A Narrative Review of Potential Future Antidiabetic Drugs: Should We Expect More?

Prevalence of diabetes mellitus, a chronic metabolic disease characterized by hyperglycemia, is growing worldwide. The majority of the cases belong to type 2 diabetes mellitus (T2DM). Globally, India ranks second in terms of diabetes prevalence among adults. Currently available classes of therapeutic agents are used alone or in combinations but seldom achieve treatment targets. Diverse pathophysiology and the need of therapeutic agents with more favourable pharmacokinetic-pharmacodynamics profile make newer drug discoveries in the field of T2DM essential. A large number of molecules, some with novel mechanisms, are in pipeline. The essence of this review is to track and discuss these potential agents, based on their developmental stages, especially those in phase 3 or phase 2. Unique molecules are being developed for existing drug classes like insulins, DPP-4 inhibitors, GLP-1 analogues; and under newer classes like dual/pan PPAR agonists, dual SGLT1/SGLT2 inhibitors, glimins, anti-inflammatory agents, glucokinase activators, G-protein coupled receptor agonists, hybrid peptide agonists, apical sodium-dependent bile acid transporter (ASBT) inhibitors, glucagon receptor antagonists etc. The heterogeneous clinical presentation and therapeutic outcomes in phenotypically similar patients is a clue to think beyond the standard treatment strategy.     

Measuring Physical Activity in Preschoolers: Reliability and Validity of the System for Observing Fitness Instruction Time for Preschoolers (SOFIT-P)

The purpose of this study is describe the initial feasibility, reliability, and validity of an instrument to measure physical activity in preschoolers using direct observation. The System for Observing Fitness Instruction Time for Preschoolers was developed and tested among 3- to 6-year-old children over fall 2008 for feasibility and reliability (Phase I, n = 67) and in fall 2009 for concurrent validity (Phase II, n = 27). Phase I showed that preschoolers spent >75% of their active time at preschool in light physical activity. The mean inter-observer agreements scores were ≥.75 for physical activity level and type. Correlation coefficients, measuring construct validity between the lesson context and physical activity types with and with the activity levels, were moderately strong. Phase II showed moderately strong correlations ranging from .50 to .54 between the System for Observing Fitness Instruction Time for Preschoolers and Actigraph accelerometers for physical activity levels. The System for Observing Fitness Instruction Time for Preschoolers shows promising initial results as a new method for measuring physical activity among preschoolers.     

Leading with intent: cultivating community conversation to create shared understanding

School improvement is a central focus for school leaders. Whilst measures such as high-stakes testing and other government accountability agendas have at times marred the discourse of school improvement, how schools develop their capacity to ultimately improve the core business of student learning remains important. As an extensive area of scholarship, much has been written to support leaders in improving learning and teaching in their school. Indeed, studies demonstrate the value of establishing schoolwide goals and expectations and the importance of using evidence to improve teaching practice. This article presents qualitative data from 4 independent schools in the state of New South Wales (NSW) Australia which suggest that whilst the concept of school improvement is not new, the capacity of schools to embrace some key concepts found in this area of study is limited. The article proposes that through cultivating conversations within their communities, schools can foster shared understanding and enhance their capacity for improvement.     

How is nature asymmetric?

This two-part article considers certain fundamental symmetries of nature, namely the discrete symmetries of parity (P), charge conjugation (C) and time reversal (T), and their possible violation. Recent experimental results are discussed in some depth. In this second part, we discussCP andT violation and arrive at a synthesis.     

Because the Night Belongs to Lovers: Occupying the Time of Precarity

While much of Occupy's political power is rooted in its spatial tactic, the movement's temporal realities are also key to understanding its complexities. This talk considers those realities, specifically turning to the night: a time when the spatial practice of occupying and the temporality of precarity find each other in a strange embrace. In the dark, new and unheard of demands emerge for the first time. At night, the fault lines of the movement rupture to the surface in new ways. It is also at night that those outside the camps, from the police, journalists, and the public, fix their gaze upon Occupy. Night also reflects the lived experience of precarity that Occupy and other activists and theorists have long mobilized against. This paper considers what new strategies of resistance loom in the realm of time.     

Circadian rhythms

Living organisms ranging from bacteria to human beings exhibit 24-h rhythms in various behaviours and physiological processes. Matching of the period of such rhythms with that of the daily environmental cycles gives an impression that they are mere passive responses to environmental changes. Here, we discuss the change in our perception about daily biological rhythms, from their identity as rhythmic phenomena occurring as passive response to environmental changes, to the biological clocks. This is the first article in a series of articles on circadian rhythms which will cover discussion on the genetic and molecular basis, circadian organization and its adaptive significance.     

Open learning in India: evolution,diversification and reaching out

Distance education has a history of over four decades in India. There has been a vast growth in the number of learners who need education and thus also the corresponding channels of providing education. Due to the constraints of the traditional educational sector, open and distance learning has been found to be a workable alternative strategy in India. This paper traces the evolution and diversification of open learning in India by examining various factors that led to the growth and success of open learning. This system, as other systems of education, is not free from problems and a critique is provided on the various factors affecting the smooth functioning of India’s open and distance learning system.     

Effects of Active Learning on Enhancing Student Critical Thinking in an Undergraduate General Science Course

To enhance students’ critical thinking in an undergraduate general science course, we designed and implemented active learning modules by incorporating group-based learning with authentic tasks, scaffolding, and individual reports. This study examined the levels of critical thinking students exhibited in individual reports and the students’ critical thinking level change over time. Findings indicated that students’ average critical thinking level fell in the category of “developing”, but students’ scores on individual reports revealed a statistically significant increase. The study suggested that the active learning strategies employed in the study were useful to promote student critical thinking.