A Comparative Effectiveness Analysis of Three Continuous Glucose Monitors

OBJECTIVE To compare three continuous glucose monitoring (CGM) devices in subjects with type 1 diabetes under closed-loop blood glucose (BG) control. RESEARCH DESIGN AND METHODS Six subjects with type 1 diabetes (age 52 ± 14 years, diabetes duration 32 ± 14 years) each participated in two 51-h closed-loop BG control experiments in the hospital. Venous plasma glucose (PG) measurements (GlucoScout, International Biomedical) obtained every 15 min (2,360 values) were paired in time with corresponding CGM glucose (CGMG) measurements obtained from three CGM devices, the Navigator (Abbott Diabetes Care), the Seven Plus (DexCom), and the Guardian (Medtronic), worn simultaneously by each subject. Errors in paired PG–CGMG measurements and data reporting percentages were obtained for each CGM device. RESULTS The Navigator had the best overall accuracy, with an aggregate mean absolute relative difference (MARD) of all paired points of 11.8 ± 11.1% and an average MARD across all 12 experiments of 11.8 ± 3.8%. The Seven Plus and Guardian produced aggregate MARDs of all paired points of 16.5 ± 17.8% and 20.3 ± 18.0%, respectively, and average MARDs across all 12 experiments of 16.5 ± 6.7% and 20.2 ± 6.8%, respectively. Data reporting percentages, a measure of reliability, were 76% for the Seven Plus and nearly 100% for the Navigator and Guardian. CONCLUSIONS A comprehensive head-to-head-to-head comparison of three CGM devices for BG values from 36 to 563 mg/dL revealed marked differences in performance characteristics that include accuracy, precision, and reliability. The Navigator outperformed the other two in these areas

Crystal structure resolution of two different chlorhexidine salts

This work was partly funded by the British Heart Foundation (NH/11/8/29253) and the EPSRC (EP/K005499/1). CCDC 1416048 and 1416049 contain the supplementary crystallographic data for this paper. These data can be obtained free of charge from The Cambridge Crystallographic Data Centre via www.ccdc.cam.ac.uk/data_request/cifTwo salts of the chlorhexidine di-cation (H2CHx2+) – (H2CHx)(SO4)·3H2O and (H2CHx)(CO3)·4H2O – have been synthesised and characterised crystallographically.Publisher PDFPeer reviewe

Physical Conditions in Shocked Interstellar Gas Interacting with the Supernova Remnant IC 443

We present the results of a detailed investigation into the physical conditions in interstellar material interacting with the supernova remnant IC 443. Our analysis is based on a comprehensive examination of high-resolution far-ultraviolet spectra obtained with the Space Telescope Imaging Spectrograph onboard the Hubble Space Telescope of two stars behind IC 443. One of our targets (HD 43582) probes gas along the entire line of sight through the supernova remnant, while the other (HD 254755) samples material located ahead of the primary supernova shock front. We identify low velocity quiescent gas in both directions and find that the densities and temperatures in these components are typical of diffuse atomic and molecular clouds. Numerous high velocity components are observed in the absorption profiles of neutral and singly-ionized atomic species toward HD 43582. These components exhibit a combination of greatly enhanced thermal pressures and significantly reduced dust-grain depletions. We interpret this material as cooling gas in a recombination zone far downstream from shocks driven into neutral gas clumps. The pressures derived for a group of ionized gas components at high positive velocity toward HD 43582 are lower than those of the other shocked components, pointing to pressure inhomogeneities across the remnant. A strong very high velocity component near -620 km/s is seen in the absorption profiles of highly-ionized species toward HD 43582. The velocity of this material is consistent with the range of shock velocities implied by observations of soft thermal X-ray emission from IC 443. Moderately high-velocity gas toward HD 254755 may represent shocked material from a separate foreground supernova remnant.Comment: 88 pages, 27 figures, accepted for publication in Ap

Bridging Representation and Visualization in Prosopographic Research: A Case Study

In the last decade, the research on ancient civilizations has started to rely more and more on data science to extract knowledge on ancient societies from the written sources delivered from the past. In this paper, we combine two well-established frameworks: Linked Data to obtain a rich data structure, and Network Science to explore different research questions regarding the structure and the evolution of ancient societies. We propose a multi-disciplinary pipeline where, starting from a semantically annotated prosopographic archive, a research question is translated into a query on the archive and the obtained dataset is the input to the network model. We applied this pipeline to different archives, a Hittite and a Kassite collection of cuneiform tablets. Finally, network visualization is presented as a powerful tool to highlight both the data structure and the social network analysis results

Home use of a bihormonal bionic pancreas versus insulin pump therapy in adults with type 1 diabetes: a multicentre randomised crossover trial

The safety and effectiveness of a continuous, day-and-night automated glycaemic control system using insulin and glucagon has not been shown in a free-living, home-use setting. We aimed to assess whether bihormonal bionic pancreas initialised only with body mass can safely reduce mean glycaemia and hypoglycaemia in adults with type 1 diabetes who were living at home and participating in their normal daily routines without restrictions on diet or physical activity

Registered Replication Report on Fischer, Castel, Dodd, and Pratt (2003)

The attentional spatial-numerical association of response codes (Att-SNARC) effect (Fischer, Castel, Dodd, & Pratt, 2003)—the finding that participants are quicker to detect left-side targets when the targets are preceded by small numbers and quicker to detect right-side targets when they are preceded by large numbers—has been used as evidence for embodied number representations and to support strong claims about the link between number and space (e.g., a mental number line). We attempted to replicate Experiment 2 of Fischer et al. by collecting data from 1,105 participants at 17 labs. Across all 1,105 participants and four interstimulus-interval conditions, the proportion of times the effect we observed was positive (i.e., directionally consistent with the original effect) was .50. Further, the effects we observed both within and across labs were minuscule and incompatible with those observed by Fischer et al. Given this, we conclude that we failed to replicate the effect reported by Fischer et al. In addition, our analysis of several participant-level moderators (finger-counting habits, reading and writing direction, handedness, and mathematics fluency and mathematics anxiety) revealed no substantial moderating effects. Our results indicate that the Att-SNARC effect cannot be used as evidence to support strong claims about the link between number and space

Early Release Science of the exoplanet WASP-39b with JWST NIRCam

Measuring the metallicity and carbon-to-oxygen (C/O) ratio in exoplanet atmospheres is a fundamental step towards constraining the dominant chemical processes at work and, if in equilibrium, revealing planet formation histories. Transmission spectroscopy provides the necessary means by constraining the abundances of oxygen- and carbon-bearing species; however, this requires broad wavelength coverage, moderate spectral resolution, and high precision that, together, are not achievable with previous observatories. Now that JWST has commenced science operations, we are able to observe exoplanets at previously uncharted wavelengths and spectral resolutions. Here we report time-series observations of the transiting exoplanet WASP-39b using JWST's Near InfraRed Camera (NIRCam). The long-wavelength spectroscopic and short-wavelength photometric light curves span 2.0 - 4.0 $\mu$m, exhibit minimal systematics, and reveal well-defined molecular absorption features in the planet's spectrum. Specifically, we detect gaseous H$_2$O in the atmosphere and place an upper limit on the abundance of CH$_4$. The otherwise prominent CO$_2$ feature at 2.8 $\mu$m is largely masked by H$_2$O. The best-fit chemical equilibrium models favour an atmospheric metallicity of 1-100$\times$ solar (i.e., an enrichment of elements heavier than helium relative to the Sun) and a sub-stellar carbon-to-oxygen (C/O) ratio. The inferred high metallicity and low C/O ratio may indicate significant accretion of solid materials during planet formation or disequilibrium processes in the upper atmosphere.Comment: 35 pages, 13 figures, 3 tables, Nature, accepte

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