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Findings. The following profiles of participants emerged: Disease Manager, Compliant, and Disheartened, with no initial differences in metabolic control. However, during the programme Disease Managers achieved good glycaemic control and succeeded in maintaining the reduction in their blood glucose for a longer period than those in other categories: their haemoglobin A1c level was reduced by -035 at 6 months P 0000 ; , -030 at 12 months P 0001 ; , and -028 at 24 months P 0001 ; after baseline. Compliant participants had a good everyday routine and a -018 reduction at 6 months P 0028 ; but no statistically significant haemoglobin A1c level reduction later. A smaller group of people, the Disheartened, reported difficulties in living with diabetes and did not succeed in decreasing their haemoglobin A1c by statistically significant amounts. Conclusion. Healthcare professionals could use our three open-ended questions to assist in understanding people's views of their role in disease management so that health promotion and education can be tailored to individual needs. JOURNAL OF CLINICAL NURSING VOL 15 NUMB 10 October 2006 p.1336 Living with a diabetic foot ulcer: a phenomenological study Sonia Watson-Miller JOURNAL OF THE ROYAL SOCIETY OF MEDICINE VOL 99 August 2006 p.415-416 Relapsing and remitting insulin requiring diabetes : type 1 or type 2? Sze, C. et al Presents a case of ketosis prone type 2 diabetes an unusual presentation of diabetes seen predominantly in African-Caribbean patients. MEDICAL CLINICS OF NORTH AMERICA [shelved at 610.07] VOL 90 NUMB 4 2006 pp. 627-646 Disease-Focused or Integrated Treatment: Diabetes and Depression. Egede, L. E. NURSING TIMES VOL 102 NUMB 35 29 August 2006 p.7 Three simple measures predict type 2 diabetes refers to article in Journal of Internal Medicine 2006, for example, macrodantin sulfa.
Neuropathic pain Quality described as "numbness, burning, pins and needles, or horrible". The involved extremity shows a marked hypersensitivity to even the slightest touch. Usually found in trigeminal neuralgias, post herpetic neuralgia, diabetic neuropathy, peripheral neuropathy, and cancer involving brachial plexus, lumbar or sacral plexus and brain tumors, post chemotherapy neuropathy. Suggested drug regimen: Adjuvants Antidepressent Tricyclics.
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BIBLIOGRAPHY 1. Clarke R.J. and Macrae R. Coffee 1 : Chemistry. Elsevier Applied Science Publishers Ltd. London 1985 Clarke R.J. and Macrae R. Coffee 3 : Physiology. Elsevier Applied Science Publishers Ltd London 1988. Clifford M.N. and Willson K.C. Coffee : Botany, Biochemistry and production of beans and beverage. Chapman and Hall London 1985 Debry G. Coffee and Health John Libbey Eurotext Paris 1994 IARC Mongraphs on the Evaluation of Carcinogenic Risk to Humans. Volume 51 : Coffe, Tea, Mat, Methylxanthines and Methylglyoxal. Lyon : International Agency for Research on Cancer 1991 Willson K.C. and Clifford M.N. Tea : Cultivation to consumption. Champan and Hall, London 1992.
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Heifer development is an important area of research for scientists at the Brandon Research Centre in Manitoba. One particular study under way involves introducing bulls to the heifers and assessing the effects this has on the establishment of female puberty and pregnancy. Brandon scientists demonstrated that introducing sterilized bulls to heifers nearing puberty aided in the establishment of regular estrous cycles in the females. In turn, heifers with regular estrous cycles showed an 81% higher first-service pregnancy rate. On the other hand, exposing females to bulls too soon before puberty had the opposite effect, causing irregular estrous cycles and significantly lower first-service pregnancy rates.
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