7,449 research outputs found
Quality of Care in 100 Diabetic Patients in a Diabetes Clinic in Ardabil
No full textBackground & Objectives: Diabetes Mellitus is a metabolic disorder in which lacking of
control and suitable care lead to disability and mortality. American Diabetes Association
(ADA) has emphasized the medical care of diabetic patients and has suggested several
objectives to increase survival and improve health outcomes with low complications by
controlling the glycemic, lipids, nerupathy and hypertension as well as foot care, nutritional
therapy and screening of cardiovascular disease. The aim of this study was to evaluate the
quality of care in diabetic patients from Ardabil and its concordance to the standards
recommended by ADA.
Methods: In a cross sectional study, 100 diabetic patients referring to a clinic of diabetes in
Ardabil (2005) were randomly selected and enrolled.
The study was conducted according to a questionnaire with 90 questions and physical
examination and Final lab tests. Data were collected and analyzed with SPSS version 12.
ANOVA test was used to compare groups.
Results: The 12 months recorded lab tests for diabetic patients were as follows: Hb A1C in
33%, MicroAlbuminuria in 16%, HDL in 58% and LDL in 55% of patients had been checked.
Foot and peripheral pulses exams were only recorded in 9 and 5% of patients respectively. In
final lab tests, 24% of patients had favorable FBS level (90- 130mg/dl). 46% of patients had
suitable Hb A1C and 32% patients had MicroAlbuminuria. Aspirin was recommended to 45%
of patients over 50 years old.
Only 10% of patient for three lab tests (FBS, LDL cholesterol, Hb A1C) achieved the intended
aims. According to ADA recommendations 22% of patients for three risk factors (BP, LDL
cholesterol & Total cholesterol) were in optimal level.
Conclusion: There is a high difference between current diabetes care in our clinic and ADA
goals.
Key words: Quality of Care of DM; DM; ADA Recommendation
Mortality attributable to diabetes mellitus as recorded by the Ministry of Health of Peru, 2005-2014
No full textObjective. To estimate the mortality attributable to diabetes mellitus (DM) as recorded by Peru’s Ministry of Health and its association with the human development index (HDI). Methods. This was an ecological study based on a secondary analysis of death records belonging to the Ministry of Health for the period from 2005 to 2014. A death was considered attributable to DM if the underlying cause of death given in the death record was DM. Mortality attributable to DM has been presented descriptively and in terms of geospatial analyses, and Spearman’s rho was used to test for an association between the difference in the mortality attributable to DM (between 2005-2006 and 2013-2014) and the HDI in Peru’s various departments.Revisado por pare
YC-1 exhibits a novel antiproliferative effect and arrests the cell cycle in G0-G1 in human hepatocellular carcinoma cells.
No full textJulius Nyerere: The Intellectual Pan-Africanist and the Question of African Unity
No full textThe question of African unity has dominated political and intellectual discourse for quite a while, yet the approach, mechanism and substance seem to be ever elusive. The rhetoric has raised so much dust it has blinded political leaders as to the concrete measures that need to be undertaken. To Julius Nyerere, the quest for unity, both nationally and continentally, was a lifetime undertaking and commitment, the lifeline for the emancipation and development of African people. Nyerere will forever be remembered for pushing and spearheading the growth of Kiswahili in East and Central Africa, which epitomized his belief that Kiswahili could promote African unity, just as it had done in Tanzania. He gave content and meaning to Tanzania`s independence by recognising the role of an indigenous language in the development of cultural authenticity and national unity. To him, pan-Africanism meant self-determination in political, economic, ideological, social and cultural spheres. As globalisation witnesses growing nationalism in other continents of the world (such as pan-Europeanism in Europe), and as Africa faces the prospect of increased marginalisation, African thinkers, intellectuals and literary icons such as Ali Mazrui, Chinua Achebe, Ngugi wa Thiong’o, Okot P’Bitek and Wole Soyinka have made passionate pleas for a cultural re-awakening, which they see as a first step towards social, political and economic growth. It is the thesis of this paper that by drawing from Nyerere’s example, African renaissance and the dream of pan-Africanism shall be realised and that Africans shall not only discover themselves and uphold their identity but also appreciate the inherent power enshrined in their cultural heritage. It is argued that over-reliance on imperialist colonial languages—which by and large are emblazoned with Western world views, cultural values and ideals—is in fact neo-colonial and therefore detrimental to African unity and the spirit of pan-Africanism. A common indigenous language will not only foster unity but accommodate and manage diversity, express identity and articulate concerns for collective action and shared solutions to achieve growth and development.When you recognise that so many of the surrounding nation states are riven by horrendous ethnic and tribal divisions, what Nyerere accomplished seems almost miraculous.1Tanzania illustrates the potential for ethnic harmony in a racially diverse setting. With an estimated 120 ethnic groups, it has avoided all ethnic conflict or political appeal to linguistic units. National unity cuts across ethnic boundaries, leading to a widespread rejection of tribalism. This outcome can be attributed to former president Julius Nyerere’s integrative political efforts and his government’s promotion of Swahili as a common language
Untrained chimpanzees (Pan troglodytes schweinfurthii) fail to imitate novel actions
No full textNo special funding was needed for this study. Costs were covered by our institute, which had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Background: Social learning research in apes has focused on social learning in the technical (problem solving) domain - an approach that confounds action and physical information. Successful subjects in such studies may have been able to perform target actions not as a result of imitation learning but because they had learnt some technical aspect, for example, copying the movements of an apparatus (i.e., different forms of emulation learning). Methods: Here we present data on action copying by non-enculturated and untrained chimpanzees when physical information is removed from demonstrations. To date, only one such study (on gesture copying in a begging context) has been conducted - with negative results. Here we have improved this methodology and have also added non-begging test situations (a possible confound of the earlier study). Both familiar and novel actions were used as targets. Prior to testing, a trained conspecific demonstrator was rewarded for performing target actions in view of observers. All but one of the tested chimpanzees already failed to copy familiar actions. When retested with a novel target action, also the previously successful subject failed to copy - and he did so across several contexts. Conclusion: Chimpanzees do not seem to copy novel actions, and only some ever copy familiar ones. Due to our having tested only non-enculturated and untrained chimpanzees, the performance of our test subjects speak more than most other studies of the general (dis-)ability of chimpanzees to copy actions, and especially novel actions.Peer reviewe
Entanglement and quantity in quantum space - About quantum measurement (II)
No full textAs a continuation and extension of "quantity in phase space" "quantity in quantum space" is introduced. With that, the disappearing of quantum interference discussed in a previous paper [S. Durr, et al., Nature 395 (1998) 33] is explained in the same spirit as our recent papers [Ren De-Ming, Commun. Theor. Phys. (Beijing, China) 41 (2004) 685, 833].Physics, MultidisciplinarySCI(E)中国科学引文数据库(CSCD)1ARTICLE133-364
Sneutrino DM in the NMSSM with inverse seesaw mechanism
No full textIn supersymmetric theories like the Next-to-Minimal Supersymmetric Standard Model (NMSSM), the lightest neutralino with bino or singlino as its dominant component is customarily taken as dark matter (DM) candidate. Since light Higgsinos favored by naturalness can strength the couplings of the DM and thus enhance the DM-nucleon scattering rate, the tension between naturalness and DM direct detection results becomes more and more acute with the improved experimental sensitivity. In this work, we extend the NMSSM by inverse seesaw mechanism to generate neutrino mass, and show that in certain parameter space the lightest sneutrino may act as a viable DM candidate, i.e. it can annihilate by multi-channels to get correct relic density and meanwhile satisfy all experimental constraints. The most striking feature of the extension is that the DM-nucleon scattering rate can be naturally below its current experimental bounds regardless of the higgsino mass, and hence it alleviates the tension between naturalness and DM experiments. Other interesting features include that the Higgs phenomenology becomes much richer than that of the original NMSSM due to the relaxed constraints from DM physics and also due to the presence of extra neutrinos, and that the signatures of sparticles at colliders are quite different from those with neutralino as DM candidate.National Natural Science Foundation of China (NNSFC) [11575053]SCI(E)ARTICLE1
Classical mechanics and quantum mechanics
No full textThe Newton equation of motion is derived from quantum mechanics.Physics, MultidisciplinarySCI(E)中国科学引文数据库(CSCD)2ARTICLE5685-6884
Genomic variations associated with attenuation in Mycobacterium avium subsp paratuberculosis vaccine strains
No full textBACKGROUND: Mycobacterium avium subspecies paratuberculosis (MAP) whole cell vaccines have been widely used tools in the control of Johne's disease in animals despite being unable to provide complete protection. Current vaccine strains derive from stocks created many decades ago; however their genotypes, underlying mechanisms and relative degree of their attenuation are largely unknown.
RESULTS: Using mouse virulence studies we confirm that MAP vaccine strains 316 F, II and 2e have diverse but clearly attenuated survival and persistence characteristics compared with wild type strains. Using a pan genomic microarray we characterise the genomic variations in a panel of vaccine strains sourced from stocks spanning over 40 years of maintenance. We describe multiple genomic variations specific for individual vaccine stocks in both deletion (26-32 Kbp) and tandem duplicated (11-40 Kbp) large variable genomic islands and insertion sequence copy numbers. We show individual differences suitable for diagnostic differentiation between vaccine and wild type genotypes and provide evidence for functionality of some of the deleted MAP-specific genes and their possible relation to attenuation.
CONCLUSIONS: This study shows how culture environments have influenced MAP genome diversity resulting in large tandem genomic duplications, deletions and transposable element activity. In combination with classical selective systematic subculture this has led to fixation of specific MAP genomic alterations in some vaccine strain lineages which link the resulting attenuated phenotypes with deficiencies in high reactive oxygen species handling
Policy-driven Data Sharing over Attribute-Based Encryption supporting Dual Membership
No full textAttribute-Based Encryption (ABE) plays an important role in current secure data sharing through fine-grained customizable policies. However, the existing ABE schemes only support simple predicates, = and ≠, but cannot express a more general membership predicates, ∈ and ∉, in policies. The low expressivity of ABE will enlarge the ciphertext storage and reduce the communication efficiency. To overcome this problem, we propose an ABE supporting Dual Membership (DM-ABE). The core problem for implementing this scheme is how to use cryptographic methods to decide the membership between the verified element and the given set. In order to solve this problem, we design a cryptographic algorithm, called Secure Decision of Membership (SDM), based on aggregation functions. In this algorithm, any set can be aggregated into one cryptographic element, and the verified element and the given set can be converted into another cryptographic element in decision process. The membership between them can be decided by the above two cryptographic elements. Furthermore, we construct the DM-ABE by using SDM. Because of the good expressivity of our DM-ABE, we further propose a novel cryptographic data sharing framework by integrating DM-ABE and attribute-based access control to provide fine-grained access control and security protection for private data. In the security proof of DM-ABE, we prove that the DM-ABE satisfies the semantic security against chosen-plaintext attacks under the DBDHE assumption in the standard model through a unified way, considering both two encryption methods for ∈ and ∉ at the same time. Finally, we analyze our scheme in terms of time and space complexity, and compare it with some existing schemes. The results show that our DM-ABE has a better expressive ability on the boolean logic of general membership predicates, ∈ and ∉.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Cyber Securit
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