RESUMEN
In the time that has passed since our evaluation, 14 of the 16 recommendations we made have been addressed by the education staff and incorporated into the program. Program monitoring methods have been implemented and patient follow-up has been improved. After the recommendations were incorporated into the program, a final but noteworthy outcome of the evaluation process was achieved. Formal recognition as a model diabetes patient education program was given by the state of Ohio Diabetes Control Program. Systematic evaluation of a patient education program may seem an overwhelming and impossible task to accomplish, but with some creative brainstorming with staff it can be done. And the payoffs are worth the effort.
Asunto(s)
Diabetes Mellitus/rehabilitación , Investigación en Evaluación de Enfermería/métodos , Investigación en Enfermería/métodos , Educación del Paciente como Asunto , Recolección de Datos , Humanos , Proyectos de InvestigaciónRESUMEN
Five new ultrasonic weight formulae incorporating head circumference, fetal femur length, and a correction for oligohydramnios were prospectively analyzed in a group of 198 unselected patients scanned within 72 hours of birth. Comparison with the Shepard formula showed that inclusion of these parameters slightly, but significantly, improved the random error of weight estimation. The best-fit formula was: Log(10) BW = .04355HC + .05394AC - .0008582HC X AC + 1.2594 (FL/AC) - 2.0661.
Asunto(s)
Peso Corporal , Feto/anatomía & histología , Ultrasonografía , Peso al Nacer , Estatura , Cefalometría , Desarrollo Embrionario y Fetal , Femenino , Humanos , Matemática , Embarazo , Estudios Prospectivos , Programas InformáticosRESUMEN
L-Tryptophan is known to have pharmacological effects on carbohydrate metabolism. In a scrutiny for possible physiological relationships, intravenous glucose tolerance was measured in rats fed various diets of defined L-tryptophan-content. Within 14 days, animals which had been fed a tryptophan-deficient diet diet removed excess glucose from their blood at a reduced rate. This decreased tolerance to glucose was dose dependent to dietary L-tryptophan and the intolerance was reversed by feeding a complete diet. The intolerance was not dependent on dietary protein source, not reversed by added niacin or vitamin B-6, not a necessary consequence of decreased food consumption and growth, and not duplicated by a lack of dietary lysine. The results suggest that dietary L-tryptophan is active in physiological regulation of carbohydrate metabolism.
