Spoon River College

Background: Type 2 Diabetes Mellitus (T2DM) is one of the largest contributors to global morbidity and mortality from noncommunicable diseases. The chronic nature of the T2DM, coupled with the demands of its management, often leads to significant psychological stress which is known as diabetes-related distress (DRD). DRD encompasses the emotional burden of living with diabetes, fears about long-term complications, and frustrations related to managing the disease. Aim: To find out the determinants of DRD among the T2DM patients attending the outpatient department of Combined Military Hospital (CMH) Rajendropur. Methods: This cross-sectional study was conducted among 223 previously diagnosed T2DM patients from August 2022 to November 2022 attending at the outpatient department (OPD) of CMH Rajendropur. Respondents were selected purposively and data collection was done by face-to-face interview using validated 17-items Diabetes Distress Scale (DDS-17). Results: Among the 223 T2DM patients, 73.1% had no distress, 20.2% had moderate and 6.7% had severe distress with 11.2%, 6.7%, 32.7% and 4% had severe distress in emotional, physician, regimen and interpersonal related distress respectively. Binary logistic regression analysis revealed that having monthly family income <1000-taka (95% CI; 1.042-5.622), performing physical exercise <25 minutes daily (OR 3.200, 95% CI: 1.046 – 9.789) and having dyslipidemia (OR: 3.020, 95% CI: 0.828 – 11.022) were significant predictor for the development of diabetes related distress. Conclusion: Our study revealed that DRD is prevalent in low-income group patients, not having adequate physical exercise and T2DM patient with dyslipidemia. Bangladesh Armed Forces Med J Vol 58 No (1) June 2025, pp 7-16

Abstract Water stress and weed competition are critical stressors during corn (Zea mays L.) development. Genetic improvements in corn have resulted in hybrids with greater tolerance to abiotic and biotic stressors; however, drought stress remains problematic. Therefore, in light of the anticipated change in precipitation throughout the Great Lakes Region, greenhouse experiments were conducted to evaluate water stress and weed competition on drought-tolerant corn performance. The study followed a completely randomized block design with four replications. Factorial treatment combinations consisted of drought-tolerant corn competition (presence or absence), water stress (100% or 50% volumetric water content [VWC]), and nine corn:common lambsquarters (Chenopodium album L., CHEAL) densities. Corn and C. album growth parameters were measured at 14 and 21 d after water-stress initiation. To explore the impact of reduced soil moisture and weed competition on corn and C. album growth parameters, photosynthetic response, and biomass, linear mixed-effects and nonlinear regression models were constructed in R. Chenopodium album biomass was reduced by 46% and 50% under corn competition at 2 and 4 weeds pot–1 (P = 0.0003, 0.0004). However, introducing crop competition under 6 and 9 weeds pot–1 did not reduce C. album biomass (P = 0.90, 1.00). Averaged across weed pressures, corn biomass was 22% less when grown under 50% compared with 100% VWC (P = 0.0003). However, averaged across VWC values, increasing weed competition from 0 to 2 (P = 0.04), 4 (P = <0.0001), 6 (P = 0.0002), or 9 (P = 0.0002) weeds pot–1 reduced biomass by 22%, 38%, 35%, and 36%. Overall, water stress and C. album competition negatively affected the parameters measured in this study; however, the magnitude of reduction is stronger under drought stress than increasing weed competition when water is not limiting. Therefore, field crop growers must modify current integrated weed management programs to maintain yield under future climate stress.

e19060 Background: A major concern of cancer survivors is the occurrence of a subsequent cancer. A small proportion of patients with CML develop second cancers. Little is known about these patients. In the present study, we determined the profile and determinants of survival among patients with a primary CML who developed subsequent malignancies. Methods: We utilized the SEER 18 Registry 1975-2016 to conduct a retrospective analysis of patients who developed a subsequent malignancy following a primary CML diagnosis. The outcome of interest was the latency interval between the initial primary CML diagnosis and a subsequent malignancy. Utilizing the cox regression model, we determined the factors associated with the overall survival after controlling for disease stage, treatment modalities, and social determinants of health. Results: There were 2, 312 CML Patients who developed a subsequent malignancy in the study period. Among these patients, 76.3% were non-Hispanic Whites, 9.6% were non-Hispanic Blacks, and 8.7% were Hispanics. 63.0% of the study population were males. The mean age at primary diagnosis of CML was 63.2 ± 15.6 yrs. While the mean age at diagnosis of the subsequent malignancy was 66.9 ± 14.5 yrs. The commonest subsequent malignancies were Acute Myeloid Leukemia (12.9%), Prostate cancers (12.7%), Lung and Bronchi cancers (11.5%), and Breast cancers (5.9%). The mean latency interval for developing a subsequent malignancy following a CML was 3.7± 4.4 years. Significant predictors of reduced survival include increasing age (HR = 1.02; 95% CI 1.01-1.03), Latency interval < 5years (HR = 0.32; 95% CI 0.17-0.60) and Hispanic ethnicity (HR = 1.78; 95% CI 1.09-2.92). Conclusions: Common second malignancies following a primary diagnosis of CML include prostate cancers, lung and bronchi cancers, and breast malignancies. Major predictors of adverse outcomes include advanced age, development of second cancers within 5 years of primary CML diagnosis, and Hispanic ethnicity.

Diabetes mellitus is a significant risk factor for developing acute myocardial infarction (AMI) among women. Women with diabetes who developed AMI have a higher mortality risk than matched controls without diabetes. Black women with diabetes continue to have worse outcomes following the development of AMI.

ESROCOS (http://www.h2020-esrocos.eu) is a European Project in the frame of the PERASPERA SRC, (http://www.h2020-peraspera.eu/), targeting the design of a Robot Control Operating Software (RCOS) for space robotics applications. The goal of the ESROCOS project is to provide an open-source framework to assist in the development of flight software for space robots, providing adequate features and performance with space-grade Reliability, Availability, Maintainability and Safety (RAMS) properties. This paper presents the ESROCOS project and summarizes the approach and the current status.