Current Management of Type 2 Diabetes Mellitus in Primary Care Clinics in Korea.

BACKGROUND: This study investigated the overall status of diabetes control and screening for diabetic microvascular complications in patients with type 2 diabetes mellitus attending primary care clinics in Korea. METHODS: In this cross-sectional observational study, 191 primary care clinics were randomly selected across Korea from 2015 to 2016. In total, 3,227 subjects were enrolled in the study. RESULTS: The patients followed at the primary care clinics were relatively young, with a mean age of 61.4±11.7 years, and had a relatively short duration of diabetes (mean duration, 7.6±6.5 years). Approximately 14% of subjects had diabetic microvascular complications. However, the patients treated at the primary care clinics had suboptimal control of hemoglobin A1c levels, blood pressure, and serum lipid levels, along with a metabolic target achievement rate of 5.9% according to the Korean Diabetes Association guidelines. The screening rates for diabetic nephropathy, retinopathy, and neuropathy within the past 12 months were 28.4%, 23.3%, and 13.3%, respectively. CONCLUSION: The overall status of diabetes management, including the frequency of screening for microvascular complications, was suboptimal in the primary care clinics. More efforts should be made and more resources need to be allocated for primary care physicians to promote adequate healthcare delivery, which would result in stricter diabetes control and improved management of diabetic complications.

Acoustic Anomalies and Phase Transition Behaviors of Lead-Free Piezoelectric (Na1/2Bi1/2)TiO3-xBaTiO3 Single Crystals as Revealed by Brillouin Light Scattering.

The elastic properties of unpoled and prepoled (Na1/2Bi1/2)TiO3-xBaTiO3 (NBT-xBT) single crystals near the morphotropic phase boundary were investigated as a function of temperature using Brillouin light scattering. The acoustic mode frequency and the related acoustic damping of unpoled NBT-xBT showed very broad minimum and maximum, respectively, consistent with typical relaxor behaviors. The frequency softening of the longitudinal acoustic mode together with the increase in acoustic damping was largest along the <100> direction, indicating that polarization fluctuations were most substantial along this crystallographic direction. The difference in acoustic behaviors between the unpoled NBT-xBTs with x = 0.05 and 0.08 were negligible, which means that the NBT-xBT system exhibits typical relaxor properties over a certain composition range of at least 5~8%. The obtained relaxation time of polar nanoregions in the paraelectric phase showed a gradual slowing-down character without any critical divergent behavior. The prepoling of NBT-xBT along the <100> direction induced drastic changes in both mode frequency and damping at ~110 °C when the poling field was larger than 1.4 kV/mm, corresponding to the depoling process from macroscopic/mesoscopic ferroelectric order to ergodic relaxor state upon heating. Phase coexistence of ferroelectric and relaxor states was observed at the intermediate poling field of 1.4 kV/mm.

Phase transitions and interrelated instabilities in PbHfO3 single crystals.

PbHfO(3) is investigated theoretically and experimentally with respect to possible precursor effects starting in the paraelectric phase far above the cubic to tetragonal phase transition temperature. The theoretical modeling within the polarizability model predicts a giant softness of the system with spatially large polar and antiferrodistortive domain formation which compete with each other. These predictions are substantiated by the experiments, where the softness and the precursor effects are confirmed by birefringence, dielectric permittivity measurements and elastic properties by Brillouin scattering. The intermediate phase is found to have the polar nature confirmed by P-E hysteresis loop measurements, which is another manifestation of the competition between interrelated instabilities, namely a polar one and an antiferroelectric one.