Serum leptin and its relation to anthropometric measures of obesity in pre-diabetic Saudis

Background: Little information is available on leptin concentrations in individuals with IGT. This study aims to determine and correlate leptin levels to anthropometric measures of obesity in prediabetic, (IFG and IGT), type 2 diabetic and normoglycaemic Saudis. Methods: 308 adult Saudis (healthy controls n = 80; pre-diabetes n = 86; Type 2 diabetes n = 142) participated. Anthropometric parameters were measured and fasting blood samples taken. Serum insulin was analysed, using a solid phase enzyme amplified sensitivity immunoassay and also leptin concentrations, using radio-immunoassay. The remaining blood parameters were determined using standard laboratory procedures. Results: Leptin levels of diabetic and pre-diabetic men were higher than in normoglycaemic men (12.4 [3.2–72] vs 3.9 [0.8–20.0] ng/mL, (median [interquartile range], p = 0.0001). In females, leptin levels were significantly higher in pre-diabetic subjects (14.09 [2.8–44.4] ng/mL) than in normoglycaemic subjects (10.2 [0.25–34.8] ng/mL) (p = 0.046). After adjustment for BMI and gender, hip circumference was associated with log leptin (p = 0.006 with R2 = 0.086) among all subjects. Conclusion: Leptin is associated with measures of adiposity, hip circumference in particular, in the non-diabetic state among Saudi subjects. The higher leptin level among diabetics and pre-diabetics is not related to differences in anthropometric measures of obesity

Character-Level Language Modeling with Deeper Self-Attention

LSTMs and other RNN variants have shown strong performance on character-level language modeling. These models are typically trained using truncated backpropagation through time, and it is common to assume that their success stems from their ability to remember long-term contexts. In this paper, we show that a deep (64-layer) transformer model with fixed context outperforms RNN variants by a large margin, achieving state of the art on two popular benchmarks: 1.13 bits per character on text8 and 1.06 on enwik8. To get good results at this depth, we show that it is important to add auxiliary losses, both at intermediate network layers and intermediate sequence positions.Comment: 8 pages, 7 figure

Using infrared thermography for monitoring thermal efficiency of buildings - case studies from Nottingham Trent University

Global warming and the continuous increase of energy cost are driving the need for reducing energy consumption. Buildings are responsible for approximately 50% of the UK energy consumption. Major part of this consumption is for heating and air conditioning of buildings. Nottingham Trent University is a leading university in the UK in relation to improving the performance of its buildings in order to improve insulation and energy consumption. The experimental case studies presented in this paper highlights some of the new measures taken to reduce energy consumption and enhance the sustainability of the University buildings. Infrared thermography is used to evaluate insulation measures and energy performance. The results indicate that enhanced insulation combined with modern sustainable technologies can significantly reduce energy consumption

Board Gender Diversity and CSR Reporting: Evidence from Jordan

This study investigates whether board gender diversity influences corporate social responsibility (CSR) reporting in Jordan, where there are no gender board balance regulatory requirements. Data was examined from all non-financial Jordanian listed companies for the period of 2006 to 2015. This longitudinal data results in balanced panel data of 800 observations. A content analysis method was used to obtain the reporting index of CSR disclosure in the annual reports. Ordinary least square regression showed that the presence of female directors on a board has a significantly positive effect on the level of CSR reporting. The presence of female directors on the board appears to play a significant role in enhancing compliance with corporate governance best practices. These results provide motivations for companies to consider gender balance on boards. Further, these results reinforce the decision making of regulators in countries where policies have been adopted to increase female representation on corporate boards. In countries where no such regulation exists the inclusion of gender balance practices within boards of directors may increase the level of CSR reporting practices. This study can be considered as one of the few empirical studies that have evaluated the impact of board gender diversity on the level of CSR reporting in a context where there are no gender balance strategies or policies

Medical errors : Healthcare professionals’ perspective at a tertiary hospital in Kuwait

Medical errors are of economic importance and can contribute to serious adverse events for patients. Medical errors refer to preventable events resulting from healthcare interactions, whether these events harm the patient or not. In Kuwait, there is a paucity literature detailing the causes, forms, and risks of medical errors in their state-funded healthcare facilities. This study aimed to explore medical errors, their causes and preventive strategies in a Kuwait tertiary hospital based on the perceptions and experience of a cross-section of healthcare professionals using a questionnaire with 27 open (n = 10) and closed (n = 17) questions. The recruited healthcare professionals in this study included pharmacists, nurses, physicians, dentists, radiographers, hospital administrators, surgeons, nutritionists, and physiotherapists. The collected data were analysed quantitatively using descriptive statistics. A total of 203 participants filled and completed the survey questionnaire. The frequency of medical errors in Kuwait was found to be high at 60.3% ranging from incidences of prolonged hospital stays (32.9%), adverse events and life-threatening complications (32.3%), and fatalities (20.9%). The common medical errors result from incomplete instructions, incorrect dosage, and incorrect route of administration, diagnosis errors, and labelling errors. The perceived causes of these medical errors include high workload, lack of support systems, stress, medical negligence, inadequate training, miscommunication, poor collaboration, and non-adherence to safety guidelines among the healthcare professionals.Peer reviewe

Characterisation of microstructure, defect and high-cycle-fatigue behaviour in a stainless steel joint processed by brazing

We report the characterisation of microstructures and high-cycle-fatigue (HCF) properties of Type 304 stainless steel joints processed by brazing. Pure copper was applied as the filler metal for brazing at 1120 °C. A two-phase microstructure was obtained within the joint region: the star-shaped precipitates and copper matrix. The precipitates with an average size of 0.43 μm were rich in iron and chromium. A fixed orientation relationship was found between the precipitates and copper matrix. The joint exhibited much higher tensile strength and HCF life when compared to pure copper. The strength enhancement can be attributed to the presence of precipitates. Furthermore, the effect of joint interface roughness as well as defects was critically investigated. The joint interface roughness showed little influence on the HCF lives. Post-examinations revealed that fatigue crack initiation and propagation occurred entirely within the joint region, hence being consistent with the similar HCF lives regardless of the pre-defined interface roughness conditions. In addition, it was found that the HCF lives decreased exponentially with the increase of initial defect area. Fractography analysis revealed that fatigue striation spacings near the crack initiation zone increased with the increase of defect area, suggesting that the larger defects result in higher crack growth rate, hence shorten the overall fatigue life.</div

Serum resistin is associated with C-reactive protein and LDL- cholesterol in type 2 diabetes and coronary artery disease in a Saudi population

Aims Resistin is an adipocyte-derived factor implicated in obesity-associated type 2 diabetes (T2DM). This study examines the association between human serum resistin, T2DM and coronary heart disease. Methods One hundred and fourteen Saudi Arabian patients (male: female ratio 46:68; age 51.4 (mean ± SD)11.7 years; median and range: 45.59 (11.7) years and BMI: 27.1 (mean ± SD) 8.1 Kgm2 median and range: 30.3 (6.3) were studied. Serum resistin and C-reactive protein (CRP), a marker of inflammation CRP levels, were measured in all subjects. (35 patients had type 2 diabetes mellitus (T2DM); 22 patients had coronary heart disease (CHD). Results Serum resistin levels were 1.2-fold higher in type 2 diabetes and 1.3-fold higher in CHD than in controls (p = 0.01). In addition, CRP was significantly increased in both T2DM and CHD patients (p = 0.007 and p = 0.002 respectively). The use of regression analysis also determined that serum resistin correlated with CRP levels (p = 0.04, R2 0.045). Conclusion The findings from this study further implicate resistin as a circulating protein associated with T2DM and CHD. In addition this study also demonstrates an association between resistin and CRP, a marker of inflammation in type 2 diabetic patients