452 research outputs found

    Screening for Diabetes and Pre-Diabetes With Proposed A1C-Based Diagnostic Criteria

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    OBJECTIVE — An International Expert Committee (IEC) and the American Diabetes Asso-ciation (ADA) proposed diagnostic criteria for diabetes and pre-diabetes based on A1C levels. We hypothesized that screening for diabetes and pre-diabetes with A1C measurements would differ from using oral glucose tolerance tests (OGTT). RESEARCH DESIGN AND METHODS — We compared pre-diabetes, dysglycemia (diabetes or pre-diabetes), and diabetes identified by the proposed criteria (A1C 6.5 % for diabetes and 6.0–6.4 % [IEC] or 5.7–6.4 % [ADA] for high risk/pre-diabetes) with standard OGTT diagnoses in three datasets. Non-Hispanic white or black adults without known diabetes who had A1C and 75-g OGTT measurements were included from the prospective Screening for Impaired Glucose Tolerance study (n 1,581), and from the National Health and Nutrition Examination Survey (NHANES) III (n 2014), and NHANES 2005–2006 (n 1,111). RESULTS — OGTTs revealed pre-diabetes in 35.8 % and diabetes in 5.2 % of combined study subjects. A1C provided receiver operating characteristic (ROC) curve areas for diabetes of 0.79– 0.83, but ROC curve areas were 0.70 for dysglycemia or pre-diabetes. The proposed criteria missed 70 % of individuals with diabetes, 71–84 % with dysglycemia, and 82–94 % with pre

    Vascular white matter lesions negatively correlate with brain metastases in malignant melanoma - results from a retrospective comparative analysis

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    Brain metastasis (BM) is a major complication of different cancers. There is increasing evidence for influence of vascular factors on BM in patients with non-small cell lung cancer (NSCLC). It is not known if the same is true for other tumors that might rely on different forms of vasculogenesis. The objective of this retrospective study was to evaluate a possible negative association of vascular white matter lesions and vascular risk factors (vasRF) with brain metastases in patients with melanoma

    On an exponential attractor for a class of PDEs with degenerate diffusion and chemotaxis

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    In this article we deal with a class of strongly coupled parabolic systems that encompasses two different effects: degenerate diffusion and chemotaxis. Such classes of equations arise in the mesoscale level modeling of biomass spreading mechanisms via chemotaxis. We show the existence of an exponential attractor and, hence, of a finite-dimensional global attractor under certain 'balance conditions' on the order of the degeneracy and the growth of the chemotactic function

    In cis TP53 and RAD51C pathogenic variants may predispose to sebaceous gland carcinomas

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    Pathogenic variants in TP53 have been classically thought to cause Li-Fraumeni syndrome (LFS), a cancer predisposition with high risks for various childhood- and adult-onset malignancies. However, increased genetic testing has lately revealed, that pathogenic variant carriers exhibit a broader range of phenotypes and that penetrance may be dependent both on variant type and modifiers. Using next generation sequencing and short tandem repeat analysis, we identified germline pathogenic variants in TP53 and RAD51C located in cis on chromosome 17 in a 43-year-old male, who has developed a rare sebaceous gland carcinoma (SGC) but so far no tumors of the LFS spectrum. This course mirrors a Trp53-Rad51c-double-mutant cis mouse-model, which similarly develops SGC, while the characteristic Trp53-associated tumor spectrum occurs with significantly lower frequency. Therefore, we propose that co-occurent pathogenic variants in RAD51C and TP53 may predispose to SGC, reminiscent of Muir-Torre syndrome. Further, this report supports the diversity of clinical presentations associated with germline TP53 alterations, and thus, the proposed expansion of LFS to heritable TP53-related cancer syndrome

    The MINERΜ\nuA Data Acquisition System and Infrastructure

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    MINERΜ\nuA (Main INjector ExpeRiment Μ\nu-A) is a new few-GeV neutrino cross section experiment that began taking data in the FNAL NuMI (Fermi National Accelerator Laboratory Neutrinos at the Main Injector) beam-line in March of 2010. MINERΜ\nuA employs a fine-grained scintillator detector capable of complete kinematic characterization of neutrino interactions. This paper describes the MINERΜ\nuA data acquisition system (DAQ) including the read-out electronics, software, and computing architecture.Comment: 34 pages, 16 figure

    Extraction of electromagnetic neutron form factors through inclusive and exclusive polarized electron scattering on polarized 3He target

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    Inclusive 3He(e,e') and exclusive 3He(e,e'n) processes with polarized electrons and 3He have been theoretically analyzed and values for the magnetic and electric neutron form factors have been extracted. In both cases the form factor values agree well with the ones extracted from processes on the deuteron. Our results are based on Faddeev solutions, modern NN forces and partially on the incorporation of mesonic exchange currents.Comment: 28 pages, 29 Postscript figure
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