Patients were independently assigned clinical diagnoses by treating clinicians. Setting University-based, tertiary care pain clinic. Subjects Three hundred
thirty-seven mixed chronic pain patients. Results Agreement between the clinical diagnosis and screener diagnosis was good (P<0.001), with 76% sensitivity and 82% specificity. Conclusion A self-administered, brief fibromyalgia screening questionnaire can effectively identify chronic pain patients who will likely have clinical fibromyalgia.”
“Introduction The Confidential Enquiry into Maternal and Child Health (CEMACH) reported outcomes of pregnancies in women with pre-gestational diabetes (PGDM) in the PF-03084014 in vitro UK (n = 3,733). This study aimed to compare CEMACH outcomes with PGDM pregnancies in Dublin.
Methods Retrospective
chart review of all PGDM pregnancies. Comparison to CEMACH are shown in brackets.
Results One hundred and ten PGDM women delivered in Dublin. Thirty (27%) had T2 diabetes (vs. 27%). Fifty-nine (53%) women had a booking HbA1c less than 7% (vs. 66%). Nineteen women (17.3%) had a first trimester miscarriage (vs. 8.5%). Of the Bafilomycin A1 research buy 91 remaining women, 71 (78%) women underwent induction of labour (vs. 38.9%). Fifty-four women (59.3%) were delivered by caesarean section (vs. 67.4%). Two infants (2.1%) were macrosomic (vs. 5.7%). There was one intrauterine death (0.1 vs. 0.6%) and no maternal deaths (vs. five).
Conclusion These results serve to underline the continued importance of multidisciplinary care for pregnant women with diabetes.”
“(KxNa0.96-xLi0.04)(Nb0.85Ta0.15)O-3 lead-free piezoelectric ceramics were produced by conventional solid-state reaction method. The effects of K/Na ratio on the phase transitional behavior, Raman spectrum, microstructure, and dielectric, piezoelectric, and ferroelectric properties of the ceramics have been investigated.
The phase structure of the ceramics undergoes a transition from orthorhombic to tetragonal phase with increasing x. A double-degenerate symmetric O-Nb-O stretching vibration v(1) and a triply degenerate symmetric O-Nb-O bending vibration v(5) are detected as relatively strong scattering in the Raman spectra. The peak shifts of v(5) QNZ and v(1) modes all have a discontinuity with x between 0.42 and 0.46, which may suggest the coexistence of orthorhombic and tetragonal phases in this range. Properly modifying x reduces the sintering temperature, promotes the grain growth behavior, and improves the density of the ceramics. The polymorphic phase transition (at To-t) is shifted to near room temperature by increasing x to 0.44 (K/Na ratio of about 0.85:1), and the coexistence of orthorhombic and tetragonal phases in the ceramics at x=0.44 results in the optimized electrical properties (d(33)=291 pC/N, k(p)=0.54, epsilon(r)=1167, tan delta=0.018, To-t=35 degrees C, T-C=351 degrees C, P-r=27.65 mu C/cm(2), and E-c=8.63 kV/cm).