Foot care practices of diabetic patients in Saudi Arabia

Diabetic foot is a serious complication that causes lower extremity amputations. The aim of this study was to identify the patient’s awareness about risk factors for diabetic foot disease and to explore the knowledge and foot care practices among diabetic patients in a Saudi population. This cross-sectional study was conducted in King Khalid University Hospital (KKUH), King Abdulaziz University Hospital (KAUH), King Fahad Medical City, National Guard Hospital, Military Hospital, and Prince Salman Hospital capital city of Saudi Arabia. Patients were eligible if they had diabetes foot disease, signed the consent form, and completed the questionnaire. We selected 350 patients from different hospitals between November-2011 and April-2012. The majority of patients (68%) were selected from King Saud University hospitals. The mean age of patients was 50.87 ± 15.9 years with a range of 20–90 years. The majority of patients were male (64.3%) and had a family history of hypertension (55.4%), high total cholesterol (58.6%), and other diabetes (58.9%). A family history of smoking, a major risk factor for diabetic foot, was found in 20.3% of cases. Sixty percent of the patients were using oral medications, 27.1% were using insulin therapy, 10% were using both oral and insulin therapies, and 10% were on diet. In our study, 19.4% of participants were illiterate while 80.6% had a high school or university level education. Our findings also revealed that some patients had a lack of knowledge concerning diabetic foot disease and future complications. Patients are unaware of the risk factors for diabetes foot and practice poor foot care. Awareness programs should be mandatory in all hospitals and diabetes clinics to help compensate for the lack of awareness and lack of podiatric educational services. Such programs may decrease the risk of diabetes foot disease.     

康复运动对冠脉支架植入术后患者相关因素的影响

目的：研究心脏康复运动对冠脉支架植入术后患者血脂、血糖、体重指数及生活质量的影响。方法：对实施冠脉支架植入术的 146例患者进行比较分析，根据随机原则分为试验组76 例及对照组70 例。对照组患者给予常规的健康教育及冠心病二级预防指 导，给予定期随访。试验组患者在此基础上给予规律的康复运动指导。经过6 个月随访，比较两组患者血脂、HbA1C、体重指数及 生活质量情况。结果：试验组患者通过为期6 个月的规律的心脏康复运动指导，其血脂、HbA1C等冠心病危险因素控制情况优于 对照组，差异有统计学意义(P<0.05)。同时，6个月后，试验组康复运动六月后sF 量表各项评分与对照组同期比较，差异均有统计 学意义(P<0.05)。结论：规范的心脏康复运动指导能够有效改善冠脉支架植入术后患者血脂、血糖情况，提高患者生活质量。     

When the Background Matters: Using Scenarios from Integrated Assessment Models in Prospective Life Cycle Assessment

Prospective life cycle assessment (LCA) needs to deal with the large epistemological uncertainty about the future to support more robust future environmental impact assessments of technologies. This study proposes a novel approach that systematically changes the background processes in a prospective LCA based on scenarios of an integrated assessment model (IAM), the IMAGE model. Consistent worldwide scenarios from IMAGE are evaluated in the life cycle inventory using ecoinvent v3.3. To test the approach, only the electricity sector was changed in a prospective LCA of an internal combustion engine vehicle (ICEV) and an electric vehicle (EV) using six baseline and mitigation climate scenarios until 2050. This case study shows that changes in the electricity background can be very important for the environmental impacts of EV. Also, the approach demonstrates that the relative environmental performance of EV and ICEV over time is more complex and multifaceted than previously assumed. Uncertainty due to future developments manifests in different impacts depending on the product (EV or ICEV), the impact category, and the scenario and year considered. More robust prospective LCAs can be achieved, particularly for emerging technologies, by expanding this approach to other economic sectors beyond electricity background changes and mobility applications as well as by including uncertainty and changes in foreground parameters. A more systematic and structured composition of future inventory databases driven by IAM scenarios helps to acknowledge epistemological uncertainty and to increase the temporal consistency of foreground and background systems in LCAs of emerging technologies.     

Can transposable element copy number distribution parameters be estimated from natural populations of Drosophila melanogaster?

The copy frequency distribution of a transposable element family in a Drosophila melanogaster natural population is generally characterised by the values of the Charlesworths' model parameters α and β (Charlesworth & Charlesworth, 1983). The estimation of these parameters is made using the observed distribution of the occupied sites in a population sample. Several results have been interpreted as due either to the influence of stochastic factors or to deterministic factors (transposition, excision, selection…). The accuracy of this method was tested by estimations performed on samples from simulated populations. The results show that with the sample size usually used for natural population studies, the confidence intervals are too large to reasonably deduce either the element copy number distribution or the values of transposition and excision rate and selective coefficients.     

A short-range endemic species from south-eastern Atlantic Rain Forest shows deep signature of historical events: phylogeography of harvestmen Acutisoma longipes (Arachnida: Opiliones)

The Brazilian Atlantic Rain Forest is amongst the most diverse biomes in the world, but the processes that shaped its biodiversity are still poorly understood. We used one mitochondrial and two nuclear markers to evaluate the phylogeographic patterns of the endemic harvestman Acutisoma longipes and its closely related species to investigate the biogeographic history of this biome. The results showed low intrapopulation diversity and strong population structure, suggesting poor dispersion amongst locations. Phylogenetic analyses pointed to three main mitochondrial lineages congruent with the geomorphology of the south-eastern region of Brazil (Serra do Mar, Serra da Mantiqueira, and interior plateau). These older divergences occurred in the middle-Neogene, suggesting that events in this period drove the diversification of the species, but Quaternary events also affected the populations locally. We detected some congruence between A. longipes demographic patterns and the areas of endemism delimited for harvestmen, suggesting that some regions of the distribution could have been more stable in the past (especially in Serra da Mantiqueira). Our findings corroborate that harvestmen are a suitable group for the study of ancient biogeographic events in the Atlantic Rain Forest, even at small-scale ranges. Acutisoma hamatum is here considered as a new junior synonym of A. longipes.     

Coping with drought: diapause plasticity in katydid eggs at high,mid-, and low elevations

1. Semi-arid rangeland productivity is limited by precipitation, and yet droughts are projected to increase in frequency and duration with unknown impacts on insect populations. As some katydids prolong diapause and remain in an egg bank as a blastoderm for multiple growing seasons, is it possible that drought could prolong diapause and promote outbreaks by synchronising embryonic development and hatching of Mormon crickets, Anabrus simplex, after moisture is restored? 2. In this study, a high-elevation Wyoming population (WY) was compared with a mid-elevation Idaho (ID) and a low-elevation Oregon population (OR). It was predicted that eggs from the drier ID and OR habitats would be more tolerant of desiccation. Developmental state and water loss of eggs were measured after drought treatments, and when moisture was restored. 3. The two drier treatments had significantly more WY eggs prolonging diapause until after drought ended compared with the two wetter treatments. Whether WY eggs developed in the second or subsequent warm periods was independent of drought treatments. Significantly fewer OR embryos developed in the driest treatment compared with the others, whereas almost all ID eggs developed irrespective of the drought treatment. 4. In conclusion, Mormon crickets can delay embryonic development to improve drought tolerance. Although drought did not synchronise development and hatching, diapause plasticity allowed insects to cope and await more favourable conditions. 5. Unexpectedly, eggs from WY (the highest, wettest site) were more tolerant, because postponing development resulted in less water loss than in developed embryos. OR egg loss was also reduced by prolonging diapause, relative to ID, which developed in even the driest conditions.