Eighth Year Research Articles

Australian Group on Antimicrobial Resistance (AGAR) Australian Gram-negative Sepsis Outcome Programme (GnSOP) Annual Report 2020.

The Australian Group on Antimicrobial Resistance (AGAR) performs regular period-prevalence studies to monitor changes in antimicrobial resistance in selected enteric gram-negative pathogens. The 2020 survey was the eighth year to focus on bloodstream infections caused by Enterobacterales, and the sixth year in which Pseudomonas aeruginosa and Acinetobacter species were included. Eight thousand seven hundred and fifty-two isolates, comprising Enterobacterales (7,871, 89.9%), P. aeruginosa (771, 8.8%) and Acinetobacter species (110, 1.3%), were tested using commercial automated methods. The results were analysed using Clinical and Laboratory Standards Institute (CLSI) and European Committee on Antimicrobial Susceptibility Testing (EUCAST) breakpoints (January 2021). Of the key resistances, resistance to the third-generation cephalosporin ceftriaxone was found in 13.5%/13.5% (CLSI/EUCAST criteria) of Escherichia coli and 8.7%/8.7% of Klebsiella pneumoniae. Resistance rates to ciprofloxacin were 16.1%/16.1% for E. coli; 9.9%/9.9% for K. pneumoniae; 5.8%/5.8% for Enterobacter cloacae complex; and 4.5%/8.1% for P. aeruginosa. Resistance rates to piperacillin-tazobactam were 2.5%/6.6%; 3.9%/12.5%; 16.9%/26.3%; and 5.5%/14.4% for the same four species respectively. Thirty-two isolates from 32 patients were shown to harbour at least one carbapenemase gene: 19 blaIMP-4, three blaGES-5, two blaNDM-1, two blaNDM-5, two blaOXA-48, two blaOXA-181, one blaIMI-1, and one blaOXA-23+NDM-1.

Relief in Geography Textbook

The theme relief presents several meanings and forms of approach. When submitted to the pedagogical text, it assumes characteristics and reproduces specific discourses. The understanding of how the relief is presented in the teaching of Geography dialogues, in this research, with the same produced in the national, state and municipal curricula. This meeting takes place from the reading of two collections of textbooks of Geography of Elementary School-Final Years and evaluates the possible advances, permanence and setbacks between proposals, documents and textbook. The reading of the relief in the geography textbook opportunistized the discussion of the theme and it was noticed that it is still largely linked to the compartmentalized description of the natural aspects highlighted, to the books of the eighth and ninth year, but it is also notorious that there is a search for a more integrative vision between society and nature and a critical and interpretative reading of the landscape, especially in the books of the sixth and seventh year, which provided a greater approach to relief, focused on the daily life of the student and not in a static way, which in this sense is observed as an advance of the content relief in the textbooks.

Eight-year Continuous Tillage Practice Impacts Soil Properties and Forms of Potassium under Maize-based Cropping Systems in Inceptisols of Eastern India

ABSTRACT Intensive conventional tillage practice has deteriorated soil quality and decreased potassium (K) availability in soil under maize-based growing areas in eastern India. Consequently, maize productivity has declined over the years demonstrating the need for sustainable alternatives. A field study was carried out in 2018 in the eighth year of an on-going long-term experiment initiated in the year 2011 to understand the impact of different tillage practices in maize-based cropping systems on soil properties and K dynamics in Inceptisols of eastern India. The experiment was laid out in split plot design with three levels of tillage practice as main plots: zero tillage, permanent raised bed and conventional tillage and in subplots as three different cropping systems viz. maize-maize, maize-wheat, and maize-chickpea. The result showed that under tillage practices, soil parameters were improved in zero tillage over the permanent raised bed and conventional tillage and among cropping systems, maize-chickpea had more nutrient availability in compared with maize-maize and maize-wheat. Soil organic carbon was built up by 10.2% in zero tillage over the initial soil measured at the time of the start of the experiment. The maximum content of water-soluble K, exchangeable K, and nonexchangeable K were recorded in zero tillage and maize-chickpea as compared to other tillage practices and cropping systems. Among Q/I parameters, potential buffering capacity (PBCK) was maximum and activity ratio (ARK) and labile K (KL) were minimum under zero tillage and maize-chickpea cropping system than the other tillage practices and cropping systems. Therefore, zero tillage and maize-chickpea could be better practices over the other tillage practices and cropping systems for improving soil quality and K availability in soil.

Analysis of the Difference between INA-CBG Rates and Hospital Rates for Outpatient and Inpatient Services at FKRTL Provider BPJS Kesehatan Mataram City

The National Health Insurance Program or Jaminan Kesehatan Nasional (JKN) managed by the Health Social Security Administration Agency or Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan) has entered its eighth year of implementation. Since 2014, PT Askes (Persero) has transformed into BPJS Kesehatan, this also has an impact on changes in the payment system from Retrospective Payment System to Prospective Payment System with INA-CBG (Indonesian-Case Based Groups) rates. The difference between INA-CBG rates and hospital real rates is a fundamental problem, so hospitals must make efforts to achieve quality control and cost control. The real rate is the rate used by the hospital based on service of each service according to local regulations. Meanwhile, INA-CBG is a case-based health financing package by grouping various types of services into one unit. There is a difference between the INA-CBG rates and the hospital's real rates for paying JKN claims for Advanced Inpatient (RITL) and Advanced Outpatient (RJTL) services as a whole. This study is a descriptive-analytic quantitative research. The data used is secondary data obtained from the list of hospital JKN claims on the BPJS Kesehatan Claims Digital Verification application. The results of the study indicate that there is a negative difference between the total INA-CBG rate and the total hospital real rate for inpatient services of Rp. -25,654,787,895 or -36% of the INA-CBG rate. In outpatient services there is a negative difference of Rp. -6,144,370,328,- or -13% of the INA-CBG rate. Based on these findings, we recommend that hospitals should conduct a utilization review of health services, as well as calculate the appropriate unit cost for each type of service. The hospital carries out quality control of services by paying attention to the diagnosis and action and treatment provided, so that there are no unnecessary services.

The Study on the Qing Manuscript Copies of the “History of the Russian State” Kept in Russia

The manuscripts of History of Russian Country, one case and nine volumes, were published in Beijing in the eighth year of Daoguang (1828). They can be rated as the worlds first Russian history in Chinese. There manuscripts are currently in three long-established libraries of St. Petersburg of Russia and there are no collections at home or abroad except for St. Petersburg. History of Russian Country was the Chinese version of the first three volumes of History of the Russian State (a 12-volume national history published in St. Petersburg between the years of 18161826) by the first Russian national historian N.M. Karamzin. It was compiled and translated by Z.F. Leontjevsky during his stay in Beijing (1820-1830), a student of the tenth Russian Orthodox Mission in Beijing. The Chinese version includes the original author Karamzins dedication to the Russian Emperor Alexander I, the foreword, the first volume, the second volume and the third volume (Chapter 7 untranslated). This article compares Leontjevskys Chinese version with Karamzins original Russian version, revealing its values of literature, of Sino-Russian cultural exchanges, and of Russian historiography in Chinese.

Clinical analysis of 2152 cases of abnormal uterine bleeding treated by NovaSure endometrial ablation.

ObjectiveTo evaluate the efficiency, postoperative hysterectomy rate, and influencing factors for therapeutic effect of the NovaSure endometrial ablation procedure in abnormal uterine bleeding (AUB).MethodsWe conducted a retrospective cohort study of 2152 patients from the Department of Gynecology at the Third Xiangya Hospital, CSU from October 2010 to December 2018.ResultsFrom the first year to the eighth year after operation, annual effective rate was above 95.24%, and the differences were not statistically significant. There are statistically significant differences between the effective and ineffective groups with regard to age, intrauterine polyps, total length of the uterus, systemic coagulation disorder, and preoperative hemoglobin. A multivariate logistic regression analysis showed that the risk factors associated with systemic coagulation disorders (P = 0.027) and high total uterine length (P = 0.003) affected NovaSure efficacy in the treatment of AUB. By December 2019, the postoperative hysterectomy rate was 1.86% (40/2152) and the complication rate was 1.67% (36/2152).ConclusionNovaSure is a reliable treatment for AUB and serious medical complications because of its simple operation, low amount of bleeding, quick postoperative recovery, and safe and effective short‐term and long‐term efficacy. However, it should be carefully selected for patients with a total uterus length exceeding 10 cm.

Pátraic surnames in the Fiants and Patent Rolls of Ireland Part 1: a method of approach to mega-data, and a Mac Caisín case study

The fiants and patent rolls of Ireland are an extraordinary and largely untapped source of information. This article taps into this valuable source with a focus on interrogating Pátraic-surnames, i.e., Patrick, Fitzpatrick, Kilpatrick, Mac Giolla Phádraig and Ó Maol Phádraig, which document grants, leases, and pardons, etc., issued under the Great Seal of Ireland. The extant records of fiants are for the period 1521-1603, and the patent rolls 1514-1575 and 1603-1633, i.e., much of the reign of Henry VIII of England to the eighth year of Charles I of England. Ireland's fiants and patent rolls provide mega-data on names, places, occupations, relationships, and more, and Pátraic-surname records uncover rich narratives from all over Éire. Yet, there is a tendency for the vastness of the records to overwhelm, so a systematic approach is required to extract the maximum value. This article provides a method for 'eating an elephant', and one key is having a secure temporal frame of reference via which associations, familial and otherwise, can be understood. By way of example, the surname Mac Caisín begins this series of articles on Pátraic surnames in the Fiants and Patent Rolls of Ireland. The choice of Mac Caisín may appear strange at first, since it is not obviously a Pátraic surname. However, this article argues the case study of Mac Caisín provides a clear example of how an interrogation of the fiants, and patents reveal many instances where members of Pátraic families are recorded by other names, such as Mac William, Mac Edmund, Mac Flynn and, maybe, Mac Caisín. Understanding such names in the fiants and patents requires a sound knowledge of context so they can be distinguished as surnames or patronymics. Still, even then, there is evidence that members of Pátraic families sometimes took other surnames due to, for example, fosterage or to 'mask' a clerical lineage. This article seeks to answer questions about the Mac Caisín of Osraí (Ossory), who were unquestionably the close associates of the Fitzpatrick barons of Upper Ossory. Were the Mac Caisín either a lineage from an individual called Caisín (a name meaning curly-haired) Mac Giolla Phádraig, or a line out of fosterage, or of a ‘surname-masked’ clerical lineage; or, was there even any kinship bond?

Out-of-Pocket Health Expenditures and Health Care Services Use Among Older Americans With Cognitive Impairment: Results From the 2008-2016 Health and Retirement Study.

The evidence base on health services use and cost burdens associated with transition to severe cognitive impairment (SCI) and dementia is underdeveloped. We examine how the change in cognitive impairment status influences nursing home use, hospitalizations, and out-of-pocket (OOP) expenditures. We use prospective data from the Health and Retirement Study (2007/2008-2015/2016) on adults 70 years and older meeting research criteria for cognitive impairment not dementia (CIND) at baseline (unweighted n = 1,692) to fit 2-part models testing how reversion to normal cognition, stability (CIND maintenance), and transition into SCI/dementia influence change in yearly nursing home use, hospitalizations, and OOP expenditures. Over 8 years, 5.9% reverted, 15.9% remained CIND, 14.9% transitioned to SCI/dementia, and 63.3% died. We observed substantial increases in the propensity of any nursing home use which were particularly pronounced among those who transitioned or died during follow-up and similar but less pronounced differences in patterns of inpatient hospitalizations. Average baseline OOP spending was similar among reverters ($1156 [95% confidence interval = 832-1,479]), maintainers ($1,145 [993-1,296]), and transitioners ($1,385 [1,041-1,730]). Individuals who died during follow-up spent $2,529 (2,101-2,957). By the eighth year of follow-up, spending among reverters increased to $1,402 (869-1,934) and $2,188 (1,402-2,974) and $8,988 (5,820-12,157) for maintainers and transitioners, respectively. Average spending at the wave preceding death was $7,719 (4,345-11,094). Estimates were only partly attenuated through adjustment to covariables. A better understanding of variations in health services use and cost burdens among individuals with mild cognitive impairment can help guide targeted care and financial planning.

Notícias

Notícias

Optimal Frequency to Screen Celiac Disease amongst Patients with Type 1 Diabetes Mellitus: A Multicenter Study

AimsCeliac disease (CD) is frequent amongst patients with type 1 diabetes mellitus (T1DM). Since there is a disagreement on the optimal interval and frequency to perform screening tests for CD among diabetic patients, this study aimed to evaluate these issues amongst patients with T1DM. MethodsThis retrospective cohort study was conducted in seven referral diabetic centers in different cities of Iran from January 2020 to January 2021. Data belonging to 106 patients who were affected by both T1DM and CD was collected. The time interval between CD diagnosis and diabetes (IBCD), the age of diabetes onset, and any associated diseases, symptoms, and family history of T1DM and CD were recorded and analyzed. ResultsResults show that 45% of the patients with CD were diagnosed during the first year of diabetes onset; furthermore, 18% and 16% of the patients with CD were diagnosed in the second or third year after being diagnosed with diabetes. In addition, another 18% of patients with CD were diagnosed during the fourth till the eighth year after diabetes onset. Moreover, there was a negative relationship between the age of T1DM diagnosis and IBCD. Most participants were asymptomatic at the time of CD diagnosis. ConclusionsScreening tests to detect CD amongst patients with T1DM should continue for at least eight years after the initial T1DM diagnosis, especially those affected at a younger age.

CHARACTERISTICS OF CHILDREN AGE OF BASIC EDUCATION

Education aims to gain knowledge and all activities that affect a person's strength, change, character and morals. The period of childhood education to a young age goes through various and changing stages. The childhood phase begins with the beginning of the first three years, the fourth year to the sixth year, the sixth year to the eighth year, the eighth year to the twelve year. Characteristics of children of basic education age are happy to play, move, work in groups and like to demonstrate things directly. In childhood, developmental and educational disorders often occur, namely learning disorders, dyslexia, dyscalculia, and dysgraphia. Thus understanding the characteristics of children is a must for teachers and parents to be able to educate and guide children in a better direction.

A Descriptive Study of the Difficulties in Using Regular and Irregular Verbs in Simple Past Tense of the Eighth Grade Students at SMP Muhammadiyah 3 Banyuwangi

The research design of this study was descriptive. The objective of this thesis was to know the difficulties of the students in using regular and irregular verbs in simple past tense. This research was conducted in SMP Muhammadiyah 3 Banyuwangi in which the respondents were the eighth year students. They were chosen by population technique. The number of respondents in this research was 136 students. In this research, the researcher used a test as the main method of collecting data. To analyze the collected data, the reearcher used percentage method. They are 136 students as the research sample which was taken by using population. It means the Eighth Grade from VIII A to VIII E. Based on the result of the data analysis, it can be known the percentage of the students’ difficulties in using regular and irregular verbs in simple past tense is 47,5%. The number of the students that chose incorrect answer almost equal with the number of the students that chose correct answer. It shows that many students were still having difficulties in using regular and irregular verbs in simple past tense.

A Descriptive Study of Students’ Writing Abilityin Recount Text Of The Eighth Year Students at Mts Rogojampi

The purpose of this research is intended to draw the students’ writing ability of recount text used by the English teacher in Eighth year student at MTs Rogojampi in the academic year 2017/2018. The general problem of this study is how is the students’ writing ability of recount text used by the English teacher in Eighth year student at MTs Rogojampi in the academic year 2017/2018. The primary data are taken from questionnaire and the secondary data are taken from interview. The respondents of the research are the Eighth year student at MTs Rogojampi in the academic year 2017/2018. The total numbers of respondents are 60 students in the population that uses purposive sampling. In this research, the researcher uses the questionnaire as data collecting method. There are 70,42% mean score of orientation, 76,7% mean score of series of events, 72,9% mean score of re-orientation aspect, 54,58% mean score of grammar, and 54,58 mean score of vocabulary aspects. The result of questionnaire is the Eighth year students at MTs Rogojampi in the academic year 2017/2018 are good enough in writing recount text. It is fair enough to say that the student needs more improvement from the way how they learn English, how to write a good paragraph and also knowing the category of the text, especially conducting to recount text. This research can be used as consideration in selection of writing ability, especially about recount text.

Is ‘more’ really more?

Abstract Starting from general problems of teaching grammar in the subject of German language as well as from basic assumptions of so-called ‘more-is-more’ didactics, we discuss demands to continue teaching grammar after the eighth grade (in Germany, that is the eighth year of school). We then present a quasi-experimental study which was carried out in grades 8 to 12 with the same participants for the purpose of finding out whether providing additional and repeated grammar teaching in the subject of German language even after the eighth grade results in improved and explicit long-term German grammar knowledge. At least at one measurement time point during the study, N = 821 students from six different schools were participating. As a crucial result it turned out that additional and repeated grammar teaching resulted in an improvement in explicit grammar knowledge both during individual grades and across grades. These study results support the demands of ‘more-is-more’ didactics, they however require long-term assessment concerning a number of problems, which are discussed.

ЗАВИСИМОСТЬ ПРОИЗВОДСТВА САЖЕНЦЕВ РОЗЫ ЭФИРОМАСЛИЧНОЙ СОРТА ЛАДА ОТ СХЕМЫ И ВОЗРАСТА МАТОЧНИКА

Interest in essential oil production is reviving in Russia. Attention to essential oil rose as one of the main crops in essential oil production, therefore, grows too. Expensive planting material is one of the constraining factors in increasing the acreage of Rosa L. plantations. Green cutting is the most cost-effective method. However, it requires particular conditions for growing mother plants. The purpose of the research was to choose the optimal scheme of growing mother plants and determine the lifetime of the shrubs of essential oil rose variety ‘Lada’ to increase the yield of seedlings by rooting green cuttings. The studies were conducted between 2007 and 2015 at the trial fields of FSBSI “Research Institute of Agriculture of Crimea” located in the village of Krymskaya Rosa Belogorskiy district. Research material – essential oil rose variety ‘Lada.’ Climate of the study area – arid. The studies were carried out according to the methodology of field experiments on the technology of essential oil crops cultivation and guidelines for obtaining certified planting material. The nursery plot was laid in 2006. We studied two mother plant placement schemes (according to the feeding area) 0.50 × 0.15 m and 0.50 × 0.25 m. Field experiments were replicated four times. Accounting area – 17.5 m2. The maximum number of seedlings from 1m2 was obtained when mother plants were placed according to the scheme of 0.50 × 0.15 m. This scheme allowed obtaining 742 conditioned seedlings per one square meter for nine years of nursery plot exploitation or 7 to 136 young plants annually, depending on the age of the mother plants. The maximum number of green cuttings (283–296) per unit area was harvested for the eighth or ninth year of the nursery plot exploitation. The maximum number of seedlings (136) was obtained for the 8th year of nursery plot operation. The rooting rate of green cuttings harvested in the first year is not high – only 23 %. In the next five years, 50 to 65 % of green cuttings can root. From the 7th year of nursery plot operation, there is a decrease in the possibility to root (to 35–48 %).

Diversity, structure and composition of vegetation in post-coal mining reclamation area in Sumatra, Indonesia

Abstract. Yuningsih L, Hearmansyah, Ibrahim E, Marsi. 2021. Diversity, structure and composition of vegetation in post-coal mining reclamation area in Sumatra, Indonesia. Biodiversitas 22: 3392-3400. The majority of coal mines are operated through an open-pit system which has a significant impact on the environment. Therefore, reclamation and revegetation activities are required to recover ecological sustainability. This study aimed to analyze the diversity, structure, and composition of vegetation resulting from the post-mining revegetation process in a mining concession in Sumatra, Indonesia at various intervals of post-reclamation periods, namely 11 years, 10 years, 8 years, and 5 years. Data collection was conducted by sampling with a 2.5 percent intensity. The study discovered 23 species of naturally grow understory plants and 25 species of woody plants. The stand structure at the eleventh, tenth, and eighth years of revegetation resembled an inverted J curve. The Species Richness Index (R) was determined to be low, the Shannon diversity index (H’) was is low to moderate, whereas the evenness index was moderate to high. We concluded that the structure of vegetation in the post-mining reclamation region resembled that of a natural forest ecosystem, yet the biodiversity indicators remain low and below those of natural forest. We expected the result of this study can enrich the limited knowledge of the ecology of post-mining reclamation in the tropics.

Corrigendum for the completion date of Zhanshan Medical Records

Ren Zhanshan, the author of Zhanshan Medical Records published in 1924. The date of his birth was unknown or incorrect according to the local chronicles of the Qing Dynasty and a variety of modern bibliographic and medical books. The time, when Zhanshan Medical Records was completed, was not clearly recorded or was claimed in Bingchen (1736), to be dated the first year of QianLong in the Qing dynasty. Based on the genealogy collected by descendants of the Ren family, it was found that he was born in the fifteenth year of Qianlong (1751) and died in the eighth year of Daoguang (1828). Additionally, according to the date of his medical experience recorded in the preface of the Zhanshan Medical Records, the writing date of this book was roughly between 1814 and 1823.

An Analysis of Recount Text Comprehension At the Eighth Grade of SMPN 12 Jambi City

In Junior High School, the students should have reading skill. Good achievement in reading is very important for the students. When the researcher did observation at the eighth grade students of SMPN 12 Jambi City, it was found that some of the students have difficulties in comprehending a recount text. The aim of this research is to find out students difficulties in comprehending a recount text at the eighth grade students of SMPN 12 Jambi City Academic Year 2018/2019. The researcher used qualitative method to analyze the data. There were thirty two students of the eighth year of SMPN 12 participated in this research. Observation, questionnaire and interview data were collected, analyzed and collated. The researcher found that some students had difficulty in understanding the content of the text and difficult to interpret the English language, which is almost the same answer choices that confuse students. Students simply read without understanding the text, not thorough in answering questions. The students difficult in comprehending a recount text questions. There are inability to access the content of the text.

Allogeneic hematopoietic cell transplantation in older myelofibrosis patients: A study of the chronic malignancies working party of EBMT and the Spanish Myelofibrosis Registry.

Allogeneic hematopoietic cell transplantation (allo-HCT) is increasingly used in older myelofibrosis (MF) patients, but its risk/benefit ratio compared to non-transplant approaches has not been evaluated in this population. We analyzed the outcomes of allo-HCT in 556 MF patients aged ≥65 years from the EBMT registry, and determined the excess mortality over the matched general population of MF patients ≥65 years managed with allo-HCT (n=556) or conventional drug treatment (n=176). The non-transplant cohort included patients with intermediate-2 or high risk DIPSS from the Spanish Myelofibrosis Registry. After a median follow-up of 3.4 years, the estimated 5-year survival rate, non-relapse mortality (NRM), and relapse incidence after transplantation was 40%, 37%, and 25%, respectively. Busulfan-based conditioning was associated with decreased mortality (HR: 0.7, 95% CI: 0.5-0.9) whereas the recipient CMV+/donor CMV- combination (HR: 1.7, 95% CI: 1.2-2.4) and the JAK2 mutated genotype (HR: 1.9, 95% CI: 1.1-3.5) predicted higher mortality. Busulfan-based conditioning correlated with improved survival due to less NRM, despite its higher relapse rate when compared with melphalan-based regimens. Excess mortality was higher in transplanted patients than in the non-HCT cohort in the first year of follow-up (ratio: 1.93, 95% CI: 1.13-2.80), whereas the opposite occurred between the fourth and eighth follow-up years (ratio: 0.31, 95% CI: 0.18-0.53). Comparing the excess mortality of the two treatments, male patients seemed to benefit more than females from allo-HCT, mainly due to their worse prognosis with non-transplant approaches. These findings could potentially enhance counseling and treatment decision-making in elderly transplant-eligible MF patients.

Increased risk of shoulder calcific tendinopathy in diabetes mellitus: A nationwide, population-based, matched cohort study.

Calcific tendinopathy of the rotator cuff is a common cause of painful disability in the shoulder with unclear aetiology. Diabetes mellitus (DM) is associated with calcific tendinopathy; however, large epidemiological data are lacking. Thus, we conducted a nationwide population-based matched cohort study to investigate the risk for calcific tendinopathy of the shoulder in diabetic patients. The National Health Insurance Research Database of Taiwan was used to include 42915 patients newly diagnosed with DM between 1 January 2000 and 31 December 2015 and randomly extract the data of 171660 individuals, as a matched control group. All individuals were followed-up until the development of calcific tendinopathy or the end of 2015. Overall, 122 patients from the DM group (0.284%) developed calcific tendinopathy compared with 340 individuals from the non-DM group (0.198%). The Kaplan-Meier analysis indicated that patients with DM had a higher risk of calcific tendinopathy since the eighth year of follow-up (log-rank test, P=.006). Cox proportional hazard regression revealed that the adjusted hazard ratio of calcific tendinopathy in diabetic patients to that in non-diabetic patients was 1.276 (95% confidence interval 1.037-1.571, P=.002). Moreover, the stratified analysis disclosed that DM was a strong independent risk factor for calcific tendinopathy irrespective of the existing comorbidities. This study demonstrated that patients with DM had a 27% increased risk of developing calcific tendinopathy of the shoulder, 8years after initially being diagnosed with DM.