Type 2 diabetes mellitus(T2DM) is a growing problem among Asian Americans.Based on the Centers for Disease Control,the age-adjusted prevalence of T2 DM for Asian Americans is 9%,placing them at "moderate risk&quo...Type 2 diabetes mellitus(T2DM) is a growing problem among Asian Americans.Based on the Centers for Disease Control,the age-adjusted prevalence of T2 DM for Asian Americans is 9%,placing them at "moderate risk".However differential patterns of disease burden emerge when examining disaggregated data acrossAsian American ethnic groups; with Filipino,Pacific Islander,Japanese,and South Asian groups consistently described as having the highest prevalence of T2 DM.Disentangling and strengthening prevalence data is vital for on-going prevention efforts.The strongest evidence currently available to guide the prevention of T2 DM in the United States comes from a large multicenter randomized clinical control trial called the Diabetes Prevention Program,which targets individual lifestyle behavior changes.It has been translated and adopted for some Asian American groups,and shows promise.However stronger study designs and attention to several key methodological considerations will improve the science.Increased attention has also been directed toward population level downstream prevention efforts.Building an infrastructure that includes both individual and population approaches is needed to prevent T2 DM among Asian American populations,and is essential for reducing health disparities.展开更多
INTRODUCTIONSymmastia is defined as the medial confluence of both breasts or unification of the breasts by soft tissue on the sternum rendering them inseparable. It was first described in the plastic surgery literatur...INTRODUCTIONSymmastia is defined as the medial confluence of both breasts or unification of the breasts by soft tissue on the sternum rendering them inseparable. It was first described in the plastic surgery literature by Spence et al. in 1984. Two forms of symmastia exist; acquired and congenital,Acquired symmastia is a very common condition that results as an iatrogenic complication of over-dissecting a pocket, or using implants with a diameter that is too large in proportion to the chest wall during breast augmentation or reconstruction.展开更多
To the Editor： Free-flap reconstructions involve factors that can increase the risk of myocardial infarction （MI; e.g., the intraoperative use of a vasoactive agent, body temperature maintenance, and postoperative a...To the Editor： Free-flap reconstructions involve factors that can increase the risk of myocardial infarction （MI; e.g., the intraoperative use of a vasoactive agent, body temperature maintenance, and postoperative administration of fluid therapy and/or antithrombotic drugs）,MI has been observed after free-flap head and neck reconstruction although it has not been reported after free-flap lower extremity reconstruction. Thus, we report a rare case of sudden death from MI after free-flap foot reconstruction.展开更多
文摘Type 2 diabetes mellitus(T2DM) is a growing problem among Asian Americans.Based on the Centers for Disease Control,the age-adjusted prevalence of T2 DM for Asian Americans is 9%,placing them at "moderate risk".However differential patterns of disease burden emerge when examining disaggregated data acrossAsian American ethnic groups; with Filipino,Pacific Islander,Japanese,and South Asian groups consistently described as having the highest prevalence of T2 DM.Disentangling and strengthening prevalence data is vital for on-going prevention efforts.The strongest evidence currently available to guide the prevention of T2 DM in the United States comes from a large multicenter randomized clinical control trial called the Diabetes Prevention Program,which targets individual lifestyle behavior changes.It has been translated and adopted for some Asian American groups,and shows promise.However stronger study designs and attention to several key methodological considerations will improve the science.Increased attention has also been directed toward population level downstream prevention efforts.Building an infrastructure that includes both individual and population approaches is needed to prevent T2 DM among Asian American populations,and is essential for reducing health disparities.
文摘INTRODUCTIONSymmastia is defined as the medial confluence of both breasts or unification of the breasts by soft tissue on the sternum rendering them inseparable. It was first described in the plastic surgery literature by Spence et al. in 1984. Two forms of symmastia exist; acquired and congenital,Acquired symmastia is a very common condition that results as an iatrogenic complication of over-dissecting a pocket, or using implants with a diameter that is too large in proportion to the chest wall during breast augmentation or reconstruction.
文摘To the Editor： Free-flap reconstructions involve factors that can increase the risk of myocardial infarction （MI; e.g., the intraoperative use of a vasoactive agent, body temperature maintenance, and postoperative administration of fluid therapy and/or antithrombotic drugs）,MI has been observed after free-flap head and neck reconstruction although it has not been reported after free-flap lower extremity reconstruction. Thus, we report a rare case of sudden death from MI after free-flap foot reconstruction.
