Gestational Diabetes Clinic for Indigent Latinos

Gestational diabetes mellitus (GDM), “carbohydrate intolerance of variable severity with onset or fist recognition during pregnancy,” results from insulin resistance and relative insulin deficiency usually in second trimester.¹ • Gestational diabetes (GDM) impacts between 4% and 9% of all pregnancies. • Gestational diabetes (GDM) results in increased fetal complications of macrosomia, shoulder dystocia and neonatal hyperglycemia as well as maternal risks of preeclampsia and polyhydramnois. • Women who are Hispanic or Asian decent are at highest risk of developing GDM. • Diagnosis ² • Perform 75-gramoral glucose tolerance test (OGTT) at 24 – 28 weeks of gestation in women not previously diagnosed with diabetes • Diagnosis of GDM made when any of the following values are exceeded: • Fasting ≥ 92 mg/dL • 1 hour ≥ 180 mg/dL • 2 hour ≥ 153 mg/dL • Upon diagnosis of gestational diabetes, medical nutrition therapy, self-monitoring of blood glucose and fetal monitoring are initiated. • Both Landon and Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) studies support active management of gestational diabetes even in the mild form to decrease fetal complications.https://digitalcommons.pcom.edu/posters/1010/thumbnail.jp

Pediatric Obesity Class: Teaching Kids How to Live Healthy Lifestyle

Childhood obesity has reached epidemic proportions in the United States. At The Longstreet Clinic, PC, Diabetes Education and Medical Nutritional Therapy Department, and Pediatric Department have joined together to create the Pediatric Obesity Class to address the epidemic of pediatric obesity in the local community. In the class, the child and parent are taught about calories, how to develop healthy eating habits and become physically active as a family. Visual aids as well as hands on activities for both nutritional and physical activity components of class are utilized. Thus far, approximately 120 children along with their parent(s) have participated in the class. Pediatric department tracks post-class height and weight measurements. Currently, additional outcomes are being considered to measure the effectiveness of the class.https://digitalcommons.pcom.edu/posters/1013/thumbnail.jp

Implementation of Active Learning Components into an OTC Course

When faculty is preparing for didactic class, it is important for the faculty to consider that students only retain about 10% of what they hear, while they retain up to 90% of what they say or do.1 Active learning facilitates learning by enhancing a student’s learning experience in that he/she surpasses understanding of a subject into analysis, synthesis, and evaluation of the subject. Incorporation of active learning strategies such as minute writes and the use of i\u3eclicker audience response system, have been shown to improve a student’s performance on free-recall quizzes and comprehensive exams up to two letter grades.https://digitalcommons.pcom.edu/posters/1011/thumbnail.jp

Insulin Pump Class: Back to the Basics of Pump Therapy

Insulin pump therapy is a common mechanism for insulin delivery in Type 1 diabetes mellitus as well as in some patients with Type 2 diabetes mellitus. At the Longstreet Clinic, approximately 3% of patients on insulin therapy utilize insulin pumps. After several patients on insulin pump therapy experienced severe hypoglycemic episodes while driving, the need for review of insulin pump survival skills were identified. The insulin pump class which was conducted in a small group setting reviewed all of the necessary survival skills for effective insulin pump therapy. Pre- and post-class hemoglobin A1c values and emergency room visits as well as patient satisfaction survey were the measured outcomes

Insulin Pump School: Back to the Basics of Pump Therapy

The Longstreet Clinic (TLC), P.C. is a regional multidisciplinary physician practice. The Internal Medicine (IM) and Family Medicine (FM) departments are located in Gainesville and Oakwood (Hall County), Georgia. • Hall County is located in Northeast Georgia 50 miles northeast of Atlanta. It lies at the southern edge of the Chattahoochee National Forest and the foothills of the Blue Ridge Mountains. The population of Hall County is approximately 187,700. • Diabetes Education and Medical Nutritional Therapy department provides diabetes education and management services for IM and FM patients with diabetes. • Team of CDEs: RN, RD, PharmD • RN and PharmD are Certified Pump Trainers • Statistics • 20% of total IM and FM patients have diagnosis of diabetes. • 47% of patients with diabetes on insulin therapy. • 3% of patients on insulin therapy are on insulin pump therapy. • After a few insulin pump patients had severe hypoglycemic episodes while driving, the need for review of insulin pump survival skills was identified in order to prevent possible future incidentshttps://digitalcommons.pcom.edu/posters/1012/thumbnail.jp

Retrospective Review of Maternal and Fetal Outcomes for Indigent Gestational Diabetes Clinic

This poster presentation will detail the history of indigent gestational diabetes clinic as well as describe methods, results and conclusions for 2 year retrospective chart review for 157 pregestational and gestational Latino diabetes patients. The objective of this review was to determine if there were statistically significant differences in maternal and fetal outcomes between diet only and diet + insulin groups

A rapid bioluminescence assay for measuring ​myeloperoxidase activity in human plasma

Myeloperoxidase (MPO) is a circulating cardiovascular disease (CVD) biomarker used to estimate clinical risk and patient prognosis. Current enzyme-linked immunosorbent assays (ELISA) for MPO concentration are costly and time-intensive. Here we report a novel bioluminescence assay, designated MPO activity on a polymer surface (MAPS), for measuring MPO activity in human plasma samples using the bioluminescent substrate L-012. The method delivers a result in under an hour and is resistant to confounding effects from endogenous MPO inhibitors. In a pilot clinical study, we compared MAPS and two clinical ELISAs using 72 plasma samples from cardiac catheterization patients. Results from parallel MAPS and ELISAs were concordant within 2±11 μg l(−1) MPO with similar uncertainty and reproducibility. Results between parallel MAPS and ELISA were in better agreement than those between independent ELISAs. MAPS may provide an inexpensive and rapid assay for determining MPO activity in plasma samples from patients with CVD or potentially other immune and inflammatory disorders

Mrs. Venus\u27s class exploring Jim Crow

Mrs. Venus’s Class Exploring Jim Crow. This story revolves around a classroom on a different planet full of alien children who are learning about American history, specifically the Jim Crow era. The teacher and the students discuss the injustices and oppression experienced by African Americans and other non-white citizens. The next day, American student Jimmy Turner joins them, and he is faced with animosity by some of the alien children in the class. The alien teacher points to the similarities in the children’s prejudice against the human and the prejudice that was prominent during the Jim Crow era.https://scholar.utc.edu/race-and-childhood/1005/thumbnail.jp

Food Challenge: Serving Up 4-H to Non-Traditional Audiences

This article describes a novel approach for introducing 4-H to non-traditional/diverse audiences using 4-H Food Challenge. Set in a low SES and minority-serving rural school, Food Challenge was presented during the school day to all 7th grade students, with almost half voluntarily participating in an after-school club component. Program design supported school-level STEM enrichment and career development priorities. Topics addressed ranged from food handling/safety to nutrition and cost analysis. Conclusions include a summary of student outcomes and recommendations for school and adult partnerships. Implications for reaching non-traditional 4-H audiences through non-competition formats are discussed

Structural Racism in the United States: A Report to the U.N. Committee for the Elimination of Racial Discrimination on the occasion of its review of the Periodic Report of the United States of America

As a signatory to the Convention on the Elimination of Racial Discrimination (CERD), 1 the United States is under an obligation to condemn and pursue a policy of eliminating racial discrimination, in all its forms (art. 2, ¶1). The U.S. has not taken seriously the duty under Article 2 of CERD to affirmatively address racial discrimination. Instead, the U.S. has rationalized racial discriminatory effects as not covered by U.S. law. Sometimes these effects are caused by explicit government polices. At other times they are caused by private actors. Frequently, it is a combination of both. The Convention defines racial discrimination (art. 1, ¶1) to mean distinctions, exclusions, restrictions or preferences based on race which have “the purpose or effect” of nullifying or impairing the recognition, enjoyment or exercise, on an equal footing, of human rights and fundamental freedoms in any field of public life. CERD’s definition of discrimination is unequivocal: effects and racially disparate outcomes caused by individual action or government practices or policies, singularly or collectively, are of primary concern. Contrary to CERD, U.S. law defines racial discrimination more narrowly in at least two critical respects. First, with few exceptions U.S. law narrowly defines cognizable racial discrimination by requiring evidence of intent to discriminate. Section II demonstrates that such a requirement is contrary to the framework of CERD and does not reflect the real-world operation of discriminatory behavior in contemporary American society