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Community-Based Lifestyle Interventions to Prevent Type 2 Diabetes Dawn W. Satterfield , RN, PHD, CDE 1 , Michele Volansky , MPH 2 , Carl J. Caspersen , PHD, MPH 1 , Michael M. Engelgau , MD 1 , Barbara A. Bowman , PHD 1 , Ed W. Gregg , PHD 1 , Linda S. Geiss , MA 1 , Gwen M. Hosey , RNP, MSN, CDE 1 , Jeannette May , MPH 1 and Frank Vinicor , MD, MPH 1 1 Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia 2 Westat, Atlanta, Georgia Address correspondence and reprint requests to Dawn Satterfield, RN, PhD, CDE, CDC Division of Diabetes Translation, 2858 Woodcock Blvd., Davidson Building, Rm. 1028, Atlanta, GA 30341-4002. E-mail: dxs9{at}cdc.gov Abstract OBJECTIVE —To conduct a literature review of community-based interventions intended to prevent or delay type 2 diabetes. RESEARCH DESIGN AND METHODS —Recently published findings about the potential to prevent or delay type 2 diabetes with intensive lifestyle interventions prompted a literature search for community-based diabetes prevention interventions. The literature review design was a search of databases for publications in 1990–2001 that identified reports on community-based interventions designed to prevent or modify risk factors for type 2 diabetes. RESULTS —The search revealed 16 published interventions, 8 of which were conducted in the U.S. and involved populations disproportionately burdened by diabetes (e.g., American Indians, Native Hawaiians, Mexican Americans, and African Americans). Of the studies reporting results among youth, there were posttest improvements in intervention groups in knowledge, preventive behaviors, and self-esteem. Among studies reporting results among adults, most reported improvements in intervention groups in knowledge or adoption of regular physical activity. Several investigators offered important reflections about the process of engaging communities and sharing decision making in participatory research approaches, as well as insights about the expectations and limitations of community-based diabetes prevention research. Many of the studies reported limitations in their design, including the lack of control or comparison groups, low response rates or lack of information on nonresponders, or brief intervention periods. CONCLUSIONS —There is a critical need to conduct and publish reports on well-designed community-based diabetes prevention research and share information on the process, results, and lessons learned. Armed with recent positive findings about diabetes prevention and literature documenting community-based efforts, advocates at local, state, and national levels can collaborate to stem the rising tide of diabetes in communities. BIA, bioelectrical impedance analysis IGT, impaired glucose tolerance Footnotes A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances. Accepted May 11, 2003. Received October 14, 2002. DIABETES CARE

For the past twenty years, the Literary Managers and Dramaturgs of the Americas (LMDA) has served the theater community by cultivating, developing and promoting the field of dramaturgy. The author explores the future of the organization, and, by extension, the profession.

Emphasizing jobs, family, and security, Kasich said, \"A president has the moral duty to create jobs because they will secure kids and build better neighborhoods,\" while evoking local heroes Tom Brady and Paul Revere, plus Republican patron saint Ronald Reagan. The audience, invited to ask questions (this was the only event I attended where that was an option), brought up Common Core, veterans' issues, gay marriage, and religious liberty.

Aim: The Centers for Disease Control and Prevention developed an online training course to address a lack of knowledge among healthcare professionals regarding the identification of patients at risk for hemochromatosis and recognition of its related early symptoms. A multilevel evaluation design was used to (a) guide course development, (b) test course efficacy and (c) assess training impact. Methods: Highly focused, brief evaluation activities with the intended audience (N = 642) provided a stream of qualitative and quantitative data that guided course design, development, and implementation. Results: The training course had intended positive impacts on healthcare professionals' knowledge and perceived competence in recognizing, diagnosing, and treating hemochromatosis. Both physicians and nurses directly attributed changes in their clinical practice to course participation including increases in appropriate diagnostic biochemical testing for iron overload in new and existing patients. Conclusions: The hemochromatosis course is a successful learning tool that has the desired impact on learning and knowledge reinforcement. The evaluation conducted provided a stream of evidence that was useful in course development as well as assessment of training outcomes. The detailed evaluation plan description may serve as a template for assessing other online continuing education training courses that address public health issues.

Provides an interview with playwright Charles Mee on his production of \"The Berlin Circle,\" including an introduction that differentiates this work from Mee's other plays. Discusses the decision to retell stories and Mee's influence from historical events, such as the tearing down of the Berlin Wall, and from playwright Bertolt Brecht. Offers Mee's thoughts on the forces of history that create people as social beings, and on the \"thematic shifts\" that give \"The Berlin Circle\" a sense of optimism.

A bstract We investigate the power of low-energy, high-luminosity electron-positron colliders to probe hidden sectors with a mass below ~ 10 GeV that couple to Standard Model particles through a light mediator. Such sectors provide well-motivated dark matter candidates, and can give rise to distinctive mono-photon signals at B -factories and similar experiments. We use data from an existing mono-photon search by BABAR to place new constraints on this class of models, and give projections for the sensitivity of a similar search at a future B -factory such as Belle II. We find that the sensitivity of such searches are more powerful than searches at other collider or fixed-target facilities for hidden-sector mediators and particles with masses between a few hundred MeV and 10 GeV. Mediators produced on-shell and decaying invisibly to hidden-sector particles such as dark matter can be probed particularly well. Sensitivity to light dark matter produced through an off-shell mediator is more limited, but may be improved with a better control of backgrounds, allowing background estimation and a search for kinematic edges. We compare our results to existing and future direct detection experiments and show that low-energy colliders provide an indispensable and complementary avenue to search for light dark matter. The implementation of a mono-photon trigger at Belle II would provide an unparalleled window into such light hidden sectors.

An intriguing possibility for TeV scale physics is the existence of neutral long lived particles (LOLIPs) that subsequently decay into SM states. Such particles are many cases indistinguishable from missing transverse energy (MET) at colliders. We propose new methods to search for these particles using neutrino telescopes. We study their detection prospects, assuming production either at the LHC or through dark matter (DM) annihilations in the Sun and the Earth. We find that the sensitivity for LOLIPs produced at the LHC is limited by luminosity and detection energy thresholds. On the other hand, in the case of DM annihilation into LOLIPs, the sensitivity of neutrino telescopes is promising and may extend beyond the reach of upcoming direct detection experiments. In the context of low scale hidden sectors weakly coupled to the SM, such indirect searches allow to probe couplings as small as 10 −15 .

We investigate the power of low-energy, high-luminosity electron-positron colliders to probe hidden sectors with a mass below ~ 10 GeV that couple to Standard Model particles through a light mediator. Such sectors provide well-motivated dark matter candidates, and can give rise to distinctive mono-photon signals at B-factories and similar experiments. We use data from an existing mono-photon search by BABAR to place new constraints on this class of models, and give projections for the sensitivity of a similar search at a future B-factory such as Belle II. We find that the sensitivity of such searches are more powerful than searches at other collider or fixed-target facilities for hidden-sector mediators and particles with masses between a few hundred MeV and 10 GeV. Mediators produced on-shell and decaying invisibly to hidden-sector particles such as dark matter can be probed particularly well. Sensitivity to light dark matter produced through an off-shell mediator is more limited, but may be improved with a better control of backgrounds, allowing background estimation and a search for kinematic edges. We compare our results to existing and future direct detection experiments and show that low-energy colliders provide an indispensable and complementary avenue to search for light dark matter. The implementation of a mono-photon trigger at Belle II would provide an unparalleled window into such light hidden sectors.