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ASSEGAFF, Syafiq B., Alo LILIWERI und Alexander SERAN. „The Importance of Persuasion Strategies in Doctors’ Social Media Messages“. International Journal of Environmental, Sustainability, and Social Science 4, Nr. 6 (30.11.2023): 1835–46. http://dx.doi.org/10.38142/ijesss.v4i6.914.
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This study investigates how doctors employ persuasion strategies (Ethos, logos, and pathos) on Instagram to influence the health behaviors of their followers during the COVID-19 pandemic. Analyzing three influential doctors on social media (DSMIs), the research applies Aristotle's persuasive strategies to understand how these doctors craft messages that drive behavior change and enhance COVID-19 awareness among their 581 followers. Employing a mixed methods approach within the pragmatism paradigm, the study utilizes interviews, literature reviews, content analysis, and surveys for comprehensive data collection. The study reveals that approximately 41% of followers demonstrated a firm intention, with an additional 43% showing a solid intention to change their attitudes and behaviors. About 84% expressed a strong commitment to adopting a healthier lifestyle. The research also identified followers who initially had doubts or confusion about COVID-19 due to misinformation. However, it became convinced of its existence after following the DSMIs' posts, mainly through engaging video content. Engagement is more significant for video content than photos, with pathos, Ethos, and logos effectively fostering engagement. Around 52,438 (314,000) DSMI followers shifted from initial skepticism to meaningful positive attitude transformations, driven by successful engagement through pathos, Ethos, and logos. The study underscores the significance of delivering persuasive and appealing messages to influence behaviors positively. It suggests active social media participation can extend beyond the pandemic, fostering ongoing health awareness.
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Novakovic, Djordje, Platon Sovilj, Nikola Petrovic, Milan Milovanovic, Jaroslaw Makal und Wojciech Walendziuk. „Measurement of Event-Related Brain Potentials (ERP) Amplitude and Latency Based on Digital Stochastic Measurement over Interval“. Elektronika ir Elektrotechnika 26, Nr. 2 (25.04.2020): 59–68. http://dx.doi.org/10.5755/j01.eie.26.2.25755.
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In this paper, the measurement of event-related brain potentials (ERP) amplitude and latency based on digital stochastic measurement over interval (DSMI) method are described. Different variations of the measurement system are considered. It was found that measurement errors of amplitude increase with the reduction of the examination time. However, the measurement errors for ERP peak latency remain relatively small. This makes the system useful for practical implementations when the latency is the most interesting parameter and requirements for a short measurement time are of high priority.
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Huang, Sai, Mei Yang, Xin-Yu Deng, Qian Jiang Zhu, Ying Huang, Zhu Tao und Kai Chen. „Trans-4-[4-(dimethylamino)styryl]-1-methylpyridinium Iodide@Hemimethylcucurbit[6]uril Fluorescent Probe for Anion Recognition“. Australian Journal of Chemistry 72, Nr. 7 (2019): 533. http://dx.doi.org/10.1071/ch19119.
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In the present work, a host–guest system of a hemimethyl-substituted cucurbit[6]uril derived from 3α-methyl-glycoluril (HMeQ[6]) and a hemicyanine dye, trans-4-[4-(dimethylamino)styryl]-1-methylpyridinium iodide (t-DSMI) showing strong fluorescence emission has been evaluated as a fluorescent probe. The results of a preliminary systematic study on the detection of a series of inorganic anions have revealed that this Q[n]-based host–guest fluorescent probe shows clear responses to BF4− and H2PO4− anions through distinct fluorescence quenching. Application of this Q[n]-based host–guest interaction system in anion recognition or detection opens a new avenue in Q[n] chemistry.
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Piatt, Gretchen A., Elizabeth A. Rodgers, Lingshu Xue und Janice C. Zgibor. „Integration and Utilization of Peer Leaders for Diabetes Self-Management Support: Results From Project SEED (Support, Education, and Evaluation in Diabetes)“. Diabetes Educator 44, Nr. 4 (28.05.2018): 373–82. http://dx.doi.org/10.1177/0145721718777855.
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Purpose The purpose of the study was to evaluate the effectiveness of a peer leader-led (PL) diabetes self-management support (DSMS) group in achieving and maintaining improvements in A1C, self-monitoring of blood glucose (SMBG), and diabetes distress in individuals with diabetes. Diabetes self-management support is critical; however, effective, sustainable support models are scarce. Methods The study was a cluster randomized controlled trial of 221 people with diabetes from 6 primary care practices. Practices and eligible participants (mean age: 63.0 years, 63.8% female, 96.8% white, 28.5% at or below poverty level, 32.5% using insulin, A1C ≥7%: 54.2%) were randomized to diabetes self-management education (DSME) + PL DSMS (n = 119) or to enhanced usual care (EUC) (DSME + traditional DSMS with no PL; n = 102). Data were collected at baseline, after DSME (6 weeks), after DSMS (6 months), and after telephonic DSMS (12 months). Results Decreases in A1C occurred between baseline and post-DSME in both groups. Both groups sustained improvements during DSMS, but A1C levels increased during telephonic DSMS. Improvements in self-monitoring of blood glucose were observed in both groups following DSME and were sustained throughout. At study end, the intervention group was 4.3 times less likely to have diabetes regimen–related distress compared to EUC. Conclusions PL DSMS is as effective as traditional DSMS in helping participants to maintain glycemic control and self-monitoring of blood glucose (SMBG) and more effective at improving distress. With increasing diabetes prevalence and shortage of diabetes educators, it is important to integrate and use low-cost interventions in high-risk communities that build on available resources.
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Lee, Chia-Lun, Chiu-Chu Lin und Robert Anderson. „Psychometric evaluation of the Diabetes Self-Management Instrument Short Form (DSMI-20)“. Applied Nursing Research 29 (Februar 2016): 83–88. http://dx.doi.org/10.1016/j.apnr.2015.04.013.
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Yang, Rui‐Yu, Xin‐Yu Deng, Ying Huang, Yun‐Qian Zhang und Zhu Tao. „Recognition of Lanthanide Metal Cations by t ‐DSMI@Alkyl‐Substituted Cucurbit[6]uril Probes“. ChemistrySelect 5, Nr. 28 (27.07.2020): 8649–55. http://dx.doi.org/10.1002/slct.202000021.
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Mulyani, Santi, Sri Hartati Pratiwi und Dadang Purnama. „MANAJEMEN DIRI PASIEN DIABETES MELITUS TIPE 2 SELAMA PANDEMI COVID-19“. SENTRI: Jurnal Riset Ilmiah 2, Nr. 8 (05.08.2023): 3061–68. http://dx.doi.org/10.55681/sentri.v2i8.1331.
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Dampak yang ditimbulkan akibat pandemi COVID-19 yaitu terganggunya manajemen diri pasien Diabetes Melitus Tipe 2. Tujuan penelitian ini adalah untuk mengetahui gambaran manajemen diri pasien Diabetes Melitus Tipe 2 di Masa Pandemi COVID-19. Jenis penelitian yang digunakan adalah deskriptif kuantitatif, jumlah sampel pada penelitian ini sebanyak 30 dengan kriteria pasien Diabetes Melitus Tipe 2 yang sudah menderita Diabetes melitus >3 bulan. Penelitian ini menggunakan kuesioner Diabetes Self Management Instrument (DSMI) yang terdiri dari 5 domain. Berdasarkan hasil penelitian menunjukan sebagian besar responden memiliki perilaku manajemen diri sedang. Berdasarkan domain integrasi diri sebagian besar responden memiliki perilaku manajemen diri sedang, domain regulasi diri, interaksi dengan petugas kesehatan, periksa gula darah sendiri sebagian besar responden memiliki perilaku manajemen diri rendah, sementara domain kepatuhan terhadap pengobatan sebagian besar responden memiliki perilaku manajemen diri tinggi. Oleh karena itu, perawat komunitas diharapkan dapat memaksimalkan perannya sebagai health educator serta program khusus pasien DM seperti edukasi kesehatan, senam diabetes, pengecekan kadar gula darah dan konsultasi terkait penyakit serta mengoptimalkan kunjungan rumah.
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M. Lad, Pramod, und Rebecca Dahl. „The data and safety monitoring board in sponsored pediatric clinical trials: practical applications“. Journal of Hospital Administration 4, Nr. 1 (13.01.2015): 57. http://dx.doi.org/10.5430/jha.v4n1p57.
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The Data and Safety Monitoring Board (DSMB) monitors the progress of clinical trials for safety and implements stopping rules as needed. Although NIH and FDA guidelines recommend the use of a DSMB for phase I, II, and III pediatric clinical trials, the manner in which the DSMB is constituted has received little attention. In this study we reviewed the Institutional Review Board (IRB) applications submitted between 2008 and 2012 at our institution (Children’s Hospital Los Angeles) for phase I, II and III studies which were multi-site, sponsored and performed under a sponsor’s Investigation New Drug Application (IND) for the type of data and safety monitoring that was being used. Our results indicate that approximately two-third of the studies used an independent DSMB, 10% utilized a sponsor’s DSMB and the remaining studies (25%) did not utilize a DSMB and relied instead on safety monitoring by the Principal Investigator (PI) and the medical monitor/director. This pattern was observed across all study phases and for blinded as well as unblinded studies. Our result suggests that a Data and Safety Monitoring Plan (DSMP), although required by the IRB, is rarely submitted by the sponsor at the time of application. Instead the DSMP is submitted to the IRB by the PI on IRB supplied templates. IRB review of these completed templates were critical to ensuring DSMB related compliance. Additionally, a significant percent of sponsored clinical trials used the PI or an individual designated as medical director/monitor, rather than constituting a DSMB.
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Hibberd, Patricia L., und Debra L. Weiner. „Monitoring Participant Safety in Phase I and II Interventional Trials: Options and Controversies“. Journal of Investigative Medicine 52, Nr. 7 (01.11.2004): 446–52. http://dx.doi.org/10.1136/jim-52-07-36.
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BackgroundThe need for phase I and II clinical trials to have a data and safety monitoring plan (DSMP) is widely accepted; however, whether and/or when these trials should also have oversight by a data and safety monitoring board (DSMB) is controversial. Monitoring requirements also depend on whether the study is funded by the National Institutes of Health, funded and/or monitored by the US Food and Drug Administration (FDA), or funded by industry. However, there is little guidance about when and how to constitute a DSMB for phase I and II clinical trials.ObjectivesThe objectives of this article are to suggest guidelines for when and how to constitute a DSMB for phase I and II studies and to highlight the similarities and differences between DSMBs monitoring phase I and II versus phase III clinical studies. We highlight the utility of these guidelines in the safety monitoring of a mechanism of disease-based study of inhaled nitric oxide for acute vaso-occlusive crisis in pediatric patients with sickle cell disease that was funded and regulated by the FDA.ConclusionThe goal of DSMPs regardless of the phase of the clinical trial is to protect participant safety and ensure the integrity and validity of the data. A DSMB can ensure that risks and data are evaluated in a timely, efficient, and unbiased manner. We describe “risk-based” guidelines to determine situations in which a DSMB may be an appropriate addition to a DSMP for phase I and II clinical trials. We also address the roles and responsibilities of the DSMB for these studies.
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Hibberd, Patricia L., und Debra L. Weiner. „Monitoring Participant Safety in Phase I and II Interventional Trials: Options and Controversies“. Journal of Investigative Medicine 52, Nr. 7 (November 2004): 446–52. http://dx.doi.org/10.1177/108155890405200736.
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Background The need for phase I and II clinical trials to have a data and safety monitoring plan (DSMP) is widely accepted; however, whether and/or when these trials should also have oversight by a data and safety monitoring board (DSMB) is controversial. Monitoring requirements also depend on whether the study is funded by the National Institutes of Health, funded and/or monitored by the US Food and Drug Administration (FDA), or funded by industry. However, there is little guidance about when and how to constitute a DSMB for phase I and II clinical trials. Objectives: The objectives of this article are to suggest guidelines for when and how to constitute a DSMB for phase I and II studies and to highlight the similarities and differences between DSMBs monitoring phase I and II versus phase III clinical studies. We highlight the utility of these guidelines in the safety monitoring of a mechanism of disease–based study of inhaled nitric oxide for acute vaso-occlusive crisis in pediatric patients with sickle cell disease that was funded and regulated by the FDA. Conclusion The goal of DSMPs regardless of the phase of the clinical trial is to protect participant safety and ensure the integrity and validity of the data. A DSMB can ensure that risks and data are evaluated in a timely, efficient, and unbiased manner. We describe “risk-based” guidelines to determine situations in which a DSMB may be an appropriate addition to a DSMP for phase I and II clinical trials. We also address the roles and responsibilities of the DSMB for these studies.
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Erida Silalahi, Lenny, Dewi Prabawati und Sutanto Priyo Hastono. „Efektivitas Edukasi Self-Care Terhadap Perilaku Manajemen Diri pada Pasien Diabetes Melitus di Wilayah Puskesmas Sukapura Jakarta“. Media Publikasi Promosi Kesehatan Indonesia (MPPKI) 4, Nr. 1 (14.01.2021): 15–22. http://dx.doi.org/10.56338/mppki.v4i1.1385.
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Diabetes Mellitus (DM) merupakan penyakit yang membutuhkan pengontrolan status metabolik untuk meminimalkan terjadinya komplikasi multi organ. Diperlukan edukasi yang terarah untuk meningkatkan perawatan diri dan indeks glikemik yang terkontrol. Tujuan penelitian ini untuk mengetahui efektivitas edukasi Self-care terhadap perilaku manajemen diri dan Gula Darah Sewaktu (GDS) pada pasien DM. Penelitian ini dilakukan bulan Juni-Juli 2020 diwilayah kerja Puskesmas Kelurahan Sukapura Jakarta. Desain penelitian adalah quasy eksperimental dengan pre-test dan post-test one group. Sampel dalam penelitian sebanyak 25 responden dipilih secara purposive sampling. Variabel GDS dan perilaku manajemen diri dinilai pada minggu 1 dan 4 dengan menggunakan kuesioner Diabetes Self-Management Instrument (DSMI). Berdasarkan uji Paired T-test ditemukan ada perbedaan bermakna pada perilaku manajemen diri sebelum dan sesudah diberikan edukasi Self-care (p 0,000 < 0,05 ), namun, tidak ditemukan adanya perbedaan bermakna pada GDS sebelum dan sesudah diberikan edukasi Self-care (p 0,956 > 0,05). Berdasarkan uji multivariate ditemukan bahwa lamanya menderita DM dan kadar GDS sebelum intervensi berpengaruh secara parsial terhadap variabel GDS setelah intervensi (p<0.05), sedangkan variabel usia dan lamanya menderita DM berpengaruh secara parsial terhadap perilaku manajemen diri (p< 0.05). Edukasi Self-care merupakan program efektif untuk memperbaiki perilaku perawatan diri dan GDS sebagai kontrol glikemik. Penelitian ini merekomendasikan perlunya menerapkan edukasi Self-care secara berkelanjutan untuk mencegah terjadinya komplikasi pada pasien DM.
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Nilam, Mohamed, Philip Gribbon, Jeanette Reinshagen, Kathrin Cordts, Edzard Schwedhelm, Werner M. Nau und Andreas Hennig. „A Label-Free Continuous Fluorescence-Based Assay for Monitoring Ornithine Decarboxylase Activity with a Synthetic Putrescine Receptor“. SLAS DISCOVERY: Advancing the Science of Drug Discovery 22, Nr. 7 (31.01.2017): 906–14. http://dx.doi.org/10.1177/2472555216689288.
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Polyamines play an important role in cell growth, differentiation, and cancer development, and the biosynthetic pathway of polyamines is established as a drug target for the treatment of parasitic diseases, neoplasia, and cancer chemoprevention. The key enzyme in polyamine biosynthesis is ornithine decarboxylase (ODC). We report herein an analytical method for the continuous fluorescence monitoring of ODC activity based on the supramolecular receptor cucurbit[6]uril (CB6) and the fluorescent dye trans-4-[4-(dimethylamino)styryl]-1-methylpyridinium iodide (DSMI). CB6 has a significantly higher binding constant to the ODC product putrescine (>107 M−1) than to the substrate L-ornithine (340 M−1). This enables real-time monitoring of the enzymatic reaction through a continuous fluorescence change caused by dye displacement from the macrocycle by the formed product, which allowed a straightforward determination of enzyme kinetic parameters ( kcat = 0.12 s−1 and KM = 24 µM) and inhibition constants of the two ODC inhibitors α-difluoromethylornithine (DFMO) and epigallocatechin gallate (EGCG). The potential for high-throughput screening (HTS) was demonstrated by excellent Z′ factors (>0.9) in a microplate reader format, and the sensitivity of the assay is comparable to or better than most established complementary methods, which invariably have the disadvantage of not being compatible with direct implementation and upscaling to HTS format in the drug discovery process.
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Fonseca Zambaldi, Carla, Amaury Cantilino, Jacqueline Vasconcelos Farias, Gustavo Paranhos Moraes und Everton Botelho Sougey. „Incidence and associated factors with traumatic childbirth in postpartum Brazilian woman“. Summa Psicológica 13, Nr. 2 (22.11.2016): 5–12. http://dx.doi.org/10.18774/448x.2016.13.302.
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Childbirth may be a traumatic experience for some women. This observational study aimed to describe the incidence of traumatic childbirth in two regional maternity services in Brazil. In addition, the study intended to determine characteristics that are associated with traumatic childbirth. A total of 328 women were interviewed, up to 72 hours postpartum, between July and November 2010. Women were screened for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSMI-IV) criteria for traumatic event using the item A of SCID-I interview for PTSD. Socio-demographic and obstetrical variables, pain score, previous trauma and dissociative experiences in women with and without traumatic childbirth were compared. A total of 53 (16.2%) of the sample fulfilled the criteria for a traumatic event. It observed that some socio-demographic and obstetrical variables may be considered as associated with traumatic childbirth, such as an intermediate level of schooling, high risk pregnancy, obstetrical complications during pregnancy, primiparity, a high pain score, forceps, episiotomy, prematurity, obstetrical complications at birth or with the baby, baby needing hospital care, dissociative experience peripartum, no satisfaction with maternity care, not being well informed of the progress of labor and previous trauma related to urban violence, sexual abuse or domestic violence. Childbirth may be a traumatic event for Brazilian. In this sample traumatic childbirth was associated with pain, previous trauma, dissociative experiences and some socio-demographic and obstetrical variables. Traumatic childbirth constitutes an important mental health problem and need more attention from health.
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Puspitasari, Widya, Diana Irawati und Dyah Untari. „Diabetes Self Management, Usia, HbA1c dan Lama Menderita Terbukti Berdampak pada Fungsi Seksual“. Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice") 15, Nr. 3 (18.07.2024): 381. http://dx.doi.org/10.33846/sf15306.
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<p align="center"><em>Diabetes mellitus as a metabolic disease that causes increased blood glucose levels, has an impact on sexual dysfunction in men and women. Sexual dysfunction can be prevented with proper diabetes self-management. The purpose of this study was to analyze the effect of diabetes self-management, age, HbA1c, duration of diabetes mellitus and mental health on sexual function of patients. This study was conducted at the dr. Chasbullah Abdulmadjid Hospital in Bekasi City, by implementing a cross-sectional design. The sample was 148 patients with diabetes mellitus selected using the consecutive sampling method. The specific measuring instruments used in measuring the variables were DSMI, FSFI and IIEF. The results of the analysis showed that the p value for each factor was diabetes self-management = 0.001, age = 0.046, HbA1c = 0.023; duration of diabetes mellitus = 0.038 and mental health = 0.298. Thus it can be concluded that the factors that affect the sexual function of patients with diabetes mellitus are diabetes self-management, age, HbA1c and duration of diabetes mellitus.</em></p><p><strong><em>Keywords</em></strong><em>: diabetes mellitus; sexual function; self management; age; HbA1c; duration of diabetes; mental health</em></p><p><strong><em> </em></strong></p><p align="center"><strong>ABSTRAK</strong></p><p><strong><em> </em></strong></p><p>Diabetes mellitus sebagai penyakit metabolik yang mengakibatkan peningkatan kadar glukosa darah, berdampak pada gangguan fungsi seksual pada pria dan wanita. Gangguan fungsi seksual dapat dicegah dengan <em>diabetes</em> <em>self management</em> yang tepat. Tujuan dari penelitian ini adalah menganalisis pengaruh <em>diabetes</em> <em>self management</em>, usia, HbA1c, lama menderita diabetes mellitus dan kondisi kejiwaan terhadap fungsi seksual penderita. Studi ini dilaksanakan di RSUD dr Chasbullah Abdulmadjid Kota Bekasi, dengan menerapkan rancangan <em>cross-sectional. </em>Sampel adalah 148 penderita diabetes<em> </em>mellitus yang dipilih menggunakan metode <em>consecutive sampling</em>. Alat ukur khusus yang digunakan dalam pengukuran variabel adalah DSMI, FSFI dan IIEF. Hasil analisis menunjukkan bahwa nilai p untuk masing-masing faktor adalah <em>diabetes</em> <em>self management </em>= 0,001, usia = 0,046, HbA1c = 0,023; lama menderita diabetes mellitus = 0,038 dan kondisi kejiwaan = 0,298. Dengan demikian bisa disimpulkan bahwa faktor yang berdampak pada fungsi seksual penderita diabetes mellitus adalah <em>diabetes</em> <em>self management</em>, usia, HbA1c dan lama menderita diabetes mellitus.</p><p><strong>Kata kunci:</strong> diabetes mellitus; fungsi seksual; <em>self management; </em>usia; HbA1c;<em> </em>lama menderita diabetes;<em> </em>kejiwaan</p><p><strong><em> </em></strong></p>
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Damayanti, Aurelia Elvina, Paulus Subiyanto und Dita Hanna Febriani. „Hubungan Dukungan Keluarga dengan Perilaku Self- Management Pasien Diabetes Melitus Tipe 2 di Prolanis Puskesmas Depok III“. Jurnal Keperawatan 21, Nr. 2 (30.09.2023): 188–200. http://dx.doi.org/10.35874/jkp.v21i2.1295.
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Diabetes melitus merupakan penyakit tidak menular yang sering ditemui di rawat jalan Puskesmas di Daerah Istimewa Yogyakarta. Penyakit ini ditandai dengan peningkatan kadar glukosa darah yang membutuhkan pengendalian di sepanjang kehidupannya. Beberapa bukti ilmiah menunjukkan bahwa kunci keberhasilan pengendalian diabetes adalah pada self-management yaitu tujuh perilaku self-care yang membutuhkan dukungan keluarga untuk mencegah komplikasi yang tidak diharapkan. Tujuan penelitian ini adalah untuk mengetahui karakteristik responden, gambaran dukungan keluarga & perilaku self-management serta hubungan dukungan keluarga dengan perilaku self-management pasien diabetes melitus (DM) tipe 2 di Prolanis Puskesmas Depok III. Metode penelitian menggunakan studi deskriptif korelasi dengan teknik purposive sampling. Instrumen yang digunakan pada penelitian ini adalah Diabetes Self-Management Instrument (DSMI) & Hensarling Diabetes Family Support Scale (HDFSS). Sebanyak 106 responden berpartisipasi dalam penelitian ini. Hasil penelitian menunjukkan sebanyak 76.4% adalah perempuan, rerata usia 61 tahun (40-73 tahun), 38,8% memiliki pendidikan terakhir SMA, dan 77.4% memiliki penghasilan bulanan keluarga < Rp 2.000.000,-. Nilai median dukungan keluarga adalah 97 (62-116) dan nilai median perilaku self-management 115.5 (69-139). Hasil uji statistik didapatkan hubungan yang signifikan, positif, dan kuat antara dukungan keluarga dengan perilaku self-management pada pasien DM tipe 2 (p-value=0.000; r=0.628). Dibutuhkan intervensi self-management oleh tenaga kesehatan yang terlatih dan kompeten dengan melibatkan peran keluarga untuk terus mempertahankan dan memperbaiki gaya hidup yang lebih sehat. Upaya berkelanjutan ini penting dilakukan untuk mencapai kontrol glikemik yang optimal dan mencegah komplikasi yang tidak diharapkan.
Kata Kunci: Dukungan Keluarga, Self-Management Diabetes, Diabetes
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Hananto, Siska Yulia, Suci Tuti Putri und Asih Purwandari Wahyoe Puspita. „Studi Kasus : Penatalaksanaan Diabetes Self Management Education (DSME) Terhadap Kadar Glukosa Darah pada Pasien Diabetes Melitus Tipe 2“. Jurnal Keperawatan 20, Nr. 4 (31.12.2022): 128–37. http://dx.doi.org/10.35874/jkp.v20i4.1111.
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Diabetes melitus menjadi isu publik di seluruh dunia dimana jumlah penderita yang terus meningkat dari tahun ke tahun. Oleh karena itu, dibutuhkan perawatan berkelanjutan, salah satunya dengan Diabetes Self Management Education (DSME) yang menekankan pada perubahan gaya hidup. Implementasi DSME terkait pendidikan meliputi, pengaturan diet, terapi obat, olahraga, dan cek kadar glukosa darah untuk mencegah komplikasi sehingga meningkatkan kualitas hidup penderita. Tujuan dari penelitian ini adalah untuk mengambarkan hasil dan intervensi penatalaksanaan DSME terhadap kadar glukosa darah dan manajemen mandiri pada pasien diabetes melitus Tipe 2. Metode penelitian ini merupakan studi kasus dengan 2 orang pasien DM tipe 2. Instrumen untuk mengevaluasi menggunakan alat ukur glucometer dan Diabetes Self-Management Questioner (DSMQ). Hasil setelah pelaksanaan DSME, pasien mengalami peningkatan pengetahuan managemen self care. Namun, berdasarkan hasil uji kadar glukosa darah puasa pasien satu (1) usia 51 tahun mengalami penurunan sebanyak 29 mg/dl , sedangkan pasien dua (2) usia 58 tahun mengalami peningkatan sebanyak 11 mg/dl disebabkan karena ketidakpatuhan diet dan minum obat. Diskusi DSME mengarahkan penderita dalam melakukan managemen mandiri yang memiliki dampak positif mengurangi komplikasi diabetes, meningkatan perilaku hidup sehat, dan memfasilitasi pengetahuan, keterampilan, dan self care behavior. Kesimpulan berdasarkan hasil penelitian intervensi DSME dapat membantu pasien DM tipe 2 dalam mengontrol kadar glukosa darah dan manajemen mandiri yang lebih baik.
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Wahyuni, Liza, und Khalizar. „Pelaksanaan Diabetes Self Management Education (DSME) Pada Pasien Diabetes Mellitus Tipe 2“. Jurnal Assyifa Ilmu Keperawatan Islami 8, Nr. 1 (27.08.2023): 61–67. http://dx.doi.org/10.54460/jifa.v8i1.63.
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Diabetes Self Management Education (DSME) kepada pasien penting dilakukan sebagai langkah dalam pengendalian penyakit diabetes melitus dengan tujuan untuk meningkatkan pengetahuan dan ketrampilan pasien sehingga pasien dapat melakukan pengobatan secara mandiri. Penelitian ini bertujuan untuk melihat efektivitas pelaksanaan Diabetes Self Management Education (DSME) pada pasien Diabetes Mellitus Tipe 2 di Puskesmas Muara Dua Kota Lhokseumawe Tahun 2023. Jenis penelitian deskriptif . Populasi dalam penelitian ini adalah seluruh penderita diabetes mellitus (DM) tipe 2 yang terdaftar sebagai peserta prolanis berjumlah 74 orang. Pengambilan sampel dengan menggunakan teknik purposive samplingberjumlah 42 orang. Instrumen untuk memulai menggunakan alat ukur Diabetes Self-Management Questioner (DSMQ). Hasil penelitian efektivitas pelaksanaan Diabetes Self Management Education (DSME) pada pasien Diabetes Mellitus (DM) Tipe 2 melalui program prolanis menunjukkan lebih dari setengah responden menerapkan DSME dengan cara baik (66,6%) atau 28 orang. Edukasi yang diberikan tentang diabetes melitus kepada peserta melalui kegiatan prolanis sudah dilakukan secara rutin diharapkan peserta dapat memahami informasi yang sudah disampaikan, sehingga peserta prolanis dapat mengubah pola hidup yang lebih baik sesuai intervensi diabetes self management education (DSME). Responden disarankan untuk tetap mempertahankan keikutsertaan mereka dalam kegiatan prolanis secara rutin.
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Hasan, Ahmed Salman, Kasim A. Abed Al-Abbas und Sajaa Muhsein Khazael. „Seamless geospatial data methodology for topographic map: A case study on Baghdad“. Open Engineering 12, Nr. 1 (01.01.2022): 778–88. http://dx.doi.org/10.1515/eng-2022-0358.
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Abstract Researchers have been focused on evaluating topographic maps in order to identify property and infrastructure and address issues relating to property disputes and its ramifications for a given country. However, over time, the requirements for map production have changed and evolved, and there is a need for an increased level of quality and standard in the map making process. Several cities in Iraq, including Baghdad (capital), do not comply with the existing standards set by the Department of Survey Mapping in Iraq (DSMI). One of the main concerns and issues is with the quality of mapping which is mainly due to inaccurate digitizing procedures. Therefore, the aim of this study is to produce seamless topographic maps using vector data to overcome the problem of no-overlapping that often occurs in producing maps. However, there is another issue regarding edge matching and the lack of standards being met according to the MS1759 procedure. To address this issue, ArcGIS 10.3 software is used as a tool to process data, analyze the index maps, and to produce seamless geospatial data using seamless methods. The database is set up using the characteristics and code properties from the MS1759 standard. The orthophoto image is used as the base map in which the series of maps used is MY Series and its area is of Baghdad. The results indicated that seamless topology is far easier to handle than the base cartography. It also demonstrated that using this method aids in analyzing the data in a far more detailed manner than existing techniques. Overall, the study concludes that seamless topographic map has a better GIS ready quality and the produced map is far more qualitative than the existing map of the Baghdad.
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Kartika, Annisa Wuri, Widyatuti W und Etty Rekawati. „Diabetes Self-Management Education (DSME) Intervention to Improve Self-Care Management of Diabetes Mellitus Patients“. Jurnal Ilmu Keperawatan (Journal of Nursing Science) 9, Nr. 2 (01.01.2013): 151–57. http://dx.doi.org/10.21776/ub.jik.2021.009.02.2.
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Self-care management is an important component in the management of Diabetes Mellitus Type 2 (DMT2). Knowledge, self-efficacy, and compliance in self-care are the main factors to improving quality of life and preventing complications. Diabetes Self-Management Education (DSME) in support groups was used in community nursing interventions to improve diabetes self-care management. This study used a one-group pre-post design with t-test analysis to determine the ability of self-management levels and blood sugar values of the group with diabetes before and after the intervention. The instrument used was the Diabetes Self Care Management Questionnaire (DSMQ). Diabetes Mellitus patients received DSME intervention for two months. The number of samplings in this study was 49 people with diabetes. The findings show that in intervention groups, self-care improves, and blood sugar levels fall. There were significant changes in the diabetics' group (n = 48) before and after the intervention on self-care and blood glucose levels (p = 0.000 and p = 0.011). We suggest that the DSME might be given to the diabetes group by nurses as one of the strategies for implementing health education in the public health care program (PERKESMAS).
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Wee, Priscilla Jia Ling, Yu Heng Kwan, Dionne Hui Fang Loh, Jie Kie Phang, Troy H. Puar, Truls Østbye, Julian Thumboo, Sungwon Yoon und Lian Leng Low. „Measurement Properties of Patient-Reported Outcome Measures for Diabetes: Systematic Review“. Journal of Medical Internet Research 23, Nr. 8 (13.08.2021): e25002. http://dx.doi.org/10.2196/25002.
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Background The management of diabetes is complex. There is growing recognition of the use of patient-reported outcome measures (PROMs) as a standardized method of obtaining an outlook on patients’ functional status and well-being. However, no systematic reviews have summarized the studies that investigate the measurement properties of diabetes PROMs. Objective Our aims were to conduct a systematic review of studies investigating the measurement properties of diabetes PROMs by evaluating the methodological quality and overall level of evidence of these PROMs and to categorize them based on the outcome measures assessed. Methods This study was guided by the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Relevant articles were retrieved from the Embase, PubMed, and PsychINFO databases. The PROMs were evaluated with the COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) guidelines. Results A total of 363 articles evaluating the measurement properties of PROMs for diabetes in the adult population were identified, of which 238 unique PROMs from 248 studies reported in 209 articles were validated in the type 2 diabetes population. PROMs with at least a moderate level of evidence for ≥5 of 9 measurement properties include the Chinese version of the Personal Diabetes Questionnaire (C-PDQ), Diabetes Self-Management Instrument Short Form (DSMI-20), and Insulin Treatment Appraisal Scale in Hong Kong primary care patients (C-ITAS-HK), of which the C-PDQ has a “sufficient (+)” rating for >4 measurement properties. A total of 43 PROMs meet the COSMIN guidelines for recommendation for use. Conclusions This study identified and synthesized evidence for the measurement properties of 238 unique PROMs for patients with type 2 diabetes and categorized the PROMs according to their outcome measures. These findings may assist clinicians and researchers in selecting appropriate high-quality PROMs for clinical practice and research. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020180978; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020180978.
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Utama, Reza Diko, Indasah Indasah und Siti Farida Noor Layla. „The Effect of Diabetes Self-Management Education (DSME) on Improving Self-Management and Quality of Life in Millitus Type 2 Diabetes“. Journal for Quality in Public Health 4, Nr. 2 (05.05.2021): 31–37. http://dx.doi.org/10.30994/jqph.v4i2.176.
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Self-management is a form of self-regulation. The purpose of this study was to determine the effect of Diabetes Self-Management Education (DSME) on the Improvement of Self-Management and Quality of Life in Type II Diabetes Millitus Patients. This research method is True-Experiment Pre-Test and Post-Test design. DSMQ and WHOQOL instruments. Independent Variable (DSME) Dependent variable Self-management and quality of life. The subjects of the control group were 55 people and the intervention group was 55 people. Wilcoxon data analysis, Maan-Whitney and Path Analysis. The results of the comparison of self-management between the intervention group and the control group, a significance value of 0.000 less than 0.05 (p <0.05), indicating that the group given effective intervention significantly improved self-management compared to the group that was not given the intervention. The results of the comparison of the quality of life of the intervention group and the control group, the significance value of 0.000 less than 0.05 (p <0.05) indicates that the group given the intervention was more effective in improving the quality of life significantly than the group that was not given the intervention. There is an effect of Diabetes Self-Management Education (DSME) on the Improvement of Self-Management and Quality of Life for Type II Diabetes Millitus Patients in the Work Area of the Kempo Health Center, Kempo District. DSME is a process to facilitate knowledge, skills and abilities in self-care (Self-Management) and quality of life
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Pucci, G., F. Carbone, C. Vena, G. Lombardo, C. Versace und R. Barberi. „DSM1-DSM2 Transition Threshold in Turbulent Nematic Mixtures“. Molecular Crystals and Liquid Crystals 614, Nr. 1 (13.06.2015): 100–105. http://dx.doi.org/10.1080/15421406.2015.1050281.
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Yıldırım, Cemile. „Travmaya Bağlı Yaygın Kaygı Bozukluğunda Bilişsel Davranışçı Terapi: Olgu Sunumu“. International Journal of Social Sciences 8, Nr. 35 (15.07.2024): 1–14. http://dx.doi.org/10.52096/usbd.8.35.01.
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A study was conducted based on the DSM5-DSM4 diagnostic criteria of trauma and generalized anxiety disorder. It is the emergence of generalized anxiety disorder of past trauma in future life events due to the occurrence of a traumatic event due to the occurrence of an abusive and unexpected sudden shocking situation. It is a case report of a traumatic event in the past life experience of the client, which is effective in preventing daily life functions such as anxiety, overwhelm, stress, worry, difficulty in focusing, irritability and restlessness that occur in the future life of the client. The client voluntarily applied to a psychologist. Considering the symptoms experienced by the client, the effect of cognitive behavioral therapy was revealed with the emergence of negative automatic thoughts by taking into account the stress, anxiety-reducing technique of the client's cognitive behavioral therapy school. CBT worked with the client once a week with a session duration of 50 minutes. Keywords: Cognitive behavioral therapy, Trauma, Generalized Anxiety Disorder.
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Funnell, M. M., T. S. Tang und R. M. Anderson. „From DSME to DSMS: Developing Empowerment-Based Diabetes Self-Management Support“. Diabetes Spectrum 20, Nr. 4 (01.10.2007): 221–26. http://dx.doi.org/10.2337/diaspect.20.4.221.
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Scaramuzza, N., C. Versace und V. Carbone. „Intermittency at the DSM1-DSM2 Transition in Nematic Liquid Crystal Films“. Molecular Crystals and Liquid Crystals Science and Technology. Section A. Molecular Crystals and Liquid Crystals 266, Nr. 1 (Juni 1995): 85–98. http://dx.doi.org/10.1080/10587259508033634.
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Wang, Yanan, Beilei Wu, Wayne B. Borth, Islam Hamim, James C. Green, Michael J. Melzer und John S. Hu. „Molecular Characterization and Distribution of Two Strains of Dasheen mosaic virus on Taro in Hawaii“. Plant Disease 101, Nr. 12 (Dezember 2017): 1980–89. http://dx.doi.org/10.1094/pdis-04-17-0516-re.
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Dasheen mosaic virus (DsMV) is one of the major viruses affecting taro (Colocasia esculenta) production worldwide. Whole genome sequences were determined for two DsMV strains, Hawaii Strain I (KY242358) and Hawaii Strain II (KY242359), from taro in Hawaii. They represent the first full-length coding sequences of DsMV reported from the United States. Hawaii Strains I and II were 77 and 85% identical, respectively, with other completely sequenced DsMV isolates. Hawaii Strain I was most closely related to vanilla mosaic virus (VanMV) (KX505964.1), a strain of DsMV infecting vanilla in the southern Pacific Islands. Hawaii Strain II was most closely related to a taro DsMV isolate CTCRI-II-14 (KT026108.1) from India. Phylogenetic analysis of all available DsMV isolates based on amino acid sequences of their coat protein showed some correlation between host plant and genetic diversity. Analyses of DsMV genome sequences detected three recombinants from China and India among the six isolates with known complete genome sequences. The DsMV strain NC003537.1 from China is a recombinant of KJ786965.1 from India and Hawaii Strain II. Another DsMV strain KT026108.1 is a recombinant of Hawaii Strain II and NC003537.1 from China. The third DsMV strain KJ786965.1 from India is a recombinant of Hawaii Strain II and NC003537.1 from China. To our knowledge, this is the first report of recombination events in DsMV. Both Hawaii Strains I and II of DsMV were found widespread throughout the Hawaiian islands.
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Weise, Solveig, Yong Du, Christin Heidemann, Jens Baumert, Thomas Frese und Marcus Heise. „Diabetes self-management education programs: Results from a nationwide population-based study on characteristics of participants, rating of programs and reasons for non-participation“. PLOS ONE 19, Nr. 9 (12.09.2024): e0310338. http://dx.doi.org/10.1371/journal.pone.0310338.
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Objective Population-based studies of reasons for not participating in diabetes self-management education (DSME) are scarce. Therefore, we investigated what sociodemographic and disease-related factors are associated with participation in DSME, the reasons for not participating in DSME and how participants evaluate DSME. Research design and methods We used data from the nationwide survey “Disease knowledge and information needs–Diabetes mellitus 2017”, which included a total of 1396 participants diagnosed with diabetes mellitus (diabetes; n = 394 DSME-participants, n = 1002 DSME-never-participants). Analyses used weighted logistic or multinominal regression analyses with bivariate and multivariable approaches. Results Participants were more likely to attend DSME if they had a medium (OR 1.82 [95%CI 1.21–2.73]),or high (OR 2.04 [95%CI 1.30–3.21]) level of education, had type 1 diabetes (OR 2.46 [1.24–4.90]) and insulin treatment (OR 1.96 [95%CI 1.33–2.90]). Participants were less likely to attend DSME if they lived in East Germany (OR 0.57 [95%CI 0.39–0.83]), had diabetes for >2 to 5 years (OR 0.52 [95%CI 0.31–0.88] compared to >5 years), did not agree that diabetes is a lifelong disease (OR 0.30 [95%CI 0.15–0.62], had never been encouraged by their physician to attend DSME (OR 0.19 [95%CI 0.13–0.27]) and were not familiar with disease management programs (OR 0.67 [95%CI 0.47–0.96]). The main reasons for non-participation were participant’s personal perception that DSME was not necessary (26.6%), followed by lack of recommendation from treating physician (25.7%) and lack of information on DSME (20.7%). DSME-participants found DSME more helpful if they had a medium educational level (OR 2.06 [95%CI 1.10–3.89] ref: low level of education) and less helpful if they were never encouraged by their treatment team (OR 0.46 [95%CI 0.26–0.82]). Discussion Professionals treating persons with diabetes should encourage their patients to attend DSME and underline that diabetes is a lifelong disease. Overall, the majority of DSME participants rated DSME as helpful.
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Tembo, Zowe, Dabbie Nabuzoka und Paul Ravi. „Socio- Psychological factors associated with child sexual abuse: A study of Lusaka Central Prison Child sexual abuse convicts“. University of Zambia Journal of Agricultural and Biomedical Sciences 4, Nr. 4 (01.10.2020): 28–37. http://dx.doi.org/10.53974/unza.jabs.4.4.396.
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Objectives and Study Design: with the view of examining the socio-psychological factors associated with child sexual abuse among child sexual abuse convicts, a study was conducted in Lusaka, the capital city of Zambia at Lusaka Central Prison also commonly known as Chimbokaila prison between January 2015 - July 2017. The scientific objectives of this study were to identify the background characteristics of convicts who are in jail for child sexual offenses; to establish the psychological factors associated with child sexual abuse among convicts; to explore the social correlates associated with child sexual abuse among convicts; to explore the social correlates associated with child sexual abuse among convicts and to establish the relationship between experiences of convicts in prison and behavioural intensions with regards to child sexual re-offending. 30 male child sexual abuse convicts were assessed for personality disorders and were interviewed to realize some of the social factors that may be associated with child sexual abuse. Results: Results of the DSMI IV criteria checklist showed that 24 respondents did not have a personality disorder while 6 respondents had a personality disorder. From the Minnesota Multiphasic Personality inventory 4 (MMPI- IV) showed that 10 participants had a personality disorder, while 20 participants did not have a personality disorder. Results obtained from social correlates associated with child sexual abuse were: misleading physical appearances and substance misuse. With regards to marital status, there was no statistical relationship between child sexual abuse and marital status. It was also found that there is no statistical relationship between child sexual abuse and alcohol consumption. It was also found that the respondents who took alcohol before imprisonment were more than those that did not. Most child sexual perpetrators were not sexually abused as children, those who were sexually abused as children were very few Percent and frequency distribution of respondents by age group was; age group 25-30 recorded 3 the highest frequency of 36.7%, followed by age group of 20-25 with 23.3%. Percent and frequency distribution of the respondents by marital status; of the total respondents 40 percent (n=12) were single and 46.7 percent (n=14) were married, divorced participants and others had an equal share of percentage at 6.7 percent (n=2). Conclusions: Put together the results suggest that the majority of participants did not have a personality disorder, in regards to Psychological factors that may be associated with child sexual abuse. Whereas a lot of common themes (most participants abused alcohol before imprisonment, were physically abused and not sexually abused in their childhood) were realized for social factors that may be associated with child sexual abuse, However for background characteristics it was found that most child sexual abusers were within their mid-twenties and most of them were single with a primary level of education as the highest level of education obtained by most participants.
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Rolsma, Stephanie L., Sandy M. Yoder, Rachel S. Nargi, Eric Brady, Natalia Jimenez-Truque, Isaac Thomsen, Marissa Thompson et al. „127. Development of a Kinetic ELISA (kELISA) and Reactive B-cell Frequency (RBF) Assay to Detect Respiratory Syncytial Virus (RSV) Pre-Fusion F Protein-Specific Immune Responses in Infants“. Open Forum Infectious Diseases 8, Supplement_1 (01.11.2021): S77—S78. http://dx.doi.org/10.1093/ofid/ofab466.127.
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Abstract Background RSV is a major cause of pediatric respiratory disease. Antibodies to the prefusion conformation of the RSV fusion (pre-F) protein are needed for virus neutralization. Methods We measured RSV-specific responses in two groups of children < 3 years of age; subjects with laboratory-confirmed RSV (RSV-infected) or infants born in the period May to September and enrolled prior to their first RSV season (RSV-uninfected). RSV-infected infants had blood samples obtained at 1, 6, 9, and 12 months after infection. RSV-uninfected infants had blood samples obtained at enrollment, at the end of their first RSV season, and 6 months later. A kELISA to measure RSV pre-F-specific antibodies and an RBF assay to identify RSV F-specific B cells were developed. Results 102 subjects were enrolled; 11 were excluded due to missed visits or withdrawal. Of the 65 subjects in the RSV-uninfected group, all were kELISA positive at enrollment, consistent with maternal antibody transfer. 53 subjects had sufficient samples for analysis at multiple time points; 29 became seronegative and 24 remained seropositive. In the seronegative group, the kELISA value decreased rapidly to < 0.25 by 6 months after the RSV season in 27/29 (93%), (Figure 1a). In the persistently seropositive group, all 24 subjects maintained a positive kELISA value, with some developing higher values over time, consistent with asymptomatic infection (Figure 1b). An RBF assay was used to determine whether antibodies were due to persistent maternal antibodies or endogenous production (Figure 2). In the seronegative group, 24/29 (80%) had a negative RBF; in the seropositive group, 23/24 (96%) had a positive RBF during follow-up. There were 26 subjects in the RSV-infected group; 22 had sufficient samples for analysis at multiple time points. All were seropositive by kELISA at one month post-infection with variable kELISA values during follow-up (Figure 3). 17/22 (77%) had a positive RBF, although 4 of the subjects without a positive RBF had indeterminate results at ≥ 1 visit. Figure 1. kELISA values of baseline RSV-negative subjects, by subject age at time of sample. Panel A: Subjects classified as seronegative (n=29). Panel B: Subjects without known RSV classified as persistently seropositive (n=24). Figure 2. Reactive B-cell frequency assay. The first step in the RBF assay is growth of Lymphoblastoid Cell Lines (LCLs), as shown over days 1-3 (Left-Day 1, Middle-Day 2, Right-Day 3, magnification 200X). The cells circled in the figure indicate a single LCL’s growth over time. LCL supernatant is used to detect RSV F-protein specific antibodies using traditional ELISA, resulting in a positive, indeterminate, or negative result. Indeterminate results occur due to a lack of cell viability and/or failure to form LCLs, resulting in failure to exceed an optical density of 5x background. Figure 3. kELISA values of RSV-infected subjects, by subject age at time of sample. First sample was obtained at approximately one month after laboratory-confirmed RSV. Conclusion Assays measuring F-specific immune responses in infants will be critical for RSV vaccine development. A kELISA targeting RSV pre-F epitopes, with an RBF assay targeting RSV F-specific B cells, may allow discrimination for maternal and infant-derived antibodies. Disclosures Isaac Thomsen, MD, MSCI, Horizon Therapeutics (Individual(s) Involved: Self): Consultant James E. Crowe, Jr., MD, Astra Zeneca (Grant/Research Support)IDBiologics (Board Member, Grant/Research Support, Shareholder)Luna Biologics (Consultant)Meissa Vaccines (Advisor or Review Panel member)Takeda Vaccines (Grant/Research Support) Kathryn M. Edwards, MD, Bionet (Individual(s) Involved: Self): Consultant; CDC (Individual(s) Involved: Self): Research Grant or Support; IBM (Individual(s) Involved: Self): Consultant; Merck (Individual(s) Involved: Self): member DSMC, Other Financial or Material Support; Moderna (Individual(s) Involved: Self): member DSMC, Other Financial or Material Support; NIH (Individual(s) Involved: Self): Research Grant or Support; Pfizer (Individual(s) Involved: Self): member DSMC, Other Financial or Material Support; Roche (Individual(s) Involved: Self): member of DSMB, Other Financial or Material Support; Sanofi Pasteur (Individual(s) Involved: Self): member DSMB, Other Financial or Material Support; Sequiras (Individual(s) Involved: Self): Member DSMB, Other Financial or Material Support; X4 Pharmaceuticals (Individual(s) Involved: Self): Consultant Buddy Creech, MD, MPH, Altimmune (Consultant)Astellas (Other Financial or Material Support, Data and Safety Monitoring Committee)Diotheris (Consultant)GSK (Consultant)Horizon (Consultant)Merck (Scientific Research Study Investigator)Premier Healthcare (Advisor or Review Panel member)Vir (Consultant)
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Nadya Nova, Mutiara, Teuku Tahlil und Asniar. „PERAWATAN KOMUNITAS AGREGAT USIA DEWASA DENGAN DIABETES MELITUS MENGGUNAKAN INTERVENSI DIABETES SELF-MANAGEMENT EDUCATION (DSME)“. Sagita Academia Journal 2, Nr. 2 (27.03.2024): 89–95. http://dx.doi.org/10.61579/sagita.v2i2.86.
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Diabetes mellitus requires long-term treatment, can cause complications that can be life-threatening and affect the lives of diabetes mellitus patients. Self-management actions include glucose management, diet control, physical activity, and the use of health care can minimize complications. Lack of knowledge can make self-management ineffective. This case study aims to apply a community nursing care through the implemention of Diabetes Self-Management Education (DSME) in adult population using flip sheets and leaflets. A community nursing assessment conducted on nine patients and a nursing diagnosis of the ineffective health self-management was established based on the assessment data. The nursing care plan was prepared and focused on health education about self-management of diabetes mellitus using flip sheets and leaflets. Before and after the implementation of nursing, tests were carried out using the Diabetes Self-Management Questionnaire (DSMQ). The evaluation results showed significant changes in self-management after the intervention (100% of respondents were in a good category). The average percentage increase in self-management status is 48.55%. The conclusion was that counseling for the aggregate of adults with diabetes mellitus positively influenced self-management status. It is recommended for community nurses to provide health education in the community, especially for adults with diabetes mellitus.
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Goatley, J. M., und R. E. Schmidt. „Crabgrass Control and Dollar Spot Suppression in Creeping Bentgrass with DSMA“. HortScience 29, Nr. 8 (August 1994): 884–86. http://dx.doi.org/10.21273/hortsci.29.8.884.
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Research was conducted to evaluate crabgrass [Digitaria ischaemum (Schreb.) Muhl.] control, incidental dollar spot (incited by Lanzia and Moellerodiscus spp.) suppression, and turfgrass quality following sequential, low-level postemergence applications of DSMA to creeping bentgrass (Agrostis stolonifera var. palustris Farwell). DSMA was applied at 22 mg·m-2 at 7-day intervals for 15 consecutive weeks (DSMA-W) from May through Aug. 1986 and 1987 and for 10 consecutive weeks from June through Aug. 1988. DSMA also was applied in three split applications of 110 mg·m-2 every 10 days (DSMA-S) in June and July of each year. DCPA was applied in a single, preemergence application in May as a comparative standard for crabgrass control. Percent crabgrass in either DSMA-treated plot was 20% by 11 Sept., an infestation that was unacceptable for high-quality turf. Percent crabgrass infestation was 6% at all rating dates in 1987 or 1988 for DSMA-W and 11% at all dates in 1987 or 1988 for DSMA-S. DCPA significantly reduced percent crabgrass as compared to the nontreated control at all rating dates, but the percent crabgrass ratings tended to be higher than those for either DSMA treatment by the final rating dates of each year. The DSMA treatments significantly reduced dollar spot incidence in each year. Turfgrass discoloration was observed following the DSMA-S treatment in July 1987 as compared to the control, but the turf quality recovered by August. Turfgrass quality was higher for DSMA treatments than for either DCPA or the nontreated control due to season-long crabgrass control and disease suppression. Chemical names used: disodium methanearsonate (DSMA), dimethyl tetrachloroterephthalate (DCPA).
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Khan, Md Marufuzzaman, Shamarial Roberson, Keshia Reid, Melissa Jordan und Agricola Odoi. „Geographic disparities and temporal changes of diabetes prevalence and diabetes self-management education program participation in Florida“. PLOS ONE 16, Nr. 7 (16.07.2021): e0254579. http://dx.doi.org/10.1371/journal.pone.0254579.
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Background Although Diabetes Self-Management Education (DSME) programs are recommended to help reduce the burden of diabetes and diabetes-related complications, Florida is one of the states with the lowest DSME participation rates. Moreover, there is evidence of geographic disparities of not only DSME participation rates but the burden of diabetes as well. Understanding these disparities is critical for guiding control programs geared at improving participation rates and diabetes outcomes. Therefore, the objectives of this study were to: (a) investigate geographic disparities of diabetes prevalence and DSME participation rates; and (b) identify predictors of the observed disparities in DSME participation rates. Methods Behavioral Risk Factor Surveillance System (BRFSS) data for 2007 and 2010 were obtained from the Florida Department of Health. Age-adjusted diabetes prevalence and DSME participation rates were computed at the county level and their geographic distributions visualized using choropleth maps. Significant changes in diabetes prevalence and DSME participation rates between 2007 and 2010 were assessed and counties showing significant changes were mapped. Clusters of high diabetes prevalence before and after adjusting for common risk factors and DSME participation rates were identified, using Tango’s flexible spatial scan statistics, and their geographic distribution displayed in maps. Determinants of the geographic distribution of DSME participation rates and predictors of the identified high rate clusters were identified using ordinary least squares and logistic regression models, respectively. Results County level age-adjusted diabetes prevalence varied from 4.7% to 17.8% while DSME participation rates varied from 26.6% to 81.2%. There were significant (p≤0.05) increases in both overall age-adjusted diabetes prevalence and DSME participation rates from 2007 to 2010 with diabetes prevalence increasing from 7.7% in 2007 to 8.6% in 2010 while DSME participation rates increased from 51.4% in 2007 to 55.1% in 2010. Generally, DSME participation rates decreased in rural areas while they increased in urban areas. High prevalence clusters of diabetes (both adjusted and unadjusted) were identified in northern and central Florida, while clusters of high DSME participation rates were identified in central Florida. Rural counties and those with high proportion of Hispanics tended to have low DSME participation rates. Conclusions The findings confirm that geographic disparities in both diabetes prevalence and DSME participation rates exist. Specific attention is required to address these disparities especially in areas that have high diabetes prevalence but low DSME participation rates. Study findings are useful for guiding resource allocation geared at reducing disparities and improving diabetes outcomes.
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Paz-Pacheco, Elizabeth, Mark Anthony Sandoval, Gregory J. R. Ardena, Elizabeth Paterno, Noel Juban, Frances L. Lantion-Ang, Cecilia Jimeno, Perpetua Patal und Joseph Bongon. „Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting“. Primary Health Care Research & Development 18, Nr. 01 (19.09.2016): 35–49. http://dx.doi.org/10.1017/s1463423616000335.
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Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town. Methods In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months. Results DSME group had a lower median A1C after three and six months. After six months, there was a 0.5% median A1C reduction in DSME group and a 0.25% increase in the standard group. There were more participants in DSME group with A1C ⩽7.0% after three and six months. By the third month, there were more participants in DSME group performing foot examination. Conclusion DSME in this rural agricultural town improved glycemic control and promoted foot examination.
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Ahdiah, Nurul, und Fitri Arofiati. „Metode-Metode Penyampaian Diabetes Self-Management Education (DSME)“. DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN 10, Nr. 1 (02.01.2020): 303–17. http://dx.doi.org/10.33859/dksm.v10i1.416.
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Latar Belakang : Diabetes Melitus (DM) adalah penyakit kronis yang paling banyak dialami oleh penduduk dan menempati urutan ke 4 penyebab kematian di Negara berkembang. 4 pilar utama dalam penatalaksanaan DM tipe 2 adalah edukasi, terapi gizi, latihan jasmani, dan intervensi farmakologis. Salah satu bentuk pemberian edukasi yang telah banyak tercatat memberikan dampak positif dan signifikan pada penderita DM adalah Diabetes Self-Management Education (DSME). Tujuan dari studi literature ini adalah untuk menganalisa kefektifan dari metode-metode penyampaian DSME terhadap nilai-nilai biomedis, perilaku, dan psikososial yang dimiliki oleh pasien Diabetes Melitus tipe 2.Metode: mereview publikasi penelitian atau literature yang menyedikan informasi mengenai metode-metode penyampaian DSME dan efektifitas DSME terhadap nilai-nilai biomedis, perilaku, dan psikososial pada pasien Diabetes Melitus tipe 2.Hasil : Literatur review ini menggunakan 10 jurnal yang sudah memenuhi kriteria inklusi dan eksklusi yang telah penulis tetapkan. Metode penyampaian DSME yang digunakan adalah One-to-one, Grup Based, dan Tele-medicine. Untuk indikator hasil pemberian DSME secara umum dibagi menjadi 3 yaitu biomedis, perilaku, dan psikososial,Kesimpulan : DSME memilik banyak sekali metode penyampaiannya yang berbeda-beda dan dapat disesuaikan dengan kebutuhan penderita diabetes mellitus tipe 3. Analisa komprehensif mengenai cara belajar pasien harus dilakukan sebelum DSME diberikan. Hal ini untuk membantu professional health care dalam menentukan metode DSME yang tepat untuk diterapkan.Kata kunci : DSME, edukasi, diabetes melitus, DM tipe 2, T2DM
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Battaglia, Filippo, Mario Collotta, Luca Leonardi, Lucia Lo Bello und Gaetano Patti. „Novel Extensions to Enhance Scalability and Reliability of the IEEE 802.15.4-DSME Protocol“. Electronics 9, Nr. 1 (09.01.2020): 126. http://dx.doi.org/10.3390/electronics9010126.
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The Deterministic and Synchronous Multichannel Extension (DSME) of the IEEE 802.15.4 standard was designed to fulfill the requirements of commercial and industrial applications. DSME overcomes the IEEE 802.15.4 limitation on the maximum number of Guaranteed Time Slots (GTS) in a superframe and it also exploits channel diversity to increase the communication reliability. However, DSME suffers from scalability problems, as its multi-superframe structure does not efficiently handle GTS in networks with a high number of nodes and periodic flows. This paper proposes the enhanceD DSME (D-DSME), which consists of two extensions that improve the DSME scalability and reliability exploiting a GTS within the multi-superframe to accommodate multiple flows or multiple retransmissions of the same flow. The paper describes the proposed extensions and the performance results of both OMNeT simulations and experiments with real devices implementing the D-DSME.
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Zhang, Xin, Baorong Xie, Shijie Liu, Xiaohua Tong, Rongli Ding, Huan Xie und Zhonghua Hong. „A Two-Step Block Adjustment Method for DSM Accuracy Improvement with Elevation Control of ICESat-2 Data“. Remote Sensing 14, Nr. 18 (07.09.2022): 4455. http://dx.doi.org/10.3390/rs14184455.
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Digital surface models (DSMs) have been widely utilized in various applications as fundamental geographic information data. Block adjustment is normally performed on satellite images to enhance the geometric accuracy and DSMs are then generated by stereo mapping. However, new errors may be introduced during the stereo mapping processing and geometric discrepancies between DSMs may still exist. In particular, block adjustment is difficult for multisource satellite images. Therefore, this paper presents a two-step block adjustment approach directly performed on DSMs, with high-accuracy ICESat-2 laser altimetry data used as elevation control. In the method, DSM tie-point matching, elevation control/check point selection from ICESat-2 laser points, and planar and elevation block adjustments are performed in sequence. In the experiments, ZY-3 satellite stereo images and corresponding generated DSMs, as well as SRTM and ALOS DSMs, are used for verification. The experimental results show that the absolute elevation accuracy and the relative geometric consistency of the DSMs are both significantly improved after two-step DSM block adjustment and it can efficiently improve the accuracy, not only for DSMs acquired by the same sensor type, but also for DSMs acquired by different sensor types, which demonstrates the feasibility and advantage of the proposed method.
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Azissah, Danur. „PENGARUH DIABETIK SELF MANAGEMENT EDUCATION (DSME) TERHADAP RESIKO TERJADINYA ULCUS DIABETIK“. JURNAL MEDIA KESEHATAN 10, Nr. 1 (15.11.2018): 084–88. http://dx.doi.org/10.33088/jmk.v10i1.328.
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The sufferers’ incapable in carried out DM type 2 is one of the most caused it. Diabetic Self-Management Education (DSME) is the method which can stimulate of patients’ knowledge; skill andability in doing the self-care for prevent the ulcers’ diabetic. The aim of this research is to find out theinfluence of DSME toward the risk of consistence of ulcers’ diabetic for path treatment’s patients ofmellitus diabetes (MD) type 2 at Pukesmas Jalan Gedang of Bengkulu’s working area in year 2016.The method of this research is quasi-experimental with pre-test and post-test approach. SimpleRandom Sampling is used to divided the 66 respondent in 2 groups i.e. intervention and controlgroups. The result showed that the influence of DSME toward risk of consistence of ulcers’ diabeticbefore DSME (p=0,329) whereas, after DSME (p=0,020); with improvement of knowledge beforeDSME (p=0,135),after DSME (p=0,027); and leg treatment behavior before DSME (p=0,135)whereas, after DSME (p=0,041); as well as self-confidence before DSME (p=0,454) whereas, afterDSME (p=0,002) by value (≤α=0,05). It can conclude that there is a significant influence of DSMEtoward risk of consistence of ulcers’ diabetic for path treatment’s patients of mellitus diabetes (MD)type 2 at Pukesmas Jalan Gedang Bengkulu’s Working Area in year 2016. This research can be inputinformation for the health’s staff. In order, it can give the knowledge and the health promotion aboutthe influence of DSME toward the risk of consistence of ulcers’ diabetic.
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Kamanzi, Ntakirutimana G. „Educational Programs for Patients with Diabetes: Challenges and Effectiveness“. RESEARCH INVENTION JOURNAL OF PUBLIC HEALTH AND PHARMACY 3, Nr. 3 (05.09.2024): 61–66. http://dx.doi.org/10.59298/rijpp/2024/336166.
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Diabetes self-management education (DSME) is integral to managing diabetes, a chronic condition affecting millions globally. DSME programs aim to equip patients with essential knowledge and skills to manage their diabetes effectively and enhance their quality of life. This review assesses the challenges and effectiveness of current DSME programs. Key challenges include a lack of individualization, cultural and socioeconomic barriers, inadequate health literacy, and difficulties in achieving sustained behavioral change. Despite these challenges, DSME programs have shown potential in improving clinical outcomes, enhancing quality of life, and being cost-effective. Effective strategies to improve DSME include personalizing education to meet individual needs, integrating behavioral support techniques, addressing cultural and socioeconomic factors, and utilizing digital technologies. Addressing these challenges through tailored, evidence-based approaches and ongoing support can enhance the impact of DSME programs. Future research should focus on refining these strategies and exploring innovative methods to optimize diabetes education. Keywords: Diabetes self-management education (DSME), Diabetes management, Patient education, Behavioral change
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Diani, Noor, Maulidya Septiany und Lola Illona Elfani Kausar. „The Effect of Self-Management Education on Distress of Type 2 Diabetes Mellitus Patients in Ulin General Hospital Banjarmasin, South Kalimantan, Indonesia“. Berkala Kedokteran 14, Nr. 1 (01.03.2018): 9. http://dx.doi.org/10.20527/jbk.v14i1.4529.
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Abstract: The purpose of this study was to analyze the effect of diabetes self management education (DSME) on distress of type 2 diabetes melitus patients which is hospitalized in Ulin General Hospital. This Study used Pre-Experiment with One Group Pretest-Posttest Design. The sample size was 32 patients. The results showed that the average of emotional burden before and after DSME was decrease, with difference number 0.325. The result of Distress among healthcare services before and after DSME was increase (0.211). The result of distress due to diabetes management before and after DSME was decrease (0.119). The result of distress interpersonal relationship before and after DSME was up (0,021). The analysis used Wilcox on Sign Rank test with p= 0,135 (p> 0,05) for emotional distress, p = 0,443 (p> 0,05) for Distress healthcare worker, p = 0.656 (p> 0.05) for distress due to diabetes management. P=0,527 (p>0,05) for Distress interpersonal relationship. The conclusion was there is no significant difference of distress level before and after DSME. It is shown that there is no effect of DSME on distress among patients with diabetes mellitus. Keywords: Diabetes Mellitus, Distress, Diabetes Self-Management Education (DSME)
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Reagan, Louise, Katherine Pereira, Vanessa Jefferson, Kathryn Evans Kreider, Susan Totten, Gail D’Eramo Melkus, Constance Johnson und Allison Vorderstrasse. „Diabetes Self-management Training in a Virtual Environment“. Diabetes Educator 43, Nr. 4 (23.06.2017): 413–21. http://dx.doi.org/10.1177/0145721717715632.
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Diabetes self-management training (DSMT) improves diabetes health outcomes. However, low numbers of patients receive DSMT. Using virtual environments (VEs) for DSMT is an innovative approach to removing barriers for patients. The purpose of this paper is to describe the experience of health professionals and diabetes educators establishing and teaching DSMT in a VE, Diabetes LIVE© (Learning in Virtual Environments), and the implications for future use of VEs in DSMT. It was found that providing DSMT in a VE preserves real-time interaction between patients and educators. To facilitate ongoing patient learning and engagement, the DSMT curriculum was expanded beyond the core content as “Above and Beyond” topics. Using a VE for DSMT presents challenges and opportunities. Challenges include overcoming technological barriers and improving comfort levels to orient educators and patients to the functionality of the VE. Opportunities include overcoming barriers to reaching patients, particularly given the diabetes epidemic and relatively small number of diabetes educators. Using a VE also affords a simulated community for experiential learning. VEs may become powerful tools for diabetes and other health educators to reach patients. Ongoing education and support are vital to successful self-management of chronic disease.
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Ke, Xinchen, Tianhao Wu, Guiyun Gao, Songchun Yang, Wenrui Lin, Yi Xiao, Minxue Shen et al. „Delay in Seeking Medical Attention and Diagnosis in Chinese Melanoma Patients: A Cross-Sectional Study“. International Journal of Environmental Research and Public Health 19, Nr. 22 (12.11.2022): 14916. http://dx.doi.org/10.3390/ijerph192214916.
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Melanoma is a highly malignant skin tumor, and prolonged delay in seeking medical attention (DSMA) and delay in diagnosis (DD) may result in poor prognoses. Through a web-based questionnaire, we explored the related factors affecting the DSMA and DD of melanoma in a Chinese population. A total of 112 valid answer sheets were received. After obtaining the relevant information, we analyzed the factors associated with DSMA and DD. The median time of DSMA was 8.0 (quartiles: 1.0, 29.3) months, and the median of patients’ DD was 1.0 (quartiles: 1.0, 8.3) month. The subsequent analysis showed that DSMA and DD were positively correlated to age and negatively correlated to education background and annual household income. Patients with a history of tumors or previous health-seeking behavior because of other skin lesions had significantly longer DSMA than those without. Patients who sought medical help at general tertiary hospitals for the first time had a significantly shorter DD than those who chose other hospitals. Our study found that DSMA and DD are associated with factors such as age, education, income, and patients’ histories. Secondary prevention of Chinese melanoma should be strengthened to reduce DSMA and DD to improve patients’ prognoses.
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Carmienke, Solveig, Jens Baumert, Lars Gabrys, Marcus Heise, Thomas Frese, Christin Heidemann und Astrid Fink. „Participation in structured diabetes mellitus self-management education program and association with lifestyle behavior: results from a population-based study“. BMJ Open Diabetes Research & Care 8, Nr. 1 (März 2020): e001066. http://dx.doi.org/10.1136/bmjdrc-2019-001066.
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ObjectiveWhether participation in structured diabetes self-management education programs (DSME) for participants with diabetes mellitus is associated with a healthy lifestyle in routine care apart from randomized-controlled studies remains unclear and is this studies’ research question.Research design and methodsWe identified 1300 persons with diabetes mellitus drawn from the cross-sectional population-based analysis German Health Update 2014/2015 (GEDA 2014/2015), which integrated the modules of the European Health Interview Survey (EHIS) wave 2. Of those, 816 were ever-DSME participants and 484 never-participants. We conducted multivariable weighted logistic regression analyses for lifestyle differences comparing ever-DSME and never-DSME participants. Lifestyle was defined by physical activity (PA), current smoking, fruit/vegetable consumption and body mass index (BMI). Age, sex, socioeconomic status, living together, limitation due to health problems for at least for 6 months, self-efficacy and attention to one’s health were included as confounders in the regression models.ResultsEver-DSME participants engaged significantly more often in cycling at least 1 day per week (OR 1.62, 95% CI: 1.15–2.30) and performed significantly more often aerobic endurance training of 150 min per week (including walking: OR 1.42, 95% CI: 1.03–1.94, without walking: OR 1.48, 95% CI: 1.08–2.03) compared with never-DSME participants. Ever-DSME participants were significantly more often ex-smoker compared with never-DSME participants (OR 1.39, 95% CI: 1.03–1.88). DSME attendance was not significantly associated with current smoking, BMI and fruit or vegetable consumption.ConclusionDSME participation is associated with a moderately healthier lifestyle particularly for PA even in routine healthcare. Study results emphasize the importance of a broadly dissemination of DSME access for nationwide diabetes healthcare. Future studies should adjust for DSME participation when investigating lifestyle in persons with diabetes.
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Yoshida, Yilin, Dongzhe Hong, Elizabeth Nauman, Eboni G. Price-Haywood, Alessandra N. Bazzano, Charles Stoecker, Gang Hu et al. „Patient-specific factors associated with use of diabetes self-management education and support programs in Louisiana“. BMJ Open Diabetes Research & Care 9, Suppl 1 (Dezember 2021): e002136. http://dx.doi.org/10.1136/bmjdrc-2021-002136.
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IntroductionThe prevalence of diabetes self-management education and support (DSME/S) use among patients with newly diagnosed type 2 diabetes mellitus (T2DM) and patients with insulin prescription has not been evaluated. It is also unclear what demographic, behavioral, and clinical factors associated with use of DSME/S.Research design and methodsThis retrospective analysis was based on electronic health records from the Research Action for Health Network (2013–2019). Patients with newly diagnosed T2DM were identified as 35–94 year-olds diagnosed with T2DM≥1 year after the first recorded office visit. Patients with insulin were identified by the first insulin prescription records. DSME/S (Healthcare Common Procedure Coding System G0108 and G0109) codes that occurred from 2 months before the ‘new diagnosis date’ or first insulin prescription date through 1 year after were defined as use of DSME/S. Age-matched controls (non-users) were identified from the Electronic Health Records (EHR). The date of first DSME/S record was selected as the index date. Logistic regression was used to estimate the associations between patient factors and use of DSME/S.ResultsThe prevalence of DSME/S use was 6.5% (8909/137 629) among patients with newly diagnosed T2DM and 32.7% (13,152/40,212) among patients with diabetes taking insulin. Multivariable analysis found that among patients with newly diagnosed T2DM, black and male patients were less likely to use DSME/S, while in patients with insulin, they were more likely to use the service compared with white and female counterparts, respectively. Among patients taking insulin, those with private insurance or self-pay status were significantly less likely, while those with Medicaid were more likely to use the service compared with their Medicare counterparts. A strong positive association was found between HbA1c, obesity, and DSME/S use in both cohorts, while hypertension was negatively associated with DSME/S in both cohorts.ConclusionWe showed a low rate of DSME/S use in Louisiana, especially in patients with newly diagnosed T2DM. Our findings demonstrated heterogeneity in factors influencing DSME/S use between patients with newly diagnosed T2D and patients with insulin.
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Raczko, Anna M., Janusz M. Bujnicki, Marcin Pawłowski, Renata Godlewska, Magdalena Lewandowska und Elżbieta K. Jagusztyn-Krynicka. „Characterization of new DsbB-like thiol-oxidoreductases of Campylobacter jejuni and Helicobacter pylori and classification of the DsbB family based on phylogenomic, structural and functional criteria“. Microbiology 151, Nr. 1 (01.01.2005): 219–31. http://dx.doi.org/10.1099/mic.0.27483-0.
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In Gram-negative bacterial cells, disulfide bond formation occurs in the oxidative environment of the periplasm and is catalysed by Dsb (disulfide bond) proteins found in the periplasm and in the inner membrane. In this report the identification of a new subfamily of disulfide oxidoreductases encoded by a gene denoted dsbI, and functional characterization of DsbI proteins from Campylobacter jejuni and Helicobacter pylori, as well as DsbB from C. jejuni, are described. The N-terminal domain of DsbI is related to DsbB proteins and comprises five predicted transmembrane segments, while the C-terminal domain is predicted to locate to the periplasm and to fold into a β-propeller structure. The dsbI gene is co-transcribed with a small ORF designated dba ( dsbI-accessory). Based on a series of deletion and complementation experiments it is proposed that DsbB can complement the lack of DsbI but not the converse. In the presence of DsbB, the activity of DsbI was undetectable, hence it probably acts only on a subset of possible substrates of DsbB. To reconstruct the principal events in the evolution of DsbB and DsbI proteins, sequences of all their homologues identifiable in databases were analysed. In the course of this study, previously undetected variations on the common thiol-oxidoreductase theme were identified, such as development of an additional transmembrane helix and loss or migration of the second pair of Cys residues between two distinct periplasmic loops. In conjunction with the experimental characterization of two members of the DsbI lineage, this analysis has resulted in the first comprehensive classification of the DsbB/DsbI family based on structural, functional and evolutionary criteria.
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Kartika, Kartika. „Variasi Diabetes Self Management Education terhadap Ankle Brachial Index pada Pasien DM di RSUD Tengku Chik Ditiro“. Jurnal Kesehatan Global 4, Nr. 3 (30.09.2021): 119–26. http://dx.doi.org/10.33085/jkg.v4i3.4948.
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Diabetes Tipe 2 merupakan salah satu yang disebabkan karena pola hidup yang tidak sehat. seperti terlau banyak konsumsi gula dan kurang beraktivitas. Tujuan dari penelitian ini yaitu menganalisis efektivitas variasi Diabetes Self Management Education (DSME) terhadap Ankle Brachial Index (ABI) pada pasien DM Tipe 2 RSUD Tengku Chik Ditiro. Jenis penelitian yang dilakukan dalam penelitian ini adalah Experimen Semu pretest-postest dengan kontrol. Penelitian dilaksanakan di RSUD Tengku Chik Ditiro. Sampel dalama penelitian ini sebanyak 45 orang dengan ketentuan pada setiap kelompok 1:1:1 dimana masing-masing kelompok terdapat 15 orang. Penelitian ini melakukan pengukuran ABI sebelum dan sesudah diberikan DSME. Analisis data menggunakan lain uji paired-test dan uji annova. Hasil bivariat didapatkan pada kelompok kontrol p=0,461 0,05 artinya pada kelompok kontrol tidak didapaykan perbedaan nilai ABI, sedangkan pada kelompok DSME p=0,000 dan pada kelompok variasi DSME p=0,000 0,05 yang artinya terdapat perbedaan nilai ABI sebelum dan sesudah dilakukkannya DSME dan variasi DSME pada pasien DM. Penelitian menyimpulkan bahwa DSME dan variasi DSME memiliki keefektivan yang sama dalam meningkatkan nilai ABI pada Pasien DM Tipe 2 RSUD Tengku Chik Ditiro. Diharapkan kepada para pasien DM tipe 2 untuk konsisten dalam melakukan perawatan kaki karena terbukti dapat memperlancar aliran darah kaki
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Correia, Ilídio J., Catarina M. Paquete, Ana Coelho, Claudia C. Almeida, Teresa Catarino, Ricardo O. Louro, Carlos Frazão et al. „Proton-assisted Two-electron Transfer in Natural Variants of Tetraheme Cytochromes fromDesulfomicrobiumSp.“ Journal of Biological Chemistry 279, Nr. 50 (28.09.2004): 52227–37. http://dx.doi.org/10.1074/jbc.m408763200.
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The tetraheme cytochromec3isolated fromDesulfomicrobium baculatum(DSM 1743)(Dsmb) was cloned, and the sequence analysis showed that this cytochrome differs in just three amino acid residues from the cytochromec3isolated fromDesulfomicrobium norvegicum(Dsmn): (DsmnXXDsmb) Thr-37 → Ser, Val-45 → Ala, and Phe-88 → Tyr. X-ray crystallography was used to determine the structure of cytochromec3fromDsmb, showing that it is very similar to the published structure of cytochromec3fromDsmn. A detailed thermodynamic and kinetic characterization of these two tetraheme cytochromesc3was performed by using NMR and visible spectroscopy. The results obtained show that the network of cooperativities between the redox and protonic centers is consistent with a synergetic process to stimulate the hydrogen uptake activity of hydrogenase. This is achieved by increasing the affinity of the cytochrome for protons through binding electrons and, reciprocally, by favoring a concerted two-electron transfer assisted by the binding of proton(s). The data were analyzed within the framework of the differences in the primary and tertiary structures of the two proteins, showing that residue 88, close to heme I, is the main cause for the differences in the microscopic thermodynamic parameters obtained for these two cytochromesc3. This comparison reveals how replacement of a single amino acid can tune the functional properties of energy-transducing proteins, so that they can be optimized to suit the bioenergetic constraints of specific habitats.
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Hwang, Kwang-il, und Sung-wook Nam. „Analysis and Enhancement of IEEE 802.15.4e DSME Beacon Scheduling Model“. Journal of Applied Mathematics 2014 (2014): 1–15. http://dx.doi.org/10.1155/2014/934610.
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In order to construct a successful Internet of things (IoT), reliable network construction and maintenance in a sensor domain should be supported. However, IEEE 802.15.4, which is the most representative wireless standard for IoT, still has problems in constructing a large-scale sensor network, such as beacon collision. To overcome some problems in IEEE 802.15.4, the 15.4e task group proposed various different modes of operation. Particularly, the IEEE 802.15.4e deterministic and synchronous multichannel extension (DSME) mode presents a novel scheduling model to solve beacon collision problems. However, the DSME model specified in the 15.4e draft does not present a concrete design model but a conceptual abstract model. Therefore, in this paper we introduce a DSME beacon scheduling model and present a concrete design model. Furthermore, validity and performance of DSME are evaluated through experiments. Based on experiment results, we analyze the problems and limitations of DSME, present solutions step by step, and finally propose an enhanced DSME beacon scheduling model. Through additional experiments, we prove the performance superiority of enhanced DSME.
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Yang, Yi, Si Ya Dong Xiong, Zi Nan Wang, Yong Xiao Li, Cheng Long Liu, Chao Peng, Zhen Rong Zhang und Zheng Bin Li. „Improved Frequency Shifting Realization for the Delayed Self-Heterodyne Interferometric Linewidth Measurement“. Applied Mechanics and Materials 303-306 (Februar 2013): 843–46. http://dx.doi.org/10.4028/www.scientific.net/amm.303-306.843.
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A new implementation of frequency shifting for the delayed self-heterodyne interferometer (DSHI) is proposed in this paper. In order to avoid the costly and complicated acoustic-optic modulator to shift frequency in the DSHI, we propose that a phase modulator can be used instead. The alternative strategy simplifies the complexity of the DSHI setup, as well as reduces the modulation-induced noise by modulating the two arms of DSHI at the same time. Theoretical and experimental analysis show that such a strategy successfully fulfills the frequency shifting function for the DSHI and accurate measurement of a laser’s linewidth and lineshape is realized correspondingly.
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Riemenschneider, Henna, Sarama Saha, Stephan van den Broucke, Helle Terkildsen Maindal, Gerardine Doyle, Diane Levin-Zamir, Ingrid Muller et al. „State of Diabetes Self-Management Education in the European Union Member States and Non-EU Countries: The Diabetes Literacy Project“. Journal of Diabetes Research 2018 (2018): 1–10. http://dx.doi.org/10.1155/2018/1467171.
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Background. Diabetes self-management education (DSME) is considered essential for improving the prevention and care of diabetes through empowering patients to increase agency in their own health and care processes. However, existing evidence regarding DSME in the EU Member States (EU MS) is insufficient to develop an EU-wide strategy. Objectives. This study presents the state of DSME in the 28 EU MS and contrasts it with 3 non-EU countries with comparable Human Development Index score: Israel, Taiwan, and the USA (ITU). Because type 2 diabetes mellitus (T2DM) disproportionately affects minority and low-income groups, we paid particular attention to health literacy aspects of DSME for vulnerable populations. Methods. Data from multiple stakeholders involved in diabetes care were collected from Feb 2014 to Jan 2015 using an online Diabetes Literacy Survey (DLS). Of the 379 respondents (249 from EU MS and 130 from ITU), most were people with diabetes (33% in the EU MS, 15% in ITU) and care providers (47% and 72%). These data were supplemented by an expert survey (ES) administered to 30 key informants. Results. Access to DSME varies greatly in the EU MS: an average of 29% (range 21% to 50%) of respondents report DSME programs are tailored for people with limited literacy, educational attainment, and language skills versus 63% in ITU. More than half of adult T2DM patients and children/adolescents participate in DSME in EU MS; in ITU, participation of T1DM patients and older people is lower. Prioritization of DSME (6.1 ± 2.8 out of 10) and the level of satisfaction with the current state of DSME (5.0 ± 2.4 out of 10) in the EU MS were comparable with ITU. Conclusion. Variation in availability and organization of DSME in the EU MS presents a clear rationale for developing an EU-wide diabetes strategy to improve treatment and care for people with diabetes.
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Desai, Salina, Stephanie Byrd und Amer Kim. „Nurses’ self-efficacy and knowledge: A pre- and post- study on reeducation for patient self-management of Type 2 diabetes mellitus“. Journal of Nursing Education and Practice 15, Nr. 3 (24.11.2024): 38. http://dx.doi.org/10.5430/jnep.v15n3p38.
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Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic health condition with the potential for poor health outcomes that can be limited by good patient education and self-management approaches. Nurse-led diabetes self-management education (DSME) can reduce hospitalizations, support optimal blood glucose levels, and lower hemoglobin A1C. The goal of this study was to establish and maintain expertise for long term care (LTC) facility nurses in DSME. The project's purpose was to determine whether DSME increases LTC nurse knowledge about T2DM management, and whether it increases self-efficacy of LTC nurses to deliver DSME discharge training.Methods: This project utilized a quasi-experimental prospective comparative pre and posttest design to examine the effect of DSME training for licensed practical and registered nurses practicing in Chicagoland LTC facilities. Knowledge was measured utilizing a pre-and-posttest survey before and after the educational intervention and analyzed with the Wilcoxen signed-rank test. The online survey included a questionnaire to assess nurses' knowledge about T2DM and DSME and self-efficacy for delivering DSME. Descriptive statistics analyzed demographic data and questionnaire responses. Data analysis was performed IBM's Statistical Package for the Social Sciences.Results: Ten participants completed the survey. Post-test scores increased following the education session with a p-value (.03689) for the variable “knowledge in treating low blood sugar,” suggesting the DSME educational training increased LTC nurse knowledge. The average-pre-post-confidence level scores were significant (p = .01198), indicating that education on T2DM and DSME increases nurse knowledge about T2DM management and increases their self-efficacy for delivering T2DM education.Conclusions: This study demonstrated a link between T2DM management knowledge and DSME education programs for LTC nurses. The study's findings emphasize the need for ongoing education to increase nurse knowledge, self-efficacy and confidence for providing T2DMcare to improve patient outcomes.