DOCSLIB.ORG

Opportunities and Challenges for Diabetes Prevention at Two Community Health Centers

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Opportunities and Challenges for Diabetes Prevention at Two Community Health Centers Epidemiology/Health Services Research ORIGINAL ARTICLE Opportunities and Challenges for Diabetes Prevention at Two Community Health Centers 1 1 MILAGROS C. ROSAL, PHD STEPHENIE C. LEMON, PHD tients, guided this study. Within this 2 4 EVAN M. BENJAMIN, MD DOROTHEA VON GOELER, MD framework, we assessed quality-of-care 3 PENELOPE S. PEKOW, PHD domains from Donabedian’s Structure- Process-Outcome model (4) at the sys- tem level (system structure, including OBJECTIVE — Translating evidence-based diabetes prevention interventions to disadvan- health care resources) and at the provider taged groups is a public health priority that poses unique challenges. Community health centers level (processes related to technical ex- (CHCs) provide unequaled opportunities to prevent diabetes among poor and minority high- pertise and interpersonal relationships risk groups. This formative study sought to assess structural, processes-of-care (health care with patients). At the patient level, social quality domains), and patient factors that need to be considered for diabetes prevention at CHCs. cognitive theory (5) constructs (knowl- edge, attitudes, behaviors, and environ- RESEARCH DESIGN AND METHODS — A multimethod approach was implemented to assess system-, provider-, and patient-level factors at two large CHCs serving diverse urban mental influences) were assessed. communities. Institutional review board approval was obtained before study implementation. RESULTS — Medical chart audits (n ϭ 303) showed limited documentation of risks. Provider surveys (n ϭ 74) evidenced knowledge gaps regarding factors associated with increased diabetes Setting risk, efficacy of pharmacological interventions, and low perceived efficacy in promoting patient Two large CHCs that were affiliated with a behavior change. Patient focus groups (two groups) with at-risk Hispanics and African Ameri- tertiary referral academic medical center cans suggested mixed knowledge regarding whether diabetes can be prevented, some knowledge in Massachusetts and served urban Afri- gaps regarding factors related to risk, and multiple challenges for lifestyle change. can Americans (40%) and Hispanics CONCLUSIONS — Multiple and multilevel challenges to translating diabetes prevention (40%) participated in this study. Both interventions for the benefit of at-risk populations who seek care at CHCs were observed. CHCs used a resident-faculty practice model, with each patient being assigned a Diabetes Care 31:247–254, 2008 primary care physician (80% of visits are with the assigned primary care physi- ranslating evidence-based diabetes in the design and implementation of dia- cian). Nutrition counseling and inter- prevention interventions (1–3) to betes prevention efforts for the high-risk preter services were available at both T disadvantaged groups is a challeng- populations who seek health care at CHCs. ing public health priority. This study CHCs. sought to identify patient-, provider-, and Data sources system-level opportunities and chal- RESEARCH DESIGN AND This study involved three data sources: lenges to delivering diabetes prevention METHODS — An ecological frame- medical record audits, provider surveys, services in community health centers work (6), which recognizes the multiple and patient focus groups. Data collection (CHCs). This manuscript adds to current levels of influence on patients’ out- methods for each are described below. literature on structural, processes-of-care comes within health care settings, in- Medical records audit. A medical (health care quality domains) (4), and pa- cluding factors associated with the record audit form was systematically de- tient factors (5) that need to be considered health care system, providers and pa- signed and implemented to assess factors ●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●● related to diabetes prevention, including From the 1Division of Preventative and Behavioral Medicine, Department of Medicine, University of Mas- documentation of factors related to diabe- sachesetts Medical School, Worcester, Massachusetts; the 2Division of Health Care Quality, Department of tes risk (7) (family history of diabetes, hy- Medicine, Baystate Medical Center and Tufts University School of Medicine, Springfield, Massachusetts; the pertension, hyperlipidemia, history of 3Center for Quality and Safety Research, Division of Health Care Quality, Baystate Medical Center and School 4 gestational diabetes, and obesity). A prob- of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts; and the Divi- lem checklist, lab values, text notes, and sion of Internal Medicine, Department of Medicine, Baystate Medical Center and Tufts University School of Medicine, Springfield, Massachusetts. documentation of height and weight were Address correspondence and reprint requests to Milagros C. Rosal, PhD, University of Massachusetts searched. Medical School, 55 Lake Ave. North, S7-755, Worcester, MA 01655. E-mail: milagros.rosal@umassmed. We obtained administrative records edu. of all clinic visits of patients aged 25–60 Received for publication 17 July 2007 and accepted in revised form 25 October 2007. Published ahead or print at http://care.diabetesjournals.org on 5 November 2007. DOI: 10.2337/dc07- years for the prior year at each of the clin- 0746. ics. Patients with a diagnosis code indicat- Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/ ing diabetes care were removed from the dc07-0746. file. Retaining one record per subject, we Abbreviations: CHC, community health center. selected a simple random sample from © 2008 by the American Diabetes Association. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby each of four strata defined by clinic and marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. sex. Administrative records did not dis- DIABETES CARE, VOLUME 31, NUMBER 2, FEBRUARY 2008 247 Diabetes prevention at community health centers Table 1—Summary of medical records audit* Hispanic race/ethnicity, 2) age Ն25 years, 3) English or Spanish speaking, 4)no Chart audit data known diagnosis of diabetes, and 5) clas- sified as at high risk for developing type 2 Medical record eligibility (n) diabetes based on either of the following Total number of records registered 450 criteria: 1) had at least three of five meta- Total records available and eligible 303 bolic syndrome criteria (e.g., BMI Ն25 Patient characteristics kg/m2, triglycerides Ն150 mg/dl, low Age (years) 42.6 Ϯ 10.0 sex-specific HDL cholesterol, blood pres- Female sex (%) 50 sure Ͼ130/Ͼ85 mmHg, and fasting glu- Ethnicity (%) cose Ͼ110 but Ͻ126 mg/dl) or 2) had a Hispanic 41 history of gestational diabetes or a first- African American 29 degree relative with diagnosed diabetes White 27 plus met at least one of the criteria for Marital status (not married) (n)73metabolic syndrome (listed above). Weight (lb) 186.2 Ϯ 46.5 (n ϭ 262) Convenience samples of patients Height (in) 67.7 Ϯ 5.3 (n ϭ 38) were recruited from both CHCs. Over a Type of primary care provider (%) 1-week period, providers screened eligi- Resident 75 ble patients at the time of their clinic visit Attending 22 and obtained verbal consent from eligible Nurse practitioner/physician assistant 4 patients to be contacted by a study coor- Documented factors related to diabetes risk (%) dinator. Two groups were facilitated by Family history 17 two experienced qualitative researchers: Hypertension 17 an African-American facilitator (assisted Hyperlipidemia 13 by a Caucasian researcher) led a group History of gestational diabetes 0.3 composed of African-American patients, Obesity 11 and a Hispanic facilitator (assisted by an- Screening tests recommendations (%) other Hispanic researcher) led a group of Lipids (ever) 46 Hispanic patients. This group was con- Fasting blood glucose (ever) 1.3 ducted in Spanish. Oral glucose tolerance test (ever) 0.3 A semistructured interview guided Random blood glucose (ever) 40 the discussions. Topics included A1C (ever) 3 knowledge about diabetes and diabetes Behavior change recommendations (%) prevention, attitudes toward diabetes Weight loss prevention, and previous efforts to Ever 7.3 modify dietary and physical activity Past 3 years 0 habits and to lose weight. Patients’ pref- Exercise erences for program development were Ever 13 also assessed. Past 3 years 74 Patients provided written consent Diet and completed a brief survey (demo- Ever 11 graphics and health care history). The 90- Past 3 years 0 min discussions were audiotaped and Referrals to a nutritionist 2 transcribed. Participants received a $25 Pharmacological prescriptions for reduction 5 incentive. of a known diabetes risk factor Data are means Ϯ SD unless otherwise indicated. *Measurement tool is available from the corresponding Analyses author. Quantitative (provider survey and medi- cal record audit) analysis included fre- tinguish between registered clinic pa- reported practices related to diabetes quencies, proportions with 95% CIs, and tients and one-time walk-in patients. prevention was designed, pretested for cross-tabulations. Focus group tran- Thus, we deliberately sampled a larger relevance and understandability, and scripts were analyzed using the constant number of records, taking into consider- then mailed to providers with an intro- comparative method (8). Results were ation that only records of established pa- ductory letter
Load more

Recommended publications
  • Suppression of DNA-Damage Checkpoint Signaling by Rsk-Mediated Phosphorylation of Mre11
    Suppression of DNA-damage checkpoint signaling by Rsk-mediated phosphorylation of Mre11 Chen Chen, Liguo Zhang, Nai-Jia Huang, Bofu Huang, and Sally Kornbluth1 Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710 Edited by Tony Hunter, The Salk Institute for Biological Studies, La Jolla, CA, and approved November 12, 2013 (received for review April 9, 2013) Ataxia telangiectasia mutant (ATM) is an S/T-Q–directed kinase A hallmark of cancer cells is their ability to override cell-cycle that is critical for the cellular response to double-stranded breaks checkpoints, including the DSB checkpoint, which arrests the cell (DSBs) in DNA. Following DNA damage, ATM is activated and cycle to allow adequate time for damage repair. Previous studies recruited by the MRN protein complex [meiotic recombination 11 have implicated the MAPK pathway in inhibition of DNA-dam- (Mre11)/DNA repair protein Rad50/Nijmegen breakage syndrome age signaling: PKC suppresses DSB-induced G2/M checkpoint 1 proteins] to sites of DNA damage where ATM phosphorylates signaling following ionizing radiation via activation of ERK1/2 multiple substrates to trigger cell-cycle arrest. In cancer cells, this (22); activation of RAF kinase, leading to activation of MEK/ regulation may be faulty, and cell division may proceed even in ERK/Rsk, also can suppress G2/M checkpoint signaling (23). the presence of damaged DNA. We show here that the ribosomal Given its prominent role in multiple cancers, the MAPK s6 kinase (Rsk), often elevated in cancers, can suppress DSB-induced pathway is an attractive therapeutic target. Indeed, treatment of melanoma using the RAF inhibitor vemurafenib has shown some ATM activation in both Xenopus egg extracts and human tumor cell clinical success, as has treatment of nonsmall cell lung carcinoma lines.
    [Show full text]
  • The Significance and Inheritance of Huang Di Culture
    ISSN 1799-2591 Theory and Practice in Language Studies, Vol. 8, No. 12, pp. 1698-1703, December 2018 DOI: http://dx.doi.org/10.17507/tpls.0812.17 The Significance and Inheritance of Huang Di Culture Donghui Chen Henan Academy of Social Sciences, Zhengzhou, Henan, China Abstract—Huang Di culture is an important source of Chinese culture. It is not mechanical, still and solidified but melting, extensible, creative, pioneering and vigorous. It is the root of Chinese culture and a cultural system that keeps pace with the times. Its influence is enduring and universal. It has rich connotations including the “Root” Culture, the “Harmony” Culture, the “Golden Mean” Culture, the “Governance” Culture. All these have a great significance for the times and the realization of the Great Chinese Dream, therefore, it is necessary to combine the inheritance of Huang Di culture with its innovation, constantly absorb the fresh blood of the times with a confident, open and creative attitude, give Huang Di culture a rich connotation of the times, tap the factors in Huang Di culture that fit the development of the modern times to advance the progress of the country and society, and make Huang Di culture still full of vitality in the contemporary era. Index Terms—Huang Di, Huang Di culture, Chinese culture I. INTRODUCTION Huang Di, being considered the ancestor of all Han Chinese in Chinese mythology, is a legendary emperor and cultural hero. His victory in the war against Emperor Chi You is viewed as the establishment of the Han Chinese nationality. He has made great many accomplishments in agriculture, medicine, arithmetic, calendar, Chinese characters and arts, among which, his invention of the principles of Traditional Chinese medicine, Huang Di Nei Jing, has been seen as one of the greatest contributions to Chinese medicine.
    [Show full text]
  • The Later Han Empire (25-220CE) & Its Northwestern Frontier
    University of Pennsylvania ScholarlyCommons Publicly Accessible Penn Dissertations 2012 Dynamics of Disintegration: The Later Han Empire (25-220CE) & Its Northwestern Frontier Wai Kit Wicky Tse University of Pennsylvania, [email protected] Follow this and additional works at: https://repository.upenn.edu/edissertations Part of the Asian History Commons, Asian Studies Commons, and the Military History Commons Recommended Citation Tse, Wai Kit Wicky, "Dynamics of Disintegration: The Later Han Empire (25-220CE) & Its Northwestern Frontier" (2012). Publicly Accessible Penn Dissertations. 589. https://repository.upenn.edu/edissertations/589 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/edissertations/589 For more information, please contact [email protected]. Dynamics of Disintegration: The Later Han Empire (25-220CE) & Its Northwestern Frontier Abstract As a frontier region of the Qin-Han (221BCE-220CE) empire, the northwest was a new territory to the Chinese realm. Until the Later Han (25-220CE) times, some portions of the northwestern region had only been part of imperial soil for one hundred years. Its coalescence into the Chinese empire was a product of long-term expansion and conquest, which arguably defined the egionr 's military nature. Furthermore, in the harsh natural environment of the region, only tough people could survive, and unsurprisingly, the region fostered vigorous warriors. Mixed culture and multi-ethnicity featured prominently in this highly militarized frontier society, which contrasted sharply with the imperial center that promoted unified cultural values and stood in the way of a greater degree of transregional integration. As this project shows, it was the northwesterners who went through a process of political peripheralization during the Later Han times played a harbinger role of the disintegration of the empire and eventually led to the breakdown of the early imperial system in Chinese history.
    [Show full text]
  • Jade Huang and Chinese Culture Identity: Focus on the Myth of “Huang of Xiahoushi”
    Journal of Literature and Art Studies, June 2016, Vol. 6, No. 6, 603-618 doi: 10.17265/2159-5836/2016.06.003 D DAVID PUBLISHING Jade Huang and Chinese Culture Identity: Focus on the Myth of “Huang of Xiahoushi” TANG Qi-cui, WU Yu-wei Shanghai Jiao Tong University, Shanghai, China This paper focus on the myth of “Huang of Xiahoushi” (夏后氏之璜), focusing on the distribution of Jade Huang (玉璜) since the early neolithic and its process of pluralistic integration. The paper explores the story of ethnic group, cultural identification and the significance of Jade Huang in the discourse construction of etiquette civilization behind the mythic narrative based on multi-evidence method and the local meaning of literature in ancient Chinese context. Keywords: Jade Huang, Huang of Xiahoushi, unified diversity, Chinese identity, etiquette civilization, multi-evidence method Introduction Modern archeological relics including potteries, jades and bronzes bring back the lost history; the process of how Chinese unified diversity took shape in general and the great tradition of jade culture in eight thousand in particular. The handed-down documents echo each other at a distance provide solid evidences for the origin of civilization of rite and music and the core values based on jade belief. Jade Huang is an important one of it. It is illuminated by numerous records about Jade Huang in ancient literature, as well as a large number of archaeology findings past 7,000 years. The paper seeks to focus on the following questions: what is the function of Jade Huang in historic and prehistoric period? Moreover, what is the function of “Huang of Xiahoushi”, which belonged to emperor and symbolized special power in historic documents and myths and legends in ancient china? Jade Huang: Etiquette and Literature Jade Huang (Yu Huang, Semi-circular/annular Jade Pendant) is a type of jade artifact which is seemed to be remotely related to etiquette and literature.
    [Show full text]
  • Combining Symbolic Execution and Model Checking to Verify MPI Programs
    Combining Symbolic Execution and Model Checking to Verify MPI Programs Hengbiao Yu1∗, Zhenbang Chen1∗, Xianjin Fu1,2, Ji Wang1,2∗, Zhendong Su3, Jun Sun4, Chun Huang1, Wei Dong1 1College of Computer, National University of Defense Technology, Changsha, China 2State Key Laboratory of High Performance Computing, National University of Defense Technology, Changsha, China 3Department of Computer Science, ETH Zurich, Switzerland 4School of Information Systems, Singapore Management University, Singapore {hengbiaoyu,zbchen,wj}@nudt.edu.cn,[email protected],[email protected],[email protected] ABSTRACT South Korea. ACM, New York, NY, USA, 17 pages. https://doi.org/XX.XXXX/ Message passing is the standard paradigm of programming in high- XXXXXXX.XXXXXXX performance computing. However, verifying Message Passing In- terface (MPI) programs is challenging, due to the complex program 1 INTRODUCTION features (such as non-determinism and non-blocking operations). In this work, we present MPI symbolic verifier (MPI-SV), the first Nowadays, an increasing number of high-performance computing symbolic execution based tool for automatically verifying MPI pro- (HPC) applications have been developed to solve large-scale prob- grams with non-blocking operations. MPI-SV combines symbolic lems [11]. The Message Passing Interface (MPI) [78] is the current execution and model checking in a synergistic way to tackle the de facto standard programming paradigm for developing HPC appli- challenges in MPI program verification. The synergy improves the cations. Many MPI programs are developed with significant human scalability and enlarges the scope of verifiable properties. We have effort. One of the reasons is that MPI programs are error-prone implemented MPI-SV1 and evaluated it with 111 real-world MPI because of complex program features (such as non-determinism verification tasks.
    [Show full text]
  • Effects of Bofu-Tsusho-San on Diabetes and Hyperlipidemia Associated with AMP-Activated Protein Kinase and Glucose Transporter 4 in High-Fat-Fed Mice
    Int. J. Mol. Sci. 2014, 15, 20022-20044; doi:10.3390/ijms151120022 OPEN ACCESS International Journal of Molecular Sciences ISSN 1422-0067 www.mdpi.com/journal/ijms Article Effects of Bofu-Tsusho-San on Diabetes and Hyperlipidemia Associated with AMP-Activated Protein Kinase and Glucose Transporter 4 in High-Fat-Fed Mice Cheng-Hsiu Lin 1, Yueh-Hsiung Kuo 2,3 and Chun-Ching Shih 4,* 1 Department of Internal Medicine, Feng-Yuan Hospital, Ministry of Health and Welfare, Fengyuan District, Taichung City 42055, Taiwan; E-Mail: [email protected] 2 Department of Chinese Pharmaceutical Sciences and Chinese Medicine Resources, China Medical University, Taichung City 40402, Taiwan; E-Mail: [email protected] 3 Department of Biotechnology, Asia University, Taichung City 41354, Taiwan 4 Graduate Institute of Pharmaceutical Science and Technology, College of Health Science, Central Taiwan University of Science and Technology, No. 666, Buzih Road, Beitun District, Taichung City 40601, Taiwan * Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.: +88-64-2239-1647 (ext. 3978-3979); Fax: +88-64-2239-4256. External Editor: Chang Won Choi Received: 16 August 2014; in revised form: 6 October 2014 / Accepted: 23 October 2014 / Published: 4 November 2014 Abstract: This study was undertaken to examine the effect and mechanism of Bofu-tsusho-san formula (BO) on hyperglycemia and hyperlipidemia and in mice fed with a high-fat (HF) diet. The C57BL/6J mice were received control/HF diet for 12 weeks, and oral administration of BO (at three doses) or rosiglitazone (Rosi) or vehicle for the last 4 weeks.
    [Show full text]
  • Modes of Membrane Interaction of a Natural Cysteine-Rich Peptide: Viscotoxin A3
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Biochimica et Biophysica Acta 1559 (2002) 145^159 www.bba-direct.com Modes of membrane interaction of a natural cysteine-rich peptide: viscotoxin A3 Alexandre Coulon a, Emir Berkane a, Anne-Marie Sautereau a, Konrad Urech b, Pierre Rouge¨ a, Andre¨ Lopez a;* a Institut de Pharmacologie et de Biologie Structurale, UMR-CNRS 5089, 205 Route de Narbonne, 31077 Toulouse Cedex 4, France b Verein fu«r Krebsforschung, Hiscia Institut, CH 4144 Arlesheim, Switzerland Received 9 October 2001; received in revised form 15 November 2001; accepted 22 November 2001 Abstract Among the very homologous family of K- and L-thionins, known for their antimicrobial activity, the viscotoxin subfamily differs from other members because it is cytotoxic against tumoral cells but weakly hemolytic. We studied the interactions between the most active of these toxins, viscotoxin A3 (VA3), and model membranes made of phosphatidylcholine and phosphatidylserine (PS), the major zwitterionic and acidic phospholipids found in eukaryotic cells. Monolayer studies showed that electrostatic forces are essential for the interaction and are mainly involved in modulating the embedding of the toxin in the PS head group region. This in turn induces membrane stiffening, as shown by fluorescence polarization assays with 1,6-diphenyl-1,3,5-hexatriene and its derivatives. Moreover, vesicle permeabilization analyses showed that there are two modes of interaction, which are directly related to the stiffening effect and depend on the amount of VA3 bound to the surface of the vesicles.
    [Show full text]
  • JIDONG HUANG Ph.D
    Jidong HUANG JIDONG HUANG Ph.D. Associate Professor GSU Second Century Initiative (2CI) Scholar Department of Health Policy and Behavioral Sciences School of Public Health Georgia State University 140 Decatur Street, Atlanta, GA 30303 Phone: 404-413-9337 Email: [email protected] Website: https://publichealth.gsu.edu/profile/jidon-huang/ Permanent Resident of the United States of America (First Preference EB-1: Outstanding Professors and Researchers) Education PhD Economics 2007 Health Economics and Labor Economics concentration Department of Economics University of Illinois at Chicago, Chicago, IL. (http://www.uic.edu/) MA Economics 2004 Department of Economics University of Illinois at Chicago, Chicago, IL. (http://www.uic.edu/) BA Economics 2000 School of Finance Renmin University of China, Beijing, China (http://www.ruc.edu.cn/en) Academic Positions Associate Professor (Tenure Track), GSU 2CI Scholar Aug. 2016 – Present Department of Health Policy and Behavioral Sciences School of Public Health Georgia State University Atlanta, Georgia Research Associate Professor 2015 – July 2016 Department of Economics University of Illinois at Chicago Chicago, Illinois Senior Research Scientist 2013 – July 2016 Health Policy Center and Health Media Collaboratory Institute for Health Research and Policy University of Illinois at Chicago Chicago, Illinois Page | 1 Jidong HUANG Research Specialist 2009 – 2013 Health Policy Center Institute for Health Research and Policy University of Illinois at Chicago Chicago, Illinois Non-Academic Positions Consultant 2007 – 2009 NERA Economic Consulting New York City, New York Project Coordinator 2000 – 2001 Save the Children (UK) Yunnan Education Program Kunming, Yunnan, China Google Scholar Citations Citations: 867 as of April 2018 H-Index: 16 as of April 2018 Peer-Reviewed Publications 50.
    [Show full text]
  • E Cacy and Safety of Apatinib in Patients with Recurrent Or
    Ecacy and Safety of Apatinib in Patients with Recurrent or Refractory Melanoma Shumin Yuan Henan Cancer Hospital Qiang Fu Henan Cancer Hospital Yingkun Ren Henan Cancer Hospital Zhimeng Li Henan Cancer Hospital Huijuan Wang Henan Cancer Hospital Xiaojie Zhang Henan Cancer Hospital Hao Huang Henan Cancer Hospital Yonghao Yang Henan Cancer Hospital Yiman Shang Henan Cancer Hospital Quanli Gao Henan Cancer Hospital Zibing Wang ( [email protected] ) Aliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital Research article Keywords: Melanoma, Targeted therapy, Apatinib, PFS, OS Posted Date: October 5th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-67706/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/13 Abstract Background: Prognosis of patients with metastatic malignant melanoma is very poor and partly due to high resistance to conventional chemotherapies. The study’s objectives were to assess the activity and tolerability of apatinib, an oral small molecule anti-angiogenesis inhibitor, in patients with recurrent advanced melanoma. Methods: This was a single-arm, single-center phase II trial. The primary endpoint was progression-free survival (PFS) and the secondary endpoints were objective response rate (ORR), disease control rate (DCR), and overall survival (OS). Eligible patients received at least one rst-line therapy for advanced melanoma and experienced recurrence. Apatinib (500 mg) was orally administered daily. Trail registration: Clinical Trials, ID: NCT03383237. Registered on 24 December 2017. URL of trail registry record: https://register.clinicaltrials.gov. Results: Fifteen patients were included in the analysis. The median PFS was 4.0 months.
    [Show full text]
  • New Telepathology and Telemedicine Partnership Between UCLA Health and Zhengzhou, China
    New TelePathology and TeleMedicine Partnership between UCLA Health and Zhengzhou, China. On April 10, 2015, the Zhengzhou International TeleMedicine Center was officially unveiled. The Vice Mayor of Zhengzhou, Ms. Liu Dong, the Director of Zhengzhou Municipal Health and Family Planning Commission (HFPC), Mr. Gu Jianqin, the Vice Director of Henan Provincial HFPC, Mr. Huang Wei, the CEO of Zhengzhou 6th People’s Hospital (Z6PH), Mr. Xu Jinsheng, and several hundred health professionals and workers from local hospitals attended the opening ceremony of the Center. A delegation from UCLA also attended and spoke at the ceremony: Dr. Jianyu Rao, professor of pathology and laboratory medicine at the Geffen School of Medicine, Dr. Serge Alexanian, Chief Medical Officer and Laboratory Medical Director of UCLA Health / CTI Medical Laboratories, Mr. Michael Burke, Director of UCLA Health International Development, and Dr. Qingmei Jia, Researcher of Division of Infectious Diseases, Department of Medicine. The Zhengzhou 6th People’s hospital, also known as Henan Provincial Infectious Diseases Hospital, was established in 1953. It is a comprehensive infectious Diseases hospital in Henan province, providing medical treatment, teaching, scientific research, prevention, health care, and rehabilitation to the local and provincial community. An agreement reached among UCLA, the Second Affiliated Hospital of Zhejiang University (SAHZU), and Z6PH led the Zhengzhou Municipal HFPC to establish the Zhengzhou International TeleMedicine Center to advance medical care and meet the increasingly specialized medical needs of patients from Zhengzhou, Henan. The Zhengzhou International TeleMedicine Center is currently composed of three interrelated platforms: (a) International TelePathology platform, allowing the center to collaborate closely with the UCLA International Telepathology program led by Dr.
    [Show full text]
  • Levi Strauss & Co. Factory List
    Levi Strauss & Co. Factory List Published : November 2019 Total Number of LS&Co. Parent Company Name Employees Country Factory name Alternative Name Address City State Product Type (TOE) Initiatives (Licensee factories are (Workers, Staff, (WWB) blank) Contract Staff) Argentina Accecuer SA Juan Zanella 4656 Caseros Accessories <1000 Capital Argentina Best Sox S.A. Charlone 1446 Federal Apparel <1000 Argentina Estex Argentina S.R.L. Superi, 3530 Caba Apparel <1000 Argentina Gitti SRL Italia 4043 Mar del Plata Apparel <1000 Argentina Manufactura Arrecifes S.A. Ruta Nacional 8, Kilometro 178 Arrecifes Apparel <1000 Argentina Procesadora Serviconf SRL Gobernardor Ramon Castro 4765 Vicente Lopez Apparel <1000 Capital Argentina Spring S.R.L. Darwin, 173 Federal Apparel <1000 Asamblea (101) #536, Villa Lynch Argentina TEXINTER S.A. Texinter S.A. B1672AIB, Buenos Aires Buenos Aires <1000 Argentina Underwear M&S, S.R.L Levalle 449 Avellaneda Apparel <1000 Argentina Vira Offis S.A. Virasoro, 3570 Rosario Apparel <1000 Plot # 246-249, Shiddirgonj, Bangladesh Ananta Apparels Ltd. Nazmul Hoque Narayangonj-1431 Narayangonj Apparel 1000-5000 WWB Ananta KASHPARA, NOYABARI, Bangladesh Ananta Denim Technology Ltd. Mr. Zakaria Habib Tanzil KANCHPUR Narayanganj Apparel 1000-5000 WWB Ananta Ayesha Clothing Company Ltd (Ayesha Bangobandhu Road, Tongabari, Clothing Company Ltd,Hamza Trims Ltd, Gazirchat Alia Madrasha, Ashulia, Bangladesh Hamza Clothing Ltd) Ayesha Clothing Company Ltd( Dhaka Dhaka Apparel 1000-5000 Jamgora, Post Office : Gazirchat Ayesha Clothing Company Ltd (Ayesha Ayesha Clothing Company Ltd(Unit-1)d Alia Madrasha, P.S : Savar, Bangladesh Washing Ltd.) (Ayesha Washing Ltd) Dhaka Dhaka Apparel 1000-5000 Khejur Bagan, Bara Ashulia, Bangladesh Cosmopolitan Industries PVT Ltd CIPL Savar Dhaka Apparel 1000-5000 WWB Epic Designers Ltd 1612, South Salna, Salna Bazar, Bangladesh Cutting Edge Industries Ltd.
    [Show full text]
  • Curriculum Vitae
    CURRICULUM VITAE Prof. Pingyi Xu (徐评议) PhD & Postdoc Supervisor Director of Neurology the First Affiliated Hospital of Guangzhou Medical University Telephone: (86)13826161149 Email: [email protected] or [email protected] EDUCATION 1994: PhD, MD of Neurology, the First Affiliated Hospital Sun Yat-sen University of Medical Sciences, P. R. CHINA 1986: Bachelor’s in clinical medicine Jiangxi Medical University, P. R. CHINA POSITION HELD 2015.08 to present: Professor, Director, PhD supervisor & Postdoc advisor Department of Neurology, the First Affiliated Hospital of Guangzhou Medical University. 2004.01 to 2015.08: Professor & PhD supervisor & Postdoc advisor Department of Neurology, the First Affiliated Hospital of Sun Yat-sen University, CHINA; 2006.09 to 2007.09: Senior visiting scholar, Neuroscience of University of Kansas State Medical Center, USA; 2003.01 to 2004.01: Associate professor & Deputy chief physician, Department of Neurology, the First Affiliated Hospital of Sun Yat-sen University, CHINA; 2000.02 to 2002.10: Postdoc in Department of Neurology & Neuroscience, Methodist hospital Baylor College of Medicine, USA; 1994.07 to 2000.02: Attending physician & Lecturer, Department of Neurology, the First Affiliated Hospital of Sun Yat-sen University, CHINA. ACADEMIC AWARDS AND HONORS 1. National Science and Technology Progress Award (2nd Class), State Ministry of Science and Technology, P. R. China, 2000 2. Science and Technology Progress Award (1st Class), the Ministry of Health, P. R. China, 1999 3. Science and Technology Progress Award in Medical Health (2nd Class), Guangdong province, P. R. China, 1999 4. Guangdong Science and Technology Progress Award (2nd Class), Guangdong province, P. R. China, 1999 MEMBER OF SOCIETY AND PROFESSIONAL BODY 1.
    [Show full text]