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“What’s the Point?”: Understanding Why People With Type 2 Diabetes Decline Structured Education

Structured diabetes education (SDE) is an evidence-based intervention that supports self-management in people with type 2 diabetes. In the United Kingdom, health care providers working in primary care settings are responsible for referring people with type 2 diabetes to SDE programs. However, national audits record a high percentage of nonattenders. We explored the personal experience of living with type 2 diabetes that led to individuals declining invitations to attend SDE programs. The themes suggested that emotional, cognitive, and social issues related to diagnosis and living with diabetes may be responsible for declining to attend SDE and that these factors may be masked by explanations of practical barriers. A person-centered approach to understanding the personal meaning of being diagnosed and living with type 2 diabetes may help to identify individuals’ psychosocial barriers to attending SDE.




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Further Guidance in Implementing the Standardized 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Score

The 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Score was developed to establish a simple, standardized scoring system for researchers to quantify adherence to the 2018 WCRF/AICR Cancer Prevention Recommendations and assess its impact on cancer risk and other health-related outcomes. The aim of this commentary is to clarify potential points of ambiguity in its application, focusing on aspects related to specific subscore components (physical activity, fast foods, alcohol, and sugar-sweetened drinks), how to address different data needs due to varied data collection instruments, and future exploratory score approaches. Overall, we encourage researchers to utilize the standardized score to enhance comparability across populations and countries. Researchers who may adapt or augment the 2018 WCRF/AICR Score are strongly encouraged to provide detailed descriptions of their methods to promote transparency and reproducibility.




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Increased Notching of the Corpus Callosum in Fetal Alcohol Spectrum Disorder: A Callosal Misunderstanding? [PEDIATRICS]

BACKGROUND AND PURPOSE:

In the medicolegal literature, notching of the corpus callosum has been reported to be associated with fetal alcohol spectrum disorders. Our purpose was to analyze the prevalence of notching of the corpus callosum in a fetal alcohol spectrum disorders group and a healthy population to determine whether notching occurs with increased frequency in the fetal alcohol spectrum disorders population.

MATERIALS AND METHODS:

We performed a multicenter search for cases of fetal alcohol spectrum disorders and included all patients who had a sagittal T1-weighted brain MR imaging. Patients with concomitant intracranial pathology were excluded. The corpus callosum was examined for notches using previously published methods. A 2 test was used to compare the fetal alcohol spectrum disorders and healthy groups.

RESULTS:

Thirty-three of 59 patients with fetal alcohol spectrum disorders (0–44 years of age) identified across all centers had corpus callosum notching. Of these, 8 had an anterior corpus callosum notch (prevalence, 13.6%), 23 had a posterior corpus callosum notch (prevalence, 39%), and 2 patients demonstrated undulated morphology (prevalence, 3.4%). In the healthy population, the anterior notch prevalence was 139/875 (15.8%), posterior notch prevalence was 378/875 (43.2%), and undulating prevalence was 37/875 (4.2%). There was no significant difference among the anterior (P = .635), posterior (P = .526), and undulating (P = .755) notch prevalence in the fetal alcohol spectrum disorders and healthy groups.

CONCLUSIONS:

There was no significant difference in notching of the corpus callosum between patients with fetal alcohol spectrum disorders and the healthy population. Although reported to be a marker of fetal alcohol spectrum disorders, notching of the corpus callosum should not be viewed as a specific finding associated with fetal alcohol spectrum disorders.




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Comparison of Enhancement of the Vestibular Perilymph between Variable and Constant Flip Angle-Delayed 3D-FLAIR Sequences in Meniere Disease [HEAD & NECK]

BACKGROUND AND PURPOSE:

Endolymphatic hydrops in patients with Menière disease relies on delayed postcontrast 3D-FLAIR sequences. The purpose of this study was to compare the degree of perilymphatic enhancement and the detection rate of endolymphatic hydrops using constant and variable flip angles sequences.

MATERIALS AND METHODS:

This was a retrospective study performed in 16 patients with Menière disease who underwent 3T MR imaging 4 hours after gadolinium injection using two 3D-FLAIR sequences with a constant flip angle at 140° for the first and a heavily-T2 variable flip angle for the second. The signal intensity ratio was measured using the ROI method. We graded endolymphatic hydrops and evaluated the cochlear blood-labyrinth barrier impairment.

RESULTS:

Both for symptomatic and asymptomatic ears, the median signal intensity ratio was significantly higher with the constant flip angle than with the heavily-T2 variable flip angle (7.16 versus 1.54 and 7.00 versus 1.45, P < .001). Cochlear blood-labyrinth barrier impairment was observed in 4/18 symptomatic ears with the heavily-T2 variable flip angle versus 8/19 with constant flip angle sequences. With heavily-T2 variable flip angle sequences, endolymphatic hydrops was observed in 7–10/19 symptomatic ears versus 12/19 ears with constant flip angle sequences. We found a significant association between the clinical symptomatology and the presence of endolymphatic hydrops with constant flip angle but not with heavily-T2 variable flip angle sequences. Interreader agreement was always perfect with constant flip angle sequences while it was fair-to-moderate with heavily-T2 variable flip angle sequences.

CONCLUSIONS:

3D-FLAIR constant flip angle sequences provide a higher signal intensity ratio and are superior to heavily-T2 variable flip angle sequences in reliably evaluating the cochlear blood-labyrinth barrier impairment and the endolymphatic space.




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How to make your listing stand out from the crowd?

Every home seller wants to sell it fast and reach as many buyers as possible. Here are some tips to make your listing stand out to potential buyers from the crowd.




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AI hotel assistant persuades guests to use less water and electricity

An artificially intelligent eco-assistant can persuade hotel guests and staff to reduce their electricity use by up to a third




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Deepmind AI can understand the unusual atomic structure of glass

Glass has an unusual atomic structure that resembles a liquid frozen in place, making it hard to predict how it will behave. DeepMind has developed an AI capable of doing so, which may also be able to predict traffic jams




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AI taught to instantly transform objects in image-editing software

An image-editing program designed by researchers at Abode uses AI to let you quickly transform the shape of objects in images and change the lighting




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New Standard Adds Low-Power Wireless Charging to NFC

It's called the Wireless Charging Specification, or WLC for short.




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These Physicists Cannot Rest Until They Understand the Motions of Drunk Worms

While this experiment may sound odd, it could represent the start of a whole new field of research.




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We still don't understand a basic fact about the universe

Our measurements of the Hubble constant can't seem to come up with a consistent answer. What we learn next may alter our view of the cosmos, writes Chanda Prescod-Weinstein




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Interstellar comet Borisov came from a cold and distant home star

The interstellar comet Borisov, which flew past Earth in December, is full of carbon monoxide ice that implies its home star is smaller and colder than our sun




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Ripples in Earth’s atmosphere make distant galaxies appear to flash

Faraway galaxies have been spotted unexpectedly flashing up to 100 times their usual brightness, and it seems to be caused by eddies in Earth’s atmosphere




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SpaceX mission control to do social distancing for first crewed flight

SpaceX’s first crewed launch is planned for 27 May and will be run from a mission control with desks set six feet apart to comply with social distancing protocols




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Social-Distance Policing Is Racially Skewed; How to Fix It





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MERMAIDs detect distant earthquakes

Free-floating observatories record seismic waves to help study Earth's interior.




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Safely relaxing social distancing comes down to numbers

Your house number could be the key to the safe relaxation of COVID-19-related restrictions if governments follow a new exit strategy, which proposes the use of an 'odds-and-evens' approach to allowing people to head back to work and enjoy other activities after weeks of lockdown.




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Most critically ill patients with COVID-19 survive with standard treatment, study reveals

Clinicians from two hospitals in Boston report that the majority of even the sickest patients with COVID-19 -- those who require ventilators in intensive care units -- get better when they receive existing guideline-supported treatment for respiratory failure.




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Clay layers and distant pumping trigger arsenic contamination in Bangladesh groundwater

To avoid arsenic contamination, many Bangladeshi households access water via private wells drilled to 300 feet or less, beneath impermeable clay layers. Such clay layers have been thought to protect groundwater in the underlying aquifers from the downward flow of contaminants. However, a new study suggests that such clay layers do not always protect against arsenic, and could even be a source of contamination in some wells.




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Seven killed in protests over food distribution in Afghanistan, local MP says




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French Resistance hero Cecile Rol-Tanguy dies at age 101

French Resistance member Cecile Rol-Tanguy, who risked her life during World War II by working to liberate Paris from Nazi occupation, has died. Rol-Tanguy died on Friday at her home in Monteaux, in central France, as Europe commemorated the 75th anniversary of the surrender of Nazi Germany to Allied forces. The cause of her death was not disclosed by French officials.





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The Assistant review – eloquent sexual harassment drama

Julia Garner excels as a junior assistant to a predatory media mogul boss in Kitty Green’s powerfully understated #MeToo drama

A performance of few words but immense physical eloquence by Julia Garner anchors this impressively chilling #MeToo-era drama about workplace harassment and abuse. Following a day in the life of a young woman with dreams of making her mark in the film and television industry, it’s a sobering portrait of a dirty little secret that was brought into the news spotlight by the Harvey Weinstein scandal. All the more powerful for its understated tone, this low-key piece packs a hefty punch as it exposes the web of silence that enabled a very modern horror story.

Garner (who won an Emmy for her work on TV’s Ozark) is Jane, a high-achieving college graduate who finds herself on the bottom rung of the ladder as a junior assistant to an unnamed entertainment mogul in New York. The appointment may hold promises of great opportunities ahead, but for now it’s fairly soul destroying. An opening sequence, played out to the lonely strains of Tamar-kali’s sparse score, finds Jane being driven to the office before dawn, turning on the lights above her colleagues’ desks – first in, last out. Her tasks are menial yet weirdly demanding: making coffee, changing the paper in the photocopier, ordering lunch, and arranging travel and accommodation for an ever-changing roster of offhand executives and needy clients.

Continue reading...




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When Will Vegas Reopen? Social Distancing Guidelines for Casinos, Drive-Ins, and Restaurants

Restaurants and drive-in movie theatres are allowed to reopen in Las Vegas today, with casinos hoping to reopen by Memorial Day.




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Gilgit to Guwahati: Why Doordarshan’s new weather forecast will up temperatures in Pakistan

New Delhi, May 08: From Gilgit to Guwahati, Doordarshan and All India Radio have started forecasting the weather from across the territory of India. These Weather reports cover every small detail from every nook and corner of the country while highlighting





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Pet food can contain drug-resistant bacteria that may pass to humans

Some dogs and cats may be passing gut microbes to their owners that withstand last-resort antibiotics, which can be needed to fight off pneumonia from a coronavirus infection




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Ulsan hit four to set early K League standard

Ulsan are out to dethrone Jeonbuk Motors in the K League this season and made an excellent start on Saturday with a 4-0 home win.





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He will take a bit of time - Kaizer Chiefs assistant coach Bartlett asks for patience with Akumu

The legendary Bafana Bafana striker has backed the Amakhosi midfielder, who is facing stiff competition in midfield





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At least six killed in protests over food distribution in Afghanistan

At least six were killed when protesters angry over what they see as unfair food aid distribution during the coronavirus pandemic clashed with police in Afghanistan's western Ghor province on Saturday, according to officials.




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BBC backlash as social distancing IGNORED during on-air VE Day celebrations – 'Ridiculous'



BRITONS flocked outside to celebrate the 75th anniversary of VE Day yesterday, which caused major backlash online, especially against the BBC.




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No masks, little distancing at White House meeting

"So the only reason we would wear masks is if we were trying to protect ourselves from you, in the media," said Rep. Louie Gohmert, R-Texas.




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Morning Routines – the making of long-distance runner Scott Jurek – video

What ingredients are required to make an ultramarathon runner? In Boulder, Colorado, Scott Jurek has concocted quite the recipe that has kept him going the distance for the past two decades. He runs anywhere between 50 miles to over 150 miles, and in his lifetime has won over 20 ultramarathons, smashing records along the way. His passion for running kickstarted his morning regimen in 1997, when he cut out meat completely. In 1999, he transitioned to a plant-based diet, which has since fueled his long-distance running career. On an average day, Scott runs about 10 miles, and this is typically before the sun rises over the beautiful Boulder Flatirons.

What we do when we wake up in the morning sets the tone for our days and ultimately shapes our lives. In this new series, we take a look at how the hyper-successful among us have leveraged rituals to create the trajectories they want.

Continue reading...




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In a Tunnel Beneath Alaska, Scientists Race to Understand Disappearing Permafrost

What lies inside the icy cavern seems more and more like a captive, rare animal, an Earth form that might soon be lost




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How Evolution Helps Us Understand and Treat Cancer

A new book argues that controlling cancer is within reach if scientists are able to anticipate the evolution of resistance to traditional treatments




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Laser loop couples quantum systems over a distance

For the first time, researchers have succeeded in creating strong coupling between quantum systems over a greater distance. They accomplished this with a novel method in which a laser loop connects the systems, enabling nearly lossless exchange of information and strong interaction between them. The physicists reported that the new method opens up new possibilities in quantum networks and quantum sensor technology.




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Vanstone: A recipe for a socially distanced CFL season

Rob Vanstone has a sporting suggestion as to how a scaled-down Canadian Football League could salvage a semblance of a season.




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Boston Dynamics creepy robot dog is patrolling parks to encourage social distancing

Boston Dynamics robot dog, known as Spot, is patroling Bishan-Ang Mo Kio Park in Singapore to help with social distancing practices during the coronavirus pandemic, the Singapore government announced.




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Exclusive: U.S. drafts rule to allow Huawei and U.S. firms to work together on 5G standards - sources

The U.S. Department of Commerce is close to signing off on a new rule that would allow U.S. companies to work with China's Huawei Technologies on setting standards for next generation 5G networks, people familiar with the matter said.




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Australia beat Pakistan to qualify for World Cup semis

Tournament favourites Australia advanced into the semi-finals of the men's hockey World Cup on Monday after they beat Pakistan 2-1 in a pulsating match to finish top of Pool B.




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Mexican broadcaster Televisa grapples with steamy soaps in social-distancing era

Some of the top creative minds at Mexican broadcaster Televisa are puzzling over an unexpected challenge: crafting their signature soap operas without a single love scene, or even a tender kiss.




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Government urges UK to stick to social distancing rules over Easter break and &apos;stay the course&apos; in coronavirus battle

Follow our live Covid-19 updates HERE Coronavirus: The symptoms




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Dominic Raab says coronavirus lockdown &apos;not done yet&apos; as he urges Brits to &apos;keep going&apos; with social distancing this Easter

Follow our live Covid-19 updates HERE Coronavirus: The symptoms




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Food For London Now: Elite personal trainer hosts online workout to boost Evening Standard campaign

You can donate here at: virginmoneygiving.com/fund/FoodforLondonNOW




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Victoria Park reopens with major police presence to enforce social distancing

Follow our live coronavirus updates HERE Coronavirus: the symptoms




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US bishop who said &apos;God is larger than this dreaded virus&apos; and ignored social distancing guidelines dies after contracting coronavirus

Coronavirus: the symptoms Read our LIVE updates on the coronavirus here




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Coronavirus UK LIVE: Rishi Sunak warns of &apos;tough times&apos; ahead as experts say social distancing could last until 2022

Coronavirus: the symptoms




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Coronavirus social distancing may be needed on and off until 2022, says Harvard study

Coronavirus: the symptoms Follow our live updates here




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International Space Station crew lands safely in Kazakhstan after more than 200 days in orbit

The crew of three returned to a planet troubled by the coronavirus pandemic Coronavirus: the symptoms Read our LIVE updates on the coronavirus here




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Tributes to former Standard production editor who served paper for 25 years

Follow our live coronavirus updates here Coronavirus: the symptoms




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Footage of Westminster Bridge during Clap for our Carers applause prompts backlash over lack of social distancing

Follow our live coronavirus updates HERE Coronavirus: The symptoms