A5049161218- Diabetes Treatment and Management
- Diabetes Management and Research
- Diabetes Management and Education
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Diabetes and associated disorders
- Diet and metabolism studies
- Nitric Oxide and Endothelin Effects
- Eating Disorders and Behaviors
- Heart Failure Treatment and Management
- Metabolism, Diabetes, and Cancer
- Cardiovascular Function and Risk Factors
- Electrolyte and hormonal disorders
- Hormonal Regulation and Hypertension
- Chronic Disease Management Strategies
- Genetic Associations and Epidemiology
- Thyroid Disorders and Treatments
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Renin-Angiotensin System Studies
- Atrial Fibrillation Management and Outcomes
- Machine Learning in Healthcare
- Impact of Technology on Adolescents
- Health Policy Implementation Science
- Obesity and Health Practices
Cleveland Clinic
2016-2025
Cleveland Clinic Lerner College of Medicine
2025
Case Western Reserve University
2025
Massachusetts General Hospital
2014
KU Leuven
2014
Outcomes Research Consortium
2014
Mayo Clinic
1986-2004
Mayo Clinic in Arizona
1986-2004
WinnMed
2004
Pennsylvania Department of Health
2004
While patients with liver disease are known to have a higher prevalence of glucose intolerance, preliminary studies suggest that hepatitis C virus (HCV) infection may be an additional risk factor for the development diabetes mellitus. To further study correlation HCV and diabetes, we performed retrospective analysis 1,117 chronic viral analyzed whether age, sex, race, B (HBV) infection, cirrhosis were independently associated diabetes. In addition, case-control was conducted determine...
Objective To determine the prevalence of obesity and its related comorbidities among patients being actively managed at a US academic medical centre, to examine frequency formal diagnosis obesity, via International Classification Diseases, Ninth Revision (ICD-9) documentation with body mass index (BMI) ≥30 kg/m 2 . Design The electronic health record system Cleveland Clinic was used create cross-sectional summary meeting minimum primary care physician visit requirements. Eligible were...
To compare the prevalence of diabetes-related complications and comorbidities, clinical characteristics, glycemic control, treatment patterns in patients with type 2 diabetes (T2D) within a large integrated healthcare system 2008 vs 2013.An electronic health record was used to create cross-sectional summary all T2D as on 1 July 2013. Differences between two data sets were assessed after adjusting for age, gender, race, household income.In 2013, 24 493 41 582 identified, respectively, which...
Summary Blood eosinophils, and serum levels of the eosinophil proteins, cationic protein (ECP) X (EPX) were measured in childhood asthma. Seventeen patients mean age 11–9 years who symptomatic with asthma, enrolled a study examining counts proteins at onset after treatment relation to changes their baseline forced expiratory volume 1 second (FEV ) % predicted FEV . The asthma compared 17 12.0 asymptomatic maintained on daily inhaled steroid 13 patients, years, without but urticaria served as...
Aims: It remains uncertain if differences in mortality risk exist among the sulfonylureas, especially patients with documented coronary artery disease (CAD). The purpose of this study was to assess overall individual sulfonylureas versus metformin a large cohort type 2 diabetes. Methods: A retrospective conducted using an academic health centre enterprise‐wide electronic record (EHR) system identify 23 915 diabetes who initiated monotherapy (N = 12774), glipizide 4325), glyburide 4279) or...
"Clinical inertia" has been used to describe the delay in intensification of type 2 diabetes treatment among patients with poor glycemic control. Previous studies may have exaggerated prevalence clinical inertia by failing adequately monitor drug dose changes and nonmedication interventions. This project evaluated therapy hemoglobin A1c (A1C) goal attainment newly diagnosed when metformin monotherapy failed.The electronic health record at Cleveland Clinic was identify between 2005 2013 who...
Bulimic subjects who responded to intensive group psychotherapy plus imipramine or placebo alone (N = 68) were assigned 4-month maintenance with weekly support groups and/or medication (placebo imipramine) and evaluated 6 months after initial treatment 61). Thirty percent of the relapsed during months. Initial was associated a lower relapse rate than alone. Neither attendance at sessions nor better outcome.
OBJECTIVE Sulfonylureas have historically been analyzed as a medication class, which may be inappropriate given the differences in properties inherent to individual sulfonylureas (hypoglycemic risk, sulfonylurea receptor selectivity, and effects on myocardial ischemic preconditioning). The purpose of this study was assess relationship risk overall mortality large cohort patients with type 2 diabetes. RESEARCH DESIGN AND METHODS A retrospective conducted using an academic health center...
OBJECTIVE To assess patient characteristics and treatment factors associated with uncontrolled type 2 diabetes (T2D) the probability of hemoglobin A1c (A1C) goal attainment. RESEARCH DESIGN AND METHODS This was a retrospective cohort study using electronic health record at Cleveland Clinic. Patients T2D (A1C >9%) were identified on index date 31 December 2016 (n = 6,973) grouped by attainment 1,653 [23.7%]) or nonattainment 5,320 [76.3%]) A1C <8% 2017, subgroups compared number...
First, we would like to thank Dr. Param Darpan Sheth for the commendations and, just as important, insightful and clinically important questions comments. There is no question that earlier diagnosis of diabetic ketoacidosis (DKA), quicker resolution acute symptoms. To
To evaluate real-world patient characteristics, medication use, and health care utilization patterns in patients with type 2 diabetes established cardiovascular disease (CVD). Cross-sectional analysis of seen at Cleveland Clinic from 2005 to 2016, divided into two cohorts: with-CVD without-CVD. Patient demographics antidiabetic medications were recorded December 2016; department encounters included all visits 1/1/2016 12/31/2016. Comorbidity burden was assessed by the complications severity...
OBJECTIVE To identify severe hypoglycemia events, defined as emergency department visits or hospitalizations for hypoglycemia, in patients with type 2 diabetes receiving care a large health system and to patient characteristics associated events. RESEARCH DESIGN AND METHODS This was retrospective cohort study from January 2006 December 2015 using the electronic medical record Cleveland Clinic Health System (CCHS). Participants included 50,439 CCHS. Number of events were identified. RESULTS...
The aim of the present study was to assess longitudinal accumulation diabetes-related complications and effect glycemic control on Diabetes Complications Severity Index (DCSI) score in people with newly diagnosed type 2 diabetes (T2D).A retrospective cohort conducted using electronic health records from a large integrated healthcare system. People T2D were identified between 2005 2016 stratified by initial HbA1c category (<7%, <8%, ≥8%). DCSI scores determined for each year, cumulative...
Summary Children less than 5 years of age with asthma were assessed for total eosinophil counts and scrum levels the proteins, cationic protein (ECP) X (EPX). to determine whether these measurements would reflect eosinophilic inflammation in airways. Initially 27 symptomatic patients, 14 atopic 13 non‐atopic investigated. They had a mean 1.8 never been treated inhaled steroid not received Intal 2 weeks prior assessment. The patients proved have higher serum ECP EPX (eosinophil 0.63 10 9 /1...
Although much of the psychotherapy for psychiatric disorders is conducted on a weekly basis, several researchers in field bulimia nervosa have utilized more intensive approach as means to strengthen treatment effects. A second issue concerns amount emphasis that should be placed encouraging interruption bulimic symptoms early treatment. In current study we systematically studied these two issues. Subjects were randomly assigned one four forms cognitive-behavioral group psychotherapy, cells...
The records of eight patients with thyroid tenderness secondary to Hashimoto's thyroiditis were reviewed. pathologic characteristics tissue sections from these compared those nontender thyroiditis, and no difference was identified. Laboratory features helpful in distinguishing tender subacute (de Quervain's) include normal erythrocyte sedimentation rate, significant 131I uptake, antithyroid antibody titer. Diagnosis should be confirmed by fine-needle aspiration biopsy. Corticosteroid therapy...