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1.
Diabet Med ; 37(12): 2009-2018, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32124488

RESUMO

AIMS: To select a core list of standard outcomes for diabetes to be routinely applied internationally, including patient-reported outcomes. METHODS: We conducted a structured systematic review of outcome measures, focusing on adults with either type 1 or type 2 diabetes. This process was followed by a consensus-driven modified Delphi panel, including a multidisciplinary group of academics, health professionals and people with diabetes. External feedback to validate the set of outcome measures was sought from people with diabetes and health professionals. RESULTS: The panel identified an essential set of clinical outcomes related to diabetes control, acute events, chronic complications, health service utilisation, and survival that can be measured using routine administrative data and/or clinical records. Three instruments were recommended for annual measurement of patient-reported outcome measures: the WHO Well-Being Index for psychological well-being; the depression module of the Patient Health Questionnaire for depression; and the Problem Areas in Diabetes scale for diabetes distress. A range of factors related to demographic, diagnostic profile, lifestyle, social support and treatment of diabetes were also identified for case-mix adjustment. CONCLUSIONS: We recommend the standard set identified in this study for use in routine practice to monitor, benchmark and improve diabetes care. The inclusion of patient-reported outcomes enables people living with diabetes to report directly on their condition in a structured way.


Assuntos
Complicações do Diabetes/epidemiologia , Diabetes Mellitus/terapia , Amputação Cirúrgica/estatística & dados numéricos , Doenças do Sistema Nervoso Autônomo/epidemiologia , Doenças Cardiovasculares/epidemiologia , Transtornos Cerebrovasculares/epidemiologia , Diabetes Mellitus/metabolismo , Pé Diabético/epidemiologia , Cetoacidose Diabética/epidemiologia , Nefropatias Diabéticas/epidemiologia , Nefropatias Diabéticas/terapia , Neuropatias Diabéticas/epidemiologia , Hemoglobinas Glicadas/metabolismo , Controle Glicêmico , Insuficiência Cardíaca/epidemiologia , Humanos , Coma Hiperglicêmico Hiperosmolar não Cetótico/epidemiologia , Hipoglicemia/induzido quimicamente , Hipoglicemia/epidemiologia , Lipodistrofia/epidemiologia , Infarto do Miocárdio/epidemiologia , Isquemia Miocárdica/epidemiologia , Avaliação de Resultados da Assistência ao Paciente , Periodontite/epidemiologia , Doença Arterial Periférica/epidemiologia , Doenças do Sistema Nervoso Periférico/epidemiologia , Diálise Renal , Insuficiência Renal Crônica/epidemiologia , Insuficiência Renal Crônica/terapia , Acidente Vascular Cerebral/epidemiologia , Transtornos da Visão/epidemiologia
2.
Spectrochim Acta A Mol Biomol Spectrosc ; 136 Pt B: 494-503, 2015 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-25448950

RESUMO

In this work, the theoretical vibrational spectral characteristics of cyanuric fluoride (C3N3F3) have been investigated and compared with existing experimental results. The density functional theoretical (DFT) computations were performed at the B3LYP level with the basis sets 6-31G(d,p) and 6-311++G(d,p) levels to derive the optimized geometry, vibrational wavenumbers with IR intensities of cyanuric fluoride. In addition, the molecular orbital calculations such as Natural Bond Orbitals (NBOs), HOMO-LUMO energy gap and Mapped molecular Electrostatic Potential (MEP) surfaces were also performed with the same level of DFT. Electronic stability of the compound arising from hyper conjugative interactions and charge delocalization were also investigated based on the natural bond orbital (NBO) analysis. Effective stabilization energy E((2)) connected with the interactions of the π and the lone pair of electrons was determined by the NBO analysis. Mulliken population analysis on atomic charges is also calculated. The thermodynamic properties of the cyanuric fluoride at different temperatures have also been calculated for the range of temperature 50-1000 K.


Assuntos
Triazinas/química , Modelos Moleculares , Teoria Quântica , Espectroscopia de Infravermelho com Transformada de Fourier , Análise Espectral Raman , Eletricidade Estática , Termodinâmica
3.
Spectrochim Acta A Mol Biomol Spectrosc ; 138: 711-22, 2015 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-25544187

RESUMO

The present work has been carried out a combined experimental and theoretical study on molecular structure, vibrational spectra and NBO analysis of cyanuric acid. The FT-IR (100-4000cm(-1)) and FT-Raman spectra (400-4000cm(-1)) of cyanuric acid were recorded. In DFT methods, Becke's three parameter exchange-functional (B3) combined with gradient-corrected correlation functional of Lee, Yang and Parr (LYP) by implementing the split-valence polarized 6-31G(d,p) and 6-31++G(d,p) basis sets have been considered for the computation of the molecular structure optimization, vibrational frequencies, thermodynamic properties and energies of the optimized structures. The density functional theory (DFT) result complements the experimental findings. The electronic properties, such as HOMO-LUMO energies and molecular electrostatic potential (MESP) are also performed. Mulliken population analysis on atomic charges is also calculated. The first order hyperpolarizability (ßtotal) of this molecular system and related properties (ß, µ and Δα) are calculated using DFT/B3LYP/6-31G (d,p) and B3LYP/6-311++G(d,p) methods. The thermodynamic functions (heat capacity, entropy and enthalpy) from spectroscopic data by statistical methods were also obtained for the range of temperature 50-1000K.


Assuntos
Elétrons , Modelos Moleculares , Teoria Quântica , Análise Espectral Raman , Triazinas/química , Vibração , Conformação Molecular , Dinâmica não Linear , Fenômenos Ópticos , Espectroscopia de Infravermelho com Transformada de Fourier , Eletricidade Estática , Termodinâmica
4.
Spectrochim Acta A Mol Biomol Spectrosc ; 127: 454-62, 2014 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-24650880

RESUMO

The vibrational spectral analysis of cyanuric chloride was carried out by using FT-Raman and FT-IR spectra in the range 100-4000cm(-1) and 400-4000cm(-1) respectively. The structure optimization was done and structural characteristics were determined by Density Functional Theory (B3LYP) method with 6-31G(d,p) and 6-311++G(d,p) basis sets. The vibrational wavenumbers have been calculated and scaled values are compared with experimental FT-IR and FT-Raman spectra. A detailed interpretation of the vibrational spectra of the molecule has been made on the basis of the calculated Potential Energy Distribution (PED). The Natural bonding orbital (NBO) analysis performed to confirm the stability of the molecule arising from hyper conjugation and delocalization. The Mulliken atomic charges were also calculated. The computed HOMO-LUMO energy gap shows that charge transfer occurs within the molecule. The thermodynamic properties at different temperatures have been calculated from the vibrational analysis.


Assuntos
Modelos Químicos , Triazinas/química , Espectroscopia de Infravermelho com Transformada de Fourier , Análise Espectral Raman , Termodinâmica
5.
Spectrochim Acta A Mol Biomol Spectrosc ; 123: 392-401, 2014 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-24412793

RESUMO

The FT-Raman and FT-IR spectra for melamine have been recorded in the region 4000-100cm(-1) and 4000-400cm(-1), respectively compared with the harmonic vibrational frequencies calculated using density functional theory method (B3LYP) by employing 6-31G(d,p) and 6-311++G(d,p) basis set with appropriate scaling factors. Optimized geometries of the molecule have been interpreted and compared with the reported experimental values. The experimental geometrical parameters prove satisfactory concurrence with the theoretical prediction from DFT. The scaled vibrational frequencies seem to coincide with the experimentally observed values with acceptable deviations. The theoretical spectrograms have been constructed and compared with the experimental FT-Raman and FT-IR spectra. The calculated Highest Occupied Molecular Orbital (HOMO) and Lowest Unoccupied Molecular Orbital (LUMO) energies show that charge transfer occurs in the molecule. The first order hyperpolarizability ßtotal of this molecular system and related properties (α, ß, µ and Δα) are calculated using DFT/B3LYP/6-31G(d,p) and 6-311++G(d,p) basis set based on the finite-field approach. Stability of the molecule arising from hyper conjugative interaction, charge delocalization has been analyzed using natural bond orbital (NBO) analysis. Thermodynamic properties like entropy, heat capacity and zero-point energy have been calculated for the molecule.


Assuntos
Triazinas/química , Modelos Moleculares , Conformação Molecular , Teoria Quântica , Espectroscopia de Infravermelho com Transformada de Fourier , Análise Espectral Raman
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