Objective: To systematically review the effect of self-management education on diabetic control in type 2 diabetes Research design and methods: PubMed was searched for English-language articles published between 2010 and 2013. All the studies were original articles selected manually and used randomized control trials generating results of self-management education in people with type 2 diabetes referring to diabetic control. Relevant data were divided and tabulated into factors of population characteristics, interventions and outcomes. Interventions were classified into three sections as collaborative information intervention, lifestyle intervention, and skills teaching intervention based on the patterns of education. Outcomes were categorized into glycemic control, cardiovascular disease (CVD) risk factors and nephropathy risk factors. Results: A total of 24 studies were identified of initial 41 articles for this review. Effects of self-management education on glycemic control were demonstrated to be positive both in short-term (<10 months) and long-term (>10 months) follow-up, but more positive effects in short-term follow-up. The same effectiveness happens to CVD risk factors, including lipids, weight and blood pressure. On the other hand, with short-term follow-up, teaching skills intervention of self-management education is more effective than collaborative information intervention and lifestyle intervention on reducing glycemic control and CVD risk factors. Also with long-term follow-up, teaching skills intervention of self-management education had more effectiveness than collaborative information intervention and lifestyle intervention on reducing glycemic control. However, few studies including CVD risk factors in the long-term follow-up, so it is difficult to evaluate the effectiveness of on CVD risk factors with long-term follow-up. Conclusions: Evidences supports the positive effectiveness of self-management education with collaborative information intervention, lifestyle intervention and skills teaching intervention among type 2 diabetes patients on diabetic control, in both short-term follow-up and long-term follow-up, but short-term follow-up is more effective than long-term follow-up. Further research is needed to develop self-management interventions to maintain long-term follow-up effects on glycemic control, CVD risk factors and other diabetes complications. / published_or_final_version / Public Health / Master / Master of Public Health

Not available / text

No description available.

Multi-directional polymer matrix composite materials are increasingly used in load-bearing structural applications ranging from primary aircraft structures and automotive parts to rehabilitation of bridges. Long-term durability, characterized by time-dependent degradation in strength (known as creep-rupture) and modulus (known as creep), is an important concern in these applications. Despite the experimental evidence on the influence of time-dependent damage on creep and creep rupture of multi-directional composites, current level of understanding of this is very limited. Hence, the focus of this thesis is to develop a clear understanding of the time dependent evolution of various damage modes and their influence on creep rupture of polymer matrix composite laminates.Three laminates [0/90/0], [±45/902]s, and [0/902]s were subjected to a wide range of constant stresses at various test temperatures and creep rupture time was recorded.The various damage modes that developed, with stress during tensile testing, and with time during constant stress creep rupture testing were transverse cracking, vertical cracking, delamination, vertical splitting and fiber fracture.The appearance of these damages were time dependent confirming that the FPF stress is time-dependent, while the conventional wisdom is to consider it to be time-independent in design. Beyond FPF, the damage continued to evolve for a certain period of time beyond which additional damage modes started to evolve influencing the evolution rate of one-another.The percentage of creep rupture time during which a single mode of damage was evolving decreased with increase in applied stress and test temperature.Based on these results it is concluded that creep rupture of multidirectional laminates is influenced by contributions from a complex interaction of various damage modes that evolve with time, suggesting that creep rupture predictions could be good approximations only.

Multi-directional polymer matrix composite materials are increasingly used in load-bearing structural applications ranging from primary aircraft structures and automotive parts to rehabilitation of bridges. Long-term durability, characterized by time-dependent degradation in strength (known as creep-rupture) and modulus (known as creep), is an important concern in these applications. Despite the experimental evidence on the influence of time-dependent damage on creep and creep rupture of multi-directional composites, current level of understanding of this is very limited. Hence, the focus of this thesis is to develop a clear understanding of the time dependent evolution of various damage modes and their influence on creep rupture of polymer matrix composite laminates.Three laminates [0/90/0], [±45/902]s, and [0/902]s were subjected to a wide range of constant stresses at various test temperatures and creep rupture time was recorded.The various damage modes that developed, with stress during tensile testing, and with time during constant stress creep rupture testing were transverse cracking, vertical cracking, delamination, vertical splitting and fiber fracture.The appearance of these damages were time dependent confirming that the FPF stress is time-dependent, while the conventional wisdom is to consider it to be time-independent in design. Beyond FPF, the damage continued to evolve for a certain period of time beyond which additional damage modes started to evolve influencing the evolution rate of one-another.The percentage of creep rupture time during which a single mode of damage was evolving decreased with increase in applied stress and test temperature.Based on these results it is concluded that creep rupture of multidirectional laminates is influenced by contributions from a complex interaction of various damage modes that evolve with time, suggesting that creep rupture predictions could be good approximations only.

Diss. (sammanfattning) Uppsala : Univ., 2001. / Härtill 5 uppsatser.

Thesis (M.A.)--University of Hawaii at Manoa, 2001. / Includes bibliographical references (leaves 92-101). Also available on microfiche.

Thesis (M.A.)--University of Adelaide, 1989. / Includes bibliographical references (leaves 191-204).

Thesis (Ph.D.)--University of Adelaide, Dept. of Chemistry, 1999. / Bibliography: p. 143-160.

Thesis (Ph.D.)--University of Adelaide, Dept. of Molecular Biosciences, 2002. / "August 2002." Bibliography: p. 157-169.