Stachys recta L. (BR0000010248966)

Belgium Herbarium image of Meise Botanic Garden

The Hyperechoic Appearance of the Deltoid Muscle on Shoulder Ultrasound Imaging as a Predictor of Diabetes and Prediabetes

OBJECTIVES: To evaluate whether the ultrasound appearance of the deltoid muscle in diabetic patients differs from that in obese nondiabetic patients. METHODS: Ultrasound images of the deltoid muscle from 137 type 2 diabetic patients (including 13 prediabetic patients) and 49 obese nondiabetic patients were blindly reviewed by 2 musculoskeletal radiologists, and by a third when arbitration was needed, to determine whether the appearance was normal, suspected diabetes, or definite diabetes. Age, sex, race, body mass index (BMI), insulin use, and hemoglobin A RESULTS: The type 2 diabetic patients included 98 women and 39 men aged 29 to 92 years, and the nondiabetic patients included 19 women and 30 men aged 18 to 75 years. A consensus diagnosis of definite diabetes by the musculoskeletal radiologists based on a hyperechoic deltoid was a powerful predictor of diabetes, with a positive predictive value of 89%. A hyperechoic deltoid was also a powerful predictor of prediabetes. Of the 13 prediabetic patients, all had the same hyperechoic appearance of the diabetic deltoid, regardless of BMI. Although obese diabetic patients more often had a diagnosis of definite diabetes, the BMI alone could not explain the increased echogenicity, as obese nondiabetic patients\u27 deltoid muscles did not appear as hyperechoic and were correctly categorized as not having definite diabetes with 82% specificity. CONCLUSIONS: The characteristic hyperechoic deltoid appearance is a strong predictor of both diabetes and prediabetes and differs from that of obese nondiabetic patients

BRST symmetry and Darboux transformations in Abelian 2-form gauge theory

We analyse the constraints of an Abelian 2-form gauge theory using Faddeev-Jackiw symplectic formalism. Further, this theory is treated as a constrained system in the context of Batalin-Fradkin-Vilkovisky formalism to retrieve the BRST symmetry. Using the fields decompositions the effective action for Abelian 2-form gauge theory is written in terms of diagonalized uncanonical part and BRST exact one. The nilpotent BRST and contracting homotopy $\sigma$ closed transformations with field redefinitions are shown as the Darboux transformations used in the Faddeev-Jackiw formalism.Comment: 9 pages, No figures, Published versio