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2 results on '"Jen Armstrong"'

1. Feasibility of a Mental Wellbeing Program for Rural Family Childcare Home Providers

Author

Danae Dinkel, Cynthia Lujan, Jolene Johnson, Dana Dyksterhuis Olson, Jen Armstrong, Hongying Daisy Dai, Fang Qiu, and Matthew R. Bice

Abstract

Childcare providers experience a variety of mental and physical challenges that impact their personal wellbeing as well as the quality of care they provide for children. Rural family childcare (FCCH) providers--an individual who professionally provides care to children within their home--may especially need resources to support their physical and mental wellbeing. An existing program, Here For You, For Them (HERE), may be able to support these providers; however, previous testing of the program has only been conducted in childcare centers. Therefore, the purpose of this pilot study was to assess the acceptability and feasibility of the HERE program for rural FCCH providers. 27 rural FCCH providers took part in a 16-week pilot study of the HERE program focused on mindfulness techniques and practices. Participants attended a monthly virtual training and received an activity pack consisting of different activity ideas including breathing techniques, mantras, yoga poses, and yoga stories. Participants completed bi-weekly implementation surveys and a post-intervention survey and semi-structured interview. Overall, the breathing activities were one of the most implemented activities and took the least amount of time (< 5 min). Providers stated they enjoyed the flexibility of the program and the activities but felt some of the yoga poses and stories were difficult to implement. Common barriers included challenges with children's behavior and the age of children as well as time constraints. Overall, the HERE program appeared feasible and acceptable for rural FCCH providers. Future efforts should consider providing additional wellbeing support for FCCH providers.

Published
2024
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2. Beta-cell insulin secretory response to oral hypoglycemic agents is blunted in humans in vivo during moderate hypoglycemia

Author

Clara Bouche, Jen Armstrong, Alan C. Moses, Allison B. Goldfine, Richard D. Carr, and Waleed Aldhahi

Subjects
Counterregulatory hormone, Adult, Male, medicine.medical_specialty, endocrine system diseases, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Clinical Biochemistry, Administration, Oral, Hypoglycemia, Biochemistry, chemistry.chemical_compound, Islets of Langerhans, Endocrinology, Double-Blind Method, Piperidines, Diabetes mellitus, Internal medicine, Insulin Secretion, medicine, Humans, Hypoglycemic Agents, Insulin, Pancreatic hormone, Cross-Over Studies, C-peptide, business.industry, Biochemistry (medical), nutritional and metabolic diseases, medicine.disease, Repaglinide, Glucose, chemistry, Female, Carbamates, business, Glipizide, medicine.drug
Abstract

Oral hypoglycemic agents bind to the ATP-sensitive potassium channel and lower glucose levels effectively in individuals with diabetes. Although the principle mechanism of action can also promote hypoglycemia, clinically profound hypoglycemia is rare. Decreased stimulation of insulin secretion by these agents at mild hypoglycemia could provide protection from more profound hypoglycemia. Sulfonylureas and meglitinides bind to both shared and unique sites on the ATP-sensitive potassium receptor/channel complex but have different pharmacokinetic profiles. To evaluate the differential ability of both sulfonylureas and meglitinides to stimulate insulin release at modest hypoglycemia, we evaluated dextrose infusion rates necessary to maintain plasma glucose after oral administration of repaglinide (1 mg) or glipizide (5 mg) at euglycemia and again at modest hypoglycemia. Healthy subjects with no family history of diabetes underwent four clamp studies, two performed while maintaining isoglycemia (glucose levels at the fasted value) and two while maintaining modest hypoglycemia of 2.78 mmol/liter (50 mg/dl) induced by low-dose insulin infusion (3.6 pmol/kg.min). There was a marked decrease in the dextrose infusion rate with administration of either repaglinide or glipizide at hypoglycemia compared with drug administration at euglycemia (P

Published
2004

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