Validation and implementation of low-cost dynamic insulin sensitivity tests

DTM2011 handbook/programme is given in files and also available as a hard copyObjective: Insulin sensitivity (SI) tests can provide important information for type 2 diabetes risk assessment and investigations of metabolism or pre-diabetes. Our group previously presented the dynamic insulin sensitivity and secretion test (DISST) and the real-time quick DISST (DISTq) as low-cost, low-burden and accurate alternatives to established tests. The DISST provides concurrent SI and endogenous insulin secretion (UN) metrics, the DISTq does not require insulin or C-peptide assays for SI identification, but can return an immediate result. This study validates the DISST and DISTq in comparison to the euglycemic, hyperinsulinemic clamp (EIC) Method: Fifty participants (with 10 BMI>30; 10 BMI>25, <30; and 5 BMI<25 of each gender) underwent the EIC and DISST. The DISST protocol requires 5 samples from a 30 minute protocol similar to the IM-IVGTT. Data from the DISST protocol was sufficient to identify SI using both the DISST and DISTq parameter identification methods and UN from the DISST. Result: DISST and DISTq SI values correlated well to the EIC (R=0.81 and R=0.76, respectively) and each other (R=0.84). UN values obtained during the DISST showed clinically relevant distinctions between participants, and clearly differentiated the beta-cell function of impaired glucose tolerant participants who had the same EIC SI. Participant acceptance of the protocol was high with very minor reported adverse effects. Conclusion: The DISST and DISTq correlated well against the EIC compared to most established insulin sensitivity tests. The DISST can better differentiate patients as it provides UN metrics that the EIC does not. A computer program makes uptake and use of the model-based DISST and DISTq tests straightforward for clinicians and researchers

Hydrology and climatology at Laguna La Gaiba, lowland Bolivia: complex responses to climatic forcings over the last 25,000 years

Diatom, geochemical and isotopic data provide a record of environmental change in Laguna La Gaiba, lowland Bolivia, over the last ca. 25 000 years. High-resolution diatom analysis around the last glacial–interglacial transition provides new insights into this period of change. The full and late glacial lake was generally quite shallow, but with evidence of periodic flooding. At about 13,100 cal a BP, just before the start of the Younger Dryas chronozone, the diatoms indicate shallower water conditions, but there is a marked change at about 12,200 cal a BP indicating the onset of a period of high variability, with rising water levels punctuated by periodic drying. From ca. 11,800 to 10,000 cal a BP stable, deeper water conditions persisted. There is evidence for drying in the early to middle Holocene, but not as pronounced as that reported from elsewhere in the southern hemisphere tropics of South America. This was followed by the onset of wetter conditions in the late Holocene consistent with insolation forcing. Conditions very similar to present were established about 2,100 cal a BP. A complex response to both insolation forcing and millennial scale events originating in the North Atlantic is noted

Neutrinos, Axions and Conformal Symmetry

We demonstrate that radiative breaking of conformal symmetry (and simultaneously electroweak symmetry) in the Standard Model with right-chiral neutrinos and a minimally enlarged scalar sector induces spontaneous breaking of lepton number symmetry, which naturally gives rise to an axion-like particle with some unusual features. The couplings of this `axion' to Standard Model particles, in particular photons and gluons, are entirely determined (and computable) via the conformal anomaly, and their smallness turns out to be directly related to the smallness of the masses of light neutrinos.Comment: 10 pages, 2 figures, expanded version, to be published in EPJ

(B-L) Symmetry vs. Neutrino Seesaw

We compute the effective coupling of the Majoron to W bosons at \cO(\hbar) by evaluating the matrix element of the (B-L) current between the vacuum and a $W^+W^-$ state. The (B-L) anomaly vanishes, but the amplitude does not vanish as a result of a UV finite and non-local contribution which is entirely due to the mixing between left-chiral and right-chiral neutrinos. The result shows how anomaly-like couplings may arise in spite of the fact that the (B-L) current remains exactly conserved to all orders in $\hbar$, lending additional support to our previous proposal to identify the Majoron with the axion.Comment: 13 pages, 1 figure, with additional explanations and clarification

The Dynamic Insulin Sensitivity and Secretion Test (DISST) - a novel measure of insulin sensitivity

Objective: To validate the methodology for the Dynamic Insulin Sensitivity and Secretion Test (DISST) and to demonstrate its potential in clinical and research settings. Methods: 123 men and women had routine clinical and biochemical measurements, an oral glucose tolerance test and a DISST. For the DISST, participants were cannulated for blood sampling and bolus administration. Blood samples were drawn at t=0, 10, 15, 25 and 35 minutes for measurement of glucose, insulin and C-peptide. A 10g bolus of intravenous glucose at t=5 minutes and 1U of intravenous insulin immediately after the t=15 minute sample were given. Fifty participants also had a hyperinsulinaemic euglycaemic clamp. Relationships between DISST insulin sensitivity (SI) and the clamp, and both DISST SI and secretion and other metabolic variables were measured. Results: A Bland-Altman plot showed little bias in the comparison of DISST with the clamp; with DISST underestimating the glucose clamp by 0.1·10-2·mg·l·kg-1·min-1·pmol-1 (90%CI -0.2 to 0). The correlation between SI as measured by DISST and the clamp was 0.82, the c unit for the ROC analysis for the two tests was 0.96. Metabolic variables showed significant correlations with DISST IS, and the second phase of insulin release. DISST also appears able to distinguish different insulin secretion patterns in individuals with identical SI values. Conclusions: DISST is a simple, dynamic test that compares favourably with the clamp in assessing SI and allows simultaneous assessment of insulin secretion. DISST has the potential to provide even more information about the pathophysiology of diabetes than more complicated tests

Light Unstable Sterile Neutrino

The three massless active (doublet) neutrinos may mix with two heavy and one \underline {light} sterile (singlet) neutrinos so that the induced masses and mixings among the former are able to explain the present data on atmospheric and solar neutrino oscillations. If the LSND result is also to be explained, one active neutrino mass eigenstate must mix with the light sterile neutrino. A specific model is proposed with the spontaneous and soft explicit breaking of a new global $U(1)_S$ symmetry so that a sterile neutrino will decay into an active antineutrino and a nearly massless pseudo-Majoron.Comment: Discussion and references adde

Long-term trends in tropical cyclone tracks around Korea and Japan in late summer and early fall

This study investigates long-term trends in tropical cyclones (TCs) over the extratropical western North Pacific (WNP) over a period of 35 years (1982-2016). The area analyzed extended across 30-45 degrees N and 120-150 degrees E, including the regions of Korea and Japan that were seriously affected by TCs. The northward migration of TCs over the WNP to the mid-latitudes showed a sharp increase in early fall. In addition, the duration of TCs over the WNP that migrated northwards showed an increase, specifically in early to mid-September. Therefore, more recently, TC tracks have been observed to significantly extend into the mid-latitudes. The recent northward extension of TC tracks over the WNP in early fall was observed to be associated with changes in environmental conditions that were favorable for TC activities, including an increase in sea surface temperature (SST), decrease in vertical wind shear, expansion of subtropical highs, strong easterly steering winds, and an increase in relative vorticity. In contrast, northward migrations of TCs to Korea and Japan showed a decline in late August, because of the presence of unfavorable environmental conditions for TC activities. These changes in environmental conditions, such as SST and vertical wind shear, can be partially associated with the Pacific decadal oscillation

Quantum corrections to the entropy of charged rotating black holes

Hawking radiation from a black hole can be viewed as quantum tunneling of particles through the event horizon. Using this approach we provide a general framework for studying corrections to the entropy of black holes beyond semiclassical approximations. Applying the properties of exact differentials for three variables to the first law thermodynamics, we study charged rotating black holes and explicitly work out the corrections to entropy and horizon area for the Kerr-Newman and charged rotating BTZ black holes. It is shown that the results for other geometries like the Schwarzschild, Reissner-Nordstr\"{o}m and anti-de Sitter Schwarzschild spacetimes follow easily

Charged BTZ-like Black Holes in Higher Dimensions

Motivated by many worthwhile paper about (2 + 1)-dimensional BTZ black holes, we generalize them to to (n + 1)-dimensional solutions, so called BTZ-like solutions. We show that the electric field of BTZ-like solutions is the same as (2 + 1)-dimensional BTZ black holes, and also their lapse functions are approximately the same, too. By these similarities, it is also interesting to investigate the geometric and thermodynamics properties of the BTZ-like solutions. We find that, depending on the metric parameters, the BTZ-like solutions may be interpreted as black hole solutions with inner (Cauchy) and outer (event) horizons, an extreme black hole or naked singularity. Then, we calculate thermodynamics quantities and conserved quantities, and show that they satisfy the first law of thermodynamics. Finally, we perform a stability analysis in the canonical ensemble and show that the BTZ-like solutions are stable in the whole phase space.Comment: 5 pages, two column format, one figur