Association Between Health Insurance and Undiagnosed Diabetes: NHANES 2013-2016

ABSTRACT ASSOCIATION BETWEEN HEALTH INSURANCE AND UNDIAGNOSED DIABETES: NHANES 2013-2016 By KOMAL PATEL 15th MAY 2020 BACKGROUND: Given the insidious nature of type 2 diabetes, there is a percentage of the population that goes undiagnosed. Studies suggest that undiagnosed population may be at higher risk of developing diabetes-related macrovascular and microvascular complications. Therefore, it is crucial to identify factors that may be associated with undiagnosed diabetes. Access to healthcare and other socioeconomic factors have been researched in the past; however, little is known regarding the role of health insurance in the screening of undiagnosed diabetes. AIM: The aim of this study is to determine the three most commonly used types of health insurance (Medicare, Medicaid, and Private) among American subjects with undiagnosed diabetes. The study also sought to determine the type of health insurance that is mostly associated with undiagnosed diabetes. METHODS: Publicly available NHANES data files for the year 2013-2016 were used for the analysis. SAS survey procedures were used to estimate weighted frequencies of undiagnosed diabetes and types of health insurance in the target population. Multivariate logistic regression was carried out to estimate the association between health insurance and undiagnosed diabetes. RESULTS: Overall, 6.18% of the target population had undiagnosed diabetes. The prevalence of undiagnosed diabetes was higher among males (3.19%) and adults aged 60 and above (2.17%). Among those who had undiagnosed diabetes, 5.33% had health insurance, and less than 1% reported a lack of health insurance. Medicare insurance was associated with undiagnosed diabetes (aOR 1.61, 95% 1.07 – 2.42) as compared to other health insurance. This finding was statistically significant at p\u3c0.05. DISCUSSION: The prevalence of undiagnosed diabetes was higher in older adults aged 60 and above. This could be attributed to the increased prevalence of diabetes in older adults in the US. Results also indicate that males have a higher percentage of undiagnosed diabetes as compared to females. Medicare was significantly associated with undiagnosed diabetes. This may indicate that some policy reforms are required to improve diabetes screening services in this program. More research is needed to understand other factors associated with undiagnosed diabetes and reduce its prevalence in the U.S

Assessment of Knowledge, Attitude, Perception of Pharmacy Students Towards Telepharmacy

Telemedicine is one of the fastest growing area in health care technology and COVID-19 pandemic has changed the way of practicing Telemedicine. Telepharmacy is a part of telemedicine where pharmacy use this technology to provide patient care services. Success of any technology depends on users’ willingness to learn and attitude towards technology. Early assessment of students’ attitude during pharmacy school is important to know in order to assess how receptive students are to accept Telepharmacy in their work setting currently or in future. That will also help to determine success of Telepharmacy implementation. This study will focus on assessing knowledge, attitude and perceptions of student pharmacists towards Telepharmacy

Celebration of a Milestone

A first-year osteopathic medical student, Harsh Patel, has dreamed of starting medical school for as long as he can remember. This is a photo of him at his White Coat ceremony at NSU

Comparison of automated flowcytometric reticulocyte analysis with manual reticulocyte count

Background: Reticulocytes are young or immature red blood cells released from bone marrow and that contain remanants of ribonucleic acid (RNA) and ribosomes. Reticulocyte count (RC) is the index of erythropoietic activity within bone marrow. The reticulocyte counting methods at clinical laboratories are currently divided into manual and automated.Methods: A total of 500 samples of study cases were processed by manual method using New Methylene Blue (NMB) and automated method based on flowcytometry by PENTRA XLR HORIBA hematology analyzer. All quality control parameters were evaluated and values obtained by both methods were compared using various statistical methods.Results: Automated hematology analyzer provides excellent precision and linearity with no significant carryover. On comparing manual and automated RC method good method correlation was found (correlation coefficient r-0.865), however individual case wise percent deviation between manual and automated RC and CRC varied significantly. In addition within run precision calculated for automated RC differed significantly from manual count. The mean of difference between duplicate readings (150 samples) of manual and automated RC (5% RC. Thus, automated method was found to be more precise than the manual RC.Conclusions: The manual count method for RC associated with significant imprecision compared to flowcytometric method mostly based on interobserver variation and the smaller number of cell being counted. In contrast, the automated method is rapid, easy to operate, count higher number of cells with precise measurement

मुक्तिबोध का काव्य : एक अनुशीलन

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Saturn V - Kennedy Space Center

Saturn V is the rocket that took the first men to the moon

Strawberry Festival - Plant City, 2019

Strawberry Festiva

Future Engineer

Komal Patel is a recent mechanical engineer graduate. The photograph is of Juhi Patel at her graduation

A case report of 29 year old male patient with breast carcinoma: diagnosed on fine needle aspiration cytology

Breast cancer has been considered a female dominated disease. Carcinoma of male breast is a rare disease representing 1% of all breast cancers and less than 1 % of all cancers in men. The mean age at presentation is mainly in sixties. We here present a case of male breast cancer presented at very young age of 29 years, diagnosed on fine needle aspiration which was confirmed later on histopathological examination