Assessment of diabetes acceptance can help identify patients with ineffective diabetes self-care and poor diabetes control.

AIMS: To estimate the associations between insufficient diabetes acceptance and relevant diabetes outcomes. METHODS: A total of 320 patients completed questionnaires on diabetes non-acceptance (the Acceptance and Action Diabetes Questionnaire), diabetes distress (the Problem Areas in Diabetes Scale), depressive mood (the Center for Epidemiologic Studies Depression Scale), coping with illness (the Freiburg Questionnaire of Coping with Illness), self-care activities (the Summary of Diabetes Self-Care Activities Measure) and quality of life (the Short Form-36 Health Questionnaire). A six-item version of the Acceptance and Action Diabetes Questionnaire showing good reliability and validity was established, and the associations between insufficient acceptance and clinical outcomes were estimated. RESULTS: Higher diabetes non-acceptance correlated significantly with less active coping (-0.37), reduced self-care (-0.43) and higher HbA1c levels (0.31), higher diabetes distress (0.53) and more depressive symptoms (0.36). Correlations of diabetes non-acceptance with diabetes self-care/glycaemic control were significantly higher than were those of depressive mood or diabetes distress with these criteria. CONCLUSIONS: Low diabetes acceptance is associated with impaired self-care and glycaemic control. Assessment of diabetes acceptance may facilitate the detection of patients at high risk and may present an essential target for treatments to improve diabetes control that is more relevant than elevated depressive mood or diabetes distress.

Presence of Anisakis simplex (Rudolphi, 1809 det. Krabbe, 1878) and Hysterothylacium aduncum (Rudolphi, 1802) (Nematoda; Anisakidae) in runts of farmed Atlantic salmon, Salmo salar L.

One hundred farmed Atlantic salmon, Salmo salar L., were examined for the presence of nematodes by digestion of tissue in HCl-pepsin solution. All fish were sampled from one cage in a fish farm on the Norwegian south-west coast. Fifty harvest quality salmon, that is, salmon for human consumption (mean 5.4 kg, variation 3.0-7.6 kg), were sampled at the processing line while 50 salmon runts (mean 1.1 kg, variation 0.4-1.8 kg), discarded due to poor performance, were sampled from the discard bin after the grading station. Runts are individual fish with clear signs of poor performance over time and abnormal appearance and are thus not processed for human consumption. No nematodes were found in the musculature or viscera of the 50 harvest quality salmon. In total, 75 nematodes were found in 10 (20%) of the runts; 53 nematodes in the viscera and 22 in the musculature. Nematodes in the musculature were identified as Anisakis simplex (Rudolphi, 1809 det. Krabbe, 1878), while nematodes in the viscera were identified as A. simplex and Hysterothylacium aduncum (Rudolphi, 1802).

Improved AOX degradation in UV oxidative waste water treatment by dialysis with nanofiltration membrane.

In this article, the wastewater treatment by UV oxidation with and without preceding desalination is compared. The influence of different chloride concentrations on the TOC degradation and AOX concentration is analyzed. Nanofiltration membrane dialysis is used to separate the chloride ions from wastewater. It is demonstrated that a reduction of the chloride concentration leads to a faster TOC degradation compared to the treatment of non-desalinated wastewater. Furthermore, the additional formation of AOX during the process could be avoided in effect leading to a significant degradation of native AOX.

Detection of heavy metals in water by fluorescence spectroscopy: on the way to a suitable sensor system.

In order to develop a fiber optical heavy metal ion detection system, the applicability of selected complexing agents with fluorescent properties has been studied. Beginning with the application of known chelators, like BTC-5N, Newport Green, neocuproine, and chromotropic acid, a sensor configuration has been found, which allows the detection of Cd2+, Ni2+, and Cu2+ well below the chemical parameter threshold values of the new Water Quality Directive 98/83/EU. The sensor itself uses a membrane separation of the chelator flow from the sample volume. The diffusion across the membrane limits the response time to about 15 to 20 min. Applications are seen in monitoring networks.