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Petition to replace current OGTT criteria for diagnosing prediabetes with the 1-hour post-load plasma glucose ≥ 155 mg/dl (8.6 mmol/L)

Many individuals with prediabetes, as presently defined, will progress to diabetes (T2D) despite the considerable benefit of lifestyle modification. Therefore, it is paramount to screen individuals at increased risk with a more sensitive method capable of identifying prediabetes at an even earlier time point in the lengthy trajectory to T2D. This petition reviews findings demonstrating that the 1-

Metformin is the key factor in elevated plasma growth differentiation factor-15 levels in type 2 diabetes : A nested, case–control study

Produced as a tissue defence response to hypoxia and inflammation, growth differentiation factor-15 (GDF-15) is elevated in people receiving metformin treatment. To gain insight into the relationship of GDF-15 with metformin and major cardiovascular risk factors, we analysed the data from the SUMMIT cohort (n = 1438), a four-centre, nested, case–control study aimed at verifying whether biomarkers

The Ambulatory Geriatric Assessment - A Frailty Intervention Trial (AGe-FIT) - A randomised controlled trial aimed to prevent hospital readmissions and functional deterioration in high risk older adults : A study protocol

Background Care of old people with multimorbidity living at home is often fragmented with lack of coordination and information exchange between health care professionals, the elderly and their relatives. This paper describes the protocol of a randomised, controlled study, which aims to compare the efficacy of caring for older people with multimorbidity and three or more hospital admissions in the

Nutritional modulation of AMPK-impact upon metabolic-inflammation

Nutritional status provides metabolic substrates to activate AMP-Activated Protein Kinase (AMPK), the energy sensor that regulates metabolism. Recent evidence has demonstrated that AMPK has wider functions with respect to regulating immune cell metabolism and function. One such example is the regulatory role that AMPK has on NLRP3-inlflammasome and IL-1β biology. This in turn can result in subsequ

The complex pathophysiology of allergic rhinitis : Scientific rationale for the development of an alternative treatment option

Allergic rhinitis (AR) poses a global health problem and can be challenging to treat. Many of the current symptomatic treatments for AR have been available for decades, yet there has been little improvement in patient quality of life or symptom burden over the years. In this review, we ask why this might be and explore the pathophysiological gaps that exist within the various AR treatment classes

Loss of ZnT8 function protects against diabetes by enhanced insulin secretion

A rare loss-of-function allele p.Arg138* in SLC30A8 encoding the zinc transporter 8 (ZnT8), which is enriched in Western Finland, protects against type 2 diabetes (T2D). We recruited relatives of the identified carriers and showed that protection was associated with better insulin secretion due to enhanced glucose responsiveness and proinsulin conversion, particularly when compared with individual

European industrial policy and state aid – a competence mismatch?

The European Union (EU) has been entrusted with rather weak powers as regards industrial policy. On top of this, its Member States are prevented from pursuing a national industrial policy with monetary elements as this may distort competition within the EU internal market. At the same time, European companies compete in the global market with state-supported companies from other economically stron

Energy and moisture in historic masonry walls retrofitted with hemp-lime

Thermally insulating historic buildings is imperative in order to reduce energy demands of the existing building stock. Therefore an insulation material is needed that improves energy efficiency while being compatible with the existing structure from a hygrothermal, aesthetic and cultural heritage perspective. Hemp-lime is a building material that consists of on a combination of hemp shiv, the woo

The importance of discretion for welfare services to minorities : Examining workload and anti-immigration attitudes

Migration influx in Western countries resulting in increasingly diverse societies results in more complex situations for bureaucrats in their client interactions in welfare organizations. The role of discretion for services to clients has received much attention in the public administration research and therefore this study explores the relation among perceived workload, anti-immigration attitudes

The Crisis of Care - Caring Against Crisis : Professional Responses to Austerity Politics in Female Dominated Welfare Professions

Capitalist crises, such as the current financial crisis, are also crises in the sphere of social reproduction, according to Fraser (2014). In the current phase of financialized capitalism, social reproduction is increasingly treated as a commodity. As many feminist- and gender scholars have showed, this has resulted in increased pressures on women’s labour. During the last ten years, the Nordic co

A literature-based cost-effectiveness analysis of device-assisted suturing versus needle-driven suturing during laparotomy closure

Purpose: Small-bites suturing technique for laparotomy closure is now recommended as the standard of care. However, uptake of the practice remains slow. A medical technology called the SutureTOOL has been developed which can facilitate implementation of small-bites. The aim of the study was to compare the economic and clinical outcomes of laparotomy closure for patients using manual needle-driver

Wiring Power : Empowering Energy Democracy and New Actor Roles in the Smart Electric Grid

The global energy transition is not merely a technological shift toward renewable energy but also a transformation of power structures, agency, and governance. As nations and cities implement sustainable energy solutions, both traditional energy actors and new entrants are reshaping participation in the energy sector. Within this evolving context, the smart grid emerges as an arena where these dyn

Assessing the Functionality of Common Agricultural Policy Payment Instruments in Mixed Forestry-Farming Regions

The EU’s Common Agricultural Policy (CAP) has been broadened over recent decades in response to evolving challenges faced by the EU and its farmers. It now claims to support not only food security and farmers’ incomes, but also transitioning to a green economy, conservation of biodiversity and climate action. We have evaluated to what extent four main types of CAP payment instruments form a cohesi

'It's like someone is holding your hand, an invisible hand' : A grounded theory study of participation and personal recovery in Flexible Assertive Community Treatment

BACKGROUND: Participation in everyday life and personal recovery is often adversely affected for individuals with complex mental health needs. Flexible Assertive Community Treatment (FACT) is a recovery-oriented service targeting participation in everyday life and personal recovery and is thus important to understand from the perspectives of service users.AIM: To explore how service users experien

Adrenaline Stimulates Glucagon Secretion by Tpc2-Dependent Ca2+ Mobilization From Acidic Stores in Pancreatic α-Cells

Adrenaline is a powerful stimulus of glucagon secretion. It acts by activation of β-adrenergic receptors, but the downstream mechanisms have only been partially elucidated. Here, we have examined the effects of adrenaline in mouse and human α-cells by a combination of electrophysiology, imaging of Ca2+ and PKA activity, and hormone release measurements. We found that stimulation of glucagon secret