatient counseling setting can promote positive eating behavior changes conducive to decreasing risk factors of cardiovascular disease [2] a...
Source: Patient Education and Counseling - November 17, 2014 Category: Global & Universal Authors: Vicki S. Schwartz, Pamela Rothpletz-Puglia, Robert Denmark, Laura Byham-Gray Tags: Medical Education Source Type: research

Increasing physical activity in patients with mental illness—A randomized controlled trial
In 2010, more than one-third (38.2%) of all residents of the European Union suffered from a clinically significant mental disorder [1]. The most common disorders named were anxiety disorders, unipolar depression, insomnia, and somatoform disorders. People with severe mental disorders often suffer from chronic medical conditions such as diabetes, heart disease, or other chronic conditions [2]. Reasons for these conditions, among genetics and medication, are seen in higher prevalence of smoking, poor diet, and lower levels of physical activity compared to the general population [3–5].
Source: Patient Education and Counseling - June 22, 2015 Category: Global & Universal Authors: Wiebke Göhner, Christine Dietsche, Reinhard Fuchs Tags: Patient education Source Type: research

Effectiveness of interventions to reduce ordering of thyroid function tests: a systematic review
Conclusions The results suggest that behaviour change interventions are effective particularly in reducing the volume of thyroid function tests. However, due to the poor methodological quality and reporting of the studies, the likely presence of publication bias and the questionable relevance of some interventions to current day practice, we are unable to draw strong conclusions or recommend the implementation of specific intervention types. Further research is thus justified. Trial registration number CRD42014006192.
Source: BMJ Open - June 2, 2016 Category: Journals (General) Authors: Zhelev, Z., Abbott, R., Rogers, M., Fleming, S., Patterson, A., Hamilton, W. T., Heaton, J., Thompson Coon, J., Vaidya, B., Hyde, C. Tags: Open access, Diagnostics, Evidence based practice, Health services research, Medical education and training, Diabetes and Endocrinology Source Type: research

Demographics, Management Practices and In-Hospital Outcomes: Results from the HRH Princess Maha Chakri Sirindhorn Medical Center Acute Coronary Syndrome Registry.
CONCLUSION: This registry provided a detail of demographics, management practices, and in hospital outcomes of ACS patients. Door-to-needle time and door-to-balloon time were considered as suboptimal. In-hospital mortality was higher than the latest national average. Patient delay should be improved by giving more education to the general public and concerted effort to improve in-hospital time delay is warranted. These data have an impact on our patient care system and alert our team to improve patient care. PMID: 27276839 [PubMed - in process]
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Factors influencing time to case registration for youth with type 1  and type 2 diabetes: SEARCH for Diabetes in Youth Study.
CONCLUSIONS: These findings highlight the need for continued childhood diabetes surveillance to identify future trends and influences on changes in prevalence and incidence. PMID: 27664849 [PubMed - as supplied by publisher]
Source: Annals of Epidemiology - August 31, 2016 Category: Epidemiology Authors: Crume TL, Hamman RF, Isom S, Talton J, Divers J, Mayer-Davis EJ, Zhong VW, Liese AD, Saydah S, Standiford DA, Lawrence JM, Pihoker C, Dabelea D, SEARCH for Diabetes in Youth Study Group Tags: Ann Epidemiol Source Type: research

Personalized Diabetes Management Using Electronic Medical Records
CONCLUSIONS A personalized approach to diabetes management yielded substantial improvements in HbA1c outcomes relative to the standard of care. Our prototyped dashboard visualizing the recommendation algorithm can be used by providers to inform diabetes care and improve outcomes.
Source: Diabetes Care - January 19, 2017 Category: Endocrinology Authors: Bertsimas, D.; Kallus, N.; Weinstein, A. M.; Zhuo, Y. D. Tags: Clinical Care/Education/Nutrition/Psychosocial Research Source Type: research

Patient Involvement in the Design and Policy in Healthcare: Highlights from the 4th Annual Conference on Therapeutic Patient Education in Diabetes OTZMA, 21 March 2018.
Authors: Kalamaro VM, Harshkop K, Lipner R, Tamir O Abstract PMID: 30430808 [PubMed - in process]
Source: The Israel Medical Association Journal - November 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Prevalence of the risk factors for QT prolongation and associated drug–drug interactions in a cohort of medical inpatients
ConclusionA substantial number of patients were exposed to risk factors for QT prolongation; and QT prolonging drugs such as proton pump inhibitors, antimicrobials and diuretics which may lead to serious outcomes.
Source: Journal of the Formosan Medical Association - January 8, 2019 Category: General Medicine Source Type: research

Comment on: Impact of a multidisciplinary intensive education program on type 2 diabetes mellitus patients' glycemic control and cardiovascular risk factors.
Authors: Al Saeed AH Abstract [No Abstract Available]. PMID: 30617390 [PubMed - in process]
Source: Saudi Medical Journal - January 10, 2019 Category: Middle East Health Tags: Saudi Med J Source Type: research

The effect of self-management education through weblogs on the quality of life of diabetic patients
Self-management education of diabetes which is one of the most important noncommunicable diseases worldwide involves facilitating knowledge, skills, and ability required for self-care in these patients. Concer...
Source: BMC Medical Informatics and Decision Making - October 29, 2019 Category: Information Technology Authors: Amal Mohammad Rasoul, Rostam Jalali, Alireza Abdi, Nader Salari, Mehrali Rahimi and Masoud Mohammadi Tags: Research article Source Type: research

Diabetes education and basic insulin related knowledge assessment in nursing staff in a tertiary care hospital in India
ConclusionThis study shows a significant deficit in basic insulin-related knowledge in nursing staff. There is a need for continuous medical education of nursing staff to stay updated on Diabetes management.
Source: International Journal of Diabetes in Developing Countries - March 16, 2020 Category: Endocrinology Source Type: research