4,247 research outputs found

    Dynapenic obesity and the risk of incident Type 2 diabetes: the English Longitudinal Study of Ageing

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    Aim Obesity is a well‐established risk factor for developing Type 2 diabetes. Evidence suggests that sarcopenia, the age‐related decline in muscle mass and strength, may exacerbate diabetes risk in obese individuals. The aim of this study was to determine the combined effect of obesity and low muscle strength, dynapenia, on the risk of incident Type 2 diabetes in older adults. Methods Participants were 5953 (1670 obese) men and women from the English Longitudinal Study of Ageing without known Type 2 diabetes at baseline and for whom handgrip strength, biochemical and other clinical data were collected. A diagnosis of Type 2 diabetes was recorded from self‐reported physician diagnosis over 6 years. Results For each unit increase in grip strength, there was a reduction in diabetes risk (age‐, sex‐ and BMI adjusted HR; 0.98; 95% CI 0.96–0.99). The risk of Type 2 diabetes was elevated in all obese participants, but was greatest in those with low handgrip strength (HR = 4.93, 95% CI 2.85, 8.53) compared with non‐obese individuals with high handgrip strength. Eleven per cent of the sample met the threshold for weakness (handgrip strength: men < 26 kg; women < 16 kg) that was associated with elevated Type 2 diabetes risk in obese (HR = 3.57, 95% CI 2.04, 6.24) but not in non‐obese (HR = 0.86, 95% CI, 0.44, 1.68) compared with normal/non‐obese participants. Conclusion Dynapenic obesity, determined by high BMI and low handgrip strength, is associated with increased risk of incident Type 2 diabetes in older people

    Laws relating runs, long runs, and steps in gambler's ruin, with persistence in two strata

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    Define a certain gambler's ruin process \mathbf{X}_{j}, \mbox{ \ }j\ge 0, such that the increments εj:=XjXj1\varepsilon_{j}:=\mathbf{X}_{j}-\mathbf{X}_{j-1} take values ±1\pm1 and satisfy P(εj+1=1εj=1,Xj=k)=P(εj+1=1εj=1,Xj=k)=akP(\varepsilon_{j+1}=1|\varepsilon_{j}=1, |\mathbf{X}_{j}|=k)=P(\varepsilon_{j+1}=-1|\varepsilon_{j}=-1,|\mathbf{X}_{j}|=k)=a_k, all j1j\ge 1, where ak=aa_k=a if 0kf1 0\le k\le f-1, and ak=ba_k=b if fk<Nf\le k<N. Here 0<a,b<10<a, b <1 denote persistence parameters and f,NN f ,N\in \mathbb{N} with f<Nf<N. The process starts at X0=m(N,N)\mathbf{X}_0=m\in (-N,N) and terminates when Xj=N|\mathbf{X}_j|=N. Denote by RN{\cal R}'_N, UN{\cal U}'_N, and LN{\cal L}'_N, respectively, the numbers of runs, long runs, and steps in the meander portion of the gambler's ruin process. Define XN:=(LN1ab(1a)(1b)RN1(1a)(1b)UN)/NX_N:=\left ({\cal L}'_N-\frac{1-a-b}{(1-a)(1-b)}{\cal R}'_N-\frac{1}{(1-a)(1-b)}{\cal U}'_N\right )/N and let fηNf\sim\eta N for some 0<η<10<\eta <1. We show limNE{eitXN}=φ^(t)\lim_{N\to\infty} E\{e^{itX_N}\}=\hat{\varphi}(t) exists in an explicit form. We obtain a companion theorem for the last visit portion of the gambler's ruin.Comment: Presented at 8th International Conference on Lattice Path Combinatorics, Cal Poly Pomona, Aug., 2015. The 2nd version has been streamlined, with references added, including reference to a companion document with details of calculations via Mathematica. The 3rd version has 2 new figures and improved presentatio

    Design of a nickel-base superalloy using a neural network

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    A new computational tool has been developed to model, discover, and optimize new alloys that simultaneously satisfy up to eleven physical criteria. An artificial neural network is trained from pre-existing materials data that enables the prediction of individual material properties both as a function of composition and heat treatment routine, which allows it to optimize the material properties to search for the material with properties most likely to exceed a target criteria. We design a new polycrystalline nickel-base superalloy with the optimal combination of cost, density, gamma' phase content and solvus, phase stability, fatigue life, yield stress, ultimate tensile strength, stress rupture, oxidation resistance, and tensile elongation. Experimental data demonstrates that the proposed alloy fulfills the computational predictions, possessing multiple physical properties, particularly oxidation resistance and yield stress, that exceed existing commercially available alloys

    Influenza viruses in healthy wild birds in Hong Kong

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    Poster Presentations: Animal Influenza EcologyWild waterfowl are considered the natural reservoir of influenza A viruses. The recent outbreak of highly pathogenic avian influenza (HPAI) H5N1 in Asia which has now spread as far as Africa highlights the importance of defining the influenza virus gene pool in these birds and understanding the potential role played by migratory waterfowl in such HPAI outbreaks. Seventy-three influenza viruses were isolated from 16,724 samples collected from feral waterfowls or their fecal droppings during 2003-7 at Mai Po Marshes and Lok Ma Chau in Hong Kong. A diversity of influenza viruses representing hemagglutinin subtypes of H1, H2, H4, H5, H6, H7, H8, H9, H10 and H11; neuramidinase subtypes of N1, N2, N3, N4, N6, N7, N8 and N9, were isolated. Seventy-two of these 73 positive isolates were collected during the winter period coinciding with the southern migration of waterfowl along the East Asian flyway. No HPAI H5N1 viruses were isolated from healthy birds sampled in this study, though H5N1 viruses have been isolated from dead wild birds found in Hong Kong. Phylogenetic analyses of the HA gene of the H5 viruses isolated in the study showed that they clustered with other LP H5 viruses isolated from Hokkaido, Mongolia and Siberia but they seemed not to be very closely related to the HP H5N1. Six of 150 blood sample collected from wild ducks and one of 43 from shorebirds were tested to have antibody by neutralization tests for H5 subtype hemagglutinin.postprin

    Hepatitis C virus exploits cyclophilin A to evade PKR

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    Counteracting innate immunity is essential for successful viral replication. Host cyclophilins (Cyps) have been implicated in viral evasion of host antiviral responses, although the mechanisms are still unclear. Here, we show that hepatitis C virus (HCV) co-opts the host protein CypA to aid evasion of antiviral responses dependent on the effector protein kinase R (PKR). Pharmacological inhibition of CypA rescues PKR from antagonism by HCV NS5A, leading to activation of an interferon regulatory factor-1 (IRF1)-driven cell intrinsic antiviral program that inhibits viral replication. These findings further the understanding of the complexity of Cyp-virus interactions, provide mechanistic insight into the remarkably broad antiviral spectrum of Cyp inhibitors, and uncover novel aspects of PKR activity and regulation. Collectively, our study identifies a novel antiviral mechanism that harnesses cellular antiviral immunity to suppress viral replication

    Demonstrating that Medical Devices Satisfy User Related Safety Requirements

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    One way of contributing to a demonstration that a medical device is acceptably safe is to show that the device satisfies a set of requirements known to mitigate hazards. This paper describes experience using formal techniques to model an IV infusion device and to prove that the modelled device captures a set of requirements. The requirements chosen for the study are based on a draft proposal developed by the US Food and Drug Administration (FDA). A major contributor to device related errors are (user) interaction errors. For this reason the chosen models and requirements focus on user interface related issues.FEDER - Federación Española de Enfermedades Raras(000062)This work has been funded by the EPSRC research grant EP/G059063/1: CHI+MED (Computer–Human Interaction for Medical Devices). J. C. Campos was funded by project NORTE-07-0124-FEDER-00006
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