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Type 2 diabetes mellitus (DM) is one of the most important public health challenges in the world. Its increasing prevalence in many countries and the difficult metabolic control of patients with type 2 DM justify the study of strategies for primary prevention. The present review describes evidence from epidemiologic studies and clinical trials regarding recommendations for dietary prevention of type 2 DM. Prospective epidemiologic studies have provided support for a role of individual dietary components in determining the development of DM independent of obesity and other lifestyle factors. Several prevention trials have demonstrated that intensive diet and lifestyle interventions substantially reduced risk of type 2 DM in high risk populations. Recent evidence suggests that less-intensive nutritional counseling and lifestyle programs are also effective in reducing diabetes risk factors at the primary health care settings. Keywords: Type 2 diabetes prevention, nutritional counseling, lifestyle intervention
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The hormonal profiles of nested female patients (n = 500) with self-reported symptoms typical of polycystic ovary syndrome (PCOS), oligomenorrhea, and/or hirsutism and their randomly selected controls (n = 1026) at the age of 31 yr were analyzed in a general population-based Northern Finland birth cohort 1966 to find out whether the symptomatic women also have the endocrine characteristics of PCOS and could be detected in a general population using simple questions. Higher medians of serum testosterone (T) (2.10 vs. 1.90 nmol/liter, P < 0.001), LH (5.40 vs. 4.85 U/liter, P = 0.005), insulin (53.8 vs. 51.66 pmol/liter, P = 0.040), and free androgen index (FAI) (4.01 vs. 3.03, P < 0.001) and lower glucose/insulin ratio (91.1 × 108vs. 94.9 × 108, P = 0.048) and SHBG (52.4 vs. 60.7 nmol/liter, P < 0.001) were observed among the cases, but no difference was observed in cortisol and glucose levels between the cases and controls. Of all the women in the cohort, 10.2% reported only oligomenorrhea and had biochemical findings similar to the whole case group. Those who reported only hirsutism (10.4%) were in between the case and control groups according to biochemical findings. The subjects who reported both oligomenorrhea and hirsutism (3.4%) had the highest T, LH, FAI, insulin, and glucose and the lowest SHBG and glucose/insulin ratio, compared with the case group and the groups with either symptom only indicating a dose-response manner in typical endocrine profile of PCOS by adding up symptoms. The levels of T and FAI were higher and SHBG lower in groups with overweight or obesity both at 14 and 31 yr, compared with groups with normal weight at 14 yr and overweight or obesity at 31 yr. In the group with normal weight at 14 and 31 yr and the group with overweight or obesity at 14 yr but normal weight at 31 yr, the levels of T and FAI were lowest and SHBG highest. T and FAI were higher and SHBG lower among the cases than the controls in groups stratified by weight development from adolescence to adulthood. In conclusion, this longitudinal study of a large, stable population indicates that women with self-reported symptoms of hirsutism and/or oligomenorrhea show endocrine characteristics of PCOS and can be detected in a general population using simple questions. These symptoms are markers of the underlying metabolic alterations possibly associated with increased health risks in later life.
Despite the extraordinary success of current techniques for microfabrication, new techniques are needed. One reason is scale: optically based lithography is reaching the lower limits for the size of features it can produce (˜100 nm). Another is efficiency: methods such as electron beam lithography are presently linear processes and will require significant development if they are to be used for large scale, high volume processing. Other considerations such as capital and processing costs, waste management, environmental concerns, and the degree of perfection of the final structures may also force the development of new methods for microfabrication.
Silicon nanowires (SiNWs) and nanowire heterostructures are unique form of nanosilicon, which are grown by direct synthesis (bottom-up) rather than conventional lithography patterning (top-down) approach. Here we review key advances in SiNWs and SiNW heterostructures enabled by the bottom-up approach to nanoscience. First, we introduce a general method for the synthesis of SiNWs with precisely controlled physical dimensions and electronic properties, which is based on metal nanocluster catalysed vapour–liquid–solid growth. Second, we discuss fundamental low-temperature electrical transport studies that define key differences between our bottom-up SiNWs and top-down silicon nanostructures. Third, we describe the use of SiNWs as fundamental building blocks for a wide range of nanoscale electronic devices and circuits. Fourth, we describe rational strategies for large-scale hierarchical assembly of SiNWs and applications of unique assembly characteristics for macroelectronics. Fifth, we examine the potential of SiNWs as active elements in ultra-sensitive nanoscale sensors for chemical and biological detection. Last, we discuss SiNW heterostructures, which open up new and often unique dimensions of complexity and functionality.