Association of glycosylated hemoglobin (HbA1c) levels with Iinsulin resistance in obese children.

Objectives: We investigated the relationship between insulin resistance reflected by homeostasis model assessment (HOMA-IR) index and serum HbA1c levels of obese children.Material and Methods: This study included 70 obese and 60 normal weight healthy children between the ages of 3 and 15. Anthropometric measures and biochemical tests (fasting glucose, fasting insulin, HbA1c) were performed on all subjects. Plasma glucose levels were measured by the glucose oxidase method. Plasma insulin concentrations were measured by radioimmunoassay (RIA). HOMA-IR index was used to estimate insulin resistance. A cut-off HOMA-IR level of ≥2.5 was accepted. The HbA1c analysis was performed using high-pressure liquid chromatography. The statistical analysis was performed using SPSS 5. Student’s unpaired t-test and the Mann–Whitney U test were used to determine statistical significance.Results: Gender distribution did not reveal significant difference among the obese (F: 48.6%, M: 51.4%) and the non-obese (F: 46.7%, M: 53.3%) groups. The mean age value was significantly higher in the obese group (10.09± 3.09) (p>0.005) than the non-obese group (8.31±3.14) (p<0.05). The mean value of body mass index (BMI) was 25.55±4.3 in the obese group and 16.63±2.3 in the non-obese group. The mean HOMA-IR values of obese group (2.84±1.77) was significantly higher than the non-obese group (1.50±0.95) (p<0.005). Insulin resistance was significantly higher in the obese group. Subjects with HOMA-IR ≥2.5 levels in the obese group had significantly higher HbA1c values than those with HOMA-IR <2.5 levels.Conclusions: High HbA1c levels in obese children can be used as a screening tool to detect insulin sensitivity and resistance at an early stage.Key words: children, HbA1c protein, insulin resistance, obesity

Stratejik kentsel planlama ve gelecek çalışmaları : dünya örnekleri ve yöntemler

Gelismekte olan ülkelerde görülen mega-kentler ve dünya ekonomisi açısından odak olusturan ve gelismis ülkelerde bulunan New York, Londra, Paris, Frankfurt, İstanbul, Tokyo gibi “küresel kentler”, ekonomik ve kültürel çekim noktaları, yeniliklerin yasanması için merkezler, ve kaynakların verimli kullanımı için uygun alanlar olarak büyük bir birikime sahiptirler. Bununla birlikte, yoksulluk, esitsizlik, issizlik, altyapı ve hizmet sektöründeki yetersizlik, trafik karmasası, suç, siddet gibi birçok sorun içinde bir potansiyel merkez durumundadırlar.publisher versio

Stratejik kentsel planlama ve gelecek çalışmaları : dünya örnekleri ve yöntemler

Gelismekte olan ülkelerde görülen mega-kentler ve dünya ekonomisi açısından odak olusturan ve gelismis ülkelerde bulunan New York, Londra, Paris, Frankfurt, İstanbul, Tokyo gibi “küresel kentler”, ekonomik ve kültürel çekim noktaları, yeniliklerin yasanması için merkezler, ve kaynakların verimli kullanımı için uygun alanlar olarak büyük bir birikime sahiptirler. Bununla birlikte, yoksulluk, esitsizlik, issizlik, altyapı ve hizmet sektöründeki yetersizlik, trafik karmasası, suç, siddet gibi birçok sorun içinde bir potansiyel merkez durumundadırlar.publisher versio

Transformations between WISE, 2MASS, SDSS and BVRI photometric systems: I. Transformation equations for dwarfs

We present colour transformations for the conversion of the W1 and W2 magnitudes of WISE photometric system to the Johnson-Cousins' BVRI, SDSS (gri), and 2MASS (JHK_s) photometric systems, for dwarfs. The W3 and W4 magnitudes were not considered due to their insufficient signal to noise ratio (S/N). The coordinates of 825 dwarfs along with their BVRI, gri, and JHK_s data, taken from Bilir et al. (2008) were matched with the coordinates of stars in the preliminary data release of WISE (Wright et al., 2010) and a homogeneous dwarf sample with high S/N ratio have been obtained using the following constraints: 1) the data were dereddened, 2) giants were identified and excluded from the sample, 3) sample stars were selected according to data quality, 4) transformations were derived for sub samples of different metallicity range, and 5) transformations are two colour dependent. These colour transformations, coupled with known absolute magnitudes at shorter wavelenghts, can be used in space density evaluation for the Galactic (thin and thick) discs, at distances larger than the ones evaluated with JHK_s photometry.Comment: 16 pages, including 5 figures and 7 tables, accepted for publication in MNRA

Turner syndrome and associated problems in turkish children: A multicenter study

Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population. Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014. Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosi) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto’s thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%. Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespan. © Journal of Clinical Research in Pediatric Endocrinology

The principal properties of molibdenum-phosphate heteropolianions and their application as catalysts

Polyoxometallates (POMs) are increasingly used as electrocatalysts for the determination of several types of species. Dawson and Keggin-type heteropoly anions are preferentially used in industry as catalysts. Properties of Dawson-type molybdophosphate heteropoly anions are discussed in the present review. Electrochemical behavior of Keggin- and Dawsontype molybdophosphate heteropoly anions has been reviewed. The oxidation-reduction potentials of electron reductions of the [P2Mo18O62] 6– anion in solutions with various pH and in different media are cited. Special focus is made on methods of designing of electrodes modified by POMs. The most common deposition techniques of POMs include chemisorption, electrodeposition, encapsulation in polymers or sol–gels, and formation of hybrid POM–organic species. Advantages and disadvantages of various techniques are discussed. Modified electrodes are characterized by electrochemical stability, shifting of characteristic peaks and sensitivity to pH change. Проаналізовано результати досліджень електрохімічних властивостей і стабільності молібдофосфорних гетерополікомплексiв структури Кеггіна і Доусона. Визначено характерні потенціали електронних переходів 18-МФА та їх залежність від рН у водних розчинах. Розглянуто основні методи формування електродів, модифікованих ГПК, та порівнюються їх каталітичні властивості iз вихідними речовинами. Проанализированы результаты исследований электрохимических свойств и стабильности молибдофосфорных гетерополикомплексов структуры Кеггина и Доусона. Определены характерные потенциалы электронных переходов 18-МФА и их зависимость от рН в водных растворах. Рассмотрены основные методы формирования электродов, модифицированных ГПК, и сравниваются их каталитические свойства с исходными вещеставами

Mesoporous carbon-containing voltammetric biosensor for determination of tyramine in food products

A voltammetric biosensor based on tyrosinase (TYR) was developed for determination of tyramine. Carbon material (multi-walled carbon nanotubes or mesoporous carbon CMK-3-type), polycationic polymer—i.e., poly(diallyldimethylammonium chloride) (PDDA), and Nafion were incorporated into titania dioxide sol (TiO(2)) to create an immobilization matrix. The features of the formed matrix were studied by scanning electron microscopy (SEM) and cyclic voltammetry (CV). The analytical performance of the developed biosensor was evaluated with respect to linear range, sensitivity, limit of detection, long-term stability, repeatability, and reproducibility. The biosensor exhibited electrocatalytic activity toward tyramine oxidation within a linear range from 6 to 130 μM, high sensitivity of 486 μA mM(−1) cm(−2), and limit of detection of 1.5 μM. The apparent Michaelis–Menten constant was calculated to be 66.0 μM indicating a high biological affinity of the developed biosensor for tyramine. Furthermore, its usefulness in determination of tyramine in food product samples was also verified. [Figure: see text] ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00216-016-9612-y) contains supplementary material, which is available to authorized users

Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: a comparative risk assessment

Background High blood pressure, blood glucose, serum cholesterol, and BMI are risk factors for cardiovascular diseases and some of these factors also increase the risk of chronic kidney disease and diabetes. We estimated mortality from cardiovascular diseases, chronic kidney disease, and diabetes that was attributable to these four cardiometabolic risk factors for all countries and regions from 1980 to 2010. Methods We used data for exposure to risk factors by country, age group, and sex from pooled analyses of populationbased health surveys. We obtained relative risks for the eff ects of risk factors on cause-specifi c mortality from metaanalyses of large prospective studies. We calculated the population attributable fractions for- each risk factor alone, and for the combination of all risk factors, accounting for multicausality and for mediation of the eff ects of BMI by the other three risks. We calculated attributable deaths by multiplying the cause-specifi c population attributable fractions by the number of disease-specifi c deaths. We obtained cause-specifi c mortality from the Global Burden of Diseases, Injuries, and Risk Factors 2010 Study. We propagated the uncertainties of all the inputs to the fi nal estimates. Findings In 2010, high blood pressure was the leading risk factor for deaths due to cardiovascular diseases, chronic kidney disease, and diabetes in every region, causing more than 40% of worldwide deaths from these diseases; high BMI and glucose were each responsible for about 15% of deaths, and high cholesterol for more than 10%. After accounting for multicausality, 63% (10\ub78 million deaths, 95% CI 10\ub71\u201311\ub75) of deaths from these diseases in 2010 were attributable to the combined eff ect of these four metabolic risk factors, compared with 67% (7\ub71 million deaths, 6\ub76\u20137\ub76) in 1980. The mortality burden of high BMI and glucose nearly doubled from 1980 to 2010. At the country level, age-standardised death rates from these diseases attributable to the combined eff ects of these four risk factors surpassed 925 deaths per 100 000 for men in Belarus, Kazakhstan, and Mongolia, but were less than 130 deaths per 100 000 for women and less than 200 for men in some high-income countries including Australia, Canada, France, Japan, the Netherlands, Singapore, South Korea, and Spain. Interpretation The salient features of the cardiometabolic disease and risk factor epidemic at the beginning of the 21st century are high blood pressure and an increasing eff ect of obesity and diabetes. The mortality burden of cardiometabolic risk factors has shifted from high-income to low-income and middle-income countries. Lowering cardiometabolic risks through dietary, behavioural, and pharmacological interventions should be a part of the globalresponse to non-communicable diseases

Guidelines for the use and interpretation of assays for monitoring autophagy (4th edition)1.

In 2008, we published the first set of guidelines for standardizing research in autophagy. Since then, this topic has received increasing attention, and many scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Thus, it is important to formulate on a regular basis updated guidelines for monitoring autophagy in different organisms. Despite numerous reviews, there continues to be confusion regarding acceptable methods to evaluate autophagy, especially in multicellular eukaryotes. Here, we present a set of guidelines for investigators to select and interpret methods to examine autophagy and related processes, and for reviewers to provide realistic and reasonable critiques of reports that are focused on these processes. These guidelines are not meant to be a dogmatic set of rules, because the appropriateness of any assay largely depends on the question being asked and the system being used. Moreover, no individual assay is perfect for every situation, calling for the use of multiple techniques to properly monitor autophagy in each experimental setting. Finally, several core components of the autophagy machinery have been implicated in distinct autophagic processes (canonical and noncanonical autophagy), implying that genetic approaches to block autophagy should rely on targeting two or more autophagy-related genes that ideally participate in distinct steps of the pathway. Along similar lines, because multiple proteins involved in autophagy also regulate other cellular pathways including apoptosis, not all of them can be used as a specific marker for bona fide autophagic responses. Here, we critically discuss current methods of assessing autophagy and the information they can, or cannot, provide. Our ultimate goal is to encourage intellectual and technical innovation in the field