...EVIDENCED BASED PRACTICE RESEARCH- TYPE 1 DIABETES MELLITUS IN CHILDREN EBP RESEARCH- TYPE 1 DIABETES MELLITUS IN CHILDREN EVIDENCED BASED PRACTICE RESEARCH- TYPE 1 DIABETES IN CHILDREN According to Health Encyclopedia, “The most common type of diabetes in children is type 1 diabetes… [It] is one of the most common chronic diseases in children… [It] accounts for 5 percent of all diagnosed cases of diabetes in the U.S” (Pat, 2015). Type 1 diabetes mellitus (T1DM) is also known as juvenile, brittle, sugar and insulin-dependent diabetes mellitus. The focus of this paper will be on understanding how T1DM is diagnosed and identifying a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in children. Forms of Type 1 Diabetes Mellitus There are two forms of this disease. They are idiopathic type 1 and immune-mediated diabetes. Idiopathic type 1 diabetes is diabetes with no identifiable cause; i.e. unknown cause while Immune- mediated diabetes; the most common form of type 1 diabetes results from the body’s immune system attacking and destroying pancreatic cells thereby prohibiting its cells from producing little to no insulin. Research suggest that environment, virus, family history or genetic may play a role in increasing the risk and likelihood of having T1DM and or the body attacking its own cells (autoimmunity). Further...
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...Approximately 17 million Americans have diabetes.(Lamb) As many as one-half are unaware they have it. This chronic disease causes serious health complications including renal failure, heart disease, stroke, and blindness. It is a condition in which the pancreas no longer produces enough insulin or cells stop responding to the insulin that is produced. Then glucose in the blood is not able to be absorbed into the cells of the body.(Kishore) The cells in the human body need energy in order to function. Glucose is the body's primary energy source. It is a simple sugar resulting from the digestion of foods containing carbohydrates. It circulates in the blood from the foods that are digested as a ready energy source for any cells that need it. Insulin is a hormone or chemical produced by cells in the pancreas, it is located behind the stomach. It bonds to a receptor site on the outside of cell and goes into the cell through which glucose can enter. Glucose can be saved for later use by converting to concentrated energy sources like glycogen or fatty acids. When there is not enough insulin produced , glucose stays in the blood rather entering the cells. The body will attempt to dilute the high level of glucose in the blood, which called hyperglycemia. Hyperglycemia acts by drawing water out of the cells and into the bloodstream, to dilute the sugar and excrete it in the urine. People with undiagnosed diabetes to be constantly thirsty, drink large quantities of water, and urinate...
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...Epidemiology Paper Tamika Swearingen NUR/ 408 December 1, 2014 Kimberly Oatman Epidemiology Paper The number of children diagnosed with diabetes in 2012, according to the CDC (2014), is about 208,000 people younger than 20 years in the United States alone. This includes those having been diagnosed diabetes type 1 or type 2. Diabetes has become more prevalent and there is no cure at this time. With the study of Epidemiology, there is hope for a decline of Diabetes and it dominance amongst the American children. In this paper, it will describe and define epidemiology and how it relates to diabetes. This paper will discuss the method and triangle of epidemiology along with the chosen vulnerable population and disease of diabetes in children. Definition of Epidemiology Epidemiology has been defined as “the study of the occurrence and distribution of health-related states or events in specified populations, including the study of the determinants influencing such states, and the application of this knowledge to control the health problems” (Stanhope and Lancaster, 2012). Epidemiology can be described as a study that looks at certain specifics of the excess risk a disease and the rate or incidence of how it is affected. It focuses on the study of why and how it affects certain populations. Steps and Methods of Epidemiology Diabetic information can be gathered in many ways such as analyzing: routine data, research data ad epidemiological data. In Southern Nevada, health related...
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...burden of diabetes is due to its chronic complications leading to increased morbidity and mortality. The unique combination of various risk factors necessitates research studies to make appropriate risk assessment tools to control this diabetes pandemic. Better understanding of aetio-pathological genetic and environmental factors are suggesting prevention should begin much before the start of disease process and interventions in high-risk subjects alone will not be sufficient. It is necessary to initiate population based programmes for primary prevention of diabetes including a range of activities targeted at different age groups from fetal life to old age. Synchronized and coordinated efforts from public and private sectors are needed to combat this mammoth health and economic issue. Key words: Diabetes, Pakistan, Introduction: Escalation in rates of diabetes, especially type 2 diabetes in Pakistan is posing threats to the economy and quality of life of people due to poor glycemic control and very high rates of complications (1-6). Cost of care is estimated to be very high. Resource constraints society, lack of medical reimbursement and insufficient allocation of health budget are barriers to quality care. Most often the patient is unable to afford the high cost of treatment (7-9). This review was conducted to study research evidence...
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...diabetes (adult onset diabetes). Both types of diabetes exhibit similar symptoms or no symptoms at all. In this paper, we report the incidence of diabetes, typical signs and effect diabetes has on the body, teaching requirements and psycho-social challenges that go along with the disease. Diabetes mellitus affects about 17 million people, 5.9 million are undiagnosed. In the United States, approximately 800,000 new cases of diabetes are diagnosed yearly (Bare, 2006). Among working adults diabetes is the leading cause of non-traumatic amputations, blindness and end-stage renal disease. Diabetes is the third leading cause of death by disease, primarily because of the high rate of cardiovascular disease (Bare, 2006). Hospitalization rates for people with diabetes are 2.4 times greater for adults and 5.3 times greater for children than for the general population. Among adults in the United States, diagnosed cases of diabetes increased 49% from 1990 to 2000, and similar increases are expected to continue (Bare, 2006). According to the Centers for Disease Control and Prevention, approximately 5% to 10% of people with diabetes have type 1, which the insulin-producing pancreatic beta cells are destroyed by an autoimmune process. As a result, they produce little or no insulin and require insulin injections to control their blood glucose levels. Approximately 90% to 95% of diabetics have type 2, which results from decreased sensitivity to insulin and impaired beta cell functioning resulting...
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...Epidemiology Paper In this epidemiological paper, I will be discussing about my chosen vulnerable population of elderly and the disease of type II diabetes among elderly population. I will also be discussing epidemiology and what it means, the steps and methods of epidemiology and how it was done for my chosen population and disease. Ethical and legal considerations, how to provide culturally competent care, and at last, I will discuss whether the research was descriptive or analytical, and the process of feasibility and evaluation of prevention of diseases. As stated in Nursing Standard, epidemiology is a scientific research discipline concerned with observing, measuring and analyzing health-related occurrences in human populations (Last 1995, Trichopoulos 1996). Mausner and Kramer (1985) suggest that epidemiological studies can be applied to all diseases, conditions and health-related events (Whitehead, 2000). Although epidemiology is focused on observing, measuring, and analyzing, it also evaluates diseases and health services, rationalizes resources, and prioritizes as to how to formulate strategies for health promotion. Epidemiology can also help to determine the health of the population, planning of health policies and services, and maintaining a healthy environment for all. When it comes to nursing, epidemiology offers nurses many benefits in incorporating health practices into their professional roles, helps them in having a better understanding in regards to the disease...
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...HEALTHY LIVING WITH DIABETICS Com/156 July 29, 2012 Linda Perez, Instructor UNIVERSITY OF PHOENIX Healthy Living with Diabetes For a person learning how to live a healthy and long life with diabetes, knowing proper eating habits and exercise, will help you control your weight and Sugar. You must be aware of the dangers signs of diabetes and know what to do if they appear. Following your doctor’s orders to take medications and keeping all necessary appointments can also be a live saving move as you navigate your disease. One of the most important aspects of learning how to live a healthy life with diabetes is to have proper eating habits and exercise. This will help you control your weight which is a major component in managing this illness. All of these things discussed with the references and source information that I will provide will express the importance of living healthy with diabetes. I have a lot of information to put together being a diabetic myself for over 13 years now; I have been through everything from a massive heart attack, high blood pressure, and seizures. We will find out what is believed to be the cause of diabetes and how we can learn how to fight this disease with better information and professional guidance. Learning to living a healthy life with diabetes can be a daunting and emotional task, but I do it for the ones I love and the ones that depend on me. Being an African American single mother with 4 children at the time of my diagnosis was...
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...bitter leaf Bitter leaf, scent leaf extract protects diabetics from heart, testicular damage Thursday, 19 July 2012 00:00 CHUKWUMA MUANYA Features - Natural Health Top of Form Bottom of Form [pic] Can increasing the intake of bitter leaf (Vernonia amygdalina) and scent leaf (Ocimum gratissimum) protect Nigerians from complications of diabetes? CHUKWUMA MUANYA writes. DIABETES is an age long, serious metabolic disorder with complications that results in significant morbidity and mortality. Chronic hyperglycemia (high blood glucose) during diabetes has been shown to cause glycation of body protein, which in turn leads to secondary complications that affect the eyes, kidneys, nerves and arteries. These complications may be delayed, lessened or prevented by maintaining blood glucose levels close to normal. Several studies have indicated that cardiovascular disease is the major cause of mortality and morbidity in modern societies, among the numerous complications of diabetes. Long standing diabetes has been documented to cause structural and functional cardiac impairment, which was found to lead to ischemic heart disease, cardiomyopathy and congestive heart failure. Previous studies have also shown that diabetics have significantly reduced testicular weights and tubule diameters. The changes in seminiferous tubules ranged from premature sloughing of epithelium to total cessation of spermatogenesis. But recent studies suggest that a combination of bitter leaf (Vernonia...
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...ABSTRACT This study intends to resolve the problems of a parent and a child regarding on the vegetable that most children do not eat, the ampalaya. The investigation will be conducted by making Ampalaya chips which we aim to give interest to it for children. Our objective would be to create a better way for children to eat vegetables. Another is to help guardians make a much more create and fun way to feed children vegetables and to make a cheap and easy snack for everyone especially children. CHAPTER I INTRODUCTION Momordica charantia also known as Bitter Melon is a tropical and subtropical vine of the family Cucurbitaceae, widely grown in the Amazon, Carribean, South east Asia such as Philippines for its edible fruit. Ampalaya or bitter melon also known as bitter gourd as the name implies has a bitter taste due to the presence of Momordicin, and is believed to be among the most bitter of all vegetables. Ampalaya Bitter Melon is a climbing vine that grows up to 5m, with tendrils up to 20cm. long. Amplaya leaves are heart-shaped, 5-10 cm across, cut into 5-7 lobes. Each Ampalaya Bitter Melon plant bears separate yellow male and female flowers. Ampalaya bears fleshy green fruit, oblong shaped with pointed ends, ribbed and wrinkled, bursting when mature to release seeds. Ampalaya seeds are flat with ruminated margins. A. BACKGROUND OF THE STUDY Bitter melon or Ampalaya is said to be the most bitter of all vegetables of cooking in Asian countries. Different...
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...“Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination); they will become increasingly thirsty (polydipsia) and hungry (polyphagia).” There are three types of diabetes, type 1 diabetes, type 2 diabetes, and gestational diabetes. This paper will discuss the effects of changes in the population of people with type 2 diabetes on their specific needs and services. Data on Type 2 Diabetes Type 2 diabetes is when the body does not produce insulin for proper functioning, or the cells in the body do not react to insulin insulin--which is known as insulin resistance. According to “The American diabetes Diabetes association Association diabetes research perspective” (2012), “Nearly 26 million Americans have the disease, including over 10% of the total adult population and over 25% of the population aged 65 years and older. While most of those individuals have type 2 diabetes, nearly 1 million Americans have type 1 diabetes. An additional 79 million American adults have pre-diabetes, which, when added to those with diabetes, suggests that nearly half of the adult population currently has impaired glucose metabolism. If present trends continue, as many as one in three American adults will...
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...But its sub brand Perk is not that much successful as other sub brands. Due to its wrong and unstable positioning its market share 15%. We have made a marketing plan for Cadbury Perk. In our plan we have looked on Cadbury Perk Segmentation, Targeting, Positioning strategies and 4p’s. We have also looked around its competitors’ i.e. Kit Kat strategies and analysed SWOT. After looking through weaknesses and opportunities he have identified problem statement and made marketing objective. By following marketing objective we have launched a new product i.e. Cadbury Perk LOL. It is new innovative look of Cadbury perk in the form of chocolate balls. It contain oats which help in reducing calories. This new product has segmented a new market i.e. diabetic market. Hope this plan work and Cadbury Perk may be able to increase its shares. INTRODUCTION TO CADBURY: Cadbury is a British multinational confectionery company owned by Mondelēz International. It is the second largest confectionery brand in the world after Wrigley's. Cadbury is headquartered in Uxbridge in Greater London and operates in more than...
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...Diabetes: the most common disease that runs in my family A Research Paper Presented In partial Fulfillment of the Course PE 211 04 Health Principles To Professor Earl Henry December 4, 2013 Health Principles December 4, 2013 Abstract Diabetes is a disease that runs on my mother’s side of the family. This paper will pull out the different types of diabetes, type 1 and type 2. Each type has different symptoms that will show the requirements of receiving diabetes. Diabetes can be treated but it can’t be necessarily be curable. It is important that to motivate people to start taking care of their body’s. Young children around the world, especially in America start getting treatments for being diabetic. It is devastating to see young children suffer at young ages because of the foods they eat and not getting plenty of exercises. Having a good health is very important and for young children there should not be any excuses. The reason why I picked this topic is because my mother’s side of my family are diabetics and it is very common to them. My grandmother has to take medications everyday for her diabetes. My family has the decency to take care of their body’s, but it’s a disease that runs in our family. There is a great chance for me in the future to catch this disease if I do not pay attention to my own health. Everett Grant Professor Henry Health Principles December 4, 2013 Diabetes There are many risk factors for type 2 diabetes, it goes through family history...
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...seconds across the globe, and it is expected to rise 55 percent in the next 20 years” (p. 6). The article goes on to state that according to the American Diabetes Association (ADA), “about 26 million individuals in the U.S. or 83 percent of the population have had a diabetes diagnosis (p. 6). Unfortunately this number will only begin to keep climbing and affect future generations to come. Professor Nam Han Cho wrote in a report on diabetes that “if current demographic patterns continue, more than 592 million people (worldwide) will be affected with diabetes within a generation” (Brass, 2014, p.7). Diabetes can be divided up into four categories including the following: Type 1 DM, Type 2 DM, gestational diabetes, and pre-diabetes. This paper will discuss the aspects of Type 1 diabetes. Information from the article Primary and secondary prevention of Type 1 diabetes was obtained from the Wiley Online Library database using the search terms diabetes type 1, and prevention. The Wiley Online Library database was also used to obtain information from the article titled Prevalence of depression among young people with Type 1 diabetes: a systematic review using the search terms type 1 diabetes, and prevention. The database Medline Plus was used to obtained signs and symptoms of type 1 diabetes using the search term type 1 diabetes signs and symptoms. The CINAHL database was used to obtain the article What Everyone needs to know about Diabetes using the...
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...from illegal actions as follows, misrepresentation of the drug and what the side effects are and their false price reporting practices. This settlement was the biggest compensation in history and the largest ever made by a drug company. “GSK agreed to plead guilty to a three-count criminal information, including two counts of introducing misbranded drugs, Paxil and Wellbutrin, into interstate commerce and one count of failing to report safety data about the drug Avandia to the Food and Drug Administration (FDA). “(The United States Department of Justice, 2012) What Unethical Research is involved? This story is so sad I do not even know where to begin. This particular drug company grossly misrepresented three drugs called Paxil, Wellbutrin, and Avandia. Paxil which was an antidepressant was targeting children under the age of 18 for its use when there were increased chances of suicide for children that age. The FDA never approved it for this particular use and in fact it was quite the opposite. Wellbutrin, which was only approved for Major Depressive Disorder, was being promoted for off label uses such as the treatment of sexual dysfunction, weight loss, ADHD, and even substance abuse such as smoking cigarettes. Avandia, which was a drug used for diabetes, was being misrepresented because there were safety precautions that were collected from data that was being withheld from the people taking it. “Since 2007, the FDA has added two black box warnings to the Avandia...
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...Latangela Stewart SOC -358: Health Disparity Paper 2 April 23, 2013 How Can Diabetes In Low Income African Communities Be Resolved It’s hard to fathom the affects that diabetes has taken in our low income African American communities. Now we have to look at what we can do and have done to help the people who are a part of this health disparity overcome this socioeconomic tragedy. We first have to look at clinical barriers which play a large role on how physicians are interacting with their patients. Even though there are the sociocultural differences between the patient and the provider we have to look at the fact that they both have different health and medical beliefs. With that being known that is where the level of trust has to be obtained. Due to sociocultural difference the physician’s knowledge of the needs of their patients has to be well rationalized. There is an obvious and direct link between these structural barriers and quality of care that remains a fertile area for intervention (Betancourt, Green, Carrillo, & Anaheh-Firempong, 2003). With the racial disparities in the U.S. health care system, there has to be many ways that this health disparity can be prevented. Many low income families feel that they receive the shorter end of the stick when it comes to good decent healthcare. Socioeconomic has it many disadvantages and advantage and what it meant by that is when you are living in a poor rural area; you more likely to be less educated or unhealthy, which...
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