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Article ; Online: Loneliness in older adults with diabetes mellitus: a scoping review.

Cho, Emma / Kim, Jeeyeon / Bang, Sohyeon

2024 , Page(s) 1–16

Abstract: This scoping review aimed to explore and synthesize existing research on predictors of loneliness, and the impact of loneliness on physiological and psychological health outcomes and health behaviors in older adults with diabetes. Results from 12 studies ...

Abstract	This scoping review aimed to explore and synthesize existing research on predictors of loneliness, and the impact of loneliness on physiological and psychological health outcomes and health behaviors in older adults with diabetes. Results from 12 studies showed that low education, being unmarried/divorced/separated, having diabetes-related complications, being physically inactive, having diabetes distress, being of a certain race/ethnicity, being female, having depressive symptoms, and being younger age were consistently identified as predictors of loneliness. In addition, loneliness was found to affect both psychological (depressive symptoms and negative perceptions of diabetes) and physiological health outcomes (increased postprandial blood glucose and A1C levels, decreased cortisol levels, increased MCP-1 levels, slower gait speed, and weaker hand grip) and health behaviors (decreased engagement in physical activity, increased disability in activities of daily living and instrumental activities of daily living, and increased likelihood of antidepressant use). The results of this scoping review suggest that loneliness is a complex issue for older adults with diabetes and its effects are far-reaching. Therefore, further research should be conducted to explore the potential causal relationships between loneliness and physiological and psychological health outcomes and to identify the best interventions to reduce loneliness in older adults with diabetes. For healthcare providers, it is important to recognize that loneliness is an appropriate risk factor for older adults with diabetes that may affect psychological and physiological health outcomes and health behaviors and to address it through interventions such as social support programs, group therapy, or psychosocial counseling.
Language	English
Publishing date	2024-01-05
Publishing country	England
Document type	Journal Article
ZDB-ID	1477841-5
ISSN	1465-3966 ; 1354-8506
ISSN (online)	1465-3966
ISSN	1354-8506
DOI	10.1080/13548506.2023.2299665
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Article ; Online: The influences of depression and loneliness on A1C among middle-aged and older adults with diabetes.

Huang, Ya-Ching / Cho, Emma / Kuo, Hsuan-Ju / García, Alexandra A

Psychology, health & medicine

2022 Volume 28, Issue 6, Page(s) 1540–1548

Abstract: Even before increased social isolation associated with the COVID-19 pandemic, 43% of adults aged 60 and older reported experiencing loneliness. Depression and loneliness often co-exist and are significant issues faced by middle-aged as well as older ... ...

Abstract	Even before increased social isolation associated with the COVID-19 pandemic, 43% of adults aged 60 and older reported experiencing loneliness. Depression and loneliness often co-exist and are significant issues faced by middle-aged as well as older adults because each condition is likely to worsen health outcomes. This study of middle-aged and older adults examined how depression and loneliness affect diabetes (DM) control (A1C levels). This study is a secondary analysis of data from the Midlife in the United States Refresher (MIDUS-R) survey, a national survey of adults aged 25-74 years. Correlation analyses were conducted, and a hierarchical logistic regression was estimated to predict A1C levels ≤7% (recommended goal) or >7 using 1) demographics and physical health (ethnicity, gender, education, age, and comorbidities), 2) family and friend support, and 3) depression and loneliness. The sample of 92 participants with DM and A1C data from the MIDUS-R had mean age = 57.37, were 51% male, 68% non-Hispanic White; 39.1% had A1C >7. The average level of depression was low (CES-D mean 9.42) and loneliness was moderate (UCLA scale mean 12.43). Loneliness was correlated with A1C (
MeSH term(s)	Middle Aged ; Humans ; Male ; Aged ; Female ; Loneliness/psychology ; Glycated Hemoglobin ; Depression/epidemiology ; Depression/psychology ; Pandemics ; COVID-19/epidemiology ; Social Isolation/psychology ; Diabetes Mellitus/epidemiology
Chemical Substances	Glycated Hemoglobin
Language	English
Publishing date	2022-09-13
Publishing country	England
Document type	Journal Article
ZDB-ID	1477841-5
ISSN	1465-3966 ; 1354-8506
ISSN (online)	1465-3966
ISSN	1354-8506
DOI	10.1080/13548506.2022.2124287
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Article ; Online: Health status and Healthcare Access of Southeast Asian refugees in the United States: An integrative review.

Bang, So Hyeon / Huang, Ya-Ching / Kuo, Hsuan-Ju / Cho, Emma S / García, Alexandra A

Public health nursing (Boston, Mass.)

2023 Volume 40, Issue 2, Page(s) 324–337

Abstract: Objective: Since 2010, more than 527,000 refugees have resettled in the United States (US), most from Asia, fleeing war, violence, and persecution. However, there is little research that integrates findings about health among Southeast Asian refugees ( ... ...

Abstract	Objective: Since 2010, more than 527,000 refugees have resettled in the United States (US), most from Asia, fleeing war, violence, and persecution. However, there is little research that integrates findings about health among Southeast Asian refugees (SEAR). Design: We conducted an integrative review of studies that examined health status, risk factors, and barriers to healthcare access among SEAR in the US. We synthesized findings of studies published from 1980, when the Refugee Act was enacted, to 2022 using five databases. We reviewed 20 articles and data were extracted into a table for synthesis. Results: Participants were from Cambodia, Vietnam, Laos, Burma and the Thailand-Myanmar border. Hypertension (12%-64%), hypercholesterolemia (37%-39%), diabetes (0.6%-27%), heart disease (7%), bone and muscle problems (23%-50%), and chronic pain (8%-51%) were most common physical health problems; and PTSD (45%-86%) and depression (20%-80%) were the most common mental health problems. Trauma, resettlement stress, lack of community or religious engagement were associated with mental health problems. Language differences, transportation, and lack of health insurance were the most significant obstacles to receiving healthcare. Conclusion: SEAR experienced worse physical and mental health than the general US population. Different patterns of disease were identified depending on gender, time settled in the US, and ethnic group. Qualitative and longitudinal studies will elucidate refugees' experience and should guide interventions.
MeSH term(s)	United States ; Humans ; Refugees/psychology ; Southeast Asian People ; Health Status ; Health Services Accessibility ; Mental Health
Language	English
Publishing date	2023-01-20
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	632563-4
ISSN	1525-1446 ; 0737-1209
ISSN (online)	1525-1446
ISSN	0737-1209
DOI	10.1111/phn.13167
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Article ; Online: 10 Lessons Learned in Launching a Division-Wide Measurement-Based Care Initiative.

Kaplan, Courtney / Cho, Emma / Russo, Jillian / Naclerio, Maria / Tirpak, Julianne Wilner / Lee, Eileen / Au, Josephine S / Salisbury, Angela / Dickstein, Daniel P

Journal of the American Academy of Child and Adolescent Psychiatry

2023 Volume 62, Issue 12, Page(s) 1301–1304

Abstract: Mental health problems are a major source of morbidity and mortality for children and adolescents, affecting 15% to 20% of those under 18 years of age in the US. ...

Abstract	Mental health problems are a major source of morbidity and mortality for children and adolescents, affecting 15% to 20% of those under 18 years of age in the US.
MeSH term(s)	Child ; Adolescent ; Humans ; Mental Disorders/diagnosis ; Mental Disorders/therapy ; Mental Health ; Suicide, Attempted ; Psychiatry
Language	English
Publishing date	2023-06-23
Publishing country	United States
Document type	Editorial
ZDB-ID	392535-3
ISSN	1527-5418 ; 0890-8567
ISSN (online)	1527-5418
ISSN	0890-8567
DOI	10.1016/j.jaac.2023.05.023
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Article ; Online: Correction to: Sensation Seeking in Children and Adults with Pediatric-Onset Bipolar Disorder.

Russo, Jillian M / Naclerio, Maria / Kaplan, Courtney / Cho, Emma / Lee, Eileen / Salisbury, Angela / Au, Josephine S / Tirpak, Julianne W / Dickstein, Daniel P

Child psychiatry and human development

2023

Language	English
Publishing date	2023-05-12
Publishing country	United States
Document type	Published Erratum
ZDB-ID	223895-0
ISSN	1573-3327 ; 0009-398X
ISSN (online)	1573-3327
ISSN	0009-398X
DOI	10.1007/s10578-023-01542-9
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Article ; Online: Sensation Seeking in Children and Adults with Pediatric-Onset Bipolar Disorder.

Russo, Jillian M / Naclerio, Maria / Kaplan, Courtney / Cho, Emma / Lee, Eileen / Salisbury, Angela / Au, Josephine S / Tirpak, Julianne W / Dickstein, Daniel P

Child psychiatry and human development

2023

Abstract: Bipolar disorder (BD) is one of the most impairing psychiatric illnesses. Those with pediatric-onset BD tend to have worse outcomes; therefore, accurate conceptualization is important for aspects of care, such as tailored treatment interventions. ... ...

Abstract	Bipolar disorder (BD) is one of the most impairing psychiatric illnesses. Those with pediatric-onset BD tend to have worse outcomes; therefore, accurate conceptualization is important for aspects of care, such as tailored treatment interventions. Sensation seeking behaviors may be a window into the psychopathology of pediatric-onset BD. Participants with BD and healthy controls (HC) ages 7-27 completed self-report assessments, including the Sensation Seeking Scale- V (SSS-V). Among the BD group, there was a significant positive correlation between the Disinhibition subscale and age. Analyses indicated that the BD group scored lower on the Thrill and Adventure Seeking subscale but higher on the Disinhibition scale when compared to the HC group. We found that individuals with pediatric-onset BD are more likely to engage in socially risky behaviors. These results are an important step in understanding sensation seeking characteristics in BD youth and improving treatment, ultimately helping individuals live a more stable life.
Language	English
Publishing date	2023-04-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	223895-0
ISSN	1573-3327 ; 0009-398X
ISSN (online)	1573-3327
ISSN	0009-398X
DOI	10.1007/s10578-023-01537-6
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Article: Revision and Psychometric Evaluation of the Diabetes Knowledge Questionnaire for People With Type 2 Diabetes.

Zuñiga, Julie A / Huang, Ya-Ching / Bang, So Hyeon / Cuevas, Heather / Hutson, Tara / Heitkemper, Elizabeth M / Cho, Emma / García, Alexandra A

Diabetes spectrum : a publication of the American Diabetes Association

2023 Volume 36, Issue 4, Page(s) 345–353

Abstract: Objective: Diabetes knowledge is associated with health, including lower A1C levels. The Diabetes Knowledge Questionnaire (DKQ-24), developed 30 years ago for Mexican Americans with type 2 diabetes and since used with diverse samples in many countries, ... ...

Abstract	Objective: Diabetes knowledge is associated with health, including lower A1C levels. The Diabetes Knowledge Questionnaire (DKQ-24), developed 30 years ago for Mexican Americans with type 2 diabetes and since used with diverse samples in many countries, contains outdated items that no longer accurately assess current knowledge needed for diabetes self-management. We revised the DKQ-24 and tested psychometric properties of the DKQ-Revised (DKQ-R) with a diverse sample. Methods: We conducted a five-phase instrumentation study as follows: Results: After receiving the experts' feedback and conducting the cognitive interviews, 39 items were administered to 258 participants with type 2 diabetes (42.2% women; 29.1% Latino, 42.6% Asian, mean age 55.7 years). To select the final items, we considered the item discrimination index, as well as item-to-total correlations, content area, and participant feedback. The final 22-item DKQ-R uses the same yes/no/I don't know response format as the DKQ-24. The DKQ-R is strongly correlated with the DKQ-24 ( Conclusion: The DKQ-R is a reliable and valid updated measure of diabetes knowledge for diverse populations with type 2 diabetes.
Language	English
Publishing date	2023-05-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	2211544-4
ISSN	1040-9165
ISSN	1040-9165
DOI	10.2337/ds22-0079
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Article ; Online: 3D-printed custom-designed prostheses for partial hand amputation: Mechanical challenges still exist.

O'Brien, Lisa / Cho, Emma / Khara, Aarjav / Lavranos, Jim / Lommerse, Luuk / Chen, Chao

Journal of hand therapy : official journal of the American Society of Hand Therapists

2020 Volume 34, Issue 4, Page(s) 539–542

Abstract: Study design: This is a technical report involving evaluation of two 3D-printed custom-designed prosthetic prototypes for an adult male with partial amputation of his dominant hand.: Introduction: Prosthetic solutions for partial hand amputations ... ...

Abstract	Study design: This is a technical report involving evaluation of two 3D-printed custom-designed prosthetic prototypes for an adult male with partial amputation of his dominant hand. Introduction: Prosthetic solutions for partial hand amputations have progressed modestly in comparison with advances in full hands for transradial and higher amputations. 3D-printing technology allows Bespoke prosthetic design and rapid prototyping, but evidence regarding functional performance and consumer ratings of devices is lacking. Purpose of the study: The purpose of this study was to compare grip strength, dexterity, and consumer perceptions for two novel 3D-printed devices with a myoelectric prosthesis. Methods: This study involves a 2-year iterative design process with an input from the participant, engineers, a prosthetist, and a hand therapist. The evaluation involved standardized tests of grip/pinch strength and dexterity and participant ratings of key criteria. Results: Both 3D-printed devices had very poor grip and pinch strength but comparable dexterity with the myoelectric prosthesis. The participant was more satisfied with the weight and thermal attributes of the 3D-printed devices. Discussion: Aspects of both 3D-printed designs showed the potential for future refinements; however, the mechanical solutions to minimize force required at the wrist to activate grip are still required. Conclusion(s): Future design efforts should be client-centered and involve professionals with specialist prosthetic and engineering knowledge.
MeSH term(s)	Adult ; Amputation ; Artificial Limbs ; Hand/surgery ; Humans ; Male ; Printing, Three-Dimensional ; Prosthesis Design
Language	English
Publishing date	2020-06-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	639284-2
ISSN	1545-004X ; 0894-1130
ISSN (online)	1545-004X
ISSN	0894-1130
DOI	10.1016/j.jht.2020.04.005
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Article ; Online: Cystic metastatic lymph nodes in malignant melanoma: a case report.

Mema, Eralda / Cho, Emma / Ha, Richard / Taback, Bret

Clinical imaging

2017 Volume 42, Page(s) 158–160

Abstract: Melanoma is a rare type of skin cancer with a high mortality rate. Local invasion and metastatic spread are primarily responsible for the morbidity and mortality of melanoma. While metastatic lesions vary from cystic to solid, cystic metastases can be ... ...

Abstract	Melanoma is a rare type of skin cancer with a high mortality rate. Local invasion and metastatic spread are primarily responsible for the morbidity and mortality of melanoma. While metastatic lesions vary from cystic to solid, cystic metastases can be challenging to diagnose. Up to date, there are only a few published studies that describe cystic metastases in melanoma and other conditions such as lymphoma, squamous cell carcinoma and thyroid papillary carcinoma. We describe a case of cystic metastatic axillary lymph nodes in a patient with subungual acral lentiginous melanoma and the challenges to reaching an accurate diagnosis.
MeSH term(s)	Aged, 80 and over ; Axilla/diagnostic imaging ; Axilla/pathology ; Humans ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/pathology ; Lymphatic Metastasis/diagnostic imaging ; Lymphatic Metastasis/pathology ; Male ; Melanoma/diagnostic imaging ; Melanoma/pathology ; Skin Neoplasms/diagnostic imaging ; Skin Neoplasms/pathology
Language	English
Publishing date	2017-03
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1028123-x
ISSN	1873-4499 ; 0899-7071
ISSN (online)	1873-4499
ISSN	0899-7071
DOI	10.1016/j.clinimag.2016.12.006
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Article ; Online: In the Setting of Negative Mammogram, Is Additional Breast Ultrasound Necessary for Evaluation of Breast Pain?

Mema, Eralda / Cho, Emma / Ryu, Yun-Kyoung / Jadeja, Priya / Wynn, Ralph / Taback, Brett / Ha, Richard

Current problems in diagnostic radiology

2018 Volume 48, Issue 2, Page(s) 117–120

Abstract: Purpose: To evaluate whether in the setting of negative diagnostic mammogram for breast pain additional ultrasound is necessary.: Methods: Retrospective IRB-approved review of our database identified 8085 women who underwent ultrasound evaluation for ...

Abstract	Purpose: To evaluate whether in the setting of negative diagnostic mammogram for breast pain additional ultrasound is necessary. Methods: Retrospective IRB-approved review of our database identified 8085 women who underwent ultrasound evaluation for breast pain from 1/1/2013-12/31/2013. Of 8085 women, 559 women had mammogram evaluation preceding the ultrasound and these women comprise the basis of this study. The patient's age, type of mammogram examination (screening or diagnostic), Breast Imaging-Reporting and Data System (BI-RADS) breast density (BD), type of breast pain (focal, diffuse, cyclical, unilateral, bilateral), additional breast symptoms (palpable concern, nipple discharge, skin changes, others), mammogram or ultrasound findings and final BI-RADS assessment, follow-up imaging, and follow-up biopsy results were reviewed and recorded. Results: The median age of patients was 46 years old (range: 27-97). Patients recalled from negative screening mammogram were 29.8% (167/559). Patients with preceding negative diagnostic mammogram were 70.2% (392/559). The BI-RADS BD distribution was BD1: 5.5%, BD2: 39.9%, BD3: 46.0%, BD4: 8.6%. Final BI-RADS assessments were BI-RADS 1/2 (79%), BI-RADS 3 (12.9%), BI-RADS 4 (8.1%), BI-RADS 5 (0%). Majority (66.9%, 374/559) of the patient had breast pain alone. Additional breast symptoms were also noted as follows: palpable concern (24%), nipple discharge (3.9%), skin changes or other (5.2%). On follow-up evaluation, 26 findings were recommended for tissue sampling yielding 2 malignancies (0.4%, 2/559) in 2 patients. In the setting of negative mammogram and clinical symptom of breast pain alone yielded no malignances (NPV, 100%, 374/374) and was not impacted by BD. In patients with additional symptoms accompanying pain, malignancies were present despite negative mammogram in 2 patients; nipple discharge (4.5%, 1/22), and palpable concern (0.7%, 1/134). Conclusion: In the setting of negative mammogram and breast pain alone, additional evaluation with ultrasound is likely low yield and may be unnecessary. However, with additional symptoms such as palpable concern or nipple discharge, ultrasound is likely an important adjunct modality for identifying mammographically occult tumors.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Mammography ; Mastodynia/diagnostic imaging ; Middle Aged ; Retrospective Studies ; Ultrasonography, Mammary ; Unnecessary Procedures/statistics & numerical data
Language	English
Publishing date	2018-01-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	198954-6
ISSN	1535-6302 ; 0363-0188
ISSN (online)	1535-6302
ISSN	0363-0188
DOI	10.1067/j.cpradiol.2017.12.007
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