535 research outputs found

    High Depressive Symptoms in Previously Undetected Diabetes : 10-Year Follow-Up Results of the Heinz Nixdorf Recall Study

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    Aim: To determine the 10-year cumulative incidence of high depressive symptoms in people with diagnosed and, in particular, previously undetected diabetes compared to those without diabetes in a population-based cohort study in Germany. Materials and Methods: We included 2813 participants (52.9% men, mean age (SD) 58.9 (7.7) years, 7.1% diagnosed diabetes, 5.6% previously undetected diabetes) from the Heinz Nixdorf Recall study. We calculated the odds ratios (OR) with 95% confidence intervals (CI) using multiple logistic regression analyses for diagnosed and undetected diabetes. Results: Cumulative 10-year incidences (95%-CI) of high depressive symptoms in participants with diagnosed diabetes, previously undetected diabetes, and without diabetes were 15.4% (10.7– 21.2), 10.1% (5.9– 15.9), and 12.4% (11.1– 13.8), respectively. Age-sex-adjusted ORs were 1.51 (1.01– 2.28) in participants with diagnosed diabetes compared to those without, 1.40 (0.92– 2.12) after adjustment for BMI, physical activity, education, and smoking, and 1.33 (0.87– 2.02) after further adjustment for stroke and myocardial infarction. ORs in participants with previously undetected diabetes were 0.96 (0.56– 1.65), 0.85 (0.49– 1.47), and 0.85 (0.49– 1.48), respectively, and lower in men than in women. Conclusion: As expected, we found an increased odds of developing high depressive symptoms in participants with diagnosed diabetes. However, the odds ratios decreased when we considered comorbidities and other covariates. Interestingly, in participants with previously undetected diabetes, the odds was not increased, even 10 years after detection of diabetes. These results support the hypothesis that high depressive symptoms develop due to diabetes-related burdens and comorbidities and not due to hyperglycemia or hyperinsulinemia

    Open Questions in Cosmic-Ray Research at Ultrahigh Energies

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    International audienceWe review open questions and prospects for progress in ultrahigh-energy cosmicray (UHECR) research, based on a series of discussions that took place during the “The High-Energy Universe: Gamma-Ray, Neutrino, and Cosmic-ray Astronomy” MIAPP workshop in 2018.Specifically, we overview open questions on the origin of the bulk of UHECRs, the UHECR mass composition, the origin of the end of the cosmic-ray spectrum, the transition from Galactic to extragalactic cosmic-rays, the effect of magnetic fields on thetrajectories of UHECRs, anisotropy expectations for specific astrophysical scenarios, hadronicinteractions, and prospects for discovering neutral particles as well as new physics at ultrahighenergies. We also briefly overview upcoming and proposed UHECR experiments and discusstheir projected science reach
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