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|000005a0| 71 75 65 5f 49 44 7b 59 | 52 42 30 33 33 30 30 7d |que_ID{Y|RB03300}|
|000005b0| 0d 0a 24 54 69 74 6c 65 | 7b 56 69 6f 6c 65 6e 63 |..$Title|{Violenc|
|000005c0| 65 20 62 79 20 50 73 79 | 63 68 69 61 74 72 69 63 |e by Psy|chiatric|
|000005d0| 20 49 6e 2d 50 61 74 69 | 65 6e 74 73 7d 0d 0a 24 | In-Pati|ents}..$|
|000005e0| 41 75 74 68 6f 72 7b 0d | 0a 4e 6f 62 6c 65 2c 20 |Author{.|.Noble, |
|000005f0| 50 0d 0a 52 6f 64 67 65 | 72 2c 20 53 7d 0d 0a 24 |P..Rodge|r, S}..$|
|00000600| 41 66 66 69 6c 69 61 74 | 69 6f 6e 7b 54 68 65 20 |Affiliat|ion{The |
|00000610| 4d 61 75 64 73 6c 65 79 | 20 48 6f 73 70 2c 20 4c |Maudsley| Hosp, L|
|00000620| 6f 6e 64 6f 6e 7d 0d 0a | 24 4a 6f 75 72 6e 61 6c |ondon}..|$Journal|
|00000630| 7b 42 72 20 4a 20 50 73 | 79 63 68 69 61 74 72 79 |{Br J Ps|ychiatry|
|00000640| 7d 0d 0a 24 56 6f 6c 75 | 6d 65 7b 31 35 35 7d 0d |}..$Volu|me{155}.|
|00000650| 0a 24 50 61 67 65 7b 33 | 38 34 2d 33 39 30 7d 0d |.$Page{3|84-390}.|
|00000660| 0a 24 44 61 74 65 7b 31 | 39 38 39 7d 0d 0a 24 59 |.$Date{1|989}..$Y|
|00000670| 42 56 6f 6c 7b 31 39 39 | 31 20 59 65 61 72 20 42 |BVol{199|1 Year B|
|00000680| 6f 6f 6b 20 6f 66 20 50 | 73 79 63 68 69 61 74 72 |ook of P|sychiatr|
|00000690| 79 20 61 6e 64 20 41 70 | 70 6c 69 65 64 20 4d 65 |y and Ap|plied Me|
|000006a0| 6e 74 61 6c 20 48 65 61 | 6c 74 68 7d 0d 0a 24 43 |ntal Hea|lth}..$C|
|000006b0| 68 61 70 74 65 72 7b 35 | 2d 34 34 7d 0d 0a 24 59 |hapter{5|-44}..$Y|
|000006c0| 42 45 64 69 74 6f 72 7b | 44 72 73 2e 20 54 61 6c |BEditor{|Drs. Tal|
|000006d0| 62 6f 74 74 2c 20 46 72 | 61 6e 63 65 73 2c 20 46 |bott, Fr|ances, F|
|000006e0| 72 65 65 64 6d 61 6e 2c | 20 4d 65 6c 74 7a 65 72 |reedman,| Meltzer|
|000006f0| 2c 20 50 65 72 72 79 2c | 20 53 63 68 6f 77 61 6c |, Perry,| Schowal|
|00000700| 74 65 72 2c 20 61 6e 64 | 0d 0a 59 75 64 6f 66 73 |ter, and|..Yudofs|
|00000710| 6b 79 7d 0d 0a 24 54 61 | 62 6c 65 7b 7d 0d 0a 24 |ky}..$Ta|ble{}..$|
|00000720| 43 6f 6d 6d 65 6e 74 61 | 74 6f 72 7b 53 2e 43 2e |Commenta|tor{S.C.|
|00000730| 20 20 59 75 64 6f 66 73 | 6b 79 2c 20 4d 2e 44 2e |  Yudofs|ky, M.D.|
|00000740| 7d 0d 0a 0d 0a 43 6f 70 | 79 72 69 67 68 74 20 28 |}....Cop|yright (|
|00000750| 43 29 20 59 65 61 72 20 | 42 6f 6f 6b 20 4d 65 64 |C) Year |Book Med|
|00000760| 69 63 61 6c 20 50 75 62 | 6c 69 73 68 65 72 73 2c |ical Pub|lishers,|
|00000770| 20 49 6e 63 2e 20 31 39 | 39 31 0d 0a 0d 0a 31 39 | Inc. 19|91....19|
|00000780| 39 31 20 59 65 61 72 20 | 42 6f 6f 6b 20 6f 66 20 |91 Year |Book of |
|00000790| 50 73 79 63 68 69 61 74 | 72 79 20 61 6e 64 20 41 |Psychiat|ry and A|
|000007a0| 70 70 6c 69 65 64 20 4d | 65 6e 74 61 6c 20 48 65 |pplied M|ental He|
|000007b0| 61 6c 74 68 0d 0a 0d 0a | 43 68 61 70 74 65 72 20 |alth....|Chapter |
|000007c0| 35 20 2d 2d 20 43 6c 69 | 6e 69 63 61 6c 20 50 73 |5 -- Cli|nical Ps|
|000007d0| 79 63 68 69 61 74 72 79 | 0d 0a 0d 0a 2d 2d 2d 2d |ychiatry|....----|
|000007e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000007f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000800| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000810| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000820| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 0d 0a 56 69 6f 6c |--------|--..Viol|
|00000830| 65 6e 63 65 20 62 79 20 | 50 73 79 63 68 69 61 74 |ence by |Psychiat|
|00000840| 72 69 63 20 49 6e 2d 50 | 61 74 69 65 6e 74 73 0d |ric In-P|atients.|
|00000850| 0a 0d 0a 4e 6f 62 6c 65 | 20 50 3b 20 52 6f 64 67 |...Noble| P; Rodg|
|00000860| 65 72 20 53 0d 0a 28 54 | 68 65 20 4d 61 75 64 73 |er S..(T|he Mauds|
|00000870| 6c 65 79 20 48 6f 73 70 | 2c 20 4c 6f 6e 64 6f 6e |ley Hosp|, London|
|00000880| 29 0d 0a 42 72 20 4a 20 | 50 73 79 63 68 69 61 74 |)..Br J |Psychiat|
|00000890| 72 79 20 31 35 35 3a 33 | 38 34 2d 33 39 30 2c 20 |ry 155:3|84-390, |
|000008a0| 31 39 38 39 0d 0a 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |1989..--|--------|
|000008b0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000008c0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000008d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000008e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000008f0| 2d 2d 2d 2d 0d 0a 0d 0a | 41 62 73 74 72 61 63 74 |----....|Abstract|
|00000900| 0d 0a 0d 0a 20 20 20 20 | 20 54 6f 20 64 6f 63 75 |....    | To docu|
|00000910| 6d 65 6e 74 20 61 6e 20 | 61 70 70 61 72 65 6e 74 |ment an |apparent|
|00000920| 20 69 6e 63 72 65 61 73 | 65 20 69 6e 20 61 67 67 | increas|e in agg|
|00000930| 72 65 73 73 69 6f 6e 20 | 61 6e 64 20 61 73 73 61 |ression |and assa|
|00000940| 75 6c 74 73 20 62 79 20 | 70 61 74 69 65 6e 74 73 |ults by |patients|
|00000950| 2c 0d 0a 61 20 72 65 67 | 69 73 74 65 72 20 6f 66 |,..a reg|ister of|
|00000960| 20 76 69 6f 6c 65 6e 74 | 20 69 6e 63 69 64 65 6e | violent| inciden|
|00000970| 74 73 20 77 61 73 20 73 | 74 61 72 74 65 64 20 69 |ts was s|tarted i|
|00000980| 6e 20 31 39 37 36 20 61 | 74 20 61 20 4c 6f 6e 64 |n 1976 a|t a Lond|
|00000990| 6f 6e 20 70 73 79 63 68 | 69 61 74 72 69 63 0d 0a |on psych|iatric..|
|000009a0| 68 6f 73 70 69 74 61 6c | 20 74 68 61 74 20 73 65 |hospital| that se|
|000009b0| 72 76 65 73 20 61 6e 20 | 69 6e 6e 65 72 20 63 69 |rves an |inner ci|
|000009c0| 74 79 20 61 72 65 61 2e | 20 20 52 65 63 6f 72 64 |ty area.|  Record|
|000009d0| 73 20 6f 66 20 61 6c 6c | 20 69 6e 2d 70 61 74 69 |s of all| in-pati|
|000009e0| 65 6e 74 73 20 77 68 6f | 0d 0a 63 6f 6d 6d 69 74 |ents who|..commit|
|000009f0| 74 65 64 20 61 73 73 61 | 75 6c 74 73 20 64 75 72 |ted assa|ults dur|
|00000a00| 69 6e 67 20 31 39 38 32 | 20 77 65 72 65 20 65 78 |ing 1982| were ex|
|00000a10| 61 6d 69 6e 65 64 20 61 | 6e 64 20 63 6f 6d 70 61 |amined a|nd compa|
|00000a20| 72 65 64 20 77 69 74 68 | 20 63 6c 69 6e 69 63 61 |red with| clinica|
|00000a30| 6c 20 61 6e 64 0d 0a 64 | 65 6d 6f 67 72 61 70 68 |l and..d|emograph|
|00000a40| 69 63 20 64 61 74 61 20 | 66 72 6f 6d 20 6d 61 74 |ic data |from mat|
|00000a50| 63 68 65 64 20 63 6f 6e | 74 72 6f 6c 73 2e 0d 0a |ched con|trols...|
|00000a60| 20 20 20 20 20 4f 66 20 | 31 2c 35 32 39 20 70 61 |     Of |1,529 pa|
|00000a70| 74 69 65 6e 74 73 20 61 | 64 6d 69 74 74 65 64 20 |tients a|dmitted |
|00000a80| 64 75 72 69 6e 67 20 31 | 39 38 32 2c 20 37 33 30 |during 1|982, 730|
|00000a90| 20 77 65 72 65 20 6d 65 | 6e 20 61 6e 64 20 37 39 | were me|n and 79|
|00000aa0| 39 20 77 6f 6d 65 6e 2e | 20 20 41 0d 0a 74 6f 74 |9 women.|  A..tot|
|00000ab0| 61 6c 20 6f 66 20 34 37 | 30 20 61 73 73 61 75 6c |al of 47|0 assaul|
|00000ac0| 74 73 20 77 65 72 65 20 | 63 6f 6d 6d 69 74 74 65 |ts were |committe|
|00000ad0| 64 20 62 79 20 31 33 37 | 20 70 61 74 69 65 6e 74 |d by 137| patient|
|00000ae0| 73 2e 20 20 57 68 65 72 | 65 61 73 20 20 36 35 20 |s.  Wher|eas  65 |
|00000af0| 70 61 74 69 65 6e 74 73 | 0d 0a 77 65 72 65 20 69 |patients|..were i|
|00000b00| 6e 76 6f 6c 76 65 64 20 | 69 6e 20 61 20 73 69 6e |nvolved |in a sin|
|00000b10| 67 6c 65 20 69 6e 63 69 | 64 65 6e 74 2c 20 74 68 |gle inci|dent, th|
|00000b20| 65 20 72 65 6d 61 69 6e | 69 6e 67 20 37 32 20 70 |e remain|ing 72 p|
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|00000b50| 35 20 61 73 73 61 75 6c | 74 73 2e 20 20 54 68 65 |5 assaul|ts.  The|
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|00000b70| 61 74 65 64 20 61 63 63 | 6f 72 64 69 6e 67 20 74 |ated acc|ording t|
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|00000be0| 61 75 73 65 64 20 6e 6f | 20 64 65 74 65 63 74 61 |aused no| detecta|
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|00000c10| 20 28 33 39 25 29 20 63 | 61 75 73 65 64 20 6d 69 | (39%) c|aused mi|
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|00000c40| 62 79 20 33 20 70 61 74 | 69 65 6e 74 73 20 28 32 |by 3 pat|ients (2|
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|00000c90| 0a 20 20 20 20 20 4e 75 | 72 73 65 73 20 61 6e 64 |.     Nu|rses and|
|00000ca0| 20 6f 74 68 65 72 20 70 | 61 74 69 65 6e 74 73 20 | other p|atients |
|00000cb0| 77 65 72 65 20 74 68 65 | 20 6d 6f 73 74 20 63 6f |were the| most co|
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|00000d90| 7a 6f 70 68 72 65 6e 69 | 61 20 61 6e 64 20 77 65 |zophreni|a and we|
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|00000dd0| 2e 20 20 54 68 65 79 20 | 61 6c 73 6f 20 77 65 72 |.  They |also wer|
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|00003940| 0a 24 44 61 74 65 7b 31 | 39 38 39 7d 0d 0a 24 59 |.$Date{1|989}..$Y|
|00003950| 42 56 6f 6c 7b 31 39 39 | 31 20 59 65 61 72 20 42 |BVol{199|1 Year B|
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|00003990| 68 61 70 74 65 72 7b 35 | 2d 34 38 7d 0d 0a 24 59 |hapter{5|-48}..$Y|
|000039a0| 42 45 64 69 74 6f 72 7b | 44 72 73 2e 20 54 61 6c |BEditor{|Drs. Tal|
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|000039c0| 72 65 65 64 6d 61 6e 2c | 20 4d 65 6c 74 7a 65 72 |reedman,| Meltzer|
|000039d0| 2c 20 50 65 72 72 79 2c | 20 53 63 68 6f 77 61 6c |, Perry,| Schowal|
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|00003a60| 31 20 59 65 61 72 20 42 | 6f 6f 6b 20 6f 66 20 50 |1 Year B|ook of P|
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|00003a80| 70 6c 69 65 64 20 4d 65 | 6e 74 61 6c 20 48 65 61 |plied Me|ntal Hea|
|00003a90| 6c 74 68 0d 0a 0d 0a 43 | 68 61 70 74 65 72 20 35 |lth....C|hapter 5|
|00003aa0| 20 2d 2d 20 43 6c 69 6e | 69 63 61 6c 20 50 73 79 | -- Clin|ical Psy|
|00003ab0| 63 68 69 61 74 72 79 0d | 0a 0d 0a 2d 2d 2d 2d 2d |chiatry.|...-----|
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|00003af0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003b00| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 0d 0a 53 74 72 65 73 |--------|-..Stres|
|00003b10| 73 20 41 6e 74 65 63 65 | 64 65 6e 74 73 20 61 6e |s Antece|dents an|
|00003b20| 64 20 49 6d 6d 75 6e 65 | 20 53 74 61 74 75 73 20 |d Immune| Status |
|00003b30| 69 6e 20 52 65 63 65 6e | 74 6c 79 20 44 69 61 67 |in Recen|tly Diag|
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|00003b60| 20 44 69 61 62 65 74 65 | 73 20 4d 65 6c 6c 69 74 | Diabete|s Mellit|
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|00003b80| 42 3b 20 4f 7a 61 6e 6f | 6e 20 4a 50 3b 20 4b 61 |B; Ozano|n JP; Ka|
|00003b90| 70 6c 61 6e 73 6b 79 20 | 53 3b 20 46 61 72 6e 61 |plansky |S; Farna|
|00003ba0| 72 69 65 72 20 43 3b 20 | 53 61 75 76 61 67 65 74 |rier C; |Sauvaget|
|00003bb0| 20 45 3b 20 4c 61 73 73 | 6d 61 6e 6e 2d 56 61 67 | E; Lass|mann-Vag|
|00003bc0| 75 65 0d 0a 56 3b 20 42 | 65 72 6e 61 72 64 20 44 |ue..V; B|ernard D|
|00003bd0| 3b 20 56 61 67 75 65 20 | 50 0d 0a 28 55 6e 69 76 |; Vague |P..(Univ|
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|00003bf0| 72 61 6e 63 65 29 0d 0a | 44 69 61 62 65 74 65 20 |rance)..|Diabete |
|00003c00| 4d 65 74 61 62 20 31 35 | 3a 34 35 2d 35 30 2c 20 |Metab 15|:45-50, |
|00003c10| 31 39 38 39 0d 0a 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |1989..--|--------|
|00003c20| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
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|00003c50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c60| 2d 2d 2d 2d 0d 0a 0d 0a | 41 62 73 74 72 61 63 74 |----....|Abstract|
|00003c70| 0d 0a 0d 0a 20 20 20 20 | 20 53 74 72 65 73 73 66 |....    | Stressf|
|00003c80| 75 6c 20 6c 69 66 65 20 | 65 76 65 6e 74 73 20 6d |ul life |events m|
|00003c90| 61 79 20 68 61 76 65 20 | 61 20 72 6f 6c 65 20 69 |ay have |a role i|
|00003ca0| 6e 20 70 72 65 63 69 70 | 69 74 61 74 69 6e 67 20 |n precip|itating |
|00003cb0| 74 79 70 65 20 49 20 64 | 69 61 62 65 74 65 73 20 |type I d|iabetes |
|00003cc0| 69 6e 0d 0a 67 65 6e 65 | 74 69 63 61 6c 6c 79 20 |in..gene|tically |
|00003cd0| 70 72 65 64 69 73 70 6f | 73 65 64 20 70 61 74 69 |predispo|sed pati|
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|00003cf0| 74 68 65 20 72 6f 6c 65 | 20 6f 66 20 73 74 72 65 |the role| of stre|
|00003d00| 73 73 20 69 6e 20 74 68 | 65 0d 0a 64 65 76 65 6c |ss in th|e..devel|
|00003d10| 6f 70 6d 65 6e 74 20 6f | 66 20 61 75 74 6f 69 6d |opment o|f autoim|
|00003d20| 6d 75 6e 65 20 64 69 73 | 6f 72 64 65 72 73 20 72 |mune dis|orders r|
|00003d30| 65 6d 61 69 6e 73 20 75 | 6e 63 6c 65 61 72 2e 20 |emains u|nclear. |
|00003d40| 20 50 72 65 76 69 6f 75 | 73 20 73 74 75 64 69 65 | Previou|s studie|
|00003d50| 73 20 68 61 76 65 0d 0a | 70 6f 73 74 75 6c 61 74 |s have..|postulat|
|00003d60| 65 64 20 74 68 61 74 20 | 6d 6f 64 69 66 79 69 6e |ed that |modifyin|
|00003d70| 67 20 74 68 65 20 69 6d | 6d 75 6e 65 20 73 74 61 |g the im|mune sta|
|00003d80| 74 75 73 20 6d 61 79 20 | 65 69 74 68 65 72 20 70 |tus may |either p|
|00003d90| 72 65 63 69 70 69 74 61 | 74 65 20 61 6e 20 61 6e |recipita|te an an|
|00003da0| 74 69 73 65 6c 66 0d 0a | 69 6d 6d 75 6e 65 20 72 |tiself..|immune r|
|00003db0| 65 61 63 74 69 6f 6e 20 | 6f 72 20 69 6e 68 69 62 |eaction |or inhib|
|00003dc0| 69 74 20 74 68 65 20 64 | 65 66 65 6e 63 65 73 20 |it the d|efences |
|00003dd0| 61 67 61 69 6e 73 74 20 | 61 6e 20 65 6e 76 69 72 |against |an envir|
|00003de0| 6f 6e 6d 65 6e 74 61 6c | 0d 0a 70 61 6e 63 72 65 |onmental|..pancre|
|00003df0| 61 73 2d 73 70 65 63 69 | 66 69 63 20 66 61 63 74 |as-speci|fic fact|
|00003e00| 6f 72 2e 20 20 41 20 73 | 74 75 64 79 20 77 61 73 |or.  A s|tudy was|
|00003e10| 20 63 6f 6e 64 75 63 74 | 65 64 20 69 6e 20 33 32 | conduct|ed in 32|
|00003e20| 20 69 6e 73 75 6c 69 6e | 2d 64 65 70 65 6e 64 65 | insulin|-depende|
|00003e30| 6e 74 0d 0a 64 69 61 62 | 65 74 69 63 20 70 61 74 |nt..diab|etic pat|
|00003e40| 69 65 6e 74 73 20 77 69 | 74 68 20 61 67 65 20 61 |ients wi|th age a|
|00003e50| 74 20 6f 6e 73 65 74 20 | 62 65 74 77 65 65 6e 20 |t onset |between |
|00003e60| 31 35 20 61 6e 64 20 34 | 30 20 79 65 61 72 73 20 |15 and 4|0 years |
|00003e70| 74 6f 20 64 65 74 65 72 | 6d 69 6e 65 0d 0a 77 68 |to deter|mine..wh|
|00003e80| 65 74 68 65 72 20 73 74 | 72 65 73 73 20 63 61 75 |ether st|ress cau|
|00003e90| 73 65 73 20 64 69 61 62 | 65 74 65 73 20 62 79 20 |ses diab|etes by |
|00003ea0| 6d 6f 64 69 66 79 69 6e | 67 20 74 68 65 20 69 6d |modifyin|g the im|
|00003eb0| 6d 75 6e 65 20 73 79 73 | 74 65 6d 2e 0d 0a 20 20 |mune sys|tem...  |
|00003ec0| 20 20 20 53 74 75 64 79 | 20 69 6e 63 6c 75 73 69 |   Study| inclusi|
|00003ed0| 6f 6e 20 63 72 69 74 65 | 72 69 61 20 77 65 72 65 |on crite|ria were|
|00003ee0| 20 74 65 6e 64 65 6e 63 | 79 20 74 6f 20 6b 65 74 | tendenc|y to ket|
|00003ef0| 6f 73 69 73 2c 20 6e 6f | 20 6f 62 65 73 69 74 79 |osis, no| obesity|
|00003f00| 2c 20 61 6e 64 0d 0a 66 | 61 69 6c 75 72 65 20 6f |, and..f|ailure o|
|00003f10| 66 20 6f 72 61 6c 20 68 | 79 70 6f 67 6c 79 63 65 |f oral h|ypoglyce|
|00003f20| 6d 69 63 20 74 68 65 72 | 61 70 79 2e 20 20 41 6c |mic ther|apy.  Al|
|00003f30| 6c 20 70 61 74 69 65 6e | 74 73 20 68 61 64 20 65 |l patien|ts had e|
|00003f40| 78 70 65 72 69 65 6e 63 | 65 64 20 74 68 65 20 66 |xperienc|ed the f|
|00003f50| 69 72 73 74 0d 0a 6d 61 | 6e 69 66 65 73 74 61 74 |irst..ma|nifestat|
|00003f60| 69 6f 6e 73 20 6f 66 20 | 64 69 61 62 65 74 65 73 |ions of |diabetes|
|00003f70| 20 6c 65 73 73 20 74 68 | 61 6e 20 36 20 6d 6f 6e | less th|an 6 mon|
|00003f80| 74 68 73 20 62 65 66 6f | 72 65 20 74 68 65 20 73 |ths befo|re the s|
|00003f90| 74 75 64 79 2c 20 61 6e | 64 20 61 6c 6c 20 68 61 |tudy, an|d all ha|
|00003fa0| 64 0d 0a 74 61 6b 65 6e | 20 69 6e 73 75 6c 69 6e |d..taken| insulin|
|00003fb0| 20 66 6f 72 20 6c 65 73 | 73 20 74 68 61 6e 20 32 | for les|s than 2|
|00003fc0| 20 6d 6f 6e 74 68 73 2e | 0d 0a 20 20 20 20 20 54 | months.|..     T|
|00003fd0| 77 6f 20 67 72 6f 75 70 | 73 20 6f 66 20 68 65 61 |wo group|s of hea|
|00003fe0| 6c 74 68 79 20 76 6f 6c | 75 6e 74 65 65 72 73 20 |lthy vol|unteers |
|00003ff0| 73 65 72 76 65 64 20 61 | 73 20 63 6f 6e 74 72 6f |served a|s contro|
|00004000| 6c 73 2e 20 20 54 68 65 | 20 66 69 72 73 74 0d 0a |ls.  The| first..|
|00004010| 61 67 65 2d 6d 61 74 63 | 68 65 64 20 63 6f 6e 74 |age-matc|hed cont|
|00004020| 72 6f 6c 20 67 72 6f 75 | 70 20 77 61 73 20 72 65 |rol grou|p was re|
|00004030| 63 72 75 69 74 65 64 20 | 66 72 6f 6d 20 61 6d 6f |cruited |from amo|
|00004040| 6e 67 20 74 68 65 20 68 | 6f 73 70 69 74 61 6c 20 |ng the h|ospital |
|00004050| 73 74 61 66 66 2c 20 61 | 6e 64 20 74 68 65 0d 0a |staff, a|nd the..|
|00004060| 73 65 63 6f 6e 64 20 63 | 6f 6e 74 72 6f 6c 20 67 |second c|ontrol g|
|00004070| 72 6f 75 70 20 63 6f 6e | 73 69 73 74 65 64 20 6f |roup con|sisted o|
|00004080| 66 20 72 61 6e 64 6f 6d | 6c 79 20 73 65 6c 65 63 |f random|ly selec|
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|000040a0| 61 74 69 65 6e 74 73 2e | 20 20 41 6c 6c 0d 0a 64 |atients.|  All..d|
|000040b0| 69 61 62 65 74 69 63 20 | 70 61 74 69 65 6e 74 73 |iabetic |patients|
|000040c0| 20 75 6e 64 65 72 77 65 | 6e 74 20 6c 61 62 6f 72 | underwe|nt labor|
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|00004100| 6e 74 73 20 61 6e 64 20 | 63 6f 6e 74 72 6f 6c 73 |nts and |controls|
|00004110| 20 77 65 72 65 20 69 6e | 74 65 72 76 69 65 77 65 | were in|terviewe|
|00004120| 64 20 61 63 63 6f 72 64 | 69 6e 67 20 74 6f 20 61 |d accord|ing to a|
|00004130| 20 73 74 61 6e 64 61 72 | 64 69 7a 65 64 0d 0a 71 | standar|dized..q|
|00004140| 75 65 73 74 69 6f 6e 6e | 61 69 72 65 20 64 65 73 |uestionn|aire des|
|00004150| 69 67 6e 65 64 20 74 6f | 20 69 64 65 6e 74 69 66 |igned to| identif|
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|00004190| 0a 20 20 20 20 20 44 69 | 61 62 65 74 69 63 20 70 |.     Di|abetic p|
|000041a0| 61 74 69 65 6e 74 73 20 | 72 65 70 6f 72 74 65 64 |atients |reported|
|000041b0| 20 66 65 77 65 72 20 6c | 69 66 65 20 65 76 65 6e | fewer l|ife even|
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|000041e0| 73 73 66 75 6c 2c 20 77 | 68 65 6e 20 63 6f 6d 70 |ssful, w|hen comp|
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|00004200| 6e 74 72 6f 6c 73 2e 20 | 20 48 6f 77 65 76 65 72 |ntrols. | However|
|00004210| 2c 20 64 75 72 69 6e 67 | 20 74 68 65 20 31 32 20 |, during| the 12 |
|00004220| 6d 6f 6e 74 68 73 0d 0a | 70 72 65 63 65 64 69 6e |months..|precedin|
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|00004260| 61 74 69 65 6e 74 73 20 | 68 61 64 20 65 6e 64 75 |atients |had endu|
|00004270| 72 65 64 20 61 74 0d 0a | 6c 65 61 73 74 20 31 20 |red at..|least 1 |
|00004280| 73 74 72 65 73 73 66 75 | 6c 20 6c 69 66 65 20 65 |stressfu|l life e|
|00004290| 76 65 6e 74 2c 20 63 6f | 6d 70 61 72 65 64 20 77 |vent, co|mpared w|
|000042a0| 69 74 68 20 31 30 20 6f | 66 20 74 68 65 20 35 33 |ith 10 o|f the 53|
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|000042d0| 73 69 67 6e 69 66 69 63 | 61 6e 74 20 66 6f 72 20 |signific|ant for |
|000042e0| 61 6c 6c 20 63 6f 6d 70 | 61 72 69 73 6f 6e 73 2e |all comp|arisons.|
|000042f0| 20 20 49 6e 20 6d 6f 72 | 65 20 74 68 61 6e 20 68 |  In mor|e than h|
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|00004370| 64 20 73 69 6d 69 6c 61 | 72 20 74 79 70 65 73 20 |d simila|r types |
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|000043f0| 6d 69 74 6f 67 65 6e 69 | 63 20 61 63 74 69 76 69 |mitogeni|c activi|
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|00006070| 41 6c 6c 0d 0a 6d 61 73 | 74 65 63 74 6f 6d 79 20 |All..mas|tectomy |
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+--------+-------------------------+-------------------------+--------+--------+