Because of the difference and the particularity of oral test among reading,listening and writing,oral test should focus on the framework,the interviewer and the marking system.In addition,some instructions for oral in...Because of the difference and the particularity of oral test among reading,listening and writing,oral test should focus on the framework,the interviewer and the marking system.In addition,some instructions for oral interview and the training of assessors also play important roles in the test.In order to make the oral test-interview more successful,some other facts should be considered when having the test,such as the reliability,construct validity and authenticity.展开更多
In 2004,Guangzhou Education Bureau introduced an English oral test into its existing Guangzhou Senior Secondary School Entrance Examination(hereafter,SSSEE)with the intention of shifting from grammar-based English tea...In 2004,Guangzhou Education Bureau introduced an English oral test into its existing Guangzhou Senior Secondary School Entrance Examination(hereafter,SSSEE)with the intention of shifting from grammar-based English teaching at junior secondary school to a communication-based teaching approach.This paper presents preliminary research findings related to the washback effects of the oral test on teaching.The data were collected via focus groups and questionnaires.The nature of the washback effects of the SSSEE English oral test is discussed from six dimensions.The study shows that washback is a complex phenomenon and it can be conceptualised via a multidimensional model.展开更多
English oral test aimsto provide a fair and valid measure of a testee'soral proficiency so asto give an accurate description of his/her oral communicative ability.This paper analysesthe validity and reliability of...English oral test aimsto provide a fair and valid measure of a testee'soral proficiency so asto give an accurate description of his/her oral communicative ability.This paper analysesthe validity and reliability of the college entrance English oral test paper of Guangdong province of 2005.In designing an oral test,in order to make the test reliable,the teacher should take the following factors into consideration:test content,test method,testees'mood,rating scales and rater characteristics.展开更多
Speaking,as a productive skill,is a priority for many foreign-language learners.They often evaluate their success in language learning on the basis of how much they feel they have improved in their spoken language pro...Speaking,as a productive skill,is a priority for many foreign-language learners.They often evaluate their success in language learning on the basis of how much they feel they have improved in their spoken language proficiency.Consequently,testing of oral skills has hardly been neglected in college English examination.The communicative testing theory in 1970s greatly influenced language testing,especially the oral tests.This essay briefly explores the theory of communicative language testing and discusses the methods of TOEFL oral test and college English oral test and proposes ways to the latter one for further improve ment.展开更多
As one part of the oral education,oral test plays an important role in improving the students’oral ability.This paper is a survey into status quo of oral tests in our country and thereafter offers some suggestions on...As one part of the oral education,oral test plays an important role in improving the students’oral ability.This paper is a survey into status quo of oral tests in our country and thereafter offers some suggestions on how to organize the oral tests with high validity and reliability.展开更多
This paper is to evaluate an oral test paper for the middle school graduates of Jiangsu Province according to its validity and reliability.And then the advice on how to improve the reliability is given.
In the paper the author demonstrates how to incorporate communicative interaction in oral tests.To change the passive situation of conducting oral test,an interactive approach is designed and conducted.The design of t...In the paper the author demonstrates how to incorporate communicative interaction in oral tests.To change the passive situation of conducting oral test,an interactive approach is designed and conducted.The design of the test is based on the belief:English oral test is by no means a simple evaluating process,but it can also provide a platform for teacher-student /studentstudent interaction.展开更多
TEM-4 Oral Test is designed for second-year English majors in China to measure their English speaking skill.In this article,the author first gave an introduction to the purpose,format and content,and scoring criteria ...TEM-4 Oral Test is designed for second-year English majors in China to measure their English speaking skill.In this article,the author first gave an introduction to the purpose,format and content,and scoring criteria and procedures of the TEM-4 Oral Test.Then she evaluated the test on the aspects of validity,reliability and backwash.Though the test is feasible at present,it still has some problems in implementation.In the second section,the author also gave some advice on the improvement of the test.展开更多
The purpose of this study was to investigate how washback effect of a reformed test influenced students'perspectives in their spoken English learning. This study was expected to enrich the existing literature in t...The purpose of this study was to investigate how washback effect of a reformed test influenced students'perspectives in their spoken English learning. This study was expected to enrich the existing literature in testing washback in English as a foreign language context.Findings indicate that the adding of oral part in achievement test does have a positive washback effect on students'learning. However, such a washback effect on students'learning is quite superficial and limited.展开更多
A survey was carried out in this study to find out the factors that the raters perceived as affecting the rating of TEM-4 Oral Test, a large-scale tape-mediated oral English testing system in China. The findings show ...A survey was carried out in this study to find out the factors that the raters perceived as affecting the rating of TEM-4 Oral Test, a large-scale tape-mediated oral English testing system in China. The findings show that what the raters perceived as affecting the rating included training, raters' interaction with the rating criteria, raters' physical and emotional conditions, raters' attitudes towards the rating work, raters' oral English proficiency level, and the recording quality. Raters' educational and research background were perceived not to affect the rating.展开更多
To make oral test accurately reflect the actual English spoken ability of candidates and play its role in guiding and promoting the improvement of English learners in the teaching, we must ensure that the design of sc...To make oral test accurately reflect the actual English spoken ability of candidates and play its role in guiding and promoting the improvement of English learners in the teaching, we must ensure that the design of scientific questions, the feasibility and validity of judgments to make an accurate and fair measurement of testers' language ability.展开更多
Speaking is the main purpose and most important skill for second language learning.This paper reviews the important validity considerations in designing a test,such as face validity,content validity,on the basis of wh...Speaking is the main purpose and most important skill for second language learning.This paper reviews the important validity considerations in designing a test,such as face validity,content validity,on the basis of which the author analyzes the oral test paper for the postgraduate entrance interview in Shaanxi University of Technology,thus putting forward some methods to improve the test paper.展开更多
This paper attempts to offer college teachers some suggestions on how to give their students o-ral tests.Qualities of a good oral test and some basic test techniques are discussed.Two scoring criteriaand three trialle...This paper attempts to offer college teachers some suggestions on how to give their students o-ral tests.Qualities of a good oral test and some basic test techniques are discussed.Two scoring criteriaand three trialled test formats are introduced as well.展开更多
AIM: To characterize changes in ghrelin levels in response to oral glucose tolerance test (OGTT) and to correlate changes in ghrelin levels with changes in insulin and glucose following OGTT in Chinese obese childr...AIM: To characterize changes in ghrelin levels in response to oral glucose tolerance test (OGTT) and to correlate changes in ghrelin levels with changes in insulin and glucose following OGTT in Chinese obese children of Tanner Ⅰ and Ⅱ stage with insulin resistance. METHODS: 22 obese children with insulin resistance state were divided into four groups according to their Tanner stage and gender: boys of Tanner Ⅰ (fir- Ⅰ ), boys of Tanner Ⅱ(BT-Ⅱ ), girls of Tanner Ⅰ (GT- Ⅰ ), girls of Tanner Ⅱ (GT-Ⅱ). Ghrelin, insulin and glucose were measured at 0, 30, 60 and 120 rain following OGTT. The control children with normal BMI were divided into control boys of Tanner Ⅰ (CBT- Ⅰ, n = 6), control boys of Tanner Ⅱ (CBT-Ⅱ, n = 5), control girls of Tanner Ⅰ (CGT- Ⅰ, n = 6), control girls of Tanner Ⅱ (CGT-Ⅱ, n = 5). Fasting serum ghrelin levels were analyzed. RESULTS: Ghrelin levels were lower in obese groups. Ghrelin levels of control group decreased in Tanner Ⅱ stage (CGT- Ⅰ vs CGT-Ⅱ t = -4.703, P = 0.001; CBT- Ⅰ vs CBT- Ⅱ t = -4.794, P = 0.001). Basal ghrelin levels in fir-Ⅱ decreased more significantly than that in BT- Ⅰ group (t = 2.547, P = 0.029). Ghrelin levels expressed a downward trend after OGTT among obese children. The decrease in ghrelin levels at 60 min with respect to basal values was 56.9% in BT- Ⅰ. Ghrelin concentrations at 0 min correlated directly with glucose level at 0 min in fir- Ⅰ (r = 0.898, P = 0.015). There wasn't a significant correlation of ghrelin changes with glucose changes and insulin changes during OGTT in obese children with insulin resistance. CONCLUSION: In conclusion, in obese children with insulin resistance, ghrelin levels decreased with advancing pubertal stage. Ghrelin secretion suppression following OGTT was influenced by gender and pubertal stage. Baseline ghrelin levels and ghrelin suppression after OGTT did not significantly correlate with the degree of insulin resistance and insulin sensitivity.展开更多
The oral glucose tolerance test(OGTT)has been widely used both in clinics and in basic research for a long time.It is applied to diagnose impaired glucose tolerance and/or type 2 diabetes mellitus in individuals.Addit...The oral glucose tolerance test(OGTT)has been widely used both in clinics and in basic research for a long time.It is applied to diagnose impaired glucose tolerance and/or type 2 diabetes mellitus in individuals.Additionally,it has been employed in research to investigate glucose utilization and insulin sensitivity in animals.The main aim of each was quite different,and the details are also somewhat varied.However,the time or duration of the OGTT was the same,using the 2-h post-glucose load glycemia in both,following the suggestions of the American Diabetes Association.Recently,the use of 30-min or 1-h post-glucose load glycemia in clinical practice has been recommended by several studies.In this review article,we describe this new view and suggest perspectives for the OGTT.Additionally,quantification of the glucose curve in basic research is also discussed.Unlike in clinical practice,the incremental area under the curve is not suitable for use in the studies involving animals receiving repeated treatments or chronic treatment.We discuss the potential mechanisms in detail.Moreover,variations between bench and bedside in the application of the OGTT are introduced.Finally,the newly identified method for the OGTT must achieve a recommendation from the American Diabetes Association or another official unit soon.In conclusion,we summarize the recent reports regarding the OGTT and add some of our own perspectives,including machine learning and others.展开更多
BACKGROUND Women with gestational diabetes mellitus(GDM)are at a seven-fold higher risk of developing type 2 diabetes(T2D)within 7-10 years after childbirth,compared with those with normoglycemic pregnancy.Although ra...BACKGROUND Women with gestational diabetes mellitus(GDM)are at a seven-fold higher risk of developing type 2 diabetes(T2D)within 7-10 years after childbirth,compared with those with normoglycemic pregnancy.Although raised fasting blood glucose(FBG)levels has been said to be the main significant predictor of postpartum progression to T2D,it is difficult to predict who among the women with GDM would develop T2D.Therefore,we conducted a cross-sectional retrospective study to examine the glycemic indices that can predict postnatal T2D in Emirati Arab women with a history of GDM.AIM To assess how oral glucose tolerance test(OGTT)can identify the distinct GDM pathophysiology and predict possible distinct postnatal T2D subtypes.METHODS The glycemic status of a cohort of 4603 pregnant Emirati Arab women,who delivered in 2007 at both Latifa Women and Children Hospital and at Dubai Hospital,United Arab Emirates,was assessed retrospectively,using the International Association of Diabetes and Pregnancy Study Groups(IADPSG)criteria.Of the total,1231 women were followed up and assessed in 2016.The FBG and/or the 2-h blood glucose(2hrBG)levels after a 75-g glucose load were measured to assess the prevalence of GDM and T2D,according to the IADPSG and American Diabetes Association(ADA)criteria,respectively.The receiver operating characteristic curve for the OGTT was plotted and sensitivity,specificity,and predictive values of FBG and 2hrBG for T2D were determined.RESULTS Considering both FBG and 2hrBG levels,according to the IADPSG criteria,the prevalence of GDM in pregnant Emirati women in 2007 was 1057/4603(23%),while the prevalence of pre-pregnancy T2D among them,based on ADA criteria,was 230/4603(5%).In the subset of women(n=1231)followed up in 2016,the prevalence of GDM in 2007 was 362/1231(29.6%),while the prevalence of prepregnancy T2D was 36/1231(2.9%).Of the 362 pregnant women with GDM in 2007,96/362(26.5%)developed T2D;142/362(39.2%)developed impaired fasting glucose;29/362(8.0%)developed impaired glucose tolerance,and the remaining 95/362(26.2%)had normal glycemia in 2016.The prevalence of T2D,based on ADA criteria,stemmed from the prevalence of 36/1231(2.9%)in 2007 to 141/1231(11.5%),in 2016.The positive predictive value(PPV)for FBG suggests that if a woman tested positive for GDM in 2007,the probability of developing T2D in 2016 was approximately 24%.The opposite was observed when 2hrBG was used for diagnosis.The PPV value for 2hrBG suggests that if a woman was positive for GDM in 2007 then the probability of developing T2D in 2016 was only 3%.CONCLUSION FBG and 2hrBG could predict postpartum T2D,following antenatal GDM.However,each test reflects different pathophysiology and possible T2D subtype and could be matched with a relevant T2D prevention program.展开更多
BACKGROUND Data regarding the most suitable diagnostic method for the diagnosis of glucose impairment in asymptomatic children and adolescents are inconclusive.Furthermore,limited data are available on the reproducibi...BACKGROUND Data regarding the most suitable diagnostic method for the diagnosis of glucose impairment in asymptomatic children and adolescents are inconclusive.Furthermore,limited data are available on the reproducibility of the oral glucose tolerance test(OGTT)in children and adolescents who are obese(OB).AIM To investigate the usefulness of the OGTT as a screening method for glucose dysregulation in children and adolescents.METHODS Eighty-one children and adolescents,41 females,either overweight(OW),OB or normal weight(NW)but with a strong positive family history of type 2 diabetes mellitus(T2DM),were enrolled in the present observational study from the Outpatient Clinic of Paediatric Endocrinology of the University Hospital of Patras in Greece.One or two 3-h OGTTs were performed and glucose,insulin and Cpeptide concentrations were measured at several time points(t=0 min,t=15 min,t=30 min,t=60 min,t=90 min,t=120 min,t=180 min).RESULTS Good repetitiveness was observed in the OGTT response with regard to T2DM,while low repetitiveness was noted in the OGTT response with regard to impaired glucose tolerance(IGT)and no repetitiveness with regard to impaired fasting glucose(IFG).In addition,no concordance was observed between IFG and IGT.During the 1st and 2nd OGTTs,no significant difference was found in the glucose concentrations between NW,OW and OB patients,whereas insulin and C-peptide concentrations were higher in OW and OB compared to NW patients at several time points during the OGTTs.Also,OW and OB patients showed a worsening insulin and C-peptide response during the 2nd OGTT as compared to the 1st OGTT.CONCLUSION In mild or moderate disorders of glucose metabolism,such as IFG and IGT,a diagnosis may not be reached using only one OGTT,and a second test or additional investigations may be needed.When glucose metabolism is profoundly impaired,as in T2DM,one OGTT is probably more reliable and adequate for establishing the diagnosis.Excessive weight and/or a positive family history of T2DM possibly affect the insulin and C-peptide response in the OGTT from a young age.展开更多
The advent of the theory of communicative competence raised new issues for language teaching and testing. The importance of communicative ability is emphasized in language teaching. Therefore test that could reflect a...The advent of the theory of communicative competence raised new issues for language teaching and testing. The importance of communicative ability is emphasized in language teaching. Therefore test that could reflect a student's communicative competence need to be constructed. Communicative testing is such a potentially effective approach.This paper is concerned with the theoretical basis of communicative testing, its distinguishing features and the construction of oral proficiency tests, so as to demonstrate how the theory of communicative testing is built into practical tests.展开更多
文摘Because of the difference and the particularity of oral test among reading,listening and writing,oral test should focus on the framework,the interviewer and the marking system.In addition,some instructions for oral interview and the training of assessors also play important roles in the test.In order to make the oral test-interview more successful,some other facts should be considered when having the test,such as the reliability,construct validity and authenticity.
文摘In 2004,Guangzhou Education Bureau introduced an English oral test into its existing Guangzhou Senior Secondary School Entrance Examination(hereafter,SSSEE)with the intention of shifting from grammar-based English teaching at junior secondary school to a communication-based teaching approach.This paper presents preliminary research findings related to the washback effects of the oral test on teaching.The data were collected via focus groups and questionnaires.The nature of the washback effects of the SSSEE English oral test is discussed from six dimensions.The study shows that washback is a complex phenomenon and it can be conceptualised via a multidimensional model.
文摘English oral test aimsto provide a fair and valid measure of a testee'soral proficiency so asto give an accurate description of his/her oral communicative ability.This paper analysesthe validity and reliability of the college entrance English oral test paper of Guangdong province of 2005.In designing an oral test,in order to make the test reliable,the teacher should take the following factors into consideration:test content,test method,testees'mood,rating scales and rater characteristics.
文摘Speaking,as a productive skill,is a priority for many foreign-language learners.They often evaluate their success in language learning on the basis of how much they feel they have improved in their spoken language proficiency.Consequently,testing of oral skills has hardly been neglected in college English examination.The communicative testing theory in 1970s greatly influenced language testing,especially the oral tests.This essay briefly explores the theory of communicative language testing and discusses the methods of TOEFL oral test and college English oral test and proposes ways to the latter one for further improve ment.
文摘As one part of the oral education,oral test plays an important role in improving the students’oral ability.This paper is a survey into status quo of oral tests in our country and thereafter offers some suggestions on how to organize the oral tests with high validity and reliability.
文摘This paper is to evaluate an oral test paper for the middle school graduates of Jiangsu Province according to its validity and reliability.And then the advice on how to improve the reliability is given.
文摘In the paper the author demonstrates how to incorporate communicative interaction in oral tests.To change the passive situation of conducting oral test,an interactive approach is designed and conducted.The design of the test is based on the belief:English oral test is by no means a simple evaluating process,but it can also provide a platform for teacher-student /studentstudent interaction.
文摘TEM-4 Oral Test is designed for second-year English majors in China to measure their English speaking skill.In this article,the author first gave an introduction to the purpose,format and content,and scoring criteria and procedures of the TEM-4 Oral Test.Then she evaluated the test on the aspects of validity,reliability and backwash.Though the test is feasible at present,it still has some problems in implementation.In the second section,the author also gave some advice on the improvement of the test.
文摘The purpose of this study was to investigate how washback effect of a reformed test influenced students'perspectives in their spoken English learning. This study was expected to enrich the existing literature in testing washback in English as a foreign language context.Findings indicate that the adding of oral part in achievement test does have a positive washback effect on students'learning. However, such a washback effect on students'learning is quite superficial and limited.
基金This study is one part of the TEM-4 Oral Test project funded by Institute of Oral English Studies of Nanjing University The author here shows her gratitude to the institute and TEM-4 Oral Test Center for both financial and data support
文摘A survey was carried out in this study to find out the factors that the raters perceived as affecting the rating of TEM-4 Oral Test, a large-scale tape-mediated oral English testing system in China. The findings show that what the raters perceived as affecting the rating included training, raters' interaction with the rating criteria, raters' physical and emotional conditions, raters' attitudes towards the rating work, raters' oral English proficiency level, and the recording quality. Raters' educational and research background were perceived not to affect the rating.
文摘To make oral test accurately reflect the actual English spoken ability of candidates and play its role in guiding and promoting the improvement of English learners in the teaching, we must ensure that the design of scientific questions, the feasibility and validity of judgments to make an accurate and fair measurement of testers' language ability.
文摘Speaking is the main purpose and most important skill for second language learning.This paper reviews the important validity considerations in designing a test,such as face validity,content validity,on the basis of which the author analyzes the oral test paper for the postgraduate entrance interview in Shaanxi University of Technology,thus putting forward some methods to improve the test paper.
文摘This paper attempts to offer college teachers some suggestions on how to give their students o-ral tests.Qualities of a good oral test and some basic test techniques are discussed.Two scoring criteriaand three trialled test formats are introduced as well.
基金Supported by Research Award (2005c24001) from Department of Science and Technology, Zhejiang Province, China
文摘AIM: To characterize changes in ghrelin levels in response to oral glucose tolerance test (OGTT) and to correlate changes in ghrelin levels with changes in insulin and glucose following OGTT in Chinese obese children of Tanner Ⅰ and Ⅱ stage with insulin resistance. METHODS: 22 obese children with insulin resistance state were divided into four groups according to their Tanner stage and gender: boys of Tanner Ⅰ (fir- Ⅰ ), boys of Tanner Ⅱ(BT-Ⅱ ), girls of Tanner Ⅰ (GT- Ⅰ ), girls of Tanner Ⅱ (GT-Ⅱ). Ghrelin, insulin and glucose were measured at 0, 30, 60 and 120 rain following OGTT. The control children with normal BMI were divided into control boys of Tanner Ⅰ (CBT- Ⅰ, n = 6), control boys of Tanner Ⅱ (CBT-Ⅱ, n = 5), control girls of Tanner Ⅰ (CGT- Ⅰ, n = 6), control girls of Tanner Ⅱ (CGT-Ⅱ, n = 5). Fasting serum ghrelin levels were analyzed. RESULTS: Ghrelin levels were lower in obese groups. Ghrelin levels of control group decreased in Tanner Ⅱ stage (CGT- Ⅰ vs CGT-Ⅱ t = -4.703, P = 0.001; CBT- Ⅰ vs CBT- Ⅱ t = -4.794, P = 0.001). Basal ghrelin levels in fir-Ⅱ decreased more significantly than that in BT- Ⅰ group (t = 2.547, P = 0.029). Ghrelin levels expressed a downward trend after OGTT among obese children. The decrease in ghrelin levels at 60 min with respect to basal values was 56.9% in BT- Ⅰ. Ghrelin concentrations at 0 min correlated directly with glucose level at 0 min in fir- Ⅰ (r = 0.898, P = 0.015). There wasn't a significant correlation of ghrelin changes with glucose changes and insulin changes during OGTT in obese children with insulin resistance. CONCLUSION: In conclusion, in obese children with insulin resistance, ghrelin levels decreased with advancing pubertal stage. Ghrelin secretion suppression following OGTT was influenced by gender and pubertal stage. Baseline ghrelin levels and ghrelin suppression after OGTT did not significantly correlate with the degree of insulin resistance and insulin sensitivity.
文摘The oral glucose tolerance test(OGTT)has been widely used both in clinics and in basic research for a long time.It is applied to diagnose impaired glucose tolerance and/or type 2 diabetes mellitus in individuals.Additionally,it has been employed in research to investigate glucose utilization and insulin sensitivity in animals.The main aim of each was quite different,and the details are also somewhat varied.However,the time or duration of the OGTT was the same,using the 2-h post-glucose load glycemia in both,following the suggestions of the American Diabetes Association.Recently,the use of 30-min or 1-h post-glucose load glycemia in clinical practice has been recommended by several studies.In this review article,we describe this new view and suggest perspectives for the OGTT.Additionally,quantification of the glucose curve in basic research is also discussed.Unlike in clinical practice,the incremental area under the curve is not suitable for use in the studies involving animals receiving repeated treatments or chronic treatment.We discuss the potential mechanisms in detail.Moreover,variations between bench and bedside in the application of the OGTT are introduced.Finally,the newly identified method for the OGTT must achieve a recommendation from the American Diabetes Association or another official unit soon.In conclusion,we summarize the recent reports regarding the OGTT and add some of our own perspectives,including machine learning and others.
基金Supported by the Al Jalila Foundation,No.AJF201545.
文摘BACKGROUND Women with gestational diabetes mellitus(GDM)are at a seven-fold higher risk of developing type 2 diabetes(T2D)within 7-10 years after childbirth,compared with those with normoglycemic pregnancy.Although raised fasting blood glucose(FBG)levels has been said to be the main significant predictor of postpartum progression to T2D,it is difficult to predict who among the women with GDM would develop T2D.Therefore,we conducted a cross-sectional retrospective study to examine the glycemic indices that can predict postnatal T2D in Emirati Arab women with a history of GDM.AIM To assess how oral glucose tolerance test(OGTT)can identify the distinct GDM pathophysiology and predict possible distinct postnatal T2D subtypes.METHODS The glycemic status of a cohort of 4603 pregnant Emirati Arab women,who delivered in 2007 at both Latifa Women and Children Hospital and at Dubai Hospital,United Arab Emirates,was assessed retrospectively,using the International Association of Diabetes and Pregnancy Study Groups(IADPSG)criteria.Of the total,1231 women were followed up and assessed in 2016.The FBG and/or the 2-h blood glucose(2hrBG)levels after a 75-g glucose load were measured to assess the prevalence of GDM and T2D,according to the IADPSG and American Diabetes Association(ADA)criteria,respectively.The receiver operating characteristic curve for the OGTT was plotted and sensitivity,specificity,and predictive values of FBG and 2hrBG for T2D were determined.RESULTS Considering both FBG and 2hrBG levels,according to the IADPSG criteria,the prevalence of GDM in pregnant Emirati women in 2007 was 1057/4603(23%),while the prevalence of pre-pregnancy T2D among them,based on ADA criteria,was 230/4603(5%).In the subset of women(n=1231)followed up in 2016,the prevalence of GDM in 2007 was 362/1231(29.6%),while the prevalence of prepregnancy T2D was 36/1231(2.9%).Of the 362 pregnant women with GDM in 2007,96/362(26.5%)developed T2D;142/362(39.2%)developed impaired fasting glucose;29/362(8.0%)developed impaired glucose tolerance,and the remaining 95/362(26.2%)had normal glycemia in 2016.The prevalence of T2D,based on ADA criteria,stemmed from the prevalence of 36/1231(2.9%)in 2007 to 141/1231(11.5%),in 2016.The positive predictive value(PPV)for FBG suggests that if a woman tested positive for GDM in 2007,the probability of developing T2D in 2016 was approximately 24%.The opposite was observed when 2hrBG was used for diagnosis.The PPV value for 2hrBG suggests that if a woman was positive for GDM in 2007 then the probability of developing T2D in 2016 was only 3%.CONCLUSION FBG and 2hrBG could predict postpartum T2D,following antenatal GDM.However,each test reflects different pathophysiology and possible T2D subtype and could be matched with a relevant T2D prevention program.
文摘BACKGROUND Data regarding the most suitable diagnostic method for the diagnosis of glucose impairment in asymptomatic children and adolescents are inconclusive.Furthermore,limited data are available on the reproducibility of the oral glucose tolerance test(OGTT)in children and adolescents who are obese(OB).AIM To investigate the usefulness of the OGTT as a screening method for glucose dysregulation in children and adolescents.METHODS Eighty-one children and adolescents,41 females,either overweight(OW),OB or normal weight(NW)but with a strong positive family history of type 2 diabetes mellitus(T2DM),were enrolled in the present observational study from the Outpatient Clinic of Paediatric Endocrinology of the University Hospital of Patras in Greece.One or two 3-h OGTTs were performed and glucose,insulin and Cpeptide concentrations were measured at several time points(t=0 min,t=15 min,t=30 min,t=60 min,t=90 min,t=120 min,t=180 min).RESULTS Good repetitiveness was observed in the OGTT response with regard to T2DM,while low repetitiveness was noted in the OGTT response with regard to impaired glucose tolerance(IGT)and no repetitiveness with regard to impaired fasting glucose(IFG).In addition,no concordance was observed between IFG and IGT.During the 1st and 2nd OGTTs,no significant difference was found in the glucose concentrations between NW,OW and OB patients,whereas insulin and C-peptide concentrations were higher in OW and OB compared to NW patients at several time points during the OGTTs.Also,OW and OB patients showed a worsening insulin and C-peptide response during the 2nd OGTT as compared to the 1st OGTT.CONCLUSION In mild or moderate disorders of glucose metabolism,such as IFG and IGT,a diagnosis may not be reached using only one OGTT,and a second test or additional investigations may be needed.When glucose metabolism is profoundly impaired,as in T2DM,one OGTT is probably more reliable and adequate for establishing the diagnosis.Excessive weight and/or a positive family history of T2DM possibly affect the insulin and C-peptide response in the OGTT from a young age.
文摘The advent of the theory of communicative competence raised new issues for language teaching and testing. The importance of communicative ability is emphasized in language teaching. Therefore test that could reflect a student's communicative competence need to be constructed. Communicative testing is such a potentially effective approach.This paper is concerned with the theoretical basis of communicative testing, its distinguishing features and the construction of oral proficiency tests, so as to demonstrate how the theory of communicative testing is built into practical tests.