Effects on clinical outcomes of intensifying triple oral antidiabetic drug (OAD) therapy by initiating insulin versus enhancing OAD therapy in patients with type 2 diabetes: A nationwide populationâ based, propensityâ scoreâ matched cohort study

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/147778/1/dom13525_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/147778/2/dom13525.pd

Self-catheterization of urinary bladder complicated with extraperitoneal abscess that mimics an infected bladder diverticulum

AbstractFor patients who are suffering from neurogenic lower urinary tract dysfunction, intermittent urinary catheterization is an efficient way to empty the bladder.1 However, the method may result in various complications. Herein we present a rare complication of extraperitoneal abscess owing to intermittent urinary catheterization in a 62-year-old male who had cervical spine injury and was treated with intermittent urethral catheterization for neurogenic lower urinary tract dysfunction. Treatment and a literature review are also described

Galactic electrons and positrons at the Earth:new estimate of the primary and secondary fluxes

We analyse predictions of the CR lepton fluxes at the Earth of both secondary and primary origins, evaluate the theoretical uncertainties, and determine their level of consistency with respect to the available data. For propagation, we use a relativistic treatment of the energy losses for which we provide useful parameterizations. We compute the secondary components by improving on the method that we derived earlier for positrons. For primaries, we estimate the contributions from astrophysical sources (supernova remnants and pulsars) by considering all known local objects within 2 kpc and a smooth distribution beyond. We find that the electron flux in the energy range 5-30 GeV is well reproduced by a smooth distant distribution of sources with index $\gamma\sim 2.3-2.4$, while local sources dominate the flux at higher energy. For positrons, local pulsars have an important effect above 5-10 GeV. Uncertainties affecting the source modeling and propagation are degenerate and each translates into about one order of magnitude error in terms of local flux. The spectral shape at high energy is weakly correlated with the spectral indices of local sources, but more strongly with the hierarchy in their distance, age and power. Despite the large theoretical errors that we describe, our global and self-consistent analysis can explain all available data without over-tuning the parameters, and therefore without the need to consider any exotic physics. Though a \emph{standard paradigm} of Galactic CRs is well established, our results show that we can hardly talk about any \emph{standard model} of CR leptons, because of the very large theoretical uncertainties. Our analysis provides details about the impact of these uncertainties, thereby sketching a roadmap for future improvements.Comment: 34 pages, 14 figures. V2: few changes, results unchanged; matches the version accepted in Astron. Astrophy

A Systematic Mapping Approach of 16q12.2/FTO and BMI in More Than 20,000 African Americans Narrows in on the Underlying Functional Variation: Results from the Population Architecture using Genomics and Epidemiology (PAGE) Study

Genetic variants in intron 1 of the fat mass- and obesity-associated (FTO) gene have been consistently associated with body mass index (BMI) in Europeans. However, follow-up studies in African Americans (AA) have shown no support for some of the most consistently BMI-associated FTO index single nucleotide polymorphisms (SNPs). This is most likely explained by different race-specific linkage disequilibrium (LD) patterns and lower correlation overall in AA, which provides the opportunity to fine-map this region and narrow in on the functional variant. To comprehensively explore the 16q12.2/FTO locus and to search for second independent signals in the broader region, we fine-mapped a 646-kb region, encompassing the large FTO gene and the flanking gene RPGRIP1L by investigating a total of 3,756 variants (1,529 genotyped and 2,227 imputed variants) in 20,488 AAs across five studies. We observed associations between BMI and variants in the known FTO intron 1 locus: the SNP with the most significant p-value, rs56137030 (8.3×10-6) had not been highlighted in previous studies. While rs56137030was correlated at r2>0.5 with 103 SNPs in Europeans (including the GWAS index SNPs), this number was reduced to 28 SNPs in AA. Among rs56137030 and the 28 correlated SNPs, six were located within candidate intronic regulatory elements, including rs1421085, for which we predicted allele-specific binding affinity for the transcription factor CUX1, which has recently been implicated in the regulation of FTO. We did not find strong evidence for a second independent signal in the broader region. In summary, this large fine-mapping study in AA has substantially reduced the number of common alleles that are likely to be functional candidates of the known FTO locus. Importantly our study demonstrated that comprehensive fine-mapping in AA provides a powerful approach to narrow in on the functional candidate(s) underlying the initial GWAS findings in European populations

Examining the types and payments of the disabilities of the insurants in the national farmers' health insurance program in Taiwan

<p>Abstract</p> <p>Background</p> <p>In contrast to the considerable body of literature concerning the disabilities of the general population, little information exists pertaining to the disabilities of the farm population. Focusing on the disability issue to the insurants in the Farmers' Health Insurance (FHI) program in Taiwan, this paper examines the associations among socio-demographic characteristics, insured factors, and the introduction of the national health insurance program, as well as the types and payments of disabilities among the insurants.</p> <p>Methods</p> <p>A unique dataset containing 1,594,439 insurants in 2008 was used in this research. A logistic regression model was estimated for the likelihood of received disability payments. By focusing on the recipients, a disability payment and a disability type equation were estimated using the ordinary least squares method and a multinomial logistic model, respectively, to investigate the effects of the exogenous factors on their received payments and the likelihood of having different types of disabilities.</p> <p>Results</p> <p>Age and different job categories are significantly associated with the likelihood of receiving disability payments. Compared to those under age 45, the likelihood is higher among recipients aged 85 and above (the odds ratio is 8.04). Compared to hired workers, the odds ratios for self-employed and spouses of farm operators who were not members of farmers' associations are 0.97 and 0.85, respectively. In addition, older insurants are more likely to have eye problems; few differences in disability types are related to insured job categories.</p> <p>Conclusions</p> <p>Results indicate that older farmers are more likely to receive disability payments, but the likelihood is not much different among insurants of various job categories. Among all of the selected types of disability, a highest likelihood is found for eye disability. In addition, the introduction of the national health insurance program decreases the likelihood of receiving disability payments. The experience in Taiwan can be valuable for other countries that are in an initial stage to implement a universal health insurance program.</p

The DNA/RNA-Dependent RNA Polymerase QDE-1 Generates Aberrant RNA and dsRNA for RNAi in a Process Requiring Replication Protein A and a DNA Helicase

The Neurospora RNA-dependent RNA polymerase QDE-1 is an RNA polymerase that can use both RNA and DNA as templates, suggesting a new mechanism for small RNA production

From fullerene acceptors to non-fullerene acceptors: prospects and challenges in the stability of organic solar cells

The recent emergence of non-fullerene small molecule acceptors has reinvigorated the field of organic solar cells, already resulting in significant breakthroughs in their power conversion efficiency and discovery of remarkable new science. The stability and degradation of this class of materials and devices, on the other hand, has to date received relatively less attention. Herein, we present a critical review into the fundamentally different degradation mechanisms of non-fullerene acceptors compared to fullerene acceptors, as well as the very different roles they play upon the charge carrier generation and recombination kinetics and the resulting solar cell stability. We highlight in particular the prospect of the emergence of non-fullerene acceptors in addressing several major degradation mechanisms related to the use of fullerene acceptors, in conjunction with a number of unique degradation mechanisms that only exist in non-fullerene acceptors, which would provide an important guideline for further developments toward achieving long-term stability of organic solar cells

An overview of progress in electrolytes for secondary zinc-air batteries and other storage systems based on zinc

The revived interest and research on the development of novel energy storage systems with exceptional inherent safety, environmentally benign and low cost for integration in large scale electricity grid and electric vehicles is now driven by the global energy policies. Within various technical challenges yet to be resolved and despite extensive studies, the low cycle life of the zinc anode is still hindering the implementation of rechargeable zinc batteries at industrial scale. This review presents an extensive overview of electrolytes for rechargeable zinc batteries in relation to the anode issues which are closely affected by the electrolyte nature. Widely studied aqueous electrolytes, from alkaline to acidic pH, as well as non-aqueous systems including polymeric and room temperature ionic liquids are reported. References from early rechargeable Zn-air research to recent results on novel Zn hybrid systems have been analyzed. The ambition is to identify the challenges of the electrolyte system and to compile the proposed improvements and solutions. Ultimately, all the technologies based on zinc, including the more recently proposed novel zinc hybrid batteries combining the strong points of lithium-ion, redox-flow and metal-air systems, can benefit from this compilation in order to improve secondary zinc based batteries performance.Basque Country University (ZABALDUZ2012 program), and the Basque Country Government (Project: CIC energiGUNÉ16 of the ELKARTEK program) and the European Commission through the project ZAS: “Zinc Air Secondary innovative nanotech based batteries for efficient energy storage” (Grant Agreement 646186

Controlled three-dimensional polystyrene micro- and nano-structures fabricated by three- dimensional electrospinning

The combination of electrospinning with extrusion based 3D printing technology opens new pathways for micro- and nanofabrication, which can be applied in a wide range of applications. This simple and inexpensive method has been proven to fabricate 3D fibrous polystyrene structures with controlled morphology and micro- to nano-scale fibers diameter. The controllable movement of the nozzle allows precise positioning of the deposition area of the fibers during electrospinning. A programmed circular nozzle pattern results in the formation of controllable 3D polystyrene designed shapes with fiber diameters down to 550 nm. The assembly of the fibrous structures starts instantaneously, and a 4 cm tall and 6 cm wide sample can be produced within a 10 minutes electrospinning process. The product exhibits high stability at ambient conditions. The shape, size, and thickness of fibrous polystyrene structures can be easily controlled by tuning the process parameters. It is assumed that the build-up of 3D fibrous polystyrene structures strongly depends on charge induction and polarization of the electrospun fibers

Status and Prospects of ZnO-Based Resistive Switching Memory Devices

In the advancement of the semiconductor device technology, ZnO could be a prospective alternative than the other metal oxides for its versatility and huge applications in different aspects. In this review, a thorough overview on ZnO for the application of resistive switching memory (RRAM) devices has been conducted. Various efforts that have been made to investigate and modulate the switching characteristics of ZnO-based switching memory devices are discussed. The use of ZnO layer in different structure, the different types of filament formation, and the different types of switching including complementary switching are reported. By considering the huge interest of transparent devices, this review gives the concrete overview of the present status and prospects of transparent RRAM devices based on ZnO. ZnO-based RRAM can be used for flexible memory devices, which is also covered here. Another challenge in ZnO-based RRAM is that the realization of ultra-thin and low power devices. Nevertheless, ZnO not only offers decent memory properties but also has a unique potential to be used as multifunctional nonvolatile memory devices. The impact of electrode materials, metal doping, stack structures, transparency, and flexibility on resistive switching properties and switching parameters of ZnO-based resistive switching memory devices are briefly compared. This review also covers the different nanostructured-based emerging resistive switching memory devices for low power scalable devices. It may give a valuable insight on developing ZnO-based RRAM and also should encourage researchers to overcome the challenges