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Sample records for asia diabetes evaluation

  1. From design to implementation - The Joint Asia Diabetes Evaluation (JADE) program: A descriptive report of an electronic web-based diabetes management program

    OpenAIRE

    Lyubomirsky Greg; Kerr Debborah; Le Coguiec Francois; Tong Peter C; So Wing-Yee; Ko Gary T; Tamesis Beaver; Wolthers Troels; Nan Jennifer; Chan Juliana

    2010-01-01

    Abstract Background The Joint Asia Diabetes Evaluation (JADE) Program is a web-based program incorporating a comprehensive risk engine, care protocols, and clinical decision support to improve ambulatory diabetes care. Methods The JADE Program uses information technology to facilitate healthcare professionals to create a diabetes registry and to deliver an evidence-based care and education protocol tailored to patients' risk profiles. With written informed consent from participating patients ...

  2. From design to implementation - The Joint Asia Diabetes Evaluation (JADE) program: A descriptive report of an electronic web-based diabetes management program

    OpenAIRE

    Ko, Gary T.; So, Wing-Yee; Tong, Peter C; Le Coguiec, Francois; Kerr, Debborah; Lyubomirsky, Greg; Tamesis, Beaver; Wolthers, Troels; Nan, Jennifer; Chan, Juliana

    2010-01-01

    Background The Joint Asia Diabetes Evaluation (JADE) Program is a web-based program incorporating a comprehensive risk engine, care protocols, and clinical decision support to improve ambulatory diabetes care. Methods The JADE Program uses information technology to facilitate healthcare professionals to create a diabetes registry and to deliver an evidence-based care and education protocol tailored to patients' risk profiles. With written informed consent from participating patients and care ...

  3. From design to implementation - The Joint Asia Diabetes Evaluation (JADE program: A descriptive report of an electronic web-based diabetes management program

    Directory of Open Access Journals (Sweden)

    Lyubomirsky Greg

    2010-05-01

    Full Text Available Abstract Background The Joint Asia Diabetes Evaluation (JADE Program is a web-based program incorporating a comprehensive risk engine, care protocols, and clinical decision support to improve ambulatory diabetes care. Methods The JADE Program uses information technology to facilitate healthcare professionals to create a diabetes registry and to deliver an evidence-based care and education protocol tailored to patients' risk profiles. With written informed consent from participating patients and care providers, all data are anonymized and stored in a databank to establish an Asian Diabetes Database for research and publication purpose. Results The JADE electronic portal (e-portal: http://www.jade-adf.org is implemented as a Java application using the Apache web server, the mySQL database and the Cocoon framework. The JADE e-portal comprises a risk engine which predicts 5-year probability of major clinical events based on parameters collected during an annual comprehensive assessment. Based on this risk stratification, the JADE e-portal recommends a care protocol tailored to these risk levels with decision support triggered by various risk factors. Apart from establishing a registry for quality assurance and data tracking, the JADE e-portal also displays trends of risk factor control at each visit to promote doctor-patient dialogues and to empower both parties to make informed decisions. Conclusions The JADE Program is a prototype using information technology to facilitate implementation of a comprehensive care model, as recommended by the International Diabetes Federation. It also enables health care teams to record, manage, track and analyze the clinical course and outcomes of people with diabetes.

  4. Gestational diabetes mellitus in South Asia: Epidemiology.

    Science.gov (United States)

    Jawad, Fatema; Ejaz, Kiran

    2016-09-01

    Gestational diabetes mellitus, is defined by the American Diabetes Association as "diabetes diagnosed in the second or third trimester of pregnancy that is not clearly overt diabetes". WHO has further classified the period of diagnosis as Hyperglycaemia in Pregnancy and Gestational Diabetes Mellitus. The former term is applicable in the early period of gestation and GDM is detected after 24 weeks. Irrespective of the guidelines followed, the presence of Diabetes Mellitus during pregnancy, has to be taken seriously as it is an important metabolic derangement and can prove to be harmful for the mother and dangerous for the foetus. The rising incidence of Type 2 Diabetes Mellitus in the world along with obesity, is a major contributing factor for GDM. The trend of this rise is more steep in the low and middle income countries thus proportionately increasing the risk for GDM. South Asia falls in this bracket and the responsible factors have to be identified and corrected. Management should begin from primordial prevention for which education is a key factor. Every woman should be taught the way to follow a healthy life style. Identification of the contributing factors and universal screening facilities for all pregnant women living in both rural and urban areas, should be given prime importance. On detecting Hyperglycaemia in Pregnancy or GDM, monitoring and health care facilities should be provided. This review provides some available figures of GDM in South Asia, the risk factors in this population and the steps for prevention. PMID:27582153

  5. Diabetes in Asia and the Pacific: Implications for the Global Epidemic.

    Science.gov (United States)

    Nanditha, Arun; Ma, Ronald C W; Ramachandran, Ambady; Snehalatha, Chamukuttan; Chan, Juliana C N; Chia, Kee Seng; Shaw, Jonathan E; Zimmet, Paul Z

    2016-03-01

    The last three decades have witnessed an epidemic rise in the number of people with diabetes, especially type 2 diabetes, and particularly in developing countries, where more than 80% of the people with diabetes live. The rise of type 2 diabetes in South Asia is estimated to be more than 150% between 2000 and 2035. Although aging, urbanization, and associated lifestyle changes are the major determinants for the rapid increase, an adverse intrauterine environment and the resulting epigenetic changes could also contribute in many developing countries. The International Diabetes Federation estimated that there were 382 million people with diabetes in 2013, a number surpassing its earlier predictions. More than 60% of the people with diabetes live in Asia, with almost one-half in China and India combined. The Western Pacific, the world's most populous region, has more than 138.2 million people with diabetes, and the number may rise to 201.8 million by 2035. The scenario poses huge social and economic problems to most nations in the region and could impede national and, indeed, global development. More action is required to understand the drivers of the epidemic to provide a rationale for prevention strategies to address the rising global public health "tsunami." Unless drastic steps are taken through national prevention programs to curb the escalating trends in all of the countries, the social, economic, and health care challenges are likely to be insurmountable. PMID:26908931

  6. Diabetes mellitus: perspective from the Asia-Pacific region.

    Science.gov (United States)

    Cockram, C S

    2000-10-01

    This article aims to provide an overview of the current situation in the Western Pacific Region as a prelude to the other articles in this supplememt. It emphasises that, while there is much diversity within this huge Region, there is a rising prevalence of diabetes throughout the Region from which few, if any, countries and areas are spared. This is strongly associated with the lifestyle changes which follow industralisation, mechanisation and massive urbanisation; for which evolutionary processes have left us metabolically ill-equipped. The current epidemic of diabetes is principally due to rises in Type 2 diabetes, although Type 1 diabetes prevalence rates are also rising. The Region already contains more than 30 million people with diabetes and the number is estimated to double by 2025. Diabetes prevalence rates already exceed 8% in 12 countries and areas within the Region. In the more impoverished parts of the Region the majority have little access to care and in all parts of the Region a substantial proportion remain undiagnosed. The increasing emergence of Type 2 diabetes in young adults and children gives particular cause for concern. There is an urgent need for targetted action at all levels within the Region. PMID:11024577

  7. The Impact of Diabetes Mellitus on Prognosis of Early Breast Cancer in Asia

    OpenAIRE

    Chen, Wei-Wu; Shao, Yu-Yun; Shau, Wen-Yi; Lin, Zhong-Zhe; Lu, Yen-Shen; Chen, Ho-Min; Kuo, Raymond N.C.; Cheng, Ann-Lii; Lai, Mei-Shu

    2012-01-01

    Using nationwide databases in Taiwan, the individual effect of diabetes mellitus on both the breast cancer–specific and overall survival rates in Asian patients with early-stage breast cancer was evaluated while taking into account other comorbidities. Diabetes mellitus was found to be an independent predictor of both the breast cancer–specific and overall survival rates.

  8. Diabetes epidemic in the Asia Pacific region: has hemoglobin A1C finally earned its place as a diagnostic tool?

    Directory of Open Access Journals (Sweden)

    Alexandra Bagley

    2014-02-01

    Full Text Available Two-third of the world's population lives in the Asia Pacific region where prevalence of diabetes has reached epidemic proportion. With China and India being the most populous nations on the globe, it is believed that over 150 million diabetes reside in the region with more than 95% being of type 2 diabetes mellitus (T2DM. Furthermore, other Pacific islands in the region have high rates of T2DM including Tonga, Fiji, French Polynesia, and Nauru. The latter has the highest prevalence of T2DM per population in the world. Over the past two decades, in Australia and New Zealand, the prevalence of T2DM has more than doubled, mainly amongst the Aboriginal and Torres Strait Islander and Maori peoples respectively. With the increasing prevalence of diabetes in the Asia Pacific region coupled with the limited number of resources, use of a reliable and effective mode of diagnosis for T2DM is warranted. Yet to date, only New Zealand has adopted the American Diabetes Association recommendation of using hemoglobin A1C in the diagnosis of the disease. The aim of this review is to discuss the clinical usefulness of hemoglobin A1C and highlight its diagnostic role in the Asia Pacific region where T2DM is increasingly encountered.

  9. Diabetic Mario: Designing and Evaluating Mobile Games for Diabetes Education.

    Science.gov (United States)

    Baghaei, Nilufar; Nandigam, David; Casey, John; Direito, Artur; Maddison, Ralph

    2016-08-01

    Traditionally, diabetes education has relied on written materials, with limited resources available for children with diabetes. Mobile games can be effective and motivating tools for the promotion of children's health. In our earlier work, we proposed a novel approach for designing computer games aimed at educating children with diabetes. In this article, we apply our game design to a mobile Android game (Mario Brothers). We also introduce four heuristics that are specifically designed for evaluating the mobile game, by adapting traditional usability heuristics. Results of a pilot study (n = 12) to evaluate gameplay over 1-week showed that the children found the game engaging and improved their knowledge of healthy diet and lifestyle. PMID:27304882

  10. Radiographic evaluation of the diabetic foot

    International Nuclear Information System (INIS)

    Radiographic evaluation of the foot in the patient with diabetes mellitus is discussed in this paper. According to the author, it can only be of value when the soft tissue and bony and joint pathologic conditions, which occur more frequently in the diabetic patient are also considered and understood. Although not pathognomic for diabetes mellitus, neuroarthopathy, osteomyelitis, soft tissue infection, and some rheumatic disorders are present with greater frequency in diabetic populations than in non-diabetic populations. Frequently, edema, erythema, hyperthermia, and tenderness are present as nonspecific clinical findings, in which case radiographic evaluation is called upon to define the specific etiology of a particular patient's pathology. Unfortunately, many radiographic, computerized tomographic, and radionuclide studies demonstrate less than optimal positive and negative predictive values unless interpreted in view of clinical history and examination and integrated with the results of other laboratory data. Radiographic evaluation of the diabetic foot may be utilized to establish the presence of disease, the extent of pedal involvement, and the response to therapy. The establishment of the nature of disease processes from radiographic findings alone, however, may be problematic. The diagnosis of osteomyelitis, for example, rests on the recovery of the offending microorganisms from bone aspiration or culture

  11. Integrated care for diabetes: clinical, psychosocial, and economic evaluation. Diabetes Integrated Care Evaluation Team.

    OpenAIRE

    1994-01-01

    OBJECTIVES--To evaluate integrated care for diabetes in clinical, psychosocial, and economic terms. DESIGN--Pragmatic randomised trial. SETTING--Hospital diabetic clinic and three general practice groups in Grampian. PATIENTS--274 adult diabetic patients attending a hospital clinic and registered with one of three general practices. INTERVENTION--Random allocation to conventional hospital clinic care or integrated care. Integrated care patients seen in general practice every three or four mon...

  12. Transferability of type 2 diabetes implicated loci in multi-ethnic cohorts from Southeast Asia.

    Directory of Open Access Journals (Sweden)

    Xueling Sim

    2011-04-01

    Full Text Available Recent large genome-wide association studies (GWAS have identified multiple loci which harbor genetic variants associated with type 2 diabetes mellitus (T2D, many of which encode proteins not previously suspected to be involved in the pathogenesis of T2D. Most GWAS for T2D have focused on populations of European descent, and GWAS conducted in other populations with different ancestry offer a unique opportunity to study the genetic architecture of T2D. We performed genome-wide association scans for T2D in 3,955 Chinese (2,010 cases, 1,945 controls, 2,034 Malays (794 cases, 1,240 controls, and 2,146 Asian Indians (977 cases, 1,169 controls. In addition to the search for novel variants implicated in T2D, these multi-ethnic cohorts serve to assess the transferability and relevance of the previous findings from European descent populations in the three major ethnic populations of Asia, comprising half of the world's population. Of the SNPs associated with T2D in previous GWAS, only variants at CDKAL1 and HHEX/IDE/KIF11 showed the strongest association with T2D in the meta-analysis including all three ethnic groups. However, consistent direction of effect was observed for many of the other SNPs in our study and in those carried out in European populations. Close examination of the associations at both the CDKAL1 and HHEX/IDE/KIF11 loci provided some evidence of locus and allelic heterogeneity in relation to the associations with T2D. We also detected variation in linkage disequilibrium between populations for most of these loci that have been previously identified. These factors, combined with limited statistical power, may contribute to the failure to detect associations across populations of diverse ethnicity. These findings highlight the value of surveying across diverse racial/ethnic groups towards the fine-mapping efforts for the casual variants and also of the search for variants, which may be population-specific.

  13. Diabetic Nephropathy : Evaluation with Doppler Ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Sim, Jung Suk; Kim, Seung Hyup; Kang, Heung Sik; Park, Jae Hyung; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1996-06-15

    To compare Doppler ultrasonography with laboratory tests in evaluation of diabetic nephropathy. Fifty-five patients (mean age = 60, M : F = 26 : 29) with diabetes mellitus underwent renal Doppler ultrasonography. Resistive indices were compared with degree of proteinuria, serum creatinine level, and creatinine clearance rate. Eighteen patients who showed no proteinuria or microscopic proteinuria had a mean resistive index (RI) of 0.72 (SD, 0.05), 16 patients with macroscopic proteinuria without nephrotic syndrome had a mean RI of 0.82 (SD, 0.13), and 21 patients with nephrotic syndrome had a mean RI of 0.90 (SD, 0.12). Renal RI correlated highly with serum creatinine level (r = 0.62) and creatinine clearance rate (r = -0.43). Renal Doppler ultrasonography provides a useful indication of renal function in diabetic nephropathy but cannot offer an advantage over conventional laboratory test

  14. Place of sulfonylureas in the management of type 2 diabetes mellitus in South Asia: A consensus statement.

    Science.gov (United States)

    Kalra, Sanjay; Aamir, A H; Raza, Abbas; Das, A K; Azad Khan, A K; Shrestha, Dina; Qureshi, Md Faisal; Md Fariduddin; Pathan, Md Faruque; Jawad, Fatema; Bhattarai, Jyoti; Tandon, Nikhil; Somasundaram, Noel; Katulanda, Prasad; Sahay, Rakesh; Dhungel, Sanjib; Bajaj, Sarita; Chowdhury, Subhankar; Ghosh, Sujoy; Madhu, S V; Ahmed, Tofail; Bulughapitiya, Uditha

    2015-01-01

    Since their introduction in clinical practice in the 1950's, Sulfonylureas (SUs) have remained the main-stay of pharmacotherapy in the management of type 2 diabetes. Despite their well-established benefits, their place in therapy is inappropriately being overshadowed by newer therapies. Many of the clinical issues associated with the use of SUs are agent-specific, and do not pertain to the class as such. Modern SUs (glimepiride, gliclazide MR) are backed by a large body of evidence, experience, and most importantly, outcome data, which supports their role in managing patients with diabetes. Person-centred care, i.e., careful choice of SU, appropriate dosage, timing of administration, and adequate patient counseling, will ensure that deserving patients are not deprived of the advantages of this well-established class of anti-diabetic agents. Considering their efficacy, safety, pleiotropic benefits, and low cost of therapy, SUs should be considered as recommended therapy for the treatment of diabetes in South Asia. This initiative by SAFES aims to encourage rational, safe and smart prescription of SUs, and includes appropriate medication counseling. PMID:26425465

  15. Place of sulfonylureas in the management of type 2 diabetes mellitus in South Asia: A consensus statement

    Directory of Open Access Journals (Sweden)

    Sanjay Kalra

    2015-01-01

    Full Text Available Since their introduction in clinical practice in the 1950′s, Sulfonylureas (SUs have remained the main-stay of pharmacotherapy in the management of type 2 diabetes. Despite their well-established benefits, their place in therapy is inappropriately being overshadowed by newer therapies. Many of the clinical issues associated with the use of SUs are agent-specific, and do not pertain to the class as such. Modern SUs (glimepiride, gliclazide MR are backed by a large body of evidence, experience, and most importantly, outcome data, which supports their role in managing patients with diabetes. Person-centred care, i.e., careful choice of SU, appropriate dosage, timing of administration, and adequate patient counseling, will ensure that deserving patients are not deprived of the advantages of this well-established class of anti-diabetic agents. Considering their efficacy, safety, pleiotropic benefits, and low cost of therapy, SUs should be considered as recommended therapy for the treatment of diabetes in South Asia. This initiative by SAFES aims to encourage rational, safe and smart prescription of SUs, and includes appropriate medication counseling.

  16. Evaluation of the Treatment of Diabetic Retinopathy A Research Project

    Science.gov (United States)

    Kupfer, Carl

    1973-01-01

    Evaluated is the treatment of diabetic retinopathy (blindness due to ruptured vessels of the retina as a side effect of diabetes), and described is a research project comparing two types of photocoagulation treatment. (DB)

  17. The diabetic foot: Magnetic resonance imaging evaluation

    International Nuclear Information System (INIS)

    Fourteen diabetic patients with suspected foot infection and/or neuropathic joint (Charcot Joint) were evaluated with magnetic resonance imaging (MRI) in an attempt to assess the extent of the infection and also to distinguish infection from the changes seen with neuroarthropathy. The majority of patients with infection had more than one site of involvement and the following diagnoses were made by MRI evaluation: Osteomyelitis (n=8), abscess (n=7), neuropathic joint (n=5), septic arthritis (n=4), and tenosynovitis (n=4). Clinical or surgical/pathological confirmation of the MRI diagnoses was obtained in all but nine sites of infection or cases of neuropathic joint. If the two diagnostic categories of septic arthritis and tenosynovitis are excluded, all but four of the MRI diagnoses were confirmed. A distinctive pattern for neuroarthropathy was identified in five cases, consisting of low signal intensity on T1- and T2-weighted images within the bone marrow space adjacent to the involved joint. We conclude that MRI is a valuable adjunct in the evaluation of the diabetic foot, and that it provides accurate information regarding the presence and extent of infection in this subset of patients. MRI has proven particularly helpful in differentiating neuroarthropathy from osteomyelitis. (orig.)

  18. Evaluating the influences of biomass burning during 2006 BASE-ASIA: a regional chemical transport modeling

    Directory of Open Access Journals (Sweden)

    J. S. Fu

    2011-12-01

    Full Text Available To evaluate the impact of biomass burning from Southeast Asia to East Asia, this study conducted numerical simulations during NASA's 2006 Biomass-burning Aerosols in South-East Asia: Smoke Impact Assessment (BASE-ASIA. Two typical episode periods (27–28 March and 13–14 April were examined. Two emission inventories, FLAMBE and GFED, were used in the simulations. The influences during two episodes in the source region (Southeast Asia contributed to the surface CO, O3 and PM2.5 concentrations as high as 400 ppbv, 20 ppbv and 80 μg m−3, respectively. The perturbations with and without biomass burning of the above three species during the intense episodes were in the range of 10 to 60%, 10 to 20% and 30 to 70%, respectively. The impact due to long-range transport could spread over the southeastern parts of East Asia and could reach about 160 to 360 ppbv, 8 to 18 ppbv and 8 to 64 μg m−3 on CO, O3 and PM2.5, respectively; the percentage impact could reach 20 to 50% on CO, 10 to 30% on O3, and as high as 70% on PM2.5. In March, the impact of biomass burning was mainly concentrated in Southeast Asia and Southern China, while in April the impact becomes slightly broader, potentially including the Yangtze River Delta region.

    Two cross-sections at 15° N and 20° N were used to compare the vertical flux of biomass burning. In the source region (Southeast Asia, CO, O3 and PM2.5 concentrations had a strong upward transport from surface to high altitudes. The eastward transport becomes strong from 2 to 8 km in the free troposphere. The subsidence process during the long-range transport contributed 60 to 70%, 20 to 50%, and 80% to CO, O3 and PM2.5, respectively to surface in the downwind area. The study reveals the significant impact of Southeastern Asia biomass burning on the air quality in both local and

  19. Evaluation and Prevention of Diabetic Neuropathy

    Directory of Open Access Journals (Sweden)

    Pajouhi M

    2007-07-01

    Full Text Available Background: Diabetic neuropathy is an incapacitating disease that afflicts almost 50 percent of patients with diabetes. A late finding in type 1 diabetes, diabetic neuropathy can be an early finding in non insulin-dependent diabetes. Diabetic neuropathies are divided primarily into two groups, sensorimotor and autonomic. Patients may acquire only one type of diabetic neuropathy or may present with combinations of neuropathies, such as autonomic neuropathy or distal symmetric polyneuropathy, the latter of which the most common form. Motor deficits, orthostatic hypotension, silent cardiac ischemia, hyperhidrosis, vasomotor instability, gastroparesis, bladder dysfunction, and sexual dysfunction can also result from diabetic neuropathy. Strict control of blood sugar, combined with proper daily foot care, is essential to avoid the complications of this disorder. With the potential to afflict any part of the nervous system, diabetic neuropathy should be suspected in all patients with type 2 diabetes as well as patients who have had type 1 diabetes for over five years. Although some patients with diabetic neuropathy notice few symptoms, upon physical examination mild to moderately severe sensory loss may be noted by the physician. Idiopathic neuropathy has been known to precede the onset of type 2 diabetes.

  20. Effective IEC approaches for Asia. IEC evaluation workshop.

    Science.gov (United States)

    1996-02-01

    The UNFPA-supported project on development and distribution of information, education, and communication (IEC) materials in support of improving women's health and status was evaluated at a workshop held in Tokyo in December 13-15, 1995. The 1992-95 cycle of the project was analyzed by experts from Bangladesh, China, India, Indonesia, Malaysia, Nepal, the Philippines, and Vietnam plus three experts from the UNFPA/Country Support Team. The workshop also made it possible for the experts to identify needs as well as effective utilization of existing IEC materials. It was suggested that a nongovernmental organization be established for the distribution and effective use of these materials. The workshop mostly reviewed the print and audiovisual materials. Videos were also evaluated. The materials were found useful for the targeted region. Among other subregional issues it was noted that youth needs were inadequately addressed as they related to sexually transmitted diseases (STDs), unwanted pregnancy, risk of maternal mortality and morbidity, low birth weight, and premature birth. Although the women of the region comprise one-third of the world's population, 70% of the global annual maternal mortality of 500,000 occurs in the subregion. IEC materials should also target adolescents and their support groups. Other needs were also outlined: the expansion of educational opportunities for women, the promotion of employment, the involvement of men, and the training of personnel. The strategies used in the cycle helped strengthen self-reliance through information and experience sharing. The focus on women should be continued with more attention paid to adolescents and young adults, including males. Women's health issues should be expanded to include menopause, reproductive tract infections, STDs, HIV/AIDS prevention, and legal rights including abortion. The production of IEC materials should be identified through research and analysis of existing materials, focus group

  1. MR imaging evaluation of diabetic foot

    International Nuclear Information System (INIS)

    Fourteen diabetic patients with suspected foot infection and/or neuropathic joint were evaluated with MR imaging to identify the presence and extent of infection and also to exclude coexistent infection in the neuropathic joint. Osteomyelitis (n = 8), abscess (n = 7), septic arthritis (n = 4), tenosynovitis (n = 4), and neuropathic joint (n = 5) were diagnosed with MR imaging. Osteomyelitis and/or abscess were excluded by MR findings in 13 instances. Most patients with infection had one more than one site of involvement. Clinical or surgical confirmation of the MR diagnoses was obtained in all but nine of the infection sites or cases of neuropathic joint. Only one false-negative diagnosis of osteomyelitis was made in this series. It is concluded that MR imaging provided accurate information regarding the presence and extent of infection and that this information was decisive in patient management

  2. Validation of MODIS aerosol retrievals and evaluation of potential cloud contamination in East Asia

    Institute of Scientific and Technical Information of China (English)

    XIA Xiang-ao; CHEN Hong-bin; WANG Pu-cai

    2004-01-01

    MODIS aerosol retrievals onboard Terra/Aqua and ground truth data obtained from AERONET(Aerosol Robtic Network) solar direct radiance measurements are collocated to evaluate the quality of the former in East Asia. AERONET stations in East Asia are separated into two groups according to their locations and the preliminary validation results for each station. The validation results showed that the accuracy of MODIS aerosol retrievals in East Asia is a little worse than that obtained in other regions such as Eastern U.S., Western Europe, Brazil and so on. The primary reason is due to the improper aerosol model used in MODIS aerosol retrieval algorithm, so it is of significance to characterize aerosol properties properly according to long term ground-based remote sensing or other relevant in situ observations in order to improve MODIS retrievals in East Asia. Cloud contamination is proved to be one of large errors, which is demonstrated by the significant relation between MODIS aerosol retrievals versus cloud fraction, as well as notable improvement of linear relation between satellite and ground aerosol data after potential cloud contamination screened. Hence, it is suggested that more stringent clear sky condition be set in use of MODIS aerosol data. It should be pointed out that the improvement might be offset by other error sources in some cases because of complex relation between different errors. Large seasonal variation of surface reflection and uncertainties associated with it result in large intercepts and random error in MODIS aerosol retrievals in northern inland of East Asia. It remains to be a big problem to retrieve aerosols accurately in inland characterized by relatively larger surface reflection than the requirement in MODIS aerosol retrieval algorithm.

  3. Researchers evaluate resistance training for diabetes prevention

    OpenAIRE

    Trulove, Susan

    2009-01-01

    Systematic, progressive resistance training - also called strength training - is a safe and efficient way for middle-aged and older adults to improve their health. A Virginia Tech-led research team that includes experts in behavior, exercise, physiology, and medicine is designing a program to help pre-diabetic adults begin and, most importantly, maintain resistance training in order to prevent diabetes.

  4. 78 FR 47326 - Proposed Collection; 60-Day Comment Request: Community Evaluation of the National Diabetes...

    Science.gov (United States)

    2013-08-05

    ... Evaluation of the National Diabetes Education Program's Diabetes HealthSense Web site Summary: In compliance..., RD, Director, National Diabetes Education Program, OCPL, NIDDK, 31 Center Drive, Room 9A06, Bethesda... Evaluation of the National Diabetes Education Program's Diabetes HealthSense Web site. 0925-NEW,...

  5. Evaluation of Multiple Regional Climate Models for Summer Extremes of Temperature and Precipitation over East Asia

    Science.gov (United States)

    Park, Changyong; Min, Seung-Ki

    2014-05-01

    The regional climate models (RCMs) have been widely used to generate more detailed information in space and time of climate patterns produced by the global climate models (GCMs). Recently the international collaborative effort has been set up as the CORDEX (Coordinated Regional Climate Downscaling Experiment) project which covers several regional domains including East Asia. In this study, five RCMs (HadGEM3-RA, RegCM4, SNU-MM5, SNU-WRF, and YSU-RSM) participating in the CORDEX-East Asia project are evaluated in terms of their skills at simulating climatology of summer extremes. We examine bias and RMSE and conduct a Taylor diagram analysis using seasonal maxima of daily mean temperature and daily precipitation amount over the East Asia land area from 'historical' experiments of individual RCMs and their multi-model ensemble means (MME). The APHRODITE (Asian Precipitation-Highly-Resolved Observational Data Integration Toward Evaluation) datasets on 0.5° x 0.5° grids are used as observations. Results show similar systematic bias patterns between seasonal means and extremes. A cold bias is found along the coast while a warm bias occurs in the northern China. Overall wet bias appears in East Asia but there is a substantial dry bias in South Korea. This dry bias appears related to be a cold SST (sea surface temperature) around South Korea, positioning the monsoonal front (Changma) further south than observations. Taylor diagram analyses show that temperature has better skill in means than in extremes because of higher spatial correlation whereas precipitation exhibits better skill in extremes than in means due to better spatial variability. The latter implies that extreme rainfall events may be better captured although seasonal mean precipitation tends to be overestimated by RCMs. The model performances between mean and extreme are found to be closely related, but not clearly between temperature and precipitation. Temperatures are always better simulated than

  6. [Evaluation of nopal capsules in diabetes mellitus].

    Science.gov (United States)

    Frati Munari, A C; Vera Lastra, O; Ariza Andraca, C R

    1992-01-01

    To find out if commercial capsules with dried nopal (prickle-pear cactus, Opuntia ficus indica may have a role in the management of diabetes mellitus, three experiments were performed: 30 capsules where given in fasting condition to 10 diabetic subjects and serum glucose was measured through out 3 hours; a control test was performed with 30 placebo capsules. OGTT with previous intake of 30 nopal or placebo capsules was performed in ten healthy individuals. In a crossover and single blinded study 14 diabetic patients withdrew the oral hypoglycemic treatment and received 10 nopal or placebo capsules t.i.d. during one week; serum glucose, cholesterol and tryglycerides levels were measured before and after each one-week period. Five healthy subjects were also studied in the same fashion. Opuntia capsules did not show acute hypoglycemic effect and did not influence OGTT. In diabetic patients serum glucose, cholesterol and tryglycerides levels did not change with Opuntia, but they increased with placebo (P nopal, while cholesterol and triglycerides decreased (P < 0.01 vs. placebo). The intake of 30 Opuntia capsules daily in patients with diabetes mellitus had a discrete beneficial effect on glucose and cholesterol. However this dose is unpractical and at present it is not recommended in the management of diabetes mellitus. PMID:1307994

  7. Evaluating energy security in the Asia-Pacific region. A novel methodological approach

    Energy Technology Data Exchange (ETDEWEB)

    Vivoda, Vlado [Centre for International Risk, School of Communication, International Studies and Languages, University of South Australia, A1-03 Magill Campus, GPO Box 2471, Adelaide SA 5001 (Australia)

    2010-09-15

    This paper establishes an 'energy security assessment instrument' based on a new and expanded conceptualisation of energy security. The instrument is a systematic interrogative tool for evaluating energy security of individual states or regions. It consists of eleven broad energy security dimensions associated with the current global energy system. These energy security dimensions take into account numerous quantitative and qualitative attributes of each country's energy security and policy, and include both traditional energy security concerns and many new factors, such as environmental, socio-cultural and technological. Another dimension, largely absent from previous analyses, is the existence of, and the issues addressed in, energy security policy in each country. This instrument serves as an assessment system with which to evaluate energy security in the Asia-Pacific region. The existing studies on energy security in the Asia-Pacific region suffer from serious limitations. No study to date examines regional energy security policies by adopting a more comprehensive energy security definition as a starting point. Most studies also focus on a single country or issue. Even if they examine energy security in major regional economies, they lack critical comparative analysis. The instrument is valuable as it may be utilised to draw a comprehensive map of regional energy security situation, which can also include comparative analysis of energy security characteristics across the Asia-Pacific region. Ultimately, it may be utilised to set up a framework for improved regional energy cooperation with the aim of providing regional leaders with a blueprint for improving regional energy security and policy. (author)

  8. Evaluating energy security in the Asia-Pacific region: A novel methodological approach

    Energy Technology Data Exchange (ETDEWEB)

    Vivoda, Vlado, E-mail: vlado.vivoda@unisa.edu.a [Centre for International Risk, School of Communication, International Studies and Languages, University of South Australia, A1-03 Magill Campus, GPO Box 2471, Adelaide SA 5001 (Australia)

    2010-09-15

    This paper establishes an 'energy security assessment instrument' based on a new and expanded conceptualisation of energy security. The instrument is a systematic interrogative tool for evaluating energy security of individual states or regions. It consists of eleven broad energy security dimensions associated with the current global energy system. These energy security dimensions take into account numerous quantitative and qualitative attributes of each country's energy security and policy, and include both traditional energy security concerns and many new factors, such as environmental, socio-cultural and technological. Another dimension, largely absent from previous analyses, is the existence of, and the issues addressed in, energy security policy in each country. This instrument serves as an assessment system with which to evaluate energy security in the Asia-Pacific region. The existing studies on energy security in the Asia-Pacific region suffer from serious limitations. No study to date examines regional energy security policies by adopting a more comprehensive energy security definition as a starting point. Most studies also focus on a single country or issue. Even if they examine energy security in major regional economies, they lack critical comparative analysis. The instrument is valuable as it may be utilised to draw a comprehensive map of regional energy security situation, which can also include comparative analysis of energy security characteristics across the Asia-Pacific region. Ultimately, it may be utilised to set up a framework for improved regional energy cooperation with the aim of providing regional leaders with a blueprint for improving regional energy security and policy.

  9. Evaluating energy security in the Asia-Pacific region: A novel methodological approach

    International Nuclear Information System (INIS)

    This paper establishes an 'energy security assessment instrument' based on a new and expanded conceptualisation of energy security. The instrument is a systematic interrogative tool for evaluating energy security of individual states or regions. It consists of eleven broad energy security dimensions associated with the current global energy system. These energy security dimensions take into account numerous quantitative and qualitative attributes of each country's energy security and policy, and include both traditional energy security concerns and many new factors, such as environmental, socio-cultural and technological. Another dimension, largely absent from previous analyses, is the existence of, and the issues addressed in, energy security policy in each country. This instrument serves as an assessment system with which to evaluate energy security in the Asia-Pacific region. The existing studies on energy security in the Asia-Pacific region suffer from serious limitations. No study to date examines regional energy security policies by adopting a more comprehensive energy security definition as a starting point. Most studies also focus on a single country or issue. Even if they examine energy security in major regional economies, they lack critical comparative analysis. The instrument is valuable as it may be utilised to draw a comprehensive map of regional energy security situation, which can also include comparative analysis of energy security characteristics across the Asia-Pacific region. Ultimately, it may be utilised to set up a framework for improved regional energy cooperation with the aim of providing regional leaders with a blueprint for improving regional energy security and policy.

  10. Evaluation of multiple regional climate models for summer climate extremes over East Asia

    Science.gov (United States)

    Park, Changyong; Min, Seung-Ki; Lee, Donghyun; Cha, Dong-Hyun; Suh, Myoung-Seok; Kang, Hyun-Suk; Hong, Song-You; Lee, Dong-Kyou; Baek, Hee-Jeong; Boo, Kyung-On; Kwon, Won-Tae

    2016-04-01

    In this study, five regional climate models (RCMs) participating in the CORDEX-East Asia project (HadGEM3-RA, RegCM4, SNU-MM5, SNU-WRF, and YSU-RSM) are evaluated in terms of their performances in simulating the climatology of summer extremes in East Asia. Seasonal maxima of daily mean temperature and precipitation are analyzed using the generalized extreme value method. RCMs show systematic bias patterns in both seasonal means and extremes. A cold bias is located along the coast, whereas a warm bias occurs in northern China. Overall, wet bias occurs in East Asia, but with a substantial dry bias centered in South Korea. This dry bias appears to be related to the colder ocean surface around South Korea, positioning the monsoonal front further south compared to observations. Taylor diagram analyses reveal that the models simulate temperature means more accurately compared to extremes because of the higher spatial correlation, whereas precipitation extremes are simulated better than their means because of the higher spatial variability. The latter implies that extreme rainfall events can be captured more accurately by RCMs compared to the driving GCM despite poorer simulation of mean rainfall. Inter-RCM analysis indicates a close relationship between the means and extremes in terms of model skills, but it does not show a clear relationship between temperature and precipitation. Sub-regional analysis largely supports the mean-extreme skill relationship. Analyses of frequency and intensity distributions of daily data for three selected sub-regions suggest that overall shifts of temperature distribution and biases in moderate-heavy precipitations contribute importantly to the seasonal mean biases.

  11. Mobile payments in Asia

    OpenAIRE

    Husain, Samia Y.

    2013-01-01

    This Asia Focus report explores the use of m-payments in Asia and evaluates the challenges it faces regarding wider adoption. Specifically, this report clarifies what an m-payment is, identifies which factors are facilitating and hindering the use of m-payments by consumers in certain economies of Asia, and summarizes key issues this new payment technology presents to government regulators.

  12. A multi-model evaluation of aerosols over South Asia: common problems and possible causes

    Science.gov (United States)

    Pan, X.; Chin, M.; Gautam, R.; Bian, H.; Kim, D.; Colarco, P. R.; Diehl, T. L.; Takemura, T.; Pozzoli, L.; Tsigaridis, K.; Bauer, S.; Bellouin, N.

    2015-05-01

    Atmospheric pollution over South Asia attracts special attention due to its effects on regional climate, water cycle and human health. These effects are potentially growing owing to rising trends of anthropogenic aerosol emissions. In this study, the spatio-temporal aerosol distributions over South Asia from seven global aerosol models are evaluated against aerosol retrievals from NASA satellite sensors and ground-based measurements for the period of 2000-2007. Overall, substantial underestimations of aerosol loading over South Asia are found systematically in most model simulations. Averaged over the entire South Asia, the annual mean aerosol optical depth (AOD) is underestimated by a range 15 to 44% across models compared to MISR (Multi-angle Imaging SpectroRadiometer), which is the lowest bound among various satellite AOD retrievals (from MISR, SeaWiFS (Sea-Viewing Wide Field-of-View Sensor), MODIS (Moderate Resolution Imaging Spectroradiometer) Aqua and Terra). In particular during the post-monsoon and wintertime periods (i.e., October-January), when agricultural waste burning and anthropogenic emissions dominate, models fail to capture AOD and aerosol absorption optical depth (AAOD) over the Indo-Gangetic Plain (IGP) compared to ground-based Aerosol Robotic Network (AERONET) sunphotometer measurements. The underestimations of aerosol loading in models generally occur in the lower troposphere (below 2 km) based on the comparisons of aerosol extinction profiles calculated by the models with those from Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) data. Furthermore, surface concentrations of all aerosol components (sulfate, nitrate, organic aerosol (OA) and black carbon (BC)) from the models are found much lower than in situ measurements in winter. Several possible causes for these common problems of underestimating aerosols in models during the post-monsoon and wintertime periods are identified: the aerosol hygroscopic growth and formation of

  13. Multi-model evaluation of short-lived pollutant distributions over East Asia during summer 2008

    Directory of Open Access Journals (Sweden)

    B. Quennehen

    2015-04-01

    Full Text Available The ability of six global and one regional model to reproduce distributions of tropospheric ozone and its precursors, as well as aerosols over Asia in summer 2008 is evaluated using satellite and in-situ observations. Whilst ozone precursors (NO2 and CO are generally underestimated by the models in the troposphere, surface NO2 concentrations are overestimated, suggesting that emissions of NOx are too high. Ozone integrated columns and vertical profiles are generally well modeled, but the global models face difficulties simulating the ozone gradient at the surface between urban and rural environments, pointing to the need to increase model resolution. The accuracy of simulated aerosol patterns over eastern China and northern India varies between the models, and although most of the models reproduce the observed pollution features over eastern China, significant biases are noted in the magnitude of optical properties (aerosol optical depth, aerosol backscatter. These results have important implications for accurate prediction of pollution episodes affecting air quality and the radiative effects of these short-lived climate pollutants over Asia.

  14. Diabetic cardiomyopathy:Pathophysiology,diagnostic evaluation and management

    Institute of Scientific and Technical Information of China (English)

    Joseph; M; Pappachan; George; I; Varughese; Rajagopalan; Sriraman; Ganesan; Arunagirinathan

    2013-01-01

    Diabetes affects every organ in the body and cardiovascular disease accounts for two-thirds of the mortality in the diabetic population.Diabetes-related heart disease occurs in the form of coronary artery disease(CAD),cardiac autonomic neuropathy or diabetic cardiomyopathy(DbCM).The prevalence of cardiac failure is high in the diabetic population and DbCM is a common but underestimated cause of heart failure in diabetes.The pathogenesis of diabetic cardiomyopathy is yet to be clearly defined.Hyperglycemia,dyslipidemia and inflammation are thought to play key roles in the generation of reactive oxygen or nitrogen species which are in turn implicated.The myocardial interstitium undergoes alterations resulting in abnormal contractile function noted in DbCM.In the early stages of the disease diastolic dysfunction is the only abnormality,but systolic dysfunction supervenes in the later stages with impaired left ventricular ejection fraction.Transmitral Doppler echocardiography is usually used to assess diastolic dysfunction,but tissue Doppler Imaging and Cardiac Magnetic Resonance Imaging are being increasingly used recently for early detection of DbCM.The management of DbCM involves improvement in lifestyle,control of glucose and lipid abnormalities,and treatment of hypertension and CAD,if present.The role of vasoactive drugs and antioxidants is being explored.This review discusses the pathophysiology,diagnostic evaluation and management options of DbCM.

  15. Evaluation of diabetes complications among the diabetic patients visiting the Shahroud diabetic's clinic

    Directory of Open Access Journals (Sweden)

    Maryam Abbasian

    2008-01-01

    Full Text Available Introduction: Today, diabetes can be considered the most important social- economic and health concerns globally in which more than 170 million people through out the world and 4 million people in Iran have been afflicted. The afflicted people are most likely to be more vulnerable from suffering blindness, nephropathy, neuropathy, heart attacks and amputation problems than normal people in society. Consequently, due to the importance of the prevalence of diabetes and its complications, we decided to carry out this study aiming to prevent diabetic complications, by using the research finding. The study was carried out through the diabetic clinic in shahroud. Methods: This is a descriptive study, carried on 340 diabetic persons visiting the diabetic clinics in Shahroud. The required data was gathered by fulfillingby questionnairs trough interviews and the results were analyzed using the statistical tests and SPSS soft ware. Results: 240 Females and 100 males, subjects with the average age of 50.2 ± 15.2 were studied. It was detected that 87.9% and 11.8% of the patients were suffering from diabetic types II & I respectively. The average duration of affliction was 5.5 years, also affliction duration for %51.2 of the patients were about 5 years. Significant relationship between type II diabetes, BMI and education was found. %77.4 of patients had less than high school diploma. Finding shows that % 44.1 of patients with positive type II diabetes had some family background. By analyzing the result, it was observed that %77.3, %13.9, %33.5, %21.8, %12.7, 18.6 %5.9 of patients were suffering from neuropathy, nephropathy, retinopathy, digestive disorders, problem in organs, cardio vascular diseases and goiter respectively. Conclusion: The results showed a high frequency of risk factors and the side effects among the diabetes. Therefore, it seem that, in order to reduce the side effects, public training is needed for everyone via mass media as well as face

  16. A comparative evaluation of the glycaemic potential of commercial breads consumed in South East Asia.

    Science.gov (United States)

    Ranawana, Viren; Henry, C Jeya K

    2013-03-01

    Bread has become a widely consumed staple food in South-east Asia. However, there is very little data on the glycaemic potential of local commercial breads. The objective of this study was to comparatively assess the glycaemic potential of some commonly consumed commercial breads using a validated in vitro model. Sixteen types of breads representing the most popular brands and types were evaluated. The results showed that white and enriched white breads had a greater glycaemic potential than wholemeal breads (rapidly digestible starch (RDS) content >450 mg of glucose/g of sample). The lowest glycaemic potential was observed for wholegrain breads (RDS content breads such as pandan bread, milk bread and corn loaf was also examined. Whist the data show that South-east Asian breads have notably differential effects on glycaemia, it highlights the need to formulate Asian dietary guidelines for bread which will enable better food choice and glycaemic control. PMID:22888982

  17. Neurofunctional Evaluation of Young Male Offspring of Rat Dams with Diabetes Induced by Streptozotocin

    OpenAIRE

    Carla Delascio Lopes; Rita Sinigaglia-Coimbra; Jacqueline Mazzola; Luiz Camano; Rosiane Mattar

    2011-01-01

    Diabetes mellitus (DM) is a complex disease, being one of the most prevalent diseases worldwide. As a consequence, pregnancy-associated diabetes is increasingly common. Given the numerous studies about the influence of diabetes on offspring of diabetic rat dams, the neurological outcome is of outmost importance. This paper aimed at evaluating the neurofunctional performance of young male offspring of rat dams with diabetes induced by streptozotocin. Diabetes was induced in Wistar female rats ...

  18. Evaluation of New-Onset Diabetes in Patients Presenting Emergency Service with a Diabetic Ketoacidosis Attack

    Directory of Open Access Journals (Sweden)

    Yavuz Yiğit

    2013-12-01

    Full Text Available Aim: The aim of this study was to investigate the rate of new-onset diabetes mellitus (DM in patients presenting to our emergency department with diabetic ketoacidosis. Methods: We retrospectively evaluated hospital records of patients who presented to the Emergency Department at Istanbul Goztepe Research and Training Hospital between 01 April 2009 and 01 April 2011 and were diagnosed with diabetic ketoacidosis. 57 patients having complete clinical data were included in the study. Results: 45.6%of patients had type 1 DM, 33.3%- type 2 DM, and 21%of them were with new-onset DM. No statistically significant difference was found between type 1 DM, type 2 DM and new-onset DM patients with respect to arterial blood pH and HCO3 levels and serum sodium, potassium and plasma glucose levels at presentation as well as time of presentation (p>0.05, while HbA1c levels showed statistically significant difference in new-onset DM patients. Conclusion: No statistically significant difference was found between types of DM in patients diagnosed with diabetic ketoacidosis except for precipitating factors, age and HbA1c. Detecting high blood glucose levels in patients presenting to emergency room for reasons other than DM is not a rare condition. Cautious evaluation and recognition of these patients in emergency room for the possibility of undiagnosed DM is important for prevention of future diabetic ketoacidosis episodes. (The Medical Bulletin of Haseki 2013; 51: 168-72

  19. Evaluation of long-term tropospheric NO2 data obtained by GOME over East Asia in 1996-2002

    OpenAIRE

    Irie, H.; K. Sudo; Akimoto, H.; A. Richter; Burrows, J.-P.; Wagner, T.; M. Wenig; Beirle, S.; Kondo, Y.; Sinyakov, V.-P.; Goutail, Florence

    2005-01-01

    Long-term tropospheric nitrogen dioxide (NO2) column data obtained by the Global Ozone Monitoring Experiment (GOME) (G-NO2) are evaluated to confirm the trends found in tropospheric NO2 abundances over East Asia between 1996 and 2002. For three locations in Central and East Asia, the G-NO2 values are compared with tropospheric columns estimated from coincident observations of total NO2 by ground-based UV/visible spectrometers and stratospheric NO2 by satellite solar occultation sensors (E-NO2...

  20. Comparative effectiveness of dipeptidyl peptidase-4 (DPP-4 inhibitors and human glucagon-like peptide-1 (GLP-1 analogue as add-on therapies to sulphonylurea among diabetes patients in the Asia-Pacific region: a systematic review.

    Directory of Open Access Journals (Sweden)

    Martin C S Wong

    Full Text Available The prevalence of diabetes mellitus is rising globally, and it induces a substantial public health burden to the healthcare systems. Its optimal control is one of the most significant challenges faced by physicians and policy-makers. Whereas some of the established oral hypoglycaemic drug classes like biguanide, sulphonylureas, thiazolidinediones have been extensively used, the newer agents like dipeptidyl peptidase-4 (DPP-4 inhibitors and the human glucagon-like peptide-1 (GLP-1 analogues have recently emerged as suitable options due to their similar efficacy and favorable side effect profiles. These agents are widely recognized alternatives to the traditional oral hypoglycaemic agents or insulin, especially in conditions where they are contraindicated or unacceptable to patients. Many studies which evaluated their clinical effects, either alone or as add-on agents, were conducted in Western countries. There exist few reviews on their effectiveness in the Asia-Pacific region. The purpose of this systematic review is to address the comparative effectiveness of these new classes of medications as add-on therapies to sulphonylurea drugs among diabetic patients in the Asia-Pacific countries. We conducted a thorough literature search of the MEDLINE and EMBASE from the inception of these databases to August 2013, supplemented by an additional manual search using reference lists from research studies, meta-analyses and review articles as retrieved by the electronic databases. A total of nine randomized controlled trials were identified and described in this article. It was found that DPP-4 inhibitors and GLP-1 analogues were in general effective as add-on therapies to existing sulphonylurea therapies, achieving HbA1c reductions by a magnitude of 0.59-0.90% and 0.77-1.62%, respectively. Few adverse events including hypoglycaemic attacks were reported. Therefore, these two new drug classes represent novel therapies with great potential to be major

  1. Media training for diabetes prevention: a participatory evaluation.

    Science.gov (United States)

    Lalonde, Jeffrey; Jeambey, Zeinab; Starkey, Linda Jacobs

    2007-01-01

    The Media and the Message - Promoting Healthy Eating and Active Living for Diabetes Prevention was a project aimed at raising awareness of diabetes risk factors and enhancing the public's access to credible, up-to-date, healthy eating and active living messages in the media. Cross-country workshops were held to teach media strategies and key diabetes prevention messages to multidisciplinary groups of health professionals. Evaluation was integral to the project; both the process and outcomes were assessed using Health Canada's Population Health Approach. Timeline and budget were tracked. Questionnaires were created to evaluate advisory committee conference calls and to determine participants' perceptions of the 19 workshops and resources. A pre-workshop/post-workshop and three-month follow-up questionnaire format, along with an online media-tracking tool, was used to collect outcome data and to measure changes in confidence and media behaviour. Sixty-three percent of participants (150 of 238) reported that multidisciplinary workshops were very valuable. Three-month follow-up revealed a significant increase in confidence in all media activities taught at the workshops, although this failed to translate into increased media activity. Sixty-eight percent (78 of 115) of responding participants disseminated workshop learning. Detailed evaluation revealed that multidisciplinary workshops are valued and effective in increasing confidence. However, eliciting behaviour change following a workshop remains a challenge. PMID:17784971

  2. An evaluation of the CMAQ reproducibility of satellite tropospheric NO2 column observations at different local times over East Asia

    Science.gov (United States)

    Irie, H.; Yamaji, K.; Ikeda, K.; Uno, I.; Itahashi, S.; Ohara, T.; Kurokawa, J.

    2013-12-01

    Despite the importance of the role of nitrogen dioxide (NO2) in tropospheric chemistry, the causes leading to the discrepancy between satellite-derived and modeled tropospheric NO2 vertical column densities (VCDs) over East Asia remain unclear. Here the reproducibility of satellite tropospheric NO2 VCD data by a regional chemical transport model (CMAQ) with the Regional Emission inventory in ASia (REAS) Version 2 is evaluated from the viewpoint of the diurnal variation of tropospheric NO2 VCDs, where satellite observations at different local times (SCIAMACHY/ENVISAT, OMI/Aura, and GOME-2/Metop-A) are utilized. As a case study, we concentrate on June 2007 for a detailed evaluation based on various sensitivity simulations from the aspects of emission and spatial resolution. Within uncertainty in satellite data, CMAQ generally reproduces absolute values of monthly-mean satellite NO2 VCDs over most of 12 selected diagnostic regions in East Asia. Reconsideration of literature satellite bias estimates brings the satellite-derived NO2 diurnal variation pattern closer to that of CMAQ. The diurnal variation pattern is insensitive to any sensitivity simulations conducted in this study. Improving the model horizontal resolution tends to show better agreement with satellite data in AM but not in PM in China. Compared to satellite data, CMAQ shows a weak NO2 diurnal variation in daytime over China. Our findings support the need for detailed evaluation of chemical processes in CMAQ.

  3. Simulation of Tropospheric Ozone with MOZART-2:An Evaluation Study over East Asia

    Institute of Scientific and Technical Information of China (English)

    LIU Qianxia; ZHANG Meigen; WANG Bin

    2005-01-01

    Climate changes induced by human activities have attracted a great amount of attention. With this,a coupling system of an atmospheric chemistry model and a climate model is greatly needed in China for better understanding the interaction between atmospheric chemical components and the climate. As the first step to realize this coupling goal, the three-dimensional global atmospheric chemistry transport model MOZART-2 (the global Model of Ozone and Related Chemical Tracers, version 2) coupled with CAM2 (the Community Atmosphere Model, version 2) is set up and the model results are compared against observations obtained in East Asia in order to evaluate the model performance. Comparison of simulated ozone mixing ratios with ground level observations at Minamitorishima and Ryori and with ozonesonde data at Naha and Tateno in Japan shows that the observed ozone concentrations can be reproduced reasonably well at Minamitorishima but they tend to be slightly overestimated in winter and autumn while underestimated a little in summer at Ryori. The model also captures the general features of surface CO seasonal variations quite well, while it underestimates CO levels at both Minamitorishima and Ryori.The underestimation is primarily associated with the emission inventory adopted in this study. Compared with the ozonesonde data, the simulated vertical gradient and magnitude of ozone can be reasonably well simulated with a little overestimation in winter, especially in the upper troposphere. The model also generally captures the seasonal, latitudinal and altitudinal variations in ozone concentration. Analysis indicates that the underestimation of tropopause height in February contributes to the overestimation of winter ozone in the upper and middle troposphere at Tateno.

  4. An evaluation of the CMAQ reproducibility of satellite tropospheric NO2 column observations at different local times over East Asia

    Directory of Open Access Journals (Sweden)

    H. Irie

    2013-05-01

    Full Text Available Despite the importance of the role of nitrogen dioxide (NO2 in tropospheric chemistry, the causes leading to the discrepancy between satellite-derived and modeled tropospheric NO2 vertical column densities (VCDs over East Asia remain unclear. Here the reproducibility of satellite tropospheric NO2 VCD data by a regional chemical transport model (CMAQ with the Regional Emission inventory in ASia (REAS Version 2 is evaluated from the viewpoint of the diurnal variation of tropospheric NO2 VCDs, where satellite observations at different local times (SCIAMACHY/ENVISAT, OMI/Aura, and GOME-2/Metop-A are utilized considering literature validation results. As a case study, we concentrate on June and December 2007 for a detailed evaluation based on various sensitivity simulations, for example with different spatial resolutions (80, 40, 20, and 10 km for CMAQ. For June, CMAQ generally reproduces absolute values of satellite NO2 VCDs and their diurnal variations over all 12 selected diagnostic regions in East Asia. In contrast, a difficulty arises in interpreting the significant disagreement between satellite and CMAQ values over most of the diagnostic regions in December. The disagreement cannot be explained by any of the sensitivity simulations performed in this study. To address this, more investigations, including further efforts for satellite validations in wintertime, are needed.

  5. Evaluation of a diabetes specialty centre: structure, process and outcome.

    Science.gov (United States)

    Basa, R P; McLeod, B

    1995-02-01

    The purpose of this study was to evaluate the effectiveness of a diabetes specialty centre in assisting clients with noninsulin-dependent diabetes mellitus to improve their metabolic control and quality of life. A single-subject repeated measures design was used where data was collected on entry to the program, immediately following the 2-day education sessions, and at both 3- and 6-month follow-up visits. Structure and process were taken into consideration, and the main outcome variables measured were knowledge, attitudes, metabolic control (hemoglobin A1c) and perceived quality of life. These variables were chosen in the belief that many factors can influence behaviour and it is the combination of these factors which results in behavioural change and ultimately improvement in metabolic control and quality of life. The main findings were that the facilities and documentation records were adequate, the clients perceived that the primary function of the center was medical management rather than education, and knowledge, metabolic control and quality of life improved significantly after the program. For clients, perceived happiness and quality of life were primary issues. Therefore, improvement in quality of life should be one of the primary goals of diabetes education programs. PMID:7603930

  6. Autoradiographic thyroid evaluation in short-term experimental diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Nascimento-Saba C.C.A.

    1998-01-01

    Full Text Available Previous studies have shown that in vitro thyroid peroxidase (TPO iodide oxidation activity is decreased and thyroid T4-5'-deiodinase activity is increased 15 days after induction of experimental diabetes mellitus (DM. In the present study we used thyroid histoautoradiography, an indirect assay of in vivo TPO activity, to determine the possible parallelism between the in vitro and in vivo changes induced by experimental DM. DM was induced in male Wistar rats (about 250 g body weight by a single ip streptozotocin injection (45 mg/kg, while control (C animals received a single injection of the vehicle. Seven and 30 days after diabetes induction, each diabetic and control animal was given ip a tracer dose of 125I (2 µCi, 2.5 h before thyroid excision. The glands were counted, weighed, fixed in Bouin's solution, embedded in paraffin and cut. The sections were stained with HE and exposed to NTB-2 emulsion (Kodak. The autohistograms were developed and the quantitative distribution of silver grains was evaluated with a computerized image analyzer system. Thyroid radioiodine uptake was significantly decreased only after 30 days of DM (C: 0.38 ± 0.05 vs DM: 0.20 ± 0.04%/mg thyroid, P<0.05 while in vivo TPO activity was significantly decreased 7 and 30 days after DM induction (C: 5.3 and 4.5 grains/100 µm2 vs DM: 2.9 and 1.6 grains/100 µm2, respectively, P<0.05 . These data suggest that insulin deficiency first reduces in vivo TPO activity during short-term experimental diabetes mellitus

  7. Re-evaluating the burden of rabies in Africa and Asia.

    OpenAIRE

    2005-01-01

    OBJECTIVE: To quantify the public health and economic burden of endemic canine rabies in Africa and Asia. METHODS: Data from these regions were applied to a set of linked epidemiological and economic models. The human population at risk from endemic canine rabies was predicted using data on dog density, and human rabies deaths were estimated using a series of probability steps to determine the likelihood of clinical rabies developing in a person after being bitten by a dog suspected of having...

  8. Thyroidal radio autographic evaluation in experimental diabetes mellitus

    Energy Technology Data Exchange (ETDEWEB)

    Nascimento-Saba, C.C.A.; Brito, A.C.; Pereira, M.J.S.; Carvalho, J.J. [Universidade do Estado, Rio de Janeiro, RJ (Brazil). Inst. de Biologia; Roshental, D. [Universidade Federal, Rio de Janeiro, RJ (Brazil). Inst. de Biofisica

    1997-12-31

    Full text. There is a well known correlation between diabetes mellitus (DM) and thyroid diseases. Previous studies have shown that the thyroid peroxidase (TPO) `in vitro` iodide-oxidation activity is decreased and the thyroid T 4-dasanide is increased 15 days after induction of experimental DM. In the present study we evaluated radioautography, an indirect assay of `in vivo` T P O activity. D M was induced in male Wistar rats (circa 250 g body weight) by a single i.p. streptozotocin injection (45 mg/kg). One group of D M animals received insulin (2 U/day, N P H), starting 48 h after streptozotocin. 2{mu} Ci of {sup 125} I were given by i.p. injection, 2.5 h before thyroid excision, after 7 or 30 days of diabetes. The glands were counted, weighed, fixed in Bouin`s solution, embedded in paraffin, cut and HE-stained. The sections were covered with NTB-2 emulsion (Kodak), incubated at 4 deg C for 7 days, before revelation. Quantitative distribution of silver grains was evaluated using the Image Pro-Plus program. The thyroidal {sup 125} I uptake is significantly decreased in diabetic animals after 30 days. The `in vative P O activity is significantly decreased 7 and 30 days D M induction. This decrease was also present in the insulin-treated animals and the exogenous insulin administration was unable to revert changes induced by experimental D M, at least in the dosage/periodicity used. It seems that the activity of basal membrane is affected after 30 days of D M, however the T P O activity is already affected after 7 days of DM

  9. Thyroidal radio autographic evaluation in experimental diabetes mellitus

    International Nuclear Information System (INIS)

    Full text. There is a well known correlation between diabetes mellitus (DM) and thyroid diseases. Previous studies have shown that the thyroid peroxidase (TPO) 'in vitro' iodide-oxidation activity is decreased and the thyroid T 4-dasanide is increased 15 days after induction of experimental DM. In the present study we evaluated radioautography, an indirect assay of 'in vivo' T P O activity. D M was induced in male Wistar rats (circa 250 g body weight) by a single i.p. streptozotocin injection (45 mg/kg). One group of D M animals received insulin (2 U/day, N P H), starting 48 h after streptozotocin. 2μ Ci of 125 I were given by i.p. injection, 2.5 h before thyroid excision, after 7 or 30 days of diabetes. The glands were counted, weighed, fixed in Bouin's solution, embedded in paraffin, cut and HE-stained. The sections were covered with NTB-2 emulsion (Kodak), incubated at 4 deg C for 7 days, before revelation. Quantitative distribution of silver grains was evaluated using the Image Pro-Plus program. The thyroidal 125 I uptake is significantly decreased in diabetic animals after 30 days. The 'in vative P O activity is significantly decreased 7 and 30 days D M induction. This decrease was also present in the insulin-treated animals and the exogenous insulin administration was unable to revert changes induced by experimental D M, at least in the dosage/periodicity used. It seems that the activity of basal membrane is affected after 30 days of D M, however the T P O activity is already affected after 7 days of DM

  10. Evaluation of Aloevera Gel for its Anti Inflammatory activity in Diabetes Mellitus using Animal Model System

    Directory of Open Access Journals (Sweden)

    M.Vanitha

    2013-03-01

    Full Text Available The aim of the present study was to evaluate the anti inflammatory potential of Aloe vera in alloxan induced diabetes in rats. Experimental Diabetes was induced in rats with alloxan. The animals were divided into four groups of six each (n=6. Group I: Normal, Group II: Alloxan induced diabetic rats, Group III: Diabetic rats supplemented with AV gel extract for 21 days, Group IV: diabetic rats treated with glibenclamide. All the drugs were administered orally (using an intra gastric tube in a single dose in the morning for 21 days. Blood samples were collected from the overnight fasted rats. Oral administration of Aloe barbadensis gel significantly decreased the level of homocysteine and the level of folic acid was significantly elevated when compared to diabetic control. The results suggest potent anti-inflammatory potential of Aloe barbadensis gel in experimental diabetes, and thus Aloe vera can be used as an alternative remedy for treatment of diabetes mellitus and its complications.

  11. Evaluation of Salivary Level of Paraoxonase and Total Antioxidant Capacity in Type II Diabetic Subjects

    OpenAIRE

    Sh. Radi; H.R. Abdolsamadi; Ranjbar, A.; N. Rafieian; Sh. Borzoei; Gh. Roshanaei; M. Jazyeri; F. Montazeran

    2015-01-01

    Introduction & Objective: Salivary antioxidants play important roles in the defensive mechanism of saliva against free radicals. Due to Prevalence of diabetes and numerous factors associated in its pathogenesis, understanding the defensive mechanism of salivary antioxidant against free radicals can provide helpful strategies in diagnosis and evaluation of diabetes. The aim of this study was evaluation of the paraoxonase (PON1) levels and total antioxidant capacity (TAC) of saliva in diabetic ...

  12. The Problem Areas in Diabetes (PAID) scale: psychometric evaluation survey in a Greek sample with type 2 diabetes.

    Science.gov (United States)

    Papathanasiou, A; Koutsovasilis, A; Shea, S; Philalithis, A; Papavasiliou, S; Melidonis, A; Lionis, C

    2014-05-01

    Several instruments have been developed for the assessment of emotional distress in patients with diabetes. The Problem Areas in Diabetes Scale (PAID) is a brief self-report scale that evaluates diabetes-related distress. There is a lack of validated instruments for the evaluation of psychological aspects in patients with diabetes in Greek language. The current study was conducted to translate and adapt the PAID scale in Greek language and to evaluate the psychometric properties in two different study populations of patients with diabetes. The aim of this study was to translate the Problem Areas in Diabetes (PAID) scale into Greek, adapt it culturally to Greece and determine its psychometric properties. The translation process included two forward translations, reconciliation, backward translation and pre-testing steps. The validation incorporated the exploration of internal consistency (Cronbach's alpha), test-retest reliability (interclass correlation coefficient), construct validity (exploratory factor analysis) and responsiveness (Spearman correlation coefficient). Participants included 101 consecutive patients from a rural primary healthcare centre and 101 patients from an urban hospital. All patients completed the PAID scale and the Short Form-36 (SF-36) version 2. Internal consistency considered good (Cronbach's alpha = 0.948). Interclass correlation coefficient was 0.942 (95% CI 0.915-0.961). Factor analysis yielded three factors: 'Diabetes-related emotional problems' (51.79% variance, Cronbach's alpha = 0.910), 'Food-related problems' (9.55% variance, Cronbach's alpha = 0.824) and 'Social support-related problems' (5.96% variance, Cronbach's alpha = 0.704). Screen plot test and conceptual congruency of items supported a three-factor solution. Total PAID showed a negative correlation with both SF-36 mental component summary (r = -0.733, P < 0.0001) and SF-36 physical component summary (r = -0.594, P < 0.0001). Our findings indicate that the Greek version of

  13. Evaluation of Diabetic Patients with Breast Cancer Treated with Metformin during Adjuvant Radiotherapy

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    Adam Ferro

    2013-01-01

    Full Text Available Purpose. The purpose of this study was to evaluate acute locoregional toxicity in patients with breast cancer receiving concurrent metformin plus radiation therapy. Methods and Materials. Diabetic breast cancer patients receiving concurrent metformin and radiation therapy were matched with nondiabetic patients and diabetic patients using an alternative diabetes medication. Primary endpoints included the presence of a treatment break and development of dry or moist desquamation. Results. There was a statistically significant increase in treatment breaks for diabetic patients receiving concurrent metformin when compared to the nondiabetic patients (P value = 0.02 and a trend toward significance when compared to diabetic patients receiving an alternate diabetes medication (P value = 0.08. Multiple logistic regression analysis demonstrated concurrent metformin use as being associated with a trend toward the predictive value of determining the incidence of developing desquamation in diabetic patients receiving radiation therapy compared to diabetic patients receiving an alternate diabetes medication (P value = 0.06. Conclusions. Diabetic patients treated with concurrent metformin and radiation therapy developed increased acute locoregional toxicity in comparison with diabetic patients receiving an alternate diabetes medication and nondiabetic patients. Further clinical investigation should be conducted to determine the therapeutic ratio of metformin in combination with radiation therapy.

  14. Cardiac dysfunction in the diabetic rat: quantitative evaluation using high resolution magnetic resonance imaging

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    Alenezy Mohammed D

    2006-04-01

    Full Text Available Abstract Background Diabetes is a major risk factor for cardiovascular disease. In particular, type 1 diabetes compromises the cardiac function of individuals at a relatively early age due to the protracted course of abnormal glucose homeostasis. The functional abnormalities of diabetic myocardium have been attributed to the pathological changes of diabetic cardiomyopathy. Methods In this study, we used high field magnetic resonance imaging (MRI to evaluate the left ventricular functional characteristics of streptozotocin treated diabetic Sprague-Dawley rats (8 weeks disease duration in comparison with age/sex matched controls. Results Our analyses of EKG gated cardiac MRI scans of the left ventricle showed a 28% decrease in the end-diastolic volume and 10% increase in the end-systolic volume of diabetic hearts compared to controls. Mean stroke volume and ejection fraction in diabetic rats were decreased (48% and 28%, respectively compared to controls. Further, dV/dt changes were suggestive of phase sensitive differences in left ventricular kinetics across the cardiac cycle between diabetic and control rats. Conclusion Thus, the MRI analyses of diabetic left ventricle suggest impairment of diastolic and systolic hemodynamics in this rat model of diabetic cardiomyopathy. Our studies also show that in vivo MRI could be used in the evaluation of cardiac dysfunction in this rat model of type 1 diabetes.

  15. Evaluation of Online Education about Diabetes Management in the School Setting

    Science.gov (United States)

    Bachman, Jean A.; Hsueh, Kuei-Hsiang

    2008-01-01

    There are a variety of initiatives to provide education to improve the quality of care for children with diabetes in the school setting. This study piloted and evaluated an online continuing education program for school nurses about diabetes management for children in schools using current practice principles. The evaluation determined if…

  16. Evaluation and uncertainties of global climate models as simulated in East Asia and China

    International Nuclear Information System (INIS)

    The assessments and uncertainties of the general circulation models (GCMs) as simulated in East Asia and China (15-60 N, 70-140 E) have been investigated by using seven GCMs. Four methods of assessment have been chosen. The variables for the validations for the GCMs include the annual, seasonal and monthly mean temperatures and precipitation. The assessments indicated that: (1) the simulations of seven GCMs for temperature are much better than those for precipitation; (2) the simulations in winter are much better than those in summer; (3) the simulations in eastern parts are much better than those in Western parts for both temperature and precipitation; (4) the best GCM for simulated temperature is the GISS model, and the best GCM for simulated precipitation is the UKMO-H model. The seven GCMs' means for both simulated temperature and precipitation provided good results. The range of uncertainties in East Asia and China due to human activities are presented. The differences between the GCMs for temperature and precipitation before the year 2050 are much smaller than those after the year 2050

  17. Evaluation of VIIRS, GOCI, and MODIS Collection 6 AOD retrievals against ground sunphotometer observations over East Asia

    Science.gov (United States)

    Xiao, Q.; Zhang, H.; Choi, M.; Li, S.; Kondragunta, S.; Kim, J.; Holben, B.; Levy, R. C.; Liu, Y.

    2016-02-01

    Persistent high aerosol loadings together with extremely high population densities have raised serious air quality and public health concerns in many urban centers in East Asia. However, ground-based air quality monitoring is relatively limited in this area. Recently, satellite-retrieved Aerosol Optical Depth (AOD) at high resolution has become a powerful tool to characterize aerosol patterns in space and time. Using ground AOD observations from the Aerosol Robotic Network (AERONET) and the Distributed Regional Aerosol Gridded Observation Networks (DRAGON)-Asia Campaign, as well as from handheld sunphotometers, we evaluated emerging aerosol products from the Visible Infrared Imaging Radiometer Suite (VIIRS) aboard the Suomi National Polar-orbiting Partnership (S-NPP), the Geostationary Ocean Color Imager (GOCI) aboard the Communication, Ocean, and Meteorology Satellite (COMS), and Terra and Aqua Moderate Resolution Imaging Spectroradiometer (MODIS) (Collection 6) in East Asia in 2012 and 2013. In the case study in Beijing, when compared with AOD observations from handheld sunphotometers, 51 % of VIIRS Environmental Data Record (EDR) AOD, 37 % of GOCI AOD, 33 % of VIIRS Intermediate Product (IP) AOD, 26 % of Terra MODIS C6 3 km AOD, and 16 % of Aqua MODIS C6 3 km AOD fell within the reference expected error (EE) envelope (±0.05 ± 0.15 AOD). Comparing against AERONET AOD over the Japan-South Korea region, 64 % of EDR, 37 % of IP, 61 % of GOCI, 39 % of Terra MODIS, and 56 % of Aqua MODIS C6 3 km AOD fell within the EE. In general, satellite aerosol products performed better in tracking the day-to-day variability than tracking the spatial variability at high resolutions. The VIIRS EDR and GOCI products provided the most accurate AOD retrievals, while VIIRS IP and MODIS C6 3 km products had positive biases.

  18. Evaluation of Oral Health in Type II Diabetes Mellitus Patients

    Directory of Open Access Journals (Sweden)

    Rathy Ravindran

    2015-01-01

    Full Text Available Background: Oral cav ity re flects the general health status of a person and diagnosing and treating oral manifestations of systemic disease pose a greater challenge. Even though there is strong evidence that supports the relationship between oral health and diabetes mellitus, oral health awareness is lacking among diabetic patients and health professionals. The present study was undertaken to determine the oral health status in type II diabetic patients and also to compare the oral changes in controlled diabetes and u ncontrolled diabetes. Materials and methods: Study population consists of 60 diabetic patients w hich is divided into 30 controlled and 30 uncontrolled diabetics; 60 healthy subjects. Each of these diabetic groups were again subdivided according to their duration as patients having a disease duration below 10 years 15 and patients having a disease duration above 10 years. 15 Various oral manifestations were examined and also CPI score and loss of attachment were recorded. Statistical analysis was done. Results: The most frequent oral signs and symptoms obser ved in both controlled and uncontrolled diabetic patients was perio­ dontitis followed by hyposalivation, taste dysfunction, halitosis, fissured tongue, burning mouth, angular cheilitis, ulcer and lichen planus. These oral manifestation showed an increase in distribution in diabetic patients when compared to nondia betic. Community periodo ntal index (CPI scores for assess ing periodontal status showed higher scores in diabetics than nondiabetics and also in uncontrolled diabetes than controlled diabetes. For periodontal s tatus assessment based on disease duration, patient with higher disease duration showed higher CPI scores than those with a lesser disease duration. Assess ment of loss of attachment in our study showed higher values in diabetic patients compared to healthy controls. Conclusion: From our present study, it was clear that oral manifestations in uncontrolled

  19. The Annual African American Conference on Diabetes: Evolving Program Evaluation With Evolving Program Implementation

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    Jacquelyn M. Houston, MPH, APRN, BC

    2005-12-01

    Full Text Available BackgroundAccording to 2003 Behavioral Risk Factor Surveillance System data, South Carolina has the fourth highest rate of overall diabetes among the 50 states (9.3% but the second highest rate among African Americans (15.5%. Nationwide, African Americans are disproportionately affected by diabetes. In addition, 40% of the African American population in South Carolina lives in a rural area, and approximately 26% live at or below the poverty level. Lack of access to health care and diabetes education are additional barriers for people with diabetes and their families.ContextSince 1997, the South Carolina Diabetes Prevention and Control Program and the Diabetes Today Advisory Council have sponsored the African American Conference on Diabetes, which targets African Americans with diabetes, their families, and their caregivers. This article describes the evolution of the conference and its evaluation.MethodsIn 2002, we conducted focus groups with 20 African American conference attendees with diabetes to 1 assess the program’s effects, 2 determine how to reach more individuals, and 3 improve programming. In 2004, we incorporated the preconference and postconference Diabetes Understanding Scale survey to assess the cognitive impact of the conference on participants.ConsequencesFocus group results revealed that participants wanted to attend the conference because of the opportunity to increase their knowledge and change their behaviors through 1 education, 2 social support, 3 resources, and 4 logistics. Self-rated understanding increased significantly after the conference for each cognitive understanding item on the Diabetes Understanding Scale.InterpretationFocus group results suggested that participants who continue to attend the conference year after year may improve diabetes self-management skills. A quantitative evaluation showed that this 1-day diabetes education conference significantly increased short-term, self-rated cognitive understanding

  20. East Asia's Security System

    OpenAIRE

    Hojzáková, Věra

    2012-01-01

    The aim of the master thesis is to characterize and evaluate the current security system in East Asia, to show the security strategies of the system actors and the existing friction points, and to assess the future development of the security system in place. For this purpose the author first defines the East Asia's security system using the conceptual tools of three international relations theories, namely neo-realism, neo-liberalism, and constructivism. In the following section, the securit...

  1. Evaluation of Aerosol Properties over Ocean from Moderate Resolution Imaging Spectroradiometer (MODIS) during ACE-Asia

    Science.gov (United States)

    Chu, D. A.; Remer, L. A.; Kaufman, Y. J.; Schmid, B.; Redemann, J.; Knobelspiesse, K.; Chern, J.-D.; Livingston, J.; Russell, P. B.; Xiong, X.; Ridgway, W.

    2005-01-01

    The Aerosol Characterization Experiment-Asia (ACE-Asia) was conducted in March-May 2001 in the western North Pacific in order to characterize the complex mix of dust, smoke, urban/industrial pollution, and background marine aerosol that is observed in that region in springtime. The Moderate Resolution Imaging Spectroradiometer (MODIS) provides a large-scale regional view of the aerosol during the ACE-Asia time period. Focusing only on aerosol retrievals over ocean, MODIS data show latitudinal and longitudinal variation in the aerosol characteristics. Typically, aerosol optical depth (tau(sub a)) values at 0.55 micrometers are highest in the 30 deg. - 50 deg. latitude band associated with dust outbreaks. Monthly mean tau(sub a) in this band ranges approx. 0.40-70, although large differences between monthly mean and median values indicate the periodic nature of these dust outbreaks. The size parameters, fine mode fraction (eta), and effective radius (r(sub eff)) vary between monthly mean values of eta = 0.47 and r(sub eff)= 0.75 micrometers in the cleanest regions far offshore to approximately eta = 0.85 and r(sub eff) =.30 micrometers in near-shore regions dominated by biomass burning smoke. The collocated MODIS retrievals with airborne, ship-based, and ground-based radiometers measurements suggest that MODIS retrievals of spectral optical depth fall well within expected error (DELTA tau(sub a) = plus or minus 0.03 plus or minus 0.05 tau(sub a)) except in situations dominated by dust, in which cases MODIS overestimate both the aerosol loading and the aerosol spectral dependence. Such behavior is consistent with issues related to particle nonsphericity. Comparisons of MODIS-derived r(sub eff) with AERONET retrievals at the few occurrences of collocations show MODIS systematically underestimates particle size by 0.2 micrometers. Multiple-year analysis of MODIS aerosol size parameters suggests systematic differences between the year 2001 and the years 2000 and 2002

  2. CLINICAL STUDY TO EVALUATE DIABETIC ULCER SEVERITY SCORE (DUSS IN DIABETIC FOOT ULCER

    Directory of Open Access Journals (Sweden)

    Harindranath

    2015-12-01

    Full Text Available iabetic Ulcer Severity Score is one of the latest simple wound based score, completely a clinical score which needs to be evaluated for its effectiveness in predicting the outcome of foot ulcers in patients with diabetes. METHODS A total of 226 diabetic patients with foot ulcers treated as outpatient or admitted patients from 1st January to 31st December 2014 were included in the study and was followed till complete healing of ulcer or amputation or for a minimum period of 6 months. Those patients who lost for followup before 6 months were excluded from study. Necessary data was collected and DUSS was calculated at the start of treatment. RESULTS AND CONCLUSION In our study, patients with score 3 had higher risk (40% for minor amputation and those with score 4 had higher risk (21% for major amputation overall. Patients with score 4 had 37% risk for minor amputation. Higher the score higher is the risk for amputation and lesser the chance of healing. DUSS scoring system provides an easy diagnostic tool for predicting probability of healing or amputation by combining four clinically assessable wound based parameters namely presence or absence of pedal pulses, probing to bone, wound location and presence or absence of multiple ulcers. Study groups can be stratified depending on severity of ulcers and thus can help provide a simple, streamlined approach in clinical setting without need of any advanced investigative tool, but it does not alter the procedure of wound management. The scoring system can be easily applied to clinical practice.

  3. Evaluation of the Role of Enteral Nutrition in Managing Patients with Diabetes: A Systematic Review

    OpenAIRE

    Omorogieva Ojo; Joanne Brooke

    2014-01-01

    The aim of this systematic review is to evaluate the role of enteral nutrition in managing patients with diabetes on enteral feed. The prevalence of diabetes is on the increase in the UK and globally partly due to lack of physical activities, poor dietary regimes and genetic susceptibility. The development of diabetes often leads to complications such as stroke, which may require enteral nutritional support. The provision of enteral feeds comes with its complications including hyperglycaemia ...

  4. Psychometric evaluation of the Problem Areas in Diabetes (PAID survey in Southern, rural African American women with Type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Elasy Tom A

    2008-02-01

    Full Text Available Abstract Background The Problem Areas in Diabetes (PAID survey is a measure of diabetes-related stress for which reported use has been in largely Caucasian populations. Our purpose was to assess the psychometric properties of the PAID in Southern rural African American women with Type 2 diabetes. Methods A convenience sample of African American women (N = 131 ranging from 21–50 years of age and diagnosed with Type 2 diabetes were recruited for a survey study from two rural Southern community health centers. Participants completed the PAID, Center for Epidemiological Studies-Depression Scale (CES-D, and the Summary of Diabetes Self-Care Activities Scale (SDSCA. Factor analysis, Cronbach's coefficient alpha, and construct validation facilitated psychometric evaluation. Results A principle component factor analysis of the PAID yielded two factors, 1 a lack of confidence subscale, and 2 a negative emotional consequences subscale. The Lack of Confidence and Negative Emotional Consequences subscales, but not the overall PAID scale, were associated with glycemic control and body mass index, respectively. Relationships with measures of depression and diabetes self-care supported construct validity of both subscales. Both subscales had acceptable (alpha = 0.85 and 0.94 internal consistency measures. Conclusion A psychometrically sound two-factor solution to the PAID survey is identified in Southern, rural African American women with Type 2 diabetes. Lack of confidence in and negative emotional consequences of diabetes self-care implementation provide a better understanding of determinants of glycemic control and weight than an aggregate of the two scales.

  5. Evaluating the Association between Diabetes, Cognitive Decline and Dementia

    Directory of Open Access Journals (Sweden)

    Omorogieva Ojo

    2015-07-01

    Full Text Available The aim of this article is to review the association between diabetes mellitus, cognitive decline and dementia, including the effects of cognitive decline and dementia on self management of diabetes. This is a literature review of primary research articles. A number of contemporary research articles that met the inclusion criteria were selected for this review paper. These articles were selected using a number of search strategies and electronic databases, such as EBSCOhost Research and SwetsWise databases. The duration of diabetes, glycated haemoglobin levels and glycaemic fluctuations were associated with cognitive decline and dementia. Similarly, hypoglycaemia was significantly related to increased risk of developing cognitive decline and dementia. Furthermore, cognitive decline and dementia were associated with poorer diabetes management. There is evidence of the association between diabetes, cognitive decline and dementia including the shared pathogenesis between diabetes and Alzheimer’s disease. In addition, the self management of diabetes is affected by dementia and cognitive decline. It could be suggested that the association between diabetes and dementia is bidirectional with the potential to proceed to a vicious cycle. Further studies are needed in order to fully establish the relationship between diabetes, cognitive decline and dementia. Patients who have diabetes and dementia could benefit from structured education strategies, which should involve empowerment programmes and lifestyle changes. The detection of cognitive decline should highlight the need for education strategies.

  6. Evaluation of Preventive Studies in Type 1 Diabetes Mellitus

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    Müyesser Sayki Arslan

    2013-06-01

    Full Text Available Type 1 diabetes mellitus (DM is a chronic autoimmune disease in which destruction of the beta cells in the islets of Langerhans results in insulin deficiency and hyperglycemia. We only definitely know that autoimmunity is the most important effector mechanism of type 1 DM. Type 1 DM precipitates in genetically susceptible individuals after an exposure to environmental trigger. According to current data, type 1 DM-associated genes are classified as susceptibility and protective genes. This insidious disease process evolves over a period of years. Prevention of type 1 DM requires detection of the earliest events in the process. Until now, autoantibodies are generally used as a serum biomarker, but current studies about T cell and metabolome might strengthen diagnostic view. Current preventive clinical studies usually focus on environmental factors. During the natural course of type 1 DM, many strategies have been tested at different stages in the form of primary, secondary and tertiary studies. The aim of the intervention studies for type 1 diabetes is to suppress pathogenic autoreactivity, restore/preserve beta cell mass and function to sufficient levels to provide good metabolic control, and to delay or prevent disease development. Therapeutic studies evaluate the effect of antigen specific and non-specific immune interventions, restoration of the damaged beta cells and also combination of these therapies. The results of intervention studies done till now are modulation of autoimmune process and partial prevention of loss of insulin release following the diagnosis. A single long-term effective prevention has not been identified yet. Turk Jem 2013; 17: 38-45

  7. Prospective evaluation of gastric neurostimulation for diabetic gastroparesis in Canada

    OpenAIRE

    Panda, Himanish; Mitchell, Philip,; Curley, Michael; Buresi, Michelle; Wilsack, Lynn; Andrews, Christopher N

    2015-01-01

    BACKGROUND: The efficacy of gastric neurostimulation therapy for diabetic gastroparesis (GP) in a ‘real-life’ Canadian setting has not been assessed.AIMS: To assess changes in health-related quality of life (QoL), weekly vomiting frequency (WVF), total symptom score (TSS) and health care utilization 12 months before and after gastric neurostimulator implantation in a diabetic GP cohort.METHODS: Medication-refractory diabetic GP patients (n=7, four female, mean age 42 years) were prospectively...

  8. Contemporary Evaluation and Management of the Diabetic Foot

    OpenAIRE

    Sumpio, Bauer E.

    2012-01-01

    Foot problems in patients with diabetes remain a major public health issue and are the commonest reason for hospitalization of patients with diabetes with prevalence as high as 25%. Ulcers are breaks in the dermal barrier with subsequent erosion of underlying subcutaneous tissue that may extend to muscle and bone, and superimposed infection is a frequent and costly complication. The pathophysiology of diabetic foot disease is multifactorial and includes neuropathy, infection, ischemia, and ab...

  9. Predictors of cardiac morbidity in diabetic, new-onset diabetic and non-diabetic high-risk hypertensive patients: The Valsartan Antihypertensive Long-term Use Evaluation (VALUE) trial.

    Science.gov (United States)

    Aksnes, Tonje A; Kjeldsen, Sverre E; Rostrup, Morten; Holzhauer, Björn; Hua, Tsushung A; Julius, Stevo

    2016-08-01

    Diabetic and new-onset diabetic patients with hypertension have higher cardiac morbidity than patients without diabetes. We aimed to investigate whether baseline predictors of cardiac morbidity, the major constituent of the primary endpoint in the Valsartan Antihypertensive Long-term Use Evaluation (VALUE) trial, were different in patients with diabetes and new-onset diabetes compared to patients without diabetes. In total, 15,245 high-risk hypertensive patients in the VALUE trial were followed for an average of 4.2 years. At baseline, 5250 patients were diabetic by the 1999 World Health Organization criteria, 1298 patients developed new-onset diabetes and 8697 patients stayed non-diabetic during follow-up. Cardiac morbidity was defined as a composite of myocardial infarction and heart failure requiring hospitalization, and baseline predictors were identified by univariate and multivariate stepwise Cox regression analyses. History of coronary heart disease (CHD) and age were the most important predictors of cardiac morbidity in both diabetic and non-diabetic patients. History of CHD, history of stroke and age were the only significant predictors of cardiac morbidity in patients with new-onset diabetes. Predictors of cardiac morbidity, in particular history of CHD and age, were essentially the same in high-risk hypertensive patients with diabetes, new-onset diabetes and without diabetes who participated in the VALUE trial. PMID:26808585

  10. Evaluation of a Worksite Diabetes Education Program at a Large Urban Medical Center.

    Science.gov (United States)

    Renda, Susan; Baernholdt, Marianne; Becker, Kathleen

    2016-01-01

    Evidence suggests that diabetes education can be delivered at the worksite to better support employees' diabetes self-management and improve productivity and health care costs. This study was conducted to address the feasibility of a diabetes worksite education program for employees at a large urban academic health care institution. The diabetes education program was delivered in the diabetes center at the institution, a resource that was previously underutilized by employees. Through collaboration with groups in the institution, 20 employees of diverse ethnicity participated in the worksite diabetes education program with positive outcomes: improved glycemic control measured (HbA1c), attainment of self-management goals, and satisfaction with the program. Work absences trended downward, but numbers of hospitalizations and emergency department visits were unchanged in the 3 months following education. Recommendations include replication of the study with more employee participation and program evaluation over a longer period of time to continue assessment of employees' educational needs. PMID:26458409

  11. Topical composition for treating diabetic cataracts: a patent evaluation (WO2015026380A1).

    Science.gov (United States)

    Hao, Xin; Han, Zhongfei; Zhu, Changjin

    2016-06-01

    Diabetes mellitus is a major threat to global public health that requires long-term medical attention. In view of the potentially devastating effects of diabetes on ocular health, it highlights the urgent need of therapeutic drugs for the prevention and treatment of the diabetic complications. The patent described in this evaluation (WO2015026380A1) claimed a topical composition for treating diabetic cataracts both in animals and human beings. The composition containing a therapeutic amount of the 2R-methyl sorbinil, one of aldose reductase inhibitors, delivered to the dog's eye can exert a preventive, inhibitory, or prophylactic effect on diabetic cataracts in a statistically significant portion of the population being studied. Thus methods and strategies using new formulations of known inhibitors are promising for future use in the treatment of diabetic complications. PMID:26967920

  12. Evaluation of diabetes determinants in woolly monkeys (Lagothrix lagotricha)

    NARCIS (Netherlands)

    Ange-van Heugten, K.D.; Burns, R.; Verstegen, M.W.A.; Jansen, W.L.; Ferket, P.R.; Heugten, E.

    2007-01-01

    Woolly monkeys (Lagothrix lagotricha) are a threatened specie in the wild with limited successful management in captivity due to diagnosed hypertension and suspected diabetic conditions. Six woolly monkeys with known hypertension problems were tested to determine if diabetes mellitus and current dai

  13. Diabetes

    DEFF Research Database (Denmark)

    Damm, Peter; Mathiesen, Elisabeth R

    2015-01-01

    For >30 years, insulin has been the drug of choice for the medical treatment of gestational diabetes mellitus. However, the use of oral hypoglycaemic agents has increased during the past 1–2 decades, so a recent comparison of treatment with glibenclamide, metformin or insulin in women with gestat......For >30 years, insulin has been the drug of choice for the medical treatment of gestational diabetes mellitus. However, the use of oral hypoglycaemic agents has increased during the past 1–2 decades, so a recent comparison of treatment with glibenclamide, metformin or insulin in women...... with gestational diabetes mellitus is highly relevant....

  14. Diabetic foot disease: From the evaluation of the “foot at risk” to the novel diabetic ulcer treatment modalities

    Science.gov (United States)

    Amin, Noha; Doupis, John

    2016-01-01

    The burden of diabetic foot disease (DFD) is expected to increase in the future. The incidence of DFD is still rising due to the high prevalence of DFD predisposing factors. DFD is multifactorial in nature; however most of the diabetic foot amputations are preceded by foot ulceration. Diabetic peripheral neuropathy (DPN) is a major risk factor for foot ulceration. DPN leads to loss of protective sensation resulting in continuous unconscious traumas. Patient education and detection of high risk foot are essential for the prevention of foot ulceration and amputation. Proper assessment of the diabetic foot ulceration and appropriate management ensure better prognosis. Management is based on revascularization procedures, wound debridement, treatment of infection and ulcer offloading. Management and type of dressing applied are tailored according to the type of wound and the foot condition. The scope of this review paper is to describe the diabetic foot syndrome starting from the evaluation of the foot at risk for ulceration, up to the new treatment modalities. PMID:27076876

  15. Remotely Sensed Data Informs Red List Evaluations and Conservation Priorities in Southeast Asia

    Science.gov (United States)

    Li, Binbin V.; Hughes, Alice C.; Jenkins, Clinton N.; Ocampo-Peñuela, Natalia; Pimm, Stuart L.

    2016-01-01

    The IUCN Red List has assessed the global distributions of the majority of the world’s amphibians, birds and mammals. Yet these assessments lack explicit reference to widely available, remotely-sensed data that can sensibly inform a species’ risk of extinction. Our first goal is to add additional quantitative data to the existing standardised process that IUCN employs. Secondly, we ask: do our results suggest species of concern—those at considerably greater risk than hitherto appreciated? Thirdly, these assessments are not only important on a species-by-species basis. By combining distributions of species of concern, we map conservation priorities. We ask to what degree these areas are currently protected and how might knowledge from remote sensing modify the priorities? Finally, we develop a quick and simple method to identify and modify the priority setting in a landscape where natural habitats are disappearing rapidly and so where conventional species’ assessments might be too slow to respond. Tropical, mainland Southeast Asia is under exceptional threat, yet relatively poorly known. Here, additional quantitative measures may be particularly helpful. This region contains over 122, 183, and 214 endemic mammals, birds, and amphibians, respectively, of which the IUCN considers 37, 21, and 37 threatened. When corrected for the amount of remaining natural habitats within the known elevation preferences of species, the average sizes of species ranges shrink to <40% of their published ranges. Some 79 mammal, 49 bird, and 184 amphibian ranges are <20,000km2—an area at which IUCN considers most other species to be threatened. Moreover, these species are not better protected by the existing network of protected areas than are species that IUCN accepts as threatened. Simply, there appear to be considerably more species at risk than hitherto appreciated. Furthermore, incorporating remote sensing data showing where habitat loss is prevalent changes the locations of

  16. Diabetes

    Science.gov (United States)

    ... nurse educator. Getting better control over your blood sugar, cholesterol, and blood pressure levels helps reduce the risk of kidney disease, eye disease, nervous system disease, heart attack, and stroke. To prevent diabetes ...

  17. Evaluation of risk for type 2 diabetes mellitus in medical students using Indian diabetes risk score

    Directory of Open Access Journals (Sweden)

    Pranita Ashok

    2011-01-01

    Full Text Available Background: According to World Health Organisation, type 2 diabetes mellitus [type 2 D. M] has recently escalated in all age groups and is now being identified in younger age groups. This underscores the need for mass awareness and screening programs to detect diabetes at an early stage. For this purpose we have used a simplified Indian Diabetes Risk Score (IDRS for prediction of diabetes in undergraduate medical students. Objectives: To screen and to identify 1st MBBS students at risk for developing type 2 D. M using IDRS. Materials and Methods : 261 undergraduates (1st MBBS students were scored using IDRS which includes age, family history of diabetes, exercise status, and waist circumference. After scoring them, we assessed random capillary blood glucose (RCBG in students with high IDRS score. Students with RCBG ≥ 113 mg/dl are followed for definitive tests for diagnosis of prediabetes and diabetes. Results and Conclusion: We have assessed 261 students till now. It was observed that 5%, 55%, and 38% students in High, Moderate, and Low risk group, respectively, for developing type 2 D. M. The mean abdominal obesity in high risk students was 101.95 ± 5.76 as compared to 79.17 ± 11.08 in moderate and low risk students (P 113 mg/dl in which one student found to have prediabetic. Conclusion: This underscores the need for further investigations to detect diabetes at an early stage and to overcome the disease burden of diabetes in future. Prevention of obesity and promotion of physical activity have to be the future plan of action which can be suggested in the form of regular exercise and diet planning for the students as part of an integrated approach.

  18. Long term evaluation of morphometric and ultrastructural changes of testes of alloxan-induced diabetic rats

    Directory of Open Access Journals (Sweden)

    Amélia Arcângela Teixeira Trindade

    2013-04-01

    Full Text Available PURPOSE: To evaluate in a long term the morphometric and ultrastructural changes in seminiferous tubules (ST of normal and diabetic rats, and to correlate any changes with animal age and diabetes duration. METHODS: Sixty male Wistar rats, three months-old, were randomly divided into two groups: 30 non-diabetic controls (N and 30 alloxan untreated diabetic (D. After one, six and 12 months of follow-up or diabetes induction rats were sacrificed and the testes examined. Morphometric measures of the ST were performed by digital imaging analysis. ST ultrastructure was analyzed by transmission electron microscopy. RESULTS: Sustained hyperglycemic state was observed in all diabetic rats throughout the study. Serum testosterone was also significantly decreased in these animals. The diameter, total area, epithelium area and epithelium thickness of ST were lower and tubular density was higher in diabetic animals. Diabetic rats also showed ultrastructural changes compromising the whole testis including germ-, Sertoli-, and Leydig cells, and also the mithocondria and cellular nuclei. Most frequent of these consisted of vacuolization and/or accumulation of lipid droplets and electron dense dark material in cell cytoplasm and/or in membranes, cellular degeneration, and apoptosis. Non-diabetic control rats also showed testicular lesions that resemble to the diabetic lesions, although much less severe and with later onset in life of these animals. CONCLUSION: Histopathological changes observed in testes of normal and diabetic rats are closely related to the animal age and/or duration of the hyperglycemic state, being progressively more severe in animals sacrificed belatedly. These changes may play an important role in male infertility observed in diabetic subjects.

  19. Comparison of mandibular trabecular structures between normal and diabetic rats. Evaluation of spontaneous type 2 diabetes in a rat model

    International Nuclear Information System (INIS)

    The objective of this study was to investigate the effect of diabetes on the trabecular structure of the mandible in an animal model of spontaneous diabetes mellitus. Glucose tolerance tests were performed and the urine glucose level monitored in nine Goto-Kakizaki diabetic rats (DM group) and nine Wistar rats (control group) from their 8th to 81st weeks of life. Mandibular molar bone was resected and evaluated by peripheral quantitative computed tomography to analyze bone mineral density (BMD), cross-sectional morphology, and the bone strength index. Micro-computed tomography was performed to evaluate the three-dimensional structure of bone from the same site, including the alveolar crest level. The morphometric indices, connectivity index, and continuity index were also determined. The alveolar crest level did not significantly differ between the DM and control groups. Trabecular BMD was significantly decreased in the DM group compared with that in the control group, but there was no significant difference in the cortical BMD. Parameters indicating morphological changes and the Stress/Strain Index, an indication of bone strength, were significantly decreased in the DM group compared with those in the control group. Morphometric indices, the connectivity index, and the continuity index showed a coarser trabecular structure in the DM group than in the control group. The diabetic condition has a significant effect on the mandibular trabecular structure, which may lead to deterioration in bone quality. (author)

  20. Evaluation of anti-diabetic activity of Glucova Active Tablet on Type I and Type II diabetic model in rats

    Directory of Open Access Journals (Sweden)

    Hardik Soni

    2014-01-01

    Full Text Available Background: Glucova Active Tablet is a proprietary Ayurvedic formulation with ingredients reported for anti-hyperglycemic, anti-hyperlipidemic activity and antioxidant properties. Objective: Evaluation of anti-diabetic activity of Glucova Active Tablet on Type I and Type II diabetic model in rats. Materials and Methods: Experimental Type I diabetes was induced in 24 albino rats with intra-peritoneal injection of streptozotocin (50 mg/kg. Type II diabetes was induced in 18 albino rats by intra-peritoneal injection of streptozotocin (35 mg/kg along with high fat diet. The rats were divided in 5 groups for Type I model and 4 groups for Type II model. Normal control group was kept common for both experimental models. Glucova Active Tablet (108 mg/kg treatment was provided for 28 days twice daily orally. Fasting blood glucose level, serum lipid profile and liver anti-oxidant parameters like superoxide dismutase and reduced glutathione was carried out in both experimental models. Pancreas histopathology was also done. Statistical analysis were done by ′analysis of variance′ test followed by post hoc Tukey′s test, with significant level of P < 0.05.Results and Discussion: Glucova Active Tablet showed significant effect on fasting blood glucose level. It also showed significant alteration in lipid profile and antioxidant parameters. Histopathology study revealed restoration of beta cells in pancreas in Glucova Active Tablet treated group. Conclusion: Finding of this study concludes that Glucova Active Tablet has shown promising anti-diabetic activity in Type I and Type II diabetic rats. It was also found showing good anti-hyperlipidemic activity and anti-oxidant property.

  1. Evaluating the Association between Diabetes, Cognitive Decline and Dementia

    OpenAIRE

    Omorogieva Ojo; Joanne Brooke

    2015-01-01

    The aim of this article is to review the association between diabetes mellitus, cognitive decline and dementia, including the effects of cognitive decline and dementia on self management of diabetes. This is a literature review of primary research articles. A number of contemporary research articles that met the inclusion criteria were selected for this review paper. These articles were selected using a number of search strategies and electronic databases, such as EBSCOhost Research and Swet...

  2. Evaluation of Chromosomal Instability in Diabetic Rats Treated with Naringin

    OpenAIRE

    Bakheet, Saleh A.; Attia, Sabry M.

    2011-01-01

    We used the bone marrow DNA strand breaks, micronucleus formations, spermatocyte chromosomal aberrations, and sperm characteristic assays to investigate the chromosomal instability in somatic and germinal cells of diabetic rats treated with multiple doses of naringin. The obtained results revealed that naringin was neither cytotoxic nor genotoxic for the rats at all tested doses. Moreover, naringin significantly reduced the diabetes-induced chromosomal instability in somatic and germinal cell...

  3. The Evaluation of Screening and Early Detection Strategies for Type 2 Diabetes and Impaired Glucose Tolerance (DETECT-2) update of the Finnish diabetes risk score for prediction of incident type 2 diabetes

    DEFF Research Database (Denmark)

    Alssema, M; Vistisen, D; Heymans, M W;

    2011-01-01

    endpoint and by considering additional predictors. METHODS: Data from 18,301 participants in studies of the Evaluation of Screening and Early Detection Strategies for Type 2 Diabetes and Impaired Glucose Tolerance (DETECT-2) project with baseline and follow-up information on oral glucose tolerance status......AIMS/HYPOTHESIS: The Finnish diabetes risk questionnaire is a widely used, simple tool for identification of those at risk for drug-treated type 2 diabetes. We updated the risk questionnaire by using clinically diagnosed and screen-detected type 2 diabetes instead of drug-treated diabetes as an...... of the original Finnish risk questionnaire could be improved by adding information on sex, smoking and family history of diabetes. The DETECT-2 update of the Finnish diabetes risk questionnaire is an adequate and robust predictor for future screen-detected and clinically diagnosed type 2 diabetes in...

  4. Challenges in the Energy Sector in Eastern Europe and Central Asia: An Evaluation of 18 Years of Swiss Economic Cooperation

    Directory of Open Access Journals (Sweden)

    Guy Bonvin

    2011-05-01

    Full Text Available Published by Palgrave MacmillanSwitzerland’s State Secretariat for Economic Affairs (SECO has been working in the energy sectors of Eastern Europe and Central Asia since 1992, financing 41 projects to the value of CHF 316 million. In 2009 an independent evaluation was commissioned to assess the effects of these projects in the region and to draw lessons for future project funding. The evaluation found the projects to be highly satisfactory in terms of relevance, satisfactory in terms of effectiveness and sustainability, and — because of external factors relating to governance, transparency and political stability in a country — generally unsatisfactory in terms of efficiency.Lessons drawn from the successful projects will be used to further improve them in the future. With limited financial resources governments are attempting to find a balance between energy security and environmental sustainability. SECO will support this mission by helping to reduce inefficient consumption, to increase the share of renewable energy, to strengthen the sustainability of utility companies and to develop effective energy policies.

  5. Evaluation of Salivary Nitric Oxide and Epidermal Growth Factor in Diabetic Patients and Healthy Group

    Directory of Open Access Journals (Sweden)

    Hamid Reza Abdolsamadi

    Full Text Available Introduction: Nitric oxide (NO and epidermal growth factor (EGF play an important role in biologic systems. The aim of the present study was to evaluate salivary NO and EGF levels changes in type I and II diabetes mellitus comparing to the control group. Materials & Methods: In this cross-sectional study, five ml, saliva of 20 patients with type 1 diabetes mellitus and five ml saliva of 20 patients with type 2 diabetes mellitus attended to Hamadan diabetes research center as well as 20 healthy individuals matched according to age and sex, were collected. NO and EGF were assessed via Griess reaction and Immunoassay methods respectively. Data were analyzed by t-test and Mann-Whitney test.Results: Compared to the control group, the level of NO was increased in patients with type I diabetes (P=0.037, while it did not significantly increase in type II diabetes (P=0.058. The level of EGF in diabetic patients was significantly higher than the control group. There was no significant difference between the salivary level of EGF and NO of patient with type 1 and type 2 mellitus diabetes (P>0.05. The correlation coefficient between NO and EGF levels in type II diabetic patients was -0.278 (P=0.0235. The level of NO and EGF was significantly related to fasting blood sugar and HbA1c (P=0.001.Conclusion: The level of salivary NO in type I diabetes and EGF in type I and II diabetes was higher compared to those of healthy individuals and was related to the severity of the disease.

  6. Evaluation of Chromosomal Instability in Diabetic Rats Treated with Naringin

    Directory of Open Access Journals (Sweden)

    Saleh A. Bakheet

    2011-01-01

    Full Text Available We used the bone marrow DNA strand breaks, micronucleus formations, spermatocyte chromosomal aberrations, and sperm characteristic assays to investigate the chromosomal instability in somatic and germinal cells of diabetic rats treated with multiple doses of naringin. The obtained results revealed that naringin was neither cytotoxic nor genotoxic for the rats at all tested doses. Moreover, naringin significantly reduced the diabetes-induced chromosomal instability in somatic and germinal cells in a dose-dependent manner. In addition, diabetes induced marked biochemical alterations characteristic of oxidative stress including enhanced lipid peroxidation, accumulation of oxidized glutathione, reduction in reduced glutathione, and accumulation of intracellular reactive oxygen species. Treatment with naringin ameliorated these biochemical markers dose-dependently. In conclusion, naringin confers an appealing protective effect against diabetes-induced chromosomal instability towards rat somatic and germinal cells which might be explained partially via diminishing the de novo free radical generation induced by hyperglycemia. Thus, naringin might be a good candidate to reduce genotoxic risk associated with hyperglycemia and may provide decreases in the development of secondary malignancy and abnormal reproductive outcomes risks, which seems especially important for diabetic patients.

  7. Evaluation of the Impact of a Diabetes Education Curriculum for School Personnel on Disease Knowledge and Confidence in Caring for Students

    Science.gov (United States)

    Smith, Cory T.; Chen, Aleda M. H.; Plake, Kimberly S.; Nash, Christiane L.

    2012-01-01

    Background: School personnel may lack knowledge of diabetes and be unprepared to address the needs of students with type 1 diabetes. This project evaluated the effectiveness of a type 1 diabetes education program for school personnel on increasing knowledge of diabetes and confidence in caring for students with diabetes. Methods: Two types of…

  8. Application of online-coupled WRF/Chem-MADRID in East Asia: Model evaluation and climatic effects of anthropogenic aerosols

    Science.gov (United States)

    Liu, Xu-Yan; Zhang, Yang; Zhang, Qiang; He, Ke-Bin

    2016-01-01

    The online-coupled Weather Research and Forecasting model with Chemistry with the Model of Aerosol Dynamics, Reaction, Ionization, and Dissolution (referred to as WRF/Chem-MADRID) is applied to simulate meteorological fields, air quality, and the direct and indirect effects of anthropogenic aerosols over East Asia in four months (January, April, July, and October) in 2008. Model evaluation against available surface and satellite measurements shows that despite some model biases, WRF/Chem-MADRID is able to reproduce reasonably well the spatial and seasonal variations of most meteorological fields and chemical concentrations. Large model biases for chemical concentrations are attributed to uncertainties in emissions and their spatial and vertical allocations, simulated meteorological fields, imperfectness of model representations of aerosol formation processes, uncertainties in the observations based on air pollution index, and the use of a coarse grid resolution. The results show that anthropogenic aerosols can reduce net shortwave flux at the surface by up to 40.5-57.2 W m-2, Temperature at 2-m by up to 0.5-0.8 °C, NO2 photolytic rates by up to 0.06-0.1 min-1 and the planetary boundary layer height by up to 83.6-130.4 m. Anthropogenic aerosols contribute to the number concentrations of aerosols by up to 6.2-8.6 × 104 cm-3 and the surface cloud concentration nuclei at a supersaturation of 0.5% by up to 1.0-1.6 × 104 cm-3. They increase the column cloud droplet number concentrations by up to 3.6-11.7 × 108 cm-2 and cloud optical thickness by up to 19.8-33.2. However, anthropogenic aerosols decrease daily precipitation in most areas by up to 3.9-18.6 mm during the 4 months. These results indicate the importance of anthropogenic aerosols in modulating regional climate changes in East Asia through aerosol direct and indirect effects, as well as the need to further improve the performance of online-coupled models.

  9. Evaluation of antidiabetic and related actions of some Indian medicinal plants in diabetic rats

    Institute of Scientific and Technical Information of China (English)

    Raju N Patil; Ravindra Y Patil; Bharati Ahirwar; Dheeraj Ahirwar

    2011-01-01

    Objective: To evaluate antidiabetic activity of chloroform extracts of Acacia arabica bark,Benincasa hispida fruit, Tinispora cordifolia stem, Ocimum sanctum areal parts and Jatropha curcus leaves. Methods: The chloroform extracts of Acacia arabica bark, Benincasa hispida fruit, Tinospora cordifolia stem, aerial part of Ocimum sanctum and Jatropha curcus leaves were evaluated at different doses (250 and 500 mg/kg body weight.) for antidiabetic potentials in alloxan induced diabetic albino rats. The extracts were administered for two weeks in different groups whereas tolbutamide (80 mg/kg body weight) was used as reference standard throughout study. Results: The result of present study showed test compounds significantly decreases elevated level of serum glucose and also caused to reverse the cholesterol, triglyceride, HDL and LDL values when compared to untreated diabetic rats. Conclusions: Our finding indicates that different test extracts were able to ameliorate the derangements in lipid metabolism caused by diabetes mellitus in alloxan induced diabetic rats towards normal level.

  10. Evaluation of an international faculty development program for developing countries in Asia: the Seoul Intensive Course for Medical Educators

    OpenAIRE

    Kim, Do-Hwan; Yoon, Hyun Bae; Sung, Minsun; Yoo, Dong-Mi; Hwang, Jinyoung; Kim, Eun Jung; Lee, Seunghee; Shin, Jwa-Seop

    2015-01-01

    Background The issue of collaboration in medical education is becoming prominent. Some faculty development programs have suggested an approach for promoting collaboration on a global level. However, non-English-speaking developing countries in Asia, especially in Southeast Asia, do not take advantage of them due to their unique context, such as language and culture. To address these issues, Seoul National University College of Medicine initiated a 6-week international faculty development prog...

  11. Evaluation Of Diabetic Coma İn Ondokuz Mayıs University Medical Faculty, Department Of Internal Medicine

    OpenAIRE

    KAHRAMAN, H.; TANYERİ, F.; ÖZER, B.; Kaya, N.; TEKDEN, N.

    2010-01-01

    Diabetic ketoacidosis (DKA) and nonketotic hyperglycemic hyperosmolar coma (NHHC) are the two most common acute complications of diabetes mellitus and make up a significant percentage of the nonsurgical emergencies seen in any general hospital. These syndromes have devastating outcomes if not treated promptly. The aim of this study was to evaluate clinical and biochemical characteristics of our patients with diabetic coma. In (his study, patients with diabetic coma admitted to the clinics of ...

  12. Evaluation of the zucker diabetic fatty (ZDF) rat as a model for human disease based on urinary peptidomic profiles

    OpenAIRE

    Siwy, J.; Zoja, C.; J. Klein; Benigni, A.; Mullen, W; Mayer, B.; Mischak, H.; Jankowski, J; Stevens, R; Vlahou, A.; Kossida, S.; Perco, P.; Bahlmann, F. H.

    2012-01-01

    Representative animal models for diabetes-associated vascular complications are extremely relevant in assessing potential therapeutic drugs. While several rodent models for type 2 diabetes (T2D) are available, their relevance in recapitulating renal and cardiovascular features of diabetes in man is not entirely clear. Here we evaluate at the molecular level the similarity between Zucker diabetic fatty (ZDF) rats, as a model of T2D-associated vascular complications, and human disease by urinar...

  13. Evaluating the "Healthy Diabetes" Caribbean Food Plate and Website Portal for Diabetes Prevention and Management: Results of an Online Study and Implications for Reducing Health Disparities

    Science.gov (United States)

    Thomas, Nigel M.

    2013-01-01

    Given the challenge of cooking traditional Caribbean meals so they are consistent with the goals of diabetes prevention and management, the researcher created and evaluated a new website portal as e-health tailored to be culturally appropriate and teach the following: how to cook and prepare "Healthy Diabetes" Caribbean Plates. A social…

  14. Evaluation of an oral insulin formulation in normal and diabetic rats

    OpenAIRE

    Hossein Najafzadeh; Hossein Kooshapur; Fakhri Kianidehkordi

    2012-01-01

    Aim: As injection is not an ideal means for insulin delivery, various attempts have been made to administer insulin orally until now. The development of an oral dosage form of insulin would help diabetic patients and make the treatment more convenient. The aim of the present study is to evaluate the effectiveness of an oral insulin formulation containing polar and non-polar ingredients. Materials and Methods: New excipient for oral insulin administration in normal and diabetic rats was e...

  15. Evaluation of salivary glucose, amylase, and total protein in Type 2 diabetes mellitus patients

    OpenAIRE

    Indira, M.; P Chandrashekar; Kiran Kumar Kattappagari; Lalith Prakash K Chandra; Ravi Teja Chitturi; BV Ramana Reddy

    2015-01-01

    Background: Diabetes mellitus is a complex multisystem metabolic disorder characterized by a deficit in the production of insulin. The oral complications of uncontrolled diabetes mellitus are devastating. Saliva is an organic fluid that can be collected noninvasively and by individuals with limited training. These reasons create an interest in evaluating the possibility of using saliva as a diagnostic tool. Aims and Objectives: The aim of this study was to determine, if saliva can be used ...

  16. Evaluation of wound healing potential of Pterocarpus marsupium heart wood extract in normal and diabetic rats

    OpenAIRE

    Anil Kumar Singhal; Manish Gupta; Sheeja Edwin; Rupesh Soni

    2012-01-01

    Aim: The aim of the present study is to evaluate and compare the cutaneous wound healing potential of Pterocarpus marsupium in normal and diabetic rats and make inference for the cutaneous wound healing potential by possible "mode of action" P. marsupium extract. Materials and Methods: The effect of heart wood extract of P. marsupium on wound healing has been studied in diabetic and normal animals. The effect has also been compared with standard (mupirocin ointment) application. In the absenc...

  17. Evaluation of Accessibility and Use of New Communication Technologies in Patients With Type 1 Diabetes Mellitus

    OpenAIRE

    Giménez-Pérez, Gabriel; Gallach, Maria; Acera, Edita; Prieto, Araceli; Carro, Olga; Ortega, Emilio; González-Clemente, José-Miguel; Mauricio, Dídac

    2002-01-01

    Background The role of patients in the management and control of type 1 diabetes mellitus, a chronic disease, is well established. The advent of new communication technologies is expected to improve patients' access to health information. However, little is known about the extent to which patients with type 1 diabetes mellitus use the Internet to retrieve medical information and about the impact, if any, this retrieval has on their health status. Objective To evaluate the accessibility and us...

  18. Short-term evaluation of dental implants in a diabetic population: an in vivo study

    OpenAIRE

    Inbarajan, Athiban; Veeravalli, Padmanabhan Thallam; Vaidyanathan, Anand Kumar; Grover, Manita

    2012-01-01

    PURPOSE The study was conducted to evaluate the efficacy of implant supported tooth replacement in diabetic patients. MATERIALS AND METHODS The study involved placement of implants (UNITI implants, Equinox Medical Technologies, Zeist, Holland, diameter of 3.7 mm and length 13 mm) in five diabetic patients (three females and two males) of age ranging from 35-65 years with acceptable metabolic control of plasma glucose. All patients included in the study were indicated for single tooth maxillar...

  19. Evaluation of efficacy of combined intravitreal bevacizumab and grid laser treatment in diabetic macular edema

    OpenAIRE

    Çetin Akpolat; Ferhat Evliyaoğlu; Muhammed Mustafa Kurt

    2015-01-01

    Objective: To evaluate the efficacy of combined treatment of intravitreal bevacizumab injection followed by grid laser photocoagulation in patients with diabetic macular edemaMethods: Patients with diabetic macular edema received single dose intravitreal bevacizumab injection and followed by grid laser photocoagulation treatment four weeks later in the retrospectively conducted study. All eyes had underwent a complete ophthalmic examination including optical coherence tomography at baseline a...

  20. Evaluation and management of diabetic patients in a primary healthcare clinic / Jana Luttig

    OpenAIRE

    Luttig, Jana

    2007-01-01

    In many African countries, including South Africa, much attention has been centred on the management of HIV/AIDS and tuberculosis epidemics. However, there is growing awareness in South Africa that life-style related non-communicable conditions, such as diabetes and obesity, represent an important health priority (Pirie, 2005:42). The general objective of this study was to evaluate the treatment of diabetic patients in clinics on primary healthcare level and to determine what contribution...

  1. Evaluation of Changes of Macular Thickness in Diabetic Retinopathy after Cataract Surgery

    OpenAIRE

    Kwon, Soon Il; Hwang, Duck Jin; Seo, Ji Young; Park, In Won

    2011-01-01

    Purpose To assess the macular thickness changes after cataract surgery in diabetic patients using optical coherence tomography (OCT). Methods We retrospectively reviewed the records of 104 diabetic patients who underwent cataract surgery. We examined the changes of macular thickness using OCT before cataract surgery and 1 week, 1-, 2- and 6-months after surgery. The central subfield mean thickness (CSMT) was used to evaluate macular edema which was defined as an increase of CSMT (ΔCSMT) > 30%...

  2. Abroma augusta L. (Malvaceae) leaf extract attenuates diabetes induced nephropathy and cardiomyopathy via inhibition of oxidative stress and inflammatory response

    OpenAIRE

    Khanra, Ritu; Dewanjee, Saikat; K Dua, Tarun; Sahu, Ranabir; Gangopadhyay, Moumita; De Feo, Vincenzo; Zia-Ul-Haq, Muhammad

    2015-01-01

    Background Abroma augusta L. (Malvaceae) leaf is traditionally used to treat diabetes in India and Southern Asia. Therefore, current study was performed to evaluate the protective effect of defatted methanol extract of A. augusta leaves (AA) against type 2 diabetes mellitus (T2DM) and its associated nephropathy and cardiomyopathy in experimental rats. Methods Antidiabetic activity of AA extracts (100 and 200 mg/kg, p.o.) was measured in streptozotocin-nicotinamide induced type 2 diabetic (T2D...

  3. Contemporary Evaluation and Management of the Diabetic Foot

    Directory of Open Access Journals (Sweden)

    Bauer E. Sumpio

    2012-01-01

    Full Text Available Foot problems in patients with diabetes remain a major public health issue and are the commonest reason for hospitalization of patients with diabetes with prevalence as high as 25%. Ulcers are breaks in the dermal barrier with subsequent erosion of underlying subcutaneous tissue that may extend to muscle and bone, and superimposed infection is a frequent and costly complication. The pathophysiology of diabetic foot disease is multifactorial and includes neuropathy, infection, ischemia, and abnormal foot structure and biomechanics. Early recognition of the etiology of these foot lesions is essential for good functional outcome. Managing the diabetic foot is a complex clinical problem requiring a multidisciplinary collaboration of health care workers to achieve limb salvage. Adequate off-loading, frequent debridement, moist wound care, treatment of infection, and revascularization of ischemic limbs are the mainstays of therapy. Even when properly managed, some of the foot ulcers do not heal and are arrested in a state of chronic inflammation. These wounds can frequently benefit from various adjuvants, such as aggressive debridement, growth factors, bioactive skin equivalents, and negative pressure wound therapy. While these, increasingly expensive, therapies have shown promising results in clinical trials, the results have yet to be translated into widespread clinical practice leaving a huge scope for further research in this field.

  4. Evaluation of the Diabetes Campaign for Palestine Refugees with Diabetes Mellitus Attending UNRWA Health Centers

    OpenAIRE

    Nada Abu Kishk; van den Berg M; Seita A; Wafaa Zadian; Turki Y; Shahin Y

    2015-01-01

    Introduction: Among Palestine refugees living in Jordan, Lebanon, Syria, West Bank and Gaza, Diabetes Mellitus Type II (DMII) is a common problem with a prevalence of 11%. A high percent of these patients are obese (64%) or overweight (26%). A DM campaign was conducted to increase awareness on healthy lifestyle and improve health care management of DM among Palestine refugees. Method: United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) is t...

  5. Ultrastructural evaluation of the effects of cinnamon on the nervus ischiadicus in diabetic rats

    International Nuclear Information System (INIS)

    To investigate the effects of oral cinnamon supplementation on the nervus ischiadicus at the electron microscopical level in rats. This study was performed between 2004-2006 in Dicle University School of Medicine, Diyarbakir, Turkey in 15 adult Sprague-Dawley rats. Rats were divided into 3 groups; control (C) (n=5), diabetic without cinnamon (D) (n=5), and diabetic with cinnamon (D-C) (n=5). Diabetes was induced with intraperitoneal alloxan administration. All diabetic rats were treated with human insulin. All rats were fed with standard pellet chow. The D-C group rats were fed with standard pellet chow plus Cinnamomum cassia at the dose of 400mg/kg. All rats were sacrificed after 3 months and we obtained the nervus ischiadicus of all rats. Contrast stained thin sections evaluated by Jeol-TEM-1010 electron microscope, were not statistically different in both groups and photo samples were obtained. Mean blood glucose, hemoglobin A1C, and lipid profile were not statistically different in both groups. Marked detachment of myelin lamellae at Schmidt-Lanterman clefts, lysis in cristae mitochondrialis and degenerative changes, severe dispersion of organelles in neurolemma, mesoaxon region, and remarkable edema at the endoneurium were found in diabetic rats. On the contrary, mesoaxon, nucleus, nucleolus and myelin sheet were almost of normal appearance at the ultra-structural level in the D-C group. Cinnamon extracts may have beneficial effects on the development of diabetic neuropathy in alloxan induced diabetic rats. (author)

  6. Evaluation of the Role of Enteral Nutrition in Managing Patients with Diabetes: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Omorogieva Ojo

    2014-11-01

    Full Text Available The aim of this systematic review is to evaluate the role of enteral nutrition in managing patients with diabetes on enteral feed. The prevalence of diabetes is on the increase in the UK and globally partly due to lack of physical activities, poor dietary regimes and genetic susceptibility. The development of diabetes often leads to complications such as stroke, which may require enteral nutritional support. The provision of enteral feeds comes with its complications including hyperglycaemia which if not managed can have profound consequences for the patients in terms of clinical outcomes. Therefore, it is essential to develop strategies for managing patients with diabetes on enteral feed with respect to the type and composition of the feed. This is a systematic review of published peer reviewed articles. EBSCOhost Research, PubMed and SwetsWise databases were searched. Reference lists of identified articles were reviewed. Randomised controlled trials comparing enteral nutrition diabetes specific formulas with standard formulas were included. The studies which compared diabetes specific formulas (DSF with standard formulas showed that DSF was more effective in controlling glucose profiles including postprandial glucose, HbA1c and insulinemic response. The use of DSF appears to be effective in managing patients with diabetes on enteral feed compared with standard feed.

  7. Evaluating the Effectiveness of a Participatory Empowerment Group for Chinese Type 2 Diabetes Patients

    Science.gov (United States)

    Lou, Vivian W. Q.; Zhang, Yiqi

    2006-01-01

    Objective: This study evaluated the effectiveness of a Participatory Empowerment Group (PEG) for Chinese type 2 diabetes patients in Shanghai. Method: A randomized waiting list control and pretest and posttest comparisons were used to evaluate the effectiveness of the intervention by comparing blood sugar level and health-related quality of life.…

  8. Evaluation and analysis of the vitamin levels in the self-selected diets of senile diabetics

    Institute of Scientific and Technical Information of China (English)

    黄素霞; 王青青; 林晓霞

    2002-01-01

    This study was aimed at evaluating the daily vitamin intakes of senile diabetics whose diets were self-selected in order to apply the data obtained to prevent and treat senile Type 2 diabetics effectively. The daily vitamin intakes of 43 Type 2 diabetics (group A) and 43 healthy non-diabetics (group B) as revealed by their answer to a questionnaire were evaluated by computer analysis and compared with the Recommended Dietary Allowance (RDA). The data obtained in this study showed that the daily vitamin B1 and B2 intakes in both groups were obviously low, less the 50% of RDA; and that in group A was lower than that in group B. The daily intakes of vitamin E and A were significantly different between group A and group B (P<0.01 for vitamin E and P<0.05 for vitamin A). So the vitamin intakes of the senile diabetics with their self-selected diets were inadequate. The author suggests that it is necessary to give a scientific guide for the diets of senile diabetics. If the vitamin intake from foods is inadequate, vitamin supplements should be given to prevent complications.

  9. Developing a web 2.0 diabetes care support system with evaluation from care provider perspectives.

    Science.gov (United States)

    Lin, Yung-Hsiu; Chen, Rong-Rong; Guo, Sophie Huey-Ming; Chang, Hui-Yu; Chang, Her-Kun

    2012-08-01

    Diabetes is a life-long illness condition that many diabetic patients end up with related complications resulted largely from lacking of proper supports. The success of diabetes care relies mainly on patient's daily self-care activities and care providers' continuous support. However, the self-care activities are socially bounded with patient's everyday schedules that can easily be forgotten or neglected and the care support from providers has yet been fully implemented. This study develops a Web 2.0 diabetes care support system for patients to integrate required self-care activities with different context in order to enhance patient's care knowledge and behavior adherence. The system also supports care managers in a health service center to conduct patient management through collecting patient's daily physiological information, sharing care information, and maintaining patient-provider relationships. After the development, we evaluate the acceptance of the system through a group of nursing staffs. PMID:21369781

  10. Electrophysiological evaluation in 4 patients with diabetic pseudotabes

    Institute of Scientific and Technical Information of China (English)

    Xiaofang Cai; Qionghua Huang

    2007-01-01

    BACKGROUND: Researches on diabetic nervous system lesion are mainly focus on peripheral nerve and vegetative nerve, so there are few investigations on diabetic pseudotabes. OBJECTIVE: To investigate the electrophysiological examinations on the diagnosis of diabetic pseudotabes. DESIGN: Case study. SETTING: Department of Electrophysiology and Department of Neurology, Zhongshan Hospital Affiliated to Xiamen University. PARTICIPANTS: A total of 4 patients with type 2 diabetes mellitus, including 3 males and 1 female aged from 50 to 72 years, were selected from Department of Neurology, Zhongshan Hospital Affiliated to Xiamen University from March 2002 to February 2005. All accepted subjects met the modified diagnostic criteria of diabetes mellitus, which was set by American Diabetes Mellitus Association (ADA) in 1997. Otherwise, the subjects had typical symptoms and physical signs of spinal posterior funiculus damage. However, patients with spinal cord lesion which was caused by other factors were excluded. All accepted subjects provided the confirmed consent.METHODS: Nicolet NT electromyography (EMG)/evoked potential meter (made in the USA) was used to detect spinal cord conduction velocity (SCCV), somatosensory evoked potential (SEP) of lower limbs, motor nerve conduction velocity (MNCV) and sensory nerve conduction velocity (SNCV) of extremities.Determining criteria: Measurements were performed based on the laboratory standards. SCCV, which was less than lower limit of normal value (T2-12: 40 - 55 m/s, Ti2 - L4: 20-41 m/s, T2 - L4: 36 - 45 m/s), was regarded as abnormal. SEP value of lower limbs: P40, P60 and PF, which were more than standard deviation of normal value (-x+2.5), were regarded as the abnormality. Normal value of P40, P60 and PF latencies (-x + s) in this study: P40, P60 and PF in males were (37.6±1.9) ms, (59.8±3.9) ms and (7.6±0.9) ms, respectively; meanwhile, those in females were (35.5±1.7) ms, (55.2±2.7) ms and (6.3±0.7) ms, respectively

  11. Evaluation of the patient with diabetes mellitus and suspected coronary artery disease.

    Science.gov (United States)

    Heller, Gary V

    2005-04-01

    Coronary artery disease (CAD) is the leading cause of morbidity and mortality in patients with diabetes mellitus. In fact, patients with diabetes have the same risk of myocardial infarction as do nondiabetic subjects with a history of infarction. For this reason, diabetes has been designated by the American College of Cardiology (ACC) and the American Heart Association (AHA) as a CAD equivalent. For women, data indicate a substantially elevated risk of cardiovascular disease (CVD) even before a clinical diagnosis of type 2 diabetes has been made. Identifying patients with diabetes who have CAD and who will benefit from medical and/or invasive intervention to prevent cardiovascular events is a challenge in both symptomatic and asymptomatic patients. The decision to evaluate patients with diabetes who are asymptomatic for CAD presents the greatest challenge; investigation will reveal 10% to 15% of these patients to have CAD. Current diagnostic tools include exercise tolerance testing, stress echocardiography, stress myocardial perfusion imaging (MPI), and cardiac catheterization. Few guidelines are available to aid in the choice of testing modalities for a given patient. Although cardiac catheterization is useful, it is generally reserved for patients in whom invasive intervention is suitable. The American Diabetes Association (ADA) recommends exercise tolerance testing alone in symptomatic patients with > or = 2 CAD risk factors or an abnormal resting electrocardiogram (ECG). However, that recommendation is not based on data; it is the consensus of an expert panel. Stress echocardiography is a useful, noninvasive procedure; however, there is limited experience with this technology in the diabetic population. Recently accumulated data support both diagnostic and prognostic roles for stress MPI, particularly with ECG-gated single-photon emission computed tomographic imaging. In symptomatic patients with diabetes, the presence and extent of abnormal stress MPI findings

  12. Heart Rate Variability as Early Biomarker for the Evaluation of Diabetes Mellitus Progress

    Science.gov (United States)

    Arroyo-Carmona, Rosa Elena; López-Serrano, Ana Laura; Albarado-Ibañez, Alondra; Mendoza-Lucero, Francisca María Fabiola; Medel-Cajica, David; López-Mayorga, Ruth Mery; Torres-Jácome, Julián

    2016-01-01

    According to the American Diabetes Association (ADA), the side effects of diabetes mellitus have recently increased the global health expenditure each year. Of these, the early diagnostic can contribute to the decrease on renal, cardiovascular, and nervous systems complications. However, the diagnostic criteria, which are commonly used, do not suggest the diabetes progress in the patient. In this study, the streptozotocin model in mice (cDM) was used as early diagnostic criterion to reduce the side effects related to the illness. The results showed some clinical signs similarly to five-year diabetes progress without renal injury, neuropathies, and cardiac neuropathy autonomic in the cDM-model. On the other hand, the electrocardiogram was used to determine alterations in heart rate and heart rate variability (HRV), using the Poincaré plot to quantify the HRV decrease in the cDM-model. Additionally, the SD1/SD2 ratio and ventricular arrhythmias showed increase without side effects of diabetes. Therefore, the use of HRV as an early biomarker contributes to evaluating diabetes mellitus complications from the diagnostic. PMID:27191000

  13. Non-invasive measurement of skin autofluorescence to evaluate diabetic complications.

    Science.gov (United States)

    Yamanaka, Mikihiro; Matsumura, Takeshi; Ohno, Rei-Ichi; Fujiwara, Yukio; Shinagawa, Masatoshi; Sugawa, Hikari; Hatano, Kota; Shirakawa, Jun-Ichi; Kinoshita, Hiroyuki; Ito, Kenji; Sakata, Noriyuki; Araki, Eiichi; Nagai, Ryoji

    2016-03-01

    Although the accumulation of advanced glycation end-products (AGEs) of the Maillard reaction in our body is reported to increase with aging and is enhanced by the pathogenesis of lifestyle-related diseases such as diabetes, routine measurement of AGEs is not applied to regular clinical diagnoses due to the lack of conventional and reliable techniques for AGEs analyses. In the present study, a non-invasive AGEs measuring device was developed and the association between skin AGEs and diabetic complications was evaluated. To clarify the association between the duration of hyperglycemia and accumulation of skin fluorophores, diabetes was induced in mice by streptozotocin. As a result, the fluorophore in the auricle of live mice was increased by the induction of diabetes. Subsequent studies revealed that the fingertip of the middle finger in the non-dominant hand is suitable for the measurement of the fluorescence intensity by the standard deviation value. Furthermore, the fluorescence intensity was increased by the presence of diabetic microvascular complications. This study provides the first evidence that the accumulation of fluorophore in the fingertip increases with an increasing number of microvascular complications, demonstrating that the presence of diabetic microvascular complications may be predicted by measuring the fluorophore concentration in the fingertip. PMID:27013780

  14. Evaluation of a risk factor scoring model in screening for undiagnosed diabetes in China population

    Institute of Scientific and Technical Information of China (English)

    Jian-jun DONG; Neng-jun LOU; Jia-jun ZHAO; Zhong-wen ZHANG; Lu-lu QIU; Ying ZHOU; Lin LIAO

    2011-01-01

    Objective:To develop a risk scoring model for screening for undiagnosed type 2 diabetes in Chinese population.Methods:A total of 5348 subjects from two districts of Jinan City,Shandong Province,China were enrolled.Group A (2985) included individuals from east of the city and Group B (2363) from west of the city.Screening questionnaires and a standard oral glucose tolerance test (OGTr) were completed by all subjects.Based on the stepwise logistic regression analysis of Group A,variables were selected to establish the risk scoring model.The validity and effectiveness of this model were evaluated in Group B.Results:Based on stepwise logistic regression analysis performed with data of Group A,variables including age,body mass index (BMI),waist-to-hip ratio (WHR),systolic pressure,diastolic pressure,heart rate,family history of diabetes,and history of high glucose were accepted into the risk scoring model.The risk for having diabetes increased along with aggregate scores.When Youden index was closest to 1,the optimal cutoff value was set up at 51.At this point,the diabetes risk scoring model could identify diabetes patients with a sensitivity of 83.3% and a specificity of 66.5%,making the positive predictive value 12.83%and negative predictive value 98.53%.We compared our model with the Finnish and Danish model and concluded that our model has superior validity in Chinese population.Conclusions:Our diabetes risk scoring model has satisfactory sensitivity and specificity for identifying undiagnosed diabetes in our population,which might be a simple and practical tool suitable for massive diabetes screening.

  15. Sonographic evaluation of the shoulder in asymptomatic elderly subjects with diabetes

    Directory of Open Access Journals (Sweden)

    Salini Vincenzo

    2010-12-01

    Full Text Available Abstract Background The prevalence of rotator cuff tears increases with age and several studies have shown that diabetes is associated with symptomatic shoulder pathologies. Aim of our research was to evaluate the prevalence of shoulder lesions in a population of asymptomatic elderly subjects, normal and with non insulin - dependent diabetes mellitus. Methods The study was performed on 48 subjects with diabetes and 32 controls (mean age: 71.5 ± 4.8 and 70.7 ± 4.5, respectively, who did not complain shoulder pain or dysfunction. An ultrasound examination was performed on both shoulders according to a standard protocol, utilizing multiplanar scans. Results Tendons thickness was greater in diabetics than in controls (Supraspinatus Tendon: 6.2 ± 0.09 mm vs 5.2 ± 0.7 mm, p vs 3.2 ± 0.4 mm, p vs 20.3%, p vs 7.8%, p Subjects with diabetes exhibited more tears in the Supraspinatus Tendon (Minor tears: 15 (15.8% vs 2 (3.1%, p vs 5 (7.8%, p = ns, but not in the long head of Biceps. More effusions in subacromial bursa were observed in diabetics (23.9% vs 10.9%, p vs 10.9%, p In both groups, pathological findings were prevalent on the dominant side, but no difference related to duration of diabetes was found. Conclusions Our results suggest that age - related rotator cuff tendon degenerative changes are more common in diabetics. Ultrasound is an useful tool for discovering in pre - symptomatic stages the subjects that may undergo shoulder symptomatic pathologies.

  16. A hypothesis-generating study to evaluate platelet activity in diabetics with chronic kidney disease

    Directory of Open Access Journals (Sweden)

    Martin rika J

    2005-03-01

    Full Text Available Abstract Background It is well described that diabetes mellitus is a hypercoagulable state. It is also known that patients with renal dysfunction have impaired platelet aggregation and function. It is not well described how renal dysfunction affects the hypercoagulability associated with diabetes. This post-hoc sub-group analysis compares platelet function, clot structure and thrombin generation time at baseline, and following enoxaparin exposure in three groups of subjects. Methods 30 total subjects were evaluated in the three groups: Group I: normal controls (n = 10, Group II: subjects with renal dysfunction but without diabetes (n = 13, and Group III: subjects with concomitant diabetes and renal dysfunction (n = 7. For each subject, platelet contractile force (PCF, clot elastic modulus (CEM and thrombin generation time (TGT were simultaneously measured in whole blood at baseline, and following increasing enoxaparin antifactor Xa activity exposure. The group means for each parameter were determined and compared using one-way analysis of variance, with post-hoc Tukey-Kramer test. Results At baseline, subjects in Group III (diabetics with concomitant renal dysfunction display significantly enhanced platelet activity, as measured by PCF (p = 0.003 and CEM (p = 0.03, relative to the non-diabetic Groups I and II. Subjects in Group II (renal dysfunction without diabetes had significantly prolonged TGT values relative to controls when the antifactor Xa activity concentration reached 0.5 (p = 0.007, 1.0 (p = 0.005 and 3.0 IU/mL (p Conclusion This hypothesis-generating sub-group analysis suggests that at baseline, patients with concomitant diabetes and renal dysfunction have significantly enhanced platelet activity (PCF, and form more rigid blood clots (CEM compared to controls and subjects with renal dysfunction but no diabetes. This may suggest that the presence of renal dysfunction does not ameliorate the hypercoagulable state associated with

  17. Evidence into practice: evaluating a child-centred intervention for diabetes medicine management The EPIC Project

    Directory of Open Access Journals (Sweden)

    Rycroft-Malone Joanne

    2010-09-01

    Full Text Available Abstract Background There is a lack of high quality, child-centred and effective health information to support development of self-care practices and expertise in children with acute and long-term conditions. In type 1 diabetes, clinical guidelines indicate that high-quality, child-centred information underpins achievement of optimal glycaemic control with the aim of minimising acute readmissions and reducing the risk of complications in later life. This paper describes the development of a range of child-centred diabetes information resources and outlines the study design and protocol for a randomized controlled trial to evaluate the information resources in routine practice. The aim of the diabetes information intervention is to improve children and young people's quality of life by increasing self-efficacy in managing their type 1 diabetes. Methods/Design We used published evidence, undertook qualitative research and consulted with children, young people and key stakeholders to design and produce a range of child-centred, age-appropriate children's diabetes diaries, carbohydrate recording sheets, and assembled child-centred, age-appropriate diabetes information packs containing published information in a folder that can be personalized by children and young people with pens and stickers. Resources have been designed for children/young people 6-10; 11-15; and 16-18 years. To evaluate the information resources, we designed a pragmatic randomized controlled trial to assess the effectiveness, cost effectiveness, and implementation in routine practice of individually tailored, age-appropriate diabetes diaries and information packs for children and young people age 6-18years, compared with currently available standard practice. Children and young people will be stratified by gender, length of time since diagnosis ( 2years and age (6-10; 11-15; and 16-18 years. The following data will be collected at baseline, 3 and 6 months: PedsQL (generic

  18. Evaluation of an oral insulin formulation in normal and diabetic rats

    Directory of Open Access Journals (Sweden)

    Hossein Najafzadeh

    2012-01-01

    Full Text Available Aim: As injection is not an ideal means for insulin delivery, various attempts have been made to administer insulin orally until now. The development of an oral dosage form of insulin would help diabetic patients and make the treatment more convenient. The aim of the present study is to evaluate the effectiveness of an oral insulin formulation containing polar and non-polar ingredients. Materials and Methods: New excipient for oral insulin administration in normal and diabetic rats was evaluated by measuring blood glucose concentrations in two groups (10 rats each of normal and streptozotocin-induced diabetic rats. Oral insulin was administrated and blood glucose was measured by glucometer at 0, 1, 2, 3 and 4 h post-feeding. The data was compared by Student′s t test. Results: Oral insulin formulation significantly (P<0.05 reduced blood glucose from 100 mg/dl to 33.73 mg/dl and 451.66 mg/dl to 200.83 mg/dl at 4 h in normal and diabetic rats, respectively. Conclusion: The novel excipient used could protect insulin from gastric and pancreatic enzymes and reduce blood glucose concentration in both healthy and diabetic rats suggesting that oral delivery of insulin is feasible in a near future.

  19. Evaluation of climatological tropical cyclone activity over the western North Pacific in the CORDEX-East Asia multi-RCM simulations

    Science.gov (United States)

    Jin, Chun-Sil; Cha, Dong-Hyun; Lee, Dong-Kyou; Suh, Myoung-Seok; Hong, Song-You; Kang, Hyun-Suk; Ho, Chang-Hoi

    2015-11-01

    The ability of five regional climate models (RCMs), within the Coordinated Regional Climate Downscaling Experiment (CORDEX) for East Asia, to simulate tropical cyclone (TC) activity over the western North Pacific is evaluated. All RCMs are performed at ~50 km resolution over the CORDEX-East Asia domain, and are driven by the ECMWF Interim Re-Analysis (ERA-Interim) for the period 1989-2008. ERA-Interim sea surface temperature is prescribed as the lower boundary. Performances of the individual RCMs and multi-RCM ensemble mean are investigated in detail for 20-year climatology, intensity, and interannual variability of TC activity compared to observational datasets. Although most of the individual RCMs show significant biases and underestimate TC intensity due to horizontal resolutions still too low to resolve the most intense observed TCs, they reasonably capture the observed climatological spatial distribution and interannual variability of TC activity. The multi-RCM ensemble mean based on the model performance generally outperforms most of the individual models with smaller biases and higher correlation on the spatial and temporal variation of TC activity. This ensemble mean reduces the uncertainty in the simulated TC activity by a single RCM. These analyses suggest that the multi-RCM ensemble within CORDEX-East Asia can be applied to provide more reliable and credible estimation of future TC activity over the western North Pacific due to climate change.

  20. Evaluation of an online Diabetes Needs Assessment Tool (DNAT for health professionals: a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Kellner Thomas

    2009-07-01

    Full Text Available Abstract Background Continuous medical education is traditionally reliant to a large extent on self-directed learning based on individuals' perceived learning priorities. Evidence suggests that this ability to self-assess is limited, and more so in the least competent. Therefore, it may be of benefit to utilise some form of external assessment for this purpose. Many diabetes educational programmes have been introduced, but few have been assessed for their benefit in a systematic manner. As diabetes is an increasingly prevalent disease, methods for the dissemination and understanding of clinical guidelines need to be explored for their effectiveness. This paper describes the study design of a randomised controlled trial to evaluate the effectiveness of using an interactive online Diabetes Needs Assessment Tool (DNAT, that builds a learning curriculum based on identified knowledge gaps, compared with conventional self-directed learning. The study assesses the effect of these interventions on health professionals' knowledge of diabetes management, evaluates the acceptability of this process of learning and self-reported changes in clinical practice as a result of this novel educational process. Methods Following a baseline assessment, participants will be randomised to undergo a 4-month learning period where they will either be given access to the diabetes learning modules alone (control group or a Diabetes Needs Assessment Tool (DNAT plus the diabetes learning modules (intervention group. On completion of the DNAT, a personalised learning report will be created for each participant identifying needs alongside individualised recommendations of the most appropriate learning modules to meet those requirements. All participants will complete a Diabetes Knowledge Test before and immediately after the allocated learning and the primary outcome will be the state of knowledge at 4 months. Learners will also be surveyed immediately after the learning

  1. Evaluation of a target region capture sequencing platform using monogenic diabetes as a study-model

    DEFF Research Database (Denmark)

    Gao, Rui; Liu, Yanxia; Gjesing, Anette Marianne Prior; Hollensted, Mette; Wan, Xianzi; He, Shuwen; Pedersen, Oluf Borbye; Yi, Xin; Wang, Jun; Hansen, Torben

    2014-01-01

    next generation sequencing which might be used as an efficient way to diagnose various genetic disorders. We aimed to develop a target-region capture sequencing platform to screen 117 selected candidate genes involved in metabolism for mutations and to evaluate its performance using monogenic diabetes...

  2. Measuring Health Literacy in Individuals with Diabetes: A Systematic Review and Evaluation of Available Measures

    Science.gov (United States)

    Al Sayah, Fatima; Williams, Beverly; Johnson, Jeffrey A.

    2013-01-01

    Objective: To identify instruments used to measure health literacy and numeracy in people with diabetes; evaluate their use, measurement scope, and properties; discuss their strengths and weaknesses; and propose the most useful, reliable, and applicable measure for use in research and practice settings. Methods" A systematic literature review was…

  3. Long-term prospective evaluation of offspring of diabetic mothers.

    Science.gov (United States)

    Silverman, B L; Rizzo, T; Green, O C; Cho, N H; Winter, R J; Ogata, E S; Richards, G E; Metzger, B E

    1991-12-01

    We have suggested that altered maternal metabolism may affect the subsequent anthropometric and neuropsychological development of children who were in utero during disturbances in maternal fuel economy. This study reports the physical growth through 8 yr of age and the neuropsychological development through 4 yr of age in offspring of diabetic mothers (ODM). At birth, 50% of infants had weights greater than 90th percentile for gestational age. By 12 mo, length and weight were similar to the general population. Height remained normal until 7 yr of age, when it became slightly greater than average. After 5 yr of age, relative weight increased dramatically, and by 8 yr of age, half of the ODM had weights greater than 90th percentile. This childhood obesity in ODM is correlated with maternal prepregnant weight and independently with amniotic fluid insulin at 32-38 wk gestation. The Brazelton Neonatal Behavioral Assessment Scale (BNBAS) was administered to 185 newborn ODM. Significant correlations were found between poorer second- and third-trimester glycemic regulation and lower scores in three of four newborn BNBAS dimensions. The Stanford-Binet Intelligence Scale was measured in 102 ODM at 4 yr of age. We found an inverse correlation between childhood IQ and second- and third-trimester maternal lipid metabolism (serum free fatty acids and beta-hydroxybutyrate). This correlation is not explained by adverse perinatal events, socioeconomic status, maternal IQ, ethnicity, or diabetes type. These long-range associations between altered maternal metabolism and childhood growth and development continue to support Freinkel's hypothesis of fuel-mediated teratogenesis. PMID:1748240

  4. Evaluation of the Possible Hypolipidemic Properties of Quail Egg on Alloxan-Induced Diabetic Rats

    OpenAIRE

    Patrick, Emeka Aba; Jonas, Anayo Onah

    2015-01-01

    This study evaluated the pancreatic histomorphometry and possible hypolipidemic effects of graded concentrations of quail egg administration on alloxan-induced diabetic rats. Thirty adult male albino rats were assigned to 5 groups of 6 rats per group. Diabetes was induced in the rats of groups 2-5 by single intraperitoneal injection of alloxan monohydrate at the dose of 160 mg/kg. Group 1 rats were not injected with alloxan monohydrate. Rats with fasting blood glucose levels above 126 mg/dl w...

  5. The evaluation of body image in children with type 1 diabetes: A case-control study.

    Science.gov (United States)

    Troncone, Alda; Prisco, Francesco; Cascella, Crescenzo; Chianese, Antonietta; Zanfardino, Angela; Iafusco, Dario

    2016-04-01

    This study evaluated the body image perception in children with type 1 diabetes in order to identify symptoms of disordered eating behaviours early. Children with type 1 diabetes and controls showed underestimation and dissatisfaction with body size. The patients, especially girls, were more accurate in their perception of body size than the control group. The study sheds light on some of the underlying factors that may contribute to the development of disordered eating behaviours in adolescence. The causes of the differences of perception of body size are discussed. PMID:24752557

  6. Evaluation of physical activity among adults with diabetes mellitus from Sri Lanka

    OpenAIRE

    Ranasinghe, D Chathuranga; Ranasinghe, Priyanga; Jayawardena, Ranil; Matthews, David R; Katulanda, Prasad

    2014-01-01

    We evaluated the patterns of physical activity (PA) and the prevalence of physical inactivity among Sri Lankan adults with diabetes mellitus. Data were collected as part of a wider cross-sectional national study on diabetes in Sri Lanka. PA during the past week was assessed using the short version of the IPAQ. Overall prevalence of physical inactivity was 13.9%. Females (3091 ± 2119) had a significantly higher mean weekly total MET minutes than males (2506 ± 2084) (p 

  7. Evaluation of the Effect of Hydroalcoholic Extract of Citrullus colocynthis in Normoglycemic and Streptozocine (STZ) Induced Diabetic Male Rats

    OpenAIRE

    Nikbakht; I Gheatasi

    2006-01-01

    Introduction & Objective: Adverse side effects of chemical drugs for treatment of diabetes persuaded the using of medical plants. Citrullus colocynthis is a plant which has been used traditionally for treatment of diabetes. The purpose of this study was to evaluate the effect of hydroalcholic extract of Citrullus colocynthis fruit on normoglycemic and streptozocine induced diabetic rats. Materials & Methods: 45 male Wistar rats weighing, 250-350 gr, have been selected and randomly divided...

  8. Human Capital Index Rankings 2013 for Asia and Pacific Countries and Evaluation of Human Capital Indicators for Pakistan

    OpenAIRE

    Muhammad Bashir

    2013-01-01

    This paper presents Human Capital Index Rankings for 20 Asia and Pacific Countries. The Human Capital Index (HCI) developed by the (World Economic Forum) assesses 122 countries, representing over 90% of the world?s population. The Human Capital Index (HCI) measures the countries on their ability to develop and deploy healthy, educated and able workers through 4 pillars: education, health & wellness, workforce & employment and enabling environment. The Index consists of 51 indicators in total,...

  9. Lifestyle Interventions to Prevent Type 2 Diabetes: A Systematic Review of Economic Evaluation Studies

    OpenAIRE

    Koffi Alouki; Hélène Delisle; Clara Bermúdez-Tamayo; Mira Johri

    2016-01-01

    Objective. To summarize key findings of economic evaluations of lifestyle interventions for the primary prevention of type 2 diabetes (T2D) in high-risk subjects. Methods. We conducted a systematic review of peer-reviewed original studies published since January 2009 in English, French, and Spanish. Eligible studies were identified through relevant databases including PubMed, Medline, National Health Services Economic Evaluation, CINHAL, EconLit, Web of sciences, EMBASE, and the Latin America...

  10. Micronutrients evaluation in Bidens pilosa L., a plant applied in diabetes treatments

    Energy Technology Data Exchange (ETDEWEB)

    Goncalves, Rodolfo D.M.R.; Silva, Paulo S.C. da, E-mail: rdmrg89@usp.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    Diabetes mellitus is a disease that has increasingly affected individuals over the last years. World Health Organization estimates that the worldwide number of diabetes cases will rise from 171 million in 2000 to 366 million in 2030. Besides the therapy with pharmaceutical drugs, many diabetic patients use medicinal plants to control the glycemic levels. This herb has anti-diabetic action due to the presence of organic compounds and micronutrients. Among the plants applied in diabetes treatment, Bidens pilosa L., popularly known in Brazil as picao preto, belongs to the family of Asteraceaes, grows fast and is globally distributed. The aim of this study was evaluate the concentration of Cr, Fe, Mg, Mn, V and Zn in aerial parts of Bidens pilosa samples, as well as its growth substrate by means of instrumental neutron activation analysis (INAA). The samples were separated into two groups named control and treatment. During the plant development, micronutrient solution, containing Cr, Fe, Mg, Mn, V and Zn, was added to the treatment group. It was observed that micronutrient solution added to the Biden pilosa samples may had contributed to the preferentially absorption of Fe, Mg and V, as well as to decrease Zn absorption. (author)

  11. An evaluation of structural changes in diabetic neuropathy. Clinical study with magnetic resonance imaging (MRI)

    International Nuclear Information System (INIS)

    To investigate changes in tissue hydration and structural changes in diabetic patients using an MRI scanner (SIGNA 1.5-Tesla) with an extremity coil, spin-lattice relaxation time (T1 value), cross-sectional area, and coefficient of variation (CV value) of signal intensities of the sural nerve, respectively, were determined as indexes of nerve edema, nerve swelling or shrinkage and structural change, and were calculated in normal subjects (normal group, n=7) and diabetic patients (diabetic group, n=33). T1 value of the sural nerve, but not muscle or adipose tissue, was significantly prolonged in diabetic group (1000±273 vs 702±324 msec, P1 values were positively correlated with glycemic control (fasting plasma glucose: r=40, HbA1c: r=0.35) (P<0.05) and negatively correlated with motor nerve conduction velocity (r=-0.42, P<0.01). These findings indicate that MRI is of value in the objective evaluation of structural changes in diabetic neuropathy. (author)

  12. [Evaluation of the renal function in type 2 diabetes: clearance calculation or cystatin C?].

    Science.gov (United States)

    Dhia, Rym Ben; Hellara, Ilhem; Harzallah, Olfa; Neffati, Fadoua; Khochtali, Ines; Mahjoub, Sylvia; Najjar, Mohamed Fadhel

    2012-01-01

    Screening for diabetic nephropathy is usually done by albuminuria/24h and the use of creatinine clearance. The objective of this study was to evaluate the renal function in Type 2 diabetes by using different formulas of creatinine clearance and to assess the contribution of cystatin C; 83 adults with type 2 diabetes (23 men and 60 women) and 83 adult controls (40 men and 43 women) were studied. Biochemical parameters were determinated on Coba 6000™ (Roche diagnostics). Diabetics showed a significant increase in blood glucose, cholesterol, triglycerides, LDLc, the ApoB, Lp(a), urea, uric acid, creatinine and cystatin C and lower HDLc. Cystatin was increased in patients with degenerative complications and in hypertensive patients. We found strong correlations of cystatin C with creatinine (r = 0.9454), urea (r = 0.8999) and uric acid (r = 0.8325). We found a significant exponentially increase of creatinine and cystatin C from one stage to another. Cystatin C has a strong association with MDRD (r = 0.8086) and CG (r = 0.7915) and a low one with creatinine clearance (r = 0.1044). In conclusion, the use of cystatin C for screening and early treatment of incipient diabetic nephropathy appears to be adequate. CG and MDRD formulas still hold their place, in regards to the classical determination of creatinine clearance, to monitor patients. PMID:22565176

  13. Micronutrients evaluation in Bidens pilosa L., a plant applied in diabetes treatments

    International Nuclear Information System (INIS)

    Diabetes mellitus is a disease that has increasingly affected individuals over the last years. World Health Organization estimates that the worldwide number of diabetes cases will rise from 171 million in 2000 to 366 million in 2030. Besides the therapy with pharmaceutical drugs, many diabetic patients use medicinal plants to control the glycemic levels. This herb has anti-diabetic action due to the presence of organic compounds and micronutrients. Among the plants applied in diabetes treatment, Bidens pilosa L., popularly known in Brazil as picao preto, belongs to the family of Asteraceaes, grows fast and is globally distributed. The aim of this study was evaluate the concentration of Cr, Fe, Mg, Mn, V and Zn in aerial parts of Bidens pilosa samples, as well as its growth substrate by means of instrumental neutron activation analysis (INAA). The samples were separated into two groups named control and treatment. During the plant development, micronutrient solution, containing Cr, Fe, Mg, Mn, V and Zn, was added to the treatment group. It was observed that micronutrient solution added to the Biden pilosa samples may had contributed to the preferentially absorption of Fe, Mg and V, as well as to decrease Zn absorption. (author)

  14. Evaluation of Anti-Hyperglycemic Activity of Kariveppilai Churnam in Alloxan Induced Diabetic Rats

    Directory of Open Access Journals (Sweden)

    C. Mary Sharmila

    2015-06-01

    Full Text Available Objective - The present investigation is undertaken to study the effect of Kariveppilai churnam on changes in Body weight, Plasma glucose, Plasma Insulin, Hemoglobin and glycosylated hemoglobin and lipid profile in alloxan induced Diabetic Rats. Methodology - The raw materials of the compound herbal drug were purchased, identified and pulverized into powder form. The trial drug was administered to alloxan induced diabetic male albino rats. The rats were divided into 5 groups with 6 rats in each group. Group 1, 2 and 3 were normal control, toxic control and diabetic control respectively. Group 4 and 5 received the trial drug at a dose of 250 mg/kg and 500 mg/kg orally respectively once a day. The anti-hyperglycemic activity of the trial drug was evaluated using the parameters of blood glucose, hemoglobin, glycosylated hemoglobin, plasma insulin, total cholesterol, triglycerides , HDL and phospholipids. Results – The administration of the trial drug at doses of 250 mg/kg and 500 mg/kg of the body weight of the diabetes induced rats showed significant decrease in the above mentioned elevated parameters. Glipizide (10mg/kg was used as the reference standard. Conclusion- From the results it can be observed that trial drug at a dose of 250 mg/kg and 500 mg/kg has protective effect against alloxan induced diabetes and its complications. The findings suggest that kariveppilai churnam possess anti-atherogenic property along with anti hyperglycemic activity.

  15. Application of WRF/Chem over East Asia: Part I. Model evaluation and intercomparison with MM5/CMAQ

    Science.gov (United States)

    Zhang, Yang; Zhang, Xin; Wang, Litao; Zhang, Qiang; Duan, Fengkui; He, Kebin

    2016-01-01

    In this work, the application of the online-coupled Weather Research and Forecasting model with chemistry (WRF/Chem) version 3.3.1 is evaluated over East Asia for January, April, July, and October 2005 and compared with results from a previous application of an offline model system, i.e., the Mesoscale Model and Community Multiple Air Quality modeling system (MM5/CMAQ). The evaluation of WRF/Chem is performed using multiple observational datasets from satellites and surface networks in mainland China, Hong Kong, Taiwan, and Japan. WRF/Chem simulates well specific humidity (Q2) and downward longwave and shortwave radiation (GLW and GSW) with normalized mean biases (NMBs) within 24%, but shows moderate to large biases for temperature at 2-m (T2) (NMBs of -9.8% to 75.6%) and precipitation (NMBs of 11.4-92.7%) for some months, and wind speed at 10-m (WS10) (NMBs of 66.5-101%), for all months, indicating some limitations in the YSU planetary boundary layer scheme, the Purdue Lin cloud microphysics, and the Grell-Devenyi ensemble scheme. WRF/Chem can simulate the column abundances of gases reasonably well with NMBs within 30% for most months but moderately to significantly underpredicts the surface concentrations of major species at all sites in nearly all months with NMBs of -72% to -53.8% for CO, -99.4% to -61.7% for NOx, -84.2% to -44.5% for SO2, -63.9% to -25.2% for PM2.5, and -68.9% to 33.3% for PM10, and aerosol optical depth in all months except for October with NMBs of -38.7% to -16.2%. The model significantly overpredicts surface concentrations of O3 at most sites in nearly all months with NMBs of up to 160.3% and NO3- at the Tsinghua site in all months. Possible reasons for large underpredictions include underestimations in the anthropogenic emissions of CO, SO2, and primary aerosol, inappropriate vertical distributions of emissions of SO2 and NO2, uncertainties in upper boundary conditions (e.g., for O3 and CO), missing or inaccurate model representations (e

  16. Evaluation of Salivary Level of Paraoxonase and Total Antioxidant Capacity in Type II Diabetic Subjects

    Directory of Open Access Journals (Sweden)

    Sh. Radi

    2015-07-01

    Full Text Available Introduction & Objective: Salivary antioxidants play important roles in the defensive mechanism of saliva against free radicals. Due to Prevalence of diabetes and numerous factors associated in its pathogenesis, understanding the defensive mechanism of salivary antioxidant against free radicals can provide helpful strategies in diagnosis and evaluation of diabetes. The aim of this study was evaluation of the paraoxonase (PON1 levels and total antioxidant capacity (TAC of saliva in diabetic subjects. Materials & Methods: In this case -control study, 40 patients diagnosed with type II diabetes (20 males and 20 females aged between 40 to 60 years and 40 healthy controls were selected. 5 mL unstimulated saliva samples using Spiting method were collected. PON-I and TAC levels were examined using FRAP (Ferric Reducing Ability of Plasma methods. The data were ana-lyzed by t- test or its non parametric equivalent tests. Results: Mean PON-I in the subjects and control group were 8.05±2.099 nmol /ml 9.98 ±2.957 nmol/ml, respectively and the difference was significant (P=0.001 TAC in saliva of the sub-jects and control group were 377.38 ±191.229 and 402.25±189.105 and no significant differ-ence was found (P=0.56. Conclusion: The level of salivary TAC, PON-1 of patients with type II diabetes was lower than healthy controls. Additionally, plasma low density lipoproteins level of the diabetic subjects was higher compared with the healthy ones.(Sci J Hamadan Univ Med Sci 2015; 22 (2: 114-121

  17. Evaluating the potential for catastrophic fault-rupture-related hazards affecting a key hydroelectric and irrigation region in central Asia

    Science.gov (United States)

    Rust, D.; Korjenkov, A.; Tibaldi, A.; Usmanova, M.

    2009-04-01

    The Toktogul hydroelectric and irrigation scheme is the largest in central Asia, with a reservoir containing almost 20 km3 of water behind a 230 m-high dam. Annually, the scheme generates 1200 MW of electricity that is distributed over Kyrgyzstan, Uzbekistan, Tajikistan, Kazakhstan and Russia. The scheme is vital for the economic, social and agricultural stability and development of the emerging central Asian republics it serves and, since it is no longer administered centrally as it was in Soviet times, is increasingly the focus of cross-border tensions involving competing needs for irrigation water and power supplies. Our work aims to identify and evaluate potential geo-environmental threats to this region for the benefit of stakeholders; with recommendations for measures to mitigate a range of threat scenarios, presented in a user-friendly GIS format. Most notably these scenarios involve the potential for very large magnitude earthquakes, with associated widespread slope instability, occurring on the little known Talas - Fergana fault. This structure, some 700 km long, bisects the Toktogul region within the actively (~20 mm a-1) contracting Tien Shan mountain range and exhibits geological characteristics similar to large strike-slip faults such as the San Andreas. Historical records are limited in this inaccessible mountainous region that, until Soviet times, was occupied by mainly nomadic peoples, but do not indicate recent fault rupture. This highlights the role of geological investigations in assembling a record of past catastrophic events to serve as a guide for what may be expected in the future, as well as the inherent difficulties in attempting geological forecasts to a precision that is useful on human timescales. Such forecasts in this region must also include the presence of some 23 uranium mining waste dumps within the mountain valleys, a legacy from Soviet times, as well as arsenic-rich waste dumps remaining from an earlier era of gold mining. Many

  18. Lifestyle Interventions to Prevent Type 2 Diabetes: A Systematic Review of Economic Evaluation Studies.

    Science.gov (United States)

    Alouki, Koffi; Delisle, Hélène; Bermúdez-Tamayo, Clara; Johri, Mira

    2016-01-01

    Objective. To summarize key findings of economic evaluations of lifestyle interventions for the primary prevention of type 2 diabetes (T2D) in high-risk subjects. Methods. We conducted a systematic review of peer-reviewed original studies published since January 2009 in English, French, and Spanish. Eligible studies were identified through relevant databases including PubMed, Medline, National Health Services Economic Evaluation, CINHAL, EconLit, Web of sciences, EMBASE, and the Latin American and Caribbean Health Sciences Literature. Studies targeting obesity were also included. Data were extracted using a standardized method. The BMJ checklist was used to assess study quality. The heterogeneity of lifestyle interventions precluded a meta-analysis. Results. Overall, 20 studies were retained, including six focusing on obesity control. Seven were conducted within trials and 13 using modeling techniques. T2D prevention by physical activity or diet or both proved cost-effective according to accepted thresholds, except for five inconclusive studies, three on diabetes prevention and two on obesity control. Most studies exhibited limitations in reporting results, primarily with regard to generalizability and justification of selected sensitivity parameters. Conclusion. This confirms that lifestyle interventions for the primary prevention of diabetes are cost-effective. Such interventions should be further promoted as sound investment in the fight against diabetes. PMID:26885527

  19. Lifestyle Interventions to Prevent Type 2 Diabetes: A Systematic Review of Economic Evaluation Studies

    Science.gov (United States)

    Alouki, Koffi; Delisle, Hélène; Bermúdez-Tamayo, Clara

    2016-01-01

    Objective. To summarize key findings of economic evaluations of lifestyle interventions for the primary prevention of type 2 diabetes (T2D) in high-risk subjects. Methods. We conducted a systematic review of peer-reviewed original studies published since January 2009 in English, French, and Spanish. Eligible studies were identified through relevant databases including PubMed, Medline, National Health Services Economic Evaluation, CINHAL, EconLit, Web of sciences, EMBASE, and the Latin American and Caribbean Health Sciences Literature. Studies targeting obesity were also included. Data were extracted using a standardized method. The BMJ checklist was used to assess study quality. The heterogeneity of lifestyle interventions precluded a meta-analysis. Results. Overall, 20 studies were retained, including six focusing on obesity control. Seven were conducted within trials and 13 using modeling techniques. T2D prevention by physical activity or diet or both proved cost-effective according to accepted thresholds, except for five inconclusive studies, three on diabetes prevention and two on obesity control. Most studies exhibited limitations in reporting results, primarily with regard to generalizability and justification of selected sensitivity parameters. Conclusion. This confirms that lifestyle interventions for the primary prevention of diabetes are cost-effective. Such interventions should be further promoted as sound investment in the fight against diabetes. PMID:26885527

  20. Duplex Color Doppler Evaluation of Retinal Arterial Blood Flow in Type 2 Diabetic Subjects without Retinopathy

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    Mashah Binte Amin

    2014-09-01

    Full Text Available Background: Diabetic retinopathy is a vascular disorder affecting the microvasculature of retina. It is caused by changes in the blood vessels of retina. If untreated, it may lead to blindness which is usually preventable if retinopathy is diagnosed early and treated promptly. In ophthalmology, color Doppler imaging is a new method that enables us to assess the orbital vasculature. It allows for simultaneous two dimensional anatomical and Doppler evaluations of hemodynamic characteristics of retinal artery. Objective: To observe the difference between Doppler flow velocity indices (peak systolic velocity, end diastolic velocity and resistive index of retinal artery in type 2 diabetic subjects without retinopathy and those of normal controls. Materials and Methods: This case-control study was carried out in the department of Radiology and Imaging, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM in collaboration with Ophthalmology Outpatient Department, BIRDEM, Dhaka from July 2011 to June 2013. Eighty diabetic patients without retinopathy aged 27–68 years were enrolled as cases and age and sex matched 80 healthy subjects were selected as controls. Type 1 diabetic patients, type 2 diabetics with retinopathy, hypertensive and dyslipidemic subjects were excluded from the study. All the selected subjects underwent duplex Doppler ultrasonography of both eyes using 5 to 7.5 MHZ linear phase transducer. Duplex color Doppler findings including spectral analysis (PSV, EDV and RI were recorded. Unpaired t test was done to compare blood flow velocity indices of retinal artery in type 2 diabetic patients without retinopathy and that of healthy control subjects. p value <0.05 was considered as significant. Results: Majority (42.5% and 47.5% of subjects were in 4th decade of life in both groups with predominance of males. The mean duration of diabetes was 4.56 ± 2.1 years. Mean peak systolic

  1. Evaluation of low level laser therapy in reducing diabetic polyneuropathy related pain and sensorimotor disorders.

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    Homayoon Bashiri

    2013-08-01

    Full Text Available Over the past three decades physicians have used light level laser therapy (LLLT for the management and the treatment of diabetic peripheral neuropathy and have obtained results that calls for further investigations. This study aimed to investigate the effectiveness of LLLT in treatment of pain symptoms in patients with diabetic polyneuropathy. In this study 60 patients with diabetic peripheral neuropathy were matched based on their sex, age, BMI, type of diabetes, duration of diabetes, and duration of pain, and randomized to case and control groups based on their established scores on the visual analog scale (VAS and the Toronto clinical scoring system (TCSS. Cases received laser therapy with wavelength of 78 nm and 2.5 j/cm2 two times a week, each time for 5 min, for one month. During the same period, controls received sham laser therapy. Comparing the differences between the two groups' VAS and TCSS mean scores before the intervention with that of the 2 weeks and 4 weeks after the intervention we were able to see a statistically significant difference between the two groups (P<0.05. On the other hand, when we compared their VAS and TCSS mean scores 4 weeks and 2 weeks after the intervention we did not find any statistically significant difference between the two groups. We achieved the same results when we examined cases' and controls' pre and post VAS and TCSS scores independent from each other; no improvement in the assessment based on their 2 and 4 weeks comparisons tests. Laser therapy resulted in improved neuropathy outcomes in diabetic patients who received it relative to the group that received sham therapy, evaluating before and after LLLT assessments. Further studies are needed to test types of lasers, as well as different dosage and exposure levels required in different phase of neuropathic care, so as to obtain reproducible results.

  2. The rescue and evaluation of FLAG and HIS epitope-tagged Asia 1 type foot-and-mouth disease viruses.

    Science.gov (United States)

    Yang, Bo; Yang, Fan; Zhang, Yan; Liu, Huanan; Jin, Ye; Cao, Weijun; Zhu, Zixiang; Zheng, Haixue; Yin, Hong

    2016-02-01

    The VP1 G-H loop of the foot-and-mouth disease virus (FMDV) contains the primary antigenic site, as well as an Arg-Gly-Asp (RGD) binding motif for the αv-integrin family of cell surface receptors. We anticipated that introducing a foreign epitope tag sequence downstream of the RGD motif would be tolerated by the viral capsid and would not destroy the antigenic site of FMDV. In this study, we have designed, generated, and characterized two recombinant FMDVs with a FLAG tag or histidine (HIS) inserted in the VP1 G-H loop downstream of the RGD motif +9 position. The tagged viruses were genetically stable and exhibited similar growth properties with their parental virus. What is more, the recombinant viruses rFMDV-FLAG and rFMDV-HIS showed neutralization sensitivity to FMDV type Asia1-specific mAbs, as well as to polyclonal antibodies. Additionally, the r1 values of the recombinant viruses were similar to that of the parental virus, indicating that the insertion of FLAG or HIS tag sequences downstream of the RGD motif +9 position do not eradicate the antigenic site of FMDV and do not affect its antigenicity. These results indicated that the G-H loop of Asia1 FMDV is able to effectively display the foreign epitopes, making this a potential approach for novel FMDV vaccines development. PMID:26732485

  3. Comparison of radionuclide scintigraphy and radiography for the evaluation of diabetic osteomyelitis

    International Nuclear Information System (INIS)

    Radionuclide scintigraphy using Tc-99m and radiography were compared in the evaluation of diabetic osteomyelitis in 11 patients. Of the eleven patients, nine showed findings highly suggestive of osteomyelitis by bone scan. Of these nine patients, however, six were considered negative for osteomyelitis based on radiography. Bone imaging appears to be more sensitive diagnostic procedure in determining osteomyelitis than X-rays. (Auth.). 9 refs., 5 tabs

  4. Antioxidant and toxicological evaluation of Cassia sopherain streptozotocin-induced diabetic Wistar rats

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    Rambir Singh

    2013-01-01

    Full Text Available Background: Multiple-organ failure is the main cause of death in diabetes mellitus (DM. Hyperglycemia-induced oxidative stress is responsible for major diabetic complications, including multiple-organ failure. Medicinal plants possessing antioxidant activity may reduce oxidative stress and improve the functions of various organs affected by hyperglycemia. Objectives: This study was designed to evaluate the antioxidant effect of Aqueous Extract of Cassia sophera (AECS in streptozotocin (STZ-induced diabetic Wistar rats. Materials and Methods: AECS (200 mg/kg body weight (bw and the standard antidiabetic drug glibenclamide (10 mg/kgbw were administered orally by gavaging for 28 days. Results: Oral administration of AECS inhibited STZ-induced increase in lipid peroxidation (LPO, aspartate transaminase (AST, alanine transaminase (ALT, alkaline phosphatase (ALP, bilirubin, creatinine and urea in liver of diabetic rats. Significant increase in activity of superoxide dismutase (SOD, catalase (CAT and glutathione peroxidase (GPx, and a reduced level of glutathione (GSH, were observed in the liver, kidney, pancreas and testis on AECS treatment. Conclusion: The results demonstrate that AECS is not only useful in controlling blood glucose, but also has antioxidant potential to protect the liver, kidney, pancreas and testis against damage caused by hyperglycemia-induced oxidative stress.

  5. Air quality modeling with WRF-Chem v3.5 in East Asia: sensitivity to emissions and evaluation of simulated air quality

    Science.gov (United States)

    Zhong, Min; Saikawa, Eri; Liu, Yang; Naik, Vaishali; Horowitz, Larry W.; Takigawa, Masayuki; Zhao, Yu; Lin, Neng-Huei; Stone, Elizabeth A.

    2016-04-01

    We conducted simulations using the Weather Research and Forecasting model coupled with Chemistry (WRF-Chem) version 3.5 to study air quality in East Asia at a spatial resolution of 20 km × 20 km. We find large discrepancies between two existing emissions inventories: the Regional Emission Inventory in ASia version 2 (REAS) and the Emissions Database for Global Atmospheric Research version 4.2 (EDGAR) at the provincial level in China, with maximum differences of up to 500 % for CO emissions, 190 % for NO, and 160 % for primary PM10. Such discrepancies in the magnitude and the spatial distribution of emissions for various species lead to a 40-70 % difference in surface PM10 concentrations, 16-20 % in surface O3 mixing ratios, and over 100 % in SO2 and NO2 mixing ratios in the polluted areas of China. WRF-Chem is sensitive to emissions, with the REAS-based simulation reproducing observed concentrations and mixing ratios better than the EDGAR-based simulation for July 2007. We conduct additional model simulations using REAS emissions for January, April, July, and October of 2007 and evaluate simulations with available ground-level observations. The model results illustrate clear regional variations in the seasonal cycle of surface PM10 and O3 over East Asia. The model meets the air quality model performance criteria for both PM10 (mean fractional bias, MFB ⩽ ±60 %) and O3 (MFB ⩽ ±15 %) at most of the observation sites, although the model underestimates PM10 over northeastern China in January. The model predicts the observed SO2 well at sites in Japan, while it tends to overestimate SO2 in China in July and October. The model underestimates observed NO2 in all 4 months. Our study highlights the importance of constraining emissions at the provincial level for regional air quality modeling over East Asia. Our results suggest that future work should focus on the improvement of provincial-level emissions especially estimating primary PM, SO2, and NOx.

  6. The DISC (Diabetes in Social Context Study-evaluation of a culturally sensitive social network intervention for diabetic patients in lower socioeconomic groups: a study protocol

    Directory of Open Access Journals (Sweden)

    Vissenberg Charlotte

    2012-03-01

    Full Text Available Abstract Background Compared to those in higher socioeconomic groups, diabetic patients in lower socioeconomic groups have less favourable metabolic control and experience more diabetes-related complications. They encounter specific barriers that hinder optimal diabetes self-management, including a lack of social support and other psychosocial mechanisms in their immediate social environments. Powerful Together with Diabetes is a culturally sensitive social network intervention specifically targeted to ethnic Dutch, Moroccan, Turkish, and Surinamese diabetic patients in lower socioeconomic groups. For ten months, patients will participate in peer support groups in which they will share experiences, support each other in maintaining healthy lifestyles, and learn skills to resist social pressure. At the same time, their significant others will also receive an intervention, aimed at maximizing support for and minimizing the negative social influences on diabetes self-management. This study aims to test the effectiveness of Powerful Together with Diabetes. Methods/Design We will use a quasi-experimental design with an intervention group (Group 1 and two comparison groups (Groups 2 and 3, N = 128 in each group. Group 1 will receive Powerful Together with Diabetes. Group 2 will receive Know your Sugar, a six-week group intervention that does not focus on the participants' social environments. Group 3 receives standard care only. Participants in Groups 1 and 2 will be interviewed and physically examined at baseline, 3, 10, and 16 months. We will compare their haemoglobin A1C levels with the haemoglobin A1C levels of Group 3. Main outcome measures are haemoglobin A1C, diabetes-related quality of life, diabetes self-management, health-related, and intermediate outcome measures. We will conduct a process evaluation and a qualitative study to gain more insights into the intervention fidelity, feasibility, and changes in the psychosocial mechanism in the

  7. Hybrid SPECT/CT Imaging in the Evaluation of Coronary Stenosis: Role in Diabetic Patients

    International Nuclear Information System (INIS)

    Purpose. Our purpose was to combine the results of the MDCT (multidetector computed tomography) morphological data and the SPECT (single-photon emission computed tomography) data using hybrid imaging to overcome the limits of the MDCT in the evaluation of coronary stenosis in diabetic patients with large amount of calcium in the coronary arteries. Method and Materials. 120 diabetic patients underwent MDCT examination and SPECT examination. We evaluated 324 coronary arteries. After the examinations, we merged CT and SPECT images. Results. CT evaluation: 52 (32.8%) coronaries with stenosis ≥ 50%, 228 (70.4%) with stenosis < 50%, and 44 (13.6%) with a doubtful evaluation. SPECT evaluation: 80 (24.7%) areas with hypoperfusion, 232 (71.6%) with normal perfusion, and 12 (3.7%) with a doubtful evaluation. Of 324 coronary arteries and corresponding areas, the hybrid SPECT/CT evaluation showed 92 (28.4%) areas with hypoperfusion, and 232 (71.6%) with normal perfusion. Conclusion. Hybrid CT/SPECT imaging could be useful in the detection of significant coronary stenosis in patients with large amount of coronary calcifications

  8. Macrosomia in non-gestational diabetes pregnancy:glucose tolerance test characteristics and feto-maternal complications in tropical Asia Pacific Australia

    Institute of Scientific and Technical Information of China (English)

    Algenes Aranha; Usman H Malabu; Venkat Vangaveti; Elham Saleh Reda; Yong Mong Tan; Kunwarjit Singh Sangla

    2014-01-01

    Objective: To look into the glucose tolerance test characteristics and determine complications in non-gestational diabetes pregnant subjects.Methods:who delivered macrosomia at the North Australia’s Townsville Hospital were retrospectively reviewed by extracting data from clinical record. Glucose tolerance tests results were analysed in the light of an earlier diagnosis of non-GDM. From 2006 to 2009 all non-gestational diabetes mellitus (non-GDM) pregnant women Results: Ninety-one non-GDM mothers with macrosomia were studied and compared with 41 normoglycemic subjects without macrosomia. Of the subjects with non-GDM macrosomia, 45 (49.4%) had normal 50 g glucose challenge test (GCT) without further testing, another 8 (8.8%) had abnormal GCT but normal 75 g oral glucose tolerance test (OGTT). A total of 4 (4.4%) subjects had normal GCT and OGTT. Interestingly, 14 out of 16 (87.5%) subjects who were tested with OGTT owing to past history of macrosomia had normal results but delivered macrosomic babies. Only 12 subjects had both GCT and OGTT, the rest of the cohort had either of the two tests. Subjects with non-GDM macrosomia had higher frequency of neonatal hypoglycaemia 34% as compared to 10% in non-macrosomic babies (P=0.003). Other feto-maternal complications were similar in both groups.Conclusions:No significant pattern of glucose tolerance characteristics was identified in non-GDM mothers with macrosomic babies. In spite of being normoglycemic significant neonatal hypoglycaemia was recorded in non-GDM macrosomic babies. Further prospective studies on a larger population are needed to verify our findings.

  9. Dose-ranging evaluation of intravitreal siRNA PF-04523655 for diabetic macular edema (the DEGAS study)

    DEFF Research Database (Denmark)

    Nguyen, Quan Dong; Schachar, Ronald A; Nduaka, Chudy I;

    2012-01-01

    To evaluate the safety and efficacy of three doses of PF-04523655, a 19-nucleotide methylated double stranded siRNA targeting the RTP801 gene, for the treatment of diabetic macular edema (DME) compared to focal/grid laser photocoagulation.......To evaluate the safety and efficacy of three doses of PF-04523655, a 19-nucleotide methylated double stranded siRNA targeting the RTP801 gene, for the treatment of diabetic macular edema (DME) compared to focal/grid laser photocoagulation....

  10. Economic evaluation of a diabetes disease management programme with a central role for the diabetes nurse specialist

    NARCIS (Netherlands)

    Steuten, L.M.G.; Bruijsten, M.W.A.M.; Vrijhoef, H.J.M.

    2007-01-01

    Background: In the region of Maastricht, The Netherlands, a disease management programme (DMP) for patients with diabetes mellitus was implemented. The programme aims to improve quality of care within existing budgets. To achieve this, diabetes nurse specialists (DNSs) were given a central role with

  11. Evaluation of the Possible Hypolipidemic Properties of Quail Egg on Alloxan-Induced Diabetic Rats

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    Patrick, Emeka Aba

    2015-12-01

    Full Text Available This study evaluated the pancreatic histomorphometry and possible hypolipidemic effects of graded concentrations of quail egg administration on alloxan-induced diabetic rats. Thirty adult male albino rats were assigned to 5 groups of 6 rats per group. Diabetes was induced in the rats of groups 2-5 by single intraperitoneal injection of alloxan monohydrate at the dose of 160 mg/kg. Group 1 rats were not injected with alloxan monohydrate. Rats with fasting blood glucose levels above 126 mg/dl were considered diabetic. Upon establishment of diabetes, rats in groups 2-4 were treated with 30, 15 and 7.5 mg/ml of quail egg solution respectively. Rats in groups 1 and 5 were administered with 10 ml/kg distilled water. At the end of the 21 days treatment, blood samples were collected for lipid profile analyses. The rats were euthanized using chloroform anaesthesia and the pancreases were then collected for histomorphometric assessment. Results of the study revealed that rats treated with 30 mg/ml of quail egg solution showed significant (P < 0.05 reductions in the serum levels of total cholesterol, triglyceride, low density lipoproteinÂÂÂÂ and very low density lipoprotein when compared with the negative control group while high density lipoprotein was not significantly increased compared to the negative control. The pancreas of diabetic untreated rats showed immense cytoplasmic vacuolation of the islet cells while the groups treated with quail egg solution especially those treated at the 30 mg/ml showed mild degeneration of the islet cells. In conclusion, administration of quail egg solution to alloxanized rats demonstrated hypolipidemia and ameliorated lesions in the pancreas.

  12. Depression among patients with diabetes mellitus in North India evaluated using patient health questionnaire-9

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    Amit Thour

    2015-01-01

    Full Text Available Background: Depression is common among diabetes, and is associated with poor outcomes. However, the data on this important relationship are limited from India. Objective: The aim was to estimate the prevalence of depression in patients with diabetes and to determine the association of depression with age, sex, and other related parameters. Materials and Methods: The study was cross-sectional carried out in endocrinology clinic of tertiary care hospital in North India. Cases were patients with type 2 diabetes mellitus (T2DM above 30 years of age. Depression was assessed using the patient health questionairre-9 (PHQ-9. The relationship with sociodemographic profile, duration of diabetes, hypertension and microvascular complications was also analyzed. Results: Seventy-three subjects (57.5% females with mean age 50.8 ± 9.2 years were evaluated. The prevalence of depression was 41%. Severe depression (PHQ score ≥15 was present in 3 (4% subjects, moderate depression (PHQ score ≥10 in 7 (10% subjects, and mild depression was present in 20 (27% of subjects. Depression was significantly more prevalent in rural subjects (57% when compared to urban ones (31%, P = 0.049. Depression increased with presence of microvascular complications, fasting plasma glucose, hypertension, but the differences were not statistically significant. Conclusions: Our study demonstrates higher prevalence of depression in patients with type 2 diabetes. Apart from being belonging to the rural area, no other factor was significantly associated with depression. Therefore, depression should be assessed in each and every patient, irrespective of other factors.

  13. Evaluation of fiber intake in diabetes 2 patients of an asistencial center of Rosario city

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    María Elisa Zapata

    2013-09-01

    Full Text Available Introduction: a diet high in fiber has associated with better glycaemic control in diabetes 2 patients, being the soluble fraction of the most effective in the control of blood sugar levels. The aim of the study is determine the amount of total, soluble and insoluble dietary fiber intake by patients with type 2 diabetes who attended a medical centre for diabetics in Rosario.Material and methods: descriptive, observational, cross-sectional study was conducted. It was determined a sample of 60 adults with a diagnosis of diabetes type 2 >6 months, 18 to 70 years old, with no disease or intestinal disorders. A semiquantitative food frequency questionnaire of foods source of dietary fiber, and a photo album was used to identify the portion size. Descriptive statistical analysis was performed and Chi-square and ANOVA test was used to evaluate the association.Results: the average consumption of total fiber was 18,8±5,9 g/d, 14, 8±4,6 g/d corresponded to insoluble fiber and 4,0±1,5 g/d to soluble fiber. Fruits and vegetables contributed 82% of soluble fiber. Most patients (62% had a consumption of fiber total less than the recommendation of the ADA, and 60% presented an inadequate relationship between intake of soluble and insoluble fiber.Conclusions: it is necessary to increase the contribution of total dietary fiber, especially the soluble fraction in diabetes 2 patients, because there are evidences that supports its benefits.

  14. Evaluation of Accessibility and Use of New Communication Technologies in Patients With Type 1 Diabetes Mellitus

    Science.gov (United States)

    Gallach, Maria; Acera, Edita; Prieto, Araceli; Carro, Olga; Ortega, Emilio; González-Clemente, José-Miguel; Mauricio, Dídac

    2002-01-01

    Background The role of patients in the management and control of type 1 diabetes mellitus, a chronic disease, is well established. The advent of new communication technologies is expected to improve patients' access to health information. However, little is known about the extent to which patients with type 1 diabetes mellitus use the Internet to retrieve medical information and about the impact, if any, this retrieval has on their health status. Objective To evaluate the accessibility and use of new communication technologies in a population of patients with type 1 diabetes mellitus. Methods Patients with type 1 diabetes mellitus attending the Diabetes Clinic of the Hospital de Sabadell, Sabadell, Spain, in a 6-month period were asked to answer a structured questionnaire about education level, Internet accessibility, use of health-related Web sites, and mobile-phone ownership and use. Results Of 302 patients with type 1 diabetes mellitus attending the Diabetes Clinic on a regular basis, 244 (115 men, 129 women) were interviewed (response rate 80.8%). Personal computers were owned by 58.2% of patients. Fifty-nine percent had access to the Internet, 39.3% had access to the Internet at home; however, only 36.5% were regular Internet users. Internet users were younger, more frequently men, and of higher education level. Among Internet users only 49.4% had ever accessed a health-related Web site. Internet users who had ever accessed a health-related Web site had a higher level of education, presented severe hypoglycemia more frequently, and were more likely to have access to the Internet at home. No differences were found in metabolic control between Internet users and nonusers or between Internet users who had ever accessed a health-related Web site and Internet users who had never accessed a health-related Web site. Of the 76.6% of the patients that owned a mobile phone, 96% used it more than once a week. Conclusions The impact of new communication technologies might

  15. Evaluation of OneTouch Verio, a new blood glucose self-monitoring system for patients with diabetes

    DEFF Research Database (Denmark)

    Littman, Karin; Petersen, Eva R.B.; Pussinen, Christel;

    2013-01-01

    Introduction. Self-monitoring of blood glucose (SMBG) is important in diabetes management. Reliable and user-friendly instruments are essential. OneTouch Verio® is a new blood glucose concentration-measuring system designed to be used by patients with diabetes and healthcare professionals. The...... objective of the present study was to evaluate the analytical performance of the OneTouch Verio®. Method. The OneTouch Verio® was evaluated by the Scandinavian evaluation of laboratory equipment for primary healthcare (SKUP) according to a protocol based on ISO 15197 and the American Diabetes Association...... (ADA) quality goals. Blood samples were collected and measured on the OneTouch Verio® by laboratory personnel and patients with diabetes (n = 91, randomized into groups receiving personal training or mail instructions for the OneTouch Verio® system). Results were compared to a validated routine method...

  16. A COMPARATIVE EVALUATION OF PULMONARY PARAMETERS IN DIABETES MELLITUS PATIENTS AND NON DIABETES MELLITUS APPARENTLY HEALTHY VOLUNTEER AS CONTROL

    Directory of Open Access Journals (Sweden)

    Qazi Rais Ahmed

    2012-10-01

    Full Text Available The best early evidence of a description of the symptoms of diabetes in the world's literature is recorded in the Ebers Papyrus that Diabetes Mellitus is characterized by chronic hyperglycemia with disturbances of carbohydrate, fat, and protein metabolism result in from defects in insulin secretion, insulin action, or both which affect the respiratory system also. So we decided to study the effects of diabetes mellitus on pulmonary parameters. In this study a group of 50 apparently healthy control subject of both gender and 50 Diabetic patients of both gender were randomly selected with age ranging from 19-68 years. The Diabetic patients were matched with control group in terms of age, height, weight and BSA and BMI. Spirometry was performed on an electronic spirometer (spiro exel according to American Thoracic Society and results were compared by a student t-test (2-tailed. Diabetic patients showed a significant decrement in the Forced Vital Capacity (FVC % and Peak Expiratory Flow Rate (PEFR % relative to their matched controls. However, there were no significant difference in the Forced Expiratory Volume in one Second (FEV1% and Forced Expiratory Ratio (FEV1 / FVC % between the groups We conclude that pulmonary parameters in diabetic patients there is decrement in FVC% and PEFR%, as compared to controls. which indicate restrictive pattern of lung function impairment.

  17. ASIAS - Some History

    Data.gov (United States)

    National Aeronautics and Space Administration — The ASIAS effort builds on demonstrations that an open exchange of information contributes to improved aviation safety. ASIAS is a comprehensive effort, covering...

  18. Evaluation of antioxidant status of female diabetic patients in Nnamdi Azikiwe University Teaching Hospital, Anambra State, Nigeria.

    Science.gov (United States)

    Okuonghae, E O P; Onyenekwe, C C; Ahaneku, J E; Ukibe, N R; Nwani, P O; Asomugha, A L; Osakue, N O; Aidomeh, F; Awalu, C C

    2015-01-01

    Diabetes mellitus has become an onerous disease to developing countries such as Nigeria. Rapid acceptance of urbanisation and sedentary life styles pose an encumbrance to its prevention and management. Increased oxidative stress in diabetes mellitus has been implicated as a culprit in perpetuating antioxidant depletion and diabetic complications in diabetes mellitus individuals. This study aims to evaluate the level of antioxidant status in type 2 diabetes mellitus (DM) female participants visiting the out-patient diabetic clinic of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria. A total of 86 participants aged 51±10 years were recruited for this study. The test group consists of 43 already confirmed type 2 diabetes mellitus females, while the control group consists of 43 apparently healthy females. The test subjects were further subgrouped into good and poor glycaemic control groups, using a cut-off of 0.05). This study concludes that there is antioxidant depletion in females with type 2 diabetes. PMID:26738397

  19. Evaluation of WRF model simulations of tropical cyclones in the western North Pacific over the CORDEX East Asia domain

    Science.gov (United States)

    Shen, Wenqiang; Tang, Jianping; Wang, Yuan; Wang, Shuyu; Niu, Xiaorui

    2016-06-01

    In this study, the characteristics of tropical cyclones (TCs) over the East Asia Coordinated Regional Downscaling Experiment domain are examined with the Weather Research and Forecasting (WRF) model. Eight 20-year (1989-2008) simulations are performed using the WRF model, with lateral boundary forcing from the ERA-Interim reanalysis, to test the sensitivity of TC simulation to interior spectral nudging (SN, including nudging time interval, nudging variables) and radiation schemes [Community Atmosphere Model (CAM), Rapid Radiative Transfer Model (RRTM)]. The simulated TCs are compared with the observation from the Regional Specialized Meteorological Centers TC best tracks. It is found that all WRF runs can simulate the climatology of key TC features such as the tracks and location/frequency of genesis reasonably well, and reproduce the inter-annual variations and seasonal cycle of TC counts. The SN runs produce enhanced TC activity compare to the runs without SN. The thermodynamic profile suggests that nudging with horizontal wind increases the unstable of thermodynamic states in tropics, which results in excessive TCs genesis. The experiments with wind and temperature nudging improve the overestimation of TCs numbers, especially suppress the TCs intensification by correct the thermodynamic profile. Weak SN coefficient enhances TCs activity significantly even with wind and temperature nudging. The analysis of TCs numbers and large scale circulation shows that the SN parameters adopted in our experiments do not appear to suppress the formation of TC. The excessive TCs activity in CAM runs relative to RRTM runs are also due to the enhanced atmospheric instability.

  20. Evaluation of Hypoglycemic Activity of Opuntia dillenii Haw Fruit Juice in Streptozotocin-Induced Diabetic Rats

    Directory of Open Access Journals (Sweden)

    Inas Z.A. Abdallah

    2008-12-01

    Full Text Available Background: Opuntia dillenii Haw fruit is used in folk medicine as an antidiabetic agent. The aim of this study was to evaluate the possible curative role of O. dillenii fruit juice using the streptozotocin (STZ-induced diabetic rats. The nutritive value of the edible portion of the fruit was also assessed. Results: The results showed that O. dillenii fruit is a rich source of fiber, carbohydrates, vitamins B1, B2 and C, in addition to the minerals, Fe, Zn, Cu, Cr, Mn, Ca, and Mg. Biological results showed that intraperitoneal injection with STZ caused highly significant reduction in body weight gain% , highly significant elevation in blood glucose concentration accompanied by significant reduction in liver glycogen cotent as compared with control group. Diabetic rats also revealed significant elevation in lipid peroxide (MDA level, highly significant elevation in total cholesterol (TC, triacylglycerols (TAG, low-density lipoprotein cholesterol (LDL-C and very low-density lipoprotein cholesterol (VLDL-C concurrent with highly significant reduction in high-density lipoprotein cholesterol (HDL-C as compared with control group. Oral administration of O. dillenii juice had no effect on normal rats. Meanwhile, oral administration of O. dillenii juice to diabetic rats induced siginficant improvement in body weight gain % and lipid profile, it reduced significantly blood glucose and MDA levels as compared with non treated diabetic group. Histopathological investigation of the pancreatic tissue of STZ-diabetic rats represented the presence of necrosis, edema and congested blood vessels in the islets of Langerhans cells. O. dillenii fruit juice treatment overcome the previous changes, the majority of the cells tend to be normal.The improvement in the cells of Langerhans islets may explain the antidiabetic effect of the fruit juice under study. It also may improve the insulin receptors of -cells. Conclusion: It could be concluded that O. dillenii fruit

  1. [Diabetes mellitus].

    Science.gov (United States)

    Bosi, E

    2003-01-01

    Diabetes mellitus is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both. Diabetes is a serious health concern. The number of cases of diabetes mellitus is estimated to grow at a rate of 50% between 2000 and 2010. There are several types of diabetes: type 1 diabetes, type 2 diabetes, gestational diabetes, and other specific types of diabetes. Beta cell dysfunction plays a key role in the physiopathology of diabetes, even when insulin resistance, which is often present in several diabetes-related diseases, is considered among the causes of hyperglycemic type 2 diabetes. The prolonged hyperglycemia that is peculiar to all kind of diabetes has long term complications on several organs and systems. The diagnosis of diabetes is based on the evaluation of glucose plasma levels performed under fasting conditions or two hours after the oral ingestion of 75 grams of glucose. Currently, achieving and maintaining normal plasma levels of glucose are the aims of therapy for both type 1 and type 2 diabetes. Particularly, the therapy for type 1 diabetes is based on the administration of insulin, whereas that of type 2 diabetes changes over the time: diet and physical activity are the first treatments; oral hypoglycemic drugs are used as a second therapeutic step; and the administration of insulin is the last therapeutic option. The principal therapeutic innovation of the past ten years is represented by the tight and flexible control of glucose plasma level obtained by using the insulin analogues produced by recombinant DNA technology. PMID:14523905

  2. Evaluation of geometric features as biomarkers of diabetic retinopathy for characterizing the retinal vascular changes during the progression of diabetes

    OpenAIRE

    Leontidis, Georgios; Al-Diri, Bashir; Wigdahl, Jeffrey; Hunter, Andrew

    2015-01-01

    Diabetic retinopathy (DR) has been widely studied and characterized. However, until now, it is unclear how different features, extracted from the retinal vasculature, can be associated with the progression of diabetes and therefore become biomarkers of DR. In this study, a comprehensive analysis is presented, in which four groups were created, using eighty fundus images from twenty patients, who have progressed to DR and they had no history of any other diseases (e.g. hypertension or glaucoma...

  3. Evaluation of peripheral vasodilative indices in skin tissue of type 1 diabetic rats by use of RGB images

    Science.gov (United States)

    Tanaka, Noriyuki; Nishidate, Izumi; Nakano, Kazuya; Aizu, Yoshihisa; Niizeki, Kyuichi

    2016-04-01

    We investigated a method to evaluate the arterial inflow and the venous capacitance in the skin tissue of streptozotocin-induced type 1 diabetic rats from RGB digital color images. The arterial inflow and the venous capacitance in the dorsal reversed McFarlane skin flap are calculated based on the responses of change in the total blood concentration to occlusion of blood flow to and from the flap tissues at a pressure of 50 mmHg. The arterial inflow and the venous capacitance in the skin flap tissue were significantly reduced in type 1 diabetic rat group compared with the non-diabetic rat group. The results of the present study indicate the possibility of using the proposed method for evaluating the peripheral vascular dysfunctions in diabetes mellitus.

  4. Clinical usefulness of multidetector-row CT to evaluate coronary artery calcium score in type 2 diabetes

    International Nuclear Information System (INIS)

    According to recent studies, multidetector-row CT (MDCT) with a retrospective electrocardiogram (ECG)-gating reconstruction algorithm shows a high correlation with coronary artery calcium score determined using electron-beam CT. Diabetes leads to many macrovascular complications, including coronary artery disease. The aim of this study was to evaluate risk factors for cardiac macroangiopathy in type 2 diabetes using MDCT. An observational cross-sectional study was performed in 90 patients with diabetes mellitus. Coronary calcium data was acquired by MDCT (SOMATOM Volume Zoom, Siemens AG, Medical Solutions, Germany). Physical examinations, laboratory data, glycemic control, and control of other risk factors were analyzed. The coronary artery calcium score increased with age. Multivariant analysis revealed that the coronary calcium score was closely correlated with electrocardiogram evaluation and control of hypertension. Coronary artery calcium score as determined by MDCT can be used as a screening radiological examination for cardiac macroangiopathy in diabetes patients with electrocardiogram abnormality and hypertension. (author)

  5. Evaluation of wound healing potential of Jatropha gossypifolia Linn. root extracts in normal and diabetic rats

    Directory of Open Access Journals (Sweden)

    Harneet Singh

    2013-09-01

    Full Text Available Jatropha gossypifolia Linn. is used in Indian folk medicine for treatment of cuts and wounds. Root extract is used to promote wound and fracture healing in animals. Present study was conducted to assess wound healing potential of ointments prepared using successive extracts of roots of the plant. Incision and excision wounds were inflicted upon normal and nicotinamide streptozotocin-induced diabetic rats, respectively. Animals were treated topically with ointments containing 5% and 10% w/w petroleum ether (60-80°C, chloroform, methanol and aqueous extracts. Percentage of wound contraction, epithelization time, tensile strength, hydroxyproline content and histopathology of regenerated skin were evaluated in comparison with reference nitrofurazone (0.2% w/w ointment. Breaking strength of incision wounds in 5% and 10% w/w methanolic extract ointment treated groups significantly (P < 0.01 increased to 695.75 and 759.50 g, respectively, as compared to standard (653.92g. In diabetic rats, apart from methanol extract, aqueous extract also exhibited extraordinary wound healing capacity and elevated hydroxyproline content. Measurement of hydroxyproline, the product of collagen breakdown, is used as an index of collagen turnover. Elevated hydroxyproline content in diabetic animals signify the increased collagen deposition in wounded tissues as evident from histopathology. There is also an increase in the tensile strength of incision wounds in rats. The experimental study confirms the folk medicinal use of the plant.

  6. Evaluation of Anti-diabetic Activity of Ethanolic Extract of Alternanthera sessilis Linn. in Streptozotocin-induced Diabetic rats.

    Directory of Open Access Journals (Sweden)

    Mrinmay Das

    2015-07-01

    Full Text Available The antidiabetic activity of ethanolic extract of whole plant of Alternanthera sessilis Linn. (EEAS was investigated in a model of streptozotocin induced diabetes in rats. The biochemical parameters studied were: plasma glucose, degree of glycosylation of hemoglobin and peripheral consumption of glucose levels on 1, 3, 7 and 10th day. Ethanolic extract had shown significant protection and lowered the blood glucose levels to normal in glucose tolerance test. In streptozotocin induced diabetic rats the maximum reduction in blood glucose was observed after 2h at a dose level of 200 and 400 mg/kg of body weight. The streptozotocin induced diabetic rats showed significant reductions in biochemical parameter after treatment with the extract and Glibenclamide (used as standard as compared to the diabetic controls. The ethanolic extract of Alternanthera sessilis Linn. exhibited antidiabetic activity and its sensitivity in experimentally induced diabetic rats in dose dependent manner. The current results clearly indicated the beneficial effects of the ethanolic extract of Alternanthera sessilis Linn. in both controlling hyperglycemia and the protection of the pancreatic islet cells against oxidative stress in the diabetic animals.

  7. The development of a mobile u-Health program and evaluation for self-diet management for diabetic patients

    OpenAIRE

    Ahn, Yun; Bae, Jeahurn; Kim, Hee-Seon

    2016-01-01

    BACKGROUND/OBJECTIVES This study aims to develop a mobile nutritional management program for integration into the already developed web-based program, Diabetes Mellitus Dietary Management Guide (DMDMG) for diabetic patients. Further, we aim to evaluate the amended DMDMG program. SUBJECTS/METHODS The mobile application based on an Android operating system includes three parts: 1) record of diet intake, which allows users to take pictures of the meal and save to later add diet records into DMDM...

  8. Evaluation of PMI-5011, an ethanolic extract of Artemisia dracunculus L., on peripheral neuropathy in streptozotocin-diabetic mice

    OpenAIRE

    Watcho, Pierre; Stavniichuk, Roman; Tane, Pierre; Shevalye, Hanna; Maksimchyk, Yury; Pacher, Pal; Obrosova, Irina G.

    2011-01-01

    We previously reported that PMI-5011, an ethanolic extract of Artemisia dracunculus L., alleviates peripheral neuropathy in high fat diet-fed mice, a model of prediabetes and obesity developing oxidative stress and pro-inflammatory changes in the peripheral nervous system. This study evaluated PMI-5011 on established functional, structural, and biochemical changes associated with Type I diabetic peripheral neuropathy. C57BL6/J mice with streptozotocin-induced diabetes of a 12-week duration, d...

  9. EVALUATION OF OPTIC AND VESTIBULOCOCHLEAR NERVE INVOLVEMENT IN TYPE 2 DIABETES MELLITUS PATIENTS BY USING EVOKED POTENTIAL

    OpenAIRE

    Arrthy S, Vinodha R, Saravanan S

    2015-01-01

    Background and Objectives: Cranial neuropathy is one of the common late complications of Diabetes Mellitus(DM), including distal symmetric sensory polyneuropathy and peripheral neuropathy(PN). Though many studies support the involvement of Cranial nerves III, VI and VII in diabetic patients, little was known about the involvement of II & VIII nerve. The goal of this study was to evaluate the involvement of optic nerve and vestibulocochlear nerve using Visual Evoked potential (VEP) and Brainst...

  10. Pharmacological Evaluation of “Sugar Remedy,” A Polyherbal Formulation, on Streptozotocin-Induced Diabetic Mellitus in Rats

    OpenAIRE

    Singhal, Sandeep; Rathore, Arvind Singh; Lohar, Vikram; Dave, Rakesh; Dave, Jeetesh

    2014-01-01

    In the present study, Sugar Remedy, a polyherbal formulation (manufactured by Umalaxmi Organics Pvt Ltd, Jodhpur, Rajasthan, India) was evaluated for its antihyperglycemic, antihyperlipidemic, and antioxidant effects against normal and streptozotocin (STZ)-induced diabetic rats. Type II diabetes was induced in male Wistar rats by administration of a single intraperitoneal (IP) injection of STZ at a dose of 60 mg/kg. Effects of three different doses of Sugar Remedy suspension (185, 370, and 74...

  11. Evaluation of cardiac risk by oxidative stress and inflammatory markers in diabetic patients

    International Nuclear Information System (INIS)

    Objectives: To evaluate the diabetic patients for cardiac risk by measuring oxidative stress and inflammatory markers in relation with glycaemic control. Methodology: A total of 140 subjects were included in this case-control study, comprising of 70 diabetic patients with coronary heart disease (CHD) and an equal number, age and sex matched controls. The patients were non-alcoholic and had age >40 years, BMI < 30 kg/m/sup 2/ and glycated hemoglobin (HbA1c) 7-10%. Serum total cholesterol (TC) and gamma glutamyltransferase (GGT) were analyzed on selectra-E auto analyzer. Serum nitrate was measured at 540 nm on ELISA. HbA1c on was analyzed by using Human kit. Serum high sensitivity C-reactive protein (hS-CRP) was analyzed on immulite 1000. Results: Patients mean age was 51 (range 40-73) years. Diabetic patients had significantly elevated median of HbA1c (7.9 vs 4.9), hS CRP (6.0 vs 2.12), TC (5.95 vs 4.45), nitrate (19.20vs 10.70) and GGT (29.50 vs 22.50) as compared to controls (p< 0.001). HbA1c showed a positive correlation (p <0.001) with hS-CRP (r=0.49), TC (r=0.69), nitrate (r=0.41) and GGT (r=0.30). Conclusion: Oxidative stress and inflammatory markers should be used in addition to HbA1c for assessment of increased cardiac risk in un-controlled diabetic patients because of accelerated atherosclerosis due to free radical injury. (author)

  12. Evaluation of the Association Metformin: Plantago ovata Husk in Diabetic Rabbits

    OpenAIRE

    Raquel Díez-Láiz; García-Vieitez, Juan J.; M. José Diez-Liébana; Matilde Sierra-Vega; Sahagún-Prieto, Ana M.; Calle-Pardo, Ángela P.; Nélida Fernández-Martínez

    2015-01-01

    In this experimental study we have investigated whether the inclusion of the dietary fiber Plantago ovata husk could be recommended as coadjuvant in treatments with oral hypoglycemic drugs. We evaluated the use of Plantago ovata husk-metformin association in diabetic rabbits by determining its effects on glucose and insulin concentrations. Six groups of 6 rabbits were used. Groups 1 to 3 were fed with standard chow and groups 4 to 6 with chow supplemented with Plantago ovata husk (3.5 mg/kg/d...

  13. Evaluation of Hypoglycemic Activity of Opuntia dillenii Haw Fruit Juice in Streptozotocin-Induced Diabetic Rats

    OpenAIRE

    Abdallah, Inas Z. A.

    2008-01-01

    Background: Opuntia dillenii Haw fruit is used in folk medicine as an antidiabetic agent. The aim of this study was to evaluate the possible curative role of O. dillenii fruit juice using the streptozotocin (STZ)-induced diabetic rats. The nutritive value of the edible portion of the fruit was also assessed. Results: The results showed that O. dillenii fruit is a rich source of fiber, carbohydrates, vitamins B1, B2 and C, in addition to the minerals, Fe, Zn, Cu, Cr, Mn, Ca, and Mg. Biological...

  14. Podiatry evaluation of a chitosan gelling fibre dressing in diabetic foot ulceration.

    Science.gov (United States)

    Walker, Angela

    2016-06-23

    The purpose of this small evaluation on five patients presenting to community podiatry services in Birmingham with foot ulceration was to explore common problems associated with diabetes and other high-risk conditions and illustrate the clinical effectiveness and experience of using a chitosan absorbent gelling fibre dressing (KytoCel®, Aspen Medical). Each of these case studies bought their individual complex issues and complications that affected the healing process. General wound care involved debridement, if required, dressings, pressure redistribution addressing footwear needs, systemic antibiotics where required, and shared care with the multidisciplinary team (MDT) in secondary care where appropriate. PMID:27345085

  15. EVALUATION OF A BREAKFAST AS SCREENING TEST FOR THE DETECTION OF GESTATIONAL DIABETES

    OpenAIRE

    L. Eslamian Z. Ramezani

    2008-01-01

    A standard breakfast was evaluated as a screening test (BT) for gestational diabetes in a case-control study. Blood sugar (BS) was measured 1 hour after a breakfast that had 50gr simple sugar and was designed based on women preferences. In the same women glucose challenge test (GCT, 50gr 1hour glucose screening test) was performed one week later in randomized sequential. Cutoff values for both tests was 130 mg/dl. For both or one positive test GTT (100gr-oral glucose tolerance test) was perfo...

  16. Evaluation of OneTouch Verio(®), a new blood glucose self-monitoring system for patients with diabetes

    DEFF Research Database (Denmark)

    Littmann, Karin; Petersen, Eva; Pussinen, Christel;

    2013-01-01

    Introduction. Self-monitoring of blood glucose (SMBG) is important in diabetes management. Reliable and user-friendly instruments are essential. OneTouch Verio(®) is a new blood glucose concentration-measuring system designed to be used by patients with diabetes and healthcare professionals. The...... objective of the present study was to evaluate the analytical performance of the OneTouch Verio(®). Method. The OneTouch Verio(®) was evaluated by the Scandinavian evaluation of laboratory equipment for primary healthcare (SKUP) according to a protocol based on ISO 15197 and the American Diabetes...... routine method, imprecision and bias were calculated. User-friendliness was evaluated with a questionnaire. Results. Quality specifications for blood glucose concentration monitoring systems according to ISO 15197 were fulfilled. The mean coefficients of variation (CV%) of repeatability was 3.4% when...

  17. Evaluation of Glycemic and Lipid Profile of Offspring of Diabetic Wistar Rats Treated with Malpighia emarginata Juice

    Directory of Open Access Journals (Sweden)

    Sandra M. Barbalho

    2011-01-01

    Full Text Available Knowing that maternal diabetes is related to hyperglycemia and fetal hyperinsulinemia, which affect the lipid metabolism, the aim of this study was to evaluate the effects of Malpighia emarginata (acerola juice on the glycemic and lipid profile of offspring of diabetic and nondiabetic Wistar rats. The adult offspring of non-diabetic dams and of dams with severe streptozotocin-induced diabetes were divided into groups: G1, offspring (of control dams treated with water, G2, offspring (of diabetic dams treated with water, G3, male offspring (of control dams treated with acerola juice, and G4, male offspring (of diabetic dams treated with acerola juice. The offspring of diabetic dams treated with acerola juice showed significantly decreased levels of glucose, cholesterol, triglycerides, and increased HDL-c. The use of acerola juice is a potential strategy to aid in the prevention of DM and dyslipidemia and its complications or to act as an auxiliary in the treatment of these diseases.

  18. Scaling up diabetes prevention in Victoria, Australia: policy development, implementation, and evaluation.

    Science.gov (United States)

    Dunbar, James A; Jayawardena, Abirami; Johnson, Greg; Roger, Karen; Timoshanko, Amy; Versace, Vincent L; Shill, Jane; Philpot, Benjamin; Vartiainen, Erkki; Laatikainen, Tiina; Best, James D; Janus, Edward D

    2014-04-01

    OBJECTIVE The Australian lifestyle intervention program Life! is only the second reported, large-scale diabetes prevention program. This article describes the genesis and the successful establishment of Life! and its key outcomes for participants and implementation. RESEARCH DESIGN AND METHODS Life!, a behavior-change intervention, comprises six group sessions over 8 months. The Victorian Department of Health funded Diabetes Australia-Victoria to implement the program. Experience of the Greater Green Triangle diabetes prevention implementation trial was used for intervention design, workforce development, training, and infrastructure. Clinical and anthropometric data from participants, used for program evaluation, were recorded on a central database. RESULTS Life! has a statewide workforce of 302 trained facilitators within 137 organizations. Over 29,000 Victorians showed interest in Life!, and 15,000 individuals have been referred to the program. In total, 8,412 participants commenced a Life! program between October 2007 and June 2011, and 37% of the original participants completed the 8-month program. Participants completing sessions 1 to 5 lost an average of 1.4 kg weight (P < 0.001) and waist circumference of 2.5 cm (P < 0.001). Those completing six sessions lost an average of 2.4 kg weight (P < 0.001) and waist circumference of 3.8 cm (P < 0.001). The weight loss of 2.4 kg represents 2.7% of participants' starting body weight. CONCLUSIONS The impact of Life! is attributable to applying available evidence for the system's design of the intervention and collaboration between policy makers, implementers, and evaluators using the principles of continuous quality improvement to support successful, large-scale recruitment and implementation. PMID:24319121

  19. Stereological Evaluation of Renal Glomeruli in Offspring of Diabetic Female Rats

    Directory of Open Access Journals (Sweden)

    Abdolrahman Dezfoolian

    2009-01-01

    Full Text Available Objective: Although in vitro studies have shown that high concentrations of glucosecan induce dysmorphogenesis of the embryonic kidney, the possible adverse effectsof exposure to intrauterine hyperglycemia on kidney development, especially in regardto nephrogenesis, has not been evaluated.The aim of this study is to investigate the effects of maternal diabetes on glomerulistructures of the offspring, focusing on the following parameters: glomeruli volumeand number, mesangium volume, mesangial cell number and glomerular capillaryvolume.Materials and Methods: Before mating, fifteen female Sprague Dawley rats, dividedinto three groups, were diabetes induced by a single intraperitoneal dose of 65 mg/kg streptozotocyn (STZ. After 30 days of breast feeding, ten offsprings from eachgroup (two per mother were randomly selected for kidney removal. The kidneyswere weighed and their tissues were processed for light microscopy. Glomerular featureswere evaluated quantitatively using dissection as well as the Cavalieri methodand were then compared with sham and control groups.Results: At birth, the mean body weight of diabetic mothers’ offspring (DO was significantlylower than that of the control group’s offspring (CO and sham group’s offspring(SO (p=0.001, however, the mean body weight of the 30 day-old DO was notlower than that of CO and SO (p>0.05. The total renal volumes, cortical volumes,glomerular mean and total volumes, total mesangeal volumes, total capillary volumesand total glomerular numbers were significantly lower in the DO than in CO and SO(p<0.05. The numerical density of glomeruli and mesangial cells per glomeruli weresignificantly greater in DO than in CO and SO (p<0.05.Conclusion: We concluded that intrauterine hyperglycemia is accompanied by anephron deficit which may not be compensated within the first 30 days after birth.

  20. Evaluation of hypoglycemic and antihyperglycemic effects of alcoholic extract of Chonemorpha fragrans root in normal and alloxan induced diabetic rats

    Directory of Open Access Journals (Sweden)

    V S Shende

    2009-01-01

    Full Text Available In light of traditional claim of Chonemorpha fragrans in the treatment of diabetes were carryout evaluate its effect on rats. Alcoholic extract of Chonemorpha fragrans root (CF.alc.extract administered orally at dose 100 mg/kg and 200mg/kg in different condition such as normal, glucose over loaded in normal rats, and alloxan induced diabetic rats. At dose 200 mg/kg per oral (p.o. was produce significantly reduce blood glucose level in fasted normal rat and against glucose over loaded rats and alloxan induced diabetic rats at single dose as well as twelve day treatment. Histopathology studies on pancreas alloxan induced diabetic rats inflammatory changes were detected in pancreatic islets results from selectively destroy of insulin producing β-cells. These changes are dose-dependently inhibited by CF.alc.extract and gliclazide

  1. Evaluation of Salivary Secretory Immunoglobulin A Levels in Diabetic Patients and Association with Oral and Dental Manifestations

    Directory of Open Access Journals (Sweden)

    Shahla Kakoei

    2015-11-01

    Full Text Available Objectives: Oral and dental manifestations in diabetic patients can arise due to numerous factors, including elevated salivary secretory immunoglobulin A (s-IgA levels. This study aimed to evaluate s-IgA concentrations in patients with type 2 diabetes mellitus (T2DM and to investigate the association between s-IgA levels and oral and dental manifestations of T2DM. Methods: This cross-sectional descriptive study was carried out between October 2011 and September 2012 in Kerman, Iran, and included 260 subjects (128 patients with T2DM and 132 healthy controls. Unstimulated salivary samples were collected from all subjects and s-IgA levels were determined using the immunoturbidimetric method. The oral cavities and teeth of T2DM patients were evaluated for oral and dental manifestations. Results: Both diabetic and control subjects with higher concentrations of s-IgA had significantly higher numbers of decayed, missing or filled teeth (DMFT and periodontal index (PDI scores (P <0.050. s-IgA levels were significantly higher in subjects with oral candidiasis (P <0.050. Among diabetic patients, significantly higher s-IgA levels were concomitant with xerostomia and denture stomatitis (P ≤0.050. There were no significant differences between s-IgA concentrations and other oral or dental manifestations in either group. Conclusion: Individuals with a greater number of DMFT, a higher PDI score and oral candidiasis had significantly higher s-IgA levels. s-IgA levels were not significantly higher among diabetic patients in comparison to the control group. However, significantly higher s-IgA levels occurred with xerostomia and denture stomatitis in diabetic patients. In addition, s-IgA was significantly higher in patients with uncontrolled diabetes compared to those with controlled diabetes.

  2. Incorporation of new particle formation and early growth treatments into WRF/Chem: Model improvement, evaluation, and impacts of anthropogenic aerosols over East Asia

    Science.gov (United States)

    Cai, Changjie; Zhang, Xin; Wang, Kai; Zhang, Yang; Wang, Litao; Zhang, Qiang; Duan, Fengkui; He, Kebin; Yu, Shao-Cai

    2016-01-01

    New particle formation (NPF) provides an important source of aerosol particles and cloud condensation nuclei, which may result in enhanced cloud droplet number concentration (CDNC) and cloud shortwave albedo. In this work, several nucleation parameterizations and one particle early growth parameterization are implemented into the online-coupled Weather Research and Forecasting model coupled with chemistry (WRF/Chem) to improve the model's capability in simulating NPF and early growth of ultrafine particles over East Asia. The default 8-bin over the size range of 39 nm-10 μm used in the Model for Simulating Aerosol Interactions and Chemistry aerosol module is expanded to the 12-bin over 1 nm-10 μm to explicitly track the formation and evolution of new particles. Although model biases remain in simulating H2SO4, condensation sink, growth rate, and formation rate, the evaluation of July 2008 simulation identifies a combination of three nucleation parameterizations (i.e., COMB) that can best represent the atmospheric nucleation processes in terms of both surface nucleation events and the resulting vertical distribution of ultrafine particle concentrations. COMB consists of a power law of Wang et al. (2011) based on activation theory for urban areas in planetary boundary layer (PBL), a power law of Boy et al. (2008) based on activation theory for non-urban areas in PBL, and the ion-mediated nucleation parameterization of YU10 for above PBL. The application and evaluation of the improved model with 12-bin and the COMB nucleation parameterization in East Asia during January, April, July, and October in 2001 show that the model has an overall reasonably good skill in reproducing most observed meteorological variables and surface and column chemical concentrations. Relatively large biases in simulated precipitation and wind speeds are due to inaccurate surface roughness and limitations in model treatments of cloud formation and aerosol-cloud-precipitation interactions

  3. Evaluation of a school-based diabetes education intervention, an extension of Program ENERGY

    Science.gov (United States)

    Conner, Matthew David

    Background: The prevalence of both obesity and type 2 diabetes in the United States has increased over the past two decades and rates remain high. The latest data from the National Center for Health Statistics estimates that 36% of adults and 17% of children and adolescents in the US are obese (CDC Adult Obesity, CDC Childhood Obesity). Being overweight or obese greatly increases one's risk of developing several chronic diseases, such as type 2 diabetes. Approximately 8% of adults in the US have diabetes, type 2 diabetes accounts for 90-95% of these cases. Type 2 diabetes in children and adolescents is still rare, however clinical reports suggest an increase in the frequency of diagnosis (CDC Diabetes Fact Sheet, 2011). Results from the Diabetes Prevention Program show that the incidence of type 2 diabetes can be reduced through the adoption of a healthier lifestyle among high-risk individuals (DPP, 2002). Objectives: This classroom-based intervention included scientific coverage of energy balance, diabetes, diabetes prevention strategies, and diabetes management. Coverage of diabetes management topics were included in lesson content to further the students' understanding of the disease. Measurable short-term goals of the intervention included increases in: general diabetes knowledge, diabetes management knowledge, and awareness of type 2 diabetes prevention strategies. Methods: A total of 66 sixth grade students at Tavelli Elementary School in Fort Collins, CO completed the intervention. The program consisted of nine classroom-based lessons; students participated in one lesson every two weeks. The lessons were delivered from November of 2005 to May of 2006. Each bi-weekly lesson included a presentation and interactive group activities. Participants completed two diabetes knowledge questionnaires at baseline and post intervention. A diabetes survey developed by Program ENERGY measured general diabetes knowledge and awareness of type 2 diabetes prevention strategies

  4. A dual enzymatic-biosensor for simultaneous determination of glucose and cholesterol in serum and peritoneal macrophages of diabetic mice: Evaluation of the diabetes-accelerated atherosclerosis risk

    Energy Technology Data Exchange (ETDEWEB)

    Huang Qilin; An Yarui; Tang Linlin; Jiang Xiaoli; Chen Hua; Bi Wenji [Department of Chemistry, East China Normal University, Shanghai 200062 (China); Wang Zhongchuan [Department of Anorectal Surgery, Xinhua Hospital, Affiliated to School of Medicine of Shanghai Jiaotong University, Shanghai 200092 (China); Zhang Wen, E-mail: wzhang@chem.ecnu.edu.cn [Department of Chemistry, East China Normal University, Shanghai 200062 (China)

    2011-11-30

    Graphical abstract: In this paper, we reported a novel dual enzymatic-biosensor for simultaneous determination of glucose and cholesterol in serum and peritoneal macrophages (PMs) of diabetic mice to evaluate the diabetes-accelerated atherosclerosis risk. The biosensor was firstly modified with a poly-thionine (PTH) film as electron transfer mediator (ETM), then the gold nanoparticles (GNPs) were covered on the surface of PTH to act as tiny conduction centers for facilitating the electron transfer between enzymes and electrode. The schematic of the dual biosensor is shown in figure. The developed dual biosensor had good electrocatalytic activity toward the oxidations of glucose and cholesterol, exhibited a linear range from 0.008 mM to 6.0 mM for glucose with a detection limit of 2.0 {mu}M, and a linear range from 0.002 mM to 1.0 mM for cholesterol with a detection limit of 0.6 {mu}M. The results of the diabetic mice demonstrated that the cholesterol level was not changed obviously with the increase of glucose level in serum, while the cholesterol level was enhanced together with the increase of the glucose level in PMs. Previous studies have shown that the large accumulation of cholesterol in macrophage could lead to macrophage foam cell formation, the hallmark of early atherosclerosis. These findings indicated the possibility that high glucose induced by diabetes might increase the macrophage cholesterol level to further accelerate atherosclerosis development. Highlights: Black-Right-Pointing-Pointer A novel biosensor was developed to determine glucose and cholesterol simultaneously. Black-Right-Pointing-Pointer The dual enzymatic-biosensor has good selectivity and high sensitivity. Black-Right-Pointing-Pointer We determined glucose and cholesterol in the real samples of diabetic mice. Black-Right-Pointing-Pointer The results showed that high glucose might increase the macrophage cholesterol level. Black-Right-Pointing-Pointer It provided useful experimental

  5. A dual enzymatic-biosensor for simultaneous determination of glucose and cholesterol in serum and peritoneal macrophages of diabetic mice: Evaluation of the diabetes-accelerated atherosclerosis risk

    International Nuclear Information System (INIS)

    Graphical abstract: In this paper, we reported a novel dual enzymatic-biosensor for simultaneous determination of glucose and cholesterol in serum and peritoneal macrophages (PMs) of diabetic mice to evaluate the diabetes-accelerated atherosclerosis risk. The biosensor was firstly modified with a poly-thionine (PTH) film as electron transfer mediator (ETM), then the gold nanoparticles (GNPs) were covered on the surface of PTH to act as tiny conduction centers for facilitating the electron transfer between enzymes and electrode. The schematic of the dual biosensor is shown in figure. The developed dual biosensor had good electrocatalytic activity toward the oxidations of glucose and cholesterol, exhibited a linear range from 0.008 mM to 6.0 mM for glucose with a detection limit of 2.0 μM, and a linear range from 0.002 mM to 1.0 mM for cholesterol with a detection limit of 0.6 μM. The results of the diabetic mice demonstrated that the cholesterol level was not changed obviously with the increase of glucose level in serum, while the cholesterol level was enhanced together with the increase of the glucose level in PMs. Previous studies have shown that the large accumulation of cholesterol in macrophage could lead to macrophage foam cell formation, the hallmark of early atherosclerosis. These findings indicated the possibility that high glucose induced by diabetes might increase the macrophage cholesterol level to further accelerate atherosclerosis development. Highlights: ► A novel biosensor was developed to determine glucose and cholesterol simultaneously. ► The dual enzymatic-biosensor has good selectivity and high sensitivity. ► We determined glucose and cholesterol in the real samples of diabetic mice. ► The results showed that high glucose might increase the macrophage cholesterol level. ► It provided useful experimental evidences for diabetes-accelerate atherosclerosis. - Abstract: In this paper, a novel dual enzymatic-biosensor is described for

  6. Development and Evaluation of a Smartphone Application for Managing Gestational Diabetes Mellitus

    Science.gov (United States)

    Jo, Soojung

    2016-01-01

    Objectives The purpose of this study was to develop and evaluate an application (app) that provides tailored recommendations based on lifestyle and clinical data entered by the user. Methods Knowledge and functions required for the gestational diabetes mellitus (GDM) management app were extracted from clinical practice guidelines and evaluated through an online survey. Common and tailored recommendations were developed and evaluated with a content validity index. Algorithms to link tailored recommendations with a patient's data were developed and evaluated by experts. An Android-based app was developed and evaluated by comparing the process of data entry and recommendation retrieval and the usability of the app. After the app was revised, the user acceptance of the app was evaluated. Results Six domains of knowledge and 14 functions were extracted. Seven common and 49 tailored recommendations were developed. Nine lifestyle and clinical data elements were modeled. Eight algorithms with 18 decision nodes presenting tailored recommendations based on patient's data and 12 user interface screens were developed. All recommendations obtained from the use of app concurred with recommendations derived by algorithms. The average usability score was 69.5 out of 100. The user acceptance score with behavioral intention to use was 5.5, intrinsic motivation 4.3, the perceived ease of use score was 4.6, and the perceived usefulness score was 5.0 out of 7, respectively. Conclusions The GDM management knowledge and tailored recommendations obtained in this study could be of help in managing GDM. PMID:26893946

  7. The National Diabetes Education Program Evaluation Framework: How to Design an Evaluation of a Multifaceted Public Health Education Program

    OpenAIRE

    Gallivan, Joanne; Greenberg, Rachel; Brown, Clarice

    2008-01-01

    The National Diabetes Education Program, cosponsored by the National Institutes of Health and the Centers for Disease Control and Prevention, employs mass media communications, public-private partnerships, and dissemination of information and education tools to address the diabetes epidemic in the United States. The program's goal is to help reduce the morbidity and mortality from diabetes and its complications by improving the treatment and outcomes for people with diabetes, promoting early ...

  8. A doppler-based evaluation of peripheral lower limb arterial insufficiency in diabetes mellitus

    International Nuclear Information System (INIS)

    To determine the frequency, level and flow patterns of lower limb arterial insufficiency in diabetic patients on Doppler ultrasound study. Study Design: Cross-sectional study. Place and Duration of Study: Radiology Department, Civil Hospital, Karachi, from February 2007 to September 2008. Methodology: One hundred adult diabetic patients with suspected peripheral vascular insufficiency irrespective of gender were included. Demographic data, presenting complaints, treatment history, and level of HbA1c were recorded. Doppler evaluated arterial status and ankle brachial index (ABI) were recorded on proforma. Statistical analysis were done on SPSS version 12. Results: The mean HbA1c was 8.4 +- 1.4 gm/dl, a majority of 77% having a controlled level of < 10 mg/dl. Arterial insufficiency on Doppler ultrasound was documented in 62% (p=0.016) and the dorsalis paedis artery was the predominant site of stenosis (24%). Spectral broadening and biphasic flow were salient features. The mean value of resistive index in stenotic cases was 0.563 +- 0.16 with a mean velocity difference of 0.37 +- 0.29 m/s (p < 0.001) at the site of stenosis. Conclusion: Peripheral vascular insufficiency was a significant finding in patients having diabetes for an average of 9.8 years, even in the presence of controlled HbA1c. The dorsalis paedis was the commonest site of involvement. The insufficiency was moderate with a biphasic flow pattern in a majority of cases. Difference in resistive index and flow velocities at and above the site of stenosis provided an important clue to the diagnosis of level of stenosis that helps in planning limb salvage management. (author)

  9. Globalization of Diabetes

    OpenAIRE

    Hu, Frank B.

    2011-01-01

    Type 2 diabetes is a global public health crisis that threatens the economies of all nations, particularly developing countries. Fueled by rapid urbanization, nutrition transition, and increasingly sedentary lifestyles, the epidemic has grown in parallel with the worldwide rise in obesity. Asia's large population and rapid economic development have made it an epicenter of the epidemic. Asian populations tend to develop diabetes at younger ages and lower BMI levels than Caucasians. Several fac...

  10. Diabetes mellitus

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    2008395 Evaluating the feature of hypoglycemia detected by continuous glucose monitoring system during temporary continuous subcutaneous insulin infusion in type 2 diabetes patients. LI Ming(李鸣), et al.Shanghai Diabet Clin Center, Dept Endocrinol & Metab, Shanghai Jiaotong Univ, Shanghai 200233. Natl Med J China 2008;88(24):1679-1682.

  11. Evaluation of Anticonvulsive Effect of Magnesium Oxide Nanoparticles in Comparison with Conventional MgO in Diabetic and Non-diabetic Male Mice

    OpenAIRE

    Jahangiri, Leila; Kesmati, Mahnaz; H Najafzadeh

    2014-01-01

    Introduction Some studies showed that magnesium has anticonvulsive effect in some animal models. Despite of the availability of well-studied anticonvulsant drugs, this evaluation was not carried on new kind of magnesium supplement, magnesium oxide nanoparticles (nMgO). According to the association between magnesium and convulsion and high prevalence of seizure and epilepsy in diabetics, this study was designed to evaluate the effect of nMgO compared to conventional MgO (cMgO) on strychnine-in...

  12. Evaluation of salivary glucose, amylase, and total protein in Type 2 diabetes mellitus patients

    Directory of Open Access Journals (Sweden)

    M Indira

    2015-01-01

    Conclusion: These results suggest that diabetes influences the composition of saliva. Since a significant correlation was not observed between salivary and blood glucose levels, further research is needed to determine salivary glucose estimation as a diagnostic tool for diabetes mellitus.

  13. Evaluation of the assistance to diabetics and or hypertenses at a Primary Health Care Unit

    Directory of Open Access Journals (Sweden)

    Claudio Oliveira Souto

    2010-11-01

    Full Text Available This paper bas the general objective to perform an evaluation of the assistance to hypertenses and/or diabetics at a health care unit of Primary Health Care, taking into account the importance of nontransmissible chronic diseases, being the cardiovascular diseases the first cause of mortality in Brazil - systemic arterial hypertension and diabetes mellitus are the main risk factors of the population, which are potentially controllable. A descriptive cross-sectional study was held, with a quantitative approach on a population of 462 hypertensive and diabetic patients, registered al the health unit of Planalto, Santa Rosa (RS; the pieces of information gathered refer to the period from September 2006 to September 2007. We noticed that, in general, structure toward care, as recommended by the Ministry of Health, is adequate. We found 431 hypertensive patients registered at the health unit, corresponding to a coverage rate of 59.6%, and 83 diabetic patients, corresponding to a coverage rate of 64.8%. The highest concentration of the registered individuals is between the age range of 50 to 69 years (56.9%. We confirmed that 87.4% of the registered patients presented one visit or more with the family and community physician (MFC; 75.5% attended on time to the date of return visit; 52.2% adhered to the treatment; 16.7% were smokers; 39.6% led a sedentary life and 49.8% were obese. The increase of the left ventricle was the most frequent complication. Metformin, hydrochlorothiazide and captopril are not being distributed to the registered patients on a regular basis. There is a lot of glibenclamide in stock. The cardiovascular high risk stratification found in this study corresponds to 23.1% by means of the British strategy and 37.3% of the American strategy, bringing to the surface the cost-benefit discussion in the treatment with the use of statins. The cardiovascular high-risk patients showing LDL cholesterol below 100mg/dl correspond to 16.3% by the

  14. Implementing a structured education program for children with diabetes: lessons learnt from an integrated process evaluation

    OpenAIRE

    Sawtell, M.; Jamieson, L; Wiggins, M; Smith, F.; Ingold, A; Hargreaves, K.; Khatwa, M.; Brooks, L; Thompson, R.(School of Physics and Astronomy, University of Manchester, Manchester, United Kingdom); Christie, D

    2015-01-01

    Background There is recognition of an urgent need for clinic-based interventions for young people with type 1 diabetes mellitus that improve glycemic control and quality of life. The Child and Adolescent Structured Competencies Approach to Diabetes Education (CASCADE) is a structured educational group program, using psychological techniques, delivered primarily by diabetes nurses. Composed of four modules, it is designed for children with poor diabetic control and their parents. A mixed metho...

  15. Evaluation of Diabetic Foot Ulcer Healing With Hyperspectral Imaging of Oxyhemoglobin and Deoxyhemoglobin

    OpenAIRE

    Nouvong, Aksone; Hoogwerf, Byron; Mohler, Emile; Davis, Brian; Tajaddini, Azita; Medenilla, Elizabeth

    2009-01-01

    OBJECTIVE Foot ulceration remains a major health problem for diabetic patients and has a major impact on the cost of diabetes treatment. We tested a hyperspectral imaging technology that quantifies cutaneous tissue hemoglobin oxygenation and generated anatomically relevant tissue oxygenation maps to assess the healing potential of diabetic foot ulcers (DFUs). RESEARCH DESIGN AND METHODS A prospective single-arm blinded study was completed in which 66 patients with type 1 and type 2 diabetes w...

  16. Evaluating Diabetes Mobile Applications for Health Literate Designs and Functionality, 2014

    OpenAIRE

    CABURNAY, CHARLENE A; Graff, Kaitlin; Harris, Jenine K.; McQueen, Amy; Smith, Madeleine; Fairchild, Maggie; Kreuter, Matthew W

    2015-01-01

    Introduction The expansion of mobile health technologies, particularly for diabetes-related applications (apps), grew exponentially in the past decade. This study sought to examine the extent to which current mobile apps for diabetes have health literate features recommended by participants in an Institute of Medicine Roundtable and compare the health literate features by app cost (free or not). Methods We used diabetes-related keywords to identify diabetes-related apps for iOS devices. A ran...

  17. Huntington Disease in Asia

    Institute of Scientific and Technical Information of China (English)

    Miao Xu; Zhi-Ying Wu

    2015-01-01

    Objective:The objective was to review the major differences of Huntington disease (HD) in Asian population from those in the Caucasian population.Data Sources:Data cited in this review were obtained from PubMed database and China National Knowledge Infrastructure (CNKI) from 1994 to 2014.All the papers were written in English or Chinese languages,with the terms of Asia/Asian,HD,genotype,epidemiology,phenotype,and treatment used for the literature search.Study Selection:From the PubMed database,we included the articles and reviews which contained the HD patients' data from Asian countries.From the CNKI,we excluded the papers which were not original research.Due to the language's restrictions,those data published in other languages were not included.Results:In total,50 papers were cited in this review,authors of which were from the mainland of China,Japan,India,Thailand,Taiwan (China),Korea,and western countries.Conclusions:The lower epidemiology in Asians can be partly explained by the less cytosine-adenine-guanine repeats,different haplotypes,and CCG polymorphisms.For the physicians,atypical clinical profiles such as the initial symptom of ataxia,movement abnormalities of Parkinsonism,dystonia,or tics need to be paid more attention to and suggest gene testing if necessary.Moreover,some pathogenesis studies may help progress some new advanced treatments.The clinicians in Asian especially in China should promote the usage of genetic testing and put more effects in rehabilitation,palliative care,and offer comfort of patients and their families.The unified HD rating scale also needs to be popularized in Asia to assist in evaluating the progression of HD.

  18. Evaluation of the Association Metformin: Plantago ovata Husk in Diabetic Rabbits

    Directory of Open Access Journals (Sweden)

    Raquel Díez-Láiz

    2015-01-01

    Full Text Available In this experimental study we have investigated whether the inclusion of the dietary fiber Plantago ovata husk could be recommended as coadjuvant in treatments with oral hypoglycemic drugs. We evaluated the use of Plantago ovata husk-metformin association in diabetic rabbits by determining its effects on glucose and insulin concentrations. Six groups of 6 rabbits were used. Groups 1 to 3 were fed with standard chow and groups 4 to 6 with chow supplemented with Plantago ovata husk (3.5 mg/kg/day. Two groups (numbers 1 and 4 were used as controls (receiving standard or supplemented chow, two groups (numbers 2 and 5 received metformin orally, and the other two (numbers 3 and 6 were treated orally with metformin and psyllium. Plasma glucose concentrations were lower in groups fed with fiber-supplemented chow whereas insulin levels showed important interindividual variations. Glucose pharmacokinetics parameters showed significant differences in Cmax and tmax in relation to fiber intake. Insulin pharmacokinetics parameters after treatment with oral metformin showed an important increase in Cmax, AUC, and tmax in animals fed with fiber. We conclude that Plantago ovata husk intake can contribute to the oral antihyperglycemic treatment of type 2 diabetes.

  19. Evaluation of the Association Metformin: Plantago ovata Husk in Diabetic Rabbits.

    Science.gov (United States)

    Díez-Láiz, Raquel; García-Vieitez, Juan J; Diez-Liébana, M José; Sierra-Vega, Matilde; Sahagún-Prieto, Ana M; Calle-Pardo, Ángela P; Fernández-Martínez, Nélida

    2015-01-01

    In this experimental study we have investigated whether the inclusion of the dietary fiber Plantago ovata husk could be recommended as coadjuvant in treatments with oral hypoglycemic drugs. We evaluated the use of Plantago ovata husk-metformin association in diabetic rabbits by determining its effects on glucose and insulin concentrations. Six groups of 6 rabbits were used. Groups 1 to 3 were fed with standard chow and groups 4 to 6 with chow supplemented with Plantago ovata husk (3.5 mg/kg/day). Two groups (numbers 1 and 4) were used as controls (receiving standard or supplemented chow), two groups (numbers 2 and 5) received metformin orally, and the other two (numbers 3 and 6) were treated orally with metformin and psyllium. Plasma glucose concentrations were lower in groups fed with fiber-supplemented chow whereas insulin levels showed important interindividual variations. Glucose pharmacokinetics parameters showed significant differences in Cmax and t(max) in relation to fiber intake. Insulin pharmacokinetics parameters after treatment with oral metformin showed an important increase in Cmax, AUC, and t(max) in animals fed with fiber. We conclude that Plantago ovata husk intake can contribute to the oral antihyperglycemic treatment of type 2 diabetes. PMID:26576433

  20. Evaluation of Buspirone on Streptozotocin Induced Type 1 Diabetes and Its Associated Complications

    Directory of Open Access Journals (Sweden)

    Suchi Raghunathan

    2014-01-01

    Full Text Available We have evaluated the effect of buspirone (1.5 mg/kg/day, p.o. type 1 diabetes induced cardiovascular complications induced by streptozotocin (STZ, 45 mg/kg, i.v. in Wistar rats. Various biochemical, cardiovascular, and hemodynamic parameters were measured at the end of 8 weeks of treatment. STZ produced significant hyperglycaemia, hypoinsulinemia, and dyslipidemia, which was prevented by buspirone treatment. STZ produced increase in serum creatinine, urea, lactate dehydrogenase, creatinine kinase, and C-reactive protein levels and treatment with buspirone produced reduction in these levels. STZ produced increase in cardiac and LV hypertrophy index, LV/RV ratio, and LV collagen, which were decreased by buspirone treatment. Buspirone also prevented STZ induced hemodynamic alterations and oxidative stress. These results were further supported by histopathological studies in which buspirone showed marked reduction in fibrosis and cardiac fiber disarray. In conclusion, our data suggests that buspirone is beneficial as an antidiabetic agent in type 1 diabetes mellitus and also prevents its cardiac complications.

  1. Evaluation of nepafenac in prevention of macular edema following cataract surgery in patients with diabetic retinopathy

    Directory of Open Access Journals (Sweden)

    Singh R

    2012-08-01

    Full Text Available Rishi Singh,1 Louis Alpern,2 Glenn J Jaffe,3 Robert P Lehmann,4 John Lim,5 Harvey J Reiser,6 Kenneth Sall,7 Thomas Walters,8 Dana Sager91Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, 2The Cataract, Glaucoma, and Refractive Surgery Center, El Paso, TX, 3Duke Eye Center, Duke Reading Center, Duke University, Durham, NC, 4Lehmann Eye Center, Nacogdoches, TX, 5Houston Eye Associates, Houston, TX, 6Eye Care Specialists, Kingston, PA, 7Sall Research Medical Center, Artesia, CA, 8Texan Eye, Austin, TX, 9Alcon Research Ltd, Fort Worth, TX, USABackground: The purpose of this study was to evaluate nepafenac ophthalmic suspension 0.1% (Nevanac®; Alcon Research Ltd in the prevention of macular edema following cataract surgery in diabetic retinopathy patients.Methods: This was a multicenter, randomized, double-masked, vehicle-controlled study of 263 adult diabetic patients with nonproliferative diabetic retinopathy requiring cataract surgery. Patients were randomized (1:1 to instill nepafenac or vehicle three times daily beginning 1 day prior to surgery through day 90. Efficacy included the percentage of patients who developed macular edema (≥30% increase in central subfield macular thickness from baseline and the percentage of patients with decreases of more than five letters in best-corrected visual acuity from day 7 to 90.Results: A significantly lower percentage of patients in the nepafenac group developed macular edema relative to patients in the vehicle group (3.2% versus 16.7%; P < 0.001. A significantly lower percentage of patients in the nepafenac group had best-corrected visual acuity decreases of more than five letters relative to patients in the vehicle group on day 30 (P < 0.001, day 60 (P = 0.002, and day 90 (P = 0.006. The mean central subfield macular thickness and mean percent change from baseline in macular volume were also significantly lower in the nepafenac group versus the vehicle group at days 14 through 90 (P

  2. EVALUATION OF GLYCEMIA AT THE LEVEL OF SULCULAR AND CAPILLARY BLOOD IN DIABETIC PATIENTS WITH PERIODONTAL DISEASES

    Directory of Open Access Journals (Sweden)

    Maria Alexandra MARTU

    2013-12-01

    Full Text Available Scope of the study: A reliable, rapid and non-invasive evaluation of the patients suffering from diabetes mellitus through investigation of glycemia from the sulcular (crev‑ icular gingival blood. Materials and method: Laboratory investigations were made for evaluating the glycemia from the capillary (CBGL and crevicular (SBGL blood in 60 patients with periodontitis (30 suffering from diabetes, 30 non-diabetics, the obtained data being analyzed statisti‑ cally. Results: The mean values of glycemia (at both MSBG-sulcular and MCBG-capillary level, expressed in mg/dl, were of 168.60 and, respectively, 190.57. The MCBG level was of 269.73 for the group with diabetes and of 111.40 for the non-diabetic ones, respectively, whereas the MSBG level was of 240.217 for the first group and of 97.03 for the second one. An important correlation could be also observed between the levels of these values and the degree of periodontal affection. Conclusions: Testing of sulcular blood may represent an adequate, rapid and reliable method for the identification of patients affected with dia‑ betes, permitting to recommend a new screening protocol.

  3. Mobile banking in Asia

    OpenAIRE

    Anne Ho

    2010-01-01

    Technology has transformed the banking industry with the introduction of mobile banking services that offer unprecedented convenience and accessibility to customers. This Asia Focus report describes the various approaches to mobile banking in Asia, and examines how particular countries have addressed regulatory issues.

  4. Evaluation of Topical Tocopherol Cream on Cutaneous Wound Healing in Streptozotocin-Induced Diabetic Rats

    OpenAIRE

    Teoh Seong Lin; Azian Abd Latiff; Noor Aini Abd Hamid; Wan Zurinah bt Wan Ngah; Musalmah Mazlan

    2012-01-01

    Diabetes is a common cause of delayed wound healing. The aim of the study was to determine the effect of topical administration of tocopherol cream on the wound healing process in diabetic rats. The study was conducted using 18 male Sprague Dawley rats which were divided into three groups: (I) diabetic rats receiving control cream (n = 6), (II) diabetic rats receiving 0.06% tocopherol cream (n = 6), and (III) diabetic rats receiving 0.29% tocopherol cream (n = 6). Four cutaneous wounds were c...

  5. Asia Pacific energy derivatives

    International Nuclear Information System (INIS)

    Asia Pacific Energy Derivatives, from FT Energy, is the first report of its kind to examine the growth of energy derivatives within Asia Pacific and their increasing importance within this region. It provides a comprehensive overview of the subject, including analysis of: deregulation as a market driver; the impact of privatisation; the future for energy risk management tools; the unique characteristics of the Asia Pacific energy market; the role of futures exchanges in Asia; existing indexes and their performance; the differences between the Asia Pacific markets and their more mature counterparts in London and New York; non-oil derivatives, project finance and cross commodity arbitrage; the thriving Pacific Rim Over the Counter (OTC) markets. (author)

  6. Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis

    Science.gov (United States)

    Ghannadi, Shima; Amouzegar, Atieh; Amiri, Parisa; Karbalaeifar, Ronak; Tahmasebinejad, Zhale

    2016-01-01

    Background. Type 2 diabetes is an increasingly common condition with several preventable microvascular complications such as kidney damage. Nephropathy is expensive to manage, especially as hospital dialysis treatment. Improving patients' knowledge, attitude, and practice (KAP) toward their condition can achieve better control, delay complications, and improve their quality of life. This study evaluated the KAP and self-care behaviors of diabetic patients on dialysis and variables that affect it. Methods. This cross-sectional study was conducted at Shahid Beheshti academic hospitals of Tehran, Iran. Face-to-face interviews were held to fill five validated questionnaires: three evaluating KAP, one evaluating self-management, and one evaluating quality of life. Result. 117 diabetic patients on hemodialysis (42 females) with mean (SD) age of 68.70 ± 9.26 years were enrolled in the survey. The scores for patient's KAP, self-care, and quality of life were 59.90 ± 11.23, 44.27 ± 8.35, 45.06 ± 12.87, 46.21 ± 10.23, and 26.85 ± 13.23, respectively. There was significant negative correlation between patients' knowledge and attitude with their glycosylated hemoglobin level and their fasting blood sugar. There was significant correlation between patients' knowledge and practice with their self-care activities. Conclusion. The present study suggests that patients' KAP scores have a practical effect upon self-care behavior. This highlights the needs for effective diabetes education programs in developing countries like Iran.

  7. Evaluation and comparison of guidelines for the management of people with type 2 diabetes from eight European countries

    NARCIS (Netherlands)

    Stone, M. A.; Wilkinson, J. C.; Charpentier, G.; Clochard, N.; Grassi, G.; Lindblad, U.; Mueller, U. A.; Nolan, J.; Rutten, G. E.; Khunti, K.

    2010-01-01

    Methods: The most recent nationally recognised guidelines for type 2 diabetes from eight European countries (Belgium, England/Wales, France, Germany, Ireland, Italy, the Netherlands and Sweden) were compared. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument was used for qua

  8. Idiopathic and diabetic skeletal muscle necrosis: evaluation by magnetic resonance imaging

    International Nuclear Information System (INIS)

    Idiopathic and diabetic-associated muscle necrosis are similar, uncommon clinical entities requiring conservative management and minimal intervention to avoid complications and prolonged hospitalization. An early noninvasive diagnosis is therefore essential. We evaluated the magnetic resonance imaging (MRI) characteristics of muscle necrosis in 14 patients, in eight of whom the diagnoses were confirmed histologically. Two experienced musculoskeletal radiologists performed retrospective evaluations of the MRI studies of 14 patients with the diagnoses of skeletal muscle infarction. In 10 cases gadolinium-enhanced (T1-weighted fat-suppressed) sequences were available along with T1-weighted, T2-weighted images and STIR sequences, while in four cases contrast-enhanced images were not available. Eight patients had underlying diabetes and in six patients the cause of the myonecrosis was considered idiopathic. T1-weighted images demonstrated isointense swelling of the involved muscle, with mildly displaced fascial planes. There was effacement of the fat signal intensity within the muscle. Fat-suppressed T2-weighted images showed diffuse heterogeneous high signal intensity in the muscles suggestive of edema. Perifascial fluid collection was seen in eight cases. Subcutaneous edema was present in seven patients. Following intravenous gadolinium administration, MRI demonstrated a focal area of heterogeneously enhancing mass with peripheral enhancement. Within this focal lesion, linear dark areas were seen with serpentine enhancing streaks separating them in eight cases. In two cases, a central relatively nonenhancing mass with irregular margins and peripheral enhancement was noted. The peripheral enhancement involved a significant part of the muscle. No focal fluid collection was noted. We believe that the constellation of imaging findings on T1- and T2-weighted images and post-gadolinium sequences is highly suggestive of muscle necrosis. We consider certain specific findings

  9. Evaluation of an Urban Phase of the Specialized Care Program for Diabetes in Iran: Providers′ Perspectives

    Directory of Open Access Journals (Sweden)

    Hamid Ravaghi

    2014-01-01

    Full Text Available Background: To develop and implement more effective programs of health care delivery to prevent and control diabetes, Iran has developed and implemented the urban phase of the specialized care program for diabetic′s patients. Deeply understanding the views and experiences of various stakeholders in this program can assist policy makers to identify the program′s strengths and weaknesses and enable them to develop action plans. Hence, the present study aimed to evaluate the planning and establishing of this program from the perspective of providers. Methods: A qualitative study was applied using documents review and face-to-face semi-structured interviews with the program leads and relevant executive managers of the local medical universities. Thematic analysis was used to analyze the data. Results: Three main themes and nine subthemes were explored, including program planning (the content and the strengths, weaknesses, and corrective measures, implementation (executive mechanisms at the university level, establishment of referral system, collaboration between deputies of health and treatment, information dissemination mechanisms, satisfaction measurement and strengths, weaknesses and corrective measures, and result (implementation results. Conclusions: The urban phase of the specialized care program for diabetic′s patients has been a good base to improve continuity of care, which emphasizes on controlling and prevention of occurrence or progression of chronic complications of diabetes. This model can also be used for better management of other chronic disease. However, there are still issues that should be considered and improved such as allocation of guaranteed resources, more trained health professionals, and more evidence based guidelines and protocols, better collaboration among medical universities′ deputies, clearer payment system for program evaluation and better information management system.

  10. Prioritizing action on health inequities in cities: An evaluation of Urban Health Equity Assessment and Response Tool (Urban HEART) in 15 cities from Asia and Africa.

    Science.gov (United States)

    Prasad, Amit; Kano, Megumi; Dagg, Kendra Ann-Masako; Mori, Hanako; Senkoro, Hawa Hamisi; Ardakani, Mohammad Assai; Elfeky, Samar; Good, Suvajee; Engelhardt, Katrin; Ross, Alex; Armada, Francisco

    2015-11-01

    Following the recommendations of the Commission on Social Determinants of Health (2008), the World Health Organization (WHO) developed the Urban Health Equity Assessment and Response Tool (HEART) to support local stakeholders in identifying and planning action on health inequities. The objective of this report is to analyze the experiences of cities in implementing Urban HEART in order to inform how the future development of the tool could support local stakeholders better in addressing health inequities. The study method is documentary analysis from independent evaluations and city implementation reports submitted to WHO. Independent evaluations were conducted in 2011-12 on Urban HEART piloting in 15 cities from seven countries in Asia and Africa: Indonesia, Iran, Kenya, Mongolia, Philippines, Sri Lanka, and Vietnam. Local or national health departments led Urban HEART piloting in 12 of the 15 cities. Other stakeholders commonly engaged included the city council, budget and planning departments, education sector, urban planning department, and the Mayor's office. Ten of the 12 core indicators recommended in Urban HEART were collected by at least 10 of the 15 cities. Improving access to safe water and sanitation was a priority equity-oriented intervention in 12 of the 15 cities, while unemployment was addressed in seven cities. Cities who piloted Urban HEART displayed confidence in its potential by sustaining or scaling up its use within their countries. Engagement of a wider group of stakeholders was more likely to lead to actions for improving health equity. Indicators that were collected were more likely to be acted upon. Quality of data for neighbourhoods within cities was one of the major issues. As local governments and stakeholders around the world gain greater control of decisions regarding their health, Urban HEART could prove to be a valuable tool in helping them pursue the goal of health equity. PMID:26456133

  11. GFR, serum creatinine and 24-hour urine protein in evaluating renal function of patients with diabetes mellitus

    International Nuclear Information System (INIS)

    Background: Diabetes nephropathy is a common complication of diabetes mellitus patients. Early detection of renal impairment can improve the quality of life of patients. Purpose: The value of total GFR, serum creatinine, 24-hour urine protein excretion in diabetes mellitus patients with renal impairment were evaluated. Methods: A retrospective analysis of 147 patients with diabetes undergoing routine renal dynamic imaging was undertaken. The cases were divided into three groups according to the illness duration: group I of not more than five years, group 2 of five to ten years, Gr.3: more than ten years. The 22 renal transplant donors were selected as the normal control group, The total GFR, serum creatinine and 24-hour urinary protein excretion of all patients were measured before the treatments, and the data were statistically analyzed. Results: There was no significant differences in renal function between the two kidneys of in the diabetes mellitus patients (P=0.536). Serum creatinine and total GFR had significant correlation (R2=0.762), but no significant relationship between the 24-hour urine protein and the total GFR or serum creatinine. In the early and middle times of renal function impairment, the total GFR and serum creatinine have significant difference in different time periods (P<0.05). During the mid-late times of renal function impairment, total GFR and serum creatinine have no statistically significant differences (P value is 0.781, 0.297). 24-hour urine protein quality had no statistical differences in each stage. However: the total GFR is more sensitive than the serum creatinine in evaluation of early impairing of renal function. Conclusions: There is significant correlation between serum creatinine and total GFR. Both of them can reflect the degree of diabetic renal injury, but the total GFR is more sensitive than serum creatinine in early degree. 24-hour urine protein quantitative can not evaluate the degree of impaired renal function alone

  12. Baseline characteristics in the Bardoxolone methyl EvAluation in patients with Chronic kidney disease and type 2 diabetes mellitus

    DEFF Research Database (Denmark)

    Lambers Heerspink, Hiddo J; Chertow, Glenn M; Akizawa, Tadao;

    2013-01-01

    Type 2 diabetes mellitus (T2DM) is the most important contributing cause of end-stage renal disease (ESRD) worldwide. Bardoxolone methyl, a nuclear factor-erythroid-2-related factor 2 activator, augments estimated glomerular filtration. The Bardoxolone methyl EvAluation in patients with Chronic k...... kidney disease and type 2 diabetes mellitus: the Occurrence of renal eveNts (BEACON) trial was designed to establish whether bardoxolone methyl slows or prevents progression to ESRD. Herein, we describe baseline characteristics of the BEACON population....

  13. Evaluation of Salivary Secretory Immunoglobulin A Levels in Diabetic Patients and Association with Oral and Dental Manifestations

    OpenAIRE

    Shahla Kakoei; Bahareh Hosseini; Ali-Akbar Haghdoost; Mojgan Sanjari; Ahmad Gholamhosseinian; Afshar, Vahid F. N.

    2015-01-01

    Objectives: Oral and dental manifestations in diabetic patients can arise due to numerous factors, including elevated salivary secretory immunoglobulin A (s-IgA) levels. This study aimed to evaluate s-IgA concentrations in patients with type 2 diabetes mellitus (T2DM) and to investigate the association between s-IgA levels and oral and dental manifestations of T2DM. Methods: This cross-sectional descriptive study was carried out between October 2011 and September 2012 in Kerman, I...

  14. A dual enzymatic-biosensor for simultaneous determination of glucose and cholesterol in serum and peritoneal macrophages of diabetic mice: evaluation of the diabetes-accelerated atherosclerosis risk.

    Science.gov (United States)

    Huang, Qilin; An, Yarui; Tang, Linlin; Jiang, Xiaoli; Chen, Hua; Bi, Wenji; Wang, Zhongchuan; Zhang, Wen

    2011-11-30

    In this paper, a novel dual enzymatic-biosensor is described for simultaneous determination of glucose and cholesterol in serum and peritoneal macrophages (PMs) of diabetic mice to evaluate the risk of diabetes-accelerated atherosclerosis. The biosensor was constructed by a three-step method. First, a poly-thionine (PTH) film was assembled on the surface of glassy carbon electrode by cyclic voltammetric electropolymerization of thionine, which serves as an electron transfer mediator (ETM). Second, gold nanoparticles (GNPs) were covered on the surface of PTH facilitating the electron transfer between glucose oxidase (GOx), cholesterol oxidase (ChOx) and electrode. Finally, the enzymes, GOx, cholesterol esterase (ChE), and ChOx, were covalently attached to the PTH layer through a chitosan (CH) linker. The PTH coupled with GNPs provides good selectivity, high sensitivity and little crosstalk for the dual enzymatic-biosensor. The developed biosensor had good electrocatalytic activity toward the oxidations of glucose and cholesterol, exhibiting a linear range from 0.008 mM to 6.0 mM for glucose with a detection limit of 2.0 μM, and a linear range from 0.002 mM to 1.0 mM for cholesterol with a detection limit of 0.6 μM. The results of the diabetic mice demonstrated that the cholesterol level did not change obviously with the increase of glucose level in serum, while the cholesterol level was induced with the increase of the glucose level in PMs. Previous studies have shown that the large accumulation of cholesterol in macrophage could lead to macrophage foam cell formation, which is the hallmark of early atherosclerosis. This study provides useful further evidences for the development of diabetes-accelerated atherosclerosis. PMID:22027130

  15. Evaluation of wound healing properties of bioactive aqueous fraction from Moringa oleifera Lam on experimentally induced diabetic animal model

    Science.gov (United States)

    Muhammad, Abubakar Amali; Arulselvan, Palanisamy; Cheah, Pike See; Abas, Farida; Fakurazi, Sharida

    2016-01-01

    Diabetic foot ulcer is a serious complication of diabetes, which affects a significant percentage (15%) of diabetics and up to 15%–24% of those affected may require amputation. Therefore, the economic burden of diabetic foot ulcers is enormous and is associated with high cost of treatment and prolongs hospitalization. The present study was conducted to evaluate antibacterial and in vivo wound healing activities of an aqueous fraction of Moringa oleifera on a diabetic condition. Antibacterial activity testing was carried out using agar well and tube dilution techniques. The in vivo study was conducted using six groups of animals that comprise of one normal and diabetic control group each, three treatment groups of 0.5%, 1%, and 2% w/w aqueous fraction, and a positive control group (1% w/w silver sulfadiazine). Rats were induced with diabetes using a combination of streptozotocin 65 and 150 mg/kg nicotinamide daily for 2 days, and excision wounds were created and treated with various doses (0.5%, 1%, and 2% w/w aqueous fraction) daily for 21 days. Biophysical, histological, and biochemical parameters were investigated. The results of the study revealed that aqueous fraction possessed antibacterial activity through inhibition of growth of Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli organisms. The topical application of aqueous fraction revealed enhancement of wound healing under sustained hyperglycemic condition for the duration of the experiment. This enhancement was achieved through decreased wound size, improved wound contraction, and tissue regeneration, as well as downregulation of inflammatory mediators, such as tumor necrosis factor-α, interleukin-1β, interleukin-6, inducible nitric oxide synthase, and cyclooxygenase-2, and upregulation of an angiogenic marker vascular endothelial growth factor in wound tissue treated with various doses of aqueous fraction of M. oleifera. The findings suggest that aqueous fraction of M. oleifera

  16. Evaluation of wound healing properties of bioactive aqueous fraction from Moringa oleifera Lam on experimentally induced diabetic animal model.

    Science.gov (United States)

    Muhammad, Abubakar Amali; Arulselvan, Palanisamy; Cheah, Pike See; Abas, Farida; Fakurazi, Sharida

    2016-01-01

    Diabetic foot ulcer is a serious complication of diabetes, which affects a significant percentage (15%) of diabetics and up to 15%-24% of those affected may require amputation. Therefore, the economic burden of diabetic foot ulcers is enormous and is associated with high cost of treatment and prolongs hospitalization. The present study was conducted to evaluate antibacterial and in vivo wound healing activities of an aqueous fraction of Moringa oleifera on a diabetic condition. Antibacterial activity testing was carried out using agar well and tube dilution techniques. The in vivo study was conducted using six groups of animals that comprise of one normal and diabetic control group each, three treatment groups of 0.5%, 1%, and 2% w/w aqueous fraction, and a positive control group (1% w/w silver sulfadiazine). Rats were induced with diabetes using a combination of streptozotocin 65 and 150 mg/kg nicotinamide daily for 2 days, and excision wounds were created and treated with various doses (0.5%, 1%, and 2% w/w aqueous fraction) daily for 21 days. Biophysical, histological, and biochemical parameters were investigated. The results of the study revealed that aqueous fraction possessed antibacterial activity through inhibition of growth of Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli organisms. The topical application of aqueous fraction revealed enhancement of wound healing under sustained hyperglycemic condition for the duration of the experiment. This enhancement was achieved through decreased wound size, improved wound contraction, and tissue regeneration, as well as downregulation of inflammatory mediators, such as tumor necrosis factor-α, interleukin-1β, interleukin-6, inducible nitric oxide synthase, and cyclooxygenase-2, and upregulation of an angiogenic marker vascular endothelial growth factor in wound tissue treated with various doses of aqueous fraction of M. oleifera. The findings suggest that aqueous fraction of M. oleifera

  17. PCDD/F measurement at a high-altitude station in Central Taiwan: evaluation of long-range transport of PCDD/Fs during the Southeast Asia biomass burning event.

    Science.gov (United States)

    Chi, Kai Hsien; Lin, Chuan-Yao; Yang, Chang-Feng Ou; Wang, Jia-Lin; Lin, Neng-Heui; Sheu, Guey-Rong; Lee, Chung-Te

    2010-04-15

    Recent biomass burning in Southeast Asia has raised global concerns over its adverse effects on visibility, human health, and global climate. The concentrations of total suspended particles (TSPs) and other vapor-phase pollutants (CO and ozone) were monitored at Lulin, an atmospheric background station in central Taiwan in 2008. To evaluate the long-range transport of persistent organic pollutants (POPs) during the Southeast Asia biomass burning event, the atmospheric polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) were also measured at Lulin station. The atmospheric PCDD/F and TSP concentrations measured at Lulin station ranged from 0.71-3.41 fg I-TEQ/m(3) and 5.32-55.6 microg/m(3), respectively, during the regular sampling periods. However, significantly higher concentrations of PCDD/Fs, TSPs, CO, and ozone were measured during the spring season. These high concentrations could be the result of long-range transport of the products of Southeast Asia biomass burning. During the Southeast Asia biomass burning event (March 18-24, 2008), an intensive observation program was also carried out at the same station. The results of this observation program indicated that the atmospheric PCDD/F concentration increased dramatically from 2.33 to 390 fg I-TEQ/m(3) (March 19, 2008). The trace gas (CO) of biomass burning also significantly increased to 232 ppb during the same period, while the particle-bound PCDD/Fs in the TSP increased from 28.7 to 109 pg I-TEQ/g-TSP at Lulin station during the burning event. We conclude that there was a significant increase in the PCDD/F concentration in ambient air at a high-altitude background station in central Taiwan during the Southeast Asia biomass burning event. PMID:20345091

  18. Evaluation of Anti-Hyperglycemic and Anti-Hyperlipidemic Activities of Water Kefir as Probiotic on Streptozotocin-Induced Diabetic Wistar Rats

    OpenAIRE

    Muneer Alsayadi; Yaser Al Jawfi; Meriem Belarbi; Zoubida Soualem-Mami; Hafida Merzouk; Daoudi Chaban Sari; Fatima Sabri; Meriem Ghalim

    2014-01-01

    Diabetes mellitus is a predominant chronic disease which causes mortality of millions of people yearly. Its prevalence is on the rise worldwide. Water kefir is fermented food produced by a matrix of polysaccharides containing bacteria and yeasts, with therapeutic properties. Our study aimed to evaluate anti-hyperglycemic and anti-hyperlipidemic activities of water kefir on streptozotocin-induced diabetic Wistar rats. Adult Wistar rats were made diabetic by intraperitone...

  19. Evaluation of Stability of Surface-Treated Mini-Implants in Diabetic Rabbits

    Directory of Open Access Journals (Sweden)

    Nam-Hee Oh

    2014-01-01

    Full Text Available Introduction. The purpose of this study was to investigate effects of surface treatment of mini-implants in diabetes-induced rabbits by comparing osseointegration around mini-implants. Methods. Twelve New Zealand white rabbits were divided into two groups (alloxan-induced diabetic group and control group. A total of 48 mini-implants were placed after four weeks of diabetic induction. 24 mini-implants were surface-treated with SLA (sandblasted with large grit, and acid etched and the remaining 24 mini-implants had smooth surfaces. Four weeks after placement, 32 mini-implants were removed from 4 control and 4 diabetic rabbits. Insertion and removal torques were measured. The remaining 16 mini-implants from the two groups were histomorphometrically analyzed. Results. Maximum insertion torque showed no difference between diabetic and control groups, but total insertion energy was higher in control group. In surface-treated mini-implants, maximum removal torque was higher in both diabetic and control groups. Bone-implant contact (BIC was increased in the control group when compared to the diabetic group. Surface-treated group had higher BIC than smooth surface group in both control and diabetic groups. However, there was no significantly statistical difference. Conclusions. Type 1 diabetes mellitus and surface treatment method of mini-implant affected primary stability of mini-implants. In addition, the use of orthodontic mini-implants in a diabetic patient is likely to show results similar to the healthy patient.

  20. Comprehensive Evaluation of Anti-hyperglycemic Activity of Fractionated Momordica charantia Seed Extract in Alloxan-Induced Diabetic Rats

    OpenAIRE

    Shailesh Kumar Choudhary; Gagan Chhabra; Dipali Sharma; Aruna Vashishta; Sujata Ohri; Aparna Dixit

    2012-01-01

    The present study evaluates anti-hyperglycemic activity of fractionated Momordica charantia (bitter gourd) seed extracts. Fasting blood glucose levels were evaluated before and after administration of different fractions of the seed extract. Among the three fractions tested, fraction Mc-3 (15 mg/kg b.wt.) showed the maximum anti-hyperglycemic activity and reduced blood glucose levels in experimental diabetic rats significantly. The activities of the key regulatory enzymes of glucose metabolis...

  1. Design and Testing of a Tool for Evaluating the Quality of Diabetes Consumer-Information Web Sites

    OpenAIRE

    Seidman, Joshua J; Steinwachs, Donald; Rubin, Haya R

    2003-01-01

    Background Most existing tools for measuring the quality of Internet health information focus almost exclusively on structural criteria or other proxies for quality information rather than evaluating actual accuracy and comprehensiveness. Objective This research sought to develop a new performance-measurement tool for evaluating the quality of Internet health information, test the validity and reliability of the tool, and assess the variability in diabetes Web site quality. Methods An objecti...

  2. Evaluation of cerebrovascular reactivity by ultrasonography in type 2 diabetic patients with hypertension

    Institute of Scientific and Technical Information of China (English)

    Jinhui Zhao; Yuxiang Chen; Zhen Zhao; Qingchun Zhao; Dongmei Hao; Shanshan Tang

    2007-01-01

    BACKGROUND: Cerebrovascular reactivity (CVR) reflects cerebrovascular reserve capacity, and cerebrovascular reactivity damage prognosticates a very high risk of stroke.OBJECTIVE: To evaluate CVR by detecting the increase rate of blood flow volume of middle cerebral artery (MCA) before and after breathholding in diabetic patients with hypertension, and observe the effects of hypertension on cerebrovascular reserve capacity of diabetic patients. DESIGN: Controlled observation.SETTINGS: Department of Function, Affiliated Hospital of Hebei University; Department of Special Diagnosis, the 202 Hospital of Chinese PLA.PARTICIPANTS: Inpatients or outpatients with type 2 diabetes mellitus (DM) or primary hypertension admitted to Departments of Gastroenterology and Cardiology, Affiliated Hospital of Hebei University and the 202 Hospital of Chinese PLA from April to December 2004 were involved in this experiment. Inclusive criteria: type 2 DM met the criteria of the report on diabetes diagnosis announced in 1999 by WHO expert committee, totally 88 patients were involved. Primary hypertension met the diagnosis criteria announced in 1999 by WHO/1SH, totally 42 patients were involved. Another group of 43 concurrent subjects who received physical examination served as controls. According to the disease condition, the involved patients were assigned into 3 groups: DM group (only diabetic patients), hypertension group (only hypertension patients) and DM complicated with hypertension group (diabetic patients with hypertension). Informed consent for the examination was obtained from all the involved subjects.METHODS: Before MCA of subjects was detected, bilateral carotid artery was routinely detected by high-frequency ultrasonography. Subjects were rejected when stenosis rate of unilateral internal carotid artery or common carotid artery≥70%. Vessels were expanded with transcranial color Duplex Doppler by breath holding test for detecting vascular reactivity. Hypercapnia was

  3. Development and Psychometric Evaluation of a Health Action Process Approach Inventory for Healthful Diet Among Type 2 Diabetes Patients

    Science.gov (United States)

    Rohani, Hosein; Eslami, Ahmad Ali; Ghaderi, Arsalan; bidkhori, Mohammad; Raei, Mehdi

    2016-01-01

    Background: Long-term effects of diabetes could be prevented or delayed by adopting a proper diet. The aim of this study was to adapt and provide a pilot test using health action process approach (HAPA)-based inventory to capable of capturing significant determinants of healthful diet for diabetics. Methods: The inventory was reviewed by eight diabetes patients and verbal feedbacks with regard the comprehension, item relevance, and potential new content were obtained. Then, the inventory items were evaluated by an expert panel. Next exploratory factor analysis (EFA) was conducted to assess the scale constructs. Criterion validity was measured by Pearson correlation. Finally, reliability measures of internal consistency and test-retest analysis were determined. Results: A total of 121 diabetic patients participated in this study. EFA extracted seven factors (risk-perception, action self-efficacy, outcome expectancies, maintenance self-efficacy, action and coping planning, behavioral intention, and recovery self-efficacy) explaining 81.14% of the total variance. There were significant correlations between behavioral intentions and both outcome expectancies (r = 0.55, P Cronbach's alpha ranging from 0.65 to 0.95 and intraclass correlation coefficients ranging from 0.71 to 0.92 indicated an acceptable internal consistency. Conclusions: Developed scales were valid and reliable for measuring HAPA variables to be used with type 2 diabetes mellitus patients. Further examination with minority persons is warranted. PMID:27195101

  4. Evaluation of the Zucker diabetic fatty (ZDF rat as a model for human disease based on urinary peptidomic profiles.

    Directory of Open Access Journals (Sweden)

    Justyna Siwy

    Full Text Available Representative animal models for diabetes-associated vascular complications are extremely relevant in assessing potential therapeutic drugs. While several rodent models for type 2 diabetes (T2D are available, their relevance in recapitulating renal and cardiovascular features of diabetes in man is not entirely clear. Here we evaluate at the molecular level the similarity between Zucker diabetic fatty (ZDF rats, as a model of T2D-associated vascular complications, and human disease by urinary proteome analysis. Urine analysis of ZDF rats at early and late stages of disease compared to age- matched LEAN rats identified 180 peptides as potentially associated with diabetes complications. Overlaps with human chronic kidney disease (CKD and cardiovascular disease (CVD biomarkers were observed, corresponding to proteins marking kidney damage (eg albumin, alpha-1 antitrypsin or related to disease development (collagen. Concordance in regulation of these peptides in rats versus humans was more pronounced in the CVD compared to the CKD panels. In addition, disease-associated predicted protease activities in ZDF rats showed higher similarities to the predicted activities in human CVD. Based on urinary peptidomic analysis, the ZDF rat model displays similarity to human CVD but might not be the most appropriate model to display human CKD on a molecular level.

  5. EVALUATION OF DRUG USE AMONG DIABETIC HYPERTENSIVE PATIENTS IN A TEACHING HOSPITAL

    Directory of Open Access Journals (Sweden)

    Eze Uchenna IH

    2010-12-01

    Full Text Available The major approach to patients? health problems is the use of drugs particularly in the co morbid states. In this study we intend to evaluate the prescribing pattern, determine the nature and extent of irrational drug use and assess rate of medication adherence and reasons for non adherence among patients attending an outpatient clinic of Olabisi Onabanjo University Teaching Hospital (OOUTH Sagamu, Ogun State, Nigeria. A two fold study was done using 100 case notes belonging to diabetic hypertensive patients of whom 67 patients were available for oral interview on medication adherence. Data on sex, age, groups of medicines prescribed, number of prescriptions and number of medicines occurring per prescription were obtained, World Health Organization (WHO prescribing indicators were calculated and occurrence of irrational prescribing was detected. Analysis was done using Microsoft Excel 2000. Female to male ratio was 1:0.59 and average age + SD of the patients was 63+10 years. Anti diabetics were the most prescribed medicines 1152(31.8% followed by anti-hypertensives 865(23.9%. Average no of drugs per prescription was 4.7; Percentage of drugs prescribed as generics 40.1%; Percentage of antibiotics and injections per prescription were 9.4% and 2.1% respectively. Extravagant prescribing occurred in 92.7% of the cases. Forty nine (73.1% were adherent. Cost (63.2% and forgetfulness915.7% were reasons for non adherence. Prescribing in this group of patients is sub-optimal, however majority claimed to be adherent. Interventions are needed for health care providers and the patients alike.

  6. MRI evaluation of end-organ damage in diabetes and hypertension

    OpenAIRE

    Elderen, Saskia Gerdina Cornelia van

    2010-01-01

    Our studies have shown MRI assessed aortic stiffness being an integrated marker of cardiac function, cerebral small vessel disease and atrophy, as well as of renal function in type1 diabetes mellitus patients. Aortic stiffness already in normal range is related to end-organ damage in type1 diabetes mellitus, suggesting increased organ-susceptibility for vascular alterations in diabetes mellitus. Structural changes in the brain as a manifestation of end-organ damage has shown to be clinical re...

  7. Evaluation of fiber intake in diabetes 2 patients of an asistencial center of Rosario city

    OpenAIRE

    María Elisa Zapata; Ana María Hoet; Daniela Simonini

    2013-01-01

    Introduction: a diet high in fiber has associated with better glycaemic control in diabetes 2 patients, being the soluble fraction of the most effective in the control of blood sugar levels. The aim of the study is determine the amount of total, soluble and insoluble dietary fiber intake by patients with type 2 diabetes who attended a medical centre for diabetics in Rosario.Material and methods: descriptive, observational, cross-sectional study was conducted. It was determined a sample of 60 ...

  8. Evaluation of metformin versus insulin in the management of gestational diabetes mellitus: a prospective comparative study

    OpenAIRE

    Shabana Munshi; Shamim Khandaker

    2014-01-01

    Background: Objectives of current study were to assess the efficacy of metformin in the management of Gestational Diabetes Mellitus (GDM) and to compare maternal fetal outcome between metformin and insulin in GDM. Methods: It is a prospective comparative study performed in a tertiary centre. 100 women diagnosed with gestational diabetes mellitus according to Diabetes in Pregnancy Study group of India (DIPSI) criteria at booking and/or between 24-28 weeks of gestation.These women were divid...

  9. Evaluation of Patients' Education on Foot Self-Care Status in Diabetic Patients

    OpenAIRE

    Kafaie, Parichehr; Noorbala, Mohamad Taghi; Soheilikhah, Sedigheh; Rashidi, Maryam

    2012-01-01

    Background Skin problems caused by neuropathy and antipathy are common manifestations of diabetes. The most serious about such problem is the diabetic foot, which may lead to eventual ulceration and amputation, and will decrease a patient’s quality of life dramatically. Objectives The aim of this study is to assess the level of foot self-care and foot conditions in diabetic patients, and to demonstrate the role of self-care education in diabetic foot care. Patients and Methods A total of 80 d...

  10. Evaluation of Δ9-tetrahydrocannabinol metabolites and oxidative stress in type 2 diabetic rats

    OpenAIRE

    Coskun, Zeynep Mine; Bolkent, Sema

    2016-01-01

    Objective(s): The object of the study is to examine the effects of Δ9-tetrahydrocannabinol (THC) against oxidative stress in the blood and excretion of THC metabolites in urine of type 2 diabetic rats. Materials and Methods: The control (n=8), THC control (n=6), diabetes (n=8) and diabetes + THC (n=7) groups were created. Type 2 diabetes was induced by nicotinamide (NA, 85 mg/kg) + streptozotocin (STZ, 65 mg/kg). THC was administered intraperitoneally for seven days. The glutathione (GSH) lev...

  11. Evaluation of corneal nerve morphology for detection and follow-up of diabetic peripheral neuropathy

    OpenAIRE

    Otel, Iulian

    2012-01-01

    A Diabetes Mellitus, principalmente a Diabetes tipo 2, é uma das doenças crónicas mais prevalentes, e mais desafiantes. A diabetes atinge uma grande parte da população mundial, com este número a aumentar consideravelmente nos últimos anos. Esta doença metabólica afeta substancialmente a qualidade da vida, resultando em complicações graves, que são as principais causas da morbidez e mortalidade. Estão associadas à diabetes várias complicações crónicas. Uma das mais frequentes é a neuropatia...

  12. Colloquium on Central Asia

    International Nuclear Information System (INIS)

    This colloquium on Azerbaijan was organized by the direction of international relations of the French Senate and the French center of foreign trade (CFCE). This document gathers the interventions of the participants and the debates with the audience following these interventions. The topics treated concern: - the present day political-economical situation of Central Asia countries (problem of borders, relations with Russia and China); - the economies of Central Asia countries: short term problems and medium-term perspectives; - the relations with the European Union (political, economical, trade and investments, perspectives); - the European energy stakes of Caspian sea (oil and gas reserves, development of hydrocarbon resources, exploitation and transport constraints, stakes for Europe and France); - TotalFinaElf company in Central Asia (Kazakhstan, Azerbaijan, enclavement problem); - the economical impacts of the TRACECA pathway (Transport Corridor Europe Caucasus Asia). (J.S.)

  13. Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care

    Directory of Open Access Journals (Sweden)

    Ware Robert S

    2010-05-01

    Full Text Available Abstract Background Type 2 Diabetes Mellitus is one of the most disabling chronic conditions worldwide, resulting in significant human, social and economic costs and placing huge demands on health care systems. The Inala Chronic Disease Management Service aims to improve the efficiency and effectiveness of care for patients with type 2 diabetes who have been referred by their general practitioner to a specialist diabetes outpatient clinic. Care is provided by a multidisciplinary, integrated team consisting of an endocrinologist, diabetes nurse educators, General Practitioner Clinical Fellows (general practitioners who have undertaken focussed post-graduate training in complex diabetes care, and allied health personnel (a dietitian, podiatrist and psychologist. Methods/Design Using a geographical control, this evaluation study tests the impact of this model of diabetes care provided by the service on patient outcomes compared to usual care provided at the specialist diabetes outpatient clinic. Data collection at baseline, 6 and 12-months will compare the primary outcome (glycaemic control and secondary outcomes (serum lipid profile, blood pressure, physical activity, smoking status, quality of life, diabetes self-efficacy and cost-effectiveness. Discussion This model of diabetes care combines the patient focus and holistic care valued by the primary care sector with the specialised knowledge and skills of hospital diabetes care. Our study will provide empirical evidence about the clinical effectiveness of this model of care. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12608000010392.

  14. Comprehensive Evaluation of Anti-hyperglycemic Activity of Fractionated Momordica charantia Seed Extract in Alloxan-Induced Diabetic Rats

    Directory of Open Access Journals (Sweden)

    Shailesh Kumar Choudhary

    2012-01-01

    Full Text Available The present study evaluates anti-hyperglycemic activity of fractionated Momordica charantia (bitter gourd seed extracts. Fasting blood glucose levels were evaluated before and after administration of different fractions of the seed extract. Among the three fractions tested, fraction Mc-3 (15 mg/kg b.wt. showed the maximum anti-hyperglycemic activity and reduced blood glucose levels in experimental diabetic rats significantly. The activities of the key regulatory enzymes of glucose metabolism (hexokinase, pyruvate kinase, lactate dehydrogenase, and glucose-6-phosphate dehydrogenase were determined in Mc-3-treated diabetic animals. Once-daily administration of the fraction Mc-3 for prolonged period of 18 days to the experimental diabetic animals did not result in any nephrotoxicity or hepatotoxicity as evident from insignificant changes in biochemical parameters indicative of liver and kidney functions. Further fractionation of the fraction Mc-3 by size exclusion chromatography resulted in a fraction, designated Mc-3.2, possessing anti-hyperglycemic activity. The fraction Mc-3.2 showed the presence of a predominant protein band of ~11 kDa on SDS-PAGE. Loss in anti-hyperglycemic activity of the Mc-3.2 upon protease treatment indicates the proteinaceous nature of the anti-hyperglycemic principles. Overall, the results suggest that Momordica charantia seeds contain an effective anti-hyperglycemic protein(s which may find application in treatment of diabetes without evident toxic effects.

  15. Development and Evaluation of a Computer-Based, Self-Management Tool for People Recently Diagnosed with Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Alison O. Booth

    2016-01-01

    Full Text Available Aim. The purpose of this study was to develop and evaluate a computer-based, dietary, and physical activity self-management program for people recently diagnosed with type 2 diabetes. Methods. The computer-based program was developed in conjunction with the target group and evaluated in a 12-week randomised controlled trial (RCT. Participants were randomised to the intervention (computer-program or control group (usual care. Primary outcomes were diabetes knowledge and goal setting (ADKnowl questionnaire, Diabetes Obstacles Questionnaire (DOQ measured at baseline and week 12. User feedback on the program was obtained via a questionnaire and focus groups. Results. Seventy participants completed the 12-week RCT (32 intervention, 38 control, mean age 59 (SD years. After completion there was a significant between-group difference in the “knowledge and beliefs scale” of the DOQ. Two-thirds of the intervention group rated the program as either good or very good, 92% would recommend the program to others, and 96% agreed that the information within the program was clear and easy to understand. Conclusions. The computer-program resulted in a small but statistically significant improvement in diet-related knowledge and user satisfaction was high. With some further development, this computer-based educational tool may be a useful adjunct to diabetes self-management. This trial is registered with clinicaltrials.gov NCT number NCT00877851.

  16. Games and Diabetes: A Review Investigating Theoretical Frameworks, Evaluation Methodologies, and Opportunities for Design Grounded in Learning Theories.

    Science.gov (United States)

    Lazem, Shaimaa; Webster, Mary; Holmes, Wayne; Wolf, Motje

    2016-03-01

    Here we review 18 articles that describe the design and evaluation of 1 or more games for diabetes from technical, methodological, and theoretical perspectives. We undertook searches covering the period 2010 to May 2015 in the ACM, IEEE, Journal of Medical Internet Research, Studies in Health Technology and Informatics, and Google Scholar online databases using the keywords "children," "computer games," "diabetes," "games," "type 1," and "type 2" in various Boolean combinations. The review sets out to establish, for future research, an understanding of the current landscape of digital games designed for children with diabetes. We briefly explored the use and impact of well-established learning theories in such games. The most frequently mentioned theoretical frameworks were social cognitive theory and social constructivism. Due to the limitations of the reported evaluation methodologies, little evidence was found to support the strong promise of games for diabetes. Furthermore, we could not establish a relation between design features and the game outcomes. We argue that an in-depth discussion about the extent to which learning theories could and should be manifested in the design decisions is required. PMID:26337753

  17. Development and Evaluation of a Computer-Based, Self-Management Tool for People Recently Diagnosed with Type 2 Diabetes.

    Science.gov (United States)

    Booth, Alison O; Lowis, Carole; Hunter, Steven J; Dean, Moira; Cardwell, Chris R; McKinley, Michelle C

    2016-01-01

    Aim. The purpose of this study was to develop and evaluate a computer-based, dietary, and physical activity self-management program for people recently diagnosed with type 2 diabetes. Methods. The computer-based program was developed in conjunction with the target group and evaluated in a 12-week randomised controlled trial (RCT). Participants were randomised to the intervention (computer-program) or control group (usual care). Primary outcomes were diabetes knowledge and goal setting (ADKnowl questionnaire, Diabetes Obstacles Questionnaire (DOQ)) measured at baseline and week 12. User feedback on the program was obtained via a questionnaire and focus groups. Results. Seventy participants completed the 12-week RCT (32 intervention, 38 control, mean age 59 (SD) years). After completion there was a significant between-group difference in the "knowledge and beliefs scale" of the DOQ. Two-thirds of the intervention group rated the program as either good or very good, 92% would recommend the program to others, and 96% agreed that the information within the program was clear and easy to understand. Conclusions. The computer-program resulted in a small but statistically significant improvement in diet-related knowledge and user satisfaction was high. With some further development, this computer-based educational tool may be a useful adjunct to diabetes self-management. This trial is registered with clinicaltrials.gov NCT number NCT00877851. PMID:27446961

  18. Haemoglobinopathies in Southeast Asia

    OpenAIRE

    Fucharoen, Suthat; Winichagoon, Pranee

    2011-01-01

    In Southeast Asia α-thalassaemia, β-thalassaemia, haemoglobin (Hb) E and Hb Constant Spring (CS) are prevalent. The abnormal genes in different combinations lead to over 60 different thalassaemia syndromes, making Southeast Asia the locality with the most complex thalassaemia genotypes. The four major thalassaemic diseases are Hb Bart's hydrops fetalis (homozygous α-thalassaemia 1), homozygous β-thalassaemia, β-thalassaemia/Hb E and Hb H diseases. α-Thalassaemia, most often, occurs from gene ...

  19. World review: Asia

    International Nuclear Information System (INIS)

    The article gives information on contracts announced (and to whom) throughout Asia in all aspects of the petroleum, natural gas and petrochemicals industries. Countries specifically mentioned are Australia, Azerbaijan, Cambodia, China, India, Indonesia, Malaysia, Pakistan, Singapore, Taiwan, Thailand, Turkmenistan and Vietnam. It is expected that soon after 2000, oil demand in Southeast Asia will resume growth at 4-5% per annum and demand for petroleum products in China will more than double by 2010

  20. Blood glucose testing and primary prevention of diabetes mellitus type 2 - evaluation of the effect of evidence based patient information

    Directory of Open Access Journals (Sweden)

    Giani Guido

    2010-01-01

    Full Text Available Abstract Background Evidence-based patient information (EBPI has been recognised as important tool for informed choice in particular in the matter of preventive options. An objective, on the best scientific evidence-based consumer information about subthreshold elevated blood glucose levels (impaired fasting glucose and impaired glucose tolerance and primary prevention of diabetes, is not available yet. Thus we developed a web-based EBPI and aim to evaluate its effects on informed decision making in people 50 years or older. Methods/Design We conduct a web-based randomised-controlled trial to evaluate the effect of information about elevated blood glucose levels and diabetes primary prevention on five specific outcomes: (i knowledge of elevated blood glucose level-related issues (primary outcome; (ii attitudes to a metabolic testing; (iii intention to undergo a metabolic testing; (iv decision conflict; (v satisfaction with the information. The intervention group receives a specially developed EBPI about subthreshold elevated blood glucose levels and diabetes primary prevention, the control group information about this topic, available in the internet. The study population consists of people between 50 and 69 years of age without known diabetes. Participants will be recruited via the internet page of the cooperating health insurance company, Techniker Krankenkasse (TK, and the internet page of the German Diabetes Centre. Outcomes will be measured through online questionnaires. We expect better informed participants in the intervention group. Discussion The design of this study may be a prototype for other web-based prevention information and their evaluation. Trial registration Current Controlled Trial: ISRCTN22060616.

  1. Evaluation of the Effect of Hydroalcoholic Extract of Citrullus colocynthis in Normoglycemic and Streptozocine (STZ Induced Diabetic Male Rats

    Directory of Open Access Journals (Sweden)

    MR Nikbakht

    2006-07-01

    Full Text Available Introduction & Objective: Adverse side effects of chemical drugs for treatment of diabetes persuaded the using of medical plants. Citrullus colocynthis is a plant which has been used traditionally for treatment of diabetes. The purpose of this study was to evaluate the effect of hydroalcholic extract of Citrullus colocynthis fruit on normoglycemic and streptozocine induced diabetic rats. Materials & Methods: 45 male Wistar rats weighing, 250-350 gr, have been selected and randomly divided in seven groups. Group1 without any drugs usage, group 2 that received normal saline (IV and distilled water (oral, group 3 received only streptozocine (IV, group 4 received only the extract of Citrullus colocynthis (1000 mg/kg, groups 5, 6 and 7 received 500, 1000 and 1500 mg/kg of Citrullus colocynthis extract after injection of STZ and induction of diabetes. Diabetes was induced by intravenous injection (45 mg/kg of STZ. Blood sampling was provided directly from animal heart and blood sugar was measured. The collected data were analyzed by SPSS software using students t-test and ANOVA. Results: Mean of normal blood sugar in control group was 156.5±15.7 mg/dl which defined as normal blood sugar. Streptozocine significantly increased blood sugar (p<0.05. The Citrullus colocynthis extract with 500 mg/kg dosage has not significantly reduced the blood sugar but is dosage of 1000 and 1500 mg/kg significantly decreased the blood sugar in a dose-dependent mode (p<0.05. Results also showed that the extract in dosage of 1000 mg/kg did not have a significant effect on normoglycemic animals. Conclusion: Results of this study indicate that the extract of Citrullus colocynthis fruit dose-dependently reduced the blood glucose level in streptozocine-induced diabetic rats but did not have significant effect on normal blood sugar.

  2. Field of Dreams Program Evaluation: Empowering the Latino Population in Type2 Diabetes Self-Management

    Science.gov (United States)

    Urteaga, Edie

    2011-01-01

    Adult onset, type2 diabetes affects Latino families at a higher rate than other ethnicities and negatively impacting their quality of life, ability to financially succeed, and ultimately impacting our overall economy. Multiple resources are available in the country to help people learn how to prevent, control, and manage diabetes. However, the…

  3. MRI evaluation of end-organ damage in diabetes and hypertension

    NARCIS (Netherlands)

    Elderen, Saskia Gerdina Cornelia van

    2010-01-01

    Our studies have shown MRI assessed aortic stiffness being an integrated marker of cardiac function, cerebral small vessel disease and atrophy, as well as of renal function in type1 diabetes mellitus patients. Aortic stiffness already in normal range is related to end-organ damage in type1 diabetes

  4. Evaluation of an Instruction Program on Diabetes Diet by Means of a Teaching Machine

    Science.gov (United States)

    Teuscher, A.; Heidecker, Barbara

    1976-01-01

    A study of 119 diabetic patients, student nurses, social workers, dieticians, and medical students indicates that programmed self-teaching with feedback by multiple-choice questions is an efficient method of instruction of basic facts of nutrition for diabetes. It enables the physician to spend more time on the patient's personal problems.…

  5. ECHOCARDIOGRAPHIC EVALUATION OF DIASTOLIC DYSFUNCTION IN ASYMPTOMATIC TYPE 2 DIABETES MELLITUS PATIENTS

    Directory of Open Access Journals (Sweden)

    Madhumathi

    2014-01-01

    Full Text Available INTRODUCTION: As per the latest edition of International Diabetes Federation(IDF Diabetes Atlas , diabetes mellitus currently affects approximately 371 million people worldwide , and majority (90% - 95% have type 2 diabetes mell itus , which is considered a metabolic cum vascular disease. The morbidity and mortality due to type 2 DM is due to its micro and macrovascular complications which affect nearly every organ system in the body – particularly heart. There is a marked increase in incidence of congestive heart failure , coronary artery disease in diabetic patients. The relative risk of developing heart failure is 3.8 in diabetic men and 5.5 in diabetic women , when compared with non - diabetic individuals. Despite similar left ventr icular systolic dysfunction , patients with diabetes have more pronounced heart failure symptoms , use more diuretics , and have an adverse prognosis compared with those without diabetes; one putative explanation for these discrepancies is diastolic dysfunction of the left ventricle in diabetes mellitus. Left ventricular diastolic dysfunction thus represent the first stage of diabetic cardiomyopathy preceding changes in systolic function. The diastolic abnormalities are present in diabetic patients with out overt diabetic complications of cardiovascular system , reinforcing the importance of early examination of ventricular function in individuals with diabetes mellitus. MATERIALS AND METHODS : This was a cross sectional study, conducted over a period of one year from August 2012 to August 2013. 50 patients with type 2 DM who had no symptoms of cardiovascular disease with normal BP and normal ECG were enrolled. Informed consent was obtained from the patients and they underwent a thorough physical examination, supported by laboratory investigations. A Doppler 2D echo was done in each patient and a calculation of LV ejection fraction, LA di mension, E velocity, A velocity and E/A ratio were done. E/A ratio of 60

  6. The medical evaluation of patients with diabetes mellitus in exercise therapy.

    Science.gov (United States)

    Yamada, J; Tanaka, S; Sato, T; Suzuki, R; Fujii, S

    1991-12-01

    To investigate myocardial ischemia during exercise, submaximal exercise testing with electrocardiogram and thallium 201-myocardial scintigraphy was performed in non-insulin-dependent diabetics. The relationship between plasma atrial natriuretic polypeptide (ANP) levels in response to exercise and cardiac function assessed by echocardiography was also examined. The following results were obtained: 1) Twelve of the 66 diabetics (18.2%) had ischemic ST-segment changes in exercise ECGs, compared with 4 of 75 control subjects (5.3%)(p less than 0.05). Of the 12 diabetics with positive exercise ECGs, 10 were asymptomatic. 2) The washout rate in thallium-201 myocardial scintigraphy was significantly less in diabetics with positive exercise ECGs (36.5 +/- 4.1%) than in controls (51.9 +/- 2.8%)(p less than 0.05). 3) Although no difference in heart rate were observed between diabetics and controls, diabetic patients had significantly higher systolic blood pressure than controls during all stages of exercise and at maximal exertion. Rate pressure products in stages 1 and 2 were significantly higher in diabetics than in controls. 4) The increase of plasma ANP concentration during moderate exercise (VO2 max 60%) was significantly greater in diabetics than in controls (32.3 +/- 11.9 pg/ml vs. 15.0 +/- 1.7 pg/ml)(p less than 0.02). 5) There was a significant correlation between the increase in plasma ANP during exercise and the levels of left ventricular diastolic function (A/R:r = 0.504, p less than 0.05, IRT:r = 0.587, p less than 0.02), assessed by echocardiography, in diabetics. In conclusion, this study demonstrated that the frequency of asymptomatic myocardial ischemia during exercise was higher in diabetics than in controls.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1840303

  7. Evaluating the Effects of Regular Exercise and Magnesium Sulfate on Pain Threshold in Diabetic Rats

    Directory of Open Access Journals (Sweden)

    Ali Heidarianpour

    2013-06-01

    Full Text Available Introduction: Peripheral neuropathy is an important complication of diabetes mellitus. It has been shown that hyperglycemia and oxidative stress are major etiological factors in neuropathy and contribute to its development. Since regular exercise and oral magnesium supplementation can reduce hyperglycemia induced by diabetes and also have antioxidant effects, therefore this study was designed to examine the effects of regular exercise and magnesium sulfate administration on thermal pain threshold in streptozocin-induced diabetic rats. Methods: 30 male Wistar rats weighed 220±10 gwere made diabetic by streptozotocin (60 mg/kg, subcutaneously. One week after diabetes induction, animals were undergone swimming training and magnesium sulfate treatment for 8 weeks; first, they swim 60 min for 3 weeks, then 90 min for 2 weeks, and finally 120 min for 3 weeks. Magnesium sulfate (10 g/l was added into the drinking water once diabetes was established (One week after diabetes induction and continued for 8 weeks. 48 h after the end of each stage, tail-flick test was performed to assess the effects of training and magnesium sulfate on thermal pain threshold. The comparison of means was done using independent- sample t-test and repeated measure analysis of variance. Results: A significant decrease in thermal pain threshold was seen in diabetic rats through 5 and 8 weeks. Diabetic induced hyperalgesia were decreased significantly by training and magnesium sulfate. Combined effects of training and magnesium sulfate on thermal pain threshold are significantly higher than one of them alone. Conclusion: It is concluded that regular exercise and magnesium sulfate administration may be able torestore thermal hyperalgesia in diabetes. Future studies are required to establish the effects of these factors on treatment and/or management of painful conditions.

  8. DESIGN, DEVELOPMENT AND EVALUATION OF BILAYER TABLET USING NATEGLINIDE FOR THE MANAGEMENT OF DIABETES

    Directory of Open Access Journals (Sweden)

    M. D. Bhadange

    2015-08-01

    Full Text Available The aim of present study is to formulate Nateglinide sustained release (SR and immediate release (IR bilayer tablet by different concentration of Hydroxypropyl methylcellulose (HPMC and HPMC K 100 M to control the release pattern. The sustained release layer of Nateglinide was prepared by using different grades of HPMC like, HPMC K-100, HPMC along with other excipients by direct compression technique. The immediate release layer of Nateglinide was prepared by Cross carmellose sodium and Sodium starch glycolate by direct compression technique. The powders were evaluated for their flow properties and the finished tablets were evaluated for their physical parameters. The both immediate release and sustained release layers of Nateglinide were characterized by FT-IR and in vitro dissolution studies. The drug release study of Nateglinide was evaluated using USP-II paddle type dissolution apparatus. The release rate of Nateglinide in immediate release layer was studied for 1h in 0.1 N HCL media and that of Nateglinide in sustained release layer was studied for 12 h in pH 6.8 phosphate buffer media. From the nine batches S5 batch showed good release behaviour 94.92% of drug is released over 12 hours. Nateglinide is a poorly water soluble (BCS class 2 ant diabetic drug. Due to the poor water solubility of this drug, its bioavailability is dissolution rate-limited. Total four trial batches of each drug have been manufactured to optimize and develop a robust and stable formulation, the stability studies of the products also comply with ICH guideline.

  9. Amlodipine versus angiotensin II receptor blocker; control of blood pressure evaluation trial in diabetics (ADVANCED-J

    Directory of Open Access Journals (Sweden)

    Ikeda Shunya

    2006-10-01

    Full Text Available Abstract Background The coexistence of type 2 diabetes mellitus and hypertension increases the risk of cardiovascular diseases. The U.K. Prospective Diabetes Study has shown that blood pressure control as well as blood glucose control is efficient for prevention of complications in hypertensive patients with diabetes mellitus. However, some reports have shown that it is difficult to control the blood pressure and the concomitant use of a plurality of drugs is needed in hypertensive patients with diabetes mellitus. In recent years renin-angiotensin system depressants are increasingly used for the blood pressure control in diabetic patients. Particularly in Japan, angiotensin II (A II antagonists are increasingly used. However, there is no definite evidence of the point of which is efficient for the control, the increase in dose of A II antagonist or the concomitant use of another drug, in hypertensive patients whose blood pressure levels are inadequately controlled with A II antagonist. Methods/Design Hypertensive patients of age 20 years or over with type 2 diabetes mellitus who have been treated by the single use of AII antagonist at usual doses for at least 8 weeks or patients who have been treated by the concomitant use of AII antagonist and an antihypertensive drug other than calcium channel blockers and ACE inhibitors at usual doses for at least 8 weeks are included. Discussion We designed a multi-center, prospective, randomized, open label, blinded-endpoint trial, ADVANCED-J, to compare the increases in dose of A II antagonist and the concomitant use of a Ca-channel blocker (amlodipine and A II antagonist in hypertensive patients with diabetes mellitus, whose blood pressure levels were inadequately controlled with A II antagonist. This study is different from the usual previous studies in that home blood pressures are assessed as indicators of evaluation of blood pressure. The ADVANCED-J study may have much influence on selection of

  10. Evaluation of Anti-Inflammatory, Anti-diabetic activityof Indian Bauhinia vahlii (stembark)

    Institute of Scientific and Technical Information of China (English)

    Das Surya Narayan; Patro Varanashi Jagannath; Dinda Subas Chandra

    2012-01-01

    Objective: To evaluate the anti-inflammatory and antidiabetic property of Bauhinia vahlii (stem bark) with preliminary phytochemical profile of the extracts. Methods: The dried whole plant material (1400 g) was packed in soxhlet apparatus and extracted successively with Pet. Ether (PE) to defat the drug, petroleum ether was removed from the powdered defatted drug which was then extracted with benzene (BE), chloroform(CE) and 95% of Ethanol (EE) as increasing polarity and all extracts screened for anti-inflammatory and antidiabetic activity using carrageenan induced paw edema and streptozotacin induced diabetic respectively. The toxicity and phytochemical screening were done using standard procedure. Result: The preliminary phytochemical tests revealed the presence of alkaloids, flavonoids, phytosterol, phenolic compounds, and glycoside. While carbohydrates, protein, gums and amino acids were absent. The acute toxicity study of various extracts of Bauhinia vahlii was conducted and dose of 353 mg/kg is fixed for anti-inflammatory and antidiabetic perperty. The pet ether, chloroform and ethanolic extract ofBauhinia vahlii significantly decreased the paw edema induced by carrageenin in rats at a dose of 353 mg/kg comparable to standard ibuprofen (100 mg/kg). Similarly in case of antidiabetic property, the ethanolic and chloroform extract of Bauhinia vahlii at a dose level 353 mg/kg, showed significant reduction in blood sugar level from 2 to 24 h in progressive manner comparable to standard glibenclamide (5mg/kg).

  11. Evaluation of Neonatal Streptozotocin Induced Diabetic Rat Model for the Development of Cataract

    Directory of Open Access Journals (Sweden)

    Madhoosudan A. Patil

    2014-01-01

    Full Text Available Type 2 diabetes (T2D generally follows prediabetes (PD conditions such as impaired fasting glucose (IFG and/or impaired glucose tolerance (IGT. Although studies reported an association of IGT or IFG with cataract, the experimental basis for PD associated cataract is not known. Hence, we evaluated neonatal streptozotocin (nSTZ induced rat model to study PD associated cataractogenesis by injecting STZ to two-day old rats. While majority (70% of nSTZ injected pups developed IGT (nSTZ-PD by two months but not cataract even after seven months, remaining (30% nSTZ rats developed hyperglycemia (nSTZ-D by two months and mature cataract by seven months. Lens biochemical analysis indicated increased oxidative stress as indicated by increased SOD activity, lipid peroxidation, and protein carbonyl levels in nSTZ-D cataractous lens. There was also increased polyol pathway as assessed by aldose reductase activity and sorbitol levels. Though nSTZ-PD animals have not shown any signs of lenticular opacity, insolubilization of proteins along with enhanced polyol pathway was observed in the lens. Further there was increased oxidative stress in lens of IGT animals. These results suggest that oxidative stress along with increased polyol pathway might play a role in IGT-associated lens abnormalities. In conclusion, nSTZ-PD rat model could aid to investigate IGT-associated lens abnormalities.

  12. EVALUATION OF A BREAKFAST AS SCREENING TEST FOR THE DETECTION OF GESTATIONAL DIABETES

    Directory of Open Access Journals (Sweden)

    L. Eslamian Z. Ramezani

    2008-04-01

    Full Text Available A standard breakfast was evaluated as a screening test (BT for gestational diabetes in a case-control study. Blood sugar (BS was measured 1 hour after a breakfast that had 50gr simple sugar and was designed based on women preferences. In the same women glucose challenge test (GCT, 50gr 1hour glucose screening test was performed one week later in randomized sequential. Cutoff values for both tests was 130 mg/dl. For both or one positive test GTT (100gr-oral glucose tolerance test was performed. Sensitivity and specificity; optimal cutoff and concordance of both tests with GTT were calculated by X2, receiver operating characteristic (ROC curve and kappa test. 41 women (29.3% had positive GCT and 28 women (20% had positive BT. 12 women (8.57% had positive GTT. For BT and GCT, a sensitivity of 83.3% and 91.7% and specificity of 85.9% and 76.6% with cutoff level ≥ 130 mg/dl at 60 minute were found respectively. Optimal cutoff for BT and GCT were 130 mg/dl and 135 mg/dl respectively. Concordance of GTT with GCT and BT was 0.429 and 0.432, respectively. Standard breakfast can be used as an alternative method for assessing carbohydrate intolerance in pregnancy with same physiological response, better compliance and low cost.

  13. Comparative study to evaluate the anti-diabetic activity of commercially available extract of Tinospora cordifolia and Phyllanthus emblica in streptozocin induced diabetic rat

    Directory of Open Access Journals (Sweden)

    Nishant Pathak

    2016-08-01

    Conclusions: Commercially available extract of Tinospora cordifolia and Phyllanthus emblica have significant anti-diabetic activity in streptozocin induced diabetic rats. [Int J Basic Clin Pharmacol 2016; 5(4.000: 1641-1646

  14. A Pooled Analysis Evaluating the Efficacy and Tolerability of Tapentadol Extended Release for Chronic, Painful Diabetic Peripheral Neuropathy

    OpenAIRE

    Schwartz, Sherwyn; Etropolski, Mila S.; Shapiro, Douglas Y.; Rauschkolb, Christine; Vinik, Aaron I.; Lange, Bernd; Cooper, Kimberly; Van Hove, Ilse; Haeussler, Juergen

    2014-01-01

    Background and Objective Data from two similarly designed studies of tapentadol extended release (ER) for managing neuropathic pain associated with diabetic peripheral neuropathy (DPN; NCT00455520, NCT01041859) in adults were pooled for this analysis, allowing a detailed evaluation of efficacy in patient subgroups and secondary endpoints. Methods In each study, patients were titrated to their optimal dose of open-label tapentadol ER [100–250 mg twice daily (bid)] over 3 weeks. Patients with ≥...

  15. PHARMACOECONOMIC EVALUATION AND AN AUDIT OF QUALITY OF LIFE IN HYPERTENSIVE AND DIABETICS IN A RURAL TERTIARY CARE HOSPITAL

    OpenAIRE

    K V Ramanath; Saroj Paudel

    2015-01-01

    Introduction: Healthcare budget pressure, justification of current expenditures and investments in public health care/individul are flattering a priority in chronic diseases. Hence, this study was carried out with the objective to evaluate the cost of illness in Diabetic Mellitus (DM) and Hypertension (HTN) and their Quality of life (QOL). Method: It was a prospective and Interventional study conducted in patients over a period of 9 months. The data were subjected to a descriptive statistical...

  16. Evaluation of the Response to Ranibizumab Therapy following Bevacizumab Treatment Failure in Eyes with Diabetic Macular Edema

    OpenAIRE

    Hanhart, Joel; Chowers, Itay

    2015-01-01

    Background/Aims Bevacizumab and ranibizumab are routinely used to treat diabetic macular edema (DME). We aim to evaluate the usefulness of switching to ranibizumab therapy following bevacizumab treatment failure in eyes with DME. Methods We performed a retrospective analysis of a consecutive group of patients with DME who received ranibizumab injections following the failure of bevacizumab injections. The injections were delivered following a pro re nata protocol every 4–6 weeks. The data col...

  17. A survey of paediatric HIV programmatic and clinical management practices in Asia and sub-Saharan Africa—the International epidemiologic Databases to Evaluate AIDS (IeDEA

    Directory of Open Access Journals (Sweden)

    IeDEA Pediatric Working Group

    2013-01-01

    Full Text Available Introduction: There are limited data on paediatric HIV care and treatment programmes in low-resource settings. Methods: A standardized survey was completed by International epidemiologic Databases to Evaluate AIDS paediatric cohort sites in the regions of Asia-Pacific (AP, Central Africa (CA, East Africa (EA, Southern Africa (SA and West Africa (WA to understand operational resource availability and paediatric management practices. Data were collected through January 2010 using a secure, web-based software program (REDCap. Results: A total of 64,552 children were under care at 63 clinics (AP, N=10; CA, N=4; EA, N=29; SA, N=10; WA, N=10. Most were in urban settings (N=41, 65% and received funding from governments (N=51, 81%, PEPFAR (N=34, 54%, and/or the Global Fund (N=15, 24%. The majority were combined adult–paediatric clinics (N=36, 57%. Prevention of mother-to-child transmission was integrated at 35 (56% sites; 89% (N=56 had access to DNA PCR for infant diagnosis. African (N=40/53 but not Asian sites recommended exclusive breastfeeding up until 4–6 months. Regular laboratory monitoring included CD4 (N=60, 95%, and viral load (N=24, 38%. Although 42 (67% sites had the ability to conduct acid-fast bacilli (AFB smears, 23 (37% sites could conduct AFB cultures and 18 (29% sites could conduct tuberculosis drug susceptibility testing. Loss to follow-up was defined as >3 months of lost contact for 25 (40% sites, >6 months for 27 sites (43% and >12 months for 6 sites (10%. Telephone calls (N=52, 83% and outreach worker home visits to trace children lost to follow-up (N=45, 71% were common. Conclusions: In general, there was a high level of patient and laboratory monitoring within this multiregional paediatric cohort consortium that will facilitate detailed observational research studies. Practices will continue to be monitored as the WHO/UNAIDS Treatment 2.0 framework is implemented.

  18. Evaluate the effect of oat-beta glucan in controlling blood glucose levels among type 2 diabetic individuals

    Directory of Open Access Journals (Sweden)

    Ahmad Abdulualrazag Ali Albalawi

    2016-05-01

    Full Text Available Diabetes mellitus (DM is a metabolic disorder characterized by inappropriate hyperglycemia due to deficiency in producing insulin or inefficient action of this hormone. Patients with DM are frequently afflicted with ischemic vascular disease, wound healing defect, vascular alterations, myocardic infarction, nephropathies, retinopathies and neuropathies. The uses of hypoglycemic agents or insulin are the common conventional treatments of diabetes. However, the frequent use of such expensive medications increased the financial burden upon patients. Low glycaemic food consumption is a very fruitful alternative in controlling diabetes. Foods that are rich in fiber are on the top of the glycaemic index and the potential component is beta glucan. The evidence of consuming oat beta-glucan to enhance glycaemia and insulin levels is not well established. So, the objective of this overview review is to evaluate the effect of oat-beta glucan in controlling blood glucose levels among type 2 diabetic individuals. [Int J Res Med Sci 2016; 4(5.000: 1309-1312

  19. Clinical study of GFR and split renal GFR in evaluating the glomerular function in patients with type 2 diabetes

    International Nuclear Information System (INIS)

    Objective: To assess glomerular filtration function in patients with type 2 diabetes by glomerular filtration rate (GFR) and split GFR, namely left GFR (LGFR) and right GFR (RGFR). Methods: Fifty-one patients with type 2 diabetes were classified by urine albumin analysis into three groups, normalalbuminuria group (NA), microalbuminuria group(MA) and macroalbuminuria group (MAA) . Twelve patients without diabetes were included into control group. 99Tcm-DTPA renography was performed on all these cases. GFR and split GFR were calculated by Gates formula. Results: 1) GFR, LGFR and RGFR of NA group were lower than that of the control group. 2) GFR, LGFR and RGFR were significantly correlated with the urine albumin level (r=-0.457, -0.412, -0.424, respectively, P all < 0.01). 3) In all 51 cases, there were 5 cases whose GFR were normal while split GFR were abnormal. Conclusions: 1) GFR and split GFR measurement can detect the incipient damage of glomerular function more sensitively than urine albumin analysis and show the degree of the damage correctly. 2) Split GFR measurement can improve the evaluation of the glomerular function in type 2 diabetes patients

  20. Evaluation of risk equations for prediction of short-term coronary heart disease events in patients with long-standing type 2 diabetes: the Translating Research into Action for Diabetes (TRIAD study

    Directory of Open Access Journals (Sweden)

    Lu Shou-En

    2012-07-01

    Full Text Available Abstract Background To evaluate the U.K. Prospective Diabetes Study (UKPDS and Framingham risk equations for predicting short-term risk of coronary heart disease (CHD events among adults with long-standing type 2 diabetes, including those with and without preexisting CHD. Methods Prospective cohort of U.S. managed care enrollees aged ≥ 18 years and mean diabetes duration of more than 10 years, participating in the Translating Research into Action for Diabetes (TRIAD study, was followed for the first occurrence of CHD events from 2000 to 2003. The UKPDS and Framingham risk equations were evaluated for discriminating power and calibration. Results A total of 8303 TRIAD participants, were identified to evaluate the UKPDS (n = 5914, 120 events, Framingham-initial (n = 5914, 218 events and Framingham-secondary (n = 2389, 374 events risk equations, according to their prior CHD history. All of these equations exhibited low discriminating power with Harrell’s c-index Conclusions The UKPDS and Framingham risk equations may be inappropriate for predicting the short-term risk of CHD events in patients with long-standing type 2 diabetes, partly due to changes in medications used by patients with diabetes and other improvements in clinical care since the Frmaingham and UKPDS studies were conducted. Refinement of these equations to reflect contemporary CHD profiles, diagnostics and therapies are needed to provide reliable risk estimates to inform effective treatment.

  1. Asia electricity study

    International Nuclear Information System (INIS)

    Electricity demand in Asia has grown and continues to grow rapidly. Over 40 per cent of the world's growth in electricity output up to 2010 is expected to come from China and East and South Asia. The need to build the additional production capacity to meet demand is the driving force behind the major structural and institutional changes that are presently transforming the electricity sectors throughout the region. The Asia Electricity Study looks in detail at the current and future role of the electricity sectors in Indonesia, the Philippines and Thailand. It analyses existing and planned electricity policies in areas such as financing regulation, environment and end-use efficiency. To build the region's power infrastructure will require large investments, well beyond what governments or multilateral lending institutions can provide. Consequently, mobilizing private sector participation in the process is vital. Independent Power Producers (IPPs) are being allowed to enter what has, until recently, been a government-dominated field. State-owned utilities are being corporatized and/or privatized to improve their competitiveness. Developing the regulatory environment to match the changes taking place is a key challenge. The significant expansion of generation capacity in Asia will have implications well beyond the region. Changes in energy trade volumes and patterns, caused by the need to obtain fuel for power stations, will have an impact on the energy security of Asia and the world as a whole Similarly, fuel and technology choices will have important consequences for both the regional and global environment. (author)

  2. A Modified User-Oriented Heuristic Evaluation of a Mobile Health System for Diabetes Self-management Support.

    Science.gov (United States)

    Georgsson, Mattias; Staggers, Nancy; Weir, Charlene

    2016-02-01

    Mobile health platforms offer significant opportunities for improving diabetic self-care, but only if adequate usability exists. Expert evaluations such as heuristic evaluation can provide distinct usability information about systems. The purpose of this study was to complete a usability evaluation of a mobile health system for diabetes patients using a modified heuristic evaluation technique of (1) dual-domain experts (healthcare professionals, usability experts), (2) validated scenarios and user tasks related to patients' self-care, and (3) in-depth severity factor ratings. Experts identified 129 usability problems with 274 heuristic violations for the system. The categories Consistency and Standards dominated at 24.1% (n = 66), followed by Match Between System and Real World at 22.3% (n = 61). Average severity ratings across system views were 2.8 (of 4), with 9.3% (n = 12) rated as catastrophic and 53.5% (n = 69) as major. The large volume of violations with severe ratings indicated clear priorities for redesign. The modified heuristic approach allowed evaluators to identify unique and important issues, including ones related to self-management and patient safety. This article provides a template for one type of expert evaluation adding to the informaticists' toolbox when needing to conduct a fast, resource-efficient and user-oriented heuristic evaluation. PMID:26657618

  3. Kedrostis Medik. in Asia

    Directory of Open Access Journals (Sweden)

    W.J.J.O. De Wilde

    2013-04-01

    Full Text Available DE WILDE, W.J.J.O.  & DUYFJES, BRIGITTA E.E. 2004. Kedrostis Medik. in Asia. Reinwardtia 12(2:129 – 133. — Kedrostis (Cucurbitaceae occurs in Africa and Madagascar and comprises 4 (5 species in Asia. Of these 2 species are found in India and Sri Lanka and 2 (3 species in western Malesia. One Malesian species is for the first time included in Kedrostis here, Kedrostis bennettii (Miq. W.J. de Wilde & Duyfjes, and one species is described as new here, Kedrostis hirta W.J. de Wilde & Duyfjes. One more Malesian species is insufficiently known to be formally described.  Keywords: Kedrostis, Cucurbitaceae, SE Asia, taxonomy

  4. Real-World Evaluation of the Effects of Counseling and Education in Diabetes Management

    OpenAIRE

    Dalal, Mehul R.; Robinson, Scott B; Sullivan, Sean D.

    2014-01-01

    Background. Patient education has long been recognized as a component of effective diabetes management, but the impact of counseling and education (C/E) interventions on health care costs is not fully understood.

  5. Evaluation of Δ9-tetrahydrocannabinol metabolites and oxidative stress in type 2 diabetic rats

    Directory of Open Access Journals (Sweden)

    Zeynep Coskun

    2016-02-01

    Full Text Available Objective(s: The object of the study is to examine the effects of Δ9-tetrahydrocannabinol (THC against oxidative stress in the blood and excretion of THC metabolites in urine of type 2 diabetic rats. Materials and Methods: The control (n=8, THC control (n=6, diabetes (n=8 and diabetes + THC (n=7 groups were created. Type 2 diabetes was induced by nicotinamide (NA, 85 mg/kg + streptozotocin (STZ, 65 mg/kg. THC was administered intraperitoneally for seven days. The glutathione (GSH level in erythrocytes and malondialdehyde (MDA level, superoxide dismutase (SOD and catalase (CAT enzyme activities in plasma were measured. THC metabolites were analyzed in urine. Results: The results showed that the erythrocyte GSH levels were significantly increased (P

  6. Multifocal electroretinogram in evaluating retinal function of diabetic macular edema after pars plana vitrectomy

    Institute of Scientific and Technical Information of China (English)

    马进; 吴德正; 高汝龙; 吕林; 张少冲; 文峰; 黄时洲

    2004-01-01

    @@ Beneficial effects of vitrectomy for diabetic macular edema (DME) have been demonstrated in a series of clinical trials. Vitreous surgery is useful in reducing the edema and improving visual acuity.

  7. Evaluation of type 2 diabetes genetic risk variants in Chinese adults

    DEFF Research Database (Denmark)

    Gan, Wei; Walters, Robin G; Holmes, Michael V;

    2016-01-01

    , demonstrated significant interactions with several measures of adiposity (BMI, waist circumference [WC], WHR and percentage body fat [PBF]; all p interaction < 1 × 10(-4)), with a greater effect being observed in leaner adults. CONCLUSIONS/INTERPRETATION: Our study provides further evidence of shared genetic......AIMS/HYPOTHESIS: Genome-wide association studies (GWAS) have discovered many risk variants for type 2 diabetes. However, estimates of the contributions of risk variants to type 2 diabetes predisposition are often based on highly selected case-control samples, and reliable estimates of population......-level effect sizes are missing, especially in non-European populations. METHODS: The individual and cumulative effects of 59 established type 2 diabetes risk loci were measured in a population-based China Kadoorie Biobank (CKB) study of 93,000 Chinese adults, including >7,100 diabetes cases. RESULTS...

  8. Treatment of type 2 diabetes with saxagliptin: a pharmacoeconomic evaluation in Argentina

    OpenAIRE

    Elgart, Jorge F; Caporale, Joaquin E; Gonzalez, Lorena; Aiello, Eleonora; Waschbusch, Maximiliano

    2013-01-01

    Background: The increasing prevalence of diabetes and its inadequate management results in a heavy burden of the disease for the patients, the health and the productive system and the overall community. Consequently, it is necessary to have new effective drugs to treat people with diabetes to decrease such burden. DPP-4 inhibitors can help to cope with this demand, but its usage is challenged by its apparent high cost. The aim of the current study was to compare a simulated cost-effectiveness...

  9. Synthesis and Biological Evaluation of Novel Gigantol Derivatives as Potential Agents in Prevention of Diabetic Cataract

    OpenAIRE

    Wu, Jie; Lu, Chuanjun; Li, Xue; Fang, Hua; Wan, Wencheng; Yang, Qiaohong; Sun, Xiaosheng; Wang, Meiling; Hu, Xiaohong; Chen, C.-Y. Oliver; Wei, Xiaoyong

    2015-01-01

    As a continuation of our efforts directed towards the development of natural anti-diabetic cataract agents, gigantol was isolated from Herba dendrobii and was found to inhibit both aldose reductase (AR) and inducible nitric oxide synthase (iNOS) activity, which play a significant role in the development and progression of diabetic cataracts. To improve its bioefficacy and facilitate use as a therapeutic agent, gigantol (compound 14f) and a series of novel analogs were designed and synthesized...

  10. Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models

    Directory of Open Access Journals (Sweden)

    Chaudhari Monica

    2012-07-01

    Full Text Available Abstract Background About one-third of adults with diabetes have severe oral complications. However, limited previous research has investigated dental care utilization associated with diabetes. This project had two purposes: to develop a methodology to estimate dental care utilization using claims data and to use this methodology to compare utilization of dental care between adults with and without diabetes. Methods Data included secondary enrollment and demographic data from Washington Dental Service (WDS and Group Health Cooperative (GH, clinical data from GH, and dental-utilization data from WDS claims during 2002–2006. Dental and medical records from WDS and GH were linked for enrolees continuously and dually insured during the study. We employed hurdle models in a quasi-experimental setting to assess differences between adults with and without diabetes in 5-year cumulative utilization of dental services. Propensity score matching adjusted for differences in baseline covariates between the two groups. Results We found that adults with diabetes had lower odds of visiting a dentist (OR = 0.74, p  0.001. Among those with a dental visit, diabetes patients had lower odds of receiving prophylaxes (OR = 0.77, fillings (OR = 0.80 and crowns (OR = 0.84 (p 0.005 for all and higher odds of receiving periodontal maintenance (OR = 1.24, non-surgical periodontal procedures (OR = 1.30, extractions (OR = 1.38 and removable prosthetics (OR = 1.36 (p  Conclusions Patients with diabetes are less likely to use dental services. Those who do are less likely to use preventive care and more likely to receive periodontal care and tooth-extractions. Future research should address the possible effectiveness of additional prevention in reducing subsequent severe oral disease in patients with diabetes.

  11. Evaluation of auditory brain-stem evoked response in middle: Aged type 2 diabetes mellitus with normal hearing subjects

    Directory of Open Access Journals (Sweden)

    Debadatta Mahallik

    2014-01-01

    Full Text Available Background: Diabetes mellitus (DM is commonly metabolic disorders of carbohydrate in which blood glucose levels are abnormally high due to relative or absolute insulin deficiency. In addition, it is characterized by abnormal metabolism of fat, protein resulting from insulin deficit or insulin action, or both. There are two broad categories of DM are designated as type 1 and type 2. Type 2 diabetes is due to predominantly insulin resistance with relative insulin deficiency noninsulin-dependent DM. Type 2 diabetes is much more common than insulin-dependent DM. Objectives: The aim of this study was to assess, if there is any abnormality in neural conduction in auditory brain-stem pathway in type 2 DM patients having normal hearing sensitivity when compared to age-matched healthy populations. Materials and Methods: This study included middle - aged 25 subjects having normal hearing with diabetes type 2 mellitus. All were submitted to the full audiological history taking, otological examination, basic audiological evaluation and auditory brain-stem response audiometry which was recorded in both ears, followed by calculation of the absolute latencies of wave I, III and V, as well as interpeak latencies I-III, III-V, I-V. Results: Type 2 DM patients showed significant prolonged absolute latencies of I, III (P = 0.001 and interpeak latencies I-III, III-V and I-V in left ear (P = 0.001 and absolute latencies of I, V (P = 0.001, interpeak latencies III-V was statistically significant in right ear. Conclusions: The prolonged absolute latencies and interpeak latencies suggests abnormal neural firing synchronization or in the transmission in the auditory pathways in normal hearing type 2 diabetes mellitus patients.

  12. Design, implementation, and evaluation of a pediatric and adolescent type 2 diabetes management program at a tertiary pediatric center

    Directory of Open Access Journals (Sweden)

    Samaan MC

    2014-07-01

    Full Text Available M Constantine Samaan,1–3 Marlie Valencia,1 Connie Cheung,1 Boguslaw Wilk,1,3 Keith Lau,1,4 Lehana Thabane1,5–8 1Department of Pediatrics, McMaster University, 2Division of Pediatric Endocrinology, 3Children's Exercise and Nutrition Center, 4Division of Pediatric Nephrology, McMaster Children's Hospital, 5Population Health Research Institute, 6Department of Clinical Epidemiology and Biostatistics, 7Department of Anesthesia, McMaster University, 8Centre for Evaluation of Medicines, Hamilton, ON, Canada Abstract: Global rates of type 2 diabetes in children and adolescents have increased significantly over the past three decades. Type 2 diabetes is a relatively new disease in this age group, and there is a dearth of information about how to structure treatment programs to manage its comorbidities and complications. In this paper, we describe the design and implementation of a personalized multidisciplinary, family-centered, pediatric and adolescent type 2 diabetes program at a tertiary pediatric center in Hamilton, Ontario, Canada. We report the process of designing and implementing such a program, and show that this multidisciplinary program led to improvement in glycated hemoglobin (n=17, 8% at baseline versus 6.4% at 1 year, 95% confidence interval (0.1–0.28, P-value <0.0001 and stabilized body mass index, with lowered C-peptide and no change in fitness or metabolic biomarkers of lipid metabolism and liver function. As type 2 diabetes becomes more prevalent in youth, the need for programs that successfully address the complex nature of this disease is central to its management and to mitigate its long-term adverse outcomes. Keywords: type 2 diabetes, pediatric, adolescents, program design, multidisciplinary

  13. Evaluation of diabetic autonomic neuropathy by 123I-metaiodobenzyl-guanidine (MIBG) cardiac imaging. Initial report

    International Nuclear Information System (INIS)

    Single-photon emission computed tomography was performed in 52 diabetics and 10 healthy volunteers using MIBG. The diabetics had no particular findings of electrocardiography, echocardiography, or exercise thallium imaging and no cardiovascular episodes. The healthy volunteers had no abnormal findings on exercise thallium imaging or glucose tolerance test. The average relative regional uptake (RRU) was decreased in the inferoposterior wall compared with the anterior or lateral wall in both the diabetics and volunteers. According to the RRU and visual images, we divided the diabetics into the following four groups: 14 who were normal (group N), 30 with segmental defects (group S), 4 with diffuse defects (group D) and 4 without accumulation (group DH). Diabetic complications (retinopathy, nephropathy, and neuropathy) and hypertension were more frequent in group S than group N. However, there were no significant differences in the physiological evidence of autonomic neuropathy (C.V. of the R-R interval on the ECG and blood pressure response to standing or deep breathing) between groups S and N. Vibration sense was significantly more impaired in group S than in group N. These results suggest that cardiac imaging with MIBG might be a useful examination for the early diagnosis of diabetic autonomic neuropathy. (author)

  14. Evaluation of wound healing properties of bioactive aqueous fraction from Moringa oleifera Lam on experimentally induced diabetic animal model

    Directory of Open Access Journals (Sweden)

    Muhammad AA

    2016-05-01

    Full Text Available Abubakar Amali Muhammad,1 Palanisamy Arulselvan,1 Cheah Pike See,2 Farida Abas,3 Sharida Fakurazi1,2 1Laboratory of Vaccine and Immunotherapeutics, Institute of Bioscience, 2Unit of Anatomy, Department of Human Anatomy, Faculty of Medicine and Health Sciences, 3Department of Food Science, Faculty of Food Science and Technology, Universiti Putra Malaysia, Serdang, Malaysia Abstract: Diabetic foot ulcer is a serious complication of diabetes, which affects a significant percentage (15% of diabetics and up to 15%–24% of those affected may require amputation. Therefore, the economic burden of diabetic foot ulcers is enormous and is associated with high cost of treatment and prolongs hospitalization. The present study was conducted to evaluate antibacterial and in vivo wound healing activities of an aqueous fraction of Moringa oleifera on a diabetic condition. Antibacterial activity testing was carried out using agar well and tube dilution techniques. The in vivo study was conducted using six groups of animals that comprise of one normal and diabetic control group each, three treatment groups of 0.5%, 1%, and 2% w/w aqueous fraction, and a positive control group (1% w/w silver sulfadiazine. Rats were induced with diabetes using a combination of streptozotocin 65 and 150 mg/kg nicotinamide daily for 2 days, and excision wounds were created and treated with various doses (0.5%, 1%, and 2% w/w aqueous fraction daily for 21 days. Biophysical, histological, and biochemical parameters were investigated. The results of the study revealed that aqueous fraction possessed antibacterial activity through inhibition of growth of Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli organisms. The topical application of aqueous fraction revealed enhancement of wound healing under sustained hyperglycemic condition for the duration of the experiment. This enhancement was achieved through decreased wound size, improved wound contraction, and tissue

  15. Pacific Asia and the Asia Pacific: The Choices for APEC

    OpenAIRE

    C Fred Bergsten

    2009-01-01

    The Asia Pacific Economic Cooperation (APEC) forum, which set out to achieve "free and open trade and investment in the region" and led highly significant liberalization initiatives in the 1990s, has been stagnating for the past decade. The main cause of APEC's marginalization was clearly the decision of key Asian countries to prioritize economic cooperation within East Asia itself rather than across the broader APEC construct: a focus on Pacific Asia rather than the Asia Pacific. Bergsten ar...

  16. Evaluation of blood glucose and thyroid function in Sudanese diabetic patients

    International Nuclear Information System (INIS)

    This study composes of two parts. The first one is a survey of thyroid abnormalities, and the second one is experiment to estimate the level of thyroid hormones (T4, T3, TSH) among diabetic population and the relationship between the level of glucose, thyroid hormones and lipid profile (TC, LDL, TG, HDL) and comparison of the results with non diabetic group. The survey part of the study to determine the thyroid abnormalities, hypothyroidism or hyperthyroidism clinical or subclinical. Also the study group was divided in to two groups according to insulin requirement. Type I is insulin-dependent diabetes mellitus and type II is non insulin-dependent diabetes mellitus. The study subjects selected for this study consist of one hundred Sudanese diabetic patients, they had mean age of 46.51±10.672 years, a mean height of 162.06±10.77 cm and a mean weight of 73.47±14.91 kg. Fifty healthy non-diabetic people without endocrine disease were chosen as controls. Glucose, and thyroid hormones, thyroxine and triiodothyronine (total T4 and T3) and thyroid stimulating hormone (TSH) were measured. In addition hemoglobin (Hb), total cholesterol (TC), triglyceride (TG), high-density lipoproteins (HDL) were also measured in both groups. Low-density lipoprotein (LDL) was calculated for each sample. Physical examinations such as height, weight, and history of diabetes, family history, treatment were recorded in both groups. Determination of serum hormones concentration was carried out using highly sensitive RIA technique. While determination of blood glucose, hemoglobin, and lipid profile was carried out using enzymatic colorimetric method. The results of this study showed that: 13 patients of the population screened had thyroid disease. The commonest diagnosis was sub clinical hyperthyroidism (6%), followed by sub clinical hypothyroidism (5%) and hyperthyroidism (2%). Female patients with diabetes had the highest annual risk of developing thyroid disease but all patient groups had a

  17. History of Diabetes Insipidus.

    Science.gov (United States)

    Valenti, Giovanna; Tamma, Grazia

    2016-02-01

    Under physiological conditions, fluid and electrolyte homoeostasis is maintained by the kidney adjusting urine volume and composition according to body needs. Diabetes Insipidus is a complex and heterogeneous clinical syndrome affecting water balance and characterized by constant diuresis, resulting in large volumes of dilute urine. With respect to the similarly named Diabetes Mellitus, a disease already known in ancient Egypt, Greece and Asia, Diabetes Insipidus has been described several thousand years later. In 1670s Thomas Willis, noted the difference in taste of urine from polyuric subjects compared with healthy individuals and started the differentiation of Diabetes Mellitus from the more rare entity of Diabetes Insipidus. In 1794, Johann Peter Frank described polyuric patients excreting nonsaccharine urine and introduced the term of Diabetes Insipidus. An hystorical milestone was the in 1913, when Farini successfully used posterior pituitary extracts to treat Diabetes Insipidus. Until 1920s the available evidence indicated Diabetes Insipidus as a disorder of the pituitary gland. In the early 1928, De Lange first observed that some patients with Diabetes Insipidus did not respond to posterior pituitary extracts and subsequently Forssman and Waring in 1945 established that the kidney had a critical role for these forms of Diabetes Insipidus resistant to this treatment. In 1947 Williams and Henry introduced the term Nephrogenic Diabetes Insipidus for the congenital syndrome characterized by polyuria and renal concentrating defect resistant to vasopressin. In 1955, du Vigneaud received the 1955 Nobel Prize in chemistry for the first synthesis of the hormone vasopressin representing a milestone for the treatment of Central Diabetes Insipidus. PMID:26913870

  18. EVALUATION OF OPTIC AND VESTIBULOCOCHLEAR NERVE INVOLVEMENT IN TYPE 2 DIABETES MELLITUS PATIENTS BY USING EVOKED POTENTIAL

    Directory of Open Access Journals (Sweden)

    Arrthy S, Vinodha R, Saravanan S

    2015-09-01

    Full Text Available Background and Objectives: Cranial neuropathy is one of the common late complications of Diabetes Mellitus(DM, including distal symmetric sensory polyneuropathy and peripheral neuropathy(PN. Though many studies support the involvement of Cranial nerves III, VI and VII in diabetic patients, little was known about the involvement of II & VIII nerve. The goal of this study was to evaluate the involvement of optic nerve and vestibulocochlear nerve using Visual Evoked potential (VEP and Brainstem Auditary Evoked Potential (BAEP. Methods: Forty patients with 8 to 12 years duration of type 2 DM in 40 to 60 years age group (Group1 were selected from diabetic outpatient department in Thanjavur medical college hospital and compared with control group (Group 2 who were normal subjects and was age and sex matched. Physical examination and laboratory investigations including fasting glucose, renal functions were done in addition to VEP & BAEP for all groups. P100 latency using VEP and bilateral inter-peak latency IPL I-III, IPL III-V & IPL I-V using BAEP was evaluated and and analyzed for the study group and control group. Result: VEP P100 latency and BAEP bilateral inter-peak latency IPL I-III, IPL III-V & IPL I-V were prolonged in the study group compared to control group. Conclusion: This study concluded the involvement of optic and vestibulocochlear nerve in type 2 DM as the latency was prolonged.

  19. ELSID-Diabetes study-evaluation of a large scale implementation of disease management programmes for patients with type 2 diabetes. Rationale, design and conduct – a study protocol [ISRCTN08471887

    Directory of Open Access Journals (Sweden)

    Gensichen Jochen

    2005-10-01

    Full Text Available Background Diabetes model projects in different regions of Germany including interventions such as quality circles, patient education and documentation of medical findings have shown improvements of HbA1c levels, blood pressure and occurrence of hypoglycaemia in before-after studies (without control group. In 2002 the German Ministry of Health defined legal regulations for the introduction of nationwide disease management programs (DMP to improve the quality of care in chronically ill patients. In April 2003 the first DMP for patients with type 2 diabetes was accredited. The evaluation of the DMP is essential and has been made obligatory in Germany by the Fifth Book of Social Code. The aim of the study is to assess the effectiveness of DMP by example of type 2 diabetes in the primary care setting of two German federal states (Rheinland-Pfalz and Sachsen-Anhalt. Methods/Design The study is three-armed: a prospective cluster-randomized comparison of two interventions (DMP 1 and DMP 2 against routine care without DMP as control group. In the DMP group 1 the patients are treated according to the current situation within the German-Diabetes-DMP. The DMP group 2 represents diabetic care within ideally implemented DMP providing additional interventions (e.g. quality circles, outreach visits. According to a sample size calculation a sample size of 200 GPs (each GP including 20 patients will be required for the comparison of DMP 1 and DMP 2 considering possible drop-outs. For the comparison with routine care 4000 patients identified by diabetic tracer medication and age (> 50 years will be analyzed. Discussion This study will evaluate the effectiveness of the German Diabetes-DMP compared to a Diabetes-DMP providing additional interventions and routine care in the primary care setting of two different German federal states.

  20. Evaluation of a policy to strengthen case management and quality of diabetes care in general practice in Denmark

    DEFF Research Database (Denmark)

    Rudkjøbing, Andreas; Vrangbaek, Karsten; Birk, Hans Okkels; Andersen, John Sahl; Krasnik, Allan

    2015-01-01

    OBJECTIVES: To evaluate the utilization of a policy for strengthening general practitioner's case management and quality of care of diabetes patients in Denmark incentivized by a novel payment mode. We also want to elucidate any geographical variation or variation on the basis of practice features......) and age of the GP were are able to determine differences in use of the policy in relation to the practice-specific information. RESULTS: At the end of the study period (2007-2012) approximately 30% of practices have enrolled extending services to approximately 10% of the diabetes population. There is...... regional--as well as organizational differences between GPs who have enrolled and the national averages with enrolees being younger, from larger practices and with more patients listed. CONCLUSIONS: Our study documents an organizationally and regionally varied and limited utilization with the overall...

  1. Evaluation of lipid peroxidation activity at intravenous administration of gold nanorods in rats with simulated diabetes and transplanted liver cancer

    Science.gov (United States)

    Bucharskaya, Alla B.; Dikht, Natalia I.; Afanasyeva, Galina A.; Terentyuk, Georgy S.; Maslyakova, Galina N.; Zaraeva, Nadezhda V.; Khlebtsov, Nikolai G.; Khlebtsov, Boris N.

    2014-01-01

    In the experiment the white outbred rats with transplanted liver cancer (cholangiocarcinoma line PC-1) and simulated alloxan diabetes were treated by single intravenous injection of gold nanorods. State of lipid peroxidation was evaluated by the following parameters: the malondialdehyde, lipid hydroperoxide, the average weght molecules in the serum of animals by conventional spectrophotometric methods study using a spectrofluorometer RF-5301 PC (Shimadzu, Japan). In both experimental groups of animals the significant increasing of levels of lipid peroxidation products was noted compared with control group. After intravenous administration of nanoparticles in the group of animals with alloxan diabetes the activation of a free radical oxidation was not observed, in group with transplanted liver cancer the increasing of levels of lipid hydroperoxide, malondialdehyde was established.

  2. HEALTHY AGEING POLICY IN ASIA

    Institute of Scientific and Technical Information of China (English)

    Mark L Wahlqvist

    2008-01-01

    @@ Populations in Asia are experiencing significant gains in life expectancy,especially in North East Asia and amongst Orientals throughout the region,with Japan,HongKong,Singapore and Macau having amongst the world's best life expectancies.

  3. Preliminary study: Evaluation of melatonin secretion in children and adolescents with type 1 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Yilmaz Kor

    2014-01-01

    Full Text Available Objective: Melatonin is an indolamine hormone, synthesized from tryptophan in the pineal gland primarily. Melatonin exerts both antioxidative and immunoregulatory roles but little is known about melatonin secretion in patients with type 1 diabetes mellitus (T1DM. The aim of this study was to measure serum melatonin levels in patients with T1DM and investigates their relationship with type 1 diabetes mellitus. Materials and Methods: Forty children and adolescents with T1DM (18 boys and 22 girls and 30 healthy control subjects (17 boys and 13 girls participated in the study. All patients followed in Pediatric Endocrinology and Metabolism Unit of Gaziantep University Faculty of Medicine and also control subjects had no hypertension, obesity, hyperlipidemia, anemia, and infection. Blood samples were collected during routine analysis, after overnight fasting. Serum melatonin levels were analyzed with ELISA. Results: There were no statistically significant differences related with age, sex, BMI distribution between diabetic group and control group. Mean diabetic duration was 2.89 ± 2.69 years. The variables were in the equation. Mean melatonin level in diabetic group was 6.75 ± 3.52 pg/ml and mean melatonin level in control group was 11.51 ± 4.74 pg/ml. Melatonin levels were significantly lower in diabetic group compared to controls (P < 0.01. Conclusions: Melatonin was associated with type 1 diabetes mellitus significantly. Because of the varied roles of melatonin in human metabolic rhythms, these results suggest a role of melatonin in maintaining normal rhythmicity. Melatonin may play role in preventing process of inflammation and oxidative stress.

  4. Evaluation of the anti-diabetic properties ofMucuna pruriensseed extract

    Institute of Scientific and Technical Information of China (English)

    Stephen O Majekodunmi; Ademola A Oyagbemi; Solomon Umukoro; Oluwatoyin A Odeku

    2011-01-01

    Objective:To explore the antidiabetic properties ofMucuna pruriens(M. pruriens).Methods:Diabetes was induced in Wistar rats by single intravenous injection of120 mg/kg of alloxan monohydrate and different doses of the extract were administered to diabetic rats. The blood glucose level was determined using a glucometer and results were compared with normal and untreated diabetic rats. The acute toxicity was also determined in albino mice.Results:Results showed that the administration of5, 10, 20, 30, 40, 50, and100 mg/kg of the crude ethanolic extract ofM. pruriens seeds to alloxan-induced diabetic rats (plasma glucose> 450mg/dL) resulted in18.6%, 24.9%, 30.8%, 41.4%, 49.7%, 53.1% and 55.4% reduction, respectively in blood glucose level of the diabetic rats after 8h of treatment while the administration of glibenclamide (5mg/kg/day) resulted in59.7% reduction. Chronic administration of the extract resulted in a significant dose dependent reduction in the blood glucose level (P<0.001). It also showed that the antidiabetic activity ofM. pruriens seeds resides in the methanolic and ethanolic fractions of the extract. Acute toxicity studies indicated that the extract was relatively safe at low doses, although some adverse reactions were observed at higher doses (8-32 mg/kg body weight), no death was recorded. Furthermore, oral administration ofM. pruriens seed extract also significantly reduced the weight loss associated with diabetes.Conclusions: The study clearly supports the traditional use ofM. pruriens for the treatment of diabetes and indicates that the plant could be a good source of potent antidiabetic drug.

  5. DIABETIC AND HYPERTENSIVE EYE DISEASE, AWARENESS AND EVALUATION - A HOSPITAL BASED STUDY IN CENTRAL INDIA

    Directory of Open Access Journals (Sweden)

    Sarkar

    2014-02-01

    Full Text Available BACKGROUND : Diabetes Mellitus, particularly the Type 2 is a major health problem and of great concern worldwide and so is the Hypertension, the prevalence of which is rising and both combined together may lead to economical blindness if not treated adequately and in time. Hypertension was also identified as the 3 rd ranked factor for disability adjusted life years by the world health report 2002. MATERIAL AND METHODS : A total of 1306 patients attending eye department for either routine checkup or referred by physicians for ophthalmoscopic examinations were studied. Relevant questions were asked regarding the presence of disease and their ocular problems along with the visual status. RESULTS : Mean age of the patients was 55.5 years, males 53.2% and females 46.75%. 118 pa tients were diabetic, 375 patients were hypertensive and 132 patients had combined disease. Awareness of diabetic retinopathy in the disease specific group was 61.01% and hypertensive retinopathy was 19.46%. It was found that awareness of diabetic retinopa thy was more in diabetic population compared to the non - diabetic group, whereas knowledge of hypertension affecting the eye was much poor. Lack of awareness was found directly related to the level of illiteracy and ignorance. Prevalence of retinopathy in t his series was found 24.57% in diabetics & 64.8% in hypertensives. CONCLUSION : People’s education regarding the systemic disease related eye problems and formal education of general public especially of females will be a great step towards reducing the vis ual impairment. Importance of regular follow - up once diagnosed should be emphasized for early detection and management thereby

  6. An evaluation of patients’ adherence with hypoglycemic medications among Papua New Guineans with type 2 diabetes: influencing factors

    Directory of Open Access Journals (Sweden)

    Pihau-Tulo ST

    2014-09-01

    Full Text Available Stella Tilu Pihau-Tulo, Richard W Parsons, Jeffery D Hughes CHIRI and School of Pharmacy, Curtin University, Perth, WA, Australia Purpose: The aims of this study were to evaluate the extent of adherence to hypoglycemic medications, assess the relationship between adherence and glycemic control, and evaluate factors affecting adherence.Research design and methods: This was a cross-sectional study of patients with established type 2 diabetes attending the Port Moresby General Hospital Diabetes Clinic. Face-to-face interviews were conducted using a questionnaire designed for the study and data were collected concerning the 3 months prior to interview. The questionnaire covered demographic details, lifestyle, biochemical and physical measurements, and medication management. Glycemic control was investigated among patients adhering to their medications (not missing doses to different degrees (100%, 95%, 90%, and 80%. Results: Of a total of 356 participants who were prescribed hypoglycemic medications, 59.6% omitted some of their doses. Age appeared to have a significant impact on adherence at some levels of adherence, with those aged >60 years being more likely to be adherent (logistic regression. Those who were 95%–99% and those who were <80% adherent had a statistically significant risk of a high glycated hemoglobin of >10% (85.5 mmol/mol. Multiple factors were identified as contributors to nonadherence, with patient-based issues (86.0% and the health care system (21.7% being the most common.Conclusion: This study showed a significant level of nonadherence among patients with type 2 diabetes in Papua New Guinea. Nonadherence to medication appeared to be associated with poor glycemic control and was due to a variety of reasons. Future interventions aimed at improving adherence will need to take these into account. Keywords: adherence, type 2 diabetes, A1C, Papua New Guinea, age, sex, contributing factors

  7. Literature of Southeast Asia.

    Science.gov (United States)

    Echols, John M.

    This paper provides a brief description of the literature of Southeast Asia. This area, which embraces the region south of China and east of India, includes the modern nations of Burma, Thailand, Cambodia, Laos, Vietnam, The Philippines, Malaysia and Indonesia. The earliest historical influence came from India around the beginnings of the…

  8. Swine flu in Asia

    Institute of Scientific and Technical Information of China (English)

    Viroj Wiwanitkit

    2009-01-01

    Emerging swine flu (variant H1N1 influenza virus infection)is a new problem in medicine.The outbreaks in Mexico,USA and Canada bring attention to medical scientists that thing infection might finalize in the global pandemic situation.In this specific paper,the author hereby discusses on the situation of swine flu in Asia.

  9. Looking to Asia

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Beijing Review:You said foreign policy under the Barack Obama administration is a policy of confrontation and containment of China.So do you think the expanded U.S.presence in Asia is mainly targeting China? If so,what are the consequences in terms of diplomatic relations between the two countries?

  10. Evaluation of laser photobiomodulation on healing of bone defects grafted with bovine bone in diabetic rats

    Science.gov (United States)

    Paraguassú, Gardênia Matos; da Costa Lino, Maíra Doria Martinez; de Carvalho, Fabíola Bastos; Cangussu, Maria Cristina; Pinheiro, Antônio Luiz Barbosa; Ramalho, Luciana Maria Pedreira

    2012-09-01

    Previous studies have shown positive effects of Low Level Laser Therapy (LLLT) on the repair of bone defects, but there is a few that associates bone healing in the presence of a metabolic disorder such as Diabetes Mellitus, a systemic disorder associated to impair of the repair of different tissues. The aim of this study was to assess, histologically, the repair of surgical defects created in the femur of diabetic and non-diabetic rats treated or not with LLLT (λ780nm, 70mW, CW, o/˜0.4mm, 16J/cm2 per session) associated or not to the use of a biomaterial. Surgical tibial bone defects were created in 60 animals that were divided into 4 groups: Group B (non-diabetic + biomaterial); Group BL (non-diabetic + biomaterial + LLLT); Group BD (diabetic + biomaterial); Group BDL (diabetic + biomaterial + LLLT). The irradiated group received 16 J/cm2 per session divided into 4 points around the defect, being the first irradiation carried out immediately after surgery and repeated every 48h for 14 days. The animals were killed 15, 21 and 30 days after surgery. The specimens underwent a semi-quantitative analysis. The results showed inflammation more intense in the BD and BDL groups than in the B and BL groups in the period of 15 days (p = 0.02), however the cortical repair in the BDL group was below 25% in more than half of the specimens, while in the BD group, the repair was more than to 25% in all specimens. At 30 days, both osteoblastic activity and collagen deposition were significantly higher in the B group when compared to the BD group (p=0.04). Bone deposition was significantly higher in the BL group (p=0.023) than in BDL group. It is concluded that LLLT has a positive biomodulative effect in the early stages of the healing process of bone defects grafted with biomaterial in diabetic and non-diabetic rats.

  11. EVALUATION OF OXIDATIVE STRESS AND ANTIOXIDANT STAT US IN DIABETIC RETINOPATHY CASES

    Directory of Open Access Journals (Sweden)

    Maithri

    2013-03-01

    Full Text Available ABSTRACT: CONTEXT: Diabetes is the most rapidly growing chronic metabo lic disorder in the world. In diabetes mellitus, the oxidative stress r esulting from enhanced free radical formation and a defect in antioxidant defenses has been implic ated in the pathogenesis of diabetes and its complications like neuropathy, retinopathy, nephropathy, etc. AIMS: The objective of the study is to know the oxidative stress by estimating serum malondialdehyde (MDA levels and antioxidant status by measuring serum vitamin level s, and to know the correlation between MDA and other parameters in cases of diabetic retino pathy. SETTINGS AND DESIGN: Present study involved 100 participants of which 50 were diag nosed as having diabetic retinopathy and 50 were age and sex matched healthy controls. The d egree of lipid peroxidation in terms of serum malondialdehyde (MDA along with antioxidant defenses, vitamin A, vitamin C and vitamin E levels were estimated in cases and contro ls. Fasting blood sugar (FBS, post prandial blood sugar (PPBS and HbA1c were also estimated in both cases and controls. STATISTICAL ANALYSIS USED: Student t test (two tailed, independent has been u sed to find the significance of study parameters on continuous scale between two groups (Inter group analysis on metric parameters. Pearson correlation between MDA and othe r parameters was performed to assess the relationship in each group. RESULTS: In diabetic retinopathy patients statistically highl y significant increase in levels of FBS, PPBS and HbA 1c (P<0.001 was observed when compared to controls. The levels of serum MDA (P<0.001 was increased significantly in diabetic retinopathy cases as compared to controls. The levels of serum vitamin A, vitamin C and vitamin E were significantly (P<0.001 reduced in all diabe tic retinopathy patients. A positive correlation was observed between MDA and FBS, PPBS, HbA1c. A negative correlation was found between MDA and vitamin A and vitamin C. CONCLUSIONS

  12. Elevated high sensitivity C-reactive protein is associated with type 2 diabetes mellitus: the Persian Gulf Healthy Heart Study.

    Science.gov (United States)

    Nabipour, Iraj; Vahdat, Katayoun; Jafari, Seyed Mojtaba; Beigi, Saeideh; Assadi, Majid; Azizi, Fatemeh; Sanjdideh, Zahra

    2008-08-01

    Previous studies have suggested that low-grade systemic inflammation is involved in the pathogenesis of type 2 diabetes mellitus. However, limited information is available about the relationship of diabetes mellitus and inflammation in Asia. We examined the association between high-sensitivity C-reactive protein (CRP) levels and diabetes in a general Iranian population. In an ancillary study to the Persian Gulf Healthy Heart Study, a cohort study of men and women aged > or = 25 years, a random sample of 1754 (49.2 percent males, 50.8 percent females) subjects were evaluated. High sensitivity C-reactive protein was measured by enzyme-linked immunosorbent assay. Elevated serum CRP was defined as more than 3.0 mg/l. The diabetes classification was based on the criteria of the American Diabetes Association. A total of 8.6 percent of the subjects (8.0 percent of males & 9.1 percent of females; p>0.05) had type 2 diabetes mellitus. Geometric mean of CRP was 1.94 mg/l (3.80 SD) in the studied population. The subjects with diabetes had a higher geometric mean of CRP levels than the subjects with no diabetes [3.67 (SD 3.71) versus 1.85 (3.83) respectively; pstrategies for diabetes mellitus. PMID:18493107

  13. Evaluating arterial stiffness in type 2 diabetes patients using ultrasonic radiofrequency.

    Science.gov (United States)

    Li, Zhao-Jun; Liu, Yang; Du, Lian-Fang; Luo, Xiang-Hong

    2016-06-01

    Differences in arterial stiffness between the two sides of the carotid arteries were investigated using ultrasonic radiofrequency in 88 patients with type 2 diabetes and 70 controls. The compliance coefficient (CC), pulse wave velocity (PWV), intima-media thickness (CIMT) and diameter (CCAD) of the common carotid arteries (CCAs) were measured. The ratio of the left to right CCAs was calculated to provide four indexes: CC ratio, PWV ratio, CIMT ratio and CCAD ratio. In the diabetes group, the PWV on the left side was significantly higher than that on the right side, while the CC on the left side was significantly lower than that on the right side. The bilateral CIMT was thicker and CCAD was wider, the left PWV traveled faster, and the right CC was higher in the diabetes group than in the control group. The PWV ratio between the two groups was significantly different and correlated positively with duration of diabetes and systolic blood pressure (SBP). The differences between the two sides of CCAs in patients with diabetes suggested that disease duration and SBP were important risk factors for arterial stiffness. Identifying the difference could potentially lead to the much earlier diagnosis of arteriosclerosis. PMID:27376818

  14. Diabetic Retinopathy

    Science.gov (United States)

    ... Disease > Facts About Diabetic Eye Disease Facts About Diabetic Eye Disease Points to Remember Diabetic eye disease ... existing therapies for different patient groups. What is diabetic eye disease? Diabetic eye disease can affect many ...

  15. Diabetes - resources

    Science.gov (United States)

    Resources - diabetes ... The following sites provide further information on diabetes : American Diabetes Association -- www.diabetes.org Juvenile Diabetes Research Foundation International -- www.jdrf.org National Center for Chronic Disease Prevention and Health Promotion -- ...

  16. Evaluation of 99Tcm-DTPA glomerular filtration rate by the Gates method in patients with type 2 diabetes

    International Nuclear Information System (INIS)

    Objective: To study the changes of GFR measured in different time intervals after the injection of 99Tcm-DTPA and to evaluate the clinical value of GFR in patients with type 2 diabetes. Methods: Eleven healthy volunteers (6 males, 5 females; mean age (61.45±7.90) years, age range: 47-79 years) and 56 patients with type 2 diabetes (31 males, 25 females; mean age (60.98±6.96) years, age range: 45-75 years) were recruited. 99Tcm-DTPA was used to measure GFR for all subjects. ROI was drawn at 2 and 3 min post-injection and GFR was calculated by Gates method. Two-sample t test and Pearson correlation analysis were performed with SPSS 15.0. Results: SCr ((84.90±14.38) μmol/L) was significantly correlated with GFR in patients with type 2 diabetes. There was negative correlation between SCr and GFR for both, left and right kidneys at 3 min post-injection (r=-0.652, -0.636, -0.470, all P≤0.001) and at 2 min post-injection (r=-0.599, -0.553, -0.529, all P<0.001). Total GFR, GFR for left kidney and GFR for right kidney at 3 min post-injection in diabetes group ((69.77 ± 11.00),(33.12 ± 5.74), (37.34 ± 9.81) ml/min) were lower than those in control group ((97.89±5.98), (46.60±4.91), (51.28±4.20) ml/min; t=-8.212, -7.233, -4.069, all P<0.001). Conclusions: To calculate the GFR of the patients with type 2 diabetes, 3 min post-injection is the optimal time. Measurement of GFR by 99Tcm-DTPA is useful in early diagnosis of diabetic nephropathy. (authors)

  17. Texting for Health: An Evaluation of a Population Approach to Type 2 Diabetes Risk Reduction With a Personalized Message.

    Science.gov (United States)

    Khurshid, Anjum; Brown, Lisanne; Mukherjee, Snigdha; Abebe, Nebeyou; Kulick, David

    2015-11-01

    txt4health is an innovative, 14-week, interactive, population-based mobile health program for individuals at risk of type 2 diabetes, developed under the Beacon Community Program in the Greater New Orleans, La., area. A comprehensive social marketing campaign sought to enroll hard-to-reach, at-risk populations using a combination of mass media and face-to-face engagement in faith-based and retail environments. Little is known about the effectiveness of social marketing for mobile technology application in the general population. A systematic evaluation of the campaign identified successes and barriers to implementing a population-based mobile health program. Face-to-face engagement helped increase program enrollment after the initial launch; otherwise, enrollment leveled off over time. Results show positive trends in reaching target populations and in the use of mobile phones to record personal health information and set goals for reducing the risk of type 2 diabetes. The lessons from the txt4health campaign can help inform the development and programmatic strategies to provide a person-level intervention using a population-level approach for individuals at risk for diabetes as well as aid in chronic disease management. PMID:26600729

  18. Evaluation of antihyperglycemic effect of trigonella foenum-graecum (fenugreek) and lupinus albus (lupine) in alloxan-induced diabetic rats

    International Nuclear Information System (INIS)

    Alloxan induced diabetic rats were used to evaluate the antihyperglycemic effect of Trigonella Foenum graecum (Fenugreek) and Lupinus Albus (Lupine). The parameters measured during the 45 days oral administration of seeds powder suspension of either Fenugreek or Lupine (1 g/ kg body wt) included: blood glucose, body wt, reduced glutathione content, plasma thiobarbituric acid reactive substances (TEARS), and percentage of glycosylated hemoglobin (HbA), plasma insulin and liver free fatty acids. Fenugreek and Lupine resulted in significant reduction in blood glucose and HbA; restored insulin normal range, ameliorated the contents of glutathione and reduced the increase in the content of plasma TBARS. Lupine at dose of 1 g/ kg body wt exhibited better glucose reduction, restored body wt and free fatty acids concentration than Fenugreek. Diabetes mellitus is the most common disease associated with carbohydrate metabolism, affecting about 200 million people worldwide. Extracts of various plant materials capable of decreasing blood sugar have been tested in experimental animal models (Bopanna and Rathod, 1997). Many unknown and lesser known plants are used in traditional medicinal practices in Egypt. The medicinal values of these plants are not much known to the scientific world. Although herbal medicines have long been used effectively in treating many diseases throughout the world, the mechanism of most of the herbals used has not been defined. Many traditional plant treatments for diabetes are also used, but most of the evidence for their beneficial effects is anecdotal (Jelodar et al., 2005)

  19. Göttingen minipig model of diet-induced atherosclerosis: influence of mild streptozotocin-induced diabetes on lesion severity and markers of inflammation evaluated in obese, obese and diabetic, and lean control animals

    DEFF Research Database (Denmark)

    Ludvigsen, Trine Pagh; Kirk, Rikke Kaae; Christoffersen, Berit Østergaard;

    2015-01-01

    in human patients, inclusion of this disease aspect in the characterization of a such model, is highly relevant. The objective of this study was to evaluate the effect of mild streptozotocin-induced diabetes on ex- and in vivo end-points in a diet-induced atherosclerotic minipig model. Castrated male...... Göttingen minipigs were fed standard chow (CD), atherogenic diet alone (HFD) or with superimposed mild streptozotocin-induced diabetes (HFD-D). Circulating markers of inflammation (C-reactive protein (CRP), oxidized low-density lipoprotein (oxLDL), plasminogen activator inhibitor-1, lipid and glucose......From a pharmacological perspective, readily-available, well-characterized animal models of cardiovascular disease, including relevant in vivo markers of atherosclerosis are important for evaluation of novel drug candidates. Furthermore, considering the impact of diabetes mellitus on atherosclerosis...

  20. Systematic review and evaluation of web-accessible tools for management of diabetes and related cardiovascular risk factors by patients and healthcare providers

    OpenAIRE

    Yu, Catherine H; Bahniwal, Robinder; Laupacis, Andreas; Leung, Eman; Orr, Michael S; Straus, Sharon E.

    2012-01-01

    Objective To identify and evaluate the effectiveness, clinical usefulness, sustainability, and usability of web-compatible diabetes-related tools. Data sources Medline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, world wide web. Study selection Studies were included if they described an electronic audiovisual tool used as a means to educate patients, care givers, or clinicians about diabetes management and assessed a psychological, behavioral, or clinical outcome. Data ext...

  1. Evaluation of first phase insulin secretion by a nateglinide-intravenous glucose insulin release test in newly diagnosed type 2 diabetics

    Institute of Scientific and Technical Information of China (English)

    罗国春

    2006-01-01

    Objective To evaluate the function of the first phase of insulin secretion of pancreatic B cells in newly diagnosed type 2 diabetics using nateglinide-intravenous glucose insulin release test (NG-IVGIRT). Methods NG-IVGIRT and intravenous glucose insulin release test (IVGIRT) were done in 8 patients with newly diagnosed type 2 diabetes mellitus and NG-IVGIRT was done in 8 normal people. Insulin and glucose of blood were deter-

  2. Clinical Utility of the Ratio Between Circulating Fibrinogen and Fibrin (ogen) Degradation Products for Evaluating Coronary Artery Disease in Type 2 Diabetic Patients

    OpenAIRE

    Wei-Xin Xiong; Ying Shen; Dao-Peng Dai; Lin Lu; Qi Zhang; Rui-Yan Zhang; Wei-Feng Shen; Rong Tao

    2015-01-01

    Background: We investigated whether and to what extent the ratio between circulating fibrinogen (Fg) and its degradation products (FDP) reflects the severity of coronary artery disease (CAD) in type 2 diabetic patients. Methods: Plasma levels of Fg and FDP were determined, and Fg/FDP ratio was calculated in 344 consecutive patients with type 2 diabetes and chest pain on exertion undergoing coronary angiography. The severity of CAD was evaluated by the number of significant CAD (>50% lumin...

  3. Evaluation of age-related peripheral arterial vessel reactivity in test with oral administration of nitric oxide (NO) donor in patients with type 1 diabetes and healthy volunteers

    International Nuclear Information System (INIS)

    Evaluation of vascular reactivity becomes increasingly more often applied in assessing vascular susceptibility to atherosclerosis and vascular damage in diabetes. '' Gold standard '' test for vasodilation assessment includes administration of exogenous nitric oxide (NO) donor. The aim of this work was to analyze the course and effect of the test in type 1 diabetes and non-diabetes subjects in different age groups. 71 healthy men and 45 male patients with type 1 diabetes were examined. Evaluation of hemodynamic reaction was conducted with the means of ultrasound color Doppler examination. It has been demonstrated that the degree of vascular reaction to the administration of NO reduces with age: in subjects 45 years old 102%. The response to stimulus occurred at different times in different subgroups. After NO administration the reaction occurs most rapidly in young men (70-130 sec.) and the slowest reaction was noted in healthy subjects aged 45 years it was merely 78%. The reaction in the group of patients with diabetes occurred in those aged 46 years (120-240 sec.). These differences were statistically significant. Reliable evaluation of vascular reaction to the action of pharmacological stimulus requires constant spectral analysis. Age- and co-morbidities related modifications to pharmacological test are justified, especially in elderly subjects and in patients with diabetes. (author)

  4. Evaluation of a type 1 diabetes serum cohort by SELDI-TOF MS protein profiling

    DEFF Research Database (Denmark)

    Albrethsen, J.; Kaas, A.; Schonle, E.; Swift, P.; Kocova, M.; Gammeltoft, S.; Hansen, L.; Mortensen, H.B.

    2009-01-01

    Proteomics analysis of serum from patients with type 1 diabetes (T1D) may lead to novel biomarkers for prediction of disease and for patient monitoring. However, the serum proteome is highly sensitive to sample processing and before proteomics biomarker research serum cohorts should preferably be...

  5. Sympathetic skin response: simple test for evaluation of autonomic function in patients with diabetes mellitus?

    Institute of Scientific and Technical Information of China (English)

    Srinivasa Jayachandra; Maxim Pinto; Urban J. A. D'Souza

    2005-01-01

    @@ To the Editor: We read with interest the excellent article by Huang YN et al.1 This important and carefully conducted study illustrates the sympathetic skin response (SSR) test can detect early dysfunction of the small sympathetic fibers in people affected by diabetes mellitus.

  6. Evaluation of IGFBP-7 DNA methylation changes and serum protein variation in Swedish subjects with and without type 2 diabetes

    OpenAIRE

    Gu, Harvest F.; Gu, Tianwei; Hilding, Agneta; Zhu, Yiming; Kärvestedt, Lars; Östenson, Claes-Göran; Lai, Maode; Kutsukake, Masahiko; Frystyk, Jan; Tamura, Kazuhiro; Brismar, Kerstin

    2013-01-01

    Background Insulin-like growth factor-binding protein 7 (IGFBP-7) is able to interact with insulin-like growth factor 1 (IGF-1) as well as insulin. Previous studies have suggested that serum IGFBP-7 levels may be associated with insulin resistance in type 2 diabetes (T2D). This study aimed to evaluate IGFBP-7 serum protein and IGFBP7 DNA methylation levels in the subjects with and without T2D. Results A total of 340 Swedish subjects including 100 newly diagnosed T2D patients (50 women/50 men)...

  7. Asia at the Helm

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    As the global economy transforms from a developed countrycentric to a more developing-focused model in the post-crisis world,Asia is emerging as a new economic powerhouse.Its policy choices are important for the continent’s own sake, and also for the global economy as a whole.Dominique Strauss-Kahn,Managing Director of the IMF,noted this shift in a recent speech in Shanghai.Edited excerpts follow

  8. Securitization in East Asia

    OpenAIRE

    Lejot, Paul; Arner, Douglas; Schou-Zibell, Lotte

    2008-01-01

    Securitization offers a range of benefits for Asia's financial systems and economies as a mechanism to assist funding and investment. As a form of structured finance, reliable and efficient securitization can assist development by enabling financial systems to deepen and strengthen - thus contributing to overall economic growth and stability. It must be recognized, however, that there are both overt and more subtle risks in certain uses of securitization. The credit and liquidity crisis that ...

  9. Asia at the Helm

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ As the global economy transforms from a developed country centric to a more developing-focused model in the post-crisis world,Asia is emerging as a new economic powerhouse.Its policy choices are important for the continent's own sake,and also for the global economy as a whole.Dominique Strauss-Kahn,Managing Director of the IMF,noted this shift in a recent speech in Shanghai.Edited excerpts follow:

  10. CENTRAL ASIA'S POWER DILEMMAS

    OpenAIRE

    Budkin, Viktor

    2006-01-01

    It turned out to be much harder to create new power structures in Central Asia than elsewhere in the post-socialist world: no matter how hard it was for the Central European countries to acquire new political institutions, their advance toward the Western democratic model was much smoother. In the European part of the post-Soviet geopolitical expanse, Russia, Ukraine, and Moldova experienced fewer problems than the Central Asian region (CAR for short), though they too had their share of contr...

  11. Asia Gas Study

    International Nuclear Information System (INIS)

    The Asia region has experienced a period of dynamic growth, both of economies and energy demand. The next fifteen years are likely to see further rapid economic growth in Asia. To fuel this growth energy consumption will also increase rapidly. Of all forms of energy, natural gas demand is likely to grow the fastest. The gas sector will face rapid and dramatic change, creating challenges for the governments of the region. Infrastructure, both for export and domestic consumption of gas, will need to expand significantly. Regional trade in natural gas could triple by 2010. Trade will continue to be dominated by liquefied natural gas (LNG) but pipeline exports will also grow rapidly. Investment needs will be large, putting pressure on governments to look for alternative funding mechanisms. As Asian gas transmission and distribution networks expand and become more interconnected, consumer choice becomes possible. How to encourage and regulate competition will become a vital policy question. As gas consumption increases both in absolute terms, and in terms of its share of energy consumption within particular sectors of the economy (for example, as a fuel for power generation), governments will need to give higher priority to policies dealing with gas security. This study examines the current and possible future role of natural gas in Asia. In particular, it examines in detail the relevant energy policies of six of the key gas producing and consuming economies in the region: Brunei-Darussalam, Chinese Taipei, Indonesia, the Republic of Korea, Malaysia and Thailand. (author). 17 figs., 14 tabs., 7 appends

  12. Evaluation of the Effect of Different Doses of Low Energy Shock Wave Therapy on the Erectile Function of Streptozotocin (STZ-Induced Diabetic Rats

    Directory of Open Access Journals (Sweden)

    Zhong-Cheng Xin

    2013-05-01

    Full Text Available To investigate the therapeutic effect of different doses of low energy shock wave therapy (LESWT on the erectile dysfunction (ED in streptozotocin (STZ induced diabetic rats. SD rats (n = 75 were randomly divided into 5 groups (normal control, diabetic control, 3 different dose LESWT treated diabetic groups. Diabetic rats were induced by intra-peritoneal injection of STZ (60 mg/kg and rats with fasting blood glucose ≥ 300 mg/dL were selected as diabetic models. Twelve weeks later, different doses of LESWT (100, 200 and 300 shocks each time treatment on penises were used to treat ED (7.33 MPa, 2 shocks/s three times a week for two weeks. The erectile function was evaluated by intracavernous pressure (ICP after 1 week washout period. Then the penises were harvested for histological study. The results showed LESWT could significantly improve the erectile function of diabetic rats, increase smooth muscle and endothelial contents, up-regulate the expression of α-SMA, vWF, nNOS and VEGF, and down- regulate the expression of RAGE in corpus cavernosum. The therapeutic effect might relate to treatment dose positively, and the maximal therapeutic effect was noted in the LESWT300 group. Consequently, 300 shocks each time might be the ideal LESWT dose for diabetic ED treatment.

  13. An evaluation of community pharmacy-based services for type 2 diabetes in an Indonesian setting: patient survey

    OpenAIRE

    Wibowo, Yosi; Parsons, Richard; Sunderland, Bruce; Hughes, Jeffery

    2015-01-01

    Background. Diabetes is an emerging chronic disease in developing countries. Its management in developing countries is mainly hospital/clinic based. The increasing diabetes burden in developing countries provides opportunities for community pharmacists to deliver a range of services. Since the management of diabetes requires the patient’s own involvement, it is important to gain their views in order to develop pharmacy-based diabetes services. Studies on diabetes patients’ views have been lim...

  14. Evaluating the reliability, validity and minimally important difference of the Taiwanese version of the diabetes quality of life (DQOL) measurement

    OpenAIRE

    Wu Ming-Yen; Wu Albert W; Liu Jung-Hua; Huang I-Chan; Leite Walter; Hwang Chyng-Chuang

    2008-01-01

    Abstract Background Few diabetes HRQOL instruments are available in Chinese language. We tested psychometric properties of a Diabetes Quality of Life (DQOL) in Chinese language for diabetes patients in Taiwan and estimated its minimally important differences (MIDs). Methods Data were collected from 337 patients treated in diabetes clinics of a Taiwan teaching hospital. Pearson's correlations among domain scores of the DQOL (satisfaction, impact, and worry), the D-39S (a diabetes-specific inst...

  15. Sensitivity and specificity of Norwegian optometrists’ evaluation of diabetic retinopathy in single-field retinal images – a cross-sectional experimental study

    Directory of Open Access Journals (Sweden)

    Sundling Vibeke

    2013-01-01

    % sensitivity and 95% specificity that has been previously set for diabetic retinopathy screening programmes. Conclusions The evaluation of retinal images for diabetic retinopathy by Norwegian optometrists does not meet the required screening standard of at least 80% sensitivity and 95% specificity. The introduction of measures to improve this situation could have implications for both formal optometric training and continuing optometric professional education.

  16. SLIMMER: a randomised controlled trial of diabetes prevention in Dutch primary health care: design and methods for process, effect, and economic evaluation

    NARCIS (Netherlands)

    Duijzer, G.; Haveman-Nies, A.; Jansen, S.C.; Beek, ter J.; Hiddink, G.J.; Feskens, E.J.M.

    2014-01-01

    Background - Implementation of interventions in real-life settings requires a comprehensive evaluation approach. The aim of this article is to describe the evaluation design of the SLIMMER diabetes prevention intervention in a Dutch real-life setting. Methods/Design - The SLIMMER study is a randomis

  17. Outbreaks of avian influenza A (H5N1) in Asia and interim recommendations for evaluation and reporting of suspected cases--United States, 2004.

    Science.gov (United States)

    2004-02-13

    During December 2003-February 2004, outbreaks of highly pathogenic avian influenza A (H5N1) among poultry were reported in Cambodia, China, Indonesia, Japan, Laos, South Korea, Thailand, and Vietnam. As of February 9, 2004, a total of 23 cases of laboratory-confirmed influenza A (H5N1) virus infections in humans, resulting in 18 deaths, had been reported in Thailand and Vietnam. In addition, approximately 100 suspected cases in humans are under investigation by national health authorities in Thailand and Vietnam. CDC, the World Health Organization (WHO), and national health authorities in Asian countries are working to assess and monitor the situation, provide epidemiologic and laboratory support, and assist with control efforts. This report summarizes information about the human infections and avian outbreaks in Asia and provides recommendations to guide influenza A (H5N1) surveillance, diagnosis, and testing in the United States. PMID:14961001

  18. Evaluation of multidensity orthotic materials used in footwear for patients with diabetes.

    Science.gov (United States)

    Foto, J G; Birke, J A

    1998-12-01

    Selected combinations of multidensity orthotic materials were tested under simulated walking conditions found in the forefoot of diabetic patients. Materials were compared for therapeutic effectiveness by their stress/strain properties and dynamic compression set. Results showed that all of the multidensity materials experienced losses in performance throughout the testing period of 100,000 cycles, with the greatest losses occurring within the first 10,000 cycles. Of the materials tested, Poron + Plastazote #2 and Spenco + Microcel Puff Lite had the highest dynamic material strain and the lowest dynamic compression set over 100,000 cycles. In comparison, these are better multidensity combinations than the others tested to use as therapeutic orthoses in footwear for diabetic patients. PMID:9872471

  19. Health Economic Evaluation of Type 2 Diabetes Mellitus: A Clinical Practice Focused Review

    Science.gov (United States)

    Liebl, Andreas; Khunti, Kamlesh; Orozco-Beltran, Domingo; Yale, Jean-Francois

    2015-01-01

    Type 2 diabetes mellitus (T2D) is a growing healthcare burden primarily due to long-term complications. Strict glycemic control helps in preventing complications, and early introduction of insulin may be more cost-effective than maintaining patients on multiple oral agents. This is an expert opinion review based on English peer-reviewed articles (2000–2012) to discuss the health economic consequences of T2D treatment intensification. T2D costs are driven by inpatient care for treatment of diabetes complications (40%–60% of total cost), with drug therapy for glycemic control representing 18% of the total cost. Insulin therapy provides the most improved glycemic control and reduction of complications, although hypoglycemia and weight gain may occur. Early treatment intensification with insulin analogs in patients with poor glycemic control appears to be cost-effective and improves clinical outcomes. PMID:25861233

  20. Evaluation of determining serum α1-microglobulin level for early diagnosis of the diabetic retinopathy

    International Nuclear Information System (INIS)

    The serum α1-MG, β2-MG and other indices of 35 patients with NIDDM and 15 patients with diabetic retinopathy are determined. The results show that not only the serum α1-MG, β2-MG of all patients are obviously higher than the normal, but the serum α1-MG rises earlier than β2-MG. By means of correlation analysis, the serum β2-MG is significantly correlative with β2-MG and Scr(r = 0.673, r = 0.608). All those indicate that the level of the serum α1-MG may be a reliable and sensitive index to the diabetic retinopathy in the early diagnosis

  1. Situational analysis of services for diabetes and diabetic retinopathy and evaluation of programs for the detection and treatment of diabetic retinopathy in India: Methods for the India 11-city 9-state study

    Directory of Open Access Journals (Sweden)

    G. V. S. Murthy

    2016-01-01

    Full Text Available Background: Diabetic retinopathy (DR is a leading cause of visual impairment in India. Available evidence shows that there are more than 60 million persons with diabetes in India and that the number will increase to more than a 100 million by 2030. There is a paucity of data on the perceptions and practices of persons with diabetes and the available infrastructure and uptake of services for DR in India. Objectives: Assess perception of care and challenges faced in availing eye care services among persons with diabetics and generate evidence on available human resources, infrastructure, and service utilization for DR in India. Methods: The cross-sectional, hospital-based survey was conducted in eleven cities across 9 States in India. In each city, public and private providers of eye-care were identified. Both multispecialty and standalone facilities were included. Specially designed semi-open ended questionnaires were administered to the clients. Semi-structured interviews were administered to the service providers (both diabetic care physicians and eye care teams and observational checklists were used to record findings of the assessment of facilities conducted by a dedicated team of research staff. Results: A total of 859 units were included in this study. This included 86 eye care and 73 diabetic care facilities, 376 persons with diabetes interviewed in the eye clinics and 288 persons with diabetes interviewed in the diabetic care facilities. Conclusions: The findings will have significant implications for the organization of services for persons with diabetes in India.

  2. Evaluation of thermal, pain, and vibration sensation thresholds in newly diagnosed type 1 diabetic patients.

    OpenAIRE

    Ziegler, D.; Mayer, P.; Gries, F A

    1988-01-01

    Small and large fibre function was studied in 40 non-ketotic, newly diagnosed Type 1 diabetic patients and 48 age-matched controls, using 12 quantitative tests for assessment of cutaneous sensation. Patients were aged 10-39 years and had been treated with insulin for 4-31 days. Thermal discrimination (foot), warm and cold thermal perception (thenar eminence and foot), and heat and cold pain perception thresholds (thenar eminence) were significantly elevated in the patients as compared with th...

  3. A Rat Model of Diabetic Wound Infection for the Evaluation of Topical Antimicrobial Therapies

    OpenAIRE

    Mendes, JJ; Leandro, C; Bonaparte, D; Pinto, A.

    2012-01-01

    Diabetes mellitus is an epidemic multisystemic chronic disease that frequently is complicated by complex wound infections. Innovative topical antimicrobial therapy agents are potentially useful for multimodal treatment of these infections. However, an appropriately standardized in vivo model is currently not available to facilitate the screening of these emerging products and their effect on wound healing. To develop such a model, we analyzed, tested, and modified published models of wound he...

  4. Comparative evaluation of screening tests for maternal and fetal outcome in gestational diabetes

    Directory of Open Access Journals (Sweden)

    Shivi Saxena

    2015-06-01

    Results: 75 gm GTT had higher specificity, positive and negative predictive values as compared to 50 gm GCT for both maternal and fetal outcome. However 50 gm GCT was more sensitive for predicting maternal and fetal complications. Conclusions: 75 gm GTT is better than 50 gm GCT for predicting adverse maternal and perinatal outcome in gestational diabetic patients. [Int J Res Med Sci 2015; 3(6.000: 1363-1367

  5. Evaluation of a risk factor scoring model in screening for undiagnosed diabetes in China population*

    OpenAIRE

    Dong, Jian-Jun; Lou, Neng-jun; Zhao, Jia-jun; Zhang, Zhong-wen; Qiu, Lu-lu; Zhou, Ying; Liao, Lin

    2011-01-01

    Objective: To develop a risk scoring model for screening for undiagnosed type 2 diabetes in Chinese population. Methods: A total of 5348 subjects from two districts of Jinan City, Shandong Province, China were enrolled. Group A (2985) included individuals from east of the city and Group B (2363) from west of the city. Screening questionnaires and a standard oral glucose tolerance test (OGTT) were completed by all subjects. Based on the stepwise logistic regression analysis of Group A, variabl...

  6. Evaluation of wound healing potential of Jatropha gossypifolia Linn. root extracts in normal and diabetic rats

    OpenAIRE

    Harneet Singh; Surendra Kr. Sharma

    2013-01-01

    Jatropha gossypifolia Linn. is used in Indian folk medicine for treatment of cuts and wounds. Root extract is used to promote wound and fracture healing in animals. Present study was conducted to assess wound healing potential of ointments prepared using successive extracts of roots of the plant. Incision and excision wounds were inflicted upon normal and nicotinamide streptozotocin-induced diabetic rats, respectively. Animals were treated topically with ointments containing 5% and 10% w/w pe...

  7. Comparative Evaluation of Hypoglycaemic Activity of Two Medicinal Plants in Alloxan Diabetic Rats

    OpenAIRE

    Sathyanarayanan Srinivasan; Balasubramanian Karundevi

    2005-01-01

    Aqueous extracts of the seeds of fenugreek (Trigonella foenum graecum) and fruits of bitter gourd (Momordica charantia) were tested for their hypoglycemic activity. The aqueous extracts or just the solvent alone (control) were orally administered daily for 7 days (short term) or 15 days (long term) to alloxan-induced diabetic rats. Blood glucose and plasma insulin levels and the subsequent effect on Oral Glucose Tolerance Test (OGTT) were monitored at 3, 6 and 9 h after the last administratio...

  8. Clinical evaluation of treatment for diabetic foot with PTA and PTA combined cinepazide maleate

    International Nuclear Information System (INIS)

    Objective: To investigate the clinical value for treatment of diabetic foot with PTA and PTA combined cinepazide maleate. Methods: In 24 cases of diabetic associated vascular disease of lower limb, 12 cases were treated with PTA and other 12 cases were treated with PTA combined cinepazide maleate. We analysed and compared clinical effects before and after the procedure, together with 3 months follow up. Results: In patients treated with PTA, the clinical symptom scores of posttreatment and follow-up decreased; ABI and TcPO2 increased significantly. The clinical symptom score and ABI of follow-up remained, stable, but TcPO2 decreased significantly. Control angiography showed improvement in degree of vascular stenosis and peripheral staining of 11 patients after treatment. The vascular patency remained in 12 patients and the peripheral staining decreased in 7 patients on follow-up. In patients treated with PTA combined cinepazide maleate, the clinical symptom score, ABI and TcPO2 after treatment and on follow-up showed no significant changes compared with those in patients treated by PTA. Control angiography showed that the degree of vascular stenosis and peripheral staining were improved in 12 patients after treatment. The vascular patency was maintained and peripheral staining was improved on follow-up. Before and after treatment, there were no significant differences in clinical symptom score, ABI and TcPO2 between patients treated with PTA and PTA combined cinepazide maleate, however, there were significant differences in clinical symptom score and TcPO2 on follow-up. Conclusion: PTA can significantly improve clinical symptom of diabetic foot and the application of cinepazide maleate is a beneficial and necessary supplement. PTA combined cinepazide maleate can be taken as one of the conventional treatment plans for diabetic foot. (authors)

  9. A preliminary evaluation of optometric management and referral protocols for pa-tients with diabetic retinopathy

    Directory of Open Access Journals (Sweden)

    M. Mehta

    2005-01-01

    Full Text Available Aim: The purpose of this pilot study was to investigate  the  assessment,  management  and referral practices of South African optometrists in  the  care  of  patients  with  diabetic  retinop-athy  (DR  and  to  recommend  strategies  to improve  and  standardize  patient  management as required.  Methods:  The  study  design  incorporated quantitative,  qualitative  and  clinical  measures that were administered to fourteen experienced optometrists from the Durban area. The quan-titative measure, the questionnaire in appendix I, evaluated the optometrists’ management pro-tocols of patients with diabetes mellitus (DM.  These  included  the  optometrists’  referral  and co-management practices, their awareness and usage  of  appropriate  guidelines  in  the  man-agement  and  referral  of  these  patients,  their perceived levels of competence and confidence in their education, levels of service offered to the patients and finally the role of Continuous Professional  Development  (CPD.  This  self-report information was supplemented by a set of clinical measures where the study sample grad-ed levels of DR, chose appropriate management options  and  indicated  prognosis  for  disease progression based on a set of slides presented to  them.  Finally  the  fourteen  optometrists,  as well as two ophthalmologists, were interviewed using tailored, semi-structured interview sched-ules. These interviews were used to elaborate and corroborate information obtained from the other two research approaches.  Results:  Descriptive  analysis  was  used  to analyse  the  data  from  the  quantitative  and clinical  measures,  whilst  the  interviews  were analysed  thematically.  Although  86%  of  the sample routinely screened for ocular manifesta-tions of DM, there was no standardization in the criteria used by the fourteen optometrists

  10. A comparative evaluation of antioxidant enzymes and selenium in the serum of periodontitis patients with diabetes mellitus type 2

    Directory of Open Access Journals (Sweden)

    Biju Thomas

    2013-01-01

    Full Text Available Context: Chronic periodontitis is an inflammatory disease with an aberrant response characterized by exaggerated inflammation, involving the release of excess proteolytic enzymes and reactive oxygen species (ROS. Diabetes mellitus is a group of complex multisystem metabolic disorders characterized by a relative or absolute insufficiency of insulin secretion and or concomitant resistance to the metabolic action of insulin on target tissues. Increased production of ROS necessitates elevated requirements for the nutrients involved in antioxidant defenses: Selenium, zinc, and copper. Inflammatory states promote a decrease in the amount of systemic glutathione levels. Catalase is a central antioxidant enzyme constituting the primary defense against oxidative stress. Aims: This study has been designed to evaluate the comparison of glutathione, catalase, and selenium levels in the serum of diabetes mellitus type 2 patients and healthy individuals with and without periodontal disease. Settings and Design: This study is a case control study. Materials and Methods: The study was designed as a case - control study comprising of 150 subjects, inclusive of both sexes and were divided into three groups of 50 patients each. Group I: 50 subjects with type 2 diabetes mellitus and chronic periodontitis. Group II: 50 subjects who are systemically healthy with the chronic periodontitis. Group III: 50 subjects who are systemically healthy and not suffering from Periodontitis: Serum samples were taken for estimation of glutathione, catalase, and selenium from all groups, and Subjected to biochemical analysis after which atomic absorption spectrophotometry method was used to obtain their levels in serum. Statistical Analysis Used: ANOVA and Tukey HSD. Results: The serum levels of glutathione in diabetic patients with periodontitis were significantly lower with a mean of 61.36 + 8.054 when compared to healthy individuals with and without periodontitis with a mean of 56

  11. Supply chain dynamics in Asia

    OpenAIRE

    Banomyong, Ruth

    2010-01-01

    Supply chain management in Asia is a relatively novel topic but a key challenge for all Asian based manufacturers and traders when trying to integrate into the "global market". The purpose of the paper is to describe key supply chain issues faced in Asia. These issues are related to supply chain security that forces Asian firms to comply with numerous requirements as well as the importance of a properly managed supply chain in enhancing firms' competitiveness. The critical role played by Asia...

  12. Liberal Peace and South Asia

    OpenAIRE

    Bhumitra Chakma

    2014-01-01

    Following the end of the Cold War, South Asia has been in transition in a number of ways. Based on the Kantian tripod of democracy, economic interdependence and institution, this article assesses whether liberal peace has taken root in South Asia. It concludes that although an incipient liberal order may be discerned in the region, South Asia has yet to change fundamentally to become a zone of liberal peace. Particularly the Indo-Pakistani relationship remains frosty which constrains the buil...

  13. Re-Centring Central Asia

    OpenAIRE

    Grenet, Frantz

    2015-01-01

    The “golden peaches” of Samarkand in the days of Sogdian trade As a cultural area Central Asia was recognized at a late stage, since its emergence as a geographical reality was very slow. The term Central Asia was coined in around 1825, simultaneously in Russia and in France, by the diplomat Georges de Meyendorff and by Julius Klaproth, respectively. It soon gained currency, along with its variant Middle Asia, sometimes preferred in Russia. Reading this nineteenth-century geographic literat...

  14. Simultaneous noninvasive evaluation of gastric emptying and orocaecal transit times. Use in studying the actions of cisapride in diabetic patients.

    Science.gov (United States)

    Bergmann, J F; Chassany, O; Guillausseau, P J; Bayle, M; Chagnon, S; Caulin, C; Sallenave, J R

    1992-01-01

    The aim of the study was to use a novel combination of two methods for the simultaneous evaluation of two effects of oral cisapride in 10 diabetic patients with autonomic neuropathy; gastric empyting time was measured by following radio-opaque markers and orocaecal transit time by the sulphasalazine-sulphapridine method. The study was of double-blind, randomized, placebo-controlled, cross-over design. It was possible to evaluate the effect of a prokinetic drug on gastric emptying and orocaecal transit times using these two noninvasive techniques at the same time. Cisapride significantly reduced both the gastric empyting (1.2 h versus 2.1 h) and orocaecal tansit (5.9 h versus 7.7 h) times. PMID:1425866

  15. Underground laboratories in Asia

    International Nuclear Information System (INIS)

    Deep underground laboratories in Asia have been making huge progress recently because underground sites provide unique opportunities to explore the rare-event phenomena for the study of dark matter searches, neutrino physics and nuclear astrophysics as well as the multi-disciplinary researches based on the low radioactive environments. The status and perspectives of Kamioda underground observatories in Japan, the existing Y2L and the planned CUP in Korea, India-based Neutrino Observatory (INO) in India and China JinPing Underground Laboratory (CJPL) in China will be surveyed

  16. Teaching Modern Southeast Asia

    Directory of Open Access Journals (Sweden)

    Thomas Williamson

    2009-04-01

    Full Text Available Teaching about Southeast Asia to undergraduates at an American liberal arts college presents several challenges. At my institution, it is the only course on the region in the curriculum; thus no preparation, and no follow-up. I have therefore struggled with the approach that I should take–pulled between a wish for students to gain an empirical understanding of Southeast Asian life, and a desire to have them learn the concepts and theories of critical inquiry. Obviously I am still learning how to successfully accomplish such an ambitious undertaking.

  17. Mortality in Asia.

    Science.gov (United States)

    1981-01-01

    Although the general trend in mortality between 1950 and 1975 in South and East Asia has been downward, there is considerable country-to-country variation in the rate of decline. In countries where combined economic, social, and political circumstances resulted in controlling the disease spectrum (e.g., China, Malaysia, Sri Lanka), mortality levels declined to those seen in low-mortality countries. In most of the large countries of the region however, mortality declined at a slower rate, even slowing down considerably in the 1970's while the death rates remained high (e.g., India, Bangladesh, Thailand, Philippines); this slowing down of mortality level is attributed essentially to the poverty-stricken masses of society which were not able to take advantage of social, technological, and health-promoting behavioral changes conducive to mortality decline. Infant mortality levels, although declining since 1950, followed the same dismal pattern of the general mortality level. The rate varies from less than 10/1000 live births (Japan) to more than 140/1000 (Bangladesh, Laos, Nepal). Generally, rural areas exhibited higher infant mortality than urban areas. The level of child mortality declines with increases in the mother's educational level in Bangladesh, India, Indonesia, Sri Lanka, and Thailand. The largest decline in child mortality occurs when at least 1 parent has secondary education. The premature retardation of mortality decline is caused by several factors: economic development, nutrition and food supply, provision and adequacy of health services, and demographic trends. The outlook for the year 2000 for most of Asia's countries will depend heavily on significant population increases. In most countries, particularly in South Asia, population is expected to increase by 75%, much of it in rural areas and among poorer socioeconomic groups. In view of this, Asia's health planners and policymakers will have to develop health policies which will strike a balance

  18. Filipinas, plataforma hacia Asia

    OpenAIRE

    Elizalde Pérez-Grueso, María Dolores

    2008-01-01

    Ene ste trabajo se plantea un análisis de la significación que Filipinas ha tenido para España como plataforma hacia Asia, revisando distintas etapas: la función que desempeñó el archipiélago, en los primeros tiempos, como base desde la que introducirse en el comercio asiático y desde la que extender la empresa evanlizadora; el papel que adoptó en el XVII como eje del comercio transpacífico del Galeón que unía Manila y Acapulco; las reformas introducidas en el siglo XVIII para reforzar el sis...

  19. Underground laboratories in Asia

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Shin Ted, E-mail: linst@mails.phys.sinica.edu.tw [College of Physical Science and Technology, Sichuan University, Chengdu 610064 China (China); Yue, Qian, E-mail: yueq@mail.tsinghua.edu.cn [Key Laboratory of Particle and Radiation Imaging (Ministry of Education) and Department of Engineering Physics, Tsinghua University, Beijing 100084 China (China)

    2015-08-17

    Deep underground laboratories in Asia have been making huge progress recently because underground sites provide unique opportunities to explore the rare-event phenomena for the study of dark matter searches, neutrino physics and nuclear astrophysics as well as the multi-disciplinary researches based on the low radioactive environments. The status and perspectives of Kamioda underground observatories in Japan, the existing Y2L and the planned CUP in Korea, India-based Neutrino Observatory (INO) in India and China JinPing Underground Laboratory (CJPL) in China will be surveyed.

  20. EVALUATION OF ANTI-OXIDANT AND ANTI-DIABETIC ACTIVITIES OF CINNAMOMUM TAMALA LINN LEAVES IN STREPTOZOTOCIN-INDUCED DIABETIC RATS

    OpenAIRE

    Palanisamy P; K.R.Srinath; D Yoganand Kumar; Pooja Chowdary C

    2011-01-01

    The main objective of this study was to focus on the anti-diabetic activity of Cinnamomum tamala Linn, with special reference to its curative and protective role in streptozotocin- induced diabetic animal model. Attempts were further made to study the antioxidant properties of Cinnamomum tamala Linn. leaves. The efficacy of 50% ethanolic extract of leaves of Cinnamomum tamala showed significant decrease in the blood glucose level and increase in the antioxidant efficacy in streptozotocin indu...

  1. Cardiovascular Risk Reduction in Diabetes in Sub-Saharan Africa: What should the Priorities be in the Absence of Global Risk Evaluation Tools?

    Directory of Open Access Journals (Sweden)

    Andre Pascal Kengne

    2008-01-01

    Full Text Available Background: The growing burden of type 2 diabetes in Sub-Saharan Africa (SSA and related cardiovascular complications call for vigorous actions into prevention. Comprehensive cardiovascular risk evaluation is important for the success of such actions.Methods: We have reviewed 3 currently existing sets of recommendations for cardiovascular prevention in diabetes in SSA. Distribution of major risk factors and patterns of reported cardiovascular outcomes are used to suggest orientations for cardiovascular prevention in diabetes in this region. Papers and reports published over the period 1990 to 2007 were used.Results: Existing guidelines share some similarities, but also have areas of inconsistencies. They are generally adaptations of existing guidelines, focused more on individual risk factors, and are not usually backed-up by local evidence. They all have a projection on blood pressure lowering. This focus is supported by the high prevalence of hypertension among people with diabetes in SSA. Blood pressure and tobacco smoking are the modifiable risk factors accessible to evaluation and interventions on a wide scale in SSA. Appropriate blood pressure control will have a major impact on stroke (the commonest cardiovascular disease through a reduction of the cerebrovascular risk, and to a lesser extent on coronary heart disease and total deaths in diabetes in this region.Conclusions: In the absence of global risk evaluation tools, the use of blood pressure lowering as a primary focus of cardiovascular prevention strategies is relevant for SSA. However, there is a need to set-up diabetes and stroke registers to monitor outcomes and generate tools for accurate risk prediction and management in diabetes in this region.

  2. Diabetic Retinopathy

    Science.gov (United States)

    ... Cases of Diabetic Retinopathy (in thousands) by Age, Gender, and Race/Ethnicity Diabetic retinopathy affects men and ... Cases of Diabetic Retinopathy (in thousands) by Age, Gender, and Race/Ethnicity Projections for Diabetic Retinopathy (2010- ...

  3. Synthesis and Biological Evaluation of Novel Gigantol Derivatives as Potential Agents in Prevention of Diabetic Cataract.

    Directory of Open Access Journals (Sweden)

    Jie Wu

    Full Text Available As a continuation of our efforts directed towards the development of natural anti-diabetic cataract agents, gigantol was isolated from Herba dendrobii and was found to inhibit both aldose reductase (AR and inducible nitric oxide synthase (iNOS activity, which play a significant role in the development and progression of diabetic cataracts. To improve its bioefficacy and facilitate use as a therapeutic agent, gigantol (compound 14f and a series of novel analogs were designed and synthesized. Analogs were formulated to have different substituents on the phenyl ring (compounds 4, 5, 8, 14a-e, substitute the phenyl ring with a larger steric hindrance ring (compounds 10, 17c or modify the carbon chain (compounds 17a, 17b, 21, 23, 25. All of the analogs were tested for their effect on AR and iNOS activities and on D-galactose-induced apoptosis in cultured human lens epithelial cells. Compounds 5, 10, 14a, 14b, 14d, 14e, 14f, 17b, 17c, 23, and 25 inhibited AR activity, with IC50 values ranging from 5.02 to 288.8 μM. Compounds 5, 10, 14b, and 14f inhibited iNOS activity with IC50 ranging from 432.6 to 1188.7 μM. Compounds 5, 8, 10, 14b, 14f, and 17c protected the cells from D-galactose induced apoptosis with viability ranging from 55.2 to 76.26%. Of gigantol and its analogs, compound 10 showed the greatest bioefficacy and is warranted to be developed as a therapeutic agent for diabetic cataracts.

  4. Evaluation of Chios mastic gum on lipid and glucose metabolism in diabetic mice.

    Science.gov (United States)

    Georgiadis, Ioannis; Karatzas, Theodore; Korou, Laskarina-Maria; Agrogiannis, George; Vlachos, Ioannis S; Pantopoulou, Alkisti; Tzanetakou, Irene P; Katsilambros, Nikolaos; Perrea, Despina N

    2014-03-01

    Chios mastic gum (MG), a resin produced from Pistacia lentiscus var. Chia, is reported to possess beneficial cardiovascular and hepatoprotective properties. This study investigated the effect of crude Chios MG on metabolic parameters in diabetic mice. Streptozotocin-induced diabetic 12-week-old male C57bl/6 mice were assigned to three groups: NC (n=9) control; LdM (n=9) animals receiving low dose mastic for 8 weeks (20 mg/kg body weight [BW]); and HdM (n=9) animals receiving high dose mastic (500 mg/kg BW) for the same period. Serum lipid and glucose levels were determined at baseline, at 4 and 8 weeks. Serum total protein, adiponectin, and resistin levels were also measured at the end of the experiment. Histopathological examination for liver, kidney, aorta, and heart lesions was performed. After 4 weeks, MG administration resulted in decreased serum glucose and triglyceride levels in both LdM and HdM, whereas BW levels were reduced in LdM group compared with controls. At the end of the experiment, LdM presented significantly lower serum glucose, cholesterol, low-density lipoprotein cholesterol, and triglyceride levels and improved high-density lipoprotein cholesterol levels compared with control group. HdM group had ameliorated serum triglyceride levels. Hepatic steatosis observed in control group was partially reversed in LdM and HdM groups. MG administered in low dosages improves glucose and lipid disturbances in diabetic mice while alleviating hepatic damage. PMID:24404977

  5. Evaluation of Association of Serum Magnesium with Dyslipidaemia in Diabetic Nephropathy and ndash; A Case Control Study

    Directory of Open Access Journals (Sweden)

    Netravati B Sajjan

    2014-12-01

    Full Text Available ABSTRACT: AIM: To estimate Serum magnesium and lipid profile in type II diabetes mellitus without complications, diabetic nephropathy and healthy controls. To correlate Serum magnesium and lipid profile in cases and controls. MATERIALS and METHODS: The study was done on 50 clinically diagnosed diabetic nephropathy, 50 Type II diabetics without complications and 50 age and sex matched healthy controls. Serum Magnesium, Fasting Blood sugar (FBS, lipid profile and spot urine microalbumin were estimated. Data obtained was analyzed for Mean, standard deviation, and lsquo;p' value and and lsquo;r' value. RESULTS: We observed highly significant decrease in magnesium (p <0.001 and dyslipidaemia in diabetic nephropathy compared to diabetics without complications and controls. CONCLUSION: Hypomagnesaemia occurs in diabetics due to osmotic diuresis. Decreased Mg progresses the dyslipidaemia in Diabetic nephropathy leading to further complications like CRF and coronary artery diseases. [Natl J Med Res 2014; 4(4.000: 318-321

  6. Development and Preliminary Evaluation of a Simulation-Based Diabetes Education Module

    OpenAIRE

    Gibson, Bryan; Weir, Charlene

    2010-01-01

    Many Individuals with type II Diabetes fail to self-manage their disease effectively. Faulty Mental Models of the disease and of the role of lifestyle have been implicated as one cause. Simulation based education could help to provide better mental models of the disease and the effects of behavior on glycemia. We have developed a simulation-based module designed to educate and motivate individuals with DM II. In this paper we describe the development of our simulation-based education module a...

  7. Usefulness of 123I-Meta-iodobenzylguanidine (MIBG) myocardial scintigraphy for evaluation of cardiac sympathetic nervous system function in diabetic patients

    International Nuclear Information System (INIS)

    The cardiac sympathetic nervous system function of diabetic patients with no definite cardiovascular complications other than hypertension was evaluated by 123I -MIBG myocardial scintigraphy. The subjects consisted of 82 diabetic patients, 59 men, 23 women, mean age 57 years, 17 with hypertension and 65 with normal blood pressure, and they were compared with normal controls (8 men and 3 women, mean age 54 years). Myocardial scintigraphy was performed 10 minutes and 4 hours after administration of MIBG. The superior mediastinum and whole myocardium were set as regions of interest, and the heart-to-mediastinum ratio (H/M ratio) and the washout rate (%WR) were calculated. The mean observation period was 18±12 months, and 17 of the 65 diabetic patients with normal blood pressure before the study developed hypertension during the observation period. There were significant differences in H/M ratio and %WR between the diabetic patients and normal controls (H/M ratio; 1.96±0.34 vs 2.27±0.20, %WR; 24.71±16.99% vs 12.89±11.94). The diabetic patients with hypertension had higher morbidity with diabetic retinopathy and a lower H/M ratio. The 17 patients who developed hypertension during the observation period showed an increase in %WR and a reduction in the H/M ratio. Five patients who died during the observation period had a reduced H/M ratio and increased of %WR. 123I-MIBG myocardial scintigraphy in diabetic patients was shown to be useful for detecting cardiac sympathetic nervous system dysfunction, predicting the development of hypertension, and identifying patients who had a poor outcome. Diabetic patients with abnormal signals on MIBG myocardial scintigraphy need to be monitored much more carefully. (K.H.)

  8. Usefulness of {sup 123}I-Meta-iodobenzylguanidine (MIBG) myocardial scintigraphy for evaluation of cardiac sympathetic nervous system function in diabetic patients.

    Energy Technology Data Exchange (ETDEWEB)

    Tamura, Koji; Nakatani, Yuko; Doi, Kenji; Adachi, Gakuji; Takada, Kou

    2001-11-01

    The cardiac sympathetic nervous system function of diabetic patients with no definite cardiovascular complications other than hypertension was evaluated by {sup 123}I -MIBG myocardial scintigraphy. The subjects consisted of 82 diabetic patients, 59 men, 23 women, mean age 57 years, 17 with hypertension and 65 with normal blood pressure, and they were compared with normal controls (8 men and 3 women, mean age 54 years). Myocardial scintigraphy was performed 10 minutes and 4 hours after administration of MIBG. The superior mediastinum and whole myocardium were set as regions of interest, and the heart-to-mediastinum ratio (H/M ratio) and the washout rate (%WR) were calculated. The mean observation period was 18{+-}12 months, and 17 of the 65 diabetic patients with normal blood pressure before the study developed hypertension during the observation period. There were significant differences in H/M ratio and %WR between the diabetic patients and normal controls (H/M ratio; 1.96{+-}0.34 vs 2.27{+-}0.20, %WR; 24.71{+-}16.99% vs 12.89{+-}11.94). The diabetic patients with hypertension had higher morbidity with diabetic retinopathy and a lower H/M ratio. The 17 patients who developed hypertension during the observation period showed an increase in %WR and a reduction in the H/M ratio. Five patients who died during the observation period had a reduced H/M ratio and increased of %WR. {sup 123}I-MIBG myocardial scintigraphy in diabetic patients was shown to be useful for detecting cardiac sympathetic nervous system dysfunction, predicting the development of hypertension, and identifying patients who had a poor outcome. Diabetic patients with abnormal signals on MIBG myocardial scintigraphy need to be monitored much more carefully. (K.H.)

  9. CERN diabetes awareness days

    CERN Multimedia

    2004-01-01

    Do you have diabetes without knowing it? The Medical Service invites everyone working at CERN to participate in the above PREVENTION and DETECTION campaign on the: 8 and 9 November 2004 from 9 am to 4 pm at the infirmary, bldg. 57, ground floor Personal evaluation of diabetes risks, (blood pressure, cholesterol and sugar levels, Body Mass Index measurements and more...) will be offered as well as leaflets, information and advice, (diet, exercise). A dietician specialised in diabetes will be on hand from 2 pm until 4 pm. Diabetes is reaching epidemic proportions in many countries due to an increase in obesity, sedentary lifestyles and poor diet. Diabetes is a major cause of blindness, cardio-vascular and kidney disease. An estimated 30-50% of these cases of diabetes go undetected, despite de fact that easy and efficient prevention exists. Diabetes discovered and treated early is not a severe condition but untreated and ignored it can have dire consequences.

  10. Evaluation of diabetic retinopathy screening using a non-mydriatic retinal digital camera in primary care settings in south Israel.

    Science.gov (United States)

    Mizrachi, Yossi; Knyazer, Boris; Guigui, Sara; Rosen, Shirley; Lifshitz, Tova; Belfair, Nadav; Klemperer, Itamar; Schneck, Marina; Levy, Jaime

    2014-08-01

    To evaluate the effectiveness of the non-mydriatic digital camera for diabetic retinopathy (DR) screening. Secondary purposes of the study were to characterize diabetic patients being screened for the presence of DR and to calculate the sensitivity, specificity, and positive predictive value of the test. All 6,962 consecutive patients with type 2 diabetes undergoing non-mydriatic digital retinal photography between January 1, 2009 and June 30, 2010 in eight community health clinics in the south of the country were included. Comparison of a random sample of patients who underwent non-mydriatic retinal photography, and who were also examined by an ophthalmologist with pupil dilation was also performed. The average age of all patients was 64.2 years. A total of 5,960 cases (85.6 % of all photographs) were of adequate quality for the diagnosis. DR of any degree was found in 1,092 (18.3 %) patients. Normal fundus pictures were found in 49.4 % of patients. In 32.2 % of cases, non-DR pathologies were found. Among cases in which DR was found, 73.3 % (801 cases) had mild non-proliferative retinopathy (NPDR), 7.1 % (77 cases) had moderate NPDR, 6.8 % (74 cases) had proliferative retinopathy, and 12.8 % (140 cases) had diabetic macular edema. Older patients had more chance of having poor quality pictures (p photography was compared with dilated fundus examination by an ophthalmologist, sensitivity of 99.3 %, specificity of 88.3 %, and positive predictive value of 85.3 % were found. Non-mydriatic digital retinal photography is an efficient method for DR screening. The test has high sensitivity and specificity. The test, as performed in community health centers in the south of the country, contributed to the early diagnosis of >1,000 cases of DR. Many patients can be followed up in a fast and efficient way, although the test cannot replace a complete eye examination after pupil dilation mainly in older people. Other non-DR sight-threatening ocular pathologies can be also

  11. Evaluation for antidiabetic activity in selected medicinal plants used in Malaysian traditional medicine for the treatment of diabetes

    International Nuclear Information System (INIS)

    Aqueous extracts of three medicinal plants used in Malaysian traditional medicine for the treatment of diabetes were investigated. The nuts of Areca cathecu, leaves of Lagerstroemia speciosa and Ficus deltoidea were each extracted by boiling in distilled water. The aqueous extracts were filtered and the filtrates were then spray dried. Their biological evaluation was conducted to determine their blood glucose lowering effect in normoglycaemic and alloxan-induced diabetic rats. Commercially available antidiabetic drug, glybenclamide was used as positive control. Toxicity of the extracts was carried out using the brine shrimp lethality assay and in vivo acute toxicity test in rats. Aqueous extracts of all the plants studied showed significant reduction in blood glucose level up to 50% in rats over a period of 3 to 4 weeks. The largest reduction in blood glucose levels was exhibited by the aqueous extracts of the Lagestroemia speciosa, followed by the Ficus deltoidea and Areca cathecu. There was no evidence of toxicity of the extracts against the brine shrimp (up to 4,000 μg/ml) and in rats (up to 0.2% body weight). (Author)

  12. Design, synthesis and biological evaluation of novel peptide MC2 analogues from Momordica charantia as potential anti-diabetic agents.

    Science.gov (United States)

    Yang, Baowei; Li, Xue; Zhang, Chenyu; Yan, Sijia; Wei, Wei; Wang, Xuekun; Deng, Xin; Qian, Hai; Lin, Haiyan; Huang, Wenlong

    2015-04-21

    Three series of Momordica charantia (MC)2 analogues were designed, synthesized and evaluated for their anti-hyperglycaemic effects. Alanine scanning focusing on the peptide MC2 indicated the importance of the residues proline (Pro)(3), serine (Ser)(6), isoleucine (Ile)(7) and Ser(10) for anti-hyperglycaemic effects. Among the first series of MC2 analogues, peptide I-4 exhibited a better anti-hyperglycaemic effect and was chosen for further modification. A further two series of conformationally constrained analogues were designed by scanning the residues Pro(3), Ser(6), Ile(7), and Ser(10) with an i - (i + 2) lactam bridge consisting of a glutamic acid-Xaa-lysine (Glu-Xaa-Lys) scaffold and a diproline fragment. By screening in normal mice and mice with diabetes mellitus, peptides II-1, II-2 and III-3 showed a significant improvement in anti-hyperglycaemic and anti-oxidative activities compared with I-4. These data suggest that II-1, II-2 and III-3 could be candidates for future treatment of diabetes mellitus. PMID:25778708

  13. Transperitoneal transport in diabetic and non-diabetic patients on peritoneal dialysis

    DEFF Research Database (Denmark)

    Graff, J; Fugleberg, Steen; Nielsen, S L;

    1999-01-01

    To investigate differences in the transport characteristics of the peritoneal membrane between diabetic and non-diabetic patients on chronic peritoneal dialysis, a study was conducted in 21 non-diabetic and 18 diabetic patients. Transperitoneal transport of small solutes was evaluated in terms......-labelled human albumin. Despite a significantly increased transcapillary escape rate of albumin in the diabetic patients, no differences in peritoneal membrane characteristics could be demonstrated between diabetic and non-diabetic patients on peritoneal dialysis....

  14. Women and Diabetes -- Diabetes Medicines

    Science.gov (United States)

    ... Audience For Women Women's Health Topics Women and Diabetes - Diabetes Medicines Share Tweet Linkedin Pin it More sharing ... 1-800-332-1088 to request a form. Diabetes Medicines The different kinds of diabetes medicines are ...

  15. Evaluation of red blood cell aggregation in diabetes by computerized image analysis.

    Science.gov (United States)

    Foresto, P; D'Arrigo, M; Carreras, L; Cuezzo, R E; Valverde, J; Rasia, R

    2000-01-01

    Red blood cell (RBC) aggregation has been widely studied and its importance is well established in the rheology of microcirculation. RBC aggregation is a major factor responsible for the flow properties of blood. Increased RBC aggregation has been observed in several pathological states. Therefore, the measurement of erythrocyte aggregation is rheologically important for quantifying flow abnormality in pathological conditions. Normal RBC under low flow or at rest form rouleaux aggregates, while abnormal RBC aggregation may lead to the formation of irregular aggregate structures, which may be induced by cell-associated factors (reduced membrane sialic acid levels) but also by extracellular factors. The main objective of the present investigation was to study RBC aggregate morphology in diabetic patients, using direct microscopic observation and numerical processing of recorded digitized images. Blood samples were obtained from 20 diabetic patients and from 15 normal control subjects. The aggregate morphology was quantified by the so-called Aggregate Shape Parameter (ASP) defined as the ratio of the aggregate projected area to its square perimeter. ASP appeared significantly higher (p rouleaux aggregates provides a useful reference for measuring deviations of RBC aggregate morphology. Increased aggregation of RBC resulting from a decreased sialylation of glycophorins may be an important factor in the development of vascular diseases and in the microcirculation impairment. PMID:11188894

  16. Application of an Online-Coupled Regional Climate Model, WRF-CAM5, over East Asia for Examination of Ice Nucleation Schemes: Part I. Comprehensive Model Evaluation and Trend Analysis for 2006 and 2011

    Directory of Open Access Journals (Sweden)

    Ying Chen

    2015-08-01

    Full Text Available Online-coupled climate and chemistry models are necessary to realistically represent the interactions between climate variables and chemical species and accurately simulate aerosol direct and indirect effects on cloud, precipitation, and radiation. In this Part I of a two-part paper, simulations from the Weather Research and Forecasting model coupled with the physics package of Community Atmosphere Model (WRF-CAM5 are conducted with the default heterogeneous ice nucleation parameterization over East Asia for two full years: 2006 and 2011. A comprehensive model evaluation is performed using satellite and surface observations. The model shows an overall acceptable performance for major meteorological variables at the surface and in the boundary layer, as well as column variables (e.g., precipitation, cloud fraction, precipitating water vapor, downward longwave and shortwave radiation. Moderate to large biases exist for cloud condensation nuclei over oceanic areas, cloud variables (e.g., cloud droplet number concentration, cloud liquid and ice water paths, cloud optical depth, longwave and shortwave cloud forcing. These biases indicate a need to improve the model treatments for cloud processes, especially cloud droplets and ice nucleation, as well as to reduce uncertainty in the satellite retrievals. The model simulates well the column abundances of chemical species except for column SO2 but relatively poor for surface concentrations of several species such as CO, NO2, SO2, PM2.5, and PM10. Several reasons could contribute to the underestimation of major chemical species in East Asia including underestimations of anthropogenic emissions and natural dust emissions, uncertainties in the spatial and vertical distributions of the anthropogenic emissions, as well as biases in meteorological, radiative, and cloud predictions. Despite moderate to large biases in the chemical predictions, the model performance is generally consistent with or even better

  17. South Asian women with diabetes: Psychosocial challenges and management: Consensus statement

    OpenAIRE

    Sarita Bajaj; Fatema Jawad; Najmul Islam; Hajera Mahtab; Jyoti Bhattarai; Dina Shrestha; Chandrika Wijeyaratne; Muthukuda, Dimuthu T.; Niranjala Weegoda Widanage; Than Than Aye; Moe Wint Aung; Bharti Kalra; R. M. Anjana; Aswathy Sreedevi; Komal Verma

    2013-01-01

    Diabetes is the ninth leading cause of death in women globally. In South Asians mortality in women with diabetes stands second highest. There is a marked gender discrimination which is faced by women across South Asia esp in access to services and support for diabetes, resulting in high rates of morbidity and mortality in women with diabetes. The most important risk factor identified for the diabetes epidemic is obesity along with genetic susceptibility. Lack of health care, social and cultur...

  18. Evaluation of a Modified SEBAL Algorithm to Estimate Actual Evapotranspiration in Cotton Ecosystems of Central Asia using Microwave and Optical Remote Sensing Data

    Science.gov (United States)

    Knoefel, Patrick; Conrad, Christopher

    2015-04-01

    Being recognized as an essential component of both the water and the energy cycle, actual evapotranspiration (ETa) plays in important role in order to describe the complex interactions within the climate system of the Earth. Here, remote sensing is a powerful tool to estimate regional ETa to support the regional water management. For instance, the water withdrawal of the agricultural sector in OECD countries is on average about 44 %, but in the states of Central Asia it achieves more than 90 %. This fact is identified as one of the main reasons for the increasing water scarcity in this region. An accuracy assessment of the methods used for determining ETa is necessary concerning an appropriate use of the model results to support agriculture and irrigation management. Within Central Asia the Khorezm region in Uzbekistan is a case study region for the problems of irrigated agriculture. For Khorezm the seasonal ETa based on MODIS data was calculated for the years 2009 - 2011 using a partly modified surface energy balance algorithm for land (SEBAL). SEBAL was implemented based on MODIS time series to calculate the energy balance components like net radiation (Rn), sensible heat (H), latent heat (LE), and soil heat flux (G). Whilst SEBAL is using an empirical equation for the estimation of G, a more physically based method was introduced in this study. This method uses microwave soil moisture products (ASAR and ASCAT-SSM) as an additional model input. The input parameters and the model results of all energy balance components (Rn, H, LE, and G) were intensively validated by field measurements with an eddy covariance system and soil sensors. The model shows very good performance for Rn with average model efficiency (NSE) of 0.68 and small relative errors (rRMSE) of about 10%. For turbulent heat fluxes good results can be achieved with NSE of 0.31 for H and 0.55 for LE, the rRMSE are about 21% (H) and 18% (LE). Soil heat flux estimation could be improved using the

  19. Göttingen minipig model of diet-induced atherosclerosis: influence of mild streptozotocin-induced diabetes on lesion severity and markers of inflammation evaluated in obese, obese and diabetic, and lean control animals

    DEFF Research Database (Denmark)

    Ludvigsen, Trine Pagh; Kirk, Rikke Kaae; Christoffersen, Berit Østergaard;

    2015-01-01

    From a pharmacological perspective, readily-available, well-characterized animal models of cardiovascular disease, including relevant in vivo markers of atherosclerosis are important for evaluation of novel drug candidates. Furthermore, considering the impact of diabetes mellitus on atherosclerosis...... metabolism were evaluated together with coronary and aortic atherosclerosis after 22 or 43 diet-weeks. Group differences were evaluated by analysis of variance for parametric data and Kruskal-Wallis test for non-parametric data. For qualitative assessments, Fisher's exact test was applied. For all analyses...

  20. Snakebite nephrotoxicity in Asia.

    Science.gov (United States)

    Kanjanabuch, Talerngsak; Sitprija, Visith

    2008-07-01

    Snakebites have the highest incidence in Asia and represent an important health problem. Clinical renal manifestations include proteinuria, hematuria, pigmenturia, and renal failure. Nephropathy usually is caused by bites by snakes with hemotoxic or myotoxic venoms. These snakes are Russell's viper, saw-scaled viper, hump-nosed pit viper, green pit viper, and sea-snake. Renal pathologic changes include tubular necrosis, cortical necrosis, interstitial nephritis, glomerulonephritis, and vasculitis. Hemodynamic alterations caused by vasoactive mediators and cytokines and direct nephrotoxicity account significantly for the development of nephropathy. Hemorrhage, hypotension, disseminated intravascular coagulation, intravascular hemolysis, and rhabdomyolysis enhance renal ischemia leading to renal failure. Enzymatic activities of snake venoms account for direct nephrotoxicity. Immunologic mechanism plays a minor role. PMID:18620959

  1. Social Capital in Asia

    DEFF Research Database (Denmark)

    Li, Peter Ping; Redding, Gordon

    2014-01-01

    usually larger, transactions backed by law. For economic development, the systemic form becomes crucial but needs to be compatible with relational norms. The dimensions of social capital are often dual in nature. This article employs a theory that accepts this and analyses the phenomena as yin......This article provides an overview of social capital in Asia. Social capital is trust and appears in two main forms: relational, based on societal norms, and systemic, based on societal institutions. The relational encourages personalistic transactions; and systemic trust, supports more formal, and......–yang balancing, seeing trust as a culturally determined enabler of social cooperation. The evolutions of trustworthiness in Japan, China, and the Philippines are analysed. This article contributes to the literature on varieties of capitalism and business systems as well as that on social capital. It raises the...

  2. Evaluation of Jump into Action: A Program to Reduce the Risk of Non-Insulin Dependent Diabetes Mellitus in School Children on the Texas-Mexico Border.

    Science.gov (United States)

    Holcomb, J. David; Lira, Juanita; Kingery, Paul M.; Smith, D. W.; Lane, Dorothy; Goodway, Jackie

    1998-01-01

    Evaluated Jump into Action, a non-insulin dependent diabetes mellitus (NIDDM)-prevention program that encouraged students to eat well and exercise regularly to reduce NIDDM risks. Surveys of predominantly Hispanic fifth graders and their teachers at Texas-Mexico border schools indicated that the program increased NIDDM-prevention knowledge and…

  3. Diabetes and Pancreatic Cancer

    OpenAIRE

    Li, Donghui

    2012-01-01

    Type 2 diabetes mellitus is likely the third modifiable risk factor for pancreatic cancer after cigarette smoking and obesity. Epidemiological investigations have found that long-term type 2 diabetes mellitus is associated with a 1.5- to 2.0-fold increase in the risk of pancreatic cancer. A causal relationship between diabetes and pancreatic cancer is also supported by findings from prediagnostic evaluations of glucose and insulin levels in prospective studies. Insulin resistance and associat...

  4. Diabetic Nephropathy and Microalbuminuria in Pregnant Women With Type 1 and Type 2 Diabetes

    DEFF Research Database (Denmark)

    Damm, Julie Agner; Asbjörnsdóttir, Björg; Callesen, Nicoline Foged; Mathiesen, Jonathan Michael; Ringholm, Lene; Pedersen, Berit Woetmann; Mathiesen, Elisabeth R

    2013-01-01

    To evaluate the prevalence of diabetic nephropathy and microalbuminuria in pregnant women with type 2 diabetes in comparison with type 1 diabetes and to describe pregnancy outcomes in these women following the same antihypertensive protocol.......To evaluate the prevalence of diabetic nephropathy and microalbuminuria in pregnant women with type 2 diabetes in comparison with type 1 diabetes and to describe pregnancy outcomes in these women following the same antihypertensive protocol....

  5. Comprehensive evaluation of pancreatic function in insulin-dependent diabetes mellitus

    International Nuclear Information System (INIS)

    The time course of the concentration of immunoreactive insulin (IRI) and C-peptide in the plasma and erythrocytes and the blood sugar level in GTT per os were investigated by means of radioimmunoassay. Altogether 73 healthy persons and 52 patients with a severe form of insulin-dependent diabetes mellitus were examined. To define the time course of changes in the concentration of the above values a rate gradient determined as a difference of changed concentration rate for the 1st and 2nd hour after load for each examined person, was proposed. The gradients of plasma IRI, plasma and erythrocytic C-peptide had maximum difference in healthy persons and patients. The hormone and blood sugar levels characterized the condition of the examined persons, and rate gradients were indicative of the state of the blood sugar regulation system

  6. EQ-5D visual analog scale and utility index values in individuals with diabetes and at risk for diabetes: Findings from the Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD

    Directory of Open Access Journals (Sweden)

    Fox Kathleen M

    2008-02-01

    Full Text Available Abstract Background The EQ-5D was used to compare burden experienced by respondents with diabetes and those at risk for diabetes. Methods A survey including the EQ-5D was mailed to individuals with self-reported diabetes, as well as those without diabetes but with the following risk factors (RFs: (1 abdominal obesity, (2 body mass index ≥ 28 kg/m2, (3 dyslipidemia, (4 hypertension, and (5 cardiovascular disease. Non-diabetes respondents were combined into 0–2 RFs and 3–5 RFs. Mean EQ-5D scores were compared across groups using analysis of variance. Multivariable linear regression modeling identified factors affecting respondents' EQ-5D scores. Results Complete responses were available from >75% of each cohort. Mean EQ-5D index scores were significantly lower for respondents with type 2 diabetes and 3–5 RFs (0.778 and 0.792, respectively than for those with 0–2 RFs (0.870, p p p Conclusion High-risk and type 2 diabetes groups had similar EQ-5D scores, and both were substantially lower than in low-risk respondents.

  7. A retrospective Evaluation of Antibacterials Used in theManagement of Diabetics in a Tertiary Hospital inSouth-western Nigeria

    Institute of Scientific and Technical Information of China (English)

    Mopelola Ibidunni Ayeni[1; Ezekiel Olugbenga Akinkunmi,[2; RosemaryTemitope Ikem[3; Patrick Osemene[1; Adunni Morohunfola[4

    2015-01-01

    Objective: Co-medication with antibacterials is often necessary in the management of diabetic patients. There is a constantneed to evaluate the use of these antibacterials to improve therapeutic outcomes and to avoid practices that could possibly increase theemergence of antimicrobial resistance. The aim of this study was to evaluate the utilization of antibacterials in the diabetic clinic of aNigerian tertiary hospital. Methods: A retrospective evaluation and analysis of patients' case notes written by physicians in the diabeticclinic over a three-year period (January, 2008-December, 2010) was conducted. The case notes were the individual medical records for150 different hospitalized diabetic patients with infection as co-indication. Data was collected using a WHO instrument for studies ofrational drug use. Results: Descriptive statistics such as mean, frequency, percentages and standard deviation were used to analyzecategorical data obtained from the demographic variables. Fisher exact test and chi square test were employed to determine whetherthere were statistically significant differences or associations between mean values of antibacterial prescription pattern and attendantdosage errors. (P =/〈 0.05 was accepted as significant). Comparing the mean number of antibacterial drugs in each prescription yearlyyielded a mean of 1.32 in 2008, 1.37 in 2009 and 1.67 in 2010, indicating that there was no statistically significant difference.Antibacterials were used to manage complications often seen in the diabetic patient, including; diabetic foot gangrene, injection abscess,septiceamia, diabetic foot ulcer, vaginal yeast infection, amongst others. Conclusions: The majority of prescriptions met the criteria forcompliance with the hospital's drug use protocol. The few instances of non-compliance with the hospital's antibiotic drug use protocolmay indicate the need for continuing education, especially for the less experienced prescribers.

  8. To evaluate the effect of Ranolazine on Fasting Plasma Glucose in patients of Type –II Diabetes Mellitus with Stable Angina as add on therapy

    OpenAIRE

    2013-01-01

    Objective: The study was aimed to evaluate the effect of Ranolazine on Fasting Plasma Glucose (FPG) in patients of Type –II Diabetes Mellitus with StableAngina as add on therapy.Material & Methods: An open-labeled, randomized, controlled parallel group study was conducted in 76diagnosed patients of Type –II Diabetes Mellitus with StableAnginaat S.N. medical College and Hospital, Agra.The selected patientsrandomly assigned into 2 groups, Control group (Group 1): was on their regular therap...

  9. An evaluation of iodine-123 iodoazomycinarabinoside as a marker of localized tissue hypoxia in patients with diabetes mellitus

    Energy Technology Data Exchange (ETDEWEB)

    Al-Arafaj, A. [Univ. of Alberta Hospitals, Edmonton (Canada); Ryan, E.A. [Univ. of Alberta Hospitals, Edmonton (Canada)]|[Univ. of Alberta, Edmonton (Canada); Hutchison, K. [Univ. of Alberta Hospitals, Edmonton (Canada)]|[Univ. of Alberta, Edmonton (Canada); Mannan, R.H. [Univ. of Alberta, Edmonton (Canada); Mercer, J. [Univ. of Alberta Hospitals, Edmonton (Canada)]|[Univ. of Alberta, Edmonton (Canada); Wiebe, L.I. [Univ. of Alberta, Edmonton (Canada)]|[Cross Cancer Inst., Edmonton, AB (Canada); McEwan, A.J.B. [Univ. of Alberta Hospitals, Edmonton (Canada)]|[Univ. of Alberta, Edmonton (Canada)]|[Cross Cancer Inst., Edmonton, AB (Canada)

    1994-12-01

    Peripheral vascular disease is a serious and common complication in patients with diabetes mellitus (DM). Evaluation is, conventionally, by transcutaneous oxygen tension measurements (TcpO{sub 2}), although this technique has some limitations in the evaluation of tissue viability. We have evaluated a new, radiolabelled, in vivo marker of tissue hypoxia, iodoazomycinarabinoside (IAZA), by comparing TcpO{sub 2} measurements with patterns of iodine-123 IAZA uptake in ten patients (19 lower limbs) with DM and peripheral vascular disease using conventional gamma camera imaging techniques. Normal uptake patterns were seen in limbs in which normal TcpO{sub 2} measurements were obtained. Diffusely increased uptake of [{sup 123}I]IAZA was seen in limbs with reduced TcpO{sub 2}. Focally increased uptake was seen in ulcers or in areas of atrophic skin change. A semi-quantitative measure showed an inverse correlation between [{sup 123}I]IAZA and TcpO{sub 2} values. These data suggest that tissue hypoxia can be imaged in this population of patients and that severity of disease can be assessed. A longitudinal prospective trial is now being developed. (orig.)

  10. An evaluation of iodine-123 iodoazomycinarabinoside as a marker of localized tissue hypoxia in patients with diabetes mellitus

    International Nuclear Information System (INIS)

    Peripheral vascular disease is a serious and common complication in patients with diabetes mellitus (DM). Evaluation is, conventionally, by transcutaneous oxygen tension measurements (TcpO2), although this technique has some limitations in the evaluation of tissue viability. We have evaluated a new, radiolabelled, in vivo marker of tissue hypoxia, iodoazomycinarabinoside (IAZA), by comparing TcpO2 measurements with patterns of iodine-123 IAZA uptake in ten patients (19 lower limbs) with DM and peripheral vascular disease using conventional gamma camera imaging techniques. Normal uptake patterns were seen in limbs in which normal TcpO2 measurements were obtained. Diffusely increased uptake of [123I]IAZA was seen in limbs with reduced TcpO2. Focally increased uptake was seen in ulcers or in areas of atrophic skin change. A semi-quantitative measure showed an inverse correlation between [123I]IAZA and TcpO2 values. These data suggest that tissue hypoxia can be imaged in this population of patients and that severity of disease can be assessed. A longitudinal prospective trial is now being developed. (orig.)

  11. The looming epidemic of diabetes-associated tuberculosis

    DEFF Research Database (Denmark)

    Harries, A D; Lin, Y; Satyanarayana, S;

    2011-01-01

    The prevalence of diabetes mellitus is increasing at a dramatic rate, and countries in Asia, particularly India and China, will bear the brunt of this epidemic. Persons with diabetes have a significantly increased risk of active tuberculosis (TB), which is two to three times higher than in persons...

  12. Causes of Diabetes

    Science.gov (United States)

    ... Help for Diabetes Care Diabetes Statistics Causes of Diabetes What is diabetes? Diabetes is a complex group of diseases with ... and type 2 diabetes. What causes type 1 diabetes? Type 1 diabetes is caused by a lack ...

  13. Design of a trial to evaluate the impact of clinical pharmacists and community health promoters working with African-Americans and Latinos with Diabetes

    Directory of Open Access Journals (Sweden)

    Gerber Ben S

    2012-10-01

    Full Text Available Abstract Background Given the increasing prevalence of diabetes and the lack of patients reaching recommended therapeutic goals, novel models of team-based care are emerging. These teams typically include a combination of physicians, nurses, case managers, pharmacists, and community-based peer health promoters (HPs. Recent evidence supports the role of pharmacists in diabetes management to improve glycemic control, as they offer expertise in medication management with the ability to collaboratively intensify therapy. However, few studies of pharmacy-based models of care have focused on low income, minority populations that are most in need of intervention. Alternatively, HP interventions have focused largely upon low income minority groups, addressing their unique psychosocial and environmental challenges in diabetes self-care. This study will evaluate the impact of HPs as a complement to pharmacist management in a randomized controlled trial. Methods/Design The primary aim of this randomized trial is to evaluate the effectiveness of clinical pharmacists and HPs on diabetes behaviors (including healthy eating, physical activity, and medication adherence, hemoglobin A1c, blood pressure, and LDL-cholesterol levels. A total of 300 minority patients with uncontrolled diabetes from the University of Illinois Medical Center ambulatory network in Chicago will be randomized to either pharmacist management alone, or pharmacist management plus HP support. After one year, the pharmacist-only group will be intensified by the addition of HP support and maintenance will be assessed by phasing out HP support from the pharmacist plus HP group (crossover design. Outcomes will be evaluated at baseline, 6, 12, and 24 months. In addition, program and healthcare utilization data will be incorporated into cost and cost-effectiveness evaluations of pharmacist management with and without HP support. Discussion The study will evaluate an innovative, integrated

  14. Evaluation of effect of acarbose consumption on weight losing in non-diabetic overweight or obese patients in Kerman

    Directory of Open Access Journals (Sweden)

    Akram Nakhaee

    2013-01-01

    Full Text Available Background: High prevalence of obesity and the importance of this issue as a risk factor for chronic diseases such as severe cardiovascular diseases, diabetes, and cancer necessitate the need for treatment. The aim of this study was the evaluation of acarbose effect on the weight loss in non diabetic overweight or obese patients in Kerman. Materials and Methods: A double blind randomized controlled clinical trial was performed on 66 patients with the body mass index (BMI between 25 and 35 kg/m2. Patients were divided in treatment and control groups using the randomization. The treatment group took 100 mg acarbose 3 times a day for 20 weeks in combination with the low calorie diet and exercise. Control group was given placebo, low calorie diet, and exercise. BMI was measured after 20 weeks. The analyses were carried out using t test and repeated measured ANOVA. Results: Patients in acarbose and placebo group had a non significant difference in BMI at baseline. Reducing in weight was considered in every month in both groups, but this reduction was higher in the treatment group. At the 5th month, the difference of BMI in the treatment group was significantly lower than the placebo group (2.31 ± 0.6 vs. 0.76 ± 0.6 kg/m2, P < 0.001. Conclusion: Acarbose, especially in combination with the low calorie diet and exercise, seems to lose weight effectively in obese and overweight patients in communities that have a high carbohydrate intake (like Persian diet.

  15. PHARMACOECONOMIC EVALUATION AND AN AUDIT OF QUALITY OF LIFE IN HYPERTENSIVE AND DIABETICS IN A RURAL TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    K.V. Ramanath

    2015-11-01

    Full Text Available Introduction: Healthcare budget pressure, justification of current expenditures and investments in public health care/individul are flattering a priority in chronic diseases. Hence, this study was carried out with the objective to evaluate the cost of illness in Diabetic Mellitus (DM and Hypertension (HTN and their Quality of life (QOL. Method: It was a prospective and Interventional study conducted in patients over a period of 9 months. The data were subjected to a descriptive statistical method. Results: Among 110 patients, 60 % was males. 41.8 % were 41-60 years & 52.7 % were former. Only 1.8 % were obese. 37.3 % had a previous diabetes history . 74.5 % of the patient's hospital stay was 6-10 days. The medication history showed 44.5 % was taking insulin therapy. 35.1 % were taking calcium channel blockers. . The direct medical cost mean + SD, was INR 3668.70 + 3326.49 ($59.36 + 53.8. In which medicine cost was Uppermost. Direct non-medical cost mean + SD, was INR 405.78 + 455.18 ($6.56 + 7.36, in which food cost was the highest followed by travel expenses. The total direct cost mean + SD, INR was 4074.48 + 3627.506 ($65.9+ 58.68. The overall Quality of life (SF 6 version results showed improved (p: ≤ 0.05 Conclusion: This study showed that Quality of life assessment and simultaneous cost estimation will helps to understand the treatment pattern & drugs cost minimization. Hence, Pharmaco economic research studies are essential in minimizing the cost, enhancing the quality of life.

  16. Determinants of diabetes knowledge in a cohort of Nigerian diabetics

    OpenAIRE

    Jasper, Unyime Sunday; Ogundunmade, Babatunde Gbolahan; Opara, Macmillian Chinonso; Akinrolie, Olayinka; Pyiki, Edna Bawa; Umar, Aishatu

    2014-01-01

    Background One of the consequences of the generational paradigm shift of lifestyle from the traditional African model to a more "western" standard is a replacement of communicable diseases by non-communicable or life style related diseases like diabetes. To address this trend, diabetes education along with continuous assessment of diabetes related knowledge has been advocated. Since most of the Nigerian studies assessing knowledge of diabetes were hospital-based, we decided to evaluate the di...

  17. Histopathological and behavioral evaluations of the effects of crocin, safranal and insulin on diabetic peripheral neuropathy in rats

    OpenAIRE

    Amir Farshid; Esmaeal Tamaddonfard

    2015-01-01

    Objectives: Crocin and safranal, the major constituents of saffron, exert neuroprotective effects. In the present study, we investigated the effects of crocin and safranal  (alone or in combination with insulin) on peripheral neuropathy in diabetic rats. Materials and Methods: Diabetes was induced by intraperitoneal (i.p.) injection of 60 mg/kg of streptozotocin (STZ) and confirmed by blood glucose level higher than 250 mg/dl. After confirmation of diabetes, crocin (30 mg/kg, i.p.), safranal ...

  18. Evaluating the discriminative power of multi-trait genetic risk scores for type 2 diabetes in a northern Swedish population

    OpenAIRE

    Fontaine-Bisson, B; Renström, Frida; Rolandsson, Olov; Payne, F.; Hallmans, Göran; Barroso, I.; Franks, Paul W.

    2010-01-01

    AIMS/HYPOTHESIS: We determined whether single nucleotide polymorphisms (SNPs) previously associated with diabetogenic traits improve the discriminative power of a type 2 diabetes genetic risk score. METHODS: Participants (n = 2,751) were genotyped for 73 SNPs previously associated with type 2 diabetes, fasting glucose/insulin concentrations, obesity or lipid levels, from which five genetic risk scores (one for each of the four traits and one combining all SNPs) were computed. Type 2 diabetes ...

  19. Genomic evaluation of HLA-DR3+ haplotypes associated with type 1 diabetes.

    Science.gov (United States)

    Kumar, Neeraj; Kaur, Gurvinder; Tandon, Nikhil; Kanga, Uma; Mehra, Narinder K

    2013-04-01

    We have defined three sets of HLA-DR3(+) haplotypes that provide maximum risk of type 1 disease development in Indians: (1) a diverse array of B8-DR3 haplotypes, (2) A33-B58-DR3 haplotype, and (3) A2-B50-DR3 occurring most predominantly in this population. Further analysis has revealed extensive diversity in B8-DR3 haplotypes, particularly at the HLA-A locus, in contrast to the single fixed HLA-A1-B8-DR3 haplotype (generally referred to as AH8.1) reported in Caucasians. However, the classical AH8.1 haplotype was rare and differed from the Caucasian counterpart at multiple loci. In our study, HLA-A26-B8-DR3 (AH8.2) was the most common B8-DR3 haplotype constituting >50% of the total B8-DR3 haplotypes. Further, A2-B8-DR3 contributed the maximum risk (RR = 48.7) of type 1 diabetes, followed by A2-B50-DR3 (RR = 9.4), A33-B58-DR3 (RR = 6.6), A24-B8-DR3 (RR = 4.5), and A26-B8-DR3 (RR = 4.2). Despite several differences, the disease-associated haplotypes in Indian and Caucasian populations share a frozen DR3-DQ2 block, suggesting a common ancestor from which multiple haplotypes evolved independently. PMID:23387390

  20. Angiopoietins and diabetic nephropathy.

    Science.gov (United States)

    Gnudi, Luigi

    2016-08-01

    Diabetic nephropathy is the main cause of end-stage renal failure in the Western world. In diabetes, metabolic and haemodynamic perturbations disrupt the integrity of the glomerular filtration barrier, leading to ultrastructural alterations of the glomeruli, including podocyte foot process fusion and detachment, glomerular basement membrane thickening, reduced endothelial cell glycocalyx, and mesangial extracellular matrix accumulation and glomerulosclerosis, ultimately leading to albuminuria and end-stage renal disease. Many vascular growth factors, such as angiopoietins, are implicated in glomerular biology. In normal physiology angiopoietins regulate the function of the glomerular filtration barrier. When they are dysregulated, however, as they are in diabetes, they drive the cellular mechanisms that mediate diabetic glomerular pathology. Modulation of angiopoietins expression and signalling has been proposed as a tool to correct the cellular mechanisms involved in the pathophysiology of diabetic microvascular disease, such as retinopathy in humans. Future work might evaluate whether this novel therapeutic approach should be extended to diabetic kidney disease. PMID:27207083

  1. Refinery boom in Southeast Asia

    International Nuclear Information System (INIS)

    The Asia demand for oil is increasing dramatically, particularly in the non OECD countries, which represent, today more than 15 % of the world oil market. The expected economic growth in these areas should contribute to a rise in oil demand by about 5.4 per year and hence to a significant increase of this share to 25 % in 2010; virtually a large part of this evolution will come from the transportation sector. The proceeding investments of the regional, refining industry are very high (some evaluations come to around 140 billion of dollars), all the more the protection of the environment takes an increasing significant place. Accordingly the most important challenge to be taken up by these countries will be to mobilize long term fundings to develop and adapt the capabilities of the refineries to meet the growth of gasoline and gas oil demand. The contribution of private operators or capital will be necessary, but will depend strongly on refining margin improvement and on progress of free market areas announced by several countries. (authors)

  2. Health economic evaluations comparing insulin glargine with NPH insulin in patients with type 1 diabetes: a systematic review

    Directory of Open Access Journals (Sweden)

    Dippel Franz-Werner

    2011-10-01

    Full Text Available Abstract Background Compared to conventional human basal insulin (neutral protamine Hagedorn; NPH the long-acting analogue insulin glargine (GLA is associated with a number of advantages regarding metabolic control, hypoglycaemic events and convenience. However, the unit costs of GLA exceed those of NPH. This study aims to systematically review the economic evidence comparing GLA with NPH in basal-bolus treatment (intensified conventional therapy; ICT of type 1 diabetes in order to facilitate informed decision making in clinical practice and health policy. Methods A systematic literature search was performed for the period of January 1st 2000 to December 1st 2009 via Embase, Medline, the Cochrane Library, the databases GMS (German Medical Science and DAHTA (Deutsche Agentur für Health Technology Assessment, and the abstract books of relevant international scientific congresses. Retrieved studies were reviewed based on predefined inclusion criteria, methodological and quality aspects. In order to allow comparison between studies, currencies were converted using purchasing power parities (PPP. Results A total of 7 health economic evaluations from 4 different countries fulfilled the predefined criteria: 6 modelling studies, all of them cost-utility analyses, and one claims data analysis with a cost-minimisation design. One cost-utility analysis showed dominance of GLA over NPH. The other 5 cost-utility analyses resulted in additional costs per quality adjusted life year (QALY gained for GLA, ranging from € 3,859 to € 57,002 (incremental cost effectiveness ratio; ICER. The cost-minimisation analysis revealed lower annual diabetes-specific costs in favour of NPH from the perspective of the German Statutory Health Insurance (SHI. Conclusions The incremental cost-utility-ratios (ICER show favourable values for GLA with considerable variation. If a willingness-to-pay threshold of £ 30,000 (National Institute of Clinical Excellence, UK is adopted

  3. Evaluation of a 1-h 75-g oral glucose tolerance test in the diagnosis of gestational diabetes

    Directory of Open Access Journals (Sweden)

    M.A.A. Campos

    2008-08-01

    Full Text Available In order to evaluate the performance of a 1-h 75-g oral glucose tolerance test (OGTT for the diagnosis of gestational diabetes mellitus (GDM, a cohort of 4998 women, 20 years or older, without previous diabetes being treated in prenatal care clinics in Brazil answered a questionnaire and performed a 75-g OGTT including fasting, 1-h and 2-h glucose measurements between their 24th and 28th gestational weeks. Pregnancy outcomes were transcribed from medical registries. GDM was defined according to WHO criteria (fasting: ≥126 mg/dL; 2-h value: ≥140 mg/dL and macrosomia as a birth weight equal to or higher than 4000 g. Areas under the receiver operator characteristic curve (AUC were compared and diagnostic properties of various cut-off points were evaluated. The AUCs for the prediction of macrosomia were 0.606 (0.572-0.637 for the 1-h and 0.589 (0.557-0.622 for the 2-h plasma glucose test. Similar predictability was demonstrable regarding combined adverse outcomes: 0.582 (0.559-0.604 for the 1-h test and 0.572 (0.549-0.595 for the 2-h test. When the 1-h glucose test was evaluated against a diagnosis of GDM defined by the 2-h glucose test, the AUC was 0.903 (0.886-0.919. The cut-off point that maximized sensitivity (83% and specificity (83% was 141 mg/dL, identifying 21% of the women as positive. A cut-off point of 160 mg/dL, with lower sensitivity (62%, had higher specificity (94%, labeling 8.6% as positive. Detection of GDM can be done with a 1-h 75-g OGTT: the value of 160 mg/dL has the same diagnostic performance as the conventional 2-h value (140 mg/dL. The simplification of the test may improve coverage and timing of the diagnosis of GDM.

  4. Benchmarking Developing Asia's Manufacturing Sector

    OpenAIRE

    Felipe, Jesus; Gemma ESTRADA

    2007-01-01

    This paper documents the transformation of developing Asia's manufacturing sector during the last three decades and benchmarks its share in GDP with respect to the international regression line by estimating a logistic regression.

  5. Social Protection in East Asia

    OpenAIRE

    Cook, Sarah; Kwon, Huck-Ju

    2007-01-01

    Social Protection in East Asia (Cook, Sarah) (Kwon, Huck-Ju) University of Sussex - UNITED KINGDOM (Cook, Sarah) Sung Kyun Kwan University - KOREA, REPUBLIC OF (Kwon, Huck-Ju) KOREA, REPUBLIC OF UNITED KINGDOM

  6. HIV in Southeast Asia.

    Science.gov (United States)

    Abrams, S

    1998-01-01

    This article explores the HIV/AIDS epidemic in Southeast Asia. Prostitution and injecting drug use are two major factors in the appearance of HIV/AIDS in a country. But, it is the correct social network that assures its transmission to epidemic proportions. Heterosexual transmission in Cambodia, Myanmar, and Thailand is linked with prevalence among female sex workers and their clients. In Malaysia, the Ministry of Health responded immediately, but the number of new infections continued to increase. The failures suggest the need for more effective, intensive health education programs, outreach by nongovernmental organizations, and peer education at the grassroots level and in remote areas. Public health officials need to promote political change. International agencies could play an important role, if countries such as Myanmar, Cambodia, and Viet Nam were open to international exchanges. In Myanmar, political unrest has a priority over the need for aggressive health interventions. In Indonesia, the Islamic influence prevents recognition of the country's significant sex industry or the existence of a homosexual community. In Cambodia, health officials warned about the high number of sexual partners, high mobility rate, and low condom use, but HIV spread rapidly in the 1990s. Thailand initiated a 100% condom campaign to combat HIV prevalence in the 1990s, and HIV prevalence declined among sex workers and military recruits. Risk factors for rapid transmission include mobility, the number of sexual partners/sex worker, the proportion engaging in commercial sex, and the rate of regular condom use among sex workers. PMID:12294443

  7. Asia. Vancouver Conference Review.

    Science.gov (United States)

    Brown, T

    1997-02-01

    The 1997 International AIDS Conference in Vancouver gave relatively little attention to the rapid spread of HIV/AIDS in most of the developing world. The popular press reported mainly prevention success stories from Thailand and Uganda, and the successes realized in reducing viral loads with combination drug therapies using protease inhibitors. Societal efforts in Thailand have dramatically reduced the rate of new infections, slowing the growth of the epidemic substantially. Few heard from the conference about how the HIV/AIDS epidemic is spreading rapidly and largely unchecked in much of the world, especially in Asia. Thailand, India, Myanmar, and Cambodia are the most heavily affected countries. Thailand and India, as well as Japan, were therefore heavily represented in the scientific program, while most other countries presented far fewer reports. With the exception of one report on a training course in Fiji, the Pacific Island nations were absent from the program. Vietnam, Malaysia, China, and Hong Kong have rapidly-evolving situations, while Japan, the Philippines, Bangladesh, Nepal, Singapore, Indonesia, Taiwan, Laos, South Korea, Mongolia, and Pakistan should be watched closely. The Asian epidemics are constantly evolving over time. PMID:9155914

  8. Evaluation of four novel genetic variants affecting hemoglobin A1c levels in a population-based type 2 diabetes cohort (the HUNT2 study

    Directory of Open Access Journals (Sweden)

    Platou Carl GP

    2011-02-01

    Full Text Available Abstract Background Chronic hyperglycemia confers increased risk for long-term diabetes-associated complications and repeated hemoglobin A1c (HbA1c measures are a widely used marker for glycemic control in diabetes treatment and follow-up. A recent genome-wide association study revealed four genetic loci, which were associated with HbA1c levels in adults with type 1 diabetes. We aimed to evaluate the effect of these loci on glycemic control in type 2 diabetes. Methods We genotyped 1,486 subjects with type 2 diabetes from a Norwegian population-based cohort (HUNT2 for single-nucleotide polymorphisms (SNPs located near the BNC2, SORCS1, GSC and WDR72 loci. Through regression models, we examined their effects on HbA1c and non-fasting glucose levels individually and in a combined genetic score model. Results No significant associations with HbA1c or glucose levels were found for the SORCS1, BNC2, GSC or WDR72 variants (all P-values > 0.05. Although the observed effects were non-significant and of much smaller magnitude than previously reported in type 1 diabetes, the SORCS1 risk variant showed a direction consistent with increased HbA1c and glucose levels, with an observed effect of 0.11% (P = 0.13 and 0.13 mmol/l (P = 0.43 increase per risk allele for HbA1c and glucose, respectively. In contrast, the WDR72 risk variant showed a borderline association with reduced HbA1c levels (β = -0.21, P = 0.06, and direction consistent with decreased glucose levels (β = -0.29, P = 0.29. The allele count model gave no evidence for a relationship between increasing number of risk alleles and increasing HbA1c levels (β = 0.04, P = 0.38. Conclusions The four recently reported SNPs affecting glycemic control in type 1 diabetes had no apparent effect on HbA1c in type 2 diabetes individually or by using a combined genetic score model. However, for the SORCS1 SNP, our findings do not rule out a possible relationship with HbA1c levels. Hence, further studies in other

  9. Catfish culture in Southeast Asia

    OpenAIRE

    Adan, R. I. Y.

    2000-01-01

    Catfish rank fifth in the world in terms of fresh and brackishwater fish culture. In Asia and the Pacific, the Clariidae family dominates production, representing nearly 80% of the total catfish production. Among the most cultured species are Clarias batrachus, C. macrocephalus, C. gariepinus. The domestic market generally absorbs catfish produce in Asia, although high-producing countries like Thailand and Vietnam engage in export. There are two basic markets for catfish: live fish and proces...

  10. Nature, Wealth and Power (Asia)

    OpenAIRE

    International Resources Group; USAID

    2005-01-01

    Metadata only record Asia, particularly South Asia, has the highest number of poor people in the world today. Many of these people are rural and depend on natural resources for their livelihoods and growth. If the United Nation's Millennium Development Goals are to be achieved in the region urgent action is needed on rural poverty. The critical linkages between natural resources, growth and poverty alleviation, and governance and democracy are becoming more evident every day. And these lin...

  11. Evaluation of glycemic control, quality of life and psychological characteristics in patients with type 1 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Yuliya Andreevna Shishkova

    2013-12-01

    Full Text Available Aim. To identify psychological characteristics associated with better glycemic control and higher quality of life (QoL in patients with type 1 diabetes mellitus (T1DM.Materials and Methods. The study included 140 T1DM patients (47 males aged 18 to 28 years. Assessment of the QoL and associated emotional state (ES was performed by validated localized questionnaires, supplemented with the inventories for evaluation of psychological characteristics. Based on the acquired data we performed a trilateral analysis of glycemic control, QoL and ES, followed by testing of these parameters for correlation with certain psychological characteristics, including disease attitude, mindfulness, self-attitude and self-assessment, coping strategies, autoregulation parameters and the locus of control.Results. In the studied sample, better glycemic control was associated with higher QoL and more favourable ES. We also identified several psychological characteristics associated with an improvement in all three primary parameters, namely: higher level of mindfulness, internal locus of control and ergopathic attitude.Conclusion. The diagnostic inventory for QoL and ES evaluation used in the present study may be helpful for psychological testing in patients with T1DM.

  12. Magnetic resonance imaging of posterior pituitary for evaluation of the neurohypophyseal function in idiopathic and autosomal dominant neurohypophyseal diabetes insipidus

    International Nuclear Information System (INIS)

    We investigated the role of MR imaging for evaluation of the functional status of the neurohypophyseal system in both idiopathic central diabetes insipidus (DI) and familial autosomal dominant neurohypophyseal DI. The patients and family with DI were analyzed retrospectively for the presence or absence of posterior pituitary gland hyperintense signal on MR images. A total of 19 adult patients with idiopathic central DI, 7 members of a family with autosomal dominant DI and 20 control subjects were included in the study. Diagnosis of idiopathic DI was based on the presence of central DI in the absence of any alteration that is known to be responsible for DI. The patients were studied retrospectively and the morphology and intensity of the posterior lobe by MR imaging was assessed by blinded reading. In all patients with idiopathic central DI and the affected members of the family, the posterior bright signal was absent while the stalk was normal on MR images. In contrast, normal posterior pituitary bright signal and stalk were found in unaffected members of the family and all control subjects. We conclude that MR imaging of the posterior pituitary lobe can be used to evaluate the functional status of the neurohypophyseal system in idiopathic central DI and familial autosomal dominant DI. (orig.). With 3 figs., 1 tab

  13. "Smile healthy to your diabetes"

    DEFF Research Database (Denmark)

    Cinar, Ayse Basak; Oktay, Inci; Schou, Lone

    2014-01-01

    OBJECTIVES: This study is the first to our knowledge that aims to evaluate the impact of Health Coaching (HC) compared to Health Education (HE) on oral health and diabetes management among patients with diabetes type II (DM2). MATERIAL AND METHODS: The study is part of a prospective intervention ......, physicians, and diabetes educators in order to improve quality of life of DM2 patients by facilitating better oral health and diabetes self-management....

  14. Gestational diabetes

    Science.gov (United States)

    Gestational diabetes is high blood sugar ( diabetes ) that starts or is first diagnosed during pregnancy. ... woman's blood. You are at greater risk for gestational diabetes if you: Are older than 25 when you ...

  15. Diabetes Superfoods

    Science.gov (United States)

    ... Home Find Your Local Office Find your local diabetes education program Calendar of Events Wellness Lives Here Drive ... can fund critical diabetes research and support vital diabetes education services that improve the lives of those with ...

  16. Diabetic Dermopathy

    Science.gov (United States)

    ... rash and rashes clinical tools newsletter | contact Share | Diabetic Dermopathy Information for adults A A A Brown, ... on the legs are typical in long-standing diabetics. Overview Diabetic dermopathy, also known as shin spots ...

  17. Diabetic Neuropathy

    Science.gov (United States)

    ... Awards Enhancing Diversity Find People About NINDS NINDS Diabetic Neuropathy Information Page Table of Contents (click to ... Trials Organizations Additional resources from MedlinePlus What is Diabetic Neuropathy? Diabetic neuropathy is a peripheral nerve disorder ...

  18. Diabetes Medicines

    Science.gov (United States)

    Diabetes means your blood glucose, or blood sugar, levels are too high. If you can't control your diabetes with wise food choices and physical activity, you may need diabetes medicines. The kind of medicine you take depends ...

  19. Diabetic ketoacidosis

    Science.gov (United States)

    ... Ketoacidosis Images Food and insulin release Oral glucose tolerance test Insulin pump References American Diabetes Association. Standards ... PhD, and the A.D.A.M. Editorial team. Related MedlinePlus Health Topics Diabetes Complications Diabetes Type ...

  20. Evaluation of Anti-hyperglycaemic Action of Different Fractions and Sub-fractions from Aqueous Extract of Aloe vera Linn. Leaf on Alloxan Induced Type 2 Diabetic Rats

    Institute of Scientific and Technical Information of China (English)

    Alok Maithani; Versha Parcha; Geeta Pant; Deepak Kumar; Ishan Dhulia

    2012-01-01

    Objective: To evaluate the fasting serum glucose (FSG) lowering potential of different fractions (C & D) and subfraction (D1 & D2) from aqueous extract of Aloe vera leaf on normal and alloxan induced type 2 diabetic rats. Methods: Two fractions (C & D) obtained by common chemical treatment of the aqueous extract of Aleo vera leaf and subfraction (D1 & D2) from fraction D were administered to the alloxan induced (150mg/kg i.p.) diabetic rats. The FSG lowering capacity, of different fractions and subfractions, was then evaluated in terms of percentage reduction in blood glucose level. Results: Oral administration of fractions C & D and subfraction D1 & D2 for 15 days led significant (P<0.05) reduction to the elevated FSG level of alloxan induced diabetic rats. Percentage reduction in blood glucose level and comparison with standard drug glibenclamide suggest the superiority of fraction D and subfraction D1 in hypoglycaemic potential. Conclusions:The results suggest that fraction D and subfraction D1 from aqueous extracts of Aloe vera leaf possesses the maximum FSG lowering capacity and further investigation is required for determination of anti-diabetic principal(s) and exact mechanism of their hypoglycaemic action.

  1. Evaluation of diabetic polyneuropathy in Type 2 diabetes mellitus by nerve conduction study and association of severity of neuropathy with serum sFasL level

    Directory of Open Access Journals (Sweden)

    Avijit Mondal

    2012-01-01

    Full Text Available Introduction: Diabetes mellitus (DM, a growing health problem globally, has reached epidemic proportions in India. Recently, Fas-mediated apoptosis has been proposed as a causative factor responsible for neuronal degeneration in diabetic polyneuropathy (DPN, but there are very few studies to show association of serum soluble Fas ligand (sFasL level with severity of neuropathy. Aim and Objective: The aim of this study was to investigate whether serum sFasL, a transmembrane glycoprotein involved in apoptosis, has any association with severity of peripheral neuropathy in Type 2 DM. Materials and Methods: The study was conducted in Department of Physiology in collaboration with Department of Endocrinology, IPGME&R. sFasL levels in serum were assessed using ELISA method in healthy individuals (n = 16, newly diagnosed diabetic controls (n = 16 without any complications, and in DPN cases (n = 33 with predominant neuropathy only. All subjects underwent both electrodiagnostic procedures and vibration perception threshold (VPT for quantitative assessment of the severity of neuropathy. Using nerve conduction studies, amplitudes, velocities, and latencies of both sensory and motor nerves were recorded. Results: In DPN patients, concentration of sFasL levels (87.53 ± 3.49 was significantly decreased (P < 0.0001 not only when compared with normal controls (225.30 ± 2.97 but also when compared with diabetic patients without any complication (161 ± 3.63. Moreover, the concentration of sFasL is significantly (P < 0.0001 associated with the severity of neuropathy both by VPT and nerve conduction velocity (NCV. Conclusion: Fas-mediated apoptosis is involved in Type 2 DM and might be associated with the severity of polyneuropathy.

  2. Diabcare Asia 2001 - Korea : Country Report on Outcome Data and Analysis

    OpenAIRE

    Rhee, Sang Youl; Kim, Young Seol; Oh, Seungjoon; Choi, Woong Hwan; Park, Jong Eun; Jeong, Woo Jin

    2005-01-01

    Background The Diabcare-Asia study was designed for the purpose of describing diabetes control and management, and late complication status in the diabetic population. Methods From the 1st of July 2001 to the 1st of September 2001, data from 1170 diabetic patients were collected in 21 centers (one university hospital and 20 clinics located in Seoul and in Gyeonggi, Korea), and blood samples were collected for centralized HbA1c measurements. Results Only 16.8% of patients at the clinics report...

  3. EVALUATION OF THE POSSIBLE ANTIOXIDANT EFFECTS OF NIGELLA SATIVA AND CURCUMA LONGA IN AMELIORATING DIABETIC NEPHROPATHY IN RATS

    International Nuclear Information System (INIS)

    Chronic hyperglycemia in diabetes leads to the overproduction of free radicals and the evidence is increasing because these radicals are responsible for the development of diabetic nephropathy. Diabetic nephropathy is an important microvascular complication and one of the main causes of end stage renal disease. The aim of the present study was to test the hypothesis that combined treatment with Nigella sativa (NS) and Curcuma longa (CL) is more effective than each of them alone in improving renal function and oxidative stress in alloxan-induced diabetic rats.Diabetes was induced in male albino rats with a single intravenous injection of alloxan (150 mg/kg). Two weeks after alloxan injection, rats were divided into five groups; control, diabetic and diabetic rats received either NS (10ml/kg/day), or CL (80mg/kg/day) and their combination by gastric intubation for 4 weeks.Diabetic rats exhibited many symptoms including loss of body weight, hyperglycemia, polyuria, renal enlargement and renal dysfunction. Significant increase in TBARS (lipid peroxidation marker) was observed in diabetic kidney. This was accompanied by a significant decrease in GSH content, SOD and CAT activities in the kidneys. Daily oral ingestion of NS and/or CL extract for 4 weeks has attenuated the oxidative stress in the kidney and reversed the adverse effect of diabetes in rats by lowering blood glucose levels, increased plasma insulin and restored body weight loss and renal function.These results confirm the role of oxidative stress in the development of diabetic nephropathy and point to the possible anti-oxidative mechanism being responsible for the nephroprotective action of NS and CL.

  4. Peritoneal dialysis in Asia.

    Science.gov (United States)

    Cheng, I K

    1996-01-01

    The socioeconomic status of Asian countries is diverse, and government reimbursement policies for treatment of patients suffering from end-stage renal disease (ESRD) vary greatly from one country to another. Both of these factors have a major impact not only on the choice of treatment for ESRD but also on the utilization of peritoneal dialysis (PD) in this region. Based on the data collected from 11 representative Asian countries, several observations can be made. First, the treatment rates for ESRD in these countries correlated closely with their gross domestic product (GDP) per capita income. Second, the PD utilization rate appeared to have a biphasic relationship with the GDP per capita income and treatment rate, in that countries with the highest and the lowest treatment rates tended to have lower PD utilization rates, whereas countries with modest treatment rates tended to have higher PD utilization rates. The reason for low PD utilization in countries with the highest treatment rates differs from that in countries with low treatment rates. In the former, because of full government reimbursement, there is little physician incentive to introduce PD as an alternative form of ESRD treatment to in-center hemodialysis (HD), whereas in the latter, the complete lack of government reimbursement prevents the introduction of PD as a form of treatment. This pattern is likely to change in the future because, of the 11 countries surveyed, all except Thailand have recorded a growth rate which is higher for PD than HD over the last three years. The rate of utilization of different PD systems varies greatly among different Asian countries. Automated PD has yet to gain popularity in Asia. Conventional straight-line systems remain the dominant PD systems in use in Hong Kong, Korea, Thailand, and the Philippines, while in Malaysia and Singapore UV germicidal connection devices are most popular. However, in all these countries there has been a progressive shift over the last

  5. Diabetes-Related Distress, Depression and Distress-Depression among Adults with Type 2 Diabetes Mellitus in Malaysia

    OpenAIRE

    Chew, Boon-How; Vos, Rimke; Mohd-Sidik, Sherina; Rutten, Guy E. H. M.

    2016-01-01

    Type 2 diabetes mellitus (T2DM) brings about an increasing psychosocial problem in adult patients. Prevalence data on and associated factors of diabetes related distress (DRD) and depression have been lacking in Asia. This study aimed to examine the prevalence of DRD and depression, and their associated factors in Asian adult T2DM patients. This study was conducted in three public health clinics measuring DRD (Diabetes Distress Scale, DDS), and depression (Patient Health Questionnaire, PHQ). ...

  6. Evaluation of batroxobin in preventing vascular restenosis in diabetic patients after infrapopliteal arterial angioplasty: a randomized comparative study

    International Nuclear Information System (INIS)

    Objective: To evaluate batroxobin in preventing vascular restenosis in diabetic patients after infrapopliteal arterial angioplasty through comparing the clinical results of the combination use of batroxobin and aspirin with that of simple use of aspirin. Methods: After a successful angioplasty, fifty-two diabetic patients with symptomatic infrapopliteal obstructions were randomly divided into the study group (n=26) and the control group (n=26). Patients in both groups received 100 aspirin everyday, but the patients in study group additionally received 5 IU batroxobin intravenous drip every day for six times. At the end of the follow-up period lasting for 12 months, magnetic resonance angiography (MRA) or Doppler ultrasonic angiography was performed to check the vessels to see if there was any restenosis or reocclusion. The relief degree of clinical symptoms were observed, and both preoperative and postoperative ankle-brachial index (ABI) were regularly determined and compared. Kaplan-Meier curves were constructed to evaluate restenosis/reocclusion-free rate, limb salvage rate and amputation-free rate. Results: During the follow-up period the occurrence of restenosis/reocclusion in study group and control group was 22.0% and 34.5% respectively (P=0.0307). Statistically significant difference in ABI existed between two groups both after the procedure (P<0.05) and at 12 months after the treatment (P=0.0094). Clinical improvement and tissue healing in study group and control group were observed in 23 and 19 patients respectively (P=0.0544). Twelve months after angioplasty, Kaplan-Meier analysis showed that the restenosis/reocclusion-free rate, the limb salvage rate and the amputation-free rate for study group were 74.0%, 96.2% and 84.6% respectively, while they was 54.8%, 92.3% and 84.6% respectively for control group. Conclusion: The results of this study indicate that the use of the clinical therapeutic efficacy and markedly relieve the symptoms, although this

  7. Energy challenges in Asia

    International Nuclear Information System (INIS)

    Energy challenges represent one of the most important security paradigms in the Asia Pacific region where you have a mixture of growing energy dependency, fuelled by high economic growth, the emergence of new major players like China and India, and a quasi-complete absence of regional regulatory mechanisms to tackle the challenges in a multilateral way. These challenges mostly concern Japan and China, where crucial energy issues are aggravated by power rivalry, historical and ideological issues, and a lack of both economic and political harmony between them. Neither countries are self sufficient in terms of energy needs. This can lead to a shared analysis and common approaches regarding Japan and China concerning this issue. Their cases are. however very different and the solutions applied are related to different world views that are not easily reconcilable. Both countries share common objectives: both want security and stable supply. But there are also big divergences and these divergences could be new sources of conflict and misunderstanding between Tokyo and Beijing. One of the main differences is history related. Both China and Japan are uneasy regarding outside energy dependency. In Japan, memories of the pre-war oil embargo have not disappeared. The oil shocks of the 70's renewed this uneasiness. However, Japan's outside dependency is not new. Tokyo has learned to live with it, finding a system to alleviate this vulnerability in cooperation with its partners, multilateral institutions like the International Energy Agency (IEA). China's outside dependency is new. The country's dependency on oil, which began in 1993, is particularly challenging since the principles of independence, non interference and military autonomy, principles at the core of Maoist foreign strategy, did not completely disappear in spite of China's new policy of reform and opening up. China's leadership, even the fourth generation, did not forget its isolation during the 60's and 70's

  8. Commercial Power of Asia

    Directory of Open Access Journals (Sweden)

    Iulia Monica Oehler-Sincai

    2007-06-01

    Full Text Available The present paper, based on a detailed analysis of the main statistical foreign trade indicators of the emerging economies of the Eastern and South-Eastern Asia, outlines a series of characteristics of the foreign trade flows of the analysed economies from the ’50 up to the present. The accent is set on the period 1995-2006, which emphasizes two moments of crisis of the Asian trade: 1997-1998 and 2001. At the level of the analysed economies, it can be remarked a tendency of continuous growth of the share of the intra-regional trade flows in the total trade flows, mainly due to their participation in regional trade agreements, to the strenghtening of the regional production networks, to the role of China as engine of economic growth in the whole region and even at global level. On product category, the manufactures have the greatest share in the merchandise exports of the Asian emerging economies (especially office and telecom equipment, integrated circuits, automotive products, textiles and clothing, etc.. While China surpassed the share of the Asian tigers of the first generation in the world trade in 2001 and that of Japan in 2004, the scenario presented in this paper indicates the surpass in 2007 of the share of Germany (second place in the world trade in 2005, the surpass of the share of the Asian tigers of the first generation in 2009, and the surpass of the share of the group of the 8 Asian tigers and that of the USA as well in 2012. In the following decades, China might become the strongest world economy at the global level, but only if the sustainable development and the eradication of the social inequities will become de facto priorities of the Chinese officials. The actual negative externalities (costs of the Chinese economic growth, transferred on the environment and the society, will be object to another analyse.

  9. Evaluation of the cost effectiveness of exenatide versus insulin glargine in patients with sub-optimally controlled Type 2 diabetes in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Tetlow Anthony P

    2008-08-01

    Full Text Available Abstract Objective Exenatide belongs to a new therapeutic class in the treatment of diabetes (incretin mimetics, allowing glucose-dependent glycaemic control in Type 2 diabetes. Randomised controlled trial data suggest that exenatide is as effective as insulin glargine at reducing HbA1c in combination therapy with metformin and sulphonylureas; with reduced weight but higher incidence of adverse gastrointestinal events. The objective of this study is to evaluate the cost effectiveness of exenatide versus insulin glargine using RCT data and a previously published model of Type 2 diabetes disease progression that is based on the United Kingdom Prospective Diabetes Study; the perspective of the health-payer of the United Kingdom National Health Service. Methods The study used a discrete event simulation model designed to forecast the costs and health outcome of a cohort of 1,000 subjects aged over 40 years with sub-optimally-controlled Type 2 diabetes, following initiation of either exenatide, or insulin glargine, in addition to oral hypoglycaemic agents. Sensitivity analysis for a higher treatment discontinuation rate in exenatide patients was applied to the cohort in three different scenarios; (1 either ignored or (2 exenatide-failures excluded or (3 exenatide-failures switched to insulin glargine. Analyses were undertaken to evaluate the price sensitivity of exenatide in terms of relative cost effectiveness. Baseline cohort profiles and effectiveness data were taken from a published randomised controlled trial. Results The relative cost-effectiveness of exenatide and insulin glargine was tested under a variety of conditions, in which insulin glargine was dominant in all cases. Using the most conservative of assumptions, the cost-effectiveness ratio of exenatide vs. insulin glargine at the current UK NHS price was -£29,149/QALY (insulin glargine dominant and thus exenatide is not cost-effective when compared with insulin glargine, at the current

  10. Diabetic Nephropathy and Microalbuminuria in Pregnant Women With Type 1 and Type 2 Diabetes

    OpenAIRE

    Damm, Julie Agner; Ásbjörnsdóttir, Björg; Callesen, Nicoline Foged; Mathiesen, Jonathan M.; Ringholm, Lene; Pedersen, Berit Woetmann; Mathiesen, Elisabeth R

    2013-01-01

    OBJECTIVE To evaluate the prevalence of diabetic nephropathy and microalbuminuria in pregnant women with type 2 diabetes in comparison with type 1 diabetes and to describe pregnancy outcomes in these women following the same antihypertensive protocol. RESEARCH DESIGN AND METHODS Among 220 women with type 2 diabetes and 445 women with type 1 diabetes giving birth from 2007–2012, 41 women had diabetic nephropathy (albumin-creatinine ratio ≥300 mg/g) or microalbuminuria (albumin-creatinine ratio...

  11. 亚太地区四个外汇市场有效性的实证研究%Efficiency Evaluation in Four Selected Asia-Pacific Foreign Exchange Markets

    Institute of Scientific and Technical Information of China (English)

    夏妍妍

    2011-01-01

    外汇市场的有效性是一个影响政府经济和金融决策,市场参与者交易的重要现实问题.本文以亚太地区香港、澳大利亚、日本、新加坡四个外汇市场作为研究对象,采用Ng and Perron(2001)单位根检验和向量误差修正模型(VECM)从不同角度对外汇市场效率问题进行研究,结果表明四个外汇市场均具有弱有效市场的重要特征.%This paper empirically verifies the efficiency hypothesis for four selected Asia-Pacific foreign exchange markets, namely Hong Kong, Australia, Japan, and Singapore. The efficiency of these markets is evaluated u sing Unit Root test proposed by Ng and Perron (2001) and Vector Error Correction Model. Unit root component is identified for all four foreign exchange markets and the empirical results of VECM further confirm that ex change rates within these markets are not predictable, and thus support the market efficiency hypothesis.

  12. Diabetes and kidney disease

    Science.gov (United States)

    Diabetic nephropathy; Nephropathy - diabetic; Diabetic glomerulosclerosis; Kimmelstiel-Wilson disease ... Diabetic kidney disease is a major cause of sickness and death in people with diabetes. It can ...

  13. Diabetes and Hispanic Americans

    Science.gov (United States)

    ... Program Grants Other Grants Planning and Evaluation Grantee Best Practices Hispanic/Latino Asthma Cancer Chronic Liver Disease Diabetes Heart Disease Hepatitis HIV/AIDS Immunizations Infant Heath & Mortality Mental Health Obesity Organ and Tissue Donation Stroke Stay Connected ...

  14. Evaluation of Excessive Pregnancy Weight Gain Effect in Non-Diabetic Women with Normal Pre-Pregnancy BMI on Macrosomia of Neonates

    Directory of Open Access Journals (Sweden)

    Leila Sekhavat

    2011-01-01

    Full Text Available The objective of this study was evaluation of excessive pregnancy weight gain effect in non-diabetic women with normal pre-pregnancy BMI on macrosomia of neonate. In a descriptive cross-sectional study, neonate weighs of all term pregnancy in non-diabetic women with normal pre-pregnancy BMI delivered from 2002 to 2004 in Shaheed Sadoughi Hospital in Yazd, were evaluated. Compared with mothers with normal pregnancy weight gain, the risk of macrosomia in offsprings was significantly elevated in women who had excess weight gain. The odds ratio (OR was 3.3 (95% confidence interval [CI] = 2.2 - 5.1, P = 0.0001. Given the complications associated with delivering large babies, women may benefit from not gaining excess weight in pregnancy.

  15. Evaluation of fixed dose combination of glimepiride and metformin in patients with type 2 diabetes. Results of Russian observational study

    Directory of Open Access Journals (Sweden)

    Natalya Vladislavovna Zaytseva

    2015-04-01

    Full Text Available Aim.To investigate the efficacy and safety of combined glimepiride and metformin therapy in patients with type 2 diabetes mellitus (T2DM.Materials and methods.A multi-centre, open-label, prospective, observational study was conducted. A total of 1200 patients with T2DM inadequately controlled with metformin, glimepiride or combination of metformin + glimepiride were enrolled. Change in serum glycated haemoglobin (HbA1c, fasting plasma glucose (FPG, and postprandial blood glucose (PPG levels; weight; waist circumference and hypoglycemic episodes were evaluated.Results.Baseline HbA1c levels (8.24% ± 0.42% were significantly reduced after 12 weeks of treatment (7.48% ± 0.48% and at the end of the study(6.88% ± 0.56%. Target HbA1c levels (≤7% were achieved in 65.1% of patients at the final visit at 24 weeks. FPG and PPG levels decreased by 1.45 ± 1.14 mmol/l and 2.17 ± 1.27 mmol/l respectively (p < 0.001. No severe hypoglycemic events were reported. Body mass index reduced by 0.85 ± 1.28 kg/m2 (p < 0.001.Conclusion. Combined glimepiride and metformin therapy significantly improved long-term glycemic control in patients with T2DM during the period of 24 weeks without additional risk of hypoglycemic events or weight gain.

  16. The evaluation of efficacy of subtenon triamcinolone injection combined with focal laser photocoagulation in diabetic macular edema

    Directory of Open Access Journals (Sweden)

    Hüseyin Öksüz

    2012-06-01

    Full Text Available Objectives: The aim of this study was to investigate efficacyand safety of subtenon triamcinolone (ST in combinationwith focal laser photocoagulation in diabetic macularedema (DME.Materials and methods: Medical records of patients withDME, treated with 40 mg subtenon injection of triamcinoloneacetonid prior to focal laser photocoagulation wereretrospectively analyzed. Seventeen eyes of 17 patientswith DME were enrolled in the study. All patients underwenta comprehensive ophthalmological examinationbefore the treatment. Efficacy of the treatment after STinjection was evaluated by visual acuity and flouresceinangiography (FA. Follow-up visits were performed at 1st,3rd, 6th and 12th months. Repeated measures ANOVA wasused for statistical analysis.Results: The mean age was 61.5 ± 8.7 years and themean visual acuity in the study eyes was 0.22 ± 0.13 beforethe treatment, 0.39 ± 0.15 at 1st month, 0.36 ± 0.18at 3rd month, 0.33 ± 0.15 at 6th month and 0.34 ± 0.16 at12th month. The differences in the visual acuity before thetreatment and follow-up visits were significant (p ˂0.05.Visual acuity was increased in 13 (%76,4 patients, decreasedin 1 (%5,8 and unchanged in 3 (%17,6.Conclusion: Injection of 40 mg of triamsinolon via subtenonroute combined with focal laser photocoagulation isa safe and beneficial treatment in cases of DME

  17. Find a Diabetes Educator

    Science.gov (United States)

    ... CE Program Accreditation Favorably Reviewed What is Diabetes Education? Have Diabetes? Learn More How a Diabetes Educator Can Help ... Provider Information and Referrals Why Refer for Diabetes Education? Benefits of Diabetes Education Working with a Diabetes Educator Diabetes Education ...

  18. Types of Diabetes

    Science.gov (United States)

    ... Help for Diabetes Care Diabetes Statistics Types of Diabetes Learn about Diabetes You can learn how to take care of ... to take care of your diabetes. What is diabetes? Diabetes is when your blood glucose, also called ...

  19. Energy challenges in Asia

    Energy Technology Data Exchange (ETDEWEB)

    Niquet, V.

    2007-07-01

    Energy challenges represent one of the most important security paradigms in the Asia Pacific region where you have a mixture of growing energy dependency, fuelled by high economic growth, the emergence of new major players like China and India, and a quasi-complete absence of regional regulatory mechanisms to tackle the challenges in a multilateral way. These challenges mostly concern Japan and China, where crucial energy issues are aggravated by power rivalry, historical and ideological issues, and a lack of both economic and political harmony between them. Neither countries are self sufficient in terms of energy needs. This can lead to a shared analysis and common approaches regarding Japan and China concerning this issue. Their cases are. however very different and the solutions applied are related to different world views that are not easily reconcilable. Both countries share common objectives: both want security and stable supply. But there are also big divergences and these divergences could be new sources of conflict and misunderstanding between Tokyo and Beijing. One of the main differences is history related. Both China and Japan are uneasy regarding outside energy dependency. In Japan, memories of the pre-war oil embargo have not disappeared. The oil shocks of the 70's renewed this uneasiness. However, Japan's outside dependency is not new. Tokyo has learned to live with it, finding a system to alleviate this vulnerability in cooperation with its partners, multilateral institutions like the International Energy Agency (IEA). China's outside dependency is new. The country's dependency on oil, which began in 1993, is particularly challenging since the principles of independence, non interference and military autonomy, principles at the core of Maoist foreign strategy, did not completely disappear in spite of China's new policy of reform and opening up. China's leadership, even the fourth generation, did not forget its isolation

  20. Imaging in Diabetic Retinopathy

    OpenAIRE

    Salz, David A.; Witkin, Andre J

    2015-01-01

    While the primary method for evaluating diabetic retinopathy involves direct and indirect ophthalmoscopy, various imaging modalities are of significant utility in the screening, evaluation, diagnosis, and treatment of different presentations and manifestations of this disease. This manuscript is a review of the important imaging modalities that are used in diabetic retinopathy, including color fundus photography, fluorescein angiography, B-scan ultrasonography, and optical coherence tomograph...

  1. Evaluation of the reliability and validity of the Medical Outcomes Study sleep scale in patients with painful diabetic peripheral neuropathy during an international clinical trial

    OpenAIRE

    Hays Ron D; Guillemin Isabelle; Martin Susan; Viala-Danten Muriel

    2008-01-01

    Abstract Background Sleep is an important element of functioning and well-being. The Medical Outcomes Study Sleep Scale (MOS-Sleep) includes 12 items assessing sleep disturbance, sleep adequacy, somnolence, quantity of sleep, snoring, and awakening short of breath or with a headache. A sleep problems index, grouping items from each of the former domains, is also available. This study evaluates the psychometric properties of MOS-Sleep Scale in a painful diabetic peripheral neuropathic populati...

  2. Beyond Good Intentions: the development and evaluation of a proactive self-management course for patients recently diagnosed with Type 2 diabetes

    OpenAIRE

    Thoolen, B.; de Ridder, D.T.D.; Bensing, J.; Gorter, K.J.; Rutten, G. E. H. M.

    2008-01-01

    This paper describes the development and first results of a brief self-management course for patients recently diagnosed with Type 2 diabetes. The intervention incorporates elements from proactive coping and self-regulation theory in a five-step plan to help newly diagnosed patients formulate and carry out intentions with regard to their self-management. The theoretical framework and course program are described, patient evaluations are summarized and proximal outcomes of the course will be a...

  3. Beyond good intentions: the development and evaluation of a proactive self-management course for patients recently diagnosed with Type 2 diabetes.

    OpenAIRE

    Thoolen, B.; De Ridder, D.; Bensing, J.

    2008-01-01

    This paper describes the development and first results of a brief self-management course for patients recently diagnosed with Type 2 diabetes. The intervention incorporates elements from proactive coping and self-regulation theory in a five-step plan to help newly diagnosed patients formulate and carry out intentions with regard to their self-management. The theoretical framework and course program are described, patient evaluations are summarized and proximal outcomes of the course will be a...

  4. Evaluation of the Families SHARE workbook: an educational tool outlining disease risk and healthy guidelines to reduce risk of heart disease, diabetes, breast cancer and colorectal cancer

    OpenAIRE

    Koehly, Laura M.; Morris, Bronwyn A.; Skapinsky, Kaley; Goergen, Andrea; Ludden, Amanda

    2015-01-01

    Background Common diseases such as heart disease, diabetes, and cancer are etiologically complex with multiple risk factors (e.g., environment, genetic, lifestyle). These risk factors tend to cluster in families, making families an important social context for intervention and lifestyle-focused disease prevention. The Families Sharing Health Assessment and Risk Evaluation (SHARE) workbook was designed as an educational tool outlining family health history based risk of heart disease, type 2 d...

  5. Evaluation of Trigonella foenum-graecum extract in combination with swimming exercise compared to glibenclamide consumption on type 2 Diabetic rodents

    OpenAIRE

    Dehghan, Firouzeh; Arshadi, Sajad; Azarbayjani, Mohammad Ali; Hajiaghaalipour, Fatemeh; Yusof, Ashril; Peeri, Maghsoud; BAKHTIYARI, Salar; Stannard, Robert S.; Osman, Noor Azuan Abu

    2015-01-01

    Background/objective: The purpose of the present study was to evaluate the effect of fenugreek seed extract in combination with swimming exercise compared to glibenclamide consumption on type 2 diabetic rats.Design: The acute toxicity test was carried out to choose the safe doses and identify the toxicity effects of the fenugreek seed extract. To investigate the hypoglycemic effect of the extract and its effect in combination with swimming training, 80 Wistar Kyoto male streptozotocin-induced...

  6. Light Microscopic Evaluation of Cardio-vasculare System in Alloksan-induced Diabetic Rats in Acute Period

    Directory of Open Access Journals (Sweden)

    Selen Bahçeci

    2007-01-01

    Full Text Available Diabetic cardiomyopathy is one of the chronic complication of diabetes and acute effects of diabetes on heart and aorta is not clear. We aimed to determine acute effects of diabetes on cardio-vasculare system with light microscopy. We used 20 Spraque-Dawley rats and applied 150 mg/kg alloxan, intraperitoneally for inducing diabetes and 1 ml SF in control group. After 24 hours, venous blood samples were measured. Blood glucose levels higher than 250 mg/dl were accepted as DM and treated with 4 IU/d human insülin. After 7 days rats were sacrified under ketamin anaesthesia. Heart and aorta were fixed in 10 % buffered formalin. The sectiones were embedded in paraffin and were serially sectioned at 5 m thickness, then stained with Hematoxyline-Eosine (H&E and Heidenhein’s Azan modification.There was no histopathological changes in cardiac muscle cells in control group. But there was a heterogen appearance in cardiac muscle cells and we determined some hydropic degenerations in some of the cardiac muscle cells and a minimal fibrosis in perivasculare and interstitial area in diabetic group. All histological stratums of aorta were seen normally in control group. In diabetic group, there was a clear anisostosis in smooth muscle cells and decreased in nucleus of smooth muscle cells in tunica media. We concluted that DM is caused degeneration and fibrosis in cardiac muscle cells and effective on smooth muscle cells in aorta in acute period.

  7. Usefulness of cardiac 125I-metaiodobenzylguanidine uptake for evaluation of cardiac sympathetic nerve abnormalities in diabetic rats

    International Nuclear Information System (INIS)

    We investigated cardiac sympathetic nerve abnormalities in streptozocin-induced diabetic rats using 125I-metaiodobenzylguanidine (MIBG). The radioactivity ratio of cardiac tissue to 1 ml blood (H/B) was used as an index of cardiac MIBG uptake. Cardiac 125I-MIBG uptake (H/B) in 4-, 8- and 20-wk diabetic rats was 48% lower than that in control rats. Similar results were obtained even when the data were corrected for g wet tissue weight. Although there was no improvement in H/B following 2-wk insulin treatment, the H/B ratio increased significantly, to 85% of control levels, following 4 wk insulin treatment indicating the reversibility of impaired MIBG uptake in diabetic rats. In vivo reserpine treatment resulted in a 50% reduction in the H/B value in control rats. However, the treatment did not significantly suppress uptake in diabetic rats. Cardiac norepinephrine content in both *4- and **8-wk diabetic rats was significantly (*p**p125I-MIBG in diabetic rats is significantly impaired due to cardiac sympathetic nerve abnormalities. These abnormalities are reversible, however, dependent on the diabetic state. (author)

  8. Addressing Literacy and Numeracy to Improve Diabetes Care

    OpenAIRE

    Cavanaugh, Kerri; Wallston, Kenneth A.; Gebretsadik, Tebeb; Shintani, Ayumi; Huizinga, Mary Margaret; Davis, Dianne; Gregory, Rebecca Pratt; Malone, Robb; Pignone, Michael; DeWalt, Darren; Elasy, Tom A.; Rothman, Russell L.

    2009-01-01

    OBJECTIVE Diabetic patients with lower literacy or numeracy skills are at greater risk for poor diabetes outcomes. This study evaluated the impact of providing literacy- and numeracy-sensitive diabetes care within an enhanced diabetes care program on A1C and other diabetes outcomes. RESEARCH DESIGN AND METHODS In two randomized controlled trials, we enrolled 198 adult diabetic patients with most recent A1C ≥7.0%, referred for participation in an enhanced diabetes care program. For 3 months, c...

  9. An Evaluation of the Hypoglycemic, Antioxidant and Hepatoprotective Potentials of Onion (Allium cepa L. on Alloxan-induced Diabetic Rabbits

    Directory of Open Access Journals (Sweden)

    G.G. Akunna

    2012-01-01

    Full Text Available Diabetes mellitus is a chronic disorder of carbohydrate metabolism whose prevalence is raising globally, especially the resource -starved countries such as Nigeria. Since antiquity, diabetes has been treated with plant medicines. Several investigations have confirmed the efficacy of many of these traditional preparations, some of which have proven efficacy. In the present study, the hypoglycemic, antioxidant and hepatoprotective effects of Allium cepa (A.cepa aqueous extracts on alloxan-induced diabetic rabbits was investigated. Diabetes mellitus was induced in 15 adult male rabbits, using 200 mg kg-1 of alloxan monohydrate as a single intraperitoneal injection. These alloxan -diabetic rabbits were then divided into three groups; one group was administered aqueous extract of A. cepa 100 mg Kg-1 b.wt. orally daily for 30 days, another group received A. Cepa 300 mg kg-1 b.wt. orally daily for 30 days and the last group of diabetic rabbits received peanut oil (the vehicle instead of A. cepa to serve as the diabetic control. There were also five rabbits which received neither alloxan nor A. cepa (the negative control group. All the liver histological derangements caused by diabetes were attenuated in the A. cepa-treated group. Increasing dosages of A. cepa aqueous extract produced a dose-dependent significant reduction in the blood glucose levels. Additionally, A. cepa remarkably improved the reduction of antioxidant parameters-Superoxide dismutase, catalase (SOD, catalase (CAT Glutathione Peroxidase (GPx , Reduced Glutathione (GSH and increased malondialdehyde (MDA, a product of lipid peroxidation. It is concluded based on these findings that A. cepa may be effective in ameliorating diabetics related hepatotoxicity and alterations of biochemical parameters.

  10. Gestational Diabetes

    Medline Plus

    Full Text Available ... this page It's been added to your dashboard . Gestational diabetes 3:46 Gestational diabetes is a kind of diabetes that can happen ... some of the complications that can arise from gestational diabetes and what you can do to manage this ...

  11. Pharmaceutical care in diabetes: quantifying and evaluating community pharmacy’s support to patients performing blood glucose self-monitoring

    OpenAIRE

    Storimans, M.J.

    2006-01-01

    The high prevalence and incidence of diabetes mellitus and its complications have led to a serious growth in the demand for diabetes-related health care in the Netherlands. Since self-management by the patient is a cornerstone of the treatment plan, self-management education has become an important part of diabetes care. One aspect of self-management education is self-monitoring of blood glucose (SMBG). SMBG is a technique that enables patients to monitor and react to changes in their blood g...

  12. Diabetes Epidemics in Korea: Reappraise Nationwide Survey of Diabetes "Diabetes in Korea 2007"

    Directory of Open Access Journals (Sweden)

    2013-08-01

    Full Text Available There are many studies on the prevalence, clinical characteristics, and economic burden of diabetes across the past four decades in Korea. Nonetheless, there is a dearth of nationwide study regarding diabetes encompassing all age group. Eight years ago, the Committee on the Epidemiology of Diabetes Mellitus of Korean Diabetes Association collaborated with Health Insurance Review & Assessment Service to evaluate the status of diabetes care and characteristics in diabetic patients in Korea. In 2007, the collaborative task force team published a comprehensive survey titled "Diabetes in Korea 2007." In this review, we reappraise the diabetic epidemics from the joint report and suggest further studies that are needed to be investigated in the future.

  13. Value of urinary trace proteins in evaluating kidney function in the course of diabetes mellitus II rehabilitation%尿微量蛋白检测在 2型糖尿病中评估肾功能的价值

    Institute of Scientific and Technical Information of China (English)

    陈宝平; 宋新瑞

    2001-01-01

    Objective To discuss the value of urinary trace proteins in evaluating kidney function in the course of diabetes mellitus II rehabilitation.Method To assay level of urinary trace proteins in 50 cases of diabetes mellitus II and healthy control subjects. Result Level of trace proteins in 40 cases with diabetes mellitus ranged between normal values.They showed significantly increased urinary trace proteins(80% ).Conclusion Urinary trace proteins is a sensible indicator for evaluating kidney function in diabetes mellitus II.

  14. Sumatera Air Asia Training Center (Arsitektur Metafora)

    OpenAIRE

    Susanto, William

    2015-01-01

    Sumatera Air Asia Training Center as Air Asia training facility’s construction have a propose to train the Air Asia air craft crew who will be the employee of the Air Asia Airlines.Beside the main function;training facility for the Air Asia Crew; the other airline’s crew can be train by a cooperation with Air Asia.The aircraft crew that can be train in this facility is pilot initial, pilot type-rating, pilot recurrent, ATPL, Flight attendant initial and recurrent..This facility ha...

  15. East Asia's Dynamic Development Model and the Republic of Korea's Experiences

    OpenAIRE

    Ho-Chul LEE; McNulty, Mary P.

    2003-01-01

    No region has been more dynamic in recent years than East Asia. Despite its successful economic development, evaluations of the East Asian development model have often been capricious, shifting from "miracle" to "cronyism." How can we explain East Asia's ups and downs consistently? To respond to this challenge, it is necessary to study the progress of East Asian development and to trace th...

  16. Avaliação de um programa para prevenção de úlceras neuropáticas em portadores de diabetes Evaluation of a neuropathic ulcers prevention program for patients with diabetes

    Directory of Open Access Journals (Sweden)

    Lígia L. Cisneros

    2010-02-01

    Full Text Available CONTEXTUALIZAÇÃO: Úlceras neuropáticas nos pés são um dos grandes problemas de saúde enfrentados por portadores de diabetes mellitus. OBJETIVO: Avaliar a eficácia preventiva de programa de educação terapêutica e de calçados para proteção dos pés quanto à incidência e recorrência de úlceras neuropáticas por diabetes. MÉTODOS: Um total de 53 pacientes de uma unidade de saúde pública de Porto Alegre/RS, portadores de diabetes e neuropatia, participaram de um ensaio clínico durante dois anos. Os sujeitos foram alocados aleatoriamente em grupo de intervenção (GI (n=30 ou controle (GC (n=23. A educação terapêutica foi realizada em grupo, e o calçado para proteção fornecido conforme prescrição individual. Utilizou-se o teste não paramétrico de Mann Whitney para determinar a diferença de incidência e recorrência de ulceração entre os grupos. A análise da tábua de vida e o método de Kaplan-Meier foram usados para medir o tempo de sobrevida sem úlcera. RESULTADOS: A incidência de lesão no GI foi de 38,1% versus 57,1% no GC. Dos sujeitos que apresentaram úlcera, 83% pertenciam ao GC e 16,7% ao GI. Em um ano, os participantes do GI o mostraram 75% de probabilidade de se encontrarem sem lesão, contra 61% do GC, reduzindo para 60% e 52%, respectivamente, em dois anos. Há uma tendência de menor sobrevida em participantes do GC. CONCLUSÃO: Embora com índices menores de recorrência e maior sobrevida sem lesão, o programa proposto não foi capaz de prevenir a ocorrência e recorrência de úlceras neuropáticas por diabetes.BACKGROUND: Neuropathic foot ulcers are among the major health problems faced by patients with diabetes mellitus. OBJECTIVE: To evaluate the preventive efficacy of a therapeutic education and protective footwear program in the incidence and recurrence of neuropathic ulcers due to diabetes. METHODS: Fifty-three patients with diabetes and neuropathy from a public healthcare unit in Porto

  17. Prevalence of diabetes mellitus and impaired glucose tolerance in patients with decompensated cirrhosis being evaluated for liver transplantation: the utility of oral glucose tolerance test

    Directory of Open Access Journals (Sweden)

    Ana Carolina Costa Bragança

    2010-03-01

    Full Text Available CONTEXT: Cirrhosis, diabetes mellitus, impaired glucose tolerance, insulin resistance, and protein calorie malnutrition are important issues in cirrhotic patients because they can increase the progression of liver disease and worsen its prognosis. OBJECTIVE:To determine the prevalence of diabetes mellitus, impaired glucose tolerance and insulin resistance in cirrhotic patients being evaluated for liver transplantation and their impacts on a 3-month follow-up, and to compare fasting glycemia and oral glucose tolerance test. METHODS: A cross-sectional study was performed in consecutively included adult patients. Diabetes mellitus was established through fasting glycemia and oral glucose tolerance test in diagnosing diabetes mellitus in this population. HOMA-IR and HOMA-β indexes were calculated, and nutritional assessment was performed by subjective global assessment, anthropometry and handgrip strength through dynamometry. RESULTS: Diabetes mellitus was found in 40 patients (64.5%, 9 (22.5% of them by fasting glycemia and 31 (77.5% of them by oral glucose tolerance test. Insulin resistance was found in 40 (69% of the patients. There was no relationship between diabetes mellitus and the etiology of cirrhosis. Protein calorie malnutrition was diagnosed in a range from 3.22% to 45.2% by anthropometry, 58.1% by subjective global assessment and 88.7% by handgrip strength. Diabetes mellitus identified by oral glucose tolerance test was related significantly to a higher prevalence of infectious complications and deaths in a 3-month period (P = 0.017. CONCLUSION: The prevalence of diabetes mellitus, impaired glucose tolerance, insulin resistance and protein calorie malnutrition is high in cirrhotic patients on the waiting list for liver transplantation. There were more infectious complications and/or deaths in a 3-month follow-up period in patients with diabetes mellitus diagnosed by oral glucose tolerance test. Oral glucose tolerance test seems to be

  18. Diabetic encephalopathy

    OpenAIRE

    I. A. Strokov; V. V. Zakharov; K. I. Strokov

    2012-01-01

    The epidemiology, clinical presentation, morphology, and pathogenesis of central nervous system lesion in types 1 and 2 diabetes mellitus (DM) are considered, by using the results of experimental and clinical studies. The definition of diabetic encephalopathy is given. Whether there is a relationship between diabetic encephalopathy and diabetic polyneuropathy is considered. It is concluded that it is expedient to identify diabetic encephalopathy as a complication of DM. The capacities of path...

  19. Rationale and trial design of Bardoxolone Methyl Evaluation in Patients with Chronic Kidney Disease and Type 2 Diabetes

    DEFF Research Database (Denmark)

    de Zeeuw, Dick; Akizawa, Tadao; Agarwal, Rajiv;

    2013-01-01

    Chronic kidney disease (CKD) associated with type 2 diabetes mellitus constitutes a global epidemic complicated by considerable renal and cardiovascular morbidity and mortality, despite the provision of inhibitors of the renin-angiotensin-aldosterone system (RAAS). Bardoxolone methyl, a synthetic...

  20. Vestibulo-cochlear functions in diabetes mellitus

    OpenAIRE

    Chamyal, P. C.

    1997-01-01

    Vestibulo-cochlear functions in 30 diabetics and 30 controls were evaluated. Hearing loss mild to moderate was detected in 40% of diabetics. This was typically bilateral symmetrical, more in high frequencies and cochlear in nature. Incidence of hearing loss was more in higher age groups, in poorly controlled diabetics, and in those without a family history of diabetes. There was no correlation between hearing loss and duration of diabetes. There was no evidence of vestibular dysfunction in th...

  1. Geodynamics map of northeast Asia

    Science.gov (United States)

    Parfenov, Leonid M., (compiler); Khanchuk, Alexander I.; Badarch, Gombosuren; Miller, Robert J.; Naumova, Vera V.; Nokleberg, Warren J.; Ogasawara, Masatsugu; Prokopiev, Andrei V.; Yan, Hongquan

    2013-01-01

    This map portrays the geodynamics of Northeast Asia at a scale of 1:5,000,000 using the concepts of plate tectonics and analysis of terranes and overlap assemblages. The map is the result of a detailed compilation and synthesis at 5 million scale and is part of a major international collaborative study of the mineral resources, metallogenesis, and tectonics of northeast Asia conducted from 1997 through 2002 by geologists from earth science agencies and universities in Russia, Mongolia, northeastern China, South Korea, Japan, and the USA.

  2. [Diabetic retinopathy during pregnancy.

    DEFF Research Database (Denmark)

    Mathiesen, E.R.; Rasmussen, K.L.; Laugesen, C.S.;

    2008-01-01

    INTRODUCTION: The aim was to evaluate the prevalence and progression of diabetic retinopathy during pregnancy in women with type 1 or type 2 diabetes. MATERIAL AND METHODS: Dilated fundal photography was performed at approximately 10 and 28 gestational weeks in 58 and 18 women with type 1 and type...... 2 diabetes, respectively. Retinopathy was classified as five stages +/- macular oedema. Progression was defined as deterioration corresponding to at least one stage between the two examinations. Clinical parameters were obtained from the medical records. RESULTS: Diabetic retinopathy was found in 36...... (62%) women with type 1 and three (17%) with type 2 diabetes at the first examination. In 26 (34%) retinopathy progressed; four women developed proliferations, three macular oedema and three reduction of visual acuity >/=0.2 on Snellen's chart in at least one eye. HbA1c in early pregnancy was the only...

  3. Evaluation of toxicity after one-months treatment with Bauhinia forficata decoction in streptozotocin-induced diabetic rats

    Directory of Open Access Journals (Sweden)

    Vendramini Regina

    2004-06-01

    Full Text Available Abstract Background Previous experiments have shown that a decoction of Bauhinia forficata leaves reduces the changes in carbohydrate and protein metabolism that occur in rats with streptozotocin-induced diabetes. In the present investigation, the serum activities of enzymes known to be reliable toxicity markers were monitored in normal and streptozotocin-diabetic rats to discover whether the use of B. forficata decoction has toxic effects on liver, muscle or pancreas tissue or on renal microcirculation. Methods An experimental group of normal and streptozotocin-diabetic rats received an aqueous decoction of fresh B. forficata leaves (150 g/L by mouth for 33 days while a control group of normal and diabetic rats received water for the same length of time. The serum activity of the toxicity markers lactate dehydrogenase, creatine kinase, amylase, angiotensin-converting enzyme and bilirubin were assayed before receiving B. forficata decoction and on day 19 and 33 of treatment. Results The toxicity markers in normal and diabetic rats were not altered by the diabetes itself nor by treatment with decoction. Whether or not they received B. forficata decoction the normal rats showed a significant increase in serum amylase activity during the experimental period while there was a tendency for the diabetic rats, both treated and untreated with decoction, to have lower serum amylase activities than the normal rats. Conclusions Administration of an aqueous decoction of B. forficata is a potential treatment for diabetes and does not produce toxic effects measurable with the enzyme markers used in our study.

  4. Evaluation of antioxidant status in Streptozotocin-induced diabetic rats by Ferric reducing ability of plasma assay

    OpenAIRE

    Zarban A; Doosti M; Esteghamati A; Allameh A

    2000-01-01

    Enhanced oxidative stress in diabetes mellitus may contribute to the pathogenesis of diaetic complications. In this article, the stress oxidative generation has been studied in experimental diabetes by ferric reducing ability of plasma assay, a sensitive and simple method, and by other oxidative damage markers. The ferric reducing ability of plasma values as a total antioxidant capacity were significantly decreased at the 3th 4th weeks of stuy ( P<0.02), while the thiobarbituric acid react...

  5. Galactomannan gum coated mucoadhesive microspheres of glipizide for treatment of type 2 diabetes mellitus: In vitro and in vivo evaluation

    OpenAIRE

    Gaba, Punam; Singh, Sarbjot; Gaba, Monika; G .D. Gupta

    2011-01-01

    Type 2 diabetes mellitus is a heterogeneous disease of polygenic origin and involves both defective insulin secretion and peripheral insulin resistance. Studies have shown that post-meal hyperglycemic spikes are associated with increased cardiovascular mortality in type 2 diabetes. Over the past decade, a major interest in control of postprandial glucose excursion has emerged and a plethora of new medications that specifically target postprandial hyperglycemia were discovered. Despite the ava...

  6. Evaluation of plasma H2S levels and H2S synthesis in streptozotocin induced Type-2 diabetes-an experimental study based on Swietenia macrophylla seeds

    Institute of Scientific and Technical Information of China (English)

    Moumita Dutta; Utpal Kumar Biswas; Runu Chakraborty; Piyasa Banerjee; Utpal Raychaudhuri; Arun Kumar

    2014-01-01

    Objective: To evaluate the plasma H2S levels and H2S synthesis activity in streptozotocin induced type 2 diabetes rats compared to the healthy controls and also to observe the effect of the aqueous extract of Swietenia macrophylla (S. macrophylla) seeds on the experimental groups. Methods: Seeds of S. macrophylla were separated, washed, shed-dried and finally extract was prepared. Thirty two wistar rats were selected for the experimental study. Streptozotocin was used for the induction of diabetes. H2S concentration in plasma was measured. H2S synthesizing activity in plasma was measured. Statistical analysis have done using Microsoft excel, Office 2003. Values were expressed by mean±SD. P<0.05 were considered statistically significant.Results:rats. The glucose levels are significantly lowered in the rats treated with metformin (5.48±0.03) mmol/L as well as with aqueous extract of S. macrophylla seeds (3.72±0.04) mmol/L. The HbA1c percentages in different groups of study subjects also indicate similar trends. Our study shows both the plasma H2S levels (22.07±0.73) mmol/L and plasma H2S synthesis activity (0.411±0.005 mmol/100 g) are significantly reduced in the streptozotocin induced diabetic rats.Conclusions:Although considering a small sample size, it can conclude that the fasting blood Fasting blood glucose level (7.74±0.02) mmol/L was significantly increased in diabetic glucose levels are inversely related to plasma H2S levels as well as H2S synthesis activity in plasma and the extract of S. macrophylla is associated with increased plasma H2S levels with effective lowering of blood glucose in streptozotocin induced diabetic rats.

  7. Evaluation of Trigonella foenum-graecum extract in combination with swimming exercise compared to glibenclamide consumption on type 2 Diabetic rodents

    Directory of Open Access Journals (Sweden)

    Sajad Arshadi

    2015-12-01

    Full Text Available Background/objective: The purpose of the present study was to evaluate the effect of fenugreek seed extract in combination with swimming exercise compared to glibenclamide consumption on type 2 diabetic rats. Design: The acute toxicity test was carried out to choose the safe doses and identify the toxicity effects of the fenugreek seed extract. To investigate the hypoglycemic effect of the extract and its effect in combination with swimming training, 80 Wistar Kyoto male streptozotocin-induced diabetic rats were divided randomly into eight groups: diabetic control (C; fenugreek seed extract 0.8 g/kg (F1; fenugreek extract 1.6 g/kg (F2; swimming training (S; swimming training plus fenugreek extract 0.8 g/kg (SF1; swimming training plus fenugreek extract 1.6 g/kg (SF2; glibenclamide (G and swimming training plus glibenclamide (SG. The rats were orally administrated with the treatments once a day with the respective treatment, and the training groups were subjected to swimming training every day for 60 min. Fasting blood samples were collected to measure fasting blood glucose, lipid profile, adiponectin, leptin, and insulin concentrations. Results: The results obtained from acute toxicity study showed no toxicity effect of fenugreek seed extract on the tested dose. Biochemical analysis showed significant improvements in all of the groups compared to the control group (p<0.05. Plasma insulin concentration and insulin resistance (HOMA-IR was significantly reduced in treated groups compared with the diabetic control group. Plasma leptin were significantly decreased in treated groups compared with the control group; while adiponectin had markedly increased (p<0.05. Conclusion: The findings suggest that fenugreek seed consuming, alongside swimming exercise, has a strong therapeutic effect on the improvement of diabetic parameters.

  8. Evaluation of Frequency and Risk Factors of Soft Tissue Rheumatism of Upper Limbs in Diabetic Patients in Kerman in 2001

    Directory of Open Access Journals (Sweden)

    M.R. Shakibi

    2003-10-01

    Full Text Available Diabetes mellitus is a metabolic disorder that affect different systems in human. Wide range of musculoskeletal syndromes have been described in association with diabetes. To determine the prevalence of upper limb soft tissue rheumatism in diabetes patients. In a cross sectional study 300 diabetic patients was examined by COPCORD questionnaire. The examination was performed by internist and rheumatologist . Data was analyzed by logistic regression. 73.3% of patients were female. Average age of cases was 51.2±13.7 years and mean of duration of disease was 7±6.4 years. 152 cases (50.7% had soft tissue rheumatism in upper limbs. 66 cases had carpal tannel syndrome, 23 cases with Dupuytren’s disease, 23 cases with Flexortenosynovitis, 91 cases with shoulder periarthritis, 4 cases had limited joint mobility and 12 had Elbow Epicandititis. Logestic regression analysis showed that type 2 diabetes, weak control of blood sugur and duration of disease>5years were risk factors for incidence of soft tissue rheumatism in upper limbs. Results have showed the high prevalence of soft tissue rheumatism in diabetic patients.

  9. Evaluation of bone mineral density in premenopausal women with type-2 diabetes mellitus in Zahedan, Southeast Iran

    International Nuclear Information System (INIS)

    To determine the BMD in premenopausal women with type-2 diabetes mellitus. Methods: This case-control study was performed on 60 premenopausal women with type-2 diabetes mellitus and 60 normal premenopausal subjects. The groups were not completely matched regarding BMI; but they were in the range of obesity. Bone mineral density was determined using dual energy X-ray absorptiometry (DXA) to define bone mineral density (BMD) in second to fourth lumbar vertebrae and the neck of the femur (g/cm/sup 2/). Results: The results showed that BMD, T- and Z-score of femoral neck, total femur, L2, and Ward's were not significantly different between type 2 diabetic and normal premenopausal women (p>0.5). A significant increase of L3 BMD and L2-L4 Z-score was observed in diabetic group (p<0.05). In addition BMD, T- and Z-score of L4 were significantly higher in type 2 diabetic women than normal premenopausal women (P<0.05). Conclusion: Higher BMD was noted over the spine in diabetic group which may be due to higher BMI in this group. (author)

  10. Diabetes øger risikoen for frakturer

    DEFF Research Database (Denmark)

    Starup-Linde, Jakob; Karahasanovic, Azra; Vestergaard, Peter;

    2015-01-01

    Diabetes is associated with an increased risk of fracture, however, neither bone mineral density, falls, diabetes complications nor other risk factors can explain why. Among patients with diabetes, hyperglycaemia may have detrimental effects on bone, but also use of anti-diabetic treatment may have...... an impact on fracture risk. In this article we assess the relationship between diabetes, bone and fracture and the effects of hyperglycaemia and anti-diabetic treatment on bone. Furthermore, fracture preventive measures in patients with diabetes are evaluated....

  11. Ameliorative effect of ethanolic Gymnema sylvestre extract on diabetic cardiomyopathy against streptozotocin-induced diabetes in Wistar rats

    OpenAIRE

    Vinay Kumar; Uma Bhandari; Chakra Dhar Tripathi; Geetika Khanna

    2013-01-01

    Background: Diabetes leads to a cardiomyopathy characterized by myocyte loss. Streptozotocin (STZ)-induced diabetic cardiomyopathy is characterized by decreased left ventricular contractility and diminished ventricular compliance with marked abnormal systolic and diastolic function. Aim: The ameliorative effect of ethanolic Gymnema sylvestre extract (GSE) was evaluated in diabetic cardiomyopathy against STZ-induced diabetes. Materials and Methods: Diabetes was induced by a single intravenous ...

  12. Evaluation of the quality of care of a multi-disciplinary risk factor assessment and management programme (RAMP for diabetic patients

    Directory of Open Access Journals (Sweden)

    Fung Colman SC

    2012-12-01

    Full Text Available Abstract Background Type 2 Diabetes Mellitus (DM is a common chronic disease associated with multiple clinical complications. Management guidelines have been established which recommend a risk-stratified approach to managing these patients in primary care. This study aims to evaluate the quality of care (QOC and effectiveness of a multi-disciplinary risk assessment and management programme (RAMP for type 2 diabetic patients attending government-funded primary care clinics in Hong Kong. The evaluation will be conducted using a structured and comprehensive evidence-based evaluation framework. Method/design For evaluation of the quality of care, a longitudinal study will be conducted using the Action Learning and Audit Spiral methodologies to measure whether the pre-set target standards for criteria related to the structure and process of care are achieved. Each participating clinic will be invited to complete a Structure of Care Questionnaire evaluating pre-defined indicators which reflect the setting in which care is delivered, while process of care will be evaluated against the pre-defined indicators in the evaluation framework. Effectiveness of the programme will be evaluated in terms of clinical outcomes, service utilization outcomes, and patient-reported outcomes. A cohort study will be conducted on all eligible diabetic patients who have enrolled into RAMP for more than one year to compare their clinical and public service utilization outcomes of RAMP participants and non-participants. Clinical outcome measures will include HbA1c, blood pressure (both systolic and diastolic, lipids (low-density lipoprotein cholesterol and future cardiovascular diseases risk prediction; and public health service utilization rate will include general and specialist outpatient, emergency department attendances, and hospital admissions annually within 5 years. For patient-reported outcomes, a total of 550 participants and another 550 non-participants will be

  13. Anti-diabetic effects of rice hull smoke extract in alloxan-induced diabetic mice

    Science.gov (United States)

    We investigated the protective effect of a liquid rice hull smoke extract (RHSE) against diabetes in alloxan-induced diabetic mice. Anti-diabetic effects of RHSE were evaluated in both the rat insulinoma-1 cell line (INS-1) and diabetic ICR mice induced by inraperitoneal (ip) injection of alloxan. ...

  14. Alberta Diabetes and Physical Activity Trial (ADAPT: A randomized theory-based efficacy trial for adults with type 2 diabetes - rationale, design, recruitment, evaluation, and dissemination

    Directory of Open Access Journals (Sweden)

    Birkett Nicholas

    2010-01-01

    Full Text Available Abstract Background The primary aim of this study was to compare the efficacy of three physical activity (PA behavioural intervention strategies in a sample of adults with type 2 diabetes. Method/Design Participants (N = 287 were randomly assigned to one of three groups consisting of the following intervention strategies: (1 standard printed PA educational materials provided by the Canadian Diabetes Association [i.e., Group 1/control group]; (2 standard printed PA educational materials as in Group 1, pedometers, a log book and printed PA information matched to individuals' PA stage of readiness provided every 3 months (i.e., Group 2; and (3 PA telephone counseling protocol matched to PA stage of readiness and tailored to personal characteristics, in addition to the materials provided in Groups 1 and 2 (i.e., Group 3. PA behaviour measured by the Godin Leisure Time Exercise Questionnaire and related social-cognitive measures were assessed at baseline, 3, 6, 9, 12 and 18-months (i.e., 6-month follow-up. Clinical (biomarkers and health-related quality of life assessments were conducted at baseline, 12-months, and 18-months. Linear Mixed Model (LMM analyses will be used to examine time-dependent changes from baseline across study time points for Groups 2 and 3 relative to Group 1. Discussion ADAPT will determine whether tailored but low-cost interventions can lead to sustainable increases in PA behaviours. The results may have implications for practitioners in designing and implementing theory-based physical activity promotion programs for this population. Clinical Trials Registration ClinicalTrials.gov identifier: NCT00221234

  15. Synthesis and evaluation of multi-functional NO-donor/insulin-secretagogue derivatives for the treatment of type II diabetes and its cardiovascular complications.

    Science.gov (United States)

    Digiacomo, Maria; Martelli, Alma; Testai, Lara; Lapucci, Annalina; Breschi, Maria C; Calderone, Vincenzo; Rapposelli, Simona

    2015-02-01

    Although there is a significant effort in the discovery of effective therapies to contrast both the pathological endocrine and metabolic aspects of diabetes and the endothelial dysfunction associated with this disease, no hypoglycemic drug has been proven to defeat the cardiovascular complications associated with type II diabetes. The aim of this research was to design new compounds exhibiting a double profile of hypoglycemic agents/NO-donors. The synthesis of molecules obtained by the conjunction of NO-donor moieties with two oral insulin-secretagogue drugs (repaglinide and nateglinide) was reported. NO-mediated vasorelaxing effects of the synthesized compounds were evaluated by functional tests on isolated endothelium-denuded rat aortic rings. The most potent molecule (4) was tested to evaluate the hypoglycemic and the anti-ischemic cardioprotective activities. This study indicates that 4 should represent a new insulin-secretagogue/NO-donor prodrug with an enhanced cardiovascular activity, which may contrast the pathological aspects of diabetes and endowed of cardioprotective activity. PMID:25577707

  16. Evaluation of a Mobile Phone Image-Based Dietary Assessment Method in Adults with Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Megan E. Rollo

    2015-06-01

    Full Text Available Image-based dietary records have limited evidence evaluating their performance and use among adults with a chronic disease. This study evaluated the performance of a 3-day mobile phone image-based dietary record, the Nutricam Dietary Assessment Method (NuDAM, in adults with type 2 diabetes mellitus (T2DM. Criterion validity was determined by comparing energy intake (EI with total energy expenditure (TEE measured by the doubly-labelled water technique. Relative validity was established by comparison to a weighed food record (WFR. Inter-rater reliability was assessed by comparing estimates of intake from three dietitians. Ten adults (6 males, age: 61.2 ± 6.9 years old, BMI: 31.0 ± 4.5 kg/m2 participated. Compared to TEE, mean EI (MJ/day was significantly under-reported using both methods, with a mean ratio of EI:TEE 0.76 ± 0.20 for the NuDAM and 0.76 ± 0.17 for the WFR. Correlations between the NuDAM and WFR were mostly moderate for energy (r = 0.57, carbohydrate (g/day (r = 0.63, p < 0.05, protein (g/day (r = 0.78, p < 0.01 and alcohol (g/day (rs = 0.85, p < 0.01, with a weaker relationship for fat (g/day (r = 0.24. Agreement between dietitians for nutrient intake for the 3-day NuDAM (Intra-class Correlation Coefficient (ICC = 0.77–0.99 was lower when compared with the 3-day WFR (ICC = 0.82–0.99. These findings demonstrate the performance and feasibility of the NuDAM to assess energy and macronutrient intake in a small sample. Some modifications to the NuDAM could improve efficiency and an evaluation in a larger group of adults with T2DM is required.

  17. Evaluating the impacts of cumulus, land surface and ocean surface schemes on summertime rainfall simulations over East-to-southeast Asia and the western north Pacific by RegCM4

    Science.gov (United States)

    Li, Yu-Bin; Tam, Chi-Yung; Huang, Wan-Ru; Cheung, Kevin K. W.; Gao, Zhiqiu

    2016-04-01

    This study evaluates the sensitivity of summertime rainfall simulations over East-to-southeast Asia and the western north Pacific in the regional climate model version 4 (RegCM4) to cumulus (including Grell with Arakawa-Schubert type closure, Grell with Fritsch-Chappell type closure, and Emanuel), land surface (Biosphere-atmosphere transfer scheme or BATS, and the community land model or CLM) and ocean surface (referred to as Zeng1, Zeng2 and BATS1e in the model) schemes by running the model with different combinations of these parameterization packages. For each of these experiments, ensemble integration of the model was carried out in the extended boreal summer of May-October from 1998 to 2007. The simulated spatial distribution, intensity and inter-annual variation of the precipitation, latent heat flux, position of the subtropical high and tropical cyclone genesis patterns from these numerical experiments were analyzed. Examinations show that the combination of Emanuel, CLM and Zeng2 (E-C-Z2) yields the best overall results, consistent with the fact that physical mechanisms considered in E-C-Z2 tend to be more comprehensive in comparison with the others. Additionally, the rainfall quantity is found very sensitive to sea surface roughness length, and the reduction of the roughness length constant (from 2 × 10-4 to 5 × 10-5 m) in our modified BATS1e mitigates the drastic overestimation of latent heat flux and rainfall, and is therefore preferable to the default value for simulations in the western north Pacific region in RegCM4.

  18. Managing International Migration for Development in East Asia

    OpenAIRE

    Adams, Richard H., Jr.; Ahsan, Ahmad

    2014-01-01

    The objective of this book is to analyze the economic and social impact of international migration on labor sending and labor receiving countries in the East Asia region. More specifically, the book seeks: (a) to examine the impact of international migration on key development indicators, including poverty, investment, labor force participation, labor productivity and wages; (b) to evaluate ...

  19. Evaluation of Serum Levels of Pregnancy Associated Plasma Protein-A, Tumor Necrosis Factor-alpha and Highly Sensitive C-Reactive Protein in Diabetic Children

    International Nuclear Information System (INIS)

    Recent evidence favours the primary role of cellular auto immunity and its humoral mediators in the pathogenesis and follow up of children with type 1 diabetes mellitus (type 1 DM). The present study is carried out to investigate serum levels of pregnancy associated plasma protein-A (PAPP-A), tumor necrosis factor-alpha (TNF-alpha ) and highly sensitive C-reactive protein (hs-CRP) in children with type 1 DM. Potential role of body mass index (BMI) was evaluated. Circulating levels of TNF-alpha, PAPP-A and hs-CRP are significantly increased in children with type 1 DM as compared with healthy subjects suggesting activation of inflammatory immune response system. A significant negative correlation was obtained between TNF-alpha and BMI in diabetic patients. This is highly suggestive of the availability of these non invasive indices to help further examining type 1 DM pathophysiology and monitoring pharmacological interventions to interfere with disease development and progression.

  20. Evaluation of efficacy dexamethasone intravitreal implant compared to treatment with anti-VEGF in the treatment of diabetic macular edema

    Directory of Open Access Journals (Sweden)

    Elena Pacella

    2014-12-01

    Full Text Available Objective: The study compares the effectiveness of an intravitreal slow-release dexamethasone implant respect to an intravitreal injection of a anti-VEGF, ranibizumab, in the treatment of diabetic macular edema (DME. Design: we used a non randomized retrospective study to compare the effectiveness of two treatment approaches to DME Subjects: 50 patients were investigated, 30 of whom underwent injections of ranibizumab and 20 of whom underwent dexamethasone implantation. Methods: When patients were injected with the anti-VEGF ranibizumab, they were monitored every three months. Dexamethasone implant was administered only once in 6 months, different to ranibizumab which was administered monthly . Main Outcome Measures: these were carried out by measuring the improvements in ETDRS (visual acuity scores and CMT (central macular thickness after one month, three months, and six months (T1, T3, T6. intraocular pressure were performed. Results: Data evidenced that the slow-release dexamethasone implant is more efficacious than the intravitreal injection of the anti-VEGF, ranibizumab, in terms of improvement of visual acuity and central macular thickness. Dexamethasone implant at T3 produced an improvement of visual acuity which was significantly better respect to injections of ranibizumab, with a mean ETDRS gain of nearly 8,5 letters, compared to only 4 letters gained in the case of ranibizumab injected patients. This significance, however, is lost by T6, (p=0.516, where those treated with dexamethasone had lost 6 of the eight letters gained, while those with ranibizumab had lost 4 letters. As such, the overall gain at the T6 checkpoint was only 2.5 letters for dexamethasone implant and 2 for ranibizumab. Conclusion: The study highlighted a better initial efficacy of the dexamethasone implant due to its superior performance at 3 and 6 month evaluation points.

  1. Iron Age in Southeast Asia

    Directory of Open Access Journals (Sweden)

    Kishor K. Basa

    1991-11-01

    Full Text Available In this paper, I shall discuss the issue of the Iron Age in Southeast Asia under two headings - mainland Southeast Asia and island Southeast Asia. On the mainland, I shall discuss the evidence from Vietnani, Thailand and Peninsular Malaysia, but exclude Burma, Laos and Kampuchea for lack of relevant data. In the islands, I will discuss Indonesia, Sabah, Sarawak and the Philippines. I would argue that the Iron Age as a separate cultural entity is evident on the mainland, but in the islands there is no identifiable Bronze Age preceding the adoption of iron. By the Iron Age, I mean a period associated with iron artefacts, wet rice farming, brisk internal exchange and external trade and, in the lowland at least, a ranked society. This corresponds roughly to the General Period C of Bayard (1984b, 163, see also Higham and Kijngam 1984, 13-21. But two points should be made about this scheme: This is a heuristic device, so all sites in Southeast Asia can not be easily fitted into it.There is as yet no general agreement among scholars regarding the chronology of various periods.

  2. Lenzing Group: Expanding in Asia

    Institute of Scientific and Technical Information of China (English)

    Wang Ting

    2007-01-01

    @@ On April 10th,the Lenzing Group started operation of its new viscose fiber plant at Nanjing(China).The new viscose fiber plant is the second production site for this fiber of theLenzing Group in Asia and its sixth production site globally.

  3. Priority sector lending in Asia

    OpenAIRE

    Creehan, Sean

    2014-01-01

    This Asia Focus discusses Asia’s experience with priority sector lending, reviews the current state-level priority sector lending policies in several Asian economies, assesses the implications for the respective domestic banking systems, and examines potential alternative mechanisms to encourage lending to priority sectors.

  4. Small Hydropower in Southeast Asia

    Institute of Scientific and Technical Information of China (English)

    NathanielC.Domingo; FidelpioV.Ferraris; Prof.RowaldoR.delMundo

    2004-01-01

    SHP has been applied in Southeast Asia (SEA) for three decades now. There is a number of existing SHP installations, both of mini and micro scale. However, comparing the current installed capacity to the potential capacity, SEA has yet to fully reap the benefits of SHP.

  5. A Lake Dream in Asia

    Institute of Scientific and Technical Information of China (English)

    Yang Wei

    2009-01-01

    @@ When William Wordsworth,representative of Lake Poets wrote his Ode to Night ingale nearby the Lake District of England at the turn of the nine-teenth century,he never imagined a century later,a similar romantic lake dream has been created in China,Asia.

  6. Glaciers of Asia

    Science.gov (United States)

    Williams, Richard S., Jr.; Ferrigno, Jane G.

    2010-01-01

    -glacier systems of the world including the Himalaya, Karakorum, Tien Shan and Altay mountain ranges. The glaciers are widely scattered and cover an area of about 59,425 km2. The mountain glaciers may be classified as maritime, subcontinental or extreme continental. In Afghanistan, more than 3,000 small glaciers occur in the Hindu Kush and Pamir mountains. Most glaciers occur on north-facing slopes shaded by mountain peaks and on east and southeast slopes that are shaded by monsoon clouds. The glaciers provide vital water resources to the region and cover an area of about 2,700 km2. Glaciers of northern Pakistan are some of the largest and longest mid-latitude glaciers on Earth. They are located in the Hindu Kush, Himalaya, and Karakoram mountains and cover an area of about 15,000 km2. Glaciers here are important for their role in providing water resources and their hazard potential. The glaciers in India are located in the Himalaya and cover about 8,500 km2. The Himalaya contains one of the largest reservoirs of snow and ice outside the polar regions. The glaciers are a major source of fresh water and supply meltwater to all the rivers in northern India, thereby affecting the quality of life of millions of people. In Nepal, the glaciers are located in the Himalaya as individual glaciers; the glacierized area covers about 5,324 km2. The region is the highest mountainous region on Earth and includes the Mt. Everest region. Glaciers in the Bhutan Himalaya have a total area of about 1,317 km2. Many recent glacier studies are focused on glacier lakes that have the potential of generating dangerous glacier lake outburst floods. Research on the glaciers of the middle-latitude, high-mountain glaciers of Asia has also focused on the information contained in the ice cores from the glaciers. This information helps in the reconstruction of paleoclimatic records, and the computer modeling of global climate change.

  7. Evaluation of MRI in Diabetic Foot Neuroarthropathy%MRI对糖尿病足部神经血管病变的诊断价值

    Institute of Scientific and Technical Information of China (English)

    刘琰; 钱铭辉; 等

    2001-01-01

    Objective To evaluate the value of MRI in diagnosing diabetic foot neurovascular changes. Methods 14 diabetic patients with clinical suspiction of osteomyelitis, nonhealing foot ulcer or soft tissue infection of the foot were examined by MRI and plain radiography and radioisotope scan. Results Clinnical or surgical/pathological confirmation of the MRI diagnosis was obtain in all but four. Plain radiographs cannt be shown in imaging osteomyelitis directly. Conclusion MRI has sensitivity and accuracy compared with plain radiogyaphs in the diagnosis of neuroarthopathy from osteomyelitis in diabetic foot infections. MRI is a valuable adjunct in the evaluation of the diabetic foot. MRI has proven paticluarly helpful in differentiating neuroarthropathy form osteomylitis.%目的研究MRI对糖尿病足部神经血管病变的诊断价值。方法对14例有足部神经血管病变的糖尿病患者行MRI、X-线平片、同位素骨扫描。结果14例患者中10例MRI诊断为血管神经病变。X-线平片无法显示早期骨髓炎,仅在晚期表现为骨质破坏。同位素骨扫描鉴别软组织及骨髓变化较困难。结论MRI可显示细微解剖结构,诊断糖尿病引起的血管、神经性病变较X-线平片及放射性同位素骨扫描敏感,特异性高,是诊断糖尿病足部神经血管病变的有效方法。

  8. Acid precipitation in Europe and Asia

    International Nuclear Information System (INIS)

    The article surveys acid precipitation problems in the region, discusses the sources, the pollutant composition and distribution, the work with the RAINS models as well as the organisation of and the results of joint incentives in the region. The acidification problems in China and some of the Norwegian participation efforts are reviewed. The author points out that much of the acidic precipitation and the environmental problems in Eurasia are due to the use of coal rich in sulphur, that the energy and environmental policies differs throughout the region because of differences in ecology and development levels and that Asia is far more heterogeneous than Europe as to the conditions for co-ordinated efforts against acid precipitation. The differences in economy, geopolitical situation, environmental policies etc. are larger than in Europe and a considerable international effort will be required in order to succeed. Should the regional model RAINS-Asia be used as basis for further co-ordinated efforts on acid precipitation thorough evaluations on costs and advantages are needed. The conditions and need for modelling as basis for international agreements between Asiatic countries are not the same as in Europe. Finally international development organisations have and will continue to play an important part in the work for reducing acid precipitation in Asia. The Asiatic countries may also greatly benefit in the battle against acid precipitation from the experiences of the industrialised countries. However, Asiatic countries will have to meet the major costs of emission reduction themselves. The main question is what emphasis will be put on the long term environmental profits and on the need for rapid economic growth of materially impoverished people. Other development directions than those used by the industrialised countries, seems to be needed

  9. Diabetic encephalopathy

    Directory of Open Access Journals (Sweden)

    I. A. Strokov

    2012-01-01

    Full Text Available The epidemiology, clinical presentation, morphology, and pathogenesis of central nervous system lesion in types 1 and 2 diabetes mellitus (DM are considered, by using the results of experimental and clinical studies. The definition of diabetic encephalopathy is given. Whether there is a relationship between diabetic encephalopathy and diabetic polyneuropathy is considered. It is concluded that it is expedient to identify diabetic encephalopathy as a complication of DM. The capacities of pathogenetic treatment for diabetic encephalopathy are shown.

  10. Nuclear policies in Northeast Asia

    International Nuclear Information System (INIS)

    In Northeast Asia, states have tried to enhance their security through unilateral means rather than cooperative ones. In this area, there is no regional multilateral security dialogue of significance. In the nuclear age, security is not something to be built for oneself irrespective of others. Security is something to be built together with one's opponents. The arms build-up in Northeast Asia is very substantial. Defence budgets are growing almost as fast as are the national economies. Still, there is no arms race, i.e. no interacting patterns of arms acquisitions and force deployments. There is a real risk, however, that the arms build-up might spill over into an arms race. Hence the case for cooperative policies - for confidence-building measures and arms control in particular - to prevent this from happening. The end of the Cold War has brought about profound changes in the international political and economic environment. There is a noticeable tendency towards political reconciliation and cooperation among states and an increasing interdependence and globalization. On the other hand, one cannot miss some worrisome phenomena, including the resurgence of nationalism, the multiplication of ethnic conflicts and the dangers associated with the proliferation of weapons of mass destruction. This is particularly true of the Northeast Asian region. Although some changes in the regional security outlook are favourable, there are also sources of insecurity and uncertainty in Northeast Asia, not least being the disturbing trend towards a regional arms build-up. In today's Northeast Asia weapons proliferation is a source of growing concern. The major purpose of this volume is to provide a comprehensive analysis of the dimensions of the various nuclear problems and their interrelationships in Northeast Asia. A second purpose is to explore practical approaches to regional non-proliferation, to see how they may be strengthened and made mutually supportive of the global non

  11. Indoor air problems in Asia

    International Nuclear Information System (INIS)

    Respiratory disease and mortality due to indoor air pollution are amongst the greatest environmental threats to health in the developing countries of Asia. World-wide, acute respiratory infection is the cause of death of at least 5 million children under the age of 5 every year. The World Bank has claimed that smoke from biomass fuels resulted in an estimated 4 million deaths annually amongst infants and children. Most of these deaths occur in developing countries. Combustion in its various forms must head the list of pollution sources in Asia. Combustion of various fuels for domestic heating, lighting and cooking comprises the major source of internally generated pollutants and combustion in industrial plants, power generation and transportation is the major cause of externally generated pollutants. The products of pyrolysis and combustion include many compounds with well-known adverse health effects. These include gases such as CO, CO2, NOx and SO2, volatile organic compounds such as polynuclear aromatic hydrocarbons and nitroamines as well as respirable particulates of variable composition. The nature and magnitude of the health risks posed by these materials vary with season, climate, location housing, method of ventilation, culture and socio-economic status. The most important cause of lung cancer in non-smokers in Northern Asia is the domestic combustion of smoky coal. Acute carbon monoxide poisoning is common in many Asian countries. Roads traffic exhaust pollution is worse in the major cities of South East Asia than almost anywhere else in the world and this externally generated air pollution forms the indoor air for the urban poor. Despite all these major problems there has been a tendency for international agencies to focus attention and resources on the more trivial problems of indoor air encountered in the affluent countries of the West. Regulatory agencies in Asia have been too frequently persuaded that their problems of indoor air pollution are

  12. The Diabetes Intention, Attitude, and Behavior Questionnaire: evaluation of a brief questionnaire to measure physical activity, dietary control, maintenance of a healthy weight, and psychological antecedents

    Directory of Open Access Journals (Sweden)

    Traina SB

    2016-02-01

    Full Text Available Shana B Traina,1 Susan D Mathias,2 Hilary H Colwell,2 Ross D Crosby,2–4 Charles Abraham5 1Patient-Reported Outcomes, Janssen Global Services, LLC, Raritan, NJ, USA; 2Health Outcomes Solutions, Winter Park, FL, USA; 3Biomedical Statistics & Methodology, Neuropsychiatric Research Institute, Fargo, ND, USA; 4Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA; 5Psychology Applied to Health, University of Exeter Medical School, Exeter, UK Background: This study assessed measurement properties of the 17-item Diabetes Intention, Attitude, and Behavior Questionnaire (DIAB-Q, which measures intention to engage in self-care behaviors, including following a diabetes diet and engaging in appropriate physical activity. Methods: The DIAB-Q includes questions based on the Theory of Planned Behavior. Items were developed using published literature, input from health care professionals, and qualitative research findings in patients with and without type 2 diabetes mellitus (T2DM. In Stage I of the study, 23 adults with T2DM were interviewed to evaluate the content and clarity of the DIAB-Q. In Stage II 1,015 individuals with T2DM completed the DIAB-Q and supplemental questionnaires, including the Short Form-36 acute (SF-36, section III of the Multidimensional Diabetes Questionnaire, the Summary of Diabetes Self-Care Activities questionnaire, and self-administered items relevant to the treatment and management of T2DM (eg, blood pressure and glycated hemoglobin [HbA1c] at baseline and 3–7 days later. Once the DIAB-Q scale structure was determined, its test–retest reliability, construct validity, and known-groups validity were evaluated, and minimal clinically important change was estimated. Results: In Stage I, the 23 respondents surveyed generally reported that the DIAB-Q was clear and comprehensive and endorsed questions as relevant to their intentions to engage in diabetes

  13. Evaluating geographic imputation approaches for zip code level data: an application to a study of pediatric diabetes

    Directory of Open Access Journals (Sweden)

    Puett Robin C

    2009-10-01

    Full Text Available Abstract Background There is increasing interest in the study of place effects on health, facilitated in part by geographic information systems. Incomplete or missing address information reduces geocoding success. Several geographic imputation methods have been suggested to overcome this limitation. Accuracy evaluation of these methods can be focused at the level of individuals and at higher group-levels (e.g., spatial distribution. Methods We evaluated the accuracy of eight geo-imputation methods for address allocation from ZIP codes to census tracts at the individual and group level. The spatial apportioning approaches underlying the imputation methods included four fixed (deterministic and four random (stochastic allocation methods using land area, total population, population under age 20, and race/ethnicity as weighting factors. Data included more than 2,000 geocoded cases of diabetes mellitus among youth aged 0-19 in four U.S. regions. The imputed distribution of cases across tracts was compared to the true distribution using a chi-squared statistic. Results At the individual level, population-weighted (total or under age 20 fixed allocation showed the greatest level of accuracy, with correct census tract assignments averaging 30.01% across all regions, followed by the race/ethnicity-weighted random method (23.83%. The true distribution of cases across census tracts was that 58.2% of tracts exhibited no cases, 26.2% had one case, 9.5% had two cases, and less than 3% had three or more. This distribution was best captured by random allocation methods, with no significant differences (p-value > 0.90. However, significant differences in distributions based on fixed allocation methods were found (p-value Conclusion Fixed imputation methods seemed to yield greatest accuracy at the individual level, suggesting use for studies on area-level environmental exposures. Fixed methods result in artificial clusters in single census tracts. For studies

  14. Screening for Gestational Diabetes

    Science.gov (United States)

    ... or obese or having a family history of diabetes. Gestational diabetes usually goes away after the baby is ... Click Here to Learn More About Preventing Gestational Diabetes Gestational Diabetes ( healthfinder. gov) Diabetes and Pregnancy: Gestational Diabetes ( ...

  15. Carbohydrates and Diabetes

    Science.gov (United States)

    ... When You Have Diabetes Meal Plans and Diabetes Smart Supermarket Shopping Diabetes Control: Why It's Important Diabetes: What's True and False? Type 2 Diabetes: What Is It? Food Labels Type 1 Diabetes: What Is It? Contact Us ...

  16. Women and Diabetes

    Medline Plus

    Full Text Available ... Diabetes How to Report Problems with Glucose Meters Diabetes Treatments Some people with diabetes need to take diabetes ... talk with your health care provider about your diabetes treatment. Diabetes Medicines - easy-to-read booklet for women ...

  17. Evaluation of antioxidant status in Streptozotocin-induced diabetic rats by Ferric reducing ability of plasma assay

    Directory of Open Access Journals (Sweden)

    Zarban A

    2000-10-01

    Full Text Available Enhanced oxidative stress in diabetes mellitus may contribute to the pathogenesis of diaetic complications. In this article, the stress oxidative generation has been studied in experimental diabetes by ferric reducing ability of plasma assay, a sensitive and simple method, and by other oxidative damage markers. The ferric reducing ability of plasma values as a total antioxidant capacity were significantly decreased at the 3th 4th weeks of stuy ( P<0.02, while the thiobarbituric acid reacting substances (TBARS levels in plasma wre increased at the 3rd and the 4 th weeks ( (P<0.05. the plasma carbonyl groups (PCG were not affected, and total thiol groups (TG were significantly decreased at the 4th week (P<0.02.In conclusion the present study suggests that hyperglycemia in diabetes leads to oxidative stress, as shown by ferric reducting ability of plasma assay. This method is rapid, simple and economic

  18. Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas: results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA Collaboration

    Directory of Open Access Journals (Sweden)

    Stephany N Duda

    2014-12-01

    Full Text Available Introduction: HIV care and treatment programmes worldwide are transforming as they push to deliver universal access to essential prevention, care and treatment services to persons living with HIV and their communities. The characteristics and capacity of these HIV programmes affect patient outcomes and quality of care. Despite the importance of ensuring optimal outcomes, few studies have addressed the capacity of HIV programmes to deliver comprehensive care. We sought to describe such capacity in HIV programmes in seven regions worldwide. Methods: Staff from 128 sites in 41 countries participating in the International epidemiologic Databases to Evaluate AIDS completed a site survey from 2009 to 2010, including sites in the Asia-Pacific region (n=20, Latin America and the Caribbean (n=7, North America (n=7, Central Africa (n=12, East Africa (n=51, Southern Africa (n=16 and West Africa (n=15. We computed a measure of the comprehensiveness of care based on seven World Health Organization-recommended essential HIV services. Results: Most sites reported serving urban (61%; region range (rr: 33–100% and both adult and paediatric populations (77%; rr: 29–96%. Only 45% of HIV clinics that reported treating children had paediatricians on staff. As for the seven essential services, survey respondents reported that CD4+ cell count testing was available to all but one site, while tuberculosis (TB screening and community outreach services were available in 80 and 72%, respectively. The remaining four essential services – nutritional support (82%, combination antiretroviral therapy adherence support (88%, prevention of mother-to-child transmission (PMTCT (94% and other prevention and clinical management services (97% – were uniformly available. Approximately half (46% of sites reported offering all seven services. Newer sites and sites in settings with low rankings on the UN Human Development Index (HDI, especially those in the President's Emergency

  19. Diabetic Emergencies

    Science.gov (United States)

    ... Emergencies A-Z Share this! Home » Emergency 101 Diabetic Emergencies It is estimated that more than 20 ... they have it. The best way to prevent diabetic emergencies is to effectively manage the disease through ...

  20. Diabetic Pets

    Science.gov (United States)

    ... health or management, contact your veterinarian. In addition, diabetic pets should be monitored for long-term complications such as cataracts, which commonly develop in diabetic dogs and cats. Other problems that can occur ...

  1. Diabetes Complications

    Science.gov (United States)

    If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can cause problems with other body ... as your kidneys, nerves, feet, and eyes. Having diabetes can also put you at a higher risk ...

  2. Diabetes Insipidus

    Science.gov (United States)

    Diabetes insipidus (DI) causes frequent urination. You become extremely thirsty, so you drink. Then you urinate. This ... is almost all water. DI is different from diabetes mellitus (DM), which involves insulin problems and high ...

  3. Gestational Diabetes

    Medline Plus

    Full Text Available ... page It's been added to your dashboard . Gestational diabetes 3:46 Gestational diabetes is a kind of ... between pregnancies Nutrition, weight & fitness Prenatal care Body & lifestyle changes Is it safe? Labor & birth Postpartum care ...

  4. Gestational Diabetes

    Medline Plus

    Full Text Available ... Your e-mail was sent. Save to my dashboard Sign in or Sign up to save this ... saved this page It's been added to your dashboard . Gestational diabetes 3:46 Gestational diabetes is a ...

  5. Diabetic retinopathy: An epidemic at home and around the world

    Science.gov (United States)

    Raman, Rajiv; Gella, Laxmi; Srinivasan, Sangeetha; Sharma, Tarun

    2016-01-01

    Prevention of blindness due to diabetic retinopathy (DR) requires effective screening strategies, for which eye care providers need to know the magnitude of the burden and the risk factors pertinent in their geographical location. It is estimated that around 72 million of the global adult population (around 8.2%) has diabetes and about one-fifth of all adults with diabetes lives in the South-East Asia. In India, around 65 million people have diabetes. As the global prevalence of diabetes increases, so will the number of people with diabetes-related complications, such as DR; nearly one-third of them are likely to develop this complication. This article reviews the present status of diabetes and DR in India, the current situation of DR services and the projections on the load of morbidity associated with retinopathy. The article compiles the Indian studies elucidating the risk factors for DR. PMID:26953027

  6. Performance Evaluation of Mucoadhesive Potential of Sodium Alginate on Microspheres Containing an Anti-Diabetic Drug: Glipizide

    OpenAIRE

    Yaswanth Allamneni; B V V K Reddy; P Dayananda Chary; Venkata Balakrishna Rao N; S Chaitanya Kumar; Arun Kumar Kalekar

    2012-01-01

    The objective of the present investigation was to design mucoadhesive microspheres to achieve a substantial increase in length of stay of the drug in the GI tract of glipizide for treatment of type 2 diabetes mellitus. Glipizide is a second-generation sulfonylurea derivative used for the treatment of type II diabetes. Its short biological half-life (0.3 ± 0.7 h) necessitates the need to be administered in two or three doses of 2.5-10 mg per day. Mucoadhesive microsphere exhibit a prolonged r...

  7. Diabetic osteopathy

    OpenAIRE

    Ilić Jana; Kovačev Branka

    2005-01-01

    Introduction. The aim of this study was to point out some dilemmas about the existence and pathogenesis of primary diabetic osteopathy as a separate entity, based on currently available studies. Expert disagreements are present not only about the occurrence of generalized osteopathy with diabetic disease, but also about direct relationship between metabolic diabetes control and bone metabolism and influence of disease duration and sex on bone changes. Pathogenesis of diabetic osteopathy Decre...

  8. Fructose-1,6-bisphosphatase: Genetic and physical mapping to human chromosome 9q22.3 and evaluation in non-insulin-dependent diabetes mellitus

    Energy Technology Data Exchange (ETDEWEB)

    Rothschild, C.B.; Akots, G.; Roh, B. [Wake Forest Univ., Winston-Salem, NC (United States)] [and others

    1995-09-01

    PCR primers specific to the human liver fructose-1,6-bisphosphatase (FBP) gene were designed and used to isolate a cosmid clone. Physical mapping of the FBP cosmid by FISH, and genetic mapping of an associated GA repeat polymorphism (PIC = 0.35), located the liver FBP gene to chromosome 9q22.3 with no recombination between FBP and the index markers D9S196 (Z{sub max} = 13.2), D9S280 (Z{sub max} = 11.7), D9S287 (Z{sub max} = 15.6), and D9S176 (Z{sub max} = 14.4). Amplification using FBP exon-specific primers with a YAC contig from this region of chromosome 9 further refined the placement of FBP genomic sequences to an approximately 1.7-cM region flanked by D9S280 and D9S287, near the gene for Fanconi anemia group C. Precise localization of the FBP gene enabled evaluation of FBP as a candidate gene for maturity-onset diabetes of the young (MODY) and non-insulin-dependent diabetes (NIDDM) in both Caucasian and African-American families, using the highly informative markers D9S287 and D9S176. Although FBP is a rate-limiting enzyme in gluconeogenesis, using both parametric and nonparametric analysis there was no evidence for linkage of FBP to diabetes in these families. 30 refs., 4 figs., 2 tabs.

  9. Evaluating the Effect of Ramadan Fasting on Muslim Patients with Diabetes in relation to Use of Medication and Lifestyle Patterns: A Prospective Study.

    Science.gov (United States)

    Siaw, Melanie Yee Lee; Chew, Daniel Ek Kwang; Dalan, Rinkoo; Abdul Shakoor, Shaikh Abdul Kader Kamaldeen; Othman, Noorani; Choo, Chor Hui; Shamsuri, Nur Hidayah; Abdul Karim, Siti Nurhana; Chan, Sui Yung; Lee, Joyce Yu-Chia

    2014-01-01

    Objectives. This study aimed to examine the effect of Ramadan fasting on HbA1c in Muslim patients with type 2 diabetes. The incidence of hypoglycemia and glycemic changes in relation to the adjustment of doses of antidiabetic agents, diet, and physical activity during Ramadan was also evaluated. Methods. This was a prospective study conducted in an outpatient endocrine clinic. A set of questionnaires was administered to Muslim patients with diabetes who fasted for ≥10 days. Those who were hospitalized for diabetic ketoacidosis or severe hypoglycemia a month prior to Ramadan or were given short-term corticosteroid therapy were excluded. The patients' responses and clinical outcomes from the clinic database were collected before, during, and after Ramadan. Results. A total of 153 participants completed the study. The mean HbA1c improved from 8.9% before Ramadan to 8.6% during Ramadan (P diet and physical activity did not contribute to changes in glycemia, a significant improvement in HbA1c was observed in patients who had adjustments made to their doses of antidiabetic agents during Ramadan (P Ramadan fasting appeared to improve glycemic control, especially in those whose doses of antidiabetic agents were adjusted during Ramadan. PMID:25435876

  10. TNF-alpha expression, evaluation of collagen, and TUNEL of Matricaria recutita L. extract and triamcinolone on oral ulcer in diabetic rats

    Science.gov (United States)

    OLIVEIRA, Bruna Vasconcelos; BARROS SILVA, Paulo Goberlânio; NOJOSA, Jacqueline de Santiago; BRIZENO, Luiz André Cavalcante; FERREIRA, Jamile Magalhães; SOUSA, Fabrício Bitú; MOTA, Mário Rogério Lima; ALVES, Ana Paula Negreiros Nunes

    2016-01-01

    ABSTRACT Diabetes mellitus (DM) is a disease associated with delayed wound healing of oral ulcers by increased expression of proinflammatory cytokines and cellular apoptosis. Objective to evaluate the influence of Tumor Necrosis Factor alpha (TNF-α) and apoptosis in rats with DM treated with chamomile extract or triamcinolone. Material and Methods Wistar male rats (210.0±4.2 g) were divided into five groups: negative control group (NCG) without diabetes; positive control group (PCG) with DM (alloxan, 45 mg/kg); and groups treated with chamomile extract (normoglycemic= NCG group and diabetic= DCG group) and with triamcinolone (TG). Traumatic ulcers were performed on all animals that received topical triamcinolone, chamomile extract or saline 12/12 hours for ten days. Results On days five and ten the animals were euthanized and the ulcers were analyzed by light microscopy, TUNEL assay, and immunohistochemically (TNF-α). The NCG (p=0.0062), PCG (p=0.0285), NCG (p=0.0041), and DCG (pdiabetic rats through the reduction of apoptosis in the epithelium and TNF-α expression. PMID:27383710

  11. Healthy eating and active living for diabetes in primary care networks (HEALD-PCN: rationale, design, and evaluation of a pragmatic controlled trial for adults with type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Johnson Steven T

    2012-06-01

    Full Text Available Abstract Background While strong and consistent evidence supports the role of lifestyle modification in the prevention and management of type 2 diabetes (T2DM, the best strategies for program implementation to support lifestyle modification within primary care remain to be determined. The objective of the study is to evaluate the implementation of an evidence-based self- management program for patients with T2DM within a newly established primary care network (PCN environment. Method Using a non-randomized design, participants (total N = 110 per group will be consecutively allocated in bi-monthly blocks to either a 6-month self-management program lead by an Exercise Specialist or to usual care. Our primary outcome is self-reported physical activity and pedometer steps. Discussion The present study will assess whether a diabetes self-management program lead by an Exercise Specialist provided within a newly emerging model of primary care and linked to available community-based resources, can lead to positive changes in self-management behaviours for adults with T2DM. Ultimately, our work will serve as a platform upon which an emerging model of primary care can incorporate effective and efficient chronic disease management practices that are sustainable through partnerships with local community partners. Clinical Trials Registration ClinicalTrials.gov identifier: NCT00991380

  12. Diabetic retinopathy

    OpenAIRE

    Mendrinos, Efstratios; Stangos, Alexandros; Pournaras, Constantin

    2007-01-01

    Diabetic retinopathy is the most common cause of blindness in the UK, with older people and those with worse diabetic control, hypertension, and hyperlipidaemia most at risk. Diabetic retinopathy can cause microaneurysms, haemorrhages, exudates, changes to blood vessels, and retinal thickening.

  13. Evaluation of the effect of n-3 PUFA-rich dietary fish oils on lipid profile and membrane fluidity in alloxan-induced diabetic mice (Mus musculus).

    Science.gov (United States)

    Kamat, Shantal Ganapati; Roy, Ramaballav

    2016-05-01

    Marine fishes are important to health due to their high content of polyunsaturated fatty acids particularly those of the omega-3 family. These fatty acids play an important role in various physiological processes and as a consequence they may modulate and even prevent some human diseases. The aim of the present study was to investigate and compare the effect of fish oils of different origins (Sardinella longiceps, Rastrelliger kanagurta and Clarias batrachus) on lipid metabolism and membrane fluidity in diabetes. Alloxan was injected in repetitive doses for 1 month (100 mg/kg body weight every 5th day) to induce diabetes in Swiss albino mice. 10 % S. longiceps, R. kanagurta or C. batrachus fish oil was freshly blended with pellet feed which was provided to diabetic mice for 1 month. The serum lipid profile (serum total cholesterol, triglyceride, HDL, VLDL and LDL) along with liver, kidney and heart tissue lipid profile (i.e. triglyceride, total cholesterol, glycolipid and phospholipid) was analysed. Besides, the enzymatic activity of HMG-CoA reductase, HMG-CoA synthase and glucose-6-phosphate-dehydrogenase along with the membrane fluidity of these tissues was evaluated. Altered tissue lipid composition, enzyme activities and membrane fluidity due to diabetes were returned towards normal with the supplementation of 10 % fish oils. Fish oil from S. longiceps brought maximum changes in level of neutral lipid composition in heart, and increased the concentration of phospholipid and decreased the activity of HMG-CoA reductase in comparison with the fish oil from R. kanagurta and C. batrachus. PMID:27101827

  14. Diabetes Remission after Nonsurgical Intensive Lifestyle Intervention in Obese Patients with Type 2 Diabetes

    OpenAIRE

    Adham Mottalib; Mahmoud Sakr; Mohamed Shehabeldin; Osama Hamdy

    2015-01-01

    Partial or complete remission from type 2 diabetes was recently observed after bariatric surgeries. Limited data is available about the possibility of inducing diabetes remission through intensive weight reduction. We retrospectively evaluated diabetes remissions after one year of the Weight Achievement and Intensive Treatment (Why WAIT) program, a 12-week intensive program for diabetes weight management in real-world clinical practice. Among 120 obese patients with type 2 diabetes who comple...

  15. Diabetes insipidus - nephrogenic

    Science.gov (United States)

    Nephrogenic diabetes insipidus; Acquired nephrogenic diabetes insipidus; Congenital diabetes insipidus; NDI ... of very dilute urine. NDI is rare. Congenital diabetes insipidus is present at birth. It is a ...

  16. Diabetes insipidus - nephrogenic

    Science.gov (United States)

    Nephrogenic diabetes insipidus; Acquired nephrogenic diabetes insipidus; Congenital diabetes insipidus ... be removed and returned to the blood. Nephrogenic diabetes insipidus (NDI) occurs when the kidney tubules do ...

  17. Sustainable transport studies in Asia

    CERN Document Server

    Zhang, Junyi

    2013-01-01

    This book aims to provide a good understanding of and perspective on sustainable transport in Asia by focusing on economic, environmental, and social sustainability. It is widely acknowledged that the current situation and trends in transport are not always sustainable in Asia, due in part to the fast-growing economy and the astounding speed of urbanization as well as least-mature governance. As essential research material, the book provides strong support for policy makers and planners by comprehensively covering three groups of strategies, characterized by the words “avoid” (e.g., urban form design and control of car ownership), “shift” (e.g., establishing comprehensive transportation systems and increasing public transportation systems for both intracity and intercity travel), and “improve” (e.g., redesign of paratransit system, low-emission vehicles, intelligent transportation systems, and eco-life). These are elaborated in the book alongside consideration of the uncertainty of policy effects ...

  18. 18-F flourodeoxy glucose positron emission tomography-computed tomography imaging: A viable alternative to three phase bone scan in evaluating diabetic foot complications?

    International Nuclear Information System (INIS)

    This paper is based on the initial findings from a prospective ongoing study to evaluate the efficacy of flourodeoxy glucose positron emission tomography-computed tomography (FDG-PET CT) in diabetic foot evaluation. The aim was to compare the diagnostic accuracies of three phase bone scan (TPBS) and FDG PET-CT (FDG-PET) in diabetic foot evaluation. Seventy-nine patients with complicated diabetic foot (osteomyelitis/cellulitis, Charcot's neuropathy) were prospectively investigated. TPBS (15 mci methylene di phosphonate [MDP] intravenous [IV]), followed by FDG-PET (5 mci IV) within 5 days were performed in all patients. Based on referral indication, patients grouped into Group I, n = 36, (?osteomyelitis/cellulitis) and Group II, n = 43 (?Charcot's neuropathy). Interpretation was based on intensity, extent, pattern of MDP and FDG uptake (standardized uptake value) along with CT correlation. Findings were compared with final diagnostic outcome based on bone/soft tissue culture in Group I and clinical, radiological or scintigraphic followup in Group II. Results: Group I: For diagnosing osteomyelitis, TP: TN: FP: FN were 14:5:2:2 by FDG PET and 13:02:05:03 by TPBS respectively. Sensitivity, specificity, positive predictive value and negative predictive value (NPV) of FDG-PET were 87.5%, 71%, 87.5% and 71% and 81.25%, 28.5%, 72% and 40% for TPBS, respectively. Group II: charcot's: cellulitis: Normal were 22:14:7 by FDG PET and 32:5:6 by TPBS, respectively. Flourodeoxy glucose PET-CT has a higher specificity and NPV than TPBS in diagnosing pedal osteomyelitis. TPBS, being highly sensitive is more useful than FDG-PET in detecting Charcot's neuropathy

  19. CERN diabetes awareness days

    CERN Multimedia

    2004-01-01

    Do you have diabetes without knowing it? The Medical Service invites everyone working at CERN to participate in the above PREVENTION and DETECTION campaign on the: 8 and 9 November 2004 from 9:00 to 16:00 at the infirmary, bldg. 57, ground floor Personal evaluation of diabetes risks, (blood pressure, cholesterol and sugar levels, Body Mass Index measurements and more...) will be offered as well as leaflets, information and advice, (diet, exercise). A dietician specialised in diabetes will be on hand from 14:00 until 16:00. Diabetes is reaching epidemic proportions in many countries due to an increase in obesity, sedentary lifestyles and poor diet. Diabetes is a major cause of blindness, cardio-vascular and kidney disease. An estimated 30-50% of these cases of diabetes go undetected, despite de fact that easy and efficient prevention exists. Diabetes discovered and treated early is not a severe condition but untreated and ignored it can have dire consequences.

  20. Diabetes mellitus and pregnancy

    Directory of Open Access Journals (Sweden)

    Fathi I Abourawi

    2006-07-01

    Full Text Available Diabetes mellitus is the most common medical complication of pregnancy and it carries a significant risk to the foetus and the mother. Congenital malformations and perinatal morbidity remain common compared with the offspring of non diabetic pregnancies. Diabetic mothers are at risk of progression of micro-vascular diabetic complications as well as early pregnancy loss, pre-eclampsia, polyhydramnios and premature labour. Glycaemic control before and during pregnancy is critical and the benefit may result in a viable, healthy offspring. Gestational diabetes mellitus (GDM which manifests for the first time during pregnancy is common and on the increase, its proper management will reduce the risk of neonatal macrosomia and hypoglycaemia. Post-partum evaluation of glucose tolerance and appropriate counselling in women with GDM may help decrease the high risk of subsequent type 2 diabetes in the long-term. The article will briefly review the changes in the carbohydrate metabolism that characterise normal pregnancy and will focus on a practical approach to the care of patients with pre-existing diabetes as well as GDM.