...Diabetes Mellitus (DM) is a chronic disorder that affects how the body regulates blood glucose. The most common form of diabetes in our country today is Diabetes Mellitus Type 2, which is a non-insulin dependent disorder. DM is caused by non-compliance of a healthy lifestyle; such as, uncontrolled weight, unhealthy eating habits, and uncontrolled sugars. DM is a rapidly growing issue in the world today. According to the 2014 National Diabetes Statistics Report, “29.1 million people or 9.3% of the population have diabetes.” One of the many conditions resulting from uncontrolled diabetes is foot ulcers. Foot ulcers can lead to an increase hospitalization stay for wound care treatment. The standardized method for treating foot ulcers consist of saline moisture gauze. The newer technology to promote wound healing is Negative Pressure Wound Therapy (NPWT). One type of NPWT is vacuum-assisted closure device. With the rapid growth of diabetes, there comes an...
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...How to manage Complication of Diabetes Daniella Childs GEN/200 February 6, 2011 Lawrence Hibbard How to manage Complication of Diabetes People who were diagnosed with diabetes have a strong chance of having any of the complication that diabetics have. They will have a strong task ahead of them, keeping them healthy to prevent any complication with diabetes. There are Many complications that come with diabetes; Retinopathy, Neuropathy, and Nephropathy. Here is some information about these diseases and steps to help prevent and to manage these complications, do research online and find an every site that will give them the information needed to obtain the first steps in working out this problem. Diabetic Retinopathy When the retina gets nerve damage by the diabetes it weakens the blood vessels. There are steps people can take to reduce their chance of vision loss from complications from diabetic retinopathy. ‘’Hyperglycaemia results in thickening of the basement membrane in the capillaries and loss of endothelial cell adhesion, leading to lose of integrity of these small vessels. This causes a change in blood vessel permeability and the leakage of water, blood, protein, and fat into the surrounding retinal tissue’’ (Shotliff, & Balasanthiran, 2009). They will have to know all of the warning signs and act accordingly. Some of the signs are blurry vision, black or gray spots, cobwebs or strings that move of float when they moves his eyes. Developing control of...
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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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...Comparison Paper Jessica Johnson University of Phoenix NUR/408-Epidemiology June 11, 2012 During the eighteenth and nineteenth centuries public health had few formal positions. The people who were in charge of public health were usually those of a social elite class. The expectation of a public health officer was to act in the public interest and they typically were men of property and means. (Scutchfield & Keck,). Health regulations were prepared and rewritten not due to what the needs of the public were but were in response to political aspirations. After devastating plagues of diseases such as yellow fever and cholera the public health employees began to look at public health from a more scientific view, such as, sanitary conditions within the cities, quarantine and then the construction of hospitals. According to Scutchfield & Keck in 1864 New York, members of the Council of Hygiene and Public Health of the Citizens’ Association “conducted street-by-street investigations of tenement housing congestion, slaughterhouse and stable conditions, sewage drainage, garbage heaps, and filthy habitations of many sections of the city, and correlated these with outbreaks of infectious disease and premature infant deaths.” During this time Lemuel Shattuck advocated for a census and collection of data of citizens by their age, sex, race, occupation, location and economic stature. By 1860 the public health agencies were more interested in public health rather than politics...
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...A Community Health's Perspective for Disease Control & Prevention Abstract The paper is intended to ascertain research statistics, facts, policies and analysis of topics that contributes to the health and wellbeing of a community. The effects of injury prevention and the control of infectious diseases are discussed. The rationale of controlling the cost of healthcare through behavioral and lifestyle changes is discussed. How does the exploitation of drugs, alcohol and tobacco influence the health of the community? In a community health setting, the relationship between affordable housing and violence prevention is analyzed. The impact of obesity on the community and other forms of chronic illness is discussed. An analysis of proposed solutions to disease control and prevention is presented. Mental health issues and its demeaning consequences on the community are analyzed. The need to educate the community on the ethics of healthcare is emphasized. Finally, occupational and environmental health hazards and their effects on community health is reviewed. I PERSPECTIVE ON COMMUNITY HEALTH The health of the community is a vital building block of the economic, social and political framework of any vibrant society. Because health is considered wealth, a healthy community creates a cost effective environment where all citizens has equal access to primary care physicians and sustainable quality of care. A healthy community continuously...
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...what can be done to increase prescription adherence for overall improved patient health and preventive care. Reasons for a decrease in prescription adherence, beyond health literacy, were used as supporting evidence to lay ground work for future research efforts. This research seeks to prove that low health literacy is a leading cause of prescription nonadherence in the Medicare population and that more effort is needed from physicians and health insurance providers to eliminate this...
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...Diabetes Health Campaign - Part I HCS/535 March 4, 2013 Diabetes Health Campaign - Part I Diabetes is a disease that has reached epidemic proportions. In the United States approximately 23.6 million people are affected by diabetes making diabetes the 7th leading cause of death (Healthy People 2020, 2012). Diabetes is a disease that results in the body either not producing or not using insulin properly. Complications from uncontrolled diabetes can result in devastating effects on almost every system in the body. Diabetes is so prevalent that the disease has become a national health objective in the Healthy People 2020 agenda. In 2010 North Carolina had approximately 700,000 adults with a diagnosis of diabetes (North Carolina Division of Public Health, 2011). The unfortunate reality is that approximately one-third of the people in North Carolina have not yet been diagnosed and the screening test, a simple blood test, has only been utilized by approximately 60% of North Carolinians (North Carolina Division of Public Health, 2011). Diabetes is a very costly disease and plays havoc on a person’s body. In this paper the subject of discussion is the public health issue of diabetes and its effect on the communities and population of North Carolina. Diabetes and Healthy People 2020 Healthy people 2020 continues the three decades old national program that is scientifically based and identifies national goals and objective that span over a 10 year period (Centers for Disease...
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...rather use it as a tool of understanding the African American culture. Their perception of healthcare and their willingness to seek help could be linked to the fear of social discrimination and the possibility of being treated differently if the healthcare providers are predominately white. The health disparities among African Americans today is something that cannot be ignored and is something that healthcare professionals need to take seriously. This paper will talk about the health disparities among African Americans and how we can make change to this by approaching the problem with health promotion and prevention techniques. According to the Centers for Disease Control and Prevention, 2015, the population of African Americans is estimated to be a 45 million; which is 15.2 percent of the United States population. Around 14.7 percent of the African American populations are shown statistically to live in fair or poor health. This particular race is known to suffer from high incidences of Heart Disease, hypertension, diabetes, obesity, poverty and high crime rate. All of these health disparities are either the cause of genetic predisposition, lack of education or financial issues. Healthcare providers need to be aware of this minority groups disadvantages and be able to promote health with these patients and educate them so they can properly prevent future complications. Such complications can go as far as End Stage Renal Disease which is a common...
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...| Developing Effective Diabetes Care Interventions in Rural Populations Salem International University Traci L French May 20, 2013 Abstract: Diabetes mellitus wreaks a high toll on Americans in regards to shortened life expectancy, decreased quality of life and staggering health care expenses. Prevalence of this disease in some populations can reach nearly 30%, with 11.3% of the total population affected in 2010 (Texas Diabetes Institute, San Antonio, TX). In Arkansas, prevalence rates of the illness in some counties exceed 20% (Bradley, 2010). Recent statistics show that annual direct expenditures on diabetes care total $116 billion dollars per year with an additional $58 billion per year in indirect costs due to lost productivity and increased mortality (Texas Diabetes Institute, San Antonio, TX). The goal of this paper is to assess the development and implementation of current interventional strategies for diagnosing diabetes mellitus in affected populations in the southeastern United States. Outcomes of current programs will then be evaluated on a local, regional and national level. The final area of study will examine possible improvements to existing programs using culturally sensitive methodology to increase access to care within these populations and improve clinical outcomes while following evidence-based care guidelines. Diabetes mellitus is a costly illness, both in the number of lives affected as well as actual expenditures on health care and lost wages...
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...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 amygdalina) and scent leaf (Ocimum gratissimum) extracts could not only reduce the blood glucose level, but protects the heart and testes against impairment and complete destruction due to diabetes. A study by researchers at the University of Calabar published in February...
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...Running head: HEALTH PROMOTION Health Promotion: Reduction of Stroke Deaths Jeffrey M. Heist Indiana State University Introduction The development of health care policy in the United States has historically, been based on the fact that clinicians were responsible to treat primary illness rather than the promotion of health as it related to personal health behaviors (U.S. Preventative Services Task Force, 2011). This paper will examine the Healthy People 2020 objective HDS-3, Reducing Stroke Deaths (U. S. Department of Health and Human Services, 2011), and how the promotion of this objective has progressed since it’s Healthy People 2010, 12-7, predecessor. History The Healthy People initiative was introduced in 1979, by the Department of Health and Human Services (DHHS), in an effort to provide a systematic approach to improving health (Koh, 2010). The plans, known as HP 1990-Promoting Health/Preventing Disease (Centers for Disease Control, 2011), Healthy People 2000, Healthy People 2010 and the current Healthy People 2020 have focused on identifying health priorities and aligning the strategies to effectively implement those strategies. The goals related to each version of the initiative have changed, as have the number of objectives/measures. HP 1990 goals were to decrease mortality in infants and adults and to increase the independence among older adults while the Healthy People 2020 goals were aimed at: ...
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...Stem cell A stem cell is essentially a “blank” cell, capable of becoming another more differentiated cell type in the body, such as a skin cell, a muscle cell, or a nerve cell. Microscopic in size, stem cells are big news in medical and science circles because they can be used to replace or even heal damaged tissues and cells in the body. They can serve as a built-in repair system for the human body, replenishing other cells as long as a person is still alive. Adult stem cells are a “natural” solution. They naturally exist in our bodies, and they provide a natural repair mechanism for many tissues of our bodies. They belong in the microenvironment of an adult body, while embryonic stem cells belong in the microenvironment of the early embryo, not in an adult body, where they tend to cause tumors and immune system reactions. Most importantly, adult stem cells have already been successfully used in human therapies for many years. As of this moment, no therapies in humans have ever been successfully carried out using embryonic stem cells. New therapies using adult type stem cells, on the other hand, are being developed all the time. Significance of the Study Stem cell therapy is a potential treatment for spinal cord injury and different stem cell types has been grafted into animal models and humans suffering from spinal trauma. Due to inconsistent results, it is still an important and clinically relevant question which stem cell type will prove to be therapeutically effective...
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...PharmaCare was an upcoming established company well renowned for ethics and high quality products. The company even started a new initiative to go green and become environmentally friendly. During their honeymoon period they were believed to enhance the quality of life around the world. PharmaCARE thrived on research and capitalized on a new breakthrough of a diabetes drug that would help slow down the terrible infringement of Alzheimer’s. Over the course of a few years, PharmaCARE set up a sister company called CompCARE to be the compounding pharmacy to manufacture this new drug AD23. It became a mass hysteria to get this drug which pushed CompCARE into methods outside the scope of what a compounding pharmacy is authorized to do. Unfortunately all business practices began to push the limits, ethics were questioned, and in the end resulted in over 200 cardiac related deaths to this drug AD23. This is basically the rise and fall of PharmaCARE and how a corporation’s greed killed the hopes and dreams of many who hoped for AD23 to be a sign from god. Ethics and Corporate Responsibility in the Work Place and the World provides insight on who the stakeholders of an organization are and who takes on the overall responsibilities of the organization. The importance of the decisions made by mid-level management are discussed and answered. The ability to make changes to support a more ethical work environment. The ability to improve operations and turn a profit are explained by...
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...Pathopharmacological Foundations for Advanced Nursing Practice Competency Assessment WUT Task 1 Pamela L. Taylor RN-C(OB), BSN Western Governors University June 2016 A. Disease Process For the purpose of discussion of pathopharmacological features of a specific disease process, this paper will provide information related to heart disease in the form of coronary artery disease (CAD). A1. Pathophysiology Analysis Cardiovascular disease (CVD) is the number one cause of mortality worldwide and becoming a steadily more investigated problem due to its prevalence. Much research is going into genetic, inflammatory mechanisms and neuro-hormonal factors related to CVD as scientific knowledge evolves regarding complexity of this broad pathophysiology. Atherosclerosis is the leading cause of the subsection of CVD called CAD. This is a form of arteriosclerosis where there is progressive thickening and hardening of the vessel walls of the two major coronary arteries and their branches. The thickening is an accumulation of lipid-laden macrophages inside the wall of the artery leading to the formation of lesions and plaque buildup (McCance, K. & Huether, S., 2014). When the plaque develops on the coronary artery walls the pumping ability of the heart becomes impaired as oxygen and nutrients needed for heart function may be partially or completely impeded. Complete occlusion of a coronary artery or one of its branches leads to a myocardial...
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...consumption of sugar-sweetened carbonated drinks, consumption that may be associated with increased risk of type 2 diabetes and obesity. The aim of the study was to determine the availability, price and quantity sold of ‘Pepsi’ and ‘Coca Cola’ in their ‘regular’ and ‘diet’ forms in Delhi and London. Design: A questionnaire about the availability, price and quantity sold per day of both regular and diet Pepsi and Coca Cola was devised and piloted. Using this, a survey of food and drink outlets within a 100 m radius of randomly selected Metro stations was conducted in both cities. Subjects: Store vendors, owners and staff of food and drink outlets. Setting: Delhi, India; London, United Kingdom. Results: In Delhi, of the outlets stocking regular Pepsi and Coca Cola, only 34 % sold diet versions and these were more readily available in the most affluent areas than in the poorest areas (34 % v. 6 %, Z 5 3?67, P , 0?001). This social patterning was not observed in London. Little price differential between regular and diet versions of Pepsi and Coca Cola was observed in Delhi; however, profit margins were better for regular, relative to diet, Coca Cola. Sales of regular products were significantly greater than those of diet products (P , 0?002). Conclusions: Low availability of diet versions of Pepsi and Coca Cola in less affluent areas of Delhi is likely to exacerbate the obesity and diabetes trends. Price...
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