Glocal Dialogue Transformation through Transcultural Communication

This paper addresses the role of dialogical communication in acculturation efforts within organizations and regions, especially during periods of transition, mergers, technological innovations, and globalization. This optimal communication mode can be achieved through a “dialogue process” proposed by David Bohm and developed by Peter Sense at MIT, Boston. The “dialogue process”, as an integral part of intercultural communication training, aims at promoting dialogue competence for intercultural communication in which man can learn how to better deal with their own stereotypes of other cultures and eventually acquire a generally de-stereotyping style of communication. It has tried out in a small city in Germany, since April 2002. About 25 citizens of the city are taking part in this dialogue process. The empirical part of this study tries to describe the socio-psychological transformation of the dialogue-group.Dialogical communication, Transcultural communication, Acculturation process, Sociopsychological transformation

Prevention of hypoglycemia by intermittent-scanning continuous glucose monitoring device combined with structured education in patients with type 1 diabetes mellitus : A randomized, crossover trial

Aims: We conducted a randomized, crossover trial to compare intermittent-scanning continuous glucose monitoring (isCGM) device with structured education (Intervention) to self-monitoring of blood glucose (SMBG) (Control) in the reduction of time below range. Methods: This crossover trial involved 104 adults with type 1 diabetes mellitus (T1DM) using multiple daily injections. Participants were randomly allocated to either sequence Intervention/Control or sequence Control/Intervention. During the Intervention period which lasted 84 days, participants used the first-generation FreeStyle Libre (Abbott Diabetes Care, Alameda, CA, USA) and received structured education on how to prevent hypoglycemia based on the trend arrow and by frequent sensor scanning (≥10 times a day). Confirmatory SMBG was conducted before dosing insulin. The Control period lasted 84 days. The primary endpoint was the decrease in the time below range (TBR; <70 mg/dL). Results: The time below range was significantly reduced in the Intervention arm compared to the Control arm (2.42 ± 1.68 h/day [10.1 %±7.0 %] vs 3.10 ± 2.28 h/day [12.9 %±9.5 %], P = 0.012). The ratio of high-risk participants with low blood glucose index >5 was significantly reduced (8.6 % vs 23.7 %, P < 0.001). Conclusions: The use of isCGM combined with structured education significantly reduced the time below range in patients with T1DM