These data provide a mechanism to explain the inhibitory activity

These data provide a mechanism to explain the inhibitory activity of the antibodies.”
“Microspheres of corn starch and amylose were prepared by precipitating starch paste solution check details with absolute ethanol. The V-type crystalline structure was observed in the obtained microspheres. By storing the microspheres at three temperature conditions under 95% RH, constant temperatures at 8 degrees C and 30 degrees C as well as temperature cycles at 8 degrees C for 1 day and at 30 degrees C for 1 day, for different periods of time, changes

in crystalline structure of the microspheres were investigated by X-ray diffraction (XRD) analysis. The results showed that the diffraction peaks of V-type crystalline structure vanished after the temperature treatments. Retrogradation yielding A-type crystalline structure took place in all the corn starch microspheres and only the amylose microspheres with 8 degrees C/30 degrees C treatment.

Comparing with the isothermal treatments, the temperature cycling accelerated retrogradation of the microspheres. (C) 2013 Elsevier B.V. All rights reserved.”
“Purpose of review

Increasingly, screening of both deceased and living donor organs has led to the early detection of kidney stones prior to donation. A number of transplant recipients will selleck products still present with donor-gifted and de-novo stones. A range of treatment modalities is available in the management of renal transplant stones.

Recent findings

Stones can be pretreated in the (living) donor prior to transplantation, managed at the time of transplantation or

treated in the recipient post-transplant. The options include conservative management, extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy, ureteroscopy or open surgery depending on the size and location of the stone(s). Various techniques to deal with a transplant kidney are described. Ex-vivo ureteroscopy or pyeloscopy can safely render a kidney-stone free prior to transplantation and in living donors this means without subjecting the living donor to an additional stone removing procedure.

Summary

The OICR-9429 cost cause of renal transplant lithiasis is multifactorial. More research is needed to understand the factors associated with de-novo stone formation. Early detection of donor-gifted stones can allow stones to be removed at the time of transplantation. Close follow up of both living donors and transplant recipients is necessary to ensure long-term safety is maintained.”
“Objective: To determine whether advanced age was independently associated with prohibitive surgical risks or impaired long-term prognosis after ruptured aortic aneurysm repair.

Design: Post-hoc analysis of prospective cohort.

Materials: Consecutive patients undergoing ruptured aneurysm repair between January 2001 and December 2010 at a tertiary referral centre.

Methods: Surgical mortality (i.e.

Subsequently, they underwent decalcification and were stained for

Subsequently, they underwent decalcification and were stained for histologic analysis.

Results. There was no significant difference between groups at 6 weeks after operation. In the mu-CT results, however, tissue mineral content in the experimental group at 12 weeks after operation was 132.09 +/- 4.41 and that in the control group was 126.42 +/- 6.62 (P = .011). Tissue mineral density in the experimental group was 2,088.88 +/- 648.34, and that in the control group was 2,029.72 +/- 668.22 (P see more = .013). The results of the histomorphometric analysis were in accordance with the mu-CT results. The total new bone was 49.86 +/- 7.49% in the control group at

12 weeks after the operation and 59.83 +/- 10.92% in the experimental group (P = .021).

Conclusion. A combined application of Choukroun PRF with acid-digested silk fibroin showed more rapid bone healing than unfilled control. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e33-e38)”
“Methods: Results of clinical data and find more contrast venography of 302 consecutive patients scheduled for first ICD implantation were analyzed.

Results: Prevalence

of upper vein obstruction was 6.6% (20/302 patients) in a typical patient population undergoing first ICD implantation. Age, left ventricular ejection fraction, underlying heart disease, prior open-heart surgery, or cardiopulmonary resuscitation were not predictors of obstruction. Patients with previous cardiac pacemaker implantation had a higher rate of obstruction,

though this was not statistically significant (20% vs 15.7%, P = 0.54). Persistent left vena cava was found in 0.7%.

Conclusion: There is no clinical parameter sufficient enough to predict upper extremity venous obstruction. Contrast venography may be considered in patients with previous pacemaker placement but should not be a routine diagnostic tool in unselected patients prior to first ICD-implantation procedure. (PACE 2011; 1-6).”
“P>Shoot branching is one of the major determinants of plant architecture. Polar auxin transport click here in stems is necessary for the control of bud outgrowth by a dominant apex. Here, we show that following decapitation in pea (Pisum sativum L.), the axillary buds establish directional auxin export by subcellular polarization of PIN auxin transporters. Apical auxin application on the decapitated stem prevents this PIN polarization and canalization of laterally applied auxin. These results support a model in which the apical and lateral auxin sources compete for primary channels of auxin transport in the stem to control the outgrowth of axillary buds.”
“Objective. This study aimed at elucidating the influence of insertion protocol and implant shoulder design on periimplant soft tissue healing.

Study design. One month after removal of all maxillary premolars in 12 minipigs, 4 implants were installed in each quadrant. According to implant shoulder design, 3 groups were established: 1) rough, 0.4 mm; 2) smooth, 3 mm; and 3) smooth, 0.


“Thoracic sympathectomy is a commonly performed surgical p


“Thoracic sympathectomy is a commonly performed surgical procedure for the treatment of palmar hyperhidrosis. However, one major complication of such a procedure is compensatory truncal hyperhidrosis. We describe an extreme case of compensatory truncal hyperhidrosis and anhidrosis over the head and neck region which led to a heatstroke. Bilateral reoperative needlescopic video-assisted thoracic surgery was performed for the reversal of thoracic sympathectomy

selleckchem with an interposition intercostal nerve graft. The patient’s truncal hyperhidrosis resolved gradually over 1 month following the reversal procedure.”
“This contribution provides an overview of approaches to correlate sow fertility data with boar semen quality characteristics. Large data sets of fertility data and ejaculate data are more suitable to analyse effects of semen quality characteristics on field fertility. Variation in fertility in sows is large. The effect of semen factors is relatively small and therefore impossible to find in smaller

data sets. Large data sets allow for statistical corrections on both sow- and boar-related parameters. Remaining sow fertility variation can then be assigned to semen quality parameters, which is of huge interest to AI (artificial insemination) companies. Previous studies of Selleckchem AZ 628 Varkens KI Nederland to find the contribution to field fertility of (i) the number of sperm cells in an insemination dose, (ii) the sperm motility and morphological defects and (iii) the age of semen at the moment of insemination are discussed in context of the possibility to apply

such knowledge to select boars on the basis of their sperm parameters for AI purposes.”
“Aim: This is the first study to identify the factors associated with hyperventilation during actual cardiopulmonary resuscitation (CPR) in the emergency department (ED).

Methods: All CPR events in the ED were recorded by video from April 2011 to December 2011. The following variables were analysed using review of the recorded CPR data: ventilation rate (VR) during each minute and its associated factors including provider factors (experience, advanced cardiovascular life support (ACLS) certification), clinical CH5183284 factors (auscultation to confirm successful intubation, suctioning, and comments by the team leader) and time factors (time or day of CPR).

Results: Fifty-five adult CPR cases including a total of 673 min sectors were analysed. The higher rates of hyperventilation (VR > 10/min) were delivered by inexperienced (53.3% versus 14.2%) or uncertified ACLS provider (52.2% versus 10.8%), during night time (61.0 versus 34.5%) or weekend CPR (53.1% versus 35.6%) and when auscultation to confirm successful intubation was performed (93.5% versus 52.8%) than not (all p < 0.0001). However, experienced (25.3% versus 29.7%; p = 0.448) or certified ACLS provider (20.6% versus 31.3%; p < 0.0001) could not deliver high rate of proper ventilation (VR 8-10/min).

Treatment with intravenous acyclovir

Treatment with intravenous acyclovir S3I-201 was initiated before the appearance of eruptions in 3 of 18 patients (all 3 survived) with vesicular eruptions, the same

day in 12 patients (11 survived, 1 died), and after the appearance in 3 patients (1 survived, 2 died). The overall mortality was 20%. Conclusion In conclusion, these data confirm that the incidence of visceral VZV infection is infrequent, but this disease is serious. When patients being treated with immunosuppressive agents demonstrate abdominal pain or unconsciousness, the possibility of visceral VZV infection should be considered as well as earlier therapeutic intervention.”
“Premature progesterone rise during gonadotrophin-releasing hormone (GnRH) antagonist cycles for IVF is a frequent phenomenon and has been associated with lower pregnancy and implantation rates. This study evaluated endometrial gene expression on the day of oocyte retrieval according to the concentration of serum progesterone on the day of human chorionic gonadotrophin (HCG) administration in GnRH-antagonist/recombinant FSH IVF cycles with fresh embryo transfer. Endometrial biopsies (n = 14) were analysed with Affymetrix HG U133 Plus 2.0 Arrays. Patients were divided into three groups according to their progesterone serum concentration on

the day of HCG administration: <= SNX-5422 purchase 0.9 ng/ml (group A), 1-1.5 ng/ml (group B) and >1.5 ng/ml (group C). Gene expression analysis showed a small number of significantly differentially expressed probe sets between groups A and B (five up/23 down in B) and a large difference between groups B and C (607 up/212 down; P <= 0.05, fold change >= 1.4). Validation was performed with quantitative real-time PCR on selected genes. As far as Emricasan chemical structure is known, this is the first study to demonstrate a distinct difference in endometrial gene expression profile between patients with a progesterone serum concentration

above and below the threshold of 1.5 ng/ml on the day of HCG administration. (C) 2010, Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.”
“Objective. To analyse the management of muscle-invasive bladder cancer in a population-based national register, and specifically to investigate the role of curative therapy (i.e. cystectomy or radiotherapy) in relation to patient, tumour and hospital characteristics. Material and methods. The Swedish Bladder Cancer Register covers more than 90% of all patients in the country who have been diagnosed with such disease since 1997. Results from 1997-2003 were analysed regarding curative-intent treatment given within 3-6 months of diagnosis of muscle-invasive bladder cancer. Results. In total, 3463 patients with clinical T2-T4 bladder cancer were included in the analysis. Of those patients, 1426 (41%) received curative-intent treatment in the form of radiotherapy (285, 20%) or cystectomy (1141, 80%).

For females, the improvement in initial period of undisturbed sle

For females, the improvement in initial period of undisturbed sleep was 2.53hr for desmopressin ODT 25100 mu g, compared with 1.32.6hr for males. No gender difference in efficacy was seen in the tablet studies. Conclusions The decrease in nocturnal voids and improvement in sleep with short-term desmopressin treatment were maintained throughout long-term treatment. A durable gender difference in efficacy in favor of females was observed with desmopressin ODT 25 mu g. Further, large-scale long-term trials are needed to confirm the durability of efficacy with gender-specific doses of desmopressin. Neurourol. Urodynam. 32: 363370, 2013. (c) 2012 Wiley Periodicals, Inc.”
“Kiwi

seed oil has a nutritionally interesting fatty acid profile, but a rather low oxidative stability, which requires Selleck SIS 3 careful extraction procedures and adequate packaging and storage. For these reasons and with the aim to achieve process intensification with shorter extraction

Z-DEVD-FMK time, lower energy consumption and higher yields, four different non-conventional techniques were experimented. Kiwi seeds were extracted in hexane using classic Soxhlet as well as under power ultrasound (US), microwaves (MWs; closed vessel) and MW-integrated Soxhlet. Supercritical CO2 was also employed and compared to the other techniques in term of yield, extraction time, fatty acid profiles and organoleptic properties. All these non-conventional techniques are fast, effective and safe. A sensory evaluation test showed the presence of off-flavours in oil samples extracted by Soxhlet and US, an indicator of partial degradation.”
“Aim To evaluate the prevalence and risk factors of urinary incontinence (UI) and its effects on quality of life in women aged between 35

and 64 years. Methods Data were obtained from the 2005 National Health Interview survey, in which 4,661 women aged between 35 and 64 years responded to questions concerning UI occurrence and health-related quality AZD1208 JAK/STAT inhibitor of life (HRQL), assessed using the Short Form 36, Taiwan version. Chi-square tests and multiple logistic regressions were applied to analyze comorbidity and risk factors of UI. Multivariable liner regression was used to evaluate the association between UI and HRQL. Results The weighted UI prevalence in Taiwanese women aged 3544, 4554 years, and 5564 years were 14.7%, 24.7%, and 32.4%, respectively. After adjustment, increased age, greater parity, higher BMI (body mass index), former HRT use, having a psychiatric disease, hyperlipidemia, and respiratory disease were identified as significant UI risk factors. Women with UI had significantly lower scores on all SF-36 dimensions. After adjusting for other factors, UI remained a significant predictor of all domains of SF-36 and was associated with reduced physical (by 2.31 points) and mental (by 2.76 points) component summary scores. From a mental health perspective, UI had a greater influence on HRQL than diabetes, hyperlipidemia, and chronic kidney disease.


“Polyamines are molecules involved in cell growth and diff


“Polyamines are molecules involved in cell growth and differentiation and are produced by bacterial metabolism. However, their production and effects by the microbiota selected by fructooligosaccharides consumption are controversial. In this study, we investigated the influence of supplementation of fructooligosaccharides on the cecal polyamine production by the microflora selected, and its effect on gut

maturation in newborn piglets. Twenty piglets were fed a control formula (n = 10) or a formula supplemented with fructooligosaccharides (8 g/I) (n = 10) for 13 days. Colony-forming unit’s count of cecal content was done in different media. Several intestinal development parameters were measured as well as the polyamine concentration in the cecal mucosa and cecal content. A dose-dependent study on in vitro polyamine production by fructooligosaccharides

addition to the isolated cecal content was Buparlisib in vitro performed. Bifidogenic activity of fructooligosaccharides increased polyamine concentration Etomoxir in vitro in the cecal content, mainly putrescine, with no beneficial effect on gut maturation. Bifidobacterium spp. were able to produce polyamines, but they were not the most significant bacterial producer of polyamines in the cecum of piglets fed fructooligosaccharides. Bifidogenic activity of fructooligosaccharides did not lead to an increase in gut maturation in piglets of 15 days of age although polyamines were increased in the cecal content.”
“The data on the effects of polymerization duration, cocatalyst, and monomer concentrations upon ethylene polymerization in the absence of hydrogen, and the

effect of an additional Dinaciclib manufacturer chain transfer agent (hydrogen) on the molecular weight (MW), molecular weight distribution (MWD), and content of vinyl terminal groups for polyethylene (PE) produced over the supported titanium-magnesium catalyst (TMC) are obtained. The effects of these parameters on nonuniformity of active sites for different chain transfer reactions are analyzed by deconvolution of the experimental MWD curves into Flory components. It has been shown that the polymer MW grows, the MWD becomes narrower and the content of vinyl terminal groups in PE increases with increasing polymerization duration. It is assumed to occur due to the reduction of the rate of chain transfer with AlEt(3) with increasing polymerization duration. The polydispersity of PE is found to rise with increasing AlEt(3) concentration and decreasing monomer concentration due to the emergence of additional low molecular weight Flory components. The ratios of the individual rate constants of chain transfer with AlEt(3), monomer and hydrogen to the propagation rate constant have been calculated. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 122: 3092-3101, 2011″
“We present 2 cases of intraocular lens (IOL) dislocation that appeared shortly after the patients exercised on a vibration platform.

This study examined the role of antigen-presenting dendritic cell

This study examined the role of antigen-presenting dendritic cells (DC) in restoration of host immunity. Circulating DC were isolated from peripheral blood of 23 patients with CHB before and 1, 3, and 12 months after starting lamivudine therapy. The non-antigen-specific proliferation of DC was assessed in allogenic

mixed leucocyte reaction. Dendritic cells were cultured with hepatitis B surface antigen (HBsAg) to prepare HBsAg-pulsed DC. Proliferative capacity and production of interleukin (IL)-12 and interferon (IFN)-gamma of HBsAg-pulsed GSI-IX cell line DC were evaluated. Circulating unpulsed DC and HBsAg-pulsed DC showed

significantly higher levels of T-cell proliferation capacities 1 month after lamivudine therapy compared to proliferation levels before therapy (P < 0.05). HBsAg-pulsed DC also produced significantly higher levels of IL-12 SHP099 research buy and IFN-gamma with lamivudine therapy compared to levels before therapy (P < 0.05). HBsAg-pulsed DC from lamivudine-treated patients induced proliferation of T cells of patients with CHB in an antigen-specific manner (P < 0.05). However, T-cell stimulatory capacity of DC did not increase significantly 3 and 12 months after lamivudine therapy compared to 1 month after lamivudine therapy. Immune restoration as a result of lamivudine therapy is regulated at least in part by activation of DC. However, progressive activation of DC was not seen as treatment duration progressed,

indicating the limitations of this mechanism of viral clearance.”
“A rich thermal magnetic phase diagram has been determined by magneto-optical Kerr magnetometry and microscopy in a He+ ion irradiated selleck products ultrathin Pt/Co(0.5 nm)/Pt film. The components of the net magnetization and the evolution and disappearance of the ribbonlike magnetic domain pattern have been studied in the perpendicular to in-plane spin reorientation transition temperature region. As observed in a dipolar frustrated ferromagnet, the ribbon pattern blurs progressively with increasing the temperature as due to efficient spatial fluctuations. We emphasize the limitation of present theories for interpreting such a type of dynamic transition. (C) 2010 American Institute of Physics. [doi:10.1063/1.

We are developing a DR-specific quality of life (QoL) item bank,

We are developing a DR-specific quality of life (QoL) item bank, and we report here on the qualitative results from the first phase of this project.

Methods Eight focus groups and 18 semi-structured interviews were conducted with 57 patients with DR. The sessions were transcribed https://www.selleckchem.com/products/4-hydroxytamoxifen-4-ht-afimoxifene.html verbatim and iteratively analysed using the constant comparative method and NVIVO software.

Results Participants had a median age of 58 years (range 27-83 years). Twenty-seven (47%) participants had proliferative DR in the better eye, and 14 (25%) had clinically significant macular oedema. Nine QoL domains were identified,

namely visual symptoms, ocular surface symptoms, vision-related activity limitation, mobility, emotional well-being, health concerns, convenience,

social, and economic. Participants described many vision-related activity limitations, particularly under challenging lighting conditions; however, socioemotional issues were equally important. Participants felt frustrated Selleckchem MDV3100 due to their visual restrictions, concerned about further vision loss and had difficulty coping with this uncertainty. Restrictions on driving were pervasive, affecting transport, social life, relationships, responsibilities, work and independence.

Conclusions Patients with DR experience many socioemotional issues in addition to vision-related activity limitations. Data from this study will be used to generate data for a DR-specific QoL item bank.”
“We model the effects of a quasibound photonic state that can exist within a substrate/metal film/Bragg reflector/air structure. The photonic state is confined as a result of total internal reflection at the air interface coupled with the effect of the photonic band gap of the Bragg reflector. The presence of the thin metallic film ensures that distinctive features are observable in the associated reflectivity spectrum. With an appropriately chosen metal layer thickness, light is able to penetrate into the structure but

is then effectively trapped, leading to a greatly increased field intensity at the air interface and PF-02341066 datasheet an associated sharp feature in the reflectivity. The sensitivity of the reflectivity feature to structural details and angle of incidence and the property of substantial field enhancement suggest that the structure could be of use in sensor/detector technology and nonlinear optics applications.”
“We investigate electronic energy level alignment and photocurrent in crystalline silicon/organic/semitransparent metal heterojunction diodes. Optically thin films of poly[2-methoxy,5-(2(')-ethyl-hexyloxy)-1,4-phenylene vinylene] (MEH-PPV), poly(9,9-dioctylfluorene) [PFO], pentacene (Pc), and C(60) were deposited on n and p type Si wafers and diode structures were formed by depositing either a Au anode or Al cathode onto the organic film.


“Complex regional pain syndrome-type I (CRPS-I; reflex sym


“Complex regional pain syndrome-type I (CRPS-I; reflex sympathetic dystrophy) is a chronic pain condition that usually follows a deep-tissue injury such as fracture or sprain. The cause of

the pain is unknown. We have developed an animal model (chronic post-ischemia pain) that creates CRPS-I-like symptomatology. The model is produced by occluding the blood flow to one hind paw for 3 hours under general anesthesia. Following reperfusion, the treated hind paw exhibits an initial phase of hyperemia and edema. This is followed by mechano-hyperalgesia, mechano-allodynia, and cold-allodynia that lasted for at least 1 month. Light microscopic analyses and electron microscopic analyses of the nerves at the site MI-503 ic50 of the tourniquet show

that the majority of these animals have no sign of injury to myelinated or unmyelinated axons. However, electron microscopy shows that the ischemia-reperfusion injury produces a microvascular injury, slow-flow/no-reflow, in the capillaries of the hind paw muscle and digital nerves. We propose that the slow-flow/no-reflow phenomenon initiates and maintains deep-tissue ischemia and inflammation, leading to the activation selleck chemicals of muscle nociceptors, and the ectopic activation of sensory afferent axons due to endoneurial ischemia and inflammation.

These data, and a large body of clinical evidence, suggest that in at least a subset of CRPS-I patients, the fundamental cause of the abnormal pain sensations is ischemia and inflammation due to microvascular pathology in deep tissues, leading to a combination of inflammatory and neuropathic pain processes. Moreover, we suggest a unifying idea that relates the pathogenesis LY2090314 cell line of CRPS-I to that of CRPS-II. Lastly, our hypothesis suggests that the role of the sympathetic nervous system in CRPS-I is a factor that is not fundamentally causative, but may have an important contributory role in early-stage disease.”
“The herbal medicine, maoto, has been traditionally prescribed to patients with influenza in Japan. To better understand the efficacy of maoto for the treatment of influenza, a randomized trial was conducted for comparison with

oseltamivir or zanamivir. Adult patients with influenza symptoms, including fever, positive for quick diagnostic kit for influenza within 48 h of fever onset were assessed for enrollment. The data of 28 patients randomly assigned to maoto (n = 10), oseltamivir (n = 8), or zanamivir (n = 10) were analyzed for the duration of fever (> 37.5A degrees C) and total symptom score from symptom cards recorded by the patient. Viral isolation and serum cytokine measurements were also done on days 1, 3, and 5. Maoto granules, a commercial medical dosage form, are made from four plants: Ephedra Herb, Apricot Kernel, Cinnamon Bark, and Glycyrrhiza Root. Median durations of fever of patients assigned maoto, oseltamivir, or zanamivir were 29, 46, or 27 h, respectively, significantly different for maoto and oseltamivir.

6 and < 4 1 mmol/L were put on diet for 12 weeks Those still

6 and < 4.1 mmol/L were put on diet for 12 weeks. Those still having a BMI a parts per thousand yen25 kg/m(2) received orlistat 120 mg thrice daily for another 24 weeks.

BMI was significantly reduced by 1.7% after 12 weeks of dietary

treatment. The 24-week orlistat treatment resulted in further significant reduction in BMI (-2.8%) and LDL-C (-7.0%).

Diet and orlistat treatment significantly reduced BMI and improved LDL-C in obese patients with CAD and hypercholesterolemia.”
“This review provides an analysis of recent data on the mechanisms of degradation of lignocellulosic materials and xenobiotics by basidiomycetes. Special attention is given to the analysis of the current state of research of ligninolytic enzymes and their involvement in the degradation of xenobiotics. Data on the practical BTSA1 concentration use of basidiomycetes for bioconversion of industrial wastes Daporinad cost are systematized. The most promising areas of bioconversion technologies are considered, such as contaminated water purification (including wastewater), cleanup of soils contaminated with heavy metals and xenobiotics, and degradation of difficult-to-degrade substrates (lignin and lignocellulose wastes, low-energy coal, and synthetic polymers). DOI: 10.1134/S000368381106007X”
“Objective: The purpose of this study is to assess the modality of laryngeal histopathology in

identifying 1, 2, or 3 layers in the lamina propria.

Methods: Blinded analysis was performed, with a set of histophathologic slides where the magnification and localized regions shown were all standardized. Two senior pathologists with experience reviewing laryngologic histophathology were asked AZD1080 datasheet to assess whether the vocal fold lamina propria they evaluated

contained 1, 2, or 3 layers. Their ability to accurately assess this was calculated.

Results: The first pathologist correctly identified 13 of 25 (52%) specimens. The second identified 19 of 25 (76%) specimens after receiving gold referents before the test. No significant difference was seen between the pathologists’ interpretations (McNemar test; p = 0.0833).

Conclusion: Our results show the difficulty of using histopathology to distinguish layers in the lamina propria even when the reviewers are senior pathologists. These findings imply that more objective modalities for such analyses may be beneficial. (C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“The aim of this research was to determine whether an intensive, nurse-led clinic could achieve recommended vascular risk reduction targets in patients with type 2 diabetes as compared to standard diabetes management.

Two hundred patients with type 2 diabetes were recruited to receive either intensive nurse-led or standard diabetes care in a 1-year open study.

In each group 94 patients completed the study. The groups were matched for age and baseline HbA1c, blood pressure and lipid profiles.