American College of Preventive Medicine

Background: The present study was conducted to assess the clinical profile of type 2 diabetes patients presenting with diabetic ketoacidosis and review their biochemical parameters at the time of presentation. Methods: The present study was an analytical, cross-sectional study conducted over the period of two years. All the type 2 diabetes patients with diabetic ketoacidosis admitted during the study period constituted the study population, after being subjected to prefixed selection criteria. All the participants were subjected to detailed clinical examination and biochemical analysis during hospitalization and parameters were monitored. Results: Out of the total 60 type 2 DM patients with DKA studied, 53.3% patients belonged to 51 to 60 years age group and 55% were males. One patient died and 59 survived (mortality rate-1.6%). Comparatively higher mean RBS, higher mean serum osmolality and lower pH were observed in the death case in comparison with those who survived. The patient who died had no statistically significant difference in serum sodium, potassium, calcium and magnesium but had lower serum HCO3- than alive patients on admission. Conclusions: DKA is a serious metabolic complication even in cases of type 2 diabetes and higher RBS, higher Sr Osmolality and lower pH at the time of presentation correlate directly with poorer outcomes.

Purpose: Pediatric obesity is a grave public health concern with both genetic and environmental risk factors. The first line treatment for obesity in youth is lifestyle intervention, which has proven to be challenging. Forever-Fit Summer Camp (FFSC) is a six-week summer day program that offers physical activity and nutrition education, as well as well-balanced meals and snacks, to youth at low cost. The aim of the study was to assess the impact of FFSC on BMI, cardiovascular and …

Introduction: Urinary bladder neoplasms constitute an important source of clinical signs and symptoms which are more disabling than lethal. The present study aimed to study the prevalence of bladder neoplasms and to study the clinico-histomorphological features of various bladder neoplasms along with special emphasis on grading and staging of the bladder tumours. Materials and methods: The present study is a five years retrospective study. All patients who visited to urology outpatient department with lower urinary tract symptoms and obstructive bladder symptoms were subjected to cystoscopy. The detailed clinico-histomorphological features of cystoscopic biopsies are studied using WHO/ISUP 2004 histological grading and TNM staging were used in classifying the bladder tumours. Results: Out of 239 cystoscopic biopsies, the neoplastic lesions constituted 76.6% of the cases Among the neoplastic, benign lesions accounted for 12.9% of the cases and malignant lesions accounted for 83 % of the cases. Among the malignant lesions, urothelial carcinoma was the commonest accounting for 75.9% of the cases with increased prevalence of high grade papillary urothelial carcinoma (74.1%) and invasive papillary urothelial carcinoma accounting for 73.75% of the cases. Conclusions: The present study has stressed the importance of histopathological examination with special emphasis on the study of serial sections and the importance of inclusion of detrusor muscle in the biopsy for accurate grading and staging so as to decrease the morbidity and mortality and initiate the early management of bladder tumours.

The study sought to develop a comprehensive and current description of what Clinical Informatics Subspecialty (CIS) physician diplomates do and what they need to know. Three independent subject matter expert panels drawn from and representative of the 1695 CIS diplomates certified by the American Board of Preventive Medicine contributed to the development of a draft CIS delineation of practice (DoP). An online survey was distributed to all CIS diplomates in July 2018 to validate the draft DoP. A total of 316 (18.8%) diplomates completed the survey. Survey respondents provided domain, task, and knowledge and skill (KS) ratings; qualitative feedback on the completeness of the DoP; and detailed professional background and demographic information. This practice analysis resulted in a validated, comprehensive, and contemporary DoP comprising 5 domains, 42 tasks, and 139 KS statements. The DoP that emerged from this study differs from the 2009 CIS Core Content in 2 respects. First, the DoP reflects the growth in amount, types, and utilization of health data through the addition of a practice domain, tasks, and KS statements focused on data analytics and governance. Second, the final DoP describes CIS practice in terms of tasks in addition to identifying knowledge required for competent practice. This study (1) articulates CIS diplomate tasks and knowledge used in practice, (2) provides data that will enable the American Board of Preventive Medicine CIS examination to align with current practice, (3) informs clinical informatics fellowship program requirements, and (4) provides insight into maintenance of certification requirements.