PRACTICAL CHALLENGES OF PERFORMING DIABETES SCREENING IN A REMOTE ABORIGINAL COMMUNITY.
Notice bibliographique
Résumé
Purpose Prior to the 1970s, type 2 diabetes (T2D) and its precursor, impaired glucose tolerance (IGT), were essentially nonexistent among Aboriginal Canadians. T2D and IGT are now reaching epidemic proportions in this population. Of particular concern is the appearance of T2D and IGT among Aboriginal youth. However, there are few published reports of prevalence from screening aboriginal children in Canada. At the request of the communities, we undertook to determine the prevalence of T2D and IGT among children in three remote communities of the Tsimshian Nation, with the continuing goal of working together to introduce lifestyle changes for the primary and secondary prevention of T2D. This study reveals many of the challenges of Aboriginal health research. Practical challenges included remote access, equipment and sample transport, dealing with local authorities, medical staff, and cultural attributes. We also dealt with more universal issues such as ethics, information sharing, and data ownership. Methods The study took advantage of a preexisting relationship of several years9 duration between UBC9s pediatric residency program and one community an oral health program. We recruited respected local contacts to pave the way for our arrival. The study involved two trips. One team arrived the week prior to assess facilities and obtain informed consent from children and their parents. Use of IV catheters was demonstrated to the children and fasting instructions given. Meetings were held with elders, community leaders, school officials, and health center staff. The next week a five-member team arrived to perform the screening. Screening was done in the Elders9 Room, a central location where all of the children could come accompanied by their parents. The two teams with all their equipment were flown in by float plane, with travel dependent on weather conditions. We stayed in the communities and participated in local activities. Results Of the 35 children registered in grades 1 to 12, 3 had moved out of the community. Consent was obtained from all remaining 32 children. Using a floatplane directly from Vancouver resulted in all equipment arriving safely, including frozen reagents on the trip in and frozen plasma samples on the return trip. Three children did not complete the screening; one failed to fast, we were unable to obtain venous access on one 7-year-old, and one (known to have T2D) was out of the community during the screening week. Conclusions Our approach was successful and provides a model for initiating larger-scale trials in the other communities.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,005 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».