\n\nOne hundred and ten Chinese patients
with newly diagnosed obstructive sleep apnea syndrome were enrolled in this study. They were randomly assigned into stage-matched care (SMC) and standard care (SC) groups (55 patients in each group). Patients in the SMC group received stage-matched intervention at different DNA Damage inhibitor stages of behavior changes, and the SC group received only routine care. The intervention was based on the health action process approach theory and included risk perception, outcome expectancy, and self-efficacy. Questionnaires included the Self-Efficacy Measure for Sleep Apnea, the Epworth Sleepiness Scale (ESS), and the Pittsburgh Sleep Quality Index (PSQI). Data were collected at baseline and 1 and 3 months after home CPAP treatment, and hours of CPAP usage was also recorded at 1 and 3 months of follow-up.\n\nAt 1 month, CPAP usage was 5.59 +/- 0.56 h/night (mean +/- SD) vs 5.28 +/- 0.67 h/night in the SMC and SC groups, respectively (p = 0.016). At 3 months, CPAP usage was 5.65 +/- 0.50 vs 5.26 +/- 0.82 h/night in the SMC and SC groups, respectively (p = 0.006). Repeated ANOVA analysis demonstrated that risk perception, outcome expectancy, and self-efficacy in the
SMC group were significantly higher than those of the SC group (p < 0.05). Moreover, the time x group interaction was significant for outcome expectancy and self-efficacy, indicating that the groups differed significantly in changes in outcome expectancy and self-efficacy over the three time MG-132 ic50 points. There was a significant selleckchem difference between the SMC and SC groups in terms of improvement in ESS (p < 0.001) and PSQI (p = 0.013) after 3 months of CPAP treatment.\n\nStage-matched intervention could not only facilitate intention formation and enhance treatment self-efficacy but significantly improve CPAP adherence in OSA patients for the 3-month treatment.”
“Objective. to investigate the factors associated with postprandial
glucose excursions in patients with type 2 diabetes.\n\nResearch Design and Methods. A complete medical history and physical examination were assessed in 118 consecutive patients with type 2 diabetes attending the Diabetes Outpatient Clinic, Cluj-Napoca. Blood samples were collected in fasting state, and HbAlc and lipid profile were assessed. A six points blood glucose profile measured by patients at home was performed. To determine variables associated with higher postprandial glycermic levels, factor analysis followed by linear regression model was performed.\n\nResults. The Study group had a median age of 59.2 years, 43.4% were females. The median duration of diabetes was 5 years. By factor analysis we have extracted 4 factors that explained 75.