Publications by authors named "Dominique Guelce"

Background: Over 5 million patients in the United States have type 2 diabetes mellitus (T2D) with chronic kidney disease (CKD); antidiabetic drug selection for this population is complex and has important implications for outcomes.

Objective: To better understand how providers choose antidiabetic drugs in T2D with CKD DESIGN: Mixed methods. Interviews with providers underwent qualitative analysis using grounded theory to identify themes related to antidiabetic drug prescribing.

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  • Metformin is the primary treatment for type 2 diabetes, but its usage is lower than recommended by guidelines, prompting a study to explore the barriers to its use from both patients and providers' perspectives.
  • The research involved interviews and focus groups with patients and providers, revealing that while both groups recognize the benefits of metformin, gastrointestinal side effects are the main reason for hesitancy in using the medication.
  • The findings suggest that despite some consensus on management strategies for these side effects, effective implementation is lacking and highlights the need for further clinical trials to optimize metformin usage.
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  • Benign Prostatic Hyperplasia (BPH) is a widespread issue impacting about half of men in their 50s.
  • Advances in BPH treatments are focused on enhancing the overall quality of life for patients.
  • The Rezūm System, a new water vapor therapy for treating BPH, is showing promising results according to recent studies.
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  • A new companion service course was introduced in Cornell University's general chemistry class, focusing on supporting underrepresented and economically disadvantaged students.
  • Students in the program showed significant improvements in final grades, with priority students (those needing more support) improving by +0.67 and +0.51 standard deviations, while non-priority students improved by +0.66 and +0.62.
  • The course not only boosted immediate performance but also showed that these gains were retained in subsequent courses, indicating a positive impact on long-term retention in STEM fields.
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