This study demonstrated that a clinical pharmacist can effectively care for patients with diabetes referred by their primary care provider because of poor glycemic control.

Objectives Information on the prevalence of face mask use to reduce the spread of SARS-CoV-2 is needed to model disease spread and to assess the effectiveness of policies that encourage face mask use. We sought to (1) estimate the prevalence of face mask use in northern Vermont and (2) assess the effect of age and sex on the likelihood of face mask use. Methods We monitored the entrances to public businesses and visually assessed age, sex, and face mask use. We collected 1004 observations during May 16-30, 2020. We calculated estimates of overall face mask use and odds ratios (ORs) for effects by age and sex. Results Of 1004 observations, 758 (75.5%) sampled people used a face mask. Our census-weighted estimate was 74.1%. A higher percentage of females than males wore face masks (83.8% vs 67.6%). The odds of face mask use were lower among males than among females (OR = 0.52; 95% CI, 0.37-0.73). Face mask use generally decreased with decreasing age: 91.4% among adults aged >60, 70.7% among adults aged 26-60, 74.8% among people aged 15-25, and 53.3% among people aged ≤14. The OR of an adult aged >60 wearing a face mask was 14.70 times higher, for young people aged 15-25 was 2.72 times higher, and for adults aged 26-60 was 2.99 times higher than for people aged ≤14. Females aged >60 had the highest percentage of face mask use (96.3%) and males aged ≤14 had the lowest (43.8%). Conclusions Educational efforts promoting the use of face masks should be targeted at males and younger age groups to limit the spread of SARS-CoV-2.

THE ORKNEY ISLANDS, separated from the mainland of Scotland by the Pentland Firth, lie between 58 41" and 59 24' north latitude, and between 2 22' and 3 25' west longitude, thus extending over an area of more than 2000 geographical miles.Including the Pentland Skerries, the number of inhabited islands is twenty-nine, and the number of small islands, called holms, covered with herbage fit for grazing purposes, is said to be thirty-eight, besides the small half, or nearly entirely submerged rocks, called Skerries, which have none.Shirreff in his General View of the Agriculture of the Orkney Islands, published in 1814, gives the acreage of the whole group of islands as about 384,000 acres, of which 84,000 were then supposed to be in a productive state.With few exceptions, the whole coast-line of the islands is rocky, the highest part being the well-known cliffs of Hoy on the west and south-west.The average height of the sea-cliffs is certainly higher on the west side than on the east, though there are many places on the latter where they rise to a considerable altitude, such as Copinsay, and parts of S. Eonaldsay. Quantities of seafowl breed through all these heights ; where the ledges are small, narrow, and bare, Guillemots, Kazorbills, and Kittiwakes have taken possession, while the greener slopes are occupied by Herring Gulls, mixed here and there with a few Lesser Black-backed Gulls.Any extent of sandy beach is rare, though there are some patches on the Mainland.By far the greatest extent of such sea-board, however, is at Sanday, but all these sandy reaches are situated either on the east side of the islands, or else in some sheltered bays well out of the reach of the heavy wash of the Atlantic. GEOGRAPHICAL POSITION AND PHYSICALThere are many large and well-sheltered bays scattered throughout the islands, well suited for wild-fowl, which can shift their locality with ease from one side of the island to the other, according to the wind, but good and safe anchorage for vessels of any size in all weathers is rather scarce ; the best of these per-

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Depression and antidepressant medications increase risk for type 2 diabetes. Cambodian-Americans have exceedingly high rates of both depression and diabetes. This paper reports outcomes of a diabetes prevention trial for Cambodian-Americans with depression. Primary outcomes were HbA1c, insulin resistance and depressive symptoms. Participants were aged 35–75, Khmer speaking, at risk for diabetes, and met study criteria for likely depression by either (a) antidepressant medication and/or (b) prolonged elevated depressive symptoms. Participants were randomized to one of three community health worker (CHW) interventions: (1) lifestyle intervention called Eat, Walk, Sleep (EWS), (2) EWS plus medication therapy management sessions with a pharmacist/CHW team to resolve drug therapy problems (EWS + MTM), or, (3) social services (SS; control). Assessments were at baseline, post-treatment (12 months), and follow-up (15 months). The n = 188 participants were 78% female, average age of 55 years, half had a household income < $20,000, and modal educational attainment was 7.0 years. Compared to the other arms, EWS + MTM showed a significant decrease in HbA1c and a trend for reduced inflammation and stress hormones. Depressive symptoms improved for EWS and EWS + MTM relative to SS. There was no change in insulin resistance. Cardiometabolic and mental health can be improved in tandem among immigrant and refugee groups.