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  1. Article: Innovations in Diabetes Device Training: A Scoping Review.

    Tindall, Lacie N / Xavier, Neena A

    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

    2023  Volume 29, Issue 10, Page(s) 803–810

    Abstract: Objective: The coronavirus disease 2019 pandemic highlighted a pre-existing need for alternatives to traditional in-person diabetes device trainings. Barriers to care, which include the heavy burden of training, pose a threat to optimal adoption and ... ...

    Abstract Objective: The coronavirus disease 2019 pandemic highlighted a pre-existing need for alternatives to traditional in-person diabetes device trainings. Barriers to care, which include the heavy burden of training, pose a threat to optimal adoption and utilization of these devices. We searched the literature for alternative methods of training, evaluated user satisfaction, and compared short-term clinical outcomes with guideline-based glucometric targets and historical training results.
    Methods: A scoping review of Embase articles from 2019 to 2021 was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines using key words relevant to diabetes technologies. Original full-text articles investigating training of new users on devices were included. Titles and abstracts were screened for eligibility by 2 independent reviewers, and results were summarized.
    Results: Of 25 articles retrieved from the database, 11 met the criteria. Alternative training strategies included video conferencing, phone calls, mobile applications, and hybrids with traditional trainings. Overall, there was a high degree of user satisfaction with virtual visits, with a preference for hybrid approaches (6 articles). Although glucometrics varied between articles, short-term glucometrics were satisfactory overall (8 articles), including improved glycated hemoglobin measurements and time in range. Two articles compared time in range over various time points after traditional and remote training. One found equivalency, and the other identified a 5% improvement with remote training.
    Conclusion: Alternative training approaches are a viable option to reduce the barriers to care and to alleviate training burden. Intentional implementation of alternatives should be considered a solution to address current barriers.
    MeSH term(s) Humans ; COVID-19 ; Diabetes Mellitus/therapy
    Language English
    Publishing date 2023-06-07
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1473503-9
    ISSN 1530-891X
    ISSN 1530-891X
    DOI 10.1016/j.eprac.2023.05.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MO 508: Show issues

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  2. Article ; Online: Service-Learning in Physician Assistant Education: A Scoping Review.

    Oliveira, Ana L / Smith, Catherine H / Xavier, Neena A

    The journal of physician assistant education : the official journal of the Physician Assistant Education Association

    2023  Volume 34, Issue 1, Page(s) 41–45

    Abstract: Introduction: Service-learning (SL) is a pedagogy that can be used in healthcare education to develop students who are better prepared to address the various social determinants of health and to provide compassionate care to the diverse populations they ...

    Abstract Introduction: Service-learning (SL) is a pedagogy that can be used in healthcare education to develop students who are better prepared to address the various social determinants of health and to provide compassionate care to the diverse populations they will serve. Yet, an assessment of the quality and scope of the SL activities used in physician assistant (PA) education is not available. The purpose of this scoping review is to review the literature and identify and summarize articles about SL courses in PA education.
    Methods: We performed a scoping literature search of 4 databases (CINAHL, PubMed, Embase, and Scopus) to identify peer-reviewed journal articles about SL in PA education. Studies that did not include PA students, were not a service-learning activity (but instead an interprofessional activity, simulation, or volunteerism), or were not a full article were all excluded.
    Results: Nine articles were included in this scoping review after independent evaluation by 2 investigators based on specific inclusion and exclusion criteria. The most common reason for exclusion was lack of distinct learning objectives specific to the service learning and/or a lack of a structured, guided critical reflection that helped realize and demonstrate the desired learning outcomes.
    Discussion: Although service-learning is considered to be a high-impact teaching practice, it is still an underutilized tool in PA education. Training faculty in the implementation of SL to align the hands-on activity with specific course learning objectives and in the effective use of structured critical reflection can create a more impactful and authentic SL educational experience.
    MeSH term(s) Humans ; Physician Assistants/education ; Learning ; Students ; Clinical Competence ; Faculty
    Language English
    Publishing date 2023-01-18
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2620682-1
    ISSN 1941-9449 ; 1941-9430
    ISSN (online) 1941-9449
    ISSN 1941-9430
    DOI 10.1097/JPA.0000000000000481
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Managing older patients with cancer.

    Robinson, Lauren / Xavier, Neena A

    JAAPA : official journal of the American Academy of Physician Assistants

    2020  Volume 33, Issue 5, Page(s) 31–34

    Abstract: With the growing population of adults over age 70 years, clinicians must know how to care appropriately for the increasing number of older patients with cancer. Although older adults have higher rates of surgical complications and chemotherapy-related ... ...

    Abstract With the growing population of adults over age 70 years, clinicians must know how to care appropriately for the increasing number of older patients with cancer. Although older adults have higher rates of surgical complications and chemotherapy-related toxicity, they should not be excluded from treatment opportunities based on age alone. Rather, patients should be assessed for fitness, or functional age, for a more accurate estimation of how they will tolerate treatment. This article discusses considerations clinicians should take into account when developing effective treatment plans that do not compromise quality of life for older patients with cancer.
    MeSH term(s) Age Factors ; Aged ; Aged, 80 and over ; Antineoplastic Agents/adverse effects ; Antineoplastic Agents/toxicity ; Drug Tolerance ; Geriatric Assessment ; Humans ; Neoplasms/therapy ; Patient Care Management ; Physical Fitness ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Prognosis ; Quality of Life ; Risk Assessment ; Social Class
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2020-04-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2415226-2
    ISSN 0893-7400 ; 1547-1896
    ISSN (online) 0893-7400
    ISSN 1547-1896
    DOI 10.1097/01.JAA.0000657188.98965.ca
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Comparing the Ability of Two Comprehensive Clinical Staging Systems to Predict Mortality: EOSS and CMDS.

    Ejima, Keisuke / Xavier, Neena A / Mehta, Tapan

    Obesity (Silver Spring, Md.)

    2020  Volume 28, Issue 2, Page(s) 353–361

    Abstract: Objective: Differences in discriminative and predictive ability for all-cause mortality of two clinical staging systems, the Edmonton Obesity Staging System (EOSS) and Cardiometabolic Disease Staging (CMDS), were estimated.: Methods: Data for ... ...

    Abstract Objective: Differences in discriminative and predictive ability for all-cause mortality of two clinical staging systems, the Edmonton Obesity Staging System (EOSS) and Cardiometabolic Disease Staging (CMDS), were estimated.
    Methods: Data for nonpregnant persons aged 40 to 75 years were extracted from the National Health and Nutrition Examination Survey. Predictive and discriminative ability was assessed using pseudo-R
    Results: Differences in out-of-sample estimates of pseudo-R
    Conclusions: CMDS had statistically significantly greater predictive and discriminative ability than EOSS for persons aged 40 to 75. While the clinical relevance of these differences is unknown, CMDS may have greater clinical utility given that it uses fewer items to risk stratify. The clinical relevance and utility need to be studied further.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Middle Aged ; Nutrition Surveys/methods ; Obesity/classification ; Obesity/diagnosis ; Obesity/mortality ; Survival Rate
    Language English
    Publishing date 2020-01-06
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2230457-5
    ISSN 1930-739X ; 1071-7323 ; 1930-7381
    ISSN (online) 1930-739X
    ISSN 1071-7323 ; 1930-7381
    DOI 10.1002/oby.22656
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: THE ROLE OF HETEROPLASMY IN THE DIAGNOSIS AND MANAGEMENT OF MATERNALLY INHERITED DIABETES AND DEAFNESS.

    Robinson, Katie Nahay / Terrazas, Sari / Giordano-Mooga, Samantha / Xavier, Neena A

    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

    2019  Volume 26, Issue 2, Page(s) 241–246

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Deafness ; Diabetes Mellitus, Type 2 ; Humans ; MELAS Syndrome ; Mitochondrial Diseases
    Language English
    Publishing date 2019-11-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1473503-9
    ISSN 1530-891X
    ISSN 1530-891X
    DOI 10.4158/EP-2019-0270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Hyperandrogenism and intersex controversies in women's olympics.

    Xavier, Neena A / McGill, Janet B

    The Journal of clinical endocrinology and metabolism

    2012  Volume 97, Issue 11, Page(s) 3902–3907

    Abstract: International sports governing bodies such as the International Association for Athletics Federation and the International Olympic Committee have recently revised their policies for inclusion of athletes competing in women's international sports ... ...

    Abstract International sports governing bodies such as the International Association for Athletics Federation and the International Olympic Committee have recently revised their policies for inclusion of athletes competing in women's international sports competitions. Previously, the focus was on verification of gender or femininity. The mishandling of Caster Semanya's case brought the complex issues of fairness with regard to athletes with disorders of sexual development or hyperandrogenism into both public and private debates. The new International Association for Athletics Federation and International Olympic Committee policies for inclusion in women's sporting events rest largely on the serum testosterone level, mandating that it be less than the lower limit of normal for men as the defining criteria. This report provides an overview of past problems and an update of the newly adopted policies for eligibility for competition in women's events. Endocrinologists will play a key role in the evaluation and treatment of women athletes who have elevated androgen levels, regardless of the underlying cause.
    MeSH term(s) Athletes ; Disorders of Sex Development/diagnosis ; Female ; Guidelines as Topic ; Humans ; Hyperandrogenism/diagnosis ; Male ; Policy ; Sex Determination Analysis ; Sports ; Women
    Language English
    Publishing date 2012-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/jc.2012-2792
    Database MEDical Literature Analysis and Retrieval System OnLINE

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