Women with type 1 diabetes showed higher GV, with a 2-fold higher risk of hyperglycemic spikes during the day, than healthy pregnant women or GDM ones. GDM women had only slightly higher GV parameters than healthy controls. HbA1c did not correlate with GV indicators in type 1 diabetes or GDM pregnancies. We provided new evidence of the importance of certain GV indicators in pregnant women with GDM or type 1 diabetes and recommended the use of CGM specifically in these populations.”
“Objective-To characterize veterinarian-client communication with undisclosed standardized clients

(USCs) during discussions regarding euthanasia of a pet

Design-Descriptive study

Procedures-During 2 clinic visits 2 cases (a geriatric dog with worsening arthritis and a cat with inappropriate urination) designed to stimulate discussion regarding euthanasia Pevonedistat in vitro of a pet were presented by different USCs (individuals trained to consistently present a particular case to veterinarians without disclosing their identity) Discussions were audio recorded and analyzed by use of the measure of patient-centered communication (MPCC [a tool to assess and score physician communication behaviors]) Veterinarian

and client statements were classified by means of 3 patient-centered components exploring both the disease and the illness experience understanding the whole person and finding common ground

Results-60 usable recorded discussions were obtained (31 veterinarians 30 discussions/case) Overall MPCC scores were significantly lower for the Givinostat datasheet geriatric dog case For both cases veterinarians scored highest on finding common ground and lowest on exploring both the disease and the illness experience Lack of exploration of client feelings ideas and expectations

and the effect of the illness on the animal s function resulted in low scores among veterinarians

Conclusions and Clinical Relevance-Results indicated that the use of USCs and the MPCC are feasible methods for analysis of veterinarian-client communication during companion animal euthanasia discussions Findings suggested that some veterinarians do not fully explore client concerns or facilitate client involvement in euthanasia decision making (J Am Vet Med Assoc 2010 237 1275-1287)”
“Objectives: HKI-272 The incidence of invasive fungal infections has increased considerably in recent years. The aim of this study was to present a suitable early diagnostic procedure in immunocompromised patients, using a molecular assay.

Methods: From September 2005 to January 2007, 310 immunosuppressed patients were followed for fungal infections for a 6-month period. EDTA-anticoagulant whole blood specimens were collected prospectively once per week and stored at -20 degrees C until use in molecular assays.

Results: Molecular assays were positive in 55 (17.7%) patients. The etiologic agents were Candida albicans (67.3%), Aspergillus flavus (20.0%), Aspergillus fumigatus (7.