Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patients

Self-monitoring of blood glucose (SMBG) is clearly correlated with increased life expectancy and quality of life in type 2 diabetic patients. Objective: The objective of our study was to record and assess the errors patients make in preparing, performing, and processing self-monitoring of blood glucose (SMBG). Furthermore, the study aimed to determine to what extent a single standardized SMBG instruction session in a community pharmacy might reduce the number of patients making errors or the number of errors per patient. Methods: Between May and October 2005, SMBG of 462 randomly selected patients with type 2 diabetes was monitored in 32 pharmacies specialized in diabetes care. The patients performed blood glucose self-tests using their own blood glucose meters. Self-testing was monitored using a standardized documentation sheet on which any error made during the performance of the test was recorded. If necessary, patients were instructed in the accurate operation of their meter and the use of the necessary equipment. Additionally, patients obtained written instructions. Six weeks later, assessment of the quality of patient’s SMBG was repeated.Results: During the first observation, 383 patients (83%) made at least one mistake performing SMBG. By the time of the second observation, this frequency had fallen to 189 (41%) (p<0.001). The average number of mistakes fell from 3.1 to 0.8 per patient. Mistakes that may potentially have led to inaccurate readings were initially recorded for 283 (61%) and at study end for 110 (24%) patients (p<0.001). Conclusion: It is important to periodically instruct type 2 diabetic patients in the proper SMBG technique in order to ensure accurate measurements. In this study it was shown that community pharmacies specialized in diabetes care can provide this service effectively

Physics Potential of Very Intense Conventional Neutrino Beams

The physics potential of high intensity conventional beams is explored. We consider a low energy super beam which could be produced by a proposed new accelerator at CERN, the Super Proton Linac. Water Cherenkov and liquid oil scintillator detectors are studied as possible candidates for a neutrino oscillation experiment which could improve our current knowledge of the atmospheric parameters and measure or severely constrain the parameter connecting the atmospheric and solar realms. It is also shown that a very large water detector could eventually observe leptonic CP violation. The reach of such an experiment to the neutrino mixing parameters would lie in-between the next generation of neutrino experiments (MINOS, OPERA, etc) and a future neutrino factory.Comment: Talk given at the Venice Conference on Neutrino Telescopes, Venice, March, 200

WroNG -- Wroclaw Neutrino Generator of events for single pion production

We constructed a new Monte Carlo generator of events for neutrino CC single pion production on free nucleon targets. The code uses dynamical models of the DIS with the PDFs modified according to the recent JLab data and of the Delta excitation. A comparison with experimental data was done in three channels for the total cross sections and for the distributions of events in invariant hadronic mass.Comment: 6 pages, 13 figures, Presented by J.T. Sobczyk at the 3rd International Workshop on Neutrino-Nucleus Interactions in the Few-GeV Region, 17-21 March, Gran Sasso(Italy),to appear in the Proceeding

Optimizing propagating spin wave spectroscopy

The frequency difference between two oppositely propagating spin waves can be used to probe several interesting magnetic properties, such as the Dzyaloshinkii-Moriya interaction (DMI). Propagating spin wave spectroscopy is a technique that is very sensitive to this frequency difference. Here we show several elements that are important to optimize devices for such a measurement. We demonstrate that for wide magnetic strips there is a need for de-embedding. Additionally, for these wide strips there is a large parasitic antenna-antenna coupling that obfuscates any spin wave transmission signal, which is remedied by moving to smaller strips. The conventional antenna design excites spin waves with two different wave vectors. As the magnetic layers become thinner, the resulting resonances move closer together and become very difficult to disentangle. In the last part we therefore propose and verify a new antenna design that excites spin waves with only one wave vector. We suggest to use this antenna design to measure the DMI in thin magnetic layers.Comment: 12 pages, 4 figure

Geographic and socioeconomic variation in the onset of decline of coronary heart disease mortality in white women.

BACKGROUND. Regional, metropolitan, and socioeconomic factors related to the onset of decline of coronary heart disease (CHD) mortality among White women are reported. Such studies are important for planning population-level interventions. METHODS. Mortality data for 1962 to 1978 were used, to estimate the year of onset of decline. Ecological analyses of socioeconomic data from the US census were used to emphasize structural and organizational aspects of changes in disease, rather than as a substitute for an individual-level design. RESULTS. Onset of decline of CHD mortality among White women was estimated to have occurred by 1962 in 53% of 507 state economic areas (SEAs), ranging from 79% in the Northeast to 39% in the South. Metropolitan areas experienced earlier onset of decline than did nonmetropolitan areas. Average income, education, and occupational levels were highest in early onset areas and declined across onset categories. CONCLUSIONS. The results provide additional evidence for previously observed geographic and social patterns of CHD decline. Emphasis on structural economic factors determining the shape of the CHD epidemic curve does not detract from the medical importance of risk factors, but underscores the importance of community development to public health improvements. The results are consistent with the idea that the course of the CHD epidemic in the United States has been strongly influenced by socio-economic development

Sport Fan Team Identification Formation in Mid-Level Professional Sport

Team identification, the degree to which an individual feels psychologically linked to a team, has been a focal point in studies of sport fans and sport spectatorship (e.g. Fink et al., 2002; Jones, 1997; Wann & Branscombe, 1993; Wann & Dolan, 1994; Wann & Schrader, 1997). Although the development of team identification has been examined extensively in established sport markets, the purpose of this study is to assess the relationship between sport fan team identification and motivations for initially becoming a fan of a new mid-level professional sport in a new market. A convenience sample of spectators (N=351) at an American Arena Football League (AFL) game completed a survey designed to identify and measure this relationship. A simultaneous multiple regression analysis revealed significant and positive predictive value for team identification from the following reasons for becoming a fan: parents and/or family (β=.125, p\u3c .05), born and/or live in area (β=.210, p\u3c.001), players and/or coaches (β=.411, p=.001), and tailgating and party atmosphere (β=.123,

Formation of Black Holes from Collapsed Cosmic String Loops

The fraction of cosmic string loops which collapse to form black holes is estimated using a set of realistic loops generated by loop fragmentation. The smallest radius sphere into which each cosmic string loop may fit is obtained by monitoring the loop through one period of oscillation. For a loop with invariant length $L$ which contracts to within a sphere of radius $R$, the minimum mass-per-unit length $\mu_{\rm min}$ necessary for the cosmic string loop to form a black hole according to the hoop conjecture is $\mu_{\rm min} = R /(2 G L)$. Analyzing $25,576$ loops, we obtain the empirical estimate $f_{\rm BH} = 10^{4.9\pm 0.2} (G\mu)^{4.1 \pm 0.1}$ for the fraction of cosmic string loops which collapse to form black holes as a function of the mass-per-unit length $\mu$ in the range $10^{-3} \lesssim G\mu \lesssim 3 \times 10^{-2}$. We use this power law to extrapolate to $G\mu \sim 10^{-6}$, obtaining the fraction $f_{\rm BH}$ of physically interesting cosmic string loops which collapse to form black holes within one oscillation period of formation. Comparing this fraction with the observational bounds on a population of evaporating black holes, we obtain the limit $G\mu \le 3.1 (\pm 0.7) \times 10^{-6}$ on the cosmic string mass-per-unit-length. This limit is consistent with all other observational bounds.Comment: uuencoded, compressed postscript; 20 pages including 7 figure

Multiple-Brain connectivity during third party punishment: an EEG hyperscanning study

Compassion is a particular form of empathic reaction to harm that befalls others and is accompanied by a desire to alleviate their suffering. This altruistic behavior is often manifested through altruistic punishment, wherein individuals penalize a deprecated human's actions, even if they are directed toward strangers. By adopting a dual approach, we provide empirical evidence that compassion is a multifaceted prosocial behavior and can predict altruistic punishment. In particular, in this multiple-brain connectivity study in an EEG hyperscanning setting, compassion was examined during real-time social interactions in a third-party punishment (TPP) experiment. We observed that specific connectivity patterns were linked to behavioral and psychological intra- and interpersonal factors. Thus, our results suggest that an ecological approach based on simultaneous dual-scanning and multiple-brain connectivity is suitable for analyzing complex social phenomena

Airframe Noise Prediction by Acoustic Analogy: Revisited

The present work follows a recent survey of airframe noise prediction methodologies. In that survey, Lighthill s acoustic analogy was identified as the most prominent analytical basis for current approaches to airframe noise research. Within this approach, a problem is typically modeled with the Ffowcs Williams and Hawkings (FW-H) equation, for which a geometry-independent solution is obtained by means of the use of the free-space Green function (FSGF). Nonetheless, the aeroacoustic literature would suggest some interest in the use of tailored or exact Green s function (EGF) for aerodynamic noise problems involving solid boundaries, in particular, for trailing edge (TE) noise. A study of possible applications of EGF for prediction of broadband noise from turbulent flow over an airfoil surface and the TE is, therefore, the primary topic of the present work. Typically, the applications of EGF in the literature have been limited to TE noise prediction at low Mach numbers assuming that the normal derivative of the pressure vanishes on the airfoil surface. To extend the application of EGF to higher Mach numbers, the uniqueness of the solution of the wave equation when either the Dirichlet or the Neumann boundary condition (BC) is specified on a deformable surface in motion. The solution of Lighthill s equation with either the Dirichlet or the Neumann BC is given for such a surface using EGFs. These solutions involve both surface and volume integrals just like the solution of FW-H equation using FSGF. Insight drawn from this analysis is evoked to discuss the potential application of EGF to broadband noise prediction. It appears that the use of a EGF offers distinct advantages for predicting TE noise of an airfoil when the normal pressure gradient vanishes on the airfoil surface. It is argued that such an approach may also apply to an airfoil in motion. However, for the prediction of broadband noise not directly associated with a trailing edge, the use of EGF does not appear to offer any advantages over the use of FSGF at the present stage of development. It is suggested here that the applications of EGF for airframe noise analysis be continued. As an example pertinent to airframe noise prediction, the Fast Scattering Code of NASA Langley is utilized to obtain the EGF numerically on the surface of a three dimensional wing with a flap and leading edge slat in uniform rectilinear motion. The interpretation and use of these numerical Green functions are then discussed

Bounds on Dark Matter from the ``Atmospheric Neutrino Anomaly''

Bounds are derived on the cross section, flux and energy density of new particles that may be responsible for the atmospheric neutrino anomaly. $4.6 \times 10^{-45} cm^2 < \sigma <2.4 \times 10^{-34} cm^2$ Decay of primordial homogeneous dark matter can be excluded.Comment: 10 pages, TeX (revtex