Role of Vitamin D in Insulin Secretion and Insulin Sensitivity for Glucose Homeostasis

Vitamin D functions are not limited to skeletal health benefits and may extend to preservation of insulin secretion and insulin sensitivity. This review summarizes the literature related to potential vitamin D influences on glucose homeostasis and insulin sensitivity. Cross-sectional data provide some evidence that circulating 25-hydroxyvitamin D (25(OH)D) is inversely associated with insulin resistance, although direct measurements of insulin sensitivity are required for confirmation. Reported associations with insulin secretion, however, are contradictory. Available prospective studies support a protective influence of high 25(OH)D concentrations on type 2 diabetes mellitus risk. There is a general lack of consistency in vitamin D intervention outcomes on insulin secretion and sensitivity, likely due to differences in subject populations, length of interventions, and forms of vitamin D supplementation. Vitamin D receptor gene polymorphisms and vitamin D interactions with the insulin like growth factor system may further influence glucose homeostasis. The ambiguity of optimal vitamin D dosing regimens and optimal therapeutic concentrations of serum 25(OH)D limit available intervention studies. Future studies, including cross-sectional and prospective, should be performed in populations at high risk for both vitamin D deficiency and type 2 diabetes mellitus. Well-designed, placebo-controlled, randomized intervention studies are required to establish a true protective influence of vitamin D on glucose homeostasis

Concepci?nes de evaluaci?n de los docentes de las instituciones educativas el Jardin (p?blico) y San Bonifacio de las Lanzas (privado)

92 p. Recurso Electr?nicoLa evaluaci?n educativa a?n es un campo de reflexi?n bastante amplio por lo cual, es necesario continuar problematiz?ndolo. Por esto, el presente trabajo indaga e interpreta las concepciones sobre la evaluaci?n, presentes en los documentos expedidos por las autoridades educativas colombianas (el Decreto 1290 de 2009) y los Proyectos Educativos Institucionales (PEI) y los Sistema Institucional de Evaluaci?n de los Estudiantes (SIEE) de dos Instituciones Educativas de la ciudad de Ibagu?, propias a los ?mbitos p?blico y privado. El fin: perfilar una praxis en el seno de las Instituciones Educativas en torno a la necesidad de una evaluaci?n m?s rigurosa y en correspondencia con la reflexi?n pedag?gica que debe anteceder cualquier pr?ctica docente; es decir, una evaluaci?n circunscrita en un horizonte formador de personas y no solo de actores del mundo social y laboral. En este sentido, el presente estudio aporta algunos elementos para la discusi?n, por cuanto se?ala claramente y a partir de una evidencia concreta, la pertenencia de invertir las funciones de la evaluaci?n educativa y, en especial, de dejarla de concebir como la ?ltima etapa de un proceso dedicado a avalar o certificar el nivel de apropiaci?n y dominio que un estudiante pueda poseer de determinados saberes y actitudes que lo capaciten para el mundo social y laboral.The educational evaluation it?s already a consideration field, quite wide whereby, is necessary continuing problematizing it. Therefore, this work investigates and interprets the different conceptions on evaluation, found in documents issued by the Colombian educative authorities (Decreto 1290 of 2009), Proyectos Educativos institucionales (PEI) and Sistema Institucional de Evaluaci?n (SIEE) of two educational institutions from Ibagu?, both belonging to the public and private sector. The end: outline a practice inside both institutions around the necessity of an evaluation more rigorous and in correspondence with the pedagogical deliberation and cogitation that is the priority, before any pedagogical practice; namely, an evaluation circumscribed in an horizon where the base is educate people to change the context where they live, and not just train them for the social and labor market. In this sense, this study provides some elements for the discussion, because clearly states and points, from concrete evidence, the prevailing of subvert or reverse the functions of the educational and pedagogical evaluation and, especially, stop conceived it as the last step of a process destined and bound it to endorse or certify the knowing level and domain knowledge that a student can own from certain knowledge and attitudes which enable him to the social and labor market. Keywords: educational evaluation, context, formative assessment, update, pedagogical deliberation or cogitation

Self-Reported Low Vitality, Poor Mental Health, and Low Dietary Restraint Are Associated with Overperception of Physical Exertion

Objective. We investigated whether perceived exertion, in comparison to the physiological response to exercise, was associated with self-reported vitality, mental health, and physical function during daily activities, or weight control behaviors. Design. Weight-reduced, formerly overweight women (n = 126, aged 22–46 years), completed health and dietary control questionnaires, and underwent a treadmill-walking task while heart rate, ventilation, respiratory exchange ratio, and ratings of perceived exertion were recorded. Results. Overperception of exertion (perceived exertion physiological exertion) was inversely associated with vitality (r = −0.190, P < .05), mental health (r = −0.188, P < .05), and dietary control (r values range −0.231 to −0.317, P < .05). In linear regression modeling, vitality or mental health, and cognitive dietary restraint were independently associated with accuracy of perceived exertion, independent of age, ethnicity, and engagement in exercise during weight loss. Each model explained 7%-8% of the variance in accuracy of perceived exertion. Conclusion. Women with low vitality or poor mental health, and poor dietary control may overperceive exertion. Such overperception may be a barrier to engage in physical activity and thus increase susceptibility to weight gain

Brief Home-Based Data Collection of Low Frequency Behaviors

Data-based decision making, an important component of positive behavior support, can be difficult in brief in-home therapy due to the limited amount of time a therapist has to directly observe the child. This difficulty is exacerbated when problem behavior occurs infrequently. When a therapist cannot reliably observe problem behavior, it is often necessary to rely on parental report. The current study evaluated three approaches for parental report of low frequency problem behavior: antecedent-behavior-consequence records, incident data, and interview. Each method was analyzed with clients in home-based therapy with 2-hour weekly appointments. All clients exhibited low-frequency (i.e., less than daily) and high-intensity (i.e., causes physical harm to self/others, damage to the environment, or severe decrement to family’s quality of life) problem behavior. The treatment goal for all clients was to reduce problem behavior (most commonly aggression, disruption, or self-injury). The number of instances of problem behavior captured by each method of data-collection, quality of the data (i.e., ability to detect treatment effects using the data), and therapist and parent acceptability of each measure were analyzed. Results are discussed in terms of the relative advantages and disadvantages of each measure, clinical application of the methods, and avenues for future research

Vitamin D intake is associated with insulin sensitivity in African American, but not European American, women

<p>Abstract</p> <p>Background</p> <p>The prevalence of type 2 diabetes is higher among African Americans (AA) vs European Americans (EA), independent of obesity and other known confounders. Although the reason for this disparity is not known, it is possible that relatively low levels of vitamin D among AA may contribute, as vitamin D has been positively associated with insulin sensitivity in some studies. The objective of this study was to test the hypothesis that dietary vitamin D would be associated with a robust measure of insulin sensitivity in AA and EA women.</p> <p>Methods</p> <p>Subjects were 115 African American (AA) and 137 European American (EA) healthy, premenopausal women. Dietary intake was determined with 4-day food records; the insulin sensitivity index (S_I) with a frequently-sampled intravenous glucose tolerance test and minimal modeling; the Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) with fasting insulin and glucose; and body composition with dual-energy X-ray absorptiometry.</p> <p>Results</p> <p>Vitamin D intake was positively associated with S_I(standardized β = 0.18, <it>P </it>= 0.05) and inversely associated with HOMA-IR (standardized β = -0.26, <it>P </it>= 0.007) in AA, and the relationships were independent of age, total body fat, energy intake, and % kcal from fat. Vitamin D intake was not significantly associated with indices of insulin sensitivity/resistance in EA (standardized β = 0.03, <it>P </it>= 0.74 and standardized β = 0.02, <it>P </it>= 0.85 for S_Iand HOMA-IR, respectively). Similar to vitamin D, dietary calcium was associated with S_Iand HOMA-IR among AA but not EA.</p> <p>Conclusions</p> <p>This study provides novel findings that dietary vitamin D and calcium were independently associated with insulin sensitivity in AA, but not EA. Promotion of these nutrients in the diet may reduce health disparities in type 2 diabetes risk among AA, although longitudinal and intervention studies are required.</p

Breast Cancer Incidence Among American Indian and Alaska Native Women: US, 1999–2004

BACKGROUND. Breast cancer is a leading cause of cancer morbidity and mortality among American Indian and Alaska Native (AI/AN) women. Although published studies have suggested that breast cancer rates among AI/AN women are lower than those among other racial and ethnic populations, accurate determinations of the breast cancer burden have been hampered by misclassification of AI/AN race. METHODS. Cancer incidence data from the National Program of Cancer Registries and the Surveillance, Epidemiology, and End Results Program were combined to estimate age-adjusted rates for the diagnosis years 1999 through 2004. Several steps were taken to reduce the misclassification of AI/AN race: linking cases to Indian Health Service (IHS) patient services database, restricting analyses to Contract Health Service Delivery Area counties, and stratifying results by IHS region. RESULTS. Breast cancer incidence rates among AI/AN women varied nearly 3- fold across IHS regions. The highest rates were in Alaska (134.8) and the Plains (Northern, 115.9; Southern, 115.7), and the lowest rates were in the Southwest (50.8). The rate in Alaska was similar to the rate among non-Hispanic white (NHW) women in Alaska. Overall, AI/AN women had lower rates of breast cancer than NHW women, but AI/AN women were more likely to be diagnosed with late-stage disease. CONCLUSIONS. To the authors’ knowledge, this report provides the most comprehensive breast cancer incidence data for AI/AN women to date. The wide regional variation indicates an important need for etiologic and health services research, and the large percentage of AI/AN women with late-stage disease demands innovative approaches for increasing access to screening

Effect of vitamin D supplementation on blood pressure:a systematic review and meta-analysis incorporating individual patient data

D-PRESSURE Collaboration: et al.[Importance]: Low levels of vitamin D are associated with elevated blood pressure (BP) and future cardiovascular events. Whether vitamin D supplementation reduces BP and which patient characteristics predict a response remain unclear.[Objective]: To systematically review whether supplementation with vitamin D or its analogues reduce BP.[Data Sources]: We searched MEDLINE, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials, and http://www.ClinicalTrials.com augmented by a hand search of references from the included articles and previous reviews. Google was searched for gray literature (ie, material not published in recognized scientific journals). No language restrictions were applied. The search period spanned January 1, 1966, through March 31, 2014.[Study Selection]: We included randomized placebo-controlled clinical trials that used vitamin D supplementation for a minimum of 4 weeks for any indication and reported BP data. Studies were included if they used active or inactive forms of vitamin D or vitamin D analogues. Cointerventions were permitted if identical in all treatment arms.[Data Extraction and Synthesis]: We extracted data on baseline demographics, 25-hydroxyvitamin D levels, systolic and diastolic BP (SBP and DBP), and change in BP from baseline to the final follow-up. Individual patient data on age, sex, medication use, diabetes mellitus, baseline and follow-up BP, and 25-hydroxyvitamin D levels were requested from the authors of the included studies. For trial-level data, between-group differences in BP change were combined in a random-effects model. For individual patient data, between-group differences in BP at the final follow up, adjusted for baseline BP, were calculated before combining in a random-effects model.[Main Outcomes and Measures]: Difference in SBP and DBP measured in an office setting.[Results]: We included 46 trials (4541 participants) in the trial-level meta-analysis. Individual patient data were obtained for 27 trials (3092 participants). At the trial level, no effect of vitamin D supplementation was seen on SBP (effect size, 0.0 [95% CI, −0.8 to 0.8] mm Hg; P = .97; I2 = 21%) or DBP (effect size, −0.1 [95% CI, −0.6 to 0.5] mm Hg; P = .84; I2 = 20%). Similar results were found analyzing individual patient data for SBP (effect size, −0.5 [95% CI, −1.3 to 0.4] mm Hg; P = .27; I2 = 0%) and DBP (effect size, 0.2 [95% CI, −0.3 to 0.7] mm Hg; P = .38; I2 = 0%). Subgroup analysis did not reveal any baseline factor predictive of a better response to therapy.[Conclusions and Relevance]: Vitamin D supplementation is ineffective as an agent for lowering BP and thus should not be used as an antihypertensive agent.Peer reviewe

2014 OWL Usability Report

Consisting of six sections, this report was completed by groups composed of students registered for ENGL515: Advanced Professional Writing. Studying the concepts of User-centered Design, Usability, and User Experience Design (UxD), the students offer this report and accompanying redesign materials for the use of Purdue’s Online Writing Lab (OWL). It is presented to Tammy S. Conard-Salvo, Associate Director of the OWL, in support of user research conducted throughout fall 2014 and into spring 2015. This report is aimed at improving the user’s experience of the OWL and as such offers methods of learning more about the site’s audience and both responding to user need and developing methods of gathering data about these users and their needs. The first task, then, is to collect data about users using a demographic questionnaire. Then, this report recommends developing a series of online research tools that will reveal users’ preferences before performing any redesign. We forecast potential for primary research developing and reporting the results of developing user measurement tools that can be used remotely through Qualtrics

Gut microbiome composition in the Hispanic Community Health Study/Study of Latinos is shaped by geographic relocation, environmental factors, and obesity.

Background: Hispanics living in the USA may have unrecognized potential birthplace and lifestyle influences on the gut microbiome. We report a cross-sectional analysis of 1674 participants from four centers of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), aged 18 to 74 years old at recruitment.Results: Amplicon sequencing of 16S rRNA gene V4 and fungal ITS1 fragments from self-collected stool samples indicate that the host microbiome is determined by sociodemographic and migration-related variables. Those who relocate from Latin America to the USA at an early age have reductions in Prevotella to Bacteroides ratios that persist across the life course. Shannon index of alpha diversity in fungi and bacteria is low in those who relocate to the USA in early life. In contrast, those who relocate to the USA during adulthood, over 45 years old, have high bacterial and fungal diversity and high Prevotella to Bacteroides ratios, compared to USA-born and childhood arrivals. Low bacterial diversity is associated in turn with obesity. Contrasting with prior studies, our study of&nbsp;the Latino population shows increasing Prevotella to Bacteroides ratio with greater obesity. Taxa within Acidaminococcus, Megasphaera, Ruminococcaceae, Coriobacteriaceae, Clostridiales, Christensenellaceae, YS2 (Cyanobacteria), and Victivallaceae are significantly associated with both obesity and earlier exposure to the USA, while Oscillospira and Anaerotruncus show paradoxical associations with both obesity and late-life introduction to the USA.Conclusions: Our analysis of the gut microbiome of Latinos demonstrates unique features that might be responsible for health disparities affecting Hispanics living in the USA