![]() Our Specific Aims are to: 1) Characterize the range of social and structuralĭeterminants shaping diabetes care and physical activity adoption among Latinos and what they would like to see in a community-based referral system using survey and semi-structured data (n=50) 2) Adapt the existing referral system specific We apply a community-engaged study design involving patients, providers andĬommunity-based organizations (CBO's) to examine implementation factors necessary to maximize the potential of community-clinical linkage systems to improve health. We examine if a community-clinical integrated, real- time referral system (NCCare360) can be leveraged to refer patients to community-based physical activity programs. To conduct a comprehensive multivariable analysis of ACP use in the future.ĭiabetes Research for Equity through Advanced Multilevel Science Center for Diabetes Translational Researchįeasibility of community-based digital tools to promote physical activity among Latinos with diabetes Secondary data analysis using Centers for Medicare and Medicaid Services 2019 Medicare data to understand end-of-life care with the following aims: 1) compare hospitalization and hospice use between AIAN and White beneficiaries by diabetes status Ģ) examine associations between hospitalization and hospice use and personal characteristics between AIAN and White beneficiaries by diabetes status and 3) conduct an exploratory analysis of ACP use in AIAN by patient characteristics to assess our ability ![]() Thus, there is an urgent need to understand AIANs' use of end-of-life health services. No study to date has examined hospitalization and hospice use at the end-of-life for a large nationally represented sample of AIANs. Yet, research has found that 93% AIANs had never heard of a living will, a type of ACP. Is a preventive intervention that allows people to express their medical wishes if they are unable to communicate and is associated with improved end-of-life care. AIANs also have the highest premature mortality rate of any other race and are less likely to use hospice than Whites. Hospitalizations and die from diabetes complications overall and at younger ages than non-Hispanic White adults. They are more likely to experience preventable AIANs have the highest diabetes rate of any racial or ethnic group. Outside of work, Paulina enjoys dirt biking, skiing, muay thai, and hiking with her border collie/cattle dog mix Scout.End-of-Life Care among American Indian and Alaska Native Medicare Enrollees with Diabetesĭespite high chronic disease and mortality rates, little is known about end-of-life care among American Indian and Alaska Native peoples (AIANs). Paulina is a member of American Anatomy Veterinary Association and enjoys education research that can improve how students learn anatomy. ![]() She returned to CSU to take on the role of animal anatomy lab coordinator in the Department of Biomedical Sciences where she helps run the lab, creates and rebuilds teaching specimens, and helps instruct veterinary, graduate, and undergraduate students in animal anatomy dissection courses. After she graduated, Paulina helped teach as a locum anatomy instructor at the University of Florida College of Veterinary Medicine. Marv Beeman to help educate horse owners and clinicians about anatomy and improve equine sports medicine. During the pandemic, Paulina had the opportunity to reconstruct a horse for equine veterinarian and legend Dr. Paulina was also an integral part of the Virtual Veterinary Educational Tools team and took the lead in dissections and photogrammetry photography to expand the program with more specimens. She helped teach the graduate and undergraduate animal anatomy dissection courses as a Graduate Teaching Assitant. Paulina is originally from Boulder, Colorado and completed an undergraduate degree in biology and a master's degree in biomedical sciences, both in Colorado State University. ![]()
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