europa Sam Howell: ‘One day we might look for life directly on Europa’ By www.newscientist.com Published On :: Wed, 21 Aug 2024 19:00:33 +0100 Sam Howell tells New Scientist why NASA is so keen to visit Jupiter’s fourth-largest moon, Europa, and how the mission could help us figure out the likelihood of life elsewhere in the cosmos Full Article
europa Why NASA is sending a probe to Europa – and what it’s looking for By www.newscientist.com Published On :: Wed, 21 Aug 2024 17:00:00 +0100 Past observations have indicated that the icy moon of Jupiter has a vast subsurface ocean. Launching in October, NASA’s Europa Clipper will go there in search of evidence that it could support life Full Article
europa NASA set to launch Europa probe to search for signs of habitability By www.newscientist.com Published On :: Mon, 14 Oct 2024 12:51:03 +0100 A 6000-kilogram spacecraft will embark on a six-year journey to Jupiter to explore whether its icy moon Europa has the conditions to support life Full Article
europa NASA Launches Europa Clipper to Search for Signs of Life on Jupiter’s Moon By www.smithsonianmag.com Published On :: Mon, 14 Oct 2024 16:16:52 +0000 The huge spacecraft is headed toward the icy moon Europa, where it will use an array of instruments to survey for geologic activity, magnetism and more Full Article
europa Þáttasyrpa - Studien zu Literatur, Kultur und Sprache in Nordeuropa : Festschrift für Stefanie Gropper [Electronic book] / Anna Katharina Heiniger, Rebecca Merkelbach. By encore.st-andrews.ac.uk Published On :: [s.l.] : A. Francke Verlag, 2022. Full Article
europa Mehrsprachigkeit in der deutschsprachigen Presse des östlichen Europas / Multilingualism in the German-Language Press in Eastern Europe [Electronic book] / hrsg. von Jörg Meier. By encore.st-andrews.ac.uk Published On :: München ; Wien : De Gruyter Oldenbourg, [2023] Full Article
europa Europa PIX: Maguire to Manchester United's rescue By www.rediff.com Published On :: Fri, 04 Oct 2024 10:27:05 +0530 IMAGES from the Europa League matches played on Thursday Full Article
europa PIX: Man United log first Europa League win By www.rediff.com Published On :: Fri, 08 Nov 2024 09:13:39 +0530 The win leaves United in 15th place in the Europa League standings on six points from four games. Full Article
europa Europa Clipper: NASA’s billion-dollar mission to explore the potential for life on Jupiter’s Moon By www.thehindubusinessline.com Published On :: Tue, 15 Oct 2024 07:37:34 +0530 Embarking on a 1.8 million-mile journey from Kennedy Space Centre, the spacecraft is set to reach Jupiter in 5 1/2 years, utilising gravity assists from Mars and Earth Full Article Science
europa Europa report (2013) / directed by Sebastián Cordero [DVD]. By encore.st-andrews.ac.uk Published On :: [Germany] : Elite Film AG, [2013] Full Article
europa Man United stunned 1-1 by Dutch club Twente in revamped Europa League By www.thehindu.com Published On :: Thu, 26 Sep 2024 12:19:24 +0530 99% is not enough, You have to give 100%. You have kill the game. You have to finish it off, says Manchester United manager Erik ten Hag Full Article Football
europa Ten Hag demands Manchester United’s response in Europa League By www.thehindu.com Published On :: Wed, 02 Oct 2024 10:12:39 +0530 The record 20-time English champions are off to their joint-worst start in the Premier League era, collecting just seven points from six games and scoring a mere five goals Full Article Football
europa Man United draws at Porto in Europa League as Bruno Fernandes gets sent off again By www.thehindu.com Published On :: Fri, 04 Oct 2024 08:14:01 +0530 Substitute Harry Maguire came from the bench late to salvage a 3-3 draw for 10-man Manchester United at Porto in the Europa League Full Article Football
europa Jose Mourinho gets red card against Man United as Fenerbahce holds on for draw in Europa League By www.thehindu.com Published On :: Fri, 25 Oct 2024 03:58:24 +0530 Chelsea routed Panathinaikos 4-1 in Athens to make it two wins from two in the third-tier Conference League. Full Article Football
europa PIX: United log first Europa League win By www.rediff.com Published On :: The win leaves United in 15th place in the Europa League standings on six points from four games. Full Article
europa Europa League: Israel deploys rescue planes after football fans attacked in Amsterdam By indianexpress.com Published On :: Fri, 08 Nov 2024 09:01:51 +0000 Full Article Football Sports
europa PIX: Man United log first Europa League win By www.rediff.com Published On :: Fri, 08 Nov 2024 09:13:39 +0530 The win leaves United in 15th place in the Europa League standings on six points from four games. Full Article
europa http://ec.europa.eu/environment/integration/research/newsalert/pdf/334na2.pdf By ec.europa.eu Published On :: Thu, 27 Jun 2013 11:59:56 +0100 The development of Green Infrastructure (GI) in a UK case study has been researched in a recent study. Some issues caused by an imbalance in stakeholder power and conflicting roles played by major stakeholders were identified with the project. Stakeholder participation is central to the concept of GI and the research reiterates the importance for those implementing GI to ensure that participation is effective and balanced. Full Article
europa NASA keeps an eye on Mars, looks toward Europa By www.space.com Published On :: Tue, 03 Feb 2015 14:45:46 +0000 The White House budget proposal for NASA in 2016 calls for a $500 million boost over the 2015 enacted budget and would keep NASA on its path to Mars. Full Article Space
europa Studio Europa Leicht Announces Showroom Expansion in Anticipation of Summer 2018 Grand Opening, San Diego, CA By www.24-7pressrelease.com Published On :: Fri, 04 May 2018 07:00:00 GMT Studio Europa LEICHT, San Diego's exclusive LEICHT dealer, announces the opening of its second LEICHT showroom in San Diego. Located at 2064 Kettner Blvd, the showroom will feature the latest premium kitchen and home concepts from LEICHT. Full Article
europa Studio Europa LEICHT Celebrates Grand Opening of 2nd LEICHT Showroom, San Diego, CA By www.24-7pressrelease.com Published On :: Fri, 03 Aug 2018 07:00:00 GMT Studio Europa LEICHT announces the grand opening of its second LEICHT showroom in San Diego, featuring the latest kitchen and home concepts from LEICHT and premium appliances from our partners Gaggenau, Miele, Bosch, and Thermador. Full Article
europa STUDIO EUROPA LEICHT 1st Place Winner, Global Kitchen Design Competition By www.24-7pressrelease.com Published On :: Mon, 10 Dec 2018 07:00:00 GMT San Diego-based, Studio Europa LEICHT takes 1st Place in the 2018 LEICHT Global Kitchen Design Competition for the best kitchen design in the US. The award honors the exceptional design and planning that went into the winning San Diego kitchen. Full Article
europa Cutting-Edge Technology Accessible for Neuropathy Reversal By www.24-7pressrelease.com Published On :: Mon, 29 Jul 2019 07:00:00 GMT Low-level Light Therapy Provides a No Drug Approach to a Chronic Condition Full Article
europa Non-Surgical Innovative Procedures to Help Relieve Neuropathy Symptoms By www.24-7pressrelease.com Published On :: Thu, 16 Apr 2020 07:00:00 GMT Dallas Doctor Uses Non-Surgical Innovative Procedures to Help Relieve Neuropathy Symptoms with Great Success Full Article
europa SCCM Pod-394 Polyneuropathy in Critically Ill Mechanically Ventilated Children By sccm-audio.s3.amazonaws.com Published On :: Wed, 11 Sep 2019 15:30:00 -0500 Margaret M. Parker, MD, MCCM, speaks with Rakesh Lodha, MD, on his article titled Polyneuropathy in Critically Ill Mechanically Ventilated Children: Experience from Tertiary Care Hospital in North India, published the September issue of Pediatric Critical Care Medicine Full Article Medicine
europa Use of epidermal growth factor for the morphofunctional restoration of peripheral nerves in diabetic neuropathy By www.freepatentsonline.com Published On :: Tue, 04 Feb 2014 08:00:00 EST The invention relates to human medicine and to the use of epidermal growth factor (EGF) for preparing a pharmaceutical composition which is administered by infiltration into the periphery of nerve ganglia and/or trunks for the morphofunctional restoration of peripheral nerves in painful sensory-motor neuropathy as well as manifestations of ischemic neuritis. The invention also includes a composition containing EGF which can be formulated together with anesthetics or analgesics or encapsulated in microspheres and to the use thereof for the morphofunctional restoration of peripheral nerves in painful sensitive-motor-type diabetic neuropathy and the manifestations of ischemic neuritis. Full Article
europa Use of epidermal growth factor for the morphofunctional restoration of peripheral nerves in diabetic neuropathy By www.freepatentsonline.com Published On :: Tue, 19 May 2015 08:00:00 EDT The present invention is relevant to human medicine, and, in particular, to the use of Epidermal Growth Factor (EGF) in a pharmaceutical composition, said composition is administered through infiltration at the periphery of nerve trunks and/or ganglia, for the morphofunctional restoration of peripheral nerves in painful, sensory-motor neuropathy, as well as ischemic neuritis. It is also relevant to an EGF containing composition, where this molecule can be formulated together with anesthetic or analgesic drugs, or encapsulated in microspheres, and their use for the morphofunctional restoration of peripheral nerves in painful, sensory-motor neuropathy, as well as in ischemic neuritis. Full Article
europa Bayer Leverkusen sporting director Simon Rolfes wants Rangers behind closed doors to ensure Europa League conclusion By www.glasgowtimes.co.uk Published On :: Tue, 05 May 2020 08:00:00 +0100 Bayer Leverkusen sporting director Simon Rolfes has urged Uefa to allow his side to play Rangers behind closed doors - to ensure the tournament is completed this season. Full Article
europa Mit Geld allein lassen sich Südeuropas Probleme nicht lösen By www.welt.de Published On :: Wed, 06 May 2020 08:46:27 GMT Finanzhilfen für besonders von der Krise getroffene Länder wie Italien? Die Erfahrung mit der deutschen Währungsunion zeigt, dass das allein nicht reichen wird. Es gilt, die Wirtschaftsstruktur anzupassen. Dazu braucht es relative Preisänderungen. Full Article Geld
europa 150110-rassegna-stampa-europa By archive.org Published On :: Sat, 09 May 2020 18:30:40 GMT 12-Jan-2015 12:11.This item belongs to: audio/radio24.This item has files of the following types: Metadata Full Article audio/radio24
europa 12 países en Europa comenzaron a salir de la cuarentena By feedproxy.google.com Published On :: Tue, 05 May 2020 14:27:36 +0200 Full Article
europa Kommentar zum Europatag: Ach, Europa ... By www.tagesschau.de Published On :: Was ist nur aus dem großen Friedensprojekt Europa geworden? Für Alexander Göbel ist es eine Liebe mit herben Enttäuschungen, immer wieder zum Haare-Raufen. Und trotz der "Fortwurschtelei" ist es alternativlos. Full Article Kommentar
europa EU-Spitzen: Europa ist "momentan sehr zerbrechlich" By www.tagesschau.de Published On :: Die Spitzen der EU haben sich besorgt gezeigt über den Zustand der Gemeinschaft. Durch die Corona-Krise drohe eine Schwächung Europas - zulasten der Ärmsten. Erhebliche Kritik gibt es an den Grenzschließungen. Full Article Ausland
europa Feb 22: Live animal markets and viruses, largest turtle's horned shell, a robot for Europa and more… By www.cbc.ca Published On :: Fri, 21 Feb 2020 16:25:56 EST Jewel beetles iridescent camouflage, better talk on climate change and flying west Full Article Radio/Quirks & Quarks
europa GPR160 de-orphanization reveals critical roles in neuropathic pain in rodents By www.jci.org Published On :: Treating neuropathic pain is challenging and novel non–opioid-based medicines are needed. Using unbiased receptomics, transcriptomic analyses, immunofluorescence, and in situ hybridization, we found that the expression of the orphan GPCR Gpr160 and GPR160 increased in the rodent dorsal horn of the spinal cord following traumatic nerve injury. Genetic and immunopharmacological approaches demonstrated that GPR160 inhibition in the spinal cord prevented and reversed neuropathic pain in male and female rodents without altering normal pain response. GPR160 inhibition in the spinal cord attenuated sensory processing in the thalamus, a key relay in the sensory discriminative pathways of pain. We also identified cocaine- and amphetamine-regulated transcript peptide (CARTp) as a GPR160 ligand. Inhibiting endogenous CARTp signaling in spinal cord attenuated neuropathic pain, whereas exogenous intrathecal CARTp evoked painful hypersensitivity through GPR160-dependent ERK and cAMP response element–binding protein (CREB). Our findings de-orphanize GPR160, identify it as a determinant of neuropathic pain and potential therapeutic target, and provide insights into its signaling pathways. CARTp is involved in many diseases including depression and reward and addiction; de-orphanization of GPR160 is a major step forward understanding the role of CARTp signaling in health and disease. Full Article
europa Chaos reigns in detailed new views of Jupiter's icy moon Europa By feedproxy.google.com Published On :: Mon, 04 May 2020 19:43:22 +0000 Scientists have gotten their best look to date at three chaotic patches on the icy surface of Jupiter's moon Europa thanks to decade-old images from a long-defunct spacecraft. Full Article
europa Europa 2013 By www.travelblog.org Published On :: We should have taken it as a sign of what was to come a gruff taxi driver who reeked of cigarette smoke greeted us with little more than a grunt and yelled out arschloch half a dozen times during our short journey to the train station. One scary frau Full Article
europa In quarantine, Thomas Dolby's kids turn dad's hit "Europa..." into "Corona..." By feedproxy.google.com Published On :: Fri, 08 May 2020 07:00:30 PDT A couple of days ago, Thomas Dolby posted this video to Twitter and YouTube of a track called "Corona and the Pirate Twins," a spoof of his 1982 hit, "Europa and the Pirate Twins." The song is credited to Dolby Kids. Thomas included the following note: "This is what my mischievous offspring have been getting up to during the Lockdown." Here is the original video for "Europa..." Bonus track: And here is Thomas Dolby doing a touching home solo version of his achingly beautiful "Screen Kiss" from 1984's Flat Earth. He did it as a tribute to Matthew Seligman, the celebrated bassist who recently died of COVID-19. Seligman played bass on Dolby's recordings, including Flat Earth, and also played for Bowie, Robyn Hitchcock, Peter Murphy, and countless others. He was also a member of the Soft Boys. Image: YouTube Read the rest Full Article Post pop music Shut In Sounds social distancing Thomas Dolby
europa CBD News: Statement by Mr Ahmed Djoghlaf, Executive Secretary of the Convention on Biological Diversity, on the occasion of the 2009 Europarc Conference, 10 September 2009, Strömstad, Sweden. By www.cbd.int Published On :: Thu, 10 Sep 2009 00:00:00 GMT Full Article
europa Risk Factors for Diabetic Peripheral Neuropathy and Cardiovascular Autonomic Neuropathy in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study By diabetes.diabetesjournals.org Published On :: 2020-05-01 Barbara H. BraffettMay 1, 2020; 69:1000-1010Complications Full Article
europa Muscle Weakness: A Progressive Late Complication in Diabetic Distal Symmetric Polyneuropathy By diabetes.diabetesjournals.org Published On :: 2006-03-01 Christer S. AndreassenMar 1, 2006; 55:806-812Complications Full Article
europa Exosomes Derived From Schwann Cells Ameliorate Peripheral Neuropathy in Type 2 Diabetic Mice By diabetes.diabetesjournals.org Published On :: 2020-03-20T11:50:29-07:00 Schwann cell–derived exosomes communicate with dorsal root ganglia (DRG) neurons. The current study investigated the therapeutic effect of exosomes derived from healthy Schwann cells (SC-Exos) on diabetic peripheral neuropathy (DPN). We found that intravenous administration of SC-Exos to type 2 diabetic db/db mice with peripheral neuropathy remarkably ameliorated DPN by improving sciatic nerve conduction velocity and increasing thermal and mechanical sensitivity. These functional improvements were associated with the augmentation of epidermal nerve fibers and remyelination of sciatic nerves. Quantitative RT-PCR and Western blot analysis of sciatic nerve tissues showed that SC-Exo treatment reversed diabetes-reduced mature form of miRNA (miR)-21, -27a, and -146a and diabetes-increased semaphorin 6A (SEMA6A); Ras homolog gene family, member A (RhoA); phosphatase and tensin homolog (PTEN); and nuclear factor-B (NF-B). In vitro data showed that SC-Exos promoted neurite outgrowth of diabetic DRG neurons and migration of Schwann cells challenged by high glucose. Collectively, these novel data provide evidence that SC-Exos have a therapeutic effect on DPN in mice and suggest that SC-Exo modulation of miRs contributes to this therapy. Full Article
europa Understanding Diabetic Neuropathy--From Subclinical Nerve Lesions to Severe Nerve Fiber Deficits: A Cross-Sectional Study in Patients With Type 2 Diabetes and Healthy Control Subjects By diabetes.diabetesjournals.org Published On :: 2020-02-20T11:55:30-08:00 Studies on magnetic resonance neurography (MRN) in diabetic polyneuropathy (DPN) have found proximal sciatic nerve lesions. The aim of this study was to evaluate the functional relevance of sciatic nerve lesions in DPN, with the expectation of correlations with the impairment of large-fiber function. Sixty-one patients with type 2 diabetes (48 with and 13 without DPN) and 12 control subjects were enrolled and underwent MRN, quantitative sensory testing, and electrophysiological examinations. There were differences in mechanical detection (Aβ fibers) and mechanical pain (A fibers) but not in thermal pain and thermal detection clusters (C fibers) among the groups. Lesion load correlated with lower Aα-, Aβ-, and A-fiber but not with C-fiber function in all participants. Patients with lower function showed a higher load of nerve lesions than patients with elevated function or no measurable deficit despite apparent DPN. Longer diabetes duration was associated with higher lesion load in patients with DPN, suggesting that nerve lesions in DPN may accumulate over time and become clinically relevant once a critical amount of nerve fascicles is affected. Moreover, MRN is an objective method for determining lower function mainly in medium and large fibers in DPN. Full Article
europa Management of Diabetic Peripheral Neuropathy By clinical.diabetesjournals.org Published On :: 2005-01-01 Andrew J.M. BoultonJan 1, 2005; 23:9-15Feature Articles Full Article
europa Diabetic Neuropathy Is a Substantial Burden in People With Type 1 Diabetes and Is Strongly Associated With Socioeconomic Disadvantage: A Population-Representative Study From Scotland By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE To assess the contemporaneous prevalence of diabetic peripheral neuropathy (DPN) in people with type 1 diabetes (T1D) in Scotland and study its cross-sectional association with risk factors and other diabetic complications. RESEARCH DESIGN AND METHODS We analyzed data from a large representative sample of adults with T1D (N = 5,558). We assessed the presence of symptomatic neuropathy using the dichotomized (≥4) Michigan Neuropathy Screening Instrument Patient Questionnaire score. Logistic regression models were used to investigate associations between DPN and risk factors, as well as with other complications. RESULTS The burden of DPN is substantial with 13% prevalence overall. Adjusting for attained age, diabetes duration, and sex, the odds of DPN increased mainly with waist-to-hip ratio, lipids, poor glycemic control (odds ratio 1.51 [95% CI 1.21–1.89] for levels of 75 vs. 53 mmol/mol), ever versus never smoking (1.67 [1.37–2.03]), and worse renal function (1.96 [1.03–3.74] for estimated glomerular filtration rate levels <30 vs. ≥90 mL/min/1.73 m2). The odds significantly decreased with higher HDL cholesterol (0.77 [0.66–0.89] per mmol/L). Living in more deprived areas was associated with DPN (2.17 [1.78–2.65]) for more versus less deprived areas adjusted for other risk factors. Finally, individuals with prevalent DPN were much more likely than others to have other diabetes complications. CONCLUSIONS Diabetic neuropathy remains substantial, particularly affecting those in the most socioeconomically deprived groups. Those with clinically manifest neuropathy also have a higher burden of other complications and elevated levels of modifiable risk factors. These data suggest that there is considerable scope to reduce neuropathy rates and narrow the socioeconomic differential by better risk factor control. Full Article
europa Neuropathy and Related Findings in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Study By care.diabetesjournals.org Published On :: 2014-01-01 Catherine L. MartinJan 1, 2014; 37:31-38DCCT/EDIC 30th Anniversary Summary Findings Full Article
europa The Contemporary Prevalence of Diabetic Neuropathy in Type 1 Diabetes: Findings From the T1D Exchange By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE To evaluate the contemporary prevalence of diabetic peripheral neuropathy (DPN) in participants with type 1 diabetes in the T1D Exchange Clinic Registry throughout the U.S. RESEARCH DESIGN AND METHODS DPN was assessed with the Michigan Neuropathy Screening Instrument Questionnaire (MNSIQ) in adults with ≥5 years of type 1 diabetes duration. A score of ≥4 defined DPN. Associations of demographic, clinical, and laboratory factors with DPN were assessed. RESULTS Among 5,936 T1D Exchange participants (mean ± SD age 39 ± 18 years, median type 1 diabetes duration 18 years [interquartile range 11, 31], 55% female, 88% non-Hispanic white, mean glycated hemoglobin [HbA1c] 8.1 ± 1.6% [65.3 ± 17.5 mmol/mol]), DPN prevalence was 11%. Compared with those without DPN, DPN participants were older, had higher HbA1c, had longer duration of diabetes, were more likely to be female, and were less likely to have a college education and private insurance (all P < 0.001). DPN participants also were more likely to have cardiovascular disease (CVD) (P < 0.001), worse CVD risk factors of smoking (P = 0.008), hypertriglyceridemia (P = 0.002), higher BMI (P = 0.009), retinopathy (P = 0.004), reduced estimated glomerular filtration rate (P = 0.02), and Charcot neuroarthropathy (P = 0.002). There were no differences in insulin pump or continuous glucose monitor use, although DPN participants were more likely to have had severe hypoglycemia (P = 0.04) and/or diabetic ketoacidosis (P < 0.001) in the past 3 months. CONCLUSIONS The prevalence of DPN in this national cohort with type 1 diabetes is lower than in prior published reports but is reflective of current clinical care practices. These data also highlight that nonglycemic risk factors, such as CVD risk factors, severe hypoglycemia, diabetic ketoacidosis, and lower socioeconomic status, may also play a role in DPN development. Full Article
europa Rapid Corneal Nerve Fiber Loss: A Marker of Diabetic Neuropathy Onset and Progression By care.diabetesjournals.org Published On :: 2020-03-05T08:52:34-08:00 OBJECTIVECorneal nerve fiber length (CNFL) represents a biomarker for diabetic distal symmetric polyneuropathy (DSP). We aimed to determine the reference distribution of annual CNFL change, the prevalence of abnormal change in diabetes, and its associated clinical variables.RESEARCH DESIGN AND METHODSWe examined 590 participants with diabetes [399 type 1 diabetes (T1D) and 191 type 2 diabetes (T2D)] and 204 control patients without diabetes with at least 1 year of follow-up and classified them according to rapid corneal nerve fiber loss (RCNFL) if CNFL change was below the fifth percentile of the control patients without diabetes.RESULTSControl patients without diabetes were 37.9 ± 19.8 years old, had median follow-up of three visits over 3.0 years, and mean annual change in CNFL was –0.1% (90% CI, –5.9 to 5.0%). RCNFL was defined by values exceeding the fifth percentile of 6% loss. Participants with T1D were 39.9 ± 18.7 years old, had median follow-up of three visits over 4.4 years, and mean annual change in CNFL was –0.8% (90% CI, –14.0 to 9.9%). Participants with T2D were 60.4 ± 8.2 years old, had median follow-up of three visits over 5.3 years, and mean annual change in CNFL was –0.2% (90% CI, –14.1 to 14.3%). RCNFL prevalence was 17% overall and was similar by diabetes type [64 T1D (16.0%), 37 T2D (19.4%), P = 0.31]. RNCFL was more common in those with baseline DSP (47% vs. 30% in those without baseline DSP, P = 0.001), which was associated with lower peroneal conduction velocity but not with baseline HbA1c or its change over follow-up.CONCLUSIONSAn abnormally rapid loss of CNFL of 6% per year or more occurs in 17% of diabetes patients. RCNFL may identify patients at highest risk for the development and progression of DSP. Full Article
europa Metabolic Factors, Lifestyle Habits, and Possible Polyneuropathy in Early Type 2 Diabetes: A Nationwide Study of 5,249 Patients in the Danish Centre for Strategic Research in Type 2 Diabetes (DD2) Cohort By care.diabetesjournals.org Published On :: 2020-04-28T09:53:07-07:00 OBJECTIVETo investigate the association of metabolic and lifestyle factors with possible diabetic polyneuropathy (DPN) and neuropathic pain in patients with early type 2 diabetes.RESEARCH DESIGN AND METHODSWe thoroughly characterized 6,726 patients with recently diagnosed diabetes. After a median of 2.8 years, we sent a detailed questionnaire on neuropathy, including the Michigan Neuropathy Screening Instrument questionnaire (MNSIq), to identify possible DPN (score ≥4) and the Douleur Neuropathique en 4 Questions (DN4) questionnaire for possible associated neuropathic pain (MNSIq ≥4 + pain in both feet + DN4 score ≥3).RESULTSAmong 5,249 patients with data on both DPN and pain, 17.9% (n = 938) had possible DPN, including 7.4% (n = 386) with possible neuropathic pain. In regression analyses, central obesity (waist circumference, waist-to-hip ratio, and waist-to-height ratio) was markedly associated with DPN. Other important metabolic factors associated with DPN included hypertriglyceridemia ≥1.7 mmol/L, adjusted prevalence ratio (aPR) 1.36 (95% CI 1.17; 1.59); decreased HDL cholesterol <1.0/1.2 mmol/L (male/female), aPR 1.35 (95% CI 1.12; 1.62); hs-CRP ≥3.0 mg/L, aPR 1.66 (95% CI 1.42; 1.94); C-peptide ≥1,550 pmol/L, aPR 1.72 (95% CI 1.43; 2.07); HbA1c ≥78 mmol/mol, aPR 1.42 (95% CI 1.06; 1.88); and antihypertensive drug use, aPR 1.34 (95% CI 1.16; 1.55). Smoking, aPR 1.50 (95% CI 1.24; 1.81), and lack of physical activity (0 vs. ≥3 days/week), aPR 1.61 (95% CI 1.39; 1.85), were also associated with DPN. Smoking, high alcohol intake, and failure to increase activity after diabetes diagnosis associated with neuropathic pain.CONCLUSIONSPossible DPN was associated with metabolic syndrome factors, insulin resistance, inflammation, and modifiable lifestyle habits in early type 2 diabetes. Full Article
europa Management of Diabetic Peripheral Neuropathy By clinical.diabetesjournals.org Published On :: 2005-01-01 Andrew J.M. BoultonJan 1, 2005; 23:9-15Feature Articles Full Article