Impact of Primary Care Worksite Health and Wellness Clinics on HbA1c Level Among Prediabetic or Diabetic Employees

2020 ◽  
Vol 35 (1) ◽  
pp. 13-19
Author(s):  
Catherine C. Cohen ◽  
Simon Hollands ◽  
Harry H. Liu
Keyword(s):  
Hemoglobin A1c ◽  
Multivariate Analyses ◽  
Population Level ◽  
Wellness Programs ◽  
Health And Wellness ◽  
Central California ◽  
Level Data ◽  
Worksite Health ◽  
Definition Of ◽  
Employee Data

Purpose: To determine whether the use of worksite health and wellness clinics reduced hemoglobin A1c (HbA1c) for prediabetic and diabetic employees. Design: Hemoglobin A1c values were compared between clinic users and matched non-users. Setting: The Wonderful Company’s (TWC’s) agricultural and packaging sites in Central California. Sample: TWC’s 2016 to 2017 employees who used clinics (n = 445, defined below) and clinic non-users (n = 217) who had HbA1c screening and worked at TWC for 3 or more months each year. Intervention: A unique worksite health and wellness clinic that offers multidisciplinary primary medical care in synergy with TWC’s overall wellness programs. Measures: Exposure was clinic use, defined by frequency and patterns of visits. Hemoglobin A1c was the outcome of interest. Analysis: Users and non-users were propensity score matched using the 2016 employee data including HbA1c, and then 2017 HbA1c values were compared between the 2 groups. Results: The 2017 HbA1c of diabetic employees was lower among clinic users compared to non-users (7.42 vs 8.53, P < .001). Differences in HbA1c among prediabetics or diabetics and prediabetics aggregated were not statistically significant, despite TWC’s population-level data showing a reduction in prediabetes prevalence. The clinic impact results were robust to multivariate analyses and an alternative definition of utilization. Conclusion: The implementation of TWC’s Health and Wellness clinics was associated with reductions in HbA1c among diabetics, but further research is needed on prediabetics.

Worksite Health and Wellness Programs in India

2014 ◽  
Vol 56 (5) ◽  
pp. 501-507 ◽  
Author(s):  
Abraham Samuel Babu ◽  
Kushal Madan ◽  
Sundar Kumar Veluswamy ◽  
Rahul Mehra ◽  
Arun G. Maiya
Keyword(s):  
Wellness Programs ◽  
Health And Wellness ◽  
Worksite Health

scholarly journals COVID-19 mortality and BCG vaccination: defining the link using machine learning

2020 ◽  
Author(s):  
Nathan A. Brooks ◽  
Ankur Puri ◽  
Sanya Garg ◽  
Swapnika Nag ◽  
Jacomo Corbo ◽  
...  
Keyword(s):  
Machine Learning ◽  
Linear Regression ◽  
A Priori ◽  
Target Function ◽  
Population Level ◽  
Bcg Vaccination ◽  
Level Data ◽  
Confounding Variables ◽  
Prospective Trials ◽  
Definition Of

Abstract Population-level data have suggested that bacille Calmette-Guerin (BCG) vaccination may lessen the severity of COVID-19; prior reports have demonstrated conflicting results. We leveraged publicly available databases and unsupervised machine learning, adjusting for established confounders designated a priori, to assign countries into similar clusters. The primary outcome was the association of deaths per million related to COVID-19 (CSM) 30 days after each included country reported 100 cases with several factors including vaccination. Validation was performed using linear regression and country-specific modeling. This protocol details the statistical analyses used to establish an association between BCG vaccination and CSM, which includes : Definition of the target function, data processing, exploratory factor analysis for variable selection, k-means clustering and step wise linear regression for validation. This protocol is differentiated from previous works on the same subject by its' comprehensive nature which considers the effect of several confounding variables while studying the association between BCG vaccination and CSM. There are still several potential measured and unmeasured confounding variables which could not be included in this study. It is also unclear if the protection from neonatal vaccination with BCG is transferable to those receiving vaccination as an adult and how long such protection lasts. The authors advise caution against routine BCG vaccination for the prevention of COVID-19 until prospective trials are completed.

scholarly journals Development and Implementation of Worksite Health and Wellness Programs: A Focus on Non-Communicable Disease

2015 ◽  
Vol 58 (1) ◽  
pp. 94-101 ◽  
Author(s):  
Lawrence P. Cahalin ◽  
Leonard Kaminsky ◽  
Carl J. Lavie ◽  
Paige Briggs ◽  
Brendan L. Cahalin ◽  
...  
Keyword(s):  
Communicable Disease ◽  
Wellness Programs ◽  
Health And Wellness ◽  
Worksite Health ◽  
Non Communicable Disease

Worksite Health and Wellness Programs: Canadian Achievements & Prospects

2014 ◽  
Vol 56 (5) ◽  
pp. 484-492 ◽  
Author(s):  
Jean-Pierre Després ◽  
Natalie Alméras ◽  
Lise Gauvin
Keyword(s):  
Wellness Programs ◽  
Health And Wellness ◽  
Worksite Health

Marginality and team building in collaborative crowdsourcing

2020 ◽  
Vol 44 (4) ◽  
pp. 827-846
Author(s):  
Rong Wang
Keyword(s):  
Team Building ◽  
Population Level ◽  
Content Type ◽  
Team Members ◽  
Individual Level ◽  
Exponential Random Graph Modeling ◽  
Exponential Random Graph ◽  
Level Data ◽  
Collaboration Dynamics ◽  
Definition Of

PurposeExisting studies on crowdsourcing have focused on analyzing isolated contributions by individual participants and thus collaboration dynamics among them are under-investigated. The value of implementing crowdsourcing in problem solving lies in the aggregation of wisdom from a crowd. This study examines how marginality affects collaboration in crowdsourcing.Design/methodology/approachWith population level data collected from a global crowdsourcing community (openideo.com), this study applied social network analysis and in particular bipartite exponential random graph modeling (ERGM) to examine how individual level marginality variables (measured as the degree of being located at the margin) affect the team formation in collaboration crowdsourcing.FindingsSignificant effects of marginality are attributed to collaboration skills, number of projects won, community tenure and geolocation. Marginality effects remain significant after controlling for individual level and team level attributes. However, marginality alone cannot explain collaboration dynamics. Participants with leadership experience or more winning ideas are also more likely to be selected as team members.Originality/valueThe core contribution this research makes is the conceptualization and definition of marginality as a mechanism in influencing collaborative crowdsourcing. This study conceptualizes marginality as a multidimensional concept and empirically examines its effect on team collaboration, connecting the literature on crowdsourcing to online collaboration.

scholarly journals Pengembangan konsep worksite health and wellness programs di kantor pemerintahan kota yogyakarta sebagai upaya pencegahan penyakit tidak menular bagi karyawan perkantoran

2018 ◽  
pp. 15
Author(s):  
Mohammad Fikri
Keyword(s):  
Wellness Programs ◽  
Health And Wellness ◽  
Worksite Health

Data Badan Penelitian dan Pengembangan Kesehatan (2013), PTM DI Yogyakarta meliputi PPOK (3,1%), Asma (6,9%), penyakit jantung (0,6%), kanker (4,1%), diabetes (2,6%), hipertensi (12,8%) dan beberapa PTM lain yang jumlah kasusnya masih tergolong tinggi pada usia produktif yang bekerja di perusahaan/perkantoran. Mengatasi masalah kesehatan tersebut, program-program baru pun coba dirancang mencegah, mengurangi atau paling tidak mengontrol angka kejadian PTM khususnya bagi para karyawan formal dan informal. Salah satu program yang coba dirancang adalah Worksite Health and Wellness Programs. WHWPs merupakan program kesehatan yang telah banyak diterapkan di eropa dan Asia Tenggara yang memberikan efek positif menanggulangi penyakit tidak menular pada  karyawan. Tujuan penelitian ini adalah untuk melihat seberapa efektif program WHPWs diterapkan di Kantor Pemerintahan Kota Yogyakarta sebagai strategi pencegahan PTM bagi para karyawan. Berdasarkan hasil-hasil penelitian terkait, program WHWPs diterapkan perusahaan diberbagai negara Eropa, Amerika bahkan Asia Tenggara. Salah satunya Perusahaan J&J merasakan manfaat dari program tersebut dengan hasil yang menunjukkan adanya penurunan risiko kesehatan bagi karyawannya dari 87,5% berisiko sakit menjadi 78% pada periode 5 tahun penerapanya. Selain itu, lewat program WHWPs juga mengurangi persentase perilaku sedentary dari 39% menjadi 21 %, mengurangi perilaku merokok dari 12% menjadi 3,6%, hipertensi dari 14% menjadi 6.4%, dan risiko kolesterol dari 19% menjadi 6,2%. Kesimpulanya, program WHWPs sangat baik diterapkan di tempat kerja guna mencegah dan menurukan risiko PTM bagi karyawan dan biaya pengobatan PTM dapat ditekan. Oleh karena itu perlu adanya kerja sama lintas sektor untuk mencapai tujuan positif dari program WHWPs.

scholarly journals Population-Level Prevalence, Bother, and Treatment Behavior for Urinary Incontinence in an Eastern European Country: Findings from the LUTS POLAND Study

2021 ◽  
Vol 10 (11) ◽  
pp. 2314
Author(s):  
Mikolaj Przydacz ◽  
Marcin Chlosta ◽  
Piotr Chlosta
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Rural Areas ◽  
Eastern European Country ◽  
Population Level ◽  
Eastern European ◽  
Level Data ◽  
Urban And Rural Areas ◽  
Eastern European Countries

Objectives: Population-level data are lacking for urinary incontinence (UI) in Central and Eastern European countries. Therefore, the objective of this study was to estimate the prevalence, bother, and behavior regarding treatment for UI in a population-representative group of Polish adults aged ≥ 40 years. Methods: Data for this epidemiological study were derived from the larger LUTS POLAND project, in which a group of adults that typified the Polish population were surveyed, by telephone, about lower urinary tract symptoms. Respondents were classified by age, sex, and place of residence. UI was assessed with a standard protocol and established International Continence Society definitions. Results: The LUTS POLAND survey included 6005 completed interviews. The prevalence of UI was 14.6–25.4%; women reported a greater occurrence compared with men (p < 0.001). For both sexes, UI prevalence increased with age. Stress UI was the most common type of UI in women, and urgency UI was the most prevalent in men. We did not find a difference in prevalence between urban and rural areas. Individuals were greatly bothered by UI. For women, mixed UI was the most bothersome, whereas for men, leak for no reason was most annoying. More than half of respondents (51.4–62.3%) who reported UI expressed anxiety about the effect of UI on their quality of life. Nevertheless, only around one third (29.2–38.1%) of respondents with UI sought treatment, most of whom received treatment. Persons from urban and rural areas did not differ in the degrees of treatment seeking and treatment receiving. Conclusion: Urinary incontinence was prevalent and greatly bothersome among Polish adults aged ≥ 40 years. Consequently, UI had detrimental effects on quality of life. Nonetheless, most affected persons did not seek treatment. Therefore, we need to increase population awareness in Poland about UI and available treatment methods, and we need to ensure adequate allocation of government and healthcare system resources.

scholarly journals The domestication of Cucurbita argyrosperma as revealed by the genome of its wild relative

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Josué Barrera-Redondo ◽  
Guillermo Sánchez-de la Vega ◽  
Jonás A. Aguirre-Liguori ◽  
Gabriela Castellanos-Morales ◽  
Yocelyn T. Gutiérrez-Guerrero ◽  
...  
Keyword(s):  
Defense Mechanisms ◽  
Population Level ◽  
Growth Hormones ◽  
Comparative Genomic ◽  
Structural Variants ◽  
Closely Related Species ◽  
Level Data ◽  
Genomic Analyses ◽  
Genotype By Sequencing ◽  
Regulation Of Growth

AbstractDespite their economic importance and well-characterized domestication syndrome, the genomic impact of domestication and the identification of variants underlying the domestication traits in Cucurbita species (pumpkins and squashes) is currently lacking. Cucurbita argyrosperma, also known as cushaw pumpkin or silver-seed gourd, is a Mexican crop consumed primarily for its seeds rather than fruit flesh. This makes it a good model to study Cucurbita domestication, as seeds were an essential component of early Mesoamerican diet and likely the first targets of human-guided selection in pumpkins and squashes. We obtained population-level data using tunable Genotype by Sequencing libraries for 192 individuals of the wild and domesticated subspecies of C. argyrosperma across Mexico. We also assembled the first high-quality wild Cucurbita genome. Comparative genomic analyses revealed several structural variants and presence/absence of genes related to domestication. Our results indicate a monophyletic origin of this domesticated crop in the lowlands of Jalisco. We found evidence of gene flow between the domesticated and wild subspecies, which likely alleviated the effects of the domestication bottleneck. We uncovered candidate domestication genes that are involved in the regulation of growth hormones, plant defense mechanisms, seed development, and germination. The presence of shared selected alleles with the closely related species Cucurbita moschata suggests domestication-related introgression between both taxa.

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