115 research outputs found

    Diabetes-Related Antibody-Testing is a Valuable Screening Tool for Identifying Monogenic Diabetes – A Survey from the Worldwide SWEET Registry

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    Aims: To evaluate access to screening tools for monogenic diabetes in paediatric diabetes centres across the world and its impact on diagnosis and clinical outcomes of children and youth with genetic forms of diabetes. Methods: 79 centres from the SWEET diabetes registry including 53,207 children with diabetes participated in a survey on accessibility and use of diabetes related antibodies, c-peptide and genetic testing. Results: 73, 63 and 62 participating centres had access to c-peptide, antibody and genetic testing, respectively. Access to antibody testing was associated with higher proportion of patients with rare forms of diabetes identified with monogenic diabetes (54 % versus 17 %, p = 0.01), lower average whole clinic HbA1c (7.7[Q1,Q2: 7.3-8.0]%/61[56-64]mmol/mol versus 9.2[8.6-10.0]%/77[70-86]mmol/mol, p < 0.001) and younger age at onset (8.3 [7.3-8.8] versus 9.7 [8.6-12.7] years p < 0.001). Additional access to c-peptide or genetic testing was not related to differences in age at onset or HbA1c outcome. Conclusions: Clinical suspicion and antibody testing are related to identification of different types of diabetes. Implementing access to comprehensive antibody screening may provide important information for selecting individuals for further genetic evaluation. In addition, worse overall clinical outcomes in centers with limited diagnostic capabilities indicate they may also need support for individualized diabetes management.info:eu-repo/semantics/publishedVersio

    Fractional covers of Hypergraphs with bounded multi-intersection

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    Fractional (hyper-)graph theory is concerned with the specific problems that arise when fractional analogues of otherwise integer-valued (hyper-)graph invariants are considered. The focus of this paper is on fractional edge covers of hypergraphs. Our main technical result generalizes and unifies previous conditions under which the size of the support of fractional edge covers is bounded independently of the size of the hypergraph itself. This allows us to extend previous tractability results for checking if the fractional hypertree width of a given hypergraph is ≀ k for some constant k. We also show how our results translate to fractional vertex covers

    Events in a Non-Commutative Space-Time

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    We treat the events determined by a quantum physical state in a noncommutative space-time, generalizing the analogous treatment in the usual Minkowski space-time based on positive-operator-valued measures (POVMs). We consider in detail the model proposed by Snyder in 1947 and calculate the POVMs defined on the real line that describe the measurement of a single coordinate. The approximate joint measurement of all the four space-time coordinates is described in terms of a generalized Wigner function (GWF). We derive lower bounds for the dispersion of the coordinate observables and discuss the covariance of the model under the Poincare' group. The unusual transformation law of the coordinates under space-time translations is interpreted as a failure of the absolute character of the concept of space-time coincidence. The model shows that a minimal length is compatible with Lorents covariance.Comment: 13 pages, revtex. Introductory part shortened and some arguments made more clea

    Deep Eutectic Solvents (DESs) and their applications [forthcoming]

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    Deep Eutectic Solvents (DESs) and Their Application
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