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Yonas Mullugeta Rajinder Chawla Tedla Kebede Yesehak Worku 《Indian journal of clinical biochemistry : IJCB》2012,27(4):363-369
The nature of the dyslipidemia associated with diabetes mellitus is complex and is the major risk factor for atherosclerosis and coronary artery disease. Aim of this study was to assess the effect of glycemic control, achieved by metformin, glibenclamide and insulin, on lipid profile in type 2 diabetic patients. One hundred and sixty-five type 2 diabetes mellitus patients were classified into good glycemic control (Group I) and poor glycemic control (Group II) on the basis of their blood HbA1c values. The Group II was characterized with high serum triglyceride (190.46 ± 15.20 mg/dl), total cholesterol (175.3 ± 6.31 mg/dl) as well as high LDL-cholesterol (109.0 ± 5.88 mg/dl). Significant correlations were evident between HbA1c and dyslipidemia, particularly serum TG (r = 0.28, P < 0.05), and between HbA1c and total cholesterol (r = 0.310, P < 0.05). Better glycemic control and improved dyslipidemia were observed in patients on combination therapy of metformin plus glibenclamide. 相似文献
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In Ethiopia, as in many other countries, moral discourses about female sexuality in general, and pre- and extramarital sexual experience in particular, create an environment that discourages women from engaging in open dialogue about their sexuality and their past or future sexual experience. In the study of induced abortion among unmarried women in Addis Ababa on which this paper rests, women describe a situation in which they are both surrounded by silence about sexual issues and forced to remain silent themselves. This paper investigates the nature of, and conditions for, this silence and the ways in which it is socially brought about and negotiated. In particular, it explores the ways through which young, unmarried women who have undergone abortion seek to reconcile seemingly contradictory, condemning discourses about premarital sex and more general codes addressing social, as well as moral, propriety and integrity. The discussion highlights that, while issues of sexuality are silenced, neither the silence nor the silencing power of dominant, gendered moral discourses is absolute. Moreover, silence may also be jointly produced and negotiated in social discourse fraught with moral objectives and ends. 相似文献
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Knowledge management (KM) is an emerging field of specialization in a number of professions, including Information Science (IS). The different professions are contributing to and influencing the developments in KM in their own ways. However, it is argued here that IS is not contributing to the advancement of KM as much as it should for a number of apparent reasons. The main purpose of the paper is to call on the members of the IS profession to take a more proactive and visible role in advancing KM by showing that KM is a natural and long-awaited development in IS and that a number of circumstances have made KM to be an area of emphasis in IS whose time has come. The paper also aims at contributing towards achieving a consensus among IS professionals on conceptualization, goals, and scope of KM in IS. The recommendations of the paper focus on how the profession could proactively be involved in advancing KM. 相似文献
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The concepts of literacy events and practices have received considerable attention in educational research and policy. In comparison, the question of value, that is, ‘which literacy practices do people most value?’ has been neglected. With the current trend of cross-cultural adult literacy assessment, it is increasingly important to recognise locally valued literacy practices. In this paper we argue that measuring preferences and weighting of literacy practices provides an empirical and democratic basis for decisions in literacy assessment and curriculum development and could inform rapid educational adaptation to changes in the literacy environment. The paper examines the methodological basis for investigating literacy values and its potential to inform cross-cultural literacy assessments. The argument is illustrated with primary data from Mozambique. The correlation between individual values and respondents’ socio-economic and demographic characteristics is explored. 相似文献
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