搜索结果：The science of diabetes self-management and care

This review explores the synthesis, characterization, and therapeutic applications of zinc oxide nanoparticles (ZnO NPs) in the treatment of diabetes mellitus. The study delves into both chemical and green synthesis methods, comparing their impacts on nanoparticle properties. Key characterization techniques such as XRD, FTIR, UV-Vis spectroscopy, and SEM confirm the crystalline structure, optical properties, and morphology of the nanoparticles. ZnO NPs demonstrate significant biological activities, including antibacterial, anti-inflammatory, and antidiabetic effects. These nanoparticles show promise in improving glucose regulation, enhancing insulin sensitivity, and boosting glucose uptake in cells. Despite these benefits, the potential toxicity and long-term effects of ZnO NPs warrant further investigation. Future research should focus on optimizing synthesis methods and conducting comprehensive studies to fully exploit ZnO NPs' potential in diabetes management and other biomedical applications.

Diabetes is a global health problem with a high mortality rate. The research indicates low levels of technology use amongst diabetic patients in low socioeconomic environments and minority groups. We posit that the culture of patients is a potential reason for the low adoption and use of technology. However, research on the proliferation of culture at an individual level is limited. Therefore, this paper assessed the influence of culture on mobile application adoption and use amongst diabetic patients in the Cape Flats, South Africa. This study used key constructs from the Theory of Planned Behaviour (TPB) and Hofstede's cultural dimensions. It was analysed using survey data from 439 respondents using purposive sampling. It was found that the dimensions of Hofstede and the Theory of Planned Behaviour can identify how culture influences mobile application adoption of diabetic patients in the geographical Cape Flats area. However, this research indicates a stronger relationship between culture and diabetes self-management activities than culture and the adoption of mobile applications.

Personal health libraries (PHLs) provide a single point of secure access to patients digital health data and enable the integration of knowledge stored in their digital health profiles with other sources of global knowledge. PHLs can help empower caregivers and health care providers to make informed decisions about patients health by understanding medical events in the context of their lives. This paper reports the implementation of a mobile health digital intervention that incorporates both digital health data stored in patients PHLs and other sources of contextual knowledge to deliver tailored recommendations for improving self-care behaviors in diabetic adults. We conducted a thematic assessment of patient functional and nonfunctional requirements that are missing from current EHRs based on evidence from the literature. We used the results to identify the technologies needed to address those requirements. We describe the technological infrastructures used to construct, manage, and integrate the types of knowledge stored in the PHL. We leverage the Social Linked Data (Solid) platform to design a fully decentralized and privacy-aware platform that supports interoperability and car

The paper describes the interaction design of a hand-held interface supporting the self-management of Type 1 diabetes. It addresses well-established clinical and human-computer interaction requirements. The design exploits three opportunities. One is associated with visible context, whether conspicuous or inconspicuous. A second arises from the design freedom made possible by the user's anticipated focus of attention during certain interactions. A third opportunity to provide valuable functionality arises from wearable sensors and machine learning algorithms. The resulting interface permits ``What if?'' questions: it allows a user to dynamically and manually explore predicted short-term (e.g., 2 hours) relationships between an intended meal, blood glucose level and recommended insulin dosage, and thereby readily make informed food and exercise decisions. Design activity has been informed throughout by focus groups comprising people with Type 1 diabetes in addition to experts in diabetes, interaction design and machine learning. The design is being implemented prior to a clinical trial.

Mauve is a low-cost small satellite developed and operated by Blue Skies Space Ltd. The payload features a 13 cm telescope connected with a fibre that feeds into a UV-Vis spectrometer. The detector covers the 200-700 nm range in a single shot, obtaining low resolution spectra at R~20-65. Mauve has launched on 28th November 2025, reaching a 510 km Low-Earth Sun-synchronous orbit. The satellite will enable UV and visible observations of a variety of stellar objects in our Galaxy, filling the gaps in the ultraviolet space-based data. The researchers that have already joined the mission have defined the science themes, observational strategy and targets that Mauve will observe in the first year of operations. To date 10 science themes have been developed by the Mauve science collaboration for year 1, with observational strategies that include both long duration monitoring and short cadence snapshots. Here, we describe these themes and the science that Mauve will undertake in its first year of operations.

CARE-link is an open-source, web-based clinical support platform designed to improve the management of gestational diabetes by linking clinicians and patients through an LLM-mediated workflow. The system aggregates patient-generated data outside the hospital, summarizes relevant clinical information, and delivers context-aware decision support to clinicians. For patients, CARE-link provides clear explanations of management plans and delivers timely lifestyle guidance through a WhatsApp interface. The integrated dual-facing design aims to promote continuous monitoring, support individualized care, and reduce the burden of in-clinic follow-ups. Built with a modular architecture, the platform can be adapted to other chronic conditions requiring longitudinal tracking and behavioral support. CARE-link has the potential to enhance clinical oversight, promote patient compliance, and strengthen continuity of care particularly in resource-constrained settings.

Given their ability for advanced reasoning, extensive contextual understanding, and robust question-answering abilities, large language models have become prominent in healthcare management research. Despite adeptly handling a broad spectrum of healthcare inquiries, these models face significant challenges in delivering accurate and practical advice for chronic conditions such as diabetes. We evaluate the responses of ChatGPT versions 3.5 and 4 to diabetes patient queries, assessing their depth of medical knowledge and their capacity to deliver personalized, context-specific advice for diabetes self-management. Our findings reveal discrepancies in accuracy and embedded biases, emphasizing the models' limitations in providing tailored advice unless activated by sophisticated prompting techniques. Additionally, we observe that both models often provide advice without seeking necessary clarification, a practice that can result in potentially dangerous advice. This underscores the limited practical effectiveness of these models without human oversight in clinical settings. To address these issues, we propose a commonsense evaluation layer for prompt evaluation and incorporating disease

Due to the chronic nature of diabetes, patient self-care factors play an important role in any treatment plan. In order to understand the behaviour of patients in response to medical advice on self-care, clinicians often conduct cross-sectional surveys. When analysing the survey data, statistical machine learning methods can potentially provide additional insight into the data either through deeper understanding of the patterns present or making information available to clinicians in an intuitive manner. In this study, we use self-organising maps (SOMs) to visualise the responses of patients who share similar responses to survey questions, with the goal of helping clinicians understand how patients are managing their treatment and where action should be taken. The principle behavioural patterns revealed through this are that: patients who take the correct dose of insulin also tend to take their injections at the correct time, patients who eat on time also tend to correctly manage their food portions and patients who check their blood glucose with a monitor also tend to adjust their insulin dosage and carry snacks to counter low blood glucose. The identification of these positive be

Among the most impactful diabetic complications are diabetic retinopathy, the leading cause of blindness among working class adults, and cardiovascular disease, the leading cause of death worldwide. This study describes the development of improved machine learning based screening of these conditions. First, a random forest model was developed by retrospectively analyzing the influence of various risk factors (obtained quickly and non-invasively) on cardiovascular risk. Next, a deep-learning model was developed for prediction of diabetic retinopathy from retinal fundus images by a modified and re-trained InceptionV3 image classification model. The input was simplified by automatically segmenting the blood vessels in the retinal image. The technique of transfer learning enables the model to capitalize on existing infrastructure on the target device, meaning more versatile deployment, especially helpful in low-resource settings. The models were integrated into a smartphone-based device, combined with an inexpensive 3D-printed retinal imaging attachment. Accuracy scores, as well as the receiver operating characteristic curve, the learning curve, and other gauges, were promising. This t

Diabetes is a chronic disease with a significant global health burden, requiring multi-stakeholder collaboration for optimal management. Large language models (LLMs) have shown promise in various healthcare scenarios, but their effectiveness across diverse diabetes tasks remains unproven. Our study introduced a framework to train and validate diabetes-specific LLMs. We first developed a comprehensive data processing pipeline that includes data collection, filtering, augmentation and refinement. This created a high-quality, diabetes-specific dataset and evaluation benchmarks from scratch. Fine-tuned on the collected training dataset, our diabetes-specific LLM family demonstrated state-of-the-art proficiency in processing various diabetes tasks compared to other LLMs. Furthermore, clinical studies revealed the potential applications of our models in diabetes care, including providing personalized healthcare, assisting medical education, and streamlining clinical tasks. Generally, our introduced framework helps develop diabetes-specific LLMs and highlights their potential to enhance clinical practice and provide personalized, data-driven support for diabetes management across differen

We present the results of processing the effects of the powerful Gamma Ray Burst GRB221009A captured by the charged particle detectors (electrostatic analyzers and solid-state detectors) onboard spacecraft at different points in the heliosphere on October 9, 2022. To follow the GRB221009A propagation through the heliosphere we used the electron and proton flux measurements from solar missions Solar Orbiter and STEREO-A; Earth magnetosphere and the solar wind missions THEMIS and Wind; meteorological satellites POES15, POES19, MetOp3; and MAVEN - a NASA mission orbiting Mars. GRB221009A had a structure of four bursts: less intense Pulse 1 - the triggering impulse - was detected by gamma-ray observatories at 131659 UT (near the Earth); the most intense Pulses 2 and 3 were detected on board all the spacecraft from the list, and Pulse 4 detected in more than 500 s after Pulse 1. Due to their different scientific objectives, the spacecraft, which data was used in this study, were separated by more than 1 AU (Solar Orbiter and MAVEN). This enabled tracking GRB221009A as it was propagating across the heliosphere. STEREO-A was the first to register Pulse 2 and 3 of the GRB, almost 100 secon

Data science and technology offer transformative tools and methods to science. This review article highlights latest development and progress in the interdisciplinary field of data-driven plasma science (DDPS). A large amount of data and machine learning algorithms go hand in hand. Most plasma data, whether experimental, observational or computational, are generated or collected by machines today. It is now becoming impractical for humans to analyze all the data manually. Therefore, it is imperative to train machines to analyze and interpret (eventually) such data as intelligently as humans but far more efficiently in quantity. Despite the recent impressive progress in applications of data science to plasma science and technology, the emerging field of DDPS is still in its infancy. Fueled by some of the most challenging problems such as fusion energy, plasma processing of materials, and fundamental understanding of the universe through observable plasma phenomena, it is expected that DDPS continues to benefit significantly from the interdisciplinary marriage between plasma science and data science into the foreseeable future.

Chronic illnesses are a global concern with essential hypertension and diabetes mellitus among the most common conditions. Remote patient monitoring has shown promising results on clinical and health outcomes. However, access to care and digital health solutions is limited among rural, lower-income, and older adult populations. This paper repots on a pre-post study of a comprehensive care coordination program including connected, wearable blood pressure and glucometer devices, tablets, and medical assistant-provided health coaching in a community health center in rural California. The participants (n=221) had a mean age of 54.6 years, were majority female, two-thirds spoke Spanish, 19.9% had hypertension, 49.8% diabetic, and 30.3% both conditions. Participants with hypertension achieved a mean reduction in systolic blood pressure of 20.24 (95% CI: 13.61, 26.87) at six months while those with diabetes achieved a mean reduction of 3.85 points (95% CI: 3.73, 4.88). These outcomes compare favorably to the small but growing body of evidence supporting digital care coordination and remote monitoring. These results also support the feasibility of well-designed digital health solutions yie

Demand for health care is constantly increasing due to the ongoing demographic change, while at the same time health service providers face difficulties in finding skilled personnel. This creates pressure on health care systems around the world, such that the efficient, nationwide provision of primary health care has become one of society's greatest challenges. Due to the complexity of health care systems, unforeseen future events, and a frequent lack of data, analyzing and optimizing the performance of health care systems means tackling a wicked problem. To support this task for primary care, this paper introduces the hybrid agent-based simulation model SiM-Care. SiM-Care models the interactions of patients and primary care physicians on an individual level. By tracking agent interactions, it enables modelers to assess multiple key indicators such as patient waiting times and physician utilization. Based on these indicators, primary care systems can be assessed and compared. Moreover, changes in the infrastructure, patient behavior, and service design can be directly evaluated. To showcase the opportunities offered by SiM-Care and aid model validation, we present a case study for

Although deep learning research and applications have grown rapidly over the past decade, it has shown limitation in healthcare applications and its reachability to people in remote areas. One of the challenges of incorporating deep learning in medical data classification or prediction is the shortage of annotated training data in the healthcare industry. Medical data sharing privacy issues and limited patient population size can be stated as some of the reasons for training data insufficiency in healthcare. Methods to exploit deep learning applications in healthcare have been proposed and implemented in this dissertation. Traditional diagnosis of diabetic retinopathy requires trained ophthalmologists and expensive imaging equipment to reach healthcare centres in order to provide facilities for treatment of preventable blindness. Diabetic people residing in remote areas with shortage of healthcare services and ophthalmologists usually fail to get periodical diagnosis of diabetic retinopathy thereby facing the probability of vision loss or impairment. Deep learning and mobile application development have been integrated in this dissertation to provide an easy to use point-of-care sm

The number of published articles in the field of materials science is growing rapidly every year. This comparatively unstructured data source, which contains a large amount of information, has a restriction on its re-usability, as the information needed to carry out further calculations using the data in it must be extracted manually. It is very important to obtain valid and contextually correct information from the online (offline) data, as it can be useful not only to generate inputs for further calculations, but also to incorporate them into a querying framework. Retaining this context as a priority, we have developed an automated tool, MatScIE (Material Scince Information Extractor) that can extract relevant information from material science literature and make a structured database that is much easier to use for material simulations. Specifically, we extract the material details, methods, code, parameters, and structure from the various research articles. Finally, we created a web application where users can upload published articles and view/download the information obtained from this tool and can create their own databases for their personal uses.

Digital Twin (DT) technology has emerged as a transformative approach in healthcare, but its application in personalized patient care remains limited. This paper aims to present a practical implementation of DT in the management of chronic diseases. We introduce a general DT framework for personalized care planning (DT4PCP), with the core components being a real-time virtual representation of a patient's health and emerging predictive models to enable adaptive, personalized care. We implemented the DT4PCP framework for managing Type 2 Diabetes (DT4PCP-T2D), enabling real-time collection of behavioral data from patients with T2D, predicting emergency department (ED) risks, simulating the effects of different interventions, and personalizing care strategies to reduce ED visits. The DT4PCP-T2D also integrates social determinants of health (SDoH) and other contextual data, offering a comprehensive view of the patient's health to ensure that care recommendations are tailored to individual needs. Through retrospective simulations, we demonstrate that integrating DTs in T2D management can lead to significant advancements in personalized medicine. This study underscores the potential of DT

Type 2 diabetes mellitus (T2DM) is a chronic disease that often results in multiple complications. Risk prediction and profiling of T2DM complications is critical for healthcare professionals to design personalized treatment plans for patients in diabetes care for improved outcomes. In this paper, we study the risk of developing complications after the initial T2DM diagnosis from longitudinal patient records. We propose a novel multi-task learning approach to simultaneously model multiple complications where each task corresponds to the risk modeling of one complication. Specifically, the proposed method strategically captures the relationships (1) between the risks of multiple T2DM complications, (2) between the different risk factors, and (3) between the risk factor selection patterns. The method uses coefficient shrinkage to identify an informative subset of risk factors from high-dimensional data, and uses a hierarchical Bayesian framework to allow domain knowledge to be incorporated as priors. The proposed method is favorable for healthcare applications because in additional to improved prediction performance, relationships among the different risks and risk factors are also i

Phosphorus (P) is considered to be one of the key elements for life, making it an important element to look for in the abundance analysis of spectra of stellar systems. Yet, there exists only a handful of spectroscopic studies to estimate the P abundances and investigate its trend across a range of metallicities. We have observed full HK band spectra at a spectral resolving power of R=45,000 with IGRINS instrument. Abundances are determined using SME in combination with 1D MARCS stellar atmosphere models. The investigated sample of stars have reliable stellar parameters estimated using optical FIES spectra (GILD; Jönsson et al. in prep.). In order to determine the P abundances from the 16482.92 Angstrom P line, we take special care of the CO($ν=7-4$) blend. We determine the C, N, O abundances from atomic carbon and a range of non-blended molecular lines (CO, CN, OH) which are aplenty in the H band region of K giant stars, assuring an appropriate modelling of the blending CO($ν=7-4$) line. We present [P/Fe] vs [Fe/H] trend for 38 K giant stars in the metallicity range of -1.2 dex $<$ [Fe/H] $<$ 0.4 dex. We find that our trend matches well with the compiled literature sample of