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To follow up Japanese patients with type 1 diabetes for a maximum of 40 years to examine when they transitioned from pediatric care to adult care and to explore whether the attending physician, i.e., pediatrician or internist, was associated with prognosis.Participants consisted of 1,299 patients who had been diagnosed as having type 1 diabetes at less than 15 years old between 1965 and 1979 identified through two nationwide surveys. Patients were classified as having received either pediatric care or adult care at the age of 15 and 30, and were compared for differences in mortality associated with the attending physician.The attending physicians were confirmed for a total of 1,093 patients at the age of 15. Of these patients, 43.8% and 40.3% received pediatric care and adult care, respectively. Of the 569 patients receiving pediatric care, 74.2%, 56.6%, 53.4%, and 51.3% continued with pediatric care at 20, 30, 40, and 50 years old, respectively. The attending physicians (pediatrician or internist) at the age of 15 and 30 had no significant impact on their survival (P = 0. 892, 0.411, respectively).More than half of the patients who had received pediatric care at the age of 15 continued to receive pediatric care even after the age of 30, suggesting that their transition was far from smooth, while the attending physician at the age of both 15 and 30 was not a prognostic factor for mortality. Thus, the timing for transition to adult care in these patients has no relationship with mortality in Japan.

In the field of metals, especially in magnesium alloys, a new concept has been reported that introducing a kink by applying compression or other deformation to a material with an LPSO structure, in which hard and soft layers are alternately stacked, results in higher strength. Because crystalline polymers are alternately layered with a crystalline phase, the hard layer, and an amorphous phase, the soft layer, it is expected that crystalline polymers can be made stronger if kinks can be introduced by applying compression or other deformation. In this study, the effects of a high-pressure press on the tensile properties and morphology of polypropylene (PP) were investigated. We found that a highpressure press reduced the strain at break but increased the tensile modulus and the stress at break in the stressstrain curves. Thus, we succeeded in developing high-strength PP using a high-pressure press. In addition, it is found that the tensile properties were isotropic with no directional dependence after press. This implies that the tensile strength can be increased isotropically. Observing the morphology parallel to the press direction by small-angle X-ray scattering (SAXS) and wide-angle X-ray scattering (WAXS), it was found that the crystal lamellae spread isotropically. Conversely, observation of the morphology perpendicular to the press direction by optical microscopy (OM) and transmission electron microscopy (TEM) revealed the formation of a shear band where deformation was concentrated owing to pressure. In the shear band, it was found that lamella fragmentation occurred and a kinked structure was formed. In this region, the molecular chains may be constrained by pressure, and become a tension state, which leads to the improvement of the mechanical properties. [ABSTRACT FROM AUTHOR]