Culturally Tailored Diabetes Self-Management Educational (DSME) Program and Its Impact on Motivation and Self-efficacy Among Hispanic Adults with T2DM: A Pilot Study

Type 2 diabetes mellitus in the United States is an epidemic that disproportionately affects Hispanics in the state of California. Many factors have been attributed to this phenomenon because of their unique characteristics. As recent studies have pointed out, their social determinants of health, cultural influences, and genetic predisposition often lead to poor health outcomes and impaired quality of life. A targeted approach is critical in promoting increased diabetes knowledge, enabling skills to master self-care activities, and positive self-care behaviors to avert poor outcomes. The purpose of this doctoral project is to examine whether culturally tailored DSME influences an individual’s self-motivation and self-efficacy levels (self-care behaviors), to determine whether the demographics have a relationship with self-care behaviors and to conduct a course evaluation. The pilot study utilized a single-group, prospective, quasi-experimental design with pre- and posttest intervention tests among ten Hispanic adults with T2DM at a county-operated specialty clinic. The study utilized two reliable and validated tools in Spanish to measure outcomes. The intervention showed a significant improvement in self-care behaviors, while the demographics showed an influence over these self-care behaviors over 6-8 weeks. The pilot study affirmed that a targeted approach is effective in activating positive behaviors among Hispanics with T2DM. The results of the intervention also highlighted the importance of promoting health equity through a structured DSME program. Further investigation is needed among the Hispanics with T2DM to identify barriers to self-care and for clinicians to develop culturally competent protocols to sustain the results of this study

The crossed mesostriatal pathway and circling behaviour in rats

Bibliography: pages 326-345.Rats with unilateral 6-OHDA lesions of the nigrostriatal (NS) projection display motor asymmetry in the form of rotational behaviour. The rotation is in the direction ipsilateral with respect to the lesioned side (Ungerstedt 1979). The nett ipsilateral rotations decrease with time, from 1 week to about a month. This decrease has been interpreted as recovery from the lesion-induced motor asymmetry (Glick and Cox 1978). Pritzel et al. (1983) have ascribed the recovery from motor asymmetry to increased activity of a crossed NS projection, which is spared by the ipsilateral lesion. The present study has defined the size and anatomical path of this crossed projection, and has examined its involvement in the behavioural recovery of rats from lesion-induced motor asymmetry. The anatomy of the crossed projection was investigated in male Long-Evans rats using retrograde HRP tract tracing from deposition sites in the striatum

Urban Europe

In Urban Europe, urban researchers and practitioners based in Amsterdam tell the story of the European city, sharing their knowledge of and insights into urban dynamics in short, thought-provoking pieces.Their essays were collected on the occasion of the adoption of the Pact of Amsterdam with an Urban Agenda for the European Union during the Dutch Presidency of the Council in 2016.The fifty essays gathered in this volume present perspectives from diverse academic disciplines in the humanities and the social sciences.The authors “ including the Mayor of Amsterdam, urban activists, civil servants and academic observers “ cover a wide range of topical issues, inviting and encouraging us to rethink citizenship, connectivity, innovation, sustainability and representation as well as the role of cities in administrative and political networks.With the Urban Agenda for the European Union, EU Member States have acknowledged the potential of cities to address the societal challenges of the 21st century. This is part of a larger, global trend. These are all good reasons to learn more about urban dynamics and to understand the challenges that cities have faced in the past and that they currently face. Often but not necessarily taking Amsterdam as an example, the essays in this volume will help you grasp the complexity of urban Europe and identify the challenges your own city is confronting

De staat van de universiteit : een rechtsvergelijkende studie naar de institutionalisering van de universiteit in Nederland, Frankrijk, en Nordrhein-Westfalen

De wettelijke vormgeving van universiteiten is op doelstellingen, hoofdlijnen en de relaties tot de staat in de drie onderzochte landen identiek. Er is een grote convergentie tussen de expliciete uitgangspunten voor de universiteiten en de wettelijke vormgeving van de universiteiten. De wetgever heeft de universiteit ingericht als een instelling voor de vermeerdering van kennis en de overdracht daarvan. In de ideeën over en de vormgeving van de bestuursstructuren zijn echter wel grote verschillen gevonden. Deze verschillen duiden op uiteenlopende opvattingen over de belangen en de belanghebbenden die een stem kunnen laten horen in de organisatie